We often think of proteins are nutrients found in the food we eat and the main component of muscles, however, proteins are microscopic molecules located inside of cells which actually perform a variety of fundamental roles. The function of a protein depends on its shape, and when protein formation goes awry, the resulting misshapen proteins can cause numerous health issues, such as when proteins neglect their essential roles or when they form a sticky, clumpy clutter inside of cells. Protein formation is an error-prone procedure and mistakes along the way have been associated with neurological diseases. �
There are approximately 20,000 to over 100,000 unique types of proteins found inside a common human cell. Why so many? Proteins are the workhorses of the human cell. By way of instance, several of these proteins are structural, lending stiffness and rigidity to thin neurons or muscle tissues. Other proteins shuttle them to new places and bind to specific molecules and others catalyze responses. A property of proteins is possible through diversity and specificity in their role when they fold. �
Contents
Why Proteins Fold into a Functional Shape
A protein generally begins in the cell as a lengthy chain of about 300 building blocks known as amino acids. There are 22 different types of amino acids and their order decides what protein chain will fold onto itself. After folding, two types of structures will generally form. Several regions of the protein chain coil into slinky-like formations known as “alpha-helices,” while other regions fold into zigzag patterns known as “beta-sheets,” which resemble the folds of a paper fan. �
Both of these structures may interact to form complex structures. In one protein structure, many beta-sheets wrap themselves around to form a hollow tube. The tube is also generally short where the overall structure resembles snakes (alpha-helices) emerging out of a can (beta-sheet tubing ). Moreover, several other protein structures with descriptive names include the “beta-barrel,” that the”beta-propeller,” the”alpha/beta-horseshoe,” as well as the “jelly-roll fold”. �
These intricate structures allow proteins to perform their variety of roles in the cell. The “snakes in a can” protein, when embedded into a cell membrane, creates a tube which enables traffic in and out of cells. Other proteins form contours with pockets known as “active sites” which are perfectly shaped to bind to a certain molecule like a lock and key. By bending into different shapes, proteins can do different functions. To draw an analogy, all vehicles are made from steel, while a bus, dump truck, crane, or Zamboni are shaped to execute their very own tasks however races are won by the slick shape of a racecar. �
Why Protein Folding Sometimes Fails
Protein folding ultimately allows a protein to take a functional shape, however, it’s an intricate procedure which can sometimes fail. According to research studies, protein folding can go wrong due to three major reasons: �
A person may have a mutation which affects an amino acid in the protein chain, making it difficult for a specific protein to locate its favored fold or “native” state. This is how it is for mutations, such as those contributing to cystic fibrosis or sickle cell anemia. These mutations are found in the DNA sequence or “gene” which encodes one special protein. Therefore, these types of inherited mutations affect only that protein and its related function.
On the other hand, protein folding failure can be seen as an ongoing and much more general procedure which affects several proteins. When proteins are made, the structure which reads the instructions from DNA to produce the long chains of amino acids can make errors. Researchers estimate that the ribosome makes mistakes in as many as 1 in every 7 proteins. These mistakes can make the proteins which are resultantly inclined to continue to fold improperly.
Even though an amino acid chain does not have any mutations or mistakes, it may still not reach its own preferred folded shape because proteins don’t fold properly 100 percent of their time. Protein folding becomes much more difficult if the conditions in the cell change due to external factors such as temperature and acidity.
A collapse in protein folding can cause a variety of neurological diseases and researchers hypothesize that many health issues are associated with folding problems. There are two problems which exist in cells which don’t protein fold correctly. �
One type of problem, known as “loss of function,” results when not enough of a particular protein folds correctly, causing a lack of “specialized functions” necessary to perform a particularly important role. By way of instance, imagine a correctly folded protein is shaped to bind a toxin and split it into noxious compounds. Without enough of that protein accessible, the toxin will build-up to damaging levels. In another instance, a protein may be responsible for metabolizing sugar which can then be utilized by the cell for energy. The cell will grow due to lack of energy if not enough of this protein is accessible. The reason the cell becomes ill, in these cases, is because of a lack of one particular folded, functional protein. Cystic fibrosis, Tay-Sachs disease, Marfan syndrome, and some types of cancer are examples of health issues which result when one type of protein is unable to perform its role. Who knew that one type of protein out of thousands may be so significant? �
Proteins folding may also impact the overall health and wellness of the cell regardless of the utilization of the protein. When proteins fail to fold into their functional state, the consequent misfolded proteins could be contorted into shapes which are harmful to the crowded cell environment. Most proteins have sticky, “water-hating” amino acids which they bury deep inside their own core. Misfolded proteins utilize these parts on their exterior, such as a chocolate-covered candy which has been crushed to reveal a gooey center. These misfolded proteins commonly stick together to form clumps known as “aggregates.” Researchers discovered that the accumulation of misfolded proteins plays a fundamental role in several neurological diseases, including Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, and Lou Gehrig’s (ALS) disease, however, researchers are still working to discover exactly how these misfolded molecules affect the well-being of the cells. �
One misfolded protein ultimately stands out from among the rest and it deserves particular attention. The “prion” protein in Creutzfeldt-Jakob disease, also known as mad cow disease, is an illustration of a misfolded protein gone rogue. This protein isn’t simply irreversibly misfolded, however, it also transforms other functional proteins into a similar twisted condition. �
How Cells Protect from Misfolded Proteins
Recent research studies have demonstrated that protein misfolding often occurs inside of cells. Fortunately, cells also have many systems in place and are accustomed to coping with this issue by refolding or destroying aberrant protein formations. � Appropriately known as chaperones, these structures accompany proteins throughout the folding procedure, enhancing a protein’s odds of folding properly and even allowing several misfolded proteins the opportunity to refold. Chaperones are proteins themselves. There are many distinct types of chaperones. A few chaperones supply safety to proteins, isolated from other molecules. Production of many chaperones is fostered when a cell encounters high temperatures or other states which can ultimately make protein folding more difficult, therefore, providing these chaperones the alias, “heat shock proteins.” �
The following line of cell defense against misfolded proteins is known as the proteasome. If misfolded proteins linger in the cell, they will be targeted for destruction by this structure, which chews proteins up and spits them out. The proteasome is similar to a center, permitting the cell to reuse amino acids to create proteins. The proteasome itself is not a single protein but many acting collectively. Proteins frequently interact to form larger structures. By way of instance, a human sperm’s tail is a structure made of various types of proteins which work together to produce a rotary engine which propels the sperm. �
Protein Folding and Misfolding Overview
Why is it that some misfolded proteins can evade systems such as chaperones and the proteasome? How can the neurological diseases previously mentioned above be caused by sticky misfolded proteins? Do some proteins misfold more often than others? These questions are at the forefront of research studies seeking to understand the health issues which ultimately result if protein fold goes awry as well as protein biology. The broad world of proteins, using its great assortment of shapes, bestows cells with capacities that allow for life to exist and allow for its diversity (e.g., the differences between eye, skin, lung or heart cells, and also the differences between species). But perhaps this is one of the many reasons why the word “protein” comes from the Greek word “protas,” meaning “of primary significance” and indeed they seem to be. �
Protein folding is a complex, physiochemical process by which a protein “folds” or assumes a functional shape to be able to perform their biological function. Proteins are nutrients we obtain from the food we eat and they are considered to be one of the main components of muscles, however, proteins play a wide variety of fundamental roles in the human body. According to research studies, protein misfolding can cause a variety of health issues, including neurological diseases. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article above is to describe protein folding and how it’s associated with neurological diseases. Neurological diseases are associated with the brain, the spine, and the nerves. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force.
Around 3 million individuals suffer from plantar fasciitis
Heel pain
Foot pain
Spurs
Tight tendons
Stiffness
Signs of a long day, wearing the wrong shoes, both or you may have a condition known as plantar fasciitis. We don’t take our health seriously until we go through excruciating pain or some form of debilitation. Feet are the foundation of the body and when they are not at 100% there are going to be problems.
Identifying, diagnosing, and treating plantar fasciitis can be fast and easy with chiropractic orthotics!
What is it?
Plantar Fasciitis is inflammation of the tissues in your foot.
People think it only affects the heel, however, it can affect any or all of the bottom of the foot. Because it�s the tissue between the toes and heel that gets inflamed.
The tissue is called �fascia� hence the name of the condition: plantar fasciitis.
Heel spurs were once thought to be the cause of the discomfort, but now is a symptom of plantar fasciitis.
Many people who have plantar fasciitis wake up with stabbing pain in the bottom of their feet during the first few steps of their day.
Early morning pain and stiffness is a big indication of PF.
Also called �policeman�s heel,� pain and discomfort also arise after long periods of standing, walking, exercise.
The fascia in the foot acts as a shock absorber, which helps support the arch of the foot.
With time, increased tension, small tears begin to happen in the fascia, that leads to the inflammation.
Who gets Plantar Fasciitis?
People that stand on their feet for long hours, such as:
Factory workers
Teachers
Doctors
Nurses
Retail employees
Are at a higher risk of developing plantar fasciitis.
Improper Footwear/Posture
Wearing improper shoes, meaning too tight, too loose is another contributing factor.
Shoes that have arch support and heel protection are considered best and help to avoid pain and discomfort.
Poor posture
Abnormal walking gait
When heel or foot pain is not treated, it can lead to
Back
Knee
Hip problems�
Many adjust their walking to compensate for the pain and discomfort that can lead to more problems.
Being flat-footed raises the likelihood of developing plantar fasciitis regardless of age or lifestyle.
Other Contributing Factors
Weight also contributes to plantar fasciitis because it puts greater stress and tension on the feet as they hold the body. Exercise can help, but be sure that they are exercises specifically designed to help treat plantar fasciitis. Because certain types of exercise like running, aerobics, jumping, and dance-based workouts can lead to heel pain and plantar fasciitis.
Diagnosis
Identifying and diagnosing plantar fasciitis is straightforward and relatively easy. Diagnosing plantar fasciitis does not require an X-Ray or MRI, which is one reason many people avoid seeking treatment. But it’s best to seek the advice of a trusted healthcare professional.
Treatment
There are several ways to treat plantar fasciitis:
Rest is one of the best remedies, especially if it is caused by exercise or excessive stress.
Icing the area can help manage the pain
Stretching and/or light physical therapy
Stretches that focus on the Achilles tendon and lower leg muscles help stabilize and strengthen the ankles and heels.
This helps to:
Stand
Walk
Workout
Move around
Chiropractic and physical therapy can help with:
Stretching the muscles and tendons
Work out and tension
Provide day-to-day stretches
Kinesio taping along the bottom of the foot, heel, and lower leg but should be done first by a professional like your chiropractor to show the proper and most effective method then you can do it yourself.
Chiropractic orthotics, or custom insoles, can help immensely because they are custom made to each individual.
There are a variety of types designed for various types of pain and discomfort.
Custom chiropractic orthotics can work in nearly any type of shoe.
Athletic/Tennis/Skate shoes
Work Shoes/Boots
High heels
Sandals
They are easily and custom made specifically to your body, which factors in your weight, posture, and gait.
If you�re experiencing any of the symptoms like heel pain, throbbing pain when you wake-up, or pain along the arch of your foot, then don’t hesitate and make an appointment with us today!
Our chiropractic/physical therapy team will teach you how to make small adjustments to your lifestyle, show you how to stretch properly, and how to use custom chiropractic orthotics to get you back on your feet with comfort, control and freedom to live your life.
Manage *PLANTAR FASCIITIS PAIN* with Custom Foot Orthotics | El Paso, TX (2019)
Gloria underwent foot pain that stretched throughout her body. Her plantar fasciitis developed because of her regular activities. Gloria explains how her well-being has been influenced by her afflictions. The custom made foot orthotics supplied for her by Dr. Alex Jimenez, a chiropractor in El Paso, TX, tremendously helped relieve her foot pain and plantar fasciitis symptoms. Gloria explains the comfort that the custom-made foot orthotics supplied for her symptoms. Gloria highly recommends Dr. Alex Jimenez as the non-surgical selection for foot pain and plantar fasciitis treatment, among other problems.
What’s Afoot
Particularly true with foot dysfunction is when the mechanics of the foot are off, which can throw off the alignment of the entire body.�Overpronation and oversupination in the foot�can lead to severe and�chronic back pain. Ankle pain refers to any type of pain or discomfort in the ankle. This pain could generally be due to an injury, such as a sprain, or due to another health issue. As stated by the National University of Health Sciences, or NUHS, an ankle sprain is one of the most frequent causes of foot pain, making up 85 percent of all ankle injuries. A sprain occurs when the ligaments tear or are overstretched.
Chiropractors utilize a combination of treatment techniques and methods to ease ankle and foot pain. Chiropractic care is a safe and effective, alternative treatment option which focuses on the diagnosis, treatment, and prevention of a variety of injuries and conditions associated with the musculoskeletal and nervous system, including foot and ankle pain.
NCBI Resources
Plantar fasciitis/heel pain syndrome�is the most common cause of heel pain, that results from a gradual degeneration of the plantar fascia or sudden trauma.�Individuals describe the pain like sharp stabbing or deep aching in the middle of the heel or along the bottom of the foot that happens when walking or standing. Pain arises in the morning after taking the first few steps or after extended periods of sitting/lying down/non-activity.
Mitochondria are the “energy factory” of the human body. Several thousand mitochondria can be found in nearly every cell. Mitochondria also play several fundamental roles in the body, such as converting chemicals from the foods we eat into energy as well as to process oxygen. Mitochondria produce 90 percent of the energy the human body requires to function accordingly. The purpose of the following article is to describe an overview of mitochondrial disease and well-being. �
Contents
What are Mitochondrial Diseases?
Mitochondrial diseases are characterized as chronic, genetic, and often inherited health issues which ultimately occur when mitochondria fail to produce enough energy for the human body to function properly. Mitochondrial diseases may develop from birth however they can frequently develop at any age. Mitochondrial disease can affect any region of the human body, including the cells of the brain, muscles, heart, liver, kidneys, pancreas, eyes, ears, and nerves, among other structures. �
When the mitochondria don’t function as well as they should because of another health issue, mitochondrial dysfunction occurs. Furthermore, many health issues can cause secondary dysfunction and result in other neurological diseases, such as Alzheimer’s disease, Lou Gehrig’s disease, and muscular dystrophy. People with secondary dysfunction don’t have genetic mitochondrial disease and do not need to be concerned about the ongoing development or worsening of symptoms. �
What are the Symptoms of Mitochondrial Disease?
Symptoms of mitochondrial disease depend on which cells of the human body are affected. Symptoms can develop at any age, involve one or more organs, and may range from mild to severe. Even patients within the same household, having the exact same mitochondrial disease can have gaps in symptoms, severity, and age of onset or beginning of symptoms. �
Symptoms of mitochondrial diseases can include: �
Poor growth
Muscle pain, muscle weakness, exercise intolerance, low muscle tone
Vision and/or hearing problems
Learning disabilities, delays in development, mental retardation
In many people, primary mitochondrial disease is a genetic health issue which can be inherited in several ways. To understand inheritance types, it is helpful to find out more about genes and DNA. Genes are substances which provide us our traits, like brown eyes or blue eyes. Genes contain DNA, which is the “blueprint” which gives each person their distinctive make-up. �
In normal circumstances, a child inherits one gene from the father and one gene from the mother. A child with a mitochondrial disease doesn’t receive the pair of genes from the parents. The gene has mutated or has become defective. Learning how the mitochondrial disease is inherited helps predict the prospect of passing the disease(s) to children. �
Inheritance types of mitochondrial disease are: �
Autosomal recessive inheritance: The child receives one mutated copy of a gene from each parent. There is a 25 percent chance that each child in the family will inherit a mitochondrial disease.
Autosomal dominant inheritance: The child receives one mutated copy of a gene from either parent. There is a 50 percent chance that each child in the family will inherit a mitochondrial disease.
Mitochondrial inheritance: In this unique type of inheritance, the mitochondria contain their own DNA. Only mitochondrial disorders caused by mutations in the mitochondrial DNA are exclusively inherited from mothers. There is a 100 percent chance that each child in the family will inherit a mitochondrial disease.
Random mutations: Occasionally, genes develop a mutation of their own which is not inherited from a parent.
How are Mitochondrial Diseases Diagnosed?
Mitochondrial diseases can be difficult to diagnose by a healthcare professional because mitochondrial diseases can ultimately affect a variety of organs and tissues in the human body and patients can also have a variety of symptoms. There is currently no single lab test or diagnostic test which can confirm the identification of mitochondrial disease. That is why a referral to a medical facility with healthcare professionals who focus on these diseases is essential to making the diagnosis. �
Diagnosis begins with a series of evaluations and tests which may include: �
A review of a patient�s family history
A complete physical evaluation
A neurological evaluation
A metabolic evaluation which includes blood and urine tests, and, if needed, a cerebral spinal fluid test
Other evaluations, determined by the regions of the human body and the patient’s symptoms which may include: �
Magnetic resonance imaging (MRI) or spectroscopy (MRS) for neurological symptoms
Retinal exam or electroretinogram (ERG) for vision symptoms
Electrocardiogram (EKG) or echocardiogram for symptoms of heart disease
Audiogram or auditory-brainstem evoked responses (ABER) for hearing symptoms
Blood test to detect thyroid dysfunction if the patient has thyroid problems
Blood test to perform genetic DNA testing
Testing may include biochemical testing. Biopsies of skin and muscle tissue may also be utilized for diagnosis. �
How are Mitochondrial Diseases Treated?
Unfortunately, there is no cure for mitochondrial disease, however, treatment can help reduce symptoms or slow the decline of overall well-being. Treatment varies from patient to patient and depends on the severity and the mitochondrial disease characterized. There is absolutely no way to predict a patient’s reaction or forecast how that person will be affected in the long-term. No two people respond the same way to the same treatment even if they have the same mitochondrial disease. �
Treatments for mitochondrial disease may include: �
Vitamins and supplements, including Coenzyme Q10; B complex vitamins, such as thiamine (B1) and riboflavin (B2), Alpha lipoic acid, L-carnitine (Carnitor), Creatine, and L-Arginine.
Exercise and physical activity, including endurance exercises and resistance/strength training to increase muscle strength. Endurance exercises include walking, running, swimming, dancing, cycling and others. Resistance/strength training includes exercises such as sit-ups, arm curls, knee extensions, weight lifting and others.
Conserving energy. Don�t try to do too much in a short period of time. Pace yourself.
Other treatments including speech therapy, respiratory therapy, physical therapy, and chiropractic care, among others.
Avoid situations which can make the health issue worse. This includes exposure to cold and/or warmth, starvation, lack of sleep, stressful situations, and usage of alcohol, smokes and monosodium glutamate or MSG, a flavor enhancer commonly added to Chinese foods, canned vegetables, soups, as well as processed meats, among other processed foods. �
Mitochondrial diseases are long-term, genetic, and frequently inherited health issues which occur when the mitochondria fail to produce enough energy for the human body to function accordingly. According to research studies, approximately one in 5,000 people has a genetic mitochondrial disease. Chiropractic care is an alternative treatment option which can help relieve symptoms associated with a variety of health issues, including mitochondrial diseases. Many chiropractors are qualified and experienced in the treatment of neurological diseases. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article above is to describe mitochondrial disease and its effect on overall health and wellness. Neurological diseases are associated with the brain, the spine, and the nerves. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Ever wondered why your job is so stressful? Or that you haven�t gotten enough sleep due to partying with your friends, even though you were supposed to finish that essay for that one class you signed up for and now you are typing away to meet the deadline and turning it in. Or even better� the two p.m. slumps.
Well, it might be because your L-theanine is a bit low. However, there are many ways to make sure that you get a boost of energy even though you feel tired and you are probably drinking it right now. Green tea seems to help us when we are overly stressed and when it�s nice and hot, we feel relaxed and whatever stress we hold onto melts away. However, L-theanine can also stimulate the brain and overall make you feel good, as well as blocking out certain neurotransmitters in your brain.
Try Green Tea
If you are wondering about the benefits of green tea, you can look at many Google searches and they will tell you different things about the health benefits of drinking green tea. However, they will say the same thing that is truly effective. That green tea can help your central nervous system function properly. Even though green tea has the same properties as coffee in the caffeine department without the extra �jittery� effect.
Green tea can be effective as it can make you more productive but can also give you more stable energy, while improving your brain to function properly. There is even a study that green tea can protect your brain when you are older. And that it may help lower the chances of getting Parkinson�s disease and Alzheimer�s disease. Both are very common neurodegenerative diseases that can be prevented by the various protective effect by drinking green tea. Not only that but it can also balance out the two neurotransmitters that are a key essential to having a healthy brain activity.
Neurotransmission
There are two types of neurotransmitters in our brains that work together to make sure that we are functioning properly. They are Glutamate and GABA. Both are mostly located in the brain�s neuro system as they are together and bringing a balance to our system. Glutamate’s function is to make our brain fired up and ready to learn new things. As well as being an important part of our brain development.
But when there is too much Glutamate in our brain, we become very hyper-aware of our surroundings, neurological inflammation, and anxiety. But when we add L-theanine to Glutamate, the Glutamate�s neurotoxicity is lowered by the L-theanine supplement. But the only way to counteract Glutamate is with GABA. GABA or Gamma-Aminobutyric Acid is the body�s main neurotransmitter that is responsible for our cells.
Chill Out
It�s basically the �chill pill� for our central nervous system. This neurotransmitter counteracts with Glutamate, which is very hyper; while GABA is very relaxed. Not only GABA calms downs our central nervous system, but it also gives us a much-needed restful sleep when we are exhausted from a long day. And when we are done with exercising, GABA helps our muscle tissue regenerate. GABA seems to know when we need to rest our brains from burning out and crashing hard on the couch after a long stressful day at work or school.
The best way to describe how GABA and Glutamate work together is to imagine your body as a car. Glutamate is the gas where we have to go from one place to the other and GABA is the brakes where we have stop and rest a bit. And when we add L-theanine to the mixture, it�s a sense of an added booster to our body and central nervous system to not only be relaxed but also have a bit of energy to go out on our daily day to day life.
But there is always still going to be stress in our lives if we don�t control it. Stress can be caused by many things that we all go through. Sometimes it can be something small like deadlines on projects that you are preparing for, that one exam that you have to take in class, or trying to find a job.
Those give us minor headaches that we have to step back a bit and take a deep breath. Other times stress can be something major like having too many commitments that we can�t handle, having poor organization skills, or even having a very highly stressed job. These major stressors can cause us to have high blood pressure and heart disease that we have to go to the doctor to get a prescription or even see a therapist so we can calm our mind down.
L-Theanine
Going back to L-theanine, it is proven that L-theanine can help us relax a bit in stressful situations. An animal study showed us what would happen when L-theanine is in the blood system of rats. Those rats that are treated with L-theanine are more relaxed in a stressful situation than those that are not treated.
With L-theanine, it is proven that this supplement has beneficial properties to help us calm down our central nervous system but also makes us feel a bit better in our day to day lives. We all deal with stress differently as there are certain things that help us alleviate it and even help us get better if we continue to do the things we love.
Conclusion
Whether it is taking a walk, writing down in a journal, exercising, seeking some professional help if things get way too hectic or doing a hobby that we love; stress is always going to be there within us, but only we can control it with the right ingredients.
Therefore, whenever you feel overly stressed from working too hard, having way too many plans that you can�t commit, or feeling very low on energy. Remember to stop and breathe a bit as you get into your comfiest clothes, put on a movie or binge-watch a series on Netflix, and make yourself a cup of hot green tea. Then when you are all comfortable on the couch and when you take that first sip, not only your body; but your brain will thank you for that break in your hectic daily life.
Excessive Foot Pronation can Affect *FOOT POSTURE & MOBILITY* | El Paso, TX (2019)
The following video discusses how excessive foot pronation can ultimately have an effect on foot posture and mobility. Several things can impact foot posture and mobility, such as excessive foot pronation. Excessive foot pronation is most widespread among the overall populace, therefore, it’s regarded as one of the most frequent factors for abnormal foot posture and mobility, which can lead to a variety of health issues like overuse injuries. Excessive foot pronation and supination can ultimately impact general health and wellness.
What’s Afoot
Foot Dysfunction can very easily cause a domino effect that extends all the way to the back. The feet are the foundation of the body and when there is a problem with the way they function it can cause the entire body to shift out of alignment. For instance, overpronation of the foot causes a series of internal changes that extend up through the leg. The femur may rotate causing hip pain and inflammation of the sacroiliac joint which leads to back pain. Other misalignments in the body that are caused by foot problems can also lead to chronic lower back pain as well.
NCBI Resources:
Researchers at Japan�s Kyoto University found that drinking green tea could help prevent deadly abdominal aortic aneurysms. They believe that the beneficial compounds in green tea are polyphenols, a type of antioxidant that fights free radicals and reduces inflammation. The polyphenols also appear to make arteries stronger and more flexible by regenerating elastin, an essential protein that makes arteries stretchy, yet sturdy. Green and white teas contain large amounts of EGCG, a powerful antioxidant linked to a lower risk of heart disease, Alzheimer�s disease, and numerous types of cancer. A study at Japan�s Okayama University found that senior citizens who drank large amounts of green tea slashed their risk of dying from heart disease by as much as 76 percent, and a Chinese study found that drinking green tea cut the risk of lung cancer by two-thirds.
Cerebrovascular disease is characterized as a group of diseases, conditions, and disorders which ultimately affects the blood vessels and the blood supply to the human brain. Brain damage can occur when a blockage, malformation, or hemorrhage prevents the brain cells from receiving enough oxygen. Cerebrovascular disorders can include stroke, transient ischemic attack or TIA, aneurysm, and vascular malformation. �
Cerebrovascular disease can develop due to a variety of health issues, such as atherosclerosis, where the arteries become narrow; thrombosis or embolic arterial blood clot, which is a blood clot in an artery of the brain; or cerebral venous thrombosis, which is a blood clot in a vein of the brain. �
In the United States, cerebrovascular disease is one of the most common causes of death. In 2017, it caused about 44.9 deaths per 100,000 individuals or 146,383 deaths in total. Fortunately, people can decrease their risk of developing cerebrovascular disease. In the following article, we will describe the types, the symptoms, the diagnosis, and the treatment for cerebrovascular disease and how to prevent them. �
Contents
Cerebrovascular Disease Symptoms
The symptoms of cerebrovascular disease are commonly based on the region of the health issue and its effect on the brain. � Different types of cerebrovascular disease may have different symptoms, however, common symptoms can include: �
a severe and sudden headache
hemiplegia or paralysis on one side of the human body
weakness on one side, also known as hemiparesis
confusion
difficulty communicating, including slurred speech
losing vision on one side
loss of balance
becoming unconscious
Emergency Response
The American Stroke Association promotes the public knowledge of the F.A.S.T. acronym as a way to help people recognize the warning signs of a stroke or any other type of cerebrovascular disease to take action immediately, including: �
face drooping
arm weakness
speech difficulty
time to call 911
Immediate medical attention is fundamental if anyone demonstrates symptoms of a cerebrovascular disease attack because these may ultimately have long-term effects if not treated immediately, such as cognitive impairment and paralysis. �
Types of Cerebrovascular Disease
Stroke, TIA, and subarachnoid hemorrhage are several types of cerebrovascular disease. Aneurysms and hemorrhages may cause acute health issues. Blood clots can affect the brain directly or indirectly from other regions of the human body.
Ischemic Stroke
Ischemic strokes occur when a blood clot or atherosclerotic plaque blocks a blood vessel which supplies blood to the brain. A clot or thrombus may develop in a narrow artery. A stroke occurs when a blood supply deficiency causes brain cell death.
Embolism
An embolic stroke is the most common type of ischemic stroke. An embolism occurs when a clot breaks off from another region in the human body and travels to the brain and blocks a smaller artery. People who have arrhythmias, which are health issues associated with irregular heart rhythm, are more vulnerable to developing an embolism as well as other health issues. �
A tear in the lining of the carotid artery, which is found in the neck, can ultimately cause an ischemic stroke. The tear allows blood circulation to flow between the layers of the artery, reducing blood flow to the brain, and causing it to become narrow. �
Hemorrhagic Stroke
Hemorrhagic strokes occur when a blood vessel in part of the brain weakens and pops open, causing blood to flow into the brain. The leaking blood puts pressure on the brain tissue, causing edema, which can ultimately damage brain tissue. The hemorrhage may cause parts of the brain to lose their supply of oxygen-rich blood, causing a variety of other health issues. �
Cerebral Aneurysm or Subarachnoid Hemorrhage
A cerebral aneurysm or subarachnoid hemorrhage can occur due to structural health issues associated with the blood vessels of the brain. An aneurysm is a bulge which in the arterial wall which may rupture and bleed. A subarachnoid hemorrhage occurs when a blood vessel ruptures and bleeds between two membranes in the brain, damaging brain cells. �
Cerebrovascular Disease Causes
Cerebrovascular disease develops due to a variety of factors. If damage occurs to a blood vessel in the brain, it won’t be able to deliver enough or any blood to the necessary region of the brain. The deficiency of blood can affect the delivery of oxygen and brain cells can begin to die. Brain damage is irreversible. �
Immediate medical attention is fundamental to decrease a person’s risk of long-term brain damage and increase their chances of survival. Atherosclerosis is a key cause of cerebrovascular disease. This occurs when cholesterol levels, as well as inflammation in the brain’s arteries, cause cholesterol to build-up. This plaque may restrict or completely obstruct blood circulation into the brain, causing a cerebrovascular disease attack, including a stroke or TIA. �
Risk Factors
Stroke is the most common type of cerebrovascular disease. The risk of stroke increases with age, especially if a person or their close relatives have previously had a cerebrovascular disease attack. The risk doubles every 10 years, between 55 and 85 years of age. However, a stroke can occur at any age, even during infancy. � Factors which increase the risk of stroke and other types of cerebrovascular disease include: �
hypertension, which the American College of Cardiology defines as blood pressure of 130/80 mm Hg or higher
smoking
obesity
poor diet and lack of exercise
diabetes
blood cholesterol levels of 240 milligrams per deciliter (mg/dl) or higher
The same factors can increase a person’s risk of developing a cerebral aneurysm. However, people with a congenital anomaly or previous head trauma may also be at risk of developing a cerebral aneurysm. Pregnancy can also increase the risk of developing cerebral venous thrombosis which is a blood clot affecting a vein in the human brain. � Other risk factors of cerebrovascular disease include: �
Moyamoya disease, a progressive condition which causes a blockage of the cerebral arteries and their major branches
venous angiomas, which affect around 2 percent of the U.S. population and rarely bleed or cause symptoms
a vein of Galen malformation, an arterial disorder which develops in a fetus during pregnancy
Certain drugs and/or medication, as well as other health issues, can make the blood more likely to clot and also increase the risk of ischemic stroke. Hormone replacement therapy or HRT may also increase the risk of a cerebrovascular disease attack in people who currently have atherosclerosis or carotid artery disease, among other health issues. �
Cerebrovascular Disease Diagnosis
Any cerebrovascular disease can be considered a medical emergency and anybody who recognizes the symptoms must contact 911 for support and evaluation. Early diagnosis is fundamental to reduce brain damage. In the clinic, a doctor will ask about the person’s medical history and search for specific neurological, motor, and sensory health issues, including: �
changes in vision or visual fields
reduced or altered reflexes
abnormal eye movements
muscle weakness
decreased sensation
A doctor may also utilize a cerebral angiography, vertebral angiogram, or carotid angiogram to identify a vascular abnormality, such as a blood clot or a blood vessel health issue. These include injecting dye to demonstrate any clots as well as their size and form on MRI or CT imaging. �
A CAT scan will also help a doctor diagnose hemorrhagic strokes as it can distinguish between blood, bone, and brain tissue. However, it does not reveal damage from an ischemic stroke in the first phases. An MRI scan may detect early-stage strokes. An electrocardiogram (EKG or ECG) may diagnose cardiac arrhythmia which is a risk factor for embolic strokes. �
Cerebrovascular Disease Treatment
A cerebrovascular disease requires emergency treatment. Rapid diagnosis and treatment are crucial because a person must receive stroke drugs and/or medications from the beginning of their symptoms. In the case of an acute stroke, the emergency group may administer a medicine known as tissue plasminogen activator (tPA) which breaks up the blood clot. �
A neurosurgeon must evaluate a person who has had a brain hemorrhage. They may perform surgery to decrease the pressure which bleeding causes in the brain. A carotid endarterectomy involves making an incision in the carotid artery and removing the plaque. This allows blood to flow again. The surgeon then repairs the artery with sutures or a graft. �
Several patients may need carotid angioplasty and stenting which involves a doctor inserting a balloon-tipped catheter into the artery so that the artery reopens when they inflate the balloon. Then, the doctor matches a slim, metal mesh tube, or stent, within the carotid artery to improve blood flow in the formerly blocked artery. The stent helps to prevent the artery from closing-up or collapsing following the procedure.
Cerebrovascular Disease Rehabilitation
Because a cerebrovascular disease attack can cause irreversible brain damage, people can experience temporary or permanent disability. For this reason, they may require a variety of supportive and rehabilitative treatments so that they can keep as much function as possible. These may ultimately include: �
Physical therapy: The goal is to restore mobility, flexibility, and upper and/or lower extremity function.
Speech therapy: This helps improve communication and regain speech after a stroke or cerebrovascular disease attack.
Occupational therapy: This can help access facilities which support a return to work and daily life.
Psychological therapy: Physical disability can create unexpected emotional demands and often requires intensive readjustment. A person may benefit from visiting a psychiatrist, psychologist, or counselor after experiencing a cerebrovascular disease attack if they feel overwhelmed.
Cerebrovascular Disease Prevention
Techniques and methods which can ultimately help reduce the risk of cerebrovascular disease include: �
no smoking
getting at least 150 minutes of moderate to intense exercise and/or physical activity every week
eating a balanced diet which supports vascular health, such as the DASH diet
maintaining a healthy body weight
managing blood cholesterol and blood pressure with diet as well as drugs and/or medications, if necessary
People with heart arrhythmia should seek immediate medical attention from a healthcare professional and discuss whether they should be taking a blood thinner to prevent strokes. �
Stroke and other cerebrovascular diseases may lead to death but with immediate medical attention, a partial or full recovery is possible. Patients with cerebrovascular disease should follow their healthcare professional’s instructions and lifestyle modifications to ultimately help decrease the prospect of a cardiovascular disease attack. �
Decreasing the Risk of Stroke
Taking blood platelet inhibitors, including, Dipyridamole, Ticlopidine, and clopidogrel, can decrease the chance of stroke before it occurs. These can help prevent stroke in people who have a medical history or higher prospect of experiencing a cerebrovascular disease attack. �
Doctors recommended people to take a daily dose of aspirin to decrease the chance of a heart attack or stroke. However, current guidelines recommend people to take aspirin only if they’re at risk of experiencing cardiovascular disease because aspirin increases the risk of bleeding. � Doctors prescribe statins to manage high cholesterol levels and reduce the risk of ischemic stroke and heart attack. �
As previously mentioned above, cerebrovascular disease is identified as a group of diseases, conditions, and disorders which affects the blood vessels and the blood flow supply to the human brain. There are several types of cerebrovascular diseases and their diagnosis and treatment depends on the type and severity. Prompt treatment and lifestyle modifications can improve the outlook of a patient with cerebrovascular disease. Chiropractors are qualified and experienced to help patients with cerebrovascular disease recover from their symptoms. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article above is to describe cerebrovascular disease and its effect on overall health and wellness. Neurological diseases are associated with the brain, the spine, and the nerves. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.
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Our brain is one of our most important organs that controls everything that we do. From learning how to walk at our earlier stages, learning new motor skills, to remembering nostalgic events in our lives. However, when tragedy strikes, our brain is the first one to get impacted.
The brain has many functions in the past that were structured, fixed, and therefore, hard-wired. That changed in the 1970s when neuroscientists discovered that the brain was the opposite of what they originally thought. It turns out that the brain is continuously changing and gathering information for many life events called neuroplasticity.
Our brain�s neuroplasticity has helped us re-learned simple motor skills by training our bodies to do these functions through rehabilitation from any brain injuries that anyone has been through. However, for some people, when they are recovering from any tragic events can encounter many mental struggles and have a hard time to bounce back. The most common mental struggles are apparently stress.
Stress
Stress is common to our daily lives and can affect our mental and brain health and can be classified into two categories.Good Stress: Increases energy, strengthens the immune system, immune to other stressful situations.
Bad Stress: High blood pressure, mental health problems, weaker immune system.
These two categories can make our brain go into overdrive, however, once you find out what stresses you out; you can actually find many ways to de-stress and relax. Some examples are taking up a hobby to make your brain learn a new technique, while others are either exercising or talking to someone.
When you�re exercise, not only your whole body feels good, but also you can let out whatever is frustrating you when you put the work in. And when you are done exercising for thirty minutes to an hour, you will feel a whole lot better with a clear head. When you�re talking to someone, it feels pretty good to have somebody there to listen to your problems and sometimes they will give you some advice and maybe something to drink so you can feel relaxed a bit and let your worries slip away.
Other times when you want to keep your brain healthy is to eat some really good food. Some of the food we eat have been known to keep our brain�s motor skill running and making your body feel good. Omega-3s, antioxidants, L-theanine supplements are consumed to calm down the neurotransmitters that are in our brain.
Neurotransmitters
This leads to our neurotransmitters, GABA and Glutamate, to be monitored by MRS (magnetic resonance spectroscopy). When these two neurotransmitters are being monitored, doctors have found out that the patient�s glutamate is in overdrive and that they need to increase the patient�s GABA in order to lower the excitotoxicity and protecting the brain�s grey matter or else the brain will get destroyed.
Some of the best ways to ease an anxious mind are to figure out what is causing our brains to be extremely anxious in any situations that are thrown to us. Our brain is like the CPU of a computer that we programmed and managed so we can have these thoughts, passion, and desires that are wired into our minds. The brain is an intricated network of neurons and receptors that co-exist to various internal and external stimulations.
So, if we were to find the �virus� that is causing our brains to be overwork and anxious, we can change our mind to make it mellow out and tell ourselves that we are fine. Our brain has six brainwaves that are well known and here is a very quick outline of what each wave does.
Infra-low: The �reset� wavelength helps our brain slow down and reset our thought process.
Delta: These waves help us go into a deep meditative state.
Theta: These waves benefit our memories, intuition and learning process.
Alpha: These waves make us feel calm and be at a resting state.
Beta: These waves are split into three sections and each section deals with our waking state: Idling, calculated thoughts and learning new experiences.
Gamma: These waves make us have a quiet, calm healthy mind when we need peace and quiet.
The first five brain waves are key for us to have a calm, collected healthy mind when we have to go to sleep. We all know that having 8 hours of sleep is essential for us to have a healthy mind. When we don�t get enough sleep, we feel grouchy or even more tired when we have to get up to go to school or work. So, we have a bit of caffeine to lift our spirits up, and of course, go through the day. Even if we have some time to spare a quick nap for about thirty minutes seems to help our brain process what we learned and then feel refreshed after that nap.
Proper Sleep = Healthy Mind
Like the last paragraph stated, when we don�t get enough sleep, we feel more tired when we have to get up and start our day. However, let�s say someone is very anxious or has depression can suffer from hypersomnia. When a person suffers from hypersomnia, it takes that person�s willpower to actually get up and go out of their bedroom.
What they think is that �I don�t feel well� but; it is actually their brain producing so much glutamate and have less GABA that may be a factor to these triggers. But when we find supplements that can help our brain rewired itself naturally with these supplements that we find in food. As Hippocrates stated, �Let food be thy medicine and let medicine be thy food.�
All in all, our brain is one of the most valuable organs that we must take care of. Whether it be taking up a new hobby, going to eat some good food to fuel our brain cells and protect it at the same time, or even finding a quiet place to meditate. We have to have to make sure our brain�s neurochemistry is doing okay and that it is healthy enough to experience new things that we encounter throughout our lives.
El Paso, TX Neck Pain Chiropractic Treatment
Sandra Rubio discusses the symptoms, causes, and treatments of neck pain. Headaches, migraines, dizziness, confusion, and weakness in the upper extremities are a few of the typical symptoms. Trauma from an accident, such as that from an automobile accident or a sports injury, or an aggravated illness because of improper posture can commonly cause neck pain and other ailments. Dr. Alex Jimenez uses spinal alterations and manual manipulations, one of other chiropractic treatment techniques like deep-tissue massage, to reestablish the alignment of the cervical spine and improve neck pain. Chiropractic care with Dr. Alex Jimenez is your non-surgical choice for restoring general patient well-being.
Neck pain is a frequent health issue, with roughly two-thirds of the people being influenced by neck pain at any time throughout their lifetimes. Numerous other health issues can cause pain arising in the upper back, or the spine. Neck pain can result emanating from the vertebrae, or because of muscular tightness in both the neck and the upper back. Joint disruption in the neck causes migraines, and headache, as does joint disturbance at the trunk, or can generate a variety of other symptoms. Neck pain affects about 5 percent of the worldwide population as of 2010, based on figures.
Children are not born with a fully developed microbiome, and a baby’s diet has a large impact on the foundation set for a healthy guts future (Biotics Education Team, 1).� Setting up a child to have healthy gut flora from early stages can help them:
In the TEDDY study published in Nature Medicine, it shows that a child’s microbiome goes through 3 transitional phases:
Developmental phase (3�14 months)
Transitional phase (15�30 months)
Stable phase (31�46 months)(Stewart et al., 3)
Throughout the developmental stage, those with a higher breastfeeding rate were associated with increased levels of Bifidobacterium.� “However, once the infants were weaned, there was a rapid loss of the�Bifidobacterium spp.,�and a quick turnover occurred in the microbiome, which featured a higher population of bacteria within the�Firmicutes�phylaphase (Biotics Education Team, 1)”.� Once infants begin to wean off milk, it is helpful to start providing them with probiotic powders.
Prebiotics are the dietary fiber that the live organisms in the probiotics need to eat in order to flourish.
Some foods that include prebiotics are:
Vegetables
Fruits
Legumes
It is great to start toddlers on prebiotics and probiotics because it can help them to continue to have a healthy gut. A healthy gut can help prevent many issues that adults face later on in life (Veereman-Wauters, 4) Having a healthy gut can help to protect the gut from harmful bacteria and fungi, it can aid in sending signals to the immune system, regulate inflammation, create a supportive barrier in the cell lining of the colon and reduce the risk of cancer (Lewis, 2)�
Probiotics are safe for most children and can reduce the risk of upper respiratory tract infections and well as helping to reduce their risk of allergies. It is beneficial to have toddlers on probiotics and prebiotics so they do not develop a “leaky gut”. By starting children on probiotics and prebiotics young, it can aid their overall health for life.
ProbioMax� for Toddlers
Prebiotic and Probiotic Support for Toddlers*
�Overall, it is best to start building the child’s microbiota through the maternal diet in pregnancy, expose them to environments, and talk with their pediatrician about starting them on probiotics. It’s better to start young and build a healthy foundation than to be diagnosed in their 20’s with leaky gut from something that could have been prevented. – Insight from Kenna Vaughn, Health Coach�
NCBI Resources:
Our knowledge of microbiota is rapidly developing and changing. A relatively young field, the science of gut bacteria has been quickly taken up by industry. Most drugstores sell probiotics in some form or another, and yogurt and other fermented foods are frequently hailed as healthy for the gut because they contain live bacteria. Probiotics are food or supplements that contain living microbes intended to support or improve your microbiome’s health. If your favorite yogurt contains �live and active cultures,� you are getting a dose of probiotics along with your breakfast. These microbes are thought to bolster or replace the bacteria communities in the gut of people.
�Cites:
Biotics Education Team. �Impact of Diet on Baby’s Microbiome.� Biotics Research Blog, blog.bioticsresearch.com/impact-of-diet-on-babys-microbiome.
Lewis, Sarah. �Probiotics and Prebiotics: What’s the Difference?� Healthline, Healthline Media, 3 June 2017, www.healthline.com/nutrition/probiotics-and-prebiotics.
Stewart, Christopher J., et al. �Temporal Development of the Gut Microbiome in Early Childhood from the TEDDY Study.� Nature News, Nature Publishing Group, 24 Oct. 2018, www.nature.com/articles/s41586-018-0617-x.
Veereman-Wauters, Gigi. �Application of Prebiotics in Infant Foods.� The British Journal of Nutrition, U.S. National Library of Medicine, Apr. 2005, www.ncbi.nlm.nih.gov/pubmed/15877896.
Gloria experienced considerable foot pain which extended throughout her entire body. Her plantar fasciitis developed due to her everyday physical activities. Gloria describes how her foot pain and plantar fasciitis affected her quality of life. The custom foot orthotics provided to her by Dr. Alex Jimenez, a chiropractor in El Paso, TX, tremendously helped improve her foot pain and plantar fasciitis symptoms. Gloria describes how much comfort the custom foot orthotics provided for her painful symptoms. Gloria highly recommends Dr. Alex Jimenez as the non-surgical choice for foot pain and plantar fasciitis treatment, among other health issues.
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Treat *PLANTAR FASCIITIS & FOOT PAIN* with Orthopedic Foot Orthotics | El Paso, TX (2019)
This condition affects approximately 2 million people in the United States a year.
There are doctors that believe bone spurs are the cause, and surgery is needed. However, bone spurs are not the cause of plantar fasciitis. Surgery will not eliminate the pain but may weaken or even rupture the plantar fascia
Symptoms
Pain on the bottom of the heel
Pain in the arch of the foot
Pain that is usually worse upon arising
Pain that increases over a period of months
Swelling on the bottom of the heel
Causes:
Improper footwear
Strenuous activity
Obesity
Over-pronation
High arches or flat feet
Poor shock absorption shoes
Plantar fasciitis is commonly seen in middle-aged patients.
We also see it often in those who place a great deal of stress on their feet like:
Runners
Athletes�
Soldiers
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How Chiropractic Helps Plantar Fasciitis
Chiropractic care is a very effective treatment for plantar fasciitis as well as the pain that is caused by the condition. Chiropractic for plantar fasciitis involves a very precise technique that involves adjustments to the feet and ankles as well as spinal alignment. This provides several benefits.
Reduces Stress in the Plantar Fascia�� When a ligament is inflamed or stressed the tissue can develop very small tears that cause the pain of plantar fasciitis. Chiropractic adjustments made to the heel and foot take the pressure off of the plantar fascia, allowing it to relax.
Promotes Healing�� When the stress on the plantar fascia is reduced through these chiropractic adjustments, the foot can begin to heal. The chiropractor may also recommend specific exercises that stretch the ligament and help it heal. They may also advise the patient of lifestyle changes as well as nutritional adjustments that can help with the pain and condition.
Provides Effective Pain Management � Chiropractic is a very effective way to manage pain throughout the body. Spinal adjustments allow better communication between the brain and nerves, allowing the central nervous system to function more effectively. Condition-specific adjustments speak to the root of the problem, not just the symptoms. This means a more effective form of pain management that is longer lasting.
Reduces the Risk of Further Injury�� When a person has a condition like plantar fasciitis, they will often adjust their gait in an effort to avoid the pain. This puts stress on other parts of the body and can lead to back pain, sore joints, strained muscles, and other problems. Chiropractic�s�whole-body approach�helps the person realign their body properly so that they stand and walk properly. This helps them avoid further injury and discomfort.
Foot Levelers Kiosk
The Kiosk helps guide patients in selecting the best custom-made orthotics for their condition and lifestyle. It’s�
Fast:�Push the Start button and the scanner begins.
Easy to use:�User-friendly easy touch screen.
Engaging:�Videos explain the importance of healthy feet and the benefits of custom-made orthotics.
Cloud-based:�Results can be securely accessed from anywhere.
Comprehensive:�Easily retrieve previous scans to compare them to new scans and see the difference.
The Foot Levelers Kiosk saves time so you can spend more time living your life.
What’s Afoot
Plantar fasciitis is caused when the ligament that connects your toes to your heel (the plantar fascia) becomes inflamed, swollen, and weak. This causes the bottom of your foot or heel to hurt when you walk or stand, especially when you first wake or after sitting for a long time. The pain tends to be sharp and stabbing. It is the most common�cause of heel pain and is more prevalent among middle-aged people. However, anyone can get it at any age, especially people who spend a lot of time on their feet.
Feet are important. When you consider what your feet go through, taking 8,000 steps over the course of a day, according to the�Illinois Podiatric Medical Association�(IPMA), it�s easy to see how 75 percent of all Americans will have some type of�foot pain�at some point in their lives.�Plantar fasciitis�is a common and very painful foot condition that can become chronic if not treated. It is also a condition that responds very well to chiropractic care.
Cerebral perfusion pressure, or CPP, is the net pressure gradient which carries oxygen to brain tissue. It is measured by the difference between the mean arterial pressure, or MAP, and the Intracranial Pressure, or ICP,� which is measured in millimeters of mercury (mm Hg). Regulating CPP is fundamental in the treatment of patients with intracranial pathology, including shock, hemodynamic distress, and traumatic brain injury. �
Although the average CPP is generally between 60 and 80 mm Hg, these values may change to the left or to the right depending on individual physiology. MAP and ICP has to be measured together because CPP is a calculated measure. Regulating CPP at hemodynamically unstable conditions with abnormal ICP or in cases of intracranial pathology will reduce the chance of ischemic brain injury. �
CPP = MAP – ICP
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Cerebral Perfusion Pressure Physiology
CPP and ICP
At its own average range of 60 to 80 mm Hg, the CPP is determined by the ICP and the mean arterial pressure. Under regular standards, the ICP is between 5 and 10 mm Hg which has a reduced effect on the CPP than the MAP in clinical circumstances not associated with intracranial pathology. ICP is generally measured through intracranial pressure transduction.
Physiologically, the ICP is a function of intracranial compliance. Intracranial compliance is the relationship between the ICP and the volume of the intracranial cavity including cerebrospinal fluid, or CSF, brain tissue as well as arterial and venous blood volume. Because the skull is a fixed and rigid anatomic space, the ICP can increase if the intracranial volume increases while intracranial compliance decreases. As the ICP increases or intracranial compliance decreases, CPP also decreases. �
Several processes determine that ICP continues to stay within the average range for the longest extended period of time possible, especially throughout periods of affected intracranial volume and compliance. As volume adds to the intracranial space, CSF can shift into the spinal subarachnoid space, causing the ICP to continue significantly unchanged. As volume increases due to a growing space-occupying lesion, brain tissue edema or blood, this process ultimately becomes overwhelming, and ICP begins to increase substantially. �
Cerebral blood flow, or CBF, is also a fundamental factor in ICP homeostasis. Cerebral auto-regulation makes sure that steady blood flow is maintained in the brain over a wide range of physiologic alterations. When blood pressure decreases, auto-regulation causes cerebral vasodilation and an increase in CBF and cerebral blood volume, maintaining ICP and CPP. However, when blood pressure increases, auto-regulation causes cerebral vasoconstriction and a decrease in CBF with a decrease in cerebral blood volume, also regulating ICP and CPP. Too many changes outside of average CBF ranges can cause brain ischemia and injury. �
CPP and MAP
Because ICP in its average ranges is a considerably small number, the CPP generally depends on the mean arterial pressure. MAP is the normal blood pressure during one cardiac cycle which can be measured through invasive hemodynamic monitoring or calculated by the systolic blood pressure, plus two times the diastolic blood pressure, divided by three. The average range of MAP is 70 to 100 mm Hg. �
The average arterial pressure can be affected due to everyday activities, such as rest, stress, and exercise or physical activities. However, if the ICP continues to stay the same, the average arterial pressure can change across its significantly wide range without tremendously decreasing or increasing the CPP. As a matter of fact, CPP and CBF will continue to stay considerably unchanged across a wider range of MAP (50 � 150 mm Hg) than normal due to cerebral auto-regulation and vasoconstriction or vasodilation of cerebral vasculature. �
For patients with hypertension, the auto-regulation setpoint changes, decreasing the average arterial pressure associated with the patient�s normal arterial pressure, which causes vasodilation to increase CBF. Patients with lower than normal average arterial pressure at baseline will have auto-regulatory vasoconstriction as a reaction to an increase in their significant average MAP, to return CBF to baseline. When looking at CBF and CPP in the context of the patient�s average MAP, it is clinically significant based on the regulation of intracranial pathology and hemodynamic derangements. �
Cerebral Perfusion Pressure Complications
Diagnosing and treating cerebral perfusion pressure complications necessitates measuring both the ICP and the MAP. The MAP may be quantified through the utilization of invasive hemodynamic processes, most frequently cannulation of a peripheral artery such as the radial or femoral artery. The MAP may also be measured with a non-invasive blood pressure cuff by applying the formula mentioned above utilizing the systolic and diastolic blood pressures. � Intracranial pressure is generally measured through an intracranial pressure transduction device. The most common and most accurate method or technique is utilizing an intraventricular monitor. The intraventricular dimension of ICP is the normal standard. An intraventricular catheter is inserted into a hole drilled in the skull and into the lateral ventricle to gauge the pressure of the CSF. The benefit of an intraventricular catheter is that CSF could be eliminated, if needed, to decrease ICP. Considerable complications for the ICP include a possibility of bleeding, infection, and difficulty with proper placement. Options include sub-dural and intra-parenchymal monitors. �
The ICP can be measured non-invasively through several methods and techniques, including transcranial Doppler ultrasonography or TCD. TCD utilizes a temporal window to evaluate the speed of blood flow through the middle cerebral artery. Systolic and diastolic average flow velocity is utilized to determine a pulsatility index. The pulsatility index was determined to be closely associated with ICP in several research studies as well as be associated with ICP in other research studies. Therefore, it is not suggested to use TCD as a substitute for direct ICP dimension. Invasive diagnosis and treatment of the MAP through an arterial cannula and the ICP through an intraventricular catheter will give a continuous and accurate calculation of CPP. �
Cerebral Perfusion Pressure Clinical Significance
Two general types of pathologic health issues can ultimately occur where the regulation of the CPP is fundamental, such as intracranial pathology, where ICP regulation is essential and hemodynamic instability/shock where MAP regulation is the most essential. Intracranial pathology involves space-occupying lesions, such as tumors, epidural and subdural hematoma or severe intraparenchymal hemorrhage and cerebral edema as seen after ischemic injury, traumatic brain injury or acute hepatic encephalopathy. In these circumstances, average CPP depends on decreasing the ICP into a normal range as soon as possible while regulating the MAP. When CPP is normal, it’s fundamental to keep in mind that every individual’s brain tissue has a CPP that is “normal” in the context of that individual patient’s physiology, which may be affected by other health issues, such as hypertension or cardiovascular disease. Moving towards a more dynamic direction of the average CPP utilizing the patient’s personal auto-regulatory capacity. These diagnosis and treatment approaches involve more frequent and sophisticated monitoring and might not be readily available for widespread utilization. �
In the instance of considerable traumatic brain injury, significant cerebral edema can decrease intracranial compliance and CSF, developing an increased ICP or intracranial hypertension. Auto-regulatory mechanisms and techniques may or may not function normally and when ICP continues to be elevated, CPP will decrease causing further injury through an ischemic process. In circumstances such as these, together with starting the measures for decreasing the ICP, it is essential to prevent hypotension (MAP – ICP = CPP) and in some instances, allowing hypertension to reasonably occur. �
In circumstances of instability, the ICP is considerably stable as cerebral auto-regulation is undamaged. In the instance of hypotension, the MAP decreases due to blood loss, or hemorrhagic shock, intravascular leak, or distributive shock, and decreased cardiac output, or cardiogenic shock, and the CPP also decreases. It’s the association between MAP and CPP which carries resuscitation guidelines to recommend regulating a MAP greater than or equal to 65 mm Hg. With a normal ICP, this threshold must make sure that a CPP of 55 to 60, the minimum necessary to stop cerebral ischemic injury, is ultimately maintained. As in the circumstance of ICP and cerebral auto-regulation, the goal of MAP is to be within the context of an individual patient’s evaluation hemodynamic function. Patients with untreated hypertension must have increased MAP goals to maintain proper CBF and CPP. �
As previously mentioned in the following article, cerebral perfusion pressure, or CPP, is the net pressure gradient which affects cerebral blood flow to the brain, also known as brain perfusion. According to healthcare professionals, the CPP, or cerebral perfusion pressure, must be constantly regulated within a specific limit because too little pressure or too much pressure could potentially cause a variety of brain health issues. Cerebral perfusion pressure may be associated with a variety of neurological diseases. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article is to discuss cerebral perfusion pressure and its association with neurodegenerative diseases. Neurological diseases are associated with the brain, the spine, and the nerves. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.
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�Achilles injury, which turns out to be a ruptured Achilles tendon.
This is a devasting injury for anyone, especially world-class athletes. Take NBA player Kevin Durant and his injury that could keep him out for some time. To be fair Durant was dealing with a calf injury on the same leg, for some weeks before this injury.
But it was his first game back in action and it led to a crushing injury!
Calf & Achilles Tendon Relationship
The calf and Achilles tendon are so interrelated that when one has an issue so does the other.
The fascia of these muscles segue ways to form the Achilles tendon.
If the calf is tight, then the Achilles is going to be tight.
The relationship between calf injury and an Achilles injury.
Cycle of Injury
Going through any area of the cycles can lead to a devastating injury.
Symptoms
Pain and stiffness around the lower leg, right above the back of the heel
Begins as a mild ache and worsens throughout the day
Jumping,� running, stair climbing, and sprinting can spark intense pain
Tenderness or stiffness especially in the morning, but improves with movement/activity
The key is to intervene to stop the cycle.
A few ways:
Rest
Massage
Physical Therapy
Chiropractic
Custom orthotics
Active Release Therapy (ART)
ART is extremely�effective�for breaking up scar tissue and improving issues with soft tissues. Treatment can do a lot to improve the health of your tendon and the surrounding tissues to avoid further complications. It will also do a lot to help relieve the pain you are experiencing.
Chiropractic Adjustments/Manual Manipulations
Many times, the issues with your Achilles tendon are the result of misalignment in other parts of your body. When your joints are misaligned it tends to put extra stress on your feet and Achilles tendons. To minimize the stress on your joints, your chiropractor will adjust your spine and other joints to ensure proper alignment.
Get Help for Your Achilles Injury & Call Us Today!
If you are experiencing heel pain, please get in touch with our chiropractic team. We can help to alleviate your pain and help you avoid experiencing further problems with your Achilles tendon.
Difference Foot Orthotics Make to *REDUCE FOOT PAIN* & Correct Posture | El Paso, TX (2019)
Custom made foot orthotics can help control foot motion and posture. Healthcare professionals prescribe custom foot orthotics to help patients focus on their foot posture and mobility control. Research studies have ascertained that using custom foot orthotics for posture and mobility control can help fix excessive foot pronation and supination to prevent a variety of foot health problems. The subsequent video describes how custom foot orthotics will help control foot posture and mobility to improve health and wellness.
What’s Afoot
If you have low back pain�or have had it, you are not alone. Experts estimate that around�80% of people�will experience some type of back problem at some point in their lives.�The Global Burden of Disease 2010�lists low back pain as the number one cause of disability worldwide. The good news is the majority of back pain is mechanical in origin or is not organic. This means that infection, cancer, fracture, inflammatory arthritis, and other serious conditions are not the cause. In fact, you may benefit by looking to your feet, knees,�and hips as the culprits.
NCBI Resources:
The large, thick tendon that travels up from the base of the heel and into the calf muscle is the Achilles tendon. It connects the calf muscle and heel. It allows you to walk, run and jump. The Achilles tendon is strong and durable, but it is possible to overwork it and cause enough overuse injury.
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If you are wondering about the 
It�s basically the �chill pill� for our central nervous system. This neurotransmitter counteracts with Glutamate, which is very hyper; while GABA is very relaxed. Not only GABA calms downs our central nervous system, but it also gives us a much-needed restful sleep when we are exhausted from a long day. And when we are done with exercising, GABA helps our muscle tissue regenerate. GABA seems to know when we need to rest our brains from burning out and crashing hard on the couch after a long stressful day at work or school.
The best way to describe how GABA and Glutamate work together is to imagine your body as a car. Glutamate is the gas where we have to go from one place to the other and GABA is the brakes where we have stop and rest a bit. And when we add L-theanine to the mixture, it�s a sense of an added booster to our body and central nervous system to not only be relaxed but also have a bit of energy to go out on our daily day to day life.
But there is always still going to be stress in our lives if we don�t control it. 
This is a devasting injury for anyone, especially world-class 
