by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Lawyers, Med-Legal Corner, Personal Injury
You�ve seen news stories, heard reports, and learned about risks, but you never thought it could happen to you. Suddenly, you�re one of those people you used to see on television, badly hurt in a car accident, by an 18-wheeler or commercial truck, in a workplace accident, or by a dangerous product.
It�s a frightening experience. When you�re injured and scared, you don�t know whom to trust or how you will pay for all of the damages you face. Your life is turned upside down, and now you�re forced to cope with the physical, mental, and financial consequences.
It�s not fair, but there is something you can do to get help.
Get Support From Our Texas Injury Lawyers So You Can Focus Only on Your Recovery, Not on Battling Insurance Companies
Wayne, Wyatt, and the entire team at Wayne Wright LLP understand what you are up against. With years of experience fighting for injury victims across the nation, our lawyers know what it takes to help you get the best outcome possible after such a devastating event.
When you work with our team, the only thing you have to focus on is recovering from your injuries. Relax while your lawyer goes to bat for you against the insurance company, fighting for every dollar you deserve in your settlement.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
After being involved in an automobile accident, many individuals are often confused about the next steps they should take when they’ve experienced damage to their vehicles and have suffered injuries from the collision. The team at Wayne Wright LLP is a group of excellent attorneys who focus on the needs of the victim, helping them get the support they need. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Hip Pain & Disorders, Sports Injuries
Hip injuries are often uncommon types of injuries among athletes, as these don�t generally occur immediately, rather, the accumulated hours of training may progressively cause a series of worsening symptoms.
Approximately 3.3 percent to 11.5 percent of long distance runners suffer sports injuries as a result of overtraining, where hip complications are believed to contribute for up to 14 percent of all athletic issues. In fact, hip injuries make up nearly a sixth of all injuries sustained by athletes. Moreover, because of the complexity of the hip and its surrounding structures, about 30 percent of hip injuries are undiagnosed. Without correcting the initial problem, recurrence or ongoing impairment may often follow.
Anatomy of the Hip
The hip can be described as a ball and socket joint, the ball constitutes from the head of the femur and the socket from the acetabulum of the pelvis. The depth of the socket is increased due to a specific type of tissue best known at the fibrocartilage lining of the labrum, which is almost identical to the cartilage found in the knee. The extra added depth to the acetabulum adheres the ball within the socket to allow the necessary stability to support the hip joint as well as its surrounding muscles and ligaments. The labrum is made up of multiple nerve endings which assist with the perception of pain and the awareness and balance of the joint within the body, referred to as proprioception. The structure provides forward, backward, and side to side movement to the hip, also allowing it to rotate inwards and outwards. This intricate mobility of the hip, together with the speed and power of running, is the main cause behind the different forms of hip injuries among athletes.
Running Biomechanics
To understand the mechanics of running and the process of impact which transfers through the body, the cycle of running can be explained into two phases. The first phase is called the stance phase, where the foot lands on the ground, and the second phase is called the swing phase, were the foot moves through the air. The stance phase initiates when the heel is in contact with the ground. Referred to as the mid-stance, this middle phase occurs when the rest of the foot follows, also referred to as the absorption phase. At this point, the knee and ankle are fully flexed in order to be able to absorb the impact against the ground, functioning as a brake to control the landing. The leg then saves this elastic energy within the muscles. The hip, knee and ankle subsequently extend using the recoil from the muscles to complete the toe-off phase and propel the body forward and upward.
During longer distance running, the stance phase generally lasts longer due to a runner�s longer stride. The stance phase also exposes the hip joint to about five times the individual�s body weight in comparison to three times the individual�s body weight during the swing phase. When athletes run faster, they spend less time on the ground, subjecting them to lesser forces being transmitted up their lower extremities.
The muscles and tissues of the hip, knee and ankle function together to control the movements of the joints and well as restrict the forces being placed against them. They are exposed to reaction forces from the ground which force the structures to contract accordingly. The harder and athlete lands or the greater the distance they run, the more activation is usually required by the structures to offload the joints and absorb the force of the additional load. As every runner possesses their unique running style, over a period of time, a constant pattern of running and the impact they receive from the above mentioned forces eventually exceeds an individual�s limit. This combination of factors is generally the leading cause of hip injuries among many athletes.
The Effects of Running on the Hip
Running impact occurs through the heel strike of the running phase. Depending on the duration of contact, the frequency and how heavy an athlete lands on their heel, the extent of impact will vary. Runners who impact on the midfoot are believed to experience far less impact force than other athletes.
As often described by many healthcare professionals, a single load can damage or injure the articular cartilage and tear the labrum, most commonly occurring after an unexpected trip or fall. Most often than not, however, the repetitive load from running or similar activities can gradually develop small micro trauma to the hip joint, an accumulation of damage which can thin out this layer of cartilage and cause tearing and shearing of the tissues. The hip consists of flexor muscles, such as the iliopsoas, the sartorius, the rectus femoris, the tensor fasciae latae and the pectineus, which are designed to flex in order to absorb the shock of impact. The pelvis will then follow by rotating back, providing more space for flexion to occur. It will then adduct, using the adductor longus, adductor brevis, adductor magnus and pectineus, which will then follow into abduction, primarily utilizing the gluteus medius, for a terminal swing and take off. The hip will then subsequently move into extension, where the leg extends backwards, to propel the body forward, mainly utilizing the gluteus maximus as the pelvis shifts forward to adjust the functions of the hip joint.
If any of these movements are altered during physical performance, the forces of impact being placed against the body will be transmitted incorrectly, causing the pelvis to become unstable and adding tremendous strain against the hip joints and muscles. Repetitive and constant loads of weight and force can then create an accumulation of trauma, leading to several forms of hip injuries and complications.
Hip Pathologies
A wide variety of hip injuries can affect running athletes as well as those involved in other types of sports and physical activities. The most common complications are as follows:
Muscle strains, can develop and affect any of the muscles and tissues involved in the natural biomechanics of the hip, specially if these become overloaded due to poor alignment and mechanics. The most common muscle strains causing hip injuries occur to the iliopsoas due to over flexing of the hip joint or from a heavy impact while the hip is flexed and an excessive amount of load is placed against the muscles. The gluteus medius can also suffer damage or injury if the runner or athlete over-adducts, described as an inwards movement of the hip, during their running pattern and the gluteus medius tendons become irritated with direct compression from the hip bone.
Trochanteric Bursitis, is characterized by swelling and inflammation of the fluid-filled sac known as the bursa, located within the greater trochanter on the side of the hip. The bursa provides the appropriate mobility to the iliotibial band found over the hip bone, however, constant shearing can often lead to irritation and inflammation.
Femoroacetabular impingement, or FAI, occurs when the femur compresses the acetabulum, primarily during the flexion of the hip where the bones and other structures collide. A pincer impingement where the acetabulum rim develops an extra lip of bone can often cause hip injuries or a CAM impingement can cause the femoral neck to grow an extra ridge of bone, resulting in other types of complications. Untreated FAI can progressively lead to labral tears because the additional bone can repeatedly grind down the labrum.
Labral tears, are medically defined as a tearing of the labrum which surrounds the joint of the hip and the acetabulum. These generally occur after a traumatic event or injury or due to cumulative microtraumas over a period of time.
Rehabilitation and Prevention
Because of the wide variety of hip injuries which can affect the modern athlete, a proper diagnosis performed by a qualified healthcare professional, such as a chiropractor or physical therapist, is absolutely essential towards developing an appropriate treatment plan. Foremost, athletes with already diagnosed hip injuries should avoid repeated or regular flexions of the hip to prevent further complications. If flexion cannot be avoided, for instance, when sitting, then the individual can lean back or stand up into extension. Cycling and treadmill running are not appropriate cross-training methods for hip injuries as these promote hip flexion and internal rotation, causing further impingement to the acetabulum. Swimming is permitted in these cases as it is a non-impact sport and it avoids these irritable positions.
The following three stages of rehabilitation can be followed in sequence or may be combined to prevent aggravating hip injuries.
First, the individual can proceed to strengthen the gluteal muscles, primarily the gluteus medius and maximus in isolation by performing the next exercise. The individual must bridge lie on their back while keeping their knees bent and placing their arms by their sides. Then, placing a resistance band around their thighs will help draw the knees in together. The individual may attempt to keep them apart by pushing against the band, activating the gluteus medius. Subsequently, the athlete can carefully push up through the heels to lift their buttocks and back off the floor, holding the position for five seconds before slowly returning to the initial position. This exercises should be repeated in sets of 10.
Also, the individual can perform another strengthening exercise by clam lying on their side with the specified hip on top. Keeping their feet together, the affected individual should then lift the top knee upwards into external rotation, activating the gluteus medius and preventing the hip from adducting. It�s important for the athlete to control their knee on the return to start position to maintain eccentric muscle control and improve greater hip stability. This exercise should be repeated for three sets of 10 repetitions.
Second, to strengthen the whole lower extremities, the individual must combine movements to incorporate other muscle groups and improve core stability. To achieve this, the individual must perform a lunge with twist by taking a step forward with their specified leg and proceed to bend both knees and hips simultaneously, making sure not to bend the hip to more than 60 degrees. Once in this particular position, the affected athlete can proceed to rotate their body from right to left, slowly returning to the starting position to strengthen the core and improve pelvic stability. This exercise should be repeated for sets of 10 as the participant is capable to do so.
Also, the individual can perform another exercise to strengthen the lower extremities known as the single leg squat with twist. Standing on the specified leg while the pelvis is in a neutral position, the athlete can proceed with this exercise by bending at the hip and knee into a squatting position. Keeping the knee behind the toes, the athlete must then rotate their body to the right and left while keeping their back straight, further activating the the gluteus maximus and challenging the core muscles. This exercise can be repeated in sets of 10 as able.
And finally, to strengthen the hip and improve the functional movements of running patterns, athletes with hip injuries can proceed to perform the following exercises. The standing hip hike can be completed by having the athlete stand upright with their feet kept hip distance apart. The individual must then hitch up their specified hip while maintaining neutral pelvic stability, making sure the hips do not twist or move around. Repeat for three sets of 10 repetitions.
Then, the individual can also perform forward step ups by standing in front of a high step or stair, holding on to a pole at one side to activate the latissimus dorsi back muscles, associated with the gluteal muscles. Leading with the chosen hip, the athlete can then proceed to step upwards and then return to the starting position. Repeat leading with the same leg each time for three sets of 10 repetitions.
Furthermore, to continue strengthening their hip and improve function, hip swings can be utilized to help those athletes with hip injuries throughout their rehabilitation process. Using a similar setup as the forward step ups, the individual can perform this exercise by resting their good knee on a bench. Holding on to the pole, the athlete can proceed to bring the specified hip forward into hip flexion, returning to the original position. The static leg should maintain good pelvic stability and will be brought into extension, activating the gluteus maximus rather than the hamstrings. This exercise must be repeated for three sets of 10 repetitions.
Return to Play
The athlete can participate in an appropriately developed return to play program following the variety of hip injuries they may experience, alongside the strength training regimen mentioned above once the complications begin to improve. Runners should aim to begin this specific program at approximately 60 percent pre-injury intensity. Athletes can begin running on soft surfaces to limit the amount of impact, they may include a comprehensive dynamic warm-up. Subsequently, athletes can begin progressively increase the speed, only running on alternate days for the first 3 to 4 weeks, continuing to strengthen through training. Sprints, hills, accelerations, and decelerations can be introduced slowly, choosing one element at a time.
As with any type of rehabilitating programs, the affected athletes must first seek medical attention from a qualified healthcare professional to receive a proper diagnosis of their injuries before attempting any form of stretches or exercises as to avoid further injuries. A chiropractor, is a specialized doctor who focuses on a variety of spinal injuries or conditions and its surrounding structures, including various types of sports injuries. Through chiropractic care, a chiropractor can perform a series of spinal adjustments and manual manipulations to provide mobilization therapy and improve an athlete�s symptoms, strength, flexibility and overall health. Doctors of chiropractic, or DCs, may also recommend a series of additional exercises different from the ones mentioned above to accordingly help speed up the individual�s recovery process.
Tips for Preventing Overuse and Traumatic Injuries
Hip injuries can be debilitating to runners as well as athletes from other sports. Hip flexibility and strength is essential for optimal performance. The hip joint is a complex structure that moves in multiple directions and is stabilized and supported by those specific structures. When an individual is faced with debilitating hip injuries, getting the appropriate medical attention is essential and following through with the right rehabilitation exercises can be crucial towards the athlete�s overall recovery and return to play.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900�.
Sourced through Scoop.it from: www.dralexjimenez.com
By Dr. Alex Jimenez
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic
The hip can be described as a ball and socket joint, the ball constitutes from the head of the femur and the socket from the acetabulum of the pelvis. The depth of the socket is increased due to a specific type of tissue best known at the fibrocartilage lining of the labrum, which is almost identical to the cartilage found in the knee. The extra added depth to the acetabulum adheres the ball within the socket to allow the necessary stability to support the hip joint as well as its surrounding muscles and ligaments. The labrum is made up of multiple nerve endings which assist with the perception of pain and the awareness and balance of the joint within the body, referred to as proprioception. The structure provides forward, backward, and side to side movement to the hip, also allowing it to rotate inwards and outwards. This intricate mobility of the hip, together with the speed and power of running, is the main cause behind the different forms of hip injuries among athletes.
To understand the mechanics of running and the process of impact which transfers through the body, the cycle of running can be explained into two phases. The first phase is called the stance phase, where the foot lands on the ground, and the second phase is called the swing phase, were the foot moves through the air. The stance phase initiates when the heel is in contact with the ground. Referred to as the mid-stance, this middle phase occurs when the rest of the foot follows, also referred to as the absorption phase. At this point, the knee and ankle are fully flexed in order to be able to absorb the impact against the ground, functioning as a brake to control the landing. The leg then saves this elastic energy within the muscles. The hip, knee and ankle subsequently extend using the recoil from the muscles to complete the toe-off phase and propel the body forward and upward.�
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Hip injuries are often uncommon types of injuries among athletes, as these don�t generally occur immediately, rather, the accumulated hours of training may progressively cause a series of worsening symptoms. Hip injuries make up a sixth of all injuries on athletes. Without correcting the initial problem, recurrence or ongoing impairment may often follow. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic
[youtube https://www.youtube.com/watch?v=RHF0hbUvQOo&w=450&h=253]
ClickThis video explains the way doctors are using magnets to treat Scoliosis. Implanted rods are inserted into the back and magnets are used to realign the rods. For young children, this treatment could potential save them�from any future pain due to the frequency of the realignment therapy. This procedure is non-surgical and done every six months.� to edit the content
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Magnets & Scoliosis.�
Children�s National Health System is among the first in the country to offer a spinal growing rod for children with scoliosis. The MAGEC� (MAGnetic Expansion Control) Spinal Growing Rod is a non-invasive treatment for children with early onset scoliosis.
Magnets & Scoliosis
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Scoop.it
Some patients fear that chiropractic care for fibromyalgia may aggravate pain. But it is both safe and proven to reduce pain from fibromyalgia.
Chiropractic Care for Fibromyalgia: Does It Work?
Many fibromyalgia patients seek natural treatment for fibromyalgia, and chiropractic care is one of the most frequently considered, especially for pain management and to improve the range of motion of joints.
This form of medicine is based on the principle that the body has the ability to self-heal and recover from a disease. The nervous system runs between the spine and carries messages from the brain to every cell of the body.
When the vertebrae are restricted, locked or misaligned there will be pressure on the nerves and symptoms will occur. For this reason, a chiropractor will perform �adjustments� using gentle pressure, stretching or certain high velocity thrusts to bring the vertebrae to optimal position and restore health.
Research Studies on Chiropractic Care for Fibromyalgia
A study conducted in a chiropractic clinic in Canada revealed that 30�chiropractic treatments can improve pain by up to 77 percent, the quality of sleep by 63 percent and decrease fatigue by almost 75 percent. Positive findings had been recorded in a small, preliminary study (also performed in Canada) with documented improvements in joint mobility pain intensity while using various chiropractic techniques such as spinal manipulation, stretching and soft tissue therapy.
A review of several research studies, including eight systematic reviews and three meta-analyses that assessed the benefits of alternative medicine for fibromyalgia was published in 2009 in the Journal of Manipulative Physiology and Therapeutics. According to this systematic review, there is some evidence that spinal manipulation, diet and vitamins can help manage fibromyalgia, although more scientific evidence supported the use of exercise, psychotherapy massage, acupuncture and spa therapy (hydro therapy) for this condition.
Special Considerations
Some people may fear fibromyalgia chiropractic adjustments may trigger�the pain. Overall, this form of therapy has a good safety profile and patients receiving adjustments are satisfied with the results.
In some cases, adjustments may cause aggravation of the symptoms (including pain) for a brief period of time.
If you experience pain or any other symptoms after chiropractic adjustments, talk to the doctor to possibly change the therapy (these adjustments can be performed in several ways, some being gentler than others).
If you don�t achieve symptom improvement following the recommended set of treatments, you may need to change or add other modalities (some chiropractors are also trained in acupuncture, naturopathy or homeopathy).
You should not seek spinal manipulation if you suffer from osteoporosis, spinal cord compression, inflammatory arthritis (i.e. lupus, rheumatoid arthritis). If you have cancer, you should also talk to your MD first before using chiropractic care.
Otherwise, if you are looking to better control fibromyalgia symptoms, it�s worth considering this form of therapy. In addition, try to improve your lifestyle; eat a healthy, balanced diet, exercise regularly and practice stress management techniques.
Sourced through Scoop.it from: fibromyalgia.newlifeoutlook.com
Chiropractic care is alternative, treatment option for various types of injuries or conditions. It’s been long used to help individuals find relief from their symptoms and recent studies have concluded, chiropractic treatment can be beneficial towards treating people with fibromyalgia, a widespread chronic pain condition.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900�.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic
Fibromyalgia, a chronic disease that causes pain and swelling in more than a dozen points all over the body, affects as many as 5 million people. Because doctors are still unsure of the cause of fibromyalgia, treatment can be frustrating (and often a process of trial and error).
�Fibromyalgia symptoms are only about 30% amenable to current pharmaceutical strategies on the market,� says Kathleen Holton, PhD, MPH, lead author of Potential Dietary Links in Central Sensitization in Fibromyalgia.
That�s why many patients are taking matters into their own hands and experimenting with alternative treatments, including dietary changes. Forty-two percent of fibro patients reported that symptoms worsened after eating certain foods, and though much of the research is in its preliminary phases, there�s some evidence that simple diet tweaks may ease fibro pain.
Read on to get 5 food rules for fibromyalgia patients (just be sure to consult your doctor before drastically changing your diet).
Load up on vitamin D
Many adults are deficient in vitamin D�to begin with, but this sunshine vitamin can be vital to fibro patients. “Vitamin D deficiency can mimic some of the symptoms of fibromyalgia. All patients should be screened for deficiency,” says Holton. Studies show that vitamin D deficiencies can cause bone and muscle pain, and upping levels of this hard-to-get vitamin may help. A 2008 study found that pain patients with low levels ofvitamin D required almost double the dose of painkillers as those with adequate levels. Holton recommends taking a supplement, especially during the wintertime.
Avoid additives
Common food additives, like monosodium glutamate (MSG) and aspartame, can act as excitotoxin molecules, a chemical group that has the ability to activate neurons that increase sensitivity to pain. Anecdotally, easing off these additives can help, and one very small study of four patients found that eliminating MSG and aspartame resulted in a reduction of fibromyalgia symptoms. The research is far from definitive, but it may be worth trying if you notice your symptoms worsen after Chinese takeout or too many diet drinks.
Say yes to fish
Omega-3 fatty acids, found in fatty fish, like salmon, walnuts, and flaxseed, are known to reduce inflammation and help prevent cardiovascular diseases. However, their soreness-reducing traits may also help pain patients. A 2007 study found that after just 3 months of supplementing omega-3 fatty acids, symptoms such as morning stiffness and painful, tender joints decreased. Though this study did not include fibromyalgia patients (it included rheumatoid arthritis (RA), irritable bowel syndrome (IBD), and dysmenorrheal patients), the results show promise. Fibro patients often have co-morbidities such as IBD and RA, so omega-3s may benefit them as well. Try adding salmon or walnuts to your diet, or, if you don�t like those foods, try adding flaxseeds to your cereal or oatmeal.
Nix the caffeine
Because sleeplessness is commonly associated with fibro, it may be tempting to fuel up on coffee to get through the day. This, however, may be a mistake. “Some patients use caffeine to compensate for not sleeping well, which can lead to a circular problem where the �solution� of taking caffeine to stay awake is actually causing the problem of not sleeping at night,” says Holton. Caffeine can set you up for a crash and, if sipped later in the day, may disrupt sleep schedules. Holton recommends antioxidant-packed decaffeinated green tea as a healthier alternative.
Veg out
Some researchers speculate that oxidative stress may be a cause of fibro symptoms. Oxidative stress occurs when the body doesn�t produce enough antioxidants to battle cell-damaging free radicals in the body. Most fruits and veggies are packed with important antioxidants, like vitamins A, C, and E, which fight free radicals to keep your body normalized. Certain studies also show a raw, vegan diet can improve symptoms, but that�s difficult for most people to follow. If you do choose to eat meat, though, opt for a small portion of grass-fed beef. “It is an excellent source of iron and vitamin B12, both nutrients which are extremely important in keeping your pain-processing nervous system healthy,” says Holton.
Sourced through Scoop.it from: www.prevention.com
Fibromyalgia can cause symptoms of pain and discomfort along with fatigue and concentration issues. Living with the condition can be difficult, however, there are many alternative treatment options, such as chiropractic, which can help people with the condition, find relief from their symptoms. In addition, following a balanced diet and the proper nutrition can help speed up the process of relief.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Scoop.it
Fibromyalgia is a widespread condi�tion. Some investigators estimate as many as 2% of the general population in the United States suffers from FM, with women affected 10 times more than men.1 With the combination of symptoms faced by the FM patient, finding the solution to this problem is a tough task.
Medical science is yet to discover the cause for this condition. Because there are so many different symptoms associated with fibromyalgia, there are just as many theories for what causes it. Since those with FM often experience an altered mood � such as depression � many experts focus on the psychologi�cal aspect of the disease. Others feel that FM is more a physiological entity, and has its origins in physical trauma or chronic postural alterations. Some suggest that FM is a central nervous system disorder, with imbalances in neurochemicals � since those with FM are hypersensitive to even the slightest stimuli. They often have a pain response to normally non-painful pressure or activity. It�s not out of the question that a combination of psycho�logical and physical triggers can result in the onset of many of FM symptoms.
Chiropractors often offer their skills to FM patients, hoping to relieve some of their symptoms. In fact, evidence suggests that those with FM consult with chiropractors quite regularly. According to a study conducted at a tertiary Mayo Clinic, 37% of the 300+ FM patients surveyed had visited a chiropractor in the previous 6 months.
But does chiropractic work for them? Some recent studies indicate it does. In one example, chiropractors surveyed FM patients before, during and after a series of treatments to see if they responded favorably to chiroprac�tic adjustments combined with a specific soft tissue technique known as ischemic compression. In this prelimi�nary study, 60% of the subjects who were treated with this protocol experi�enced a significant improvement � with respect to pain reduction, improved sleep and decreased fatigue. What was especially encouraging was the improvements were reported to be maintained in a 1-month follow up.3 Although pure scientific research on the chiropractic treatment of fibromyal�gia is lacking, some early studies are showing that chiropractors could help improve these patients� quality of life.4 Chiropractors are trained as neuromus�culoskeletal specialists, and one of the main focuses of chiropractic care is the positive effects it can have on a person�s nervous system. Since all information from the outside world is collected and analyzed by the nervous system, it�s logical to assume that if a person with FM is sensitive to a stimulus that others are not, there may be something wrong with this system.
Vertebral subluxations are focal areas of spinal restriction and/or malposition. When present, these lesions can not only irritate the nerves that exit the spine (peripheral nervous system), but the irritation caused by subluxations will also feed back into the brain (central nervous system). Information from the joints of the spine is passed on to an important structure in the brain called the cerebellum. This part of the brain has been known traditionally to be important for body awareness, balance and coordination. However, more recent studies have shown the cerebellum to be intimately involved with maintaining proper cognitive function and playing a significant role in emotional stability. Therefore, irritation of the joints in the spine caused by vertebral subluxation may be linked to any of the symptoms associ�ated with fibromyalgia.
More studies are needed to show the positive effects that chiropractors can have with FM patients. However, having chiropractic care alongside other traditional treatment methods (including exercise, massage techniques and cognitive behavioral therapy5) is likely to give these patients a better chance for recovery.
Sourced through Scoop.it from: www.upchiro.com
Fibromyalgia is a chronic disorder involving widespread pain and sensitivity in the entire musculoskeletal system. In addition to pain, patients also report long-term fatigue, and/or disturbed sleep and mood. Other disorders commonly associated with FM may include: irritable bowel syndrome, TMJ pain and dysfunction, psychological condi�tions and some autoimmune diseases.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Scoop.it
A new study from Egypt reports that chiropractic care can be an effective treatment strategy for fibromyalgia treatment with chiropractic care.
The study involved 120 people between the ages of 40 and 65 who had suffered with severe fibromyalgia for four years or more. Each person rated their pain as a 4 or higher on a pain scale and also had limited movement in their cervical (neck area) spine, specifically in their C1-C2 area.
Treatment Study
All of the individuals participating in this study engaged in 12 weeks of therapy which included:
- An education program (one two-hour session per week) designed to provide the participant with more information about fibromyalgia and available treatment options;
- Cognitive behavioral therapy (one two-hour session per week) which involved discussion regarding pain management via relaxation exercises, challenging treatment-prohibitive beliefs about fibromyalgia, and positive reinforcement about what types of actions can be taken to ease fibromyalgia symptoms; and
- An exercise program (three one-hour sessions per week plus 20-minute session twice daily at home) which included relaxation techniques, as well as active and passive stretches.
One-half of the individuals were also randomly assigned to a treatment group, which meant that they also engaged in upper cervical chiropractic adjustments. This involved a high-velocity, low-amplitude thrust to the C1-2 motion segment three times per week for the first month. This was then reduced to once a week sessions for the remaining eight weeks.
Conclusion of Study
At the beginning of the study, the conclusion of the study, and at one year post-study, each participant was asked to complete various questionnaires to help the researchers determine what effect, if any, the chiropractic had on easing fibromyalgia symptoms and reducing its impact on their lifestyle. Specifically, questions were asked regarding physical function abilities, work days missed due to fibromyalgia symptoms, sleep disturbances, level of pain, fatigue, depression, and anxiety.
The individuals who participated in the cervical chiropractic care group showed more improvement and better results than the control group who had no chiropractic intervention. This was validated by questionnaire scores that improved by 15 or more percent. The researchers concluded that adding chiropractic to your current fibromyalgia treatment regimen may offer even more benefits when it comes to getting to the root off the problem.
Sourced through Scoop.it from: www.chironexus.net
Fibromyalgia is a painful condition which affects the primary nerves of the body, present in a wide number of the population. There are several available treatment options for the condition but recent studies have concluded, chiropractic treatment can benefit fibromyalgia sufferers. From spinal adjustments to manual manipulations, chiropractic care can provide relief from the painful symptoms of the condition.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Auto Accident Injuries, Migraines, Neck Pain, Personal Injury, Posture, Scoop.it
Whiplash is the common result of a traffic collision. While the symptoms for this type of injury usually ease on their own without the need of specific treatment, it is suggested to manage the natural mobility of the neck and seek medical attention immediately. In many instances, people will turn to the use of painkillers to ease the pain but these only disguise the problem temporarily as they don�t directly treat the issue.
Whiplash-associated injuries are the result of a sudden, back-and-forth motion of the head as a result of an extreme force acting against the body. Because of the force from the impact of a car crash, the muscles, ligaments and other complex tissues found within the neck can stretch, or sprain, beyond the normal range, occasionally causing tears.
Symptoms of Whiplash
Since the symptoms of whiplash often manifest immediately after the auto accident, for some individuals, these can take up to several days, weeks, even months to develop. The common symptoms for whiplash include: pain and discomfort along with stiffness in the neck, usually worsening with each day, pain and stiffness may also be felt in the shoulders, down the arms, and in the upper and/or lower area of the back; turning or bending the neck may be difficult and painful; headaches; dizziness, blurred vision, pain in the jaw or pain when swallowing and abnormal sensations along the skin of the face; and finally, some individuals may experience fatigue and can have irritability and difficulty concentrating.
The appearance of any of these symptoms could indicate the presence of a whiplash-associated injury. It�s important to seek medical attention as soon as possible to receive a proper diagnosis and determine the true cause of the symptoms. If any of the above mentioned symptoms persist, be sure to tell a doctor immediately.
Who Can Get Whiplash?
Neck sprains, or whiplash, are actually significantly common. Many individuals who experience an undesired and unexpected automobile accident develop symptoms of neck pain with or without other injuries. It�s been previously concluded that women tend to be more prone than men to suffer from whiplash-associated injuries as the structures of their body can be relatively different.
After being involved in a minor auto collision where the vehicle only experienced minimal damage, many people are often surprised to still have developed symptoms of whiplash. Including slow vehicle bumps may cause a sufficient enough jerking motion of the neck to cause symptoms.
Although more uncommon, a whiplash-associated injury can also occur as a result of a sports injury or from strenuous physical activity. Some people have also reported injury from an everyday activity where the neck is suddenly jerked after a trip or fall.
Diagnosing Whiplash
A healthcare specialist who focuses and emphasizes in auto accident injuries is most qualified to diagnosing the presence of whiplash from the description of the incident, the symptoms the individual may be experiencing and through a careful evaluation. Because whiplash is a soft-tissue injury, many doctors may be unable to make a clear diagnosis, however, some healthcare specialists are specifically trained to identify whiplash. A careful examination of the structures of the neck, back, shoulders and arms can help determine if there�s been damage or injury to the spine or to the spinal cord or spinal nerves. Further tests may be recommended.
Treatments for Neck Sprains
First of all, the individual must continue to stay active and appropriately stretch and/or exercise their neck. The goal is to keep moving the neck as normally as possible. Initially, the symptoms may be painful and the individual may require some time to rest their neck. Nonetheless, gently exercising the neck as soon as the individual is able to can help. It�s important to now allow the structures of the neck to stiffen up and become tight.
The individual can also gradually increase the range of motion in their neck. Every few hours, gentle movements of the neck in each direction, several times a day can help avoid stiffness in the muscles and other tissues of the neck. Continuing with normal activities is crucial at this point, natural movements of the neck will not cause further damage.
Practicing healthy postural habits can also be beneficial to ease the symptoms of whiplash. While at work or during any other situation of prolonged sitting, the individual should check the posture they are sitting in. Make sure you are sitting upright, not with your head flexed forward along with a stooped back. Several stretches and exercises, such as yoga and pilates, have been used to improve neck posture, however, there is not enough evidence to support the benefits of these techniques when improving posture. In addition, a firm supporting pillow can also help ease the symptoms when sleeping. The individual should avoid using more than one pillow at this time, to avoid further injury.
Chiropractic treatment is a common form of alternative treatment that is frequently used to treat whiplash and many other types of injuries and conditions. Chiropractic care focuses on musculoskeletal injuries and condition, particularly soft-tissue injuries like whiplash, including nervous system dysfunctions. A chiropractor often utilizes gentle spinal adjustments and manual manipulations to carefully restore the natural alignment of the spine and its surrounding structures in the case a subluxation is present. By doing so, these gentle treatments can relieve the stress and pressure being placed against the tissues around the spine, ultimately reducing the painful symptoms. Additionally, the chiropractic adjustments a chiropractor performs can help strengthen the muscles and other tissues of the affected area, helping to restore the original flexibility and mobility of the structures of the body.
A chiropractor may additionally recommend a series of stretches and/or exercises to help speed up the rehabilitation process and improve the individual�s condition through muscle strength, flexibility and mobility. As with any other type of treatment for an injury or condition, time and patience are required to ensure a proper recovery. Depending on the severity of the individual�s whiplash, the recovery process can differ for each person.
Preventing Whiplash with Head Restraints
Vehicles today are being built to minimize the impact from the force of a collision against the body, particularly in the region of the neck and back. All vehicles include head restraints on the vehicle seats which can further help avoid whiplash and other types of neck injuries or conditions. �The head restraint should be placed as high as the top of the head. A properly adjusted head restraint can help reduce the chance of experiencing a serious whiplash injury or other type of neck damage as this can help stop or reduce the head from jolting backwards in an automobile accident. Safety is important and although an auto collision can be an unwanted incident, preventing harm through a few simple methods can make a tremendous difference.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Sourced through Scoop.it from: www.dralexjimenez.com
By Dr. Alex Jimenez
