April Hermosillo achieves overall health and wellness every day by following proper nutrition and engaging in exercises or physical activities. As a regular fitness participant, however, April Hermosillo can experience back and low back pain which ultimately affects even her most basic daily tasks.
April Hermosillo struggled with spine health issues and sciatica before she received chiropractic care. Dr. Alex Jimenez is a chiropractor in El Paso, TX who has helped April Hermosillo achieve pain relief so she can return to her everyday fitness routines. April Hermosillo describes how Dr. Alex Jimenez has tremendously helped improve her overall symptoms. April Hermosillo highly recommends Dr. Alex Jimenez as the non-surgical choice for personalized spine and sciatica treatment and rehabilitation.
El Paso Back Clinic
We are blessed to present to you El Paso�s Premier Wellness & Injury Care Clinic.
Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice includeWellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.
As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.
We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.
A chiropractic adjustment, also commonly referred to as spinal manipulation, manual manipulation, or chiropractic manipulation, is a curative treatment frequently utilized for chronic pain, such as lower back pain.
What is a chiropractic adjustment?
A chiropractor applying manipulation into the vertebrae that fail to function or have abnormal movement patterns is referred to as a chiropractic adjustment. The goal of this chiropractic treatment is to decrease the subluxation, or misalignment, with the focus of increasing range of movement, reducing nerve wracking and improving function.
Chiropractic Adjustment Description
A chiropractic adjustment typically involves:
A high velocity, short lever arm thrust applied to a vertebra
An accompanying, perceptible discharge of gas (joint cavitation) that is brought on by the release of oxygen, nitrogen and carbon dioxide, that releases joint pressure (cavitation).
An alleviating sensation the majority of the time, though minor distress has been reported (that generally lasts for a brief time period) if the surrounding muscles are in spasm or the patient tenses up during the adjustment.
It ought to be known that joint cavitation or cracking doesn’t happen at times, typically as a result of significant muscle splinting or the individual not being adequately relaxed during the chiropractic manipulation. At times such as this, it is sometimes best for your chiropractor to apply ice, have the patient break, or perform electrical stimulation and massage prior to trying the adjustment, to ensure the treatment modality is effective.
Chiropractic Adjustment Techniques
There are several different manipulative methods that can be utilized in chiropractic care, and there’s a specific ability level and “art” involved in high velocity, low amplitude modification or manipulation. It’s perhaps more important for the chiropractor to determine when to not apply the adjustment.
Chiropractic Adjustment Side Effects
The most frequent response to a chiropractic adjustment is soreness or aching in the spinal joints or muscles. If this soreness or aching happens, it does not last longer than 24 hours and is typically within the first few hours post-treatment. The symptoms are frequently reduced by application of an ice pack.
Other Chiropractic Services Beyond Adjustments
The focus on spinal adjustment is the thing that makes doctors of chiropractic unique in their approach to treating patients with spinal complaints. The adjustment, however, may not be the only procedure a chiropractor uses.. For example, chiropractic care has utilized drugless therapeutics (natural remedies) since as early as 1912.
Natural agents like heat, cold, water, massage, light, and exercise are a few of the physiological curative steps which are frequently utilized by chiropractors. When controlled, other and these components can aid a number of common lower back pain problems and exert a beneficial influence on body functions.
Common Alternatives of Chiropractic Care
Some physiological therapeutic measures Which Are often used in chiropractic care include:
Cold and Heat. Chiropractors may alternate between heat and ice therapy to help patients treat back pain. Ice packs can be used to numb the back to get a 10 to 15 minute period and then switched using hot water bottle, heat wrap or a heating pad promote faster recovery and to restore blood flow.
Exercise. Chiropractors can provide patients with directions for an exercise program focusing on strengthening and extending the back, to improve overall health and function alongside other treatments.
Massage. Chiropractors may massage the tissues to improve circulation, reduce inflammation and swelling associated with the pain, and encourage recovery.
Dietary management. Chiropractors will supply patients with tips on how an improved diet may help with their pain, and some could recommend dietary supplements after manipulation.
Ultrasound. With ultrasound, sound waves create heat treatment that is applied to the soft tissues and joints. Basically micro-massaging the delicate tissues and joints, ultrasound therapy doesn’t only help reduce back stiffness, pain, and migraines, but increase blood circulation and accelerate the healing process.
Diathermy. A form of shortwave therapy that passes the softer tissues and provides warmth to denser tissues, hastens the healing process by increasing circulation, decreases muscle spasms, and diathermy relaxes the muscles and connective tissues. In chiropractic therapy using diathermy, the treated area will feel pleasantly warm.
Hydrotherapy. Using water and changing its own temperature and pressure through saunas, whirlpools, baths or wraps, and hydrotherapy concentrates on the human body’s recovery response for back pain. In chiropractic, hydrotherapy may be used to reduce the sensitivity of pain through stimulation that soothes the pain and using hot stimuli to promote recovery and blood circulation.
Electrical muscle stimulation. During this chiropractic therapy, electrodes are placed on the skin which send mild pulses to different regions of the body with the purpose of curtailing muscle spasms, decreasing inflammation and relieving pain back.
Transcutaneous electric nerve stimulators (TENS). The most common form of electrical stimulation, TENS units contain electrodes that are placed using the power to control the intensity of stimulation. It is believed that TENS help prevent the transmission of pain signals and also discharge endorphins, the body’s natural painkillers.
Traction. A chiropractic traction massage could include the patient lying face upward about the back, all of the while stretching and massaging the muscles in the back as a method of rollers maneuver. Chiropractors may use other traction devices that stretch the backbone, decompress the disks and reduce the strain on the nerve roots (a procedure called non-surgical spinal decompression).
Infrared radiation. In chiropractic, a camera may be utilized to image colors indicating the blood circulation in the back. From the body images, reddish shades would indicate IR radiation and blood circulation for instance. Radiation may be used by chiropractors to evaluate conditions which are causing pain back and to distinguish temperature fluctuations from abnormal differences.
Cold laser therapy. After penetrating the skin surface, with cold laser therapy, particles of energy are carried at a laser and absorbed by the photograph receptors of the cell membrane. Tissues and the cells then convert this light energy inducing a biological process that’s thought to decrease swelling, reduce back pain and inflammation, and enhance circulation.
Ergonomics. During the course of care, the chiropractor may recommend some modification like a work station change that is applied at home and/or on the job. The failure or success of obtaining satisfying that is patient outcome may be related to employing an alteration or a hobby-related bothersome activity.
Pelvic stabilization. When deficiency feet and/or subtalar instability are present, the nurse may place a little heel lift in the shoe on the short leg side or urge arch supports to help stabilize the pelvis.
Patient education. A chiropractor can advise a number of lifestyle modifications, including nutritional and diet programs, self-care and working strategies, to the individual experiencing back pain.
These methods may or may not be utilized by the therapist at the duration of a patient’s situation management depending upon their particular needs.
Chiropractic Manipulation and Therapies
Utilizing specific manipulations (chiropractic adjustments) together with one or a combination of the aforementioned, the physician’s aim is to get rid of structural or nervous system discomfort which could possibly be a major contributing element in a patient’s lower back pain, improving the patient’s overall well-being.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
The manipulation of the cervical spine or neck is a common technique utilized by doctors of chiropractic for individuals complaining of upper back, neck, and shoulder/arm pain, in addition to headaches.
What is the benefit of cervical spinal manipulation?
Similar to the treatment for many injuries and/or conditions which affect the thoracic and lumbar spine, or back, chiropractic treatment is thought of as a first line of therapy for a range of cervical spine conditions.
Chiropractic treatment aiming for cervical spine pain management include (but aren’t limited to) a mix of:
Reducing pain
Improving movement
Restoring function into the head and neck region
Patients must be advised that the treatment will start after a complete patient history, physical examination, review of past, family histories, and review of systems are completed. Tests might include X-ray, CT, MRI, EMG/NCV, urine analysis and lab blood, referral to a professional, more, depending on each individual case demonstration.
Different Types of Chiropractic Manipulation
There are two general manipulation approaches for spine ailments:
Cervical spinal manipulation – frequently thought of as the conventional chiropractic adjustment, or even a high-velocity, low-amplitude (HVLA) technique
Cervical spinal mobilization – which can be a more gentle/less forceful modification, or even a low-velocity, low-amplitude (LVLA) technique moving the joint through a tolerable range of movement.
The combination of the many approaches varies from patient to patient depending on the healthcare professional’s preferred tactics and tastes, the patient’s comfort and tastes, and the patient’s response to the treatment, in addition to both previous experience and observations made during the course of therapy.
Chiropractors may also use therapy to treat other cervical spine complaints. Adjunctive therapies may include therapeutic heat program, massage exercises, and more. Chiropractic manipulation can handle numerous causes of neck pain. It’s not a cure for every single type of neck problem. Two causes of pain which originate in the neck and may be treated by manipulation comprise of mechanical neck pain and disc problems.
Mechanical Neck Pain
Mechanical neck pain comprises of pain associated with the tendons, joint capsules, ligaments and/or the fascia. This type of issue is a frequent cause of neck pain and stiffness.� Facet joint issues are a well-known case of mechanical neck pain. The facets are located in the back of the neck. If a facet joint is hurt or sprained, pain may be localized or may radiate along other upper extremities. The pain pattern depends upon the specific level and is unique.
Cervical Disc Issues
Tears may develop in the cervical disc and/or the inside of the disc (the nucleus) may herniate through the outer area (the annulus) and trap or pinch the nerve root as it leaves the spine.
Cervical nerve root irritation can frequently refer pain down the arm and into the hand, typically affecting particular areas like the 4th and 5th digits, the palms side thumb to 3rd fingers and/or the back of the hands on the thumb, index finger side of the hand, depending on which nerve root is irritated.
On rare occasions, if the nucleus of the disc herniates straight backward, it can compress the spinal cord and create symptoms in the legs and also impact the function of the bowels and/or bladder. On such occasions, the patient needs to be referred to a spine surgeon to get prompt care.
These are two examples of types of cervical spine conditions which may be treated with spinal manipulation. The patient needs to receive a whole exam prior to receiving any kind of manipulation.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
Doctor of Chiropractic, Dr. Alexander Jimenez reveals what the popping sound is during a spinal adjustment.
Chiropractic Care &�Back Pain
Has this happened to you? You are at the chiropractor getting treatment for your own back pain, and during a spinal adjustment, a sizable popping sound is heard by you. It seems somewhat alarming, does not it? Rest assured, though: That pop within a chiropractic spinal adjustment is totally ordinary.
During a back adjustment, your back experiences rapid, mild stretching of the spinal joint, which means you may hear a snapping or popping sound. This really is brought on by little pockets of air or bubbles, which are in the fluid that surrounds your joints. When joint tissues are extended throughout a chiropractic adjustment, the pockets of atmosphere “pop,” which creates that cracking sound you hear.
Following this treatment, you could feel in your back for more movement. But, the muscles may still be raw and tight.
Your chiropractor might also incorporate other chiropractic care treatments like muscle therapy. You must notice more back pain relief with each session.
Your chiropractor could also advocate preventive care, including specific exercises, and he/she might give you ergonomic tips on the best way to accurately bend and lift, in addition to how to take good care of your back while at your desk (if you work in a office). Doing specific exercises and maintaining good posture might help keep movement that is healthy in your back.
Is Chiropractic Care Right For You?
It is crucial that you consider that chiropractic care is not a cure all for all conditions that are back. Some backbone conditions that cause back pain may require a combination of treatments, or other treatments, for example surgery and drugs.
But in the event you have a condition that causes pain back and you need to test a non-operative treatment, chiropractic care can be an excellent treatment choice for you personally. But remember, you need to not be alarmed by a popping noise during a spinal adjustment�it’s ordinary in chiropractic care.
The understanding the spine is somehow involved in health and wellness, in addition to the practice of utilizing manual manipulation as a way to obtain healing, dates back to the time of the ancient Greek philosophers. In fact, Hippocrates once said, “Get understanding of the back, for this is the requisite for several ailments.”
The First�Chiropractic Adjustment
Modern chiropractic, however, indicates its beginnings in the late 1800s, �when a Canadian living in the US, Daniel David Palmer, a self educated teacher and healer, performed the very first spinal manipulation on a patient.
That patient was Harvey Lillard, a janitor who worked in Palmer’s building. Lillard was almost totally deaf and mentioned to Palmer that he lost his hearing many years before when he was bending over and felt a “pop” in his upper back.
Palmer, who had been a practitioner of magnet therapy (a common therapy of the time) was fairly learned in physiology and incredibly interested in how a spine interacts with all the remainder of the entire body’s systems.
He found a difficulty with one of his vertebra and examined Lillard’s back. Palmer manipulated Lillard’s vertebra and an amazing event occurred�Lillard’s hearing was restored. Today, this process is referred to as a chiropractic adjustment.
Palmer soon found that alterations could alleviate patients’ pain as well as other symptoms. These problems with vertebrae are called chiropractic subluxations.
He started to use these “hand treatments” to treat many different ailments, including sciatica, migraine headaches, stomach complaints, epilepsy, and heart trouble. In 1898, he started the Palmer School & Infirmary in Davenport, Iowa, and began teaching his chiropractic techniques.
Initial Resistance In The Medical Community
The medical community failed to immediately embrace techniques and Palmer’s chiropractic theories. The called him a “quack” and refused to recognize his achievements. At one point, Palmer spent time in jail because of his violation and was indicted for practicing medicine with no license.
Research has shown that Palmer was not the fish monger that was unlearned that some in the health care profession claim. An investigation of this library, which he quoted in his letters, showed that he was up to date in his knowledge at the turn of the 20th century. Obviously, his theories, in the light of 21st century knowledge, seem uneducated.
Chiropractic Today
Today, chiropractors are licensed in most European countries, Canadian provinces, all the US states, Australia and New Zealand. There tend to be more than 50,000 practicing chiropractors in the US alone . Despite its North American roots, there are more chiropractic educational programs beyond North America.
Does Neck Curvature Protect You In a Car Accident?
Does the curvature of your cervical spine play a determinant in the severity of injury sustained in a motor vehicle accident?
We asked Chiropractic Biophysics, Dr. Deed Harrison to comment on this subject matter.
Unfortunately, many people can relate to having been involved in a car crash or motor vehicle collision (MVC) at some point in their lives. Whether it was a major accident or a minor one, MVC�s are no fun and can cause a variety of minor to serious injuries to those persons in the vehicles. These injuries are commonly and collectively referred to as �Whiplash Injuries�. The financial implications of a MVC, as well as interruption of your daily routine due to whiplash are also other major detriments of car crashes that may take years to recover from.
With more distracted drivers texting and speaking on their phones, MVC�s are on the rise, making for much more dangerous roadways. While we cannot control other people�s behaviors, we can certainly drive more cautiously and defensively to hopefully avoid being in a car accident. Unfortunately, MVC�s do happen despite our best efforts, so being prepared and having a plan in mind is key to recovering quickly and getting back on our feet again.
More serious car accidents mean more serious injuries, ranging from cuts and bruise to broken bones, brain damage, and even death. At first, less serious MVC�s however, may not seem like a big deal, with victims often walking away without a scratch, believing they have escaped the crash unscathed. Others may only complain of a slight headache, neck pain, stiff or kinked neck while resorting to taking over the counter pain killers, or wearing a neck brace to assist with their recovery � something that is far from addressing the true cause of the injury.
What most lay people (and even many physicians) don�t realize is the extent to which the CERVICAL LORDOIS (curvature in your neck from the side) plays a role in both: 1) the extent of the initial injury to the occupant(s) and 2) the long term pain and suffering from whiplash injury to the occupants. Furthermore, the MVC itself will damage the cervical lordosis.
1. Concerning the extent of initial injury, researchers have found that having a well preserved cervical lordosis actually prevents neck tissue damage to the sensitive cervical spine ligaments.1 In the figure at the top, the right hand image demonstrates what a normal cervical curve looks like when viewed from the side and the person facing to the right. In contrast, the same researchers identified that straightened cervical curves and worse yet, reversed (kyphotic) cervical curves predisposed to more severe cervical spine tissue injuries due to more extreme forces acting on the neck during the exact same MVC circumstances. The x-rays above at the far left and the middle show abnormal neck curves where more severe injury to the person is likely to result should they be involved in an MVC.
Thus, if you already have an abnormal cervical curvature prior to any MVC, it is in your best interest to rehabilitate the shape and amount of your cervical lordosis. If you do not, you�re at a higher risk of having more serious injuries should you be involved in a MVC.
2. In terms of long term pain and suffering, several research studies have identified that the patients who experience long term whiplash injuries and suffering are in fact the ones that have abnormal cervical lordosis. Straightened, S-curves, and Reversed cervical curvatures have been found to pre-dispose to the following conditions after MVC.
� Neck pain and stiffness,
� Headaches,
� Arm pain,
� Thoracic outlet symptoms,
� Dizziness,
� Lack of concentration,
� Degenerative arthritis in the cervical spine,
� Disc herinations.
What many whiplash injured subjects don�t realize is that a slight headache or neck pain is a true sign of a much more serious injury to your cervical lordosis and underlying neck tissues. Spinal misalignments as a result of the sudden jolt of the MVC may manifest immediately, or not become evident at all for a long period of time. But this doesn�t mean the spine is healthy or that no injury was sustained.
The fact is that MVC�s statistically damage the shape of your cervical lordosis. Researchers from Chiropractic BioPhysics have identified that the average patient exposed to a MVC will lose 10 degrees of their cervical lordosis, develop a mid cervical kyphosis, and have increased forward head posture as a result of the MVC.
A misaligned cervical curvature as a result of a MVC is a serious health condition. Altered cervical curves will cause nerve interference � hindrance of critical nerve energy that is responsible for every function of our organs, and every movement of our limbs. Ignoring the cervical spinal misalignment can manifest into pain and discomfort, fatigue, sleep disorders, organ dysfunction, depression, and eventually disease.
If you have been in a minor or major car accident, please see a corrective care chiropractor immediately for a full assessment of the health of your spine, even if you don�t feel any discomfort whatsoever. A small misalignment can only get worse with time, so addressing this injury quickly can mean a faster recovery time and less health problems in the future.
Corrective methods using Chiropractic BioPhysics��or CBP� Technique extension traction procedures and devices are the only true evidence based methods that have been shown to statistically and clinically improve the amount of cervical lordosis without the use of surgery. This has been documented in several clinical trials and case reports.8-11 Other conservative methods may restore the cervical lordosis in selected cases, but these have never been proven in clinical trials and are thus, at best, hit and miss. If you are suffering from an altered cervical lordosis as a result of a MVC, use the procedures that are truly scientifically supported.
Chiropractic Treatments for Whiplash
Whiplash Video
Because each individual case of whiplash is different, it is not possible to generalize about the chiropractic whiplash treatment.
The appropriate chiropractic treatment is unique to each whiplash injury and is directed at the primary dysfunctions detected during the chiropractic exam.
However, chiropractors commonly employ different chiropractic treatments for whiplash, often including:
Manipulation
Muscle relaxation and/or stimulation
Various exercises
Ergonomic and lifestyle changes.
This article explains when, why and how chiropractors may employ these whiplash treatments for neck pain, shoulder pain, back pain and other related symptoms.
Chiropractic Manipulation for Whiplash
The primary whiplash treatment for joint dysfunction, spinal manipulation involves the chiropractor gently moving the involved joint into the direction in which it is restricted.
Also known as a chiropractic adjustment, spinal manipulation may involve the application of a short thrust in that direction. In many cases, instead of a thrust, a slow mobilizing movement is used by the chiropractor.
The chiropractor’s primary whiplash treatment for related muscle dysfunction, muscle relaxation and/or stimulation consist of gentle stretches to the muscle that has excessive tension or repeated contractions of the muscle that is inhibited.
If the muscle is very tight, a more vigorous stretch may be applied by the chiropractor. Gentle finger pressure techniques may be applied to trigger points to relieve the pain associated with the tight muscles.
McKenzie Exercises and Stabilization/Sensorimotor Activities
View Chiropractic Videos
Chiropractors may employ different types of exercises, including McKenzie exercisesand/or stabilization and sensorimotor exercises, to help treat patients with whiplash injuries.
McKenzie exercises are specifically designed to reduce disc derangement related to a whiplash injury. They consist of simple movements that are initially done in the office but make for an easy transition to self-care at home. McKenzie exercises also help the patient take an active role in his or her own recovery
Stabilization and sensorimotor exercise approaches are designed to correct faulty movement patterns in routine activities and everyday life. Such whiplash treatment trains the nervous system to better coordinate and control movement patterns, and improves the ability of the neck muscles to maintain stability of the neck.
These exercises are designed to help in a major trauma, such as a fall or whiplash during a motor vehicle accident, or in “micro trauma” from simple things such as being jostled in a crowd, playing sports or performing occupational or home jobs that require physical effort.
Chiropractic Advice on Ergonomic and Lifestyle Changes
These whiplash treatment suggestions stress improvements for performing everyday activities with minimal strain to the body. The chiropractic advice addresses factors in an individual�s work, home or recreational activities that perpetuate the dysfunctions that result from the whiplash accident.
Additionally, spine care professionals at the chiropractic clinic may teach the patient better “use of self” and, if necessary, stress reduction methods to help chiropractic problems.
Whiplash Treatment in Chiropractic Care
Chiropractic On Cervical Spine Video
The whiplash treatment plan developed by the chiropractor for each specific problem may include one or more of these approaches and may involve others as well.
See Chiropractic Manipulation for the Cervical Spine
In addition to his or her whiplash treatment plan, the doctor of chiropractic might give a referral to another health professional, such as a medical specialist, if it is deemed appropriate.
�WHIPLASH, A SOFT TISSUE INJURY TO THE NECK, is also called neck sprain or neck strain. It is characterized by a collection of symptoms that occur following damage to the neck, usually because of sudden extension and flexion,� according to the National Institutes of Health.1
Approximately two-thirds of people involved in motor vehicle accidents develop symptoms of whiplash. The symptoms usually do not develop until two to 48 hours after the injury. Whiplash can also occur from falls, sports injuries, work injuries and other incidents.
Patients with whiplash injury may complain of pain and stiffness in the neck, extending into the shoulders and arms, upper back and even the upper chest. Two-thirds of patients suffer with headaches, especially at the base of the skull. Patients may also experience dizziness, difficulty swallowing, nausea and even blurred vision after injury, but these symptoms tend to resolve quickly.
According to Marshall, 45 percent to 85 percent of people who suffer a whiplash injury have the symptoms five years after the accident, and 82 percent had a straightening or reversal of their cervical curvature.2 “Many authors regard a straightening or reversal of the normally lordotic curvature to be one of the most significant changes of a whiplash injury.� 3
�The initial injury is due to damage of cervical muscles, ligaments, disks, blood vessels and nerves. The actual injury to soft tissues happens so rapidly that normal protective muscle reflexes cannot respond in time to decrease or prevent the injury,� according to a 2006 case report in the Journal of the American Chiropractic Association.3
The Diagnosis
To diagnose whiplash, a DC must first take a thorough history of the injury and the patient�s previous medical history. Pre-existing conditions, such as arthritis, may increase the severity of the whiplash. The DC should give the patient an in-depth physical examination with concentration on the neuromusculoskeletal system.
Similar to asking about whiplash injuries from motor vehicle accidents, DCs should ask the patient questions that reveal the details of a sports-related incident. DCs must ask patients with vehicular accident injuries, �Where was the impact from? Were you moving at the time? Did you have a seatbelt on? What type of seatbelt? Were you braced for impact? Did you hit anything in the vehicle?� says Dr. Alan Sokoloff, team chiropractor for the Baltimore Ravens. �You have to do the same for sport-related neck injuries, too,� he says.
Dr. Sokoloff explains that he �encounters doctors that say, �I do not treat sports injuries,� but if you are treating injuries from auto accidents and really dig into the mechanism of the injury with all of its details, it�s pretty much the same.�
Advanced Imaging
In some cases, advanced imaging may be necessary to make a proper diagnosis. A cervical CT scan is ordered if a DC suspects cervical spine trauma, such as a vertebral fracture, if the patient complains of paresthesia of the hands, if the patient is unconscious or has severe pain together with neurological deficits, explains Jerrold Simon, DC, president of the ACA Rehab Council.
�A cervical MRI is ordered when the whiplash patient complains of neck pain with radicular symptoms, such as a tingling sensation radiating down the arms or if there is suspected cervical spine trauma and the clinical findings suggest ligamentous damage. A cervical MRI may be ordered as a follow-up to normal cervical CT scan if the above symptoms are present,� says Dr. Simon.
Treatment
In treating whiplash injury, patients should be reminded to stay active, unless immobilization is necessary due to serious injury. �A cervical foam collar may be needed during the first few days following the incident if the cervical trauma is severe. However, in general, cervical collars are not recommended,� says Dr. Simon.
Immediately after the whiplash injury, Dr. Simon applies an ice compress to the posterior para-cervical spine musculature for about 10 minutes on a periodic basis. Ice compresses are generally only used for the first 48 hours after an injury.4
�A nutritional intervention for pain should include d-Phenylalanine 250 mg/day, dl-Phenylalanine 750 mg/day, L-tryptophan 3 g/day, and instruct the patient to to avoid coffee and other caffeinated beverages,� he says.
In addition, chiropractic care is beneficial. A retroactive study by Woodward et al. published in Injurydemonstrated that chiropractic treatment benefited 26 of 28 patients suffering from chronic whiplash syndrome.5 Chiropractic care in this study included spinal manipulation, proprioceptive neuromuscular facilitation stretching and cryotherapy [ice-pack therapy].
A neck adjustment works to improve the mobility of the spine to increase range of motion, while also enhancing movement of the adjoining muscles. This will eventually eliminate pain, soreness and stiffness and allow a patient to painlessly turn and tilt the head. In addition to adjustments, a treatment plan of mobilization, massage or rehabilitative exercises may speed up the recovery process.
�Cervical rehabilitation procedures should be considered after the initial pain and inflammation have substantially subsided,� says Dr. Simon. �Then a functional capacity evaluation with focal attention to the cervical spine should be performed to assess the magnitude and degree of upper spinal functional deficiency.�
Following this test, a DC can decide if the patient should receive a treatment of isometric cervical flexion, extension and lateral flexion against resistance exercises, a proprioceptive rocker board, wobble board and/or gym ball exercises and vibration therapy.
�Every person is different, and everyone�s ability to heal is different, so how we treat patients is very individualized,� says Dr. Sokoloff. �We will use modalities initially, if indicated. We will use soft-tissue techniques, if indicated. We will usually use a chiropractic adjustment, if indicated. But the one procedure we always use is progressive rehabilitative exercises, in office and home recommendations.�
Home recommendations include proper computer and phone ergonomics, range-of-motion exercises and icing, to name a few.
�Treatment plans that do not hold the patient responsible for helping themselves cheat everyone,� says Dr. Sokoloff. �The more a patient is informed about home icing instructions, home exercise and activity of daily living modifications, the better the outcomes are for everyone.�
What many whiplash injured subjects don�t realize is that a slight headache or neck pain is a true sign of a much more serious injury to your cervical lordosis and underlying neck tissues.�Because each individual case of whiplash is different, it is not possible to generalize about the chiropractic whiplash treatment.�For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
Over 3 million people in the United States have been diagnosed with type I diabetes. This disorder is considered an auto-immune condition where the immune system destroys the insulin producing Beta cells of the pancreas. A new case study showed how chiropractic adjustments dramatically improved a 4 year old child�s ability to manage this disorder.
A large UK study has revealed that type 1 diabetes has increased 5-fold in children less than 5 years of age between the years of 1985 and 2004. During those same years there was a doubling in children under 15 years of age being diagnosed with type I diabetes. Studies in other European countries and the US have shown similar results.
Environmental Risk Factors
The most common risk factors include exposure to environmental toxins and other stressors. The list of toxins includes pesticides, herbicides, and household cleaning agents. Additionally, food allergens such as pasteurized cow�s milk, gluten and processed soy, peanuts, & eggs are thought to be possible triggers. Low maternal and infant vitamin D3 levels and less than 6 months of breast feeding appear to be very serious risk factors as well. Birth trauma affecting the upper cervical spine has been hypothesized as a risk factor by some experts.
A recent case study published in the November 2011 edition of the Journal of Pediatric, Maternal, & Family Health documents a case of a 4 year old child, who had terrific results stabilizing her blood sugar through chiropractic care.
The child�s mother described her as being a very healthy baby, who was not vaccinated at all and was breastfed for a full 12 months. She was officially diagnosed with type I diabetes at 2 years of age. The family ate a healthy, whole food based diet and avoided processed foods and other environmental toxins.
Understanding the role of Neuroendoimmunology
The nervous, endocrine and immune system are hardwired and work together to create optimal responses for the body to adapt and heal appropriately. The new study of neuroendoimmunology looks closely at this intimate relationship between bodily systems.
Neural dysfunctions due to spinal subluxations are stressful to the body and cause abnormal changes that lead to a poorly coordinated immune response. Chiropractic adjustments have been shown to reduce subluxations and boost the coordinated responses of the nervous, endocrine, and immune systems.
The patient was diagnosed with spinal subluxations in the upper cervical region. She began chiropractic care and was seen a total of 24 times over a 2 month period. During this 2 month period, she experienced a decrease in hemoglobin A1C from 7.2% to 6.5%. She also decreased the amount of insulin used from 15 units to 11 units per day.
These results are quite remarkable because the literature states that intensive medical treatment of type I diabetes often does not succeed in lowering A1C levels under 7.0%. Chiropractic care works by optimizing the neural connections throughout the body.
This enhanced brain-body connection works to better coordinate immunity and hormone function throughout the body. This improvement in type I diabetes management is most likely a result of better cellular communication.
Over 3 million people in the United States have been diagnosed with type I diabetes.�A new case study showed how chiropractic adjustments dramatically improved the ability to manage this disorder.�For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900
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