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Chiropractic Care Overview for Rheumatoid Arthritis & Inflammation

Chiropractic Care Overview for Rheumatoid Arthritis & Inflammation

Find relief from rheumatoid arthritis & inflammation with chiropractic care. Learn more about its benefits for your health.

Chiropractic Care and Lifestyle Changes for Managing Rheumatoid Arthritis: A Comprehensive Guide

Introduction

Rheumatoid arthritis (RA) is like that uninvited guest who shows up at your body’s party and refuses to leave. It’s a chronic autoimmune condition that causes inflammation in the joints, leading to pain, stiffness, and sometimes a feeling like your joints are staging a full-on rebellion. Unlike osteoarthritis, which is more like wear-and-tear on your joints, RA is your immune system mistakenly attacking your own tissues, particularly the synovium—the lining of the joints. This leads to swelling, discomfort, and, if left unchecked, potential joint damage that can seriously cramp your style.

But don’t worry—there’s hope! Non-surgical approaches like chiropractic care, combined with small lifestyle tweaks such as an anti-inflammatory diet, can help manage RA symptoms and improve your quality of life. In El Paso, Texas, Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a leading expert in this field, offering personalized care for RA patients and those recovering from personal injuries. With his expertise in advanced imaging, diagnostic evaluations, and dual-scope procedures, Dr. Jimenez bridges the gap between medical care and legal documentation for personal injury cases, ensuring patients get the treatment they need while supporting their legal claims.

This comprehensive guide, written at a high school reading level, dives into the science of RA, the role of inflammation, and how chiropractic care and lifestyle changes can help. We’ll also explore why personal injury cases in El Paso benefit from Dr. Jimenez’s unique approach. So, grab a cup of organic tea (spoiler: it might help with inflammation!), and let’s get started on understanding how to tame the RA beast.


Understanding Rheumatoid Arthritis and Inflammation

What is Rheumatoid Arthritis?

Rheumatoid arthritis is an autoimmune disease where the body’s immune system goes rogue and attacks the synovium, the thin membrane that lines your joints. This causes inflammation, which leads to swelling, pain, and stiffness, particularly in the morning or after periods of inactivity. Over time, this inflammation can damage cartilage and bone, leading to joint deformities and reduced mobility. RA commonly affects the hands, wrists, and knees but can also impact other joints and even organs like the lungs or heart.

Think of RA as your joints throwing a tantrum because your immune system sent them the wrong memo. Instead of protecting you, it’s causing chaos. According to the Arthritis Foundation, RA affects about 1.5 million Americans, with women being two to three times more likely to develop it than men (Arthritis Foundation, n.d.).

The Role of Inflammation in RA

Inflammation is the body’s natural response to injury or infection, but in RA, it’s like your body’s alarm system is stuck on high alert. The immune system releases inflammatory chemicals, such as cytokines, that attack the synovium, causing it to thicken and produce excess synovial fluid. This leads to swelling and pain, and over time, it can erode cartilage and bone, causing joint damage and tenderness (Firestein & McInnes, 2017).

Inflammation in RA doesn’t just stay in the joints. It can also contribute to systemic issues like fatigue, fever, and even an increased risk of heart disease. Research shows that inflammation and joint damage significantly affect muscle function, proprioception (your body’s sense of position), and overall mobility (Scott et al., 1997). This is where non-surgical treatments like chiropractic care and dietary changes come in, offering a way to calm the inflammation storm and support joint health.

Why Small Changes Matter

You might be thinking, “How can something as simple as drinking tea or adjusting my diet help with something as serious as RA?” Well, small changes can have a big impact. For example, organic teas like green, chamomile, or turmeric tea contain antioxidants and anti-inflammatory compounds that can help reduce inflammation caused by RA (Personal Injury Doctor Group, 2017). Similarly, chiropractic adjustments can improve joint alignment and reduce stress on inflamed tissues, helping you move better and feel less pain. These approaches work together to address the overlapping risk profiles of RA, such as chronic inflammation, joint stress, and reduced mobility.


References


Chiropractic Care for Rheumatoid Arthritis

How Chiropractic Care Helps

Chiropractic care is like giving your joints a pep talk—they might not fix everything, but they’ll feel a lot better afterward. Chiropractors like Dr. Alexander Jimenez use hands-on techniques, such as spinal and joint manipulation, to improve joint alignment, reduce pain, and enhance mobility. For RA patients, chiropractic care focuses on restoring biomechanical function, reducing inflammation, and improving overall well-being without relying on invasive procedures.

Joint manipulation, a cornerstone of chiropractic care, involves applying controlled force to specific joints to improve their range of motion and reduce stiffness. Research shows that joint manipulation can be effective for managing musculoskeletal pain and improving function in conditions like RA (Bronfort et al., 2004). By addressing joint malalignment and reducing stress on inflamed tissues, chiropractic care can help alleviate articular tenderness and improve quality of life (Smolen et al., 2021).

Dr. Jimenez’s approach at El Paso Back Clinic goes beyond traditional chiropractic adjustments. He integrates advanced imaging and diagnostic evaluations to create personalized treatment plans that address the root causes of pain and dysfunction. For RA patients, this might include gentle adjustments to reduce joint stress, soft tissue therapy to relax tight muscles, and recommendations for lifestyle changes to support long-term health.

Clinical Rationale for Chiropractic Care in RA

The clinical rationale for chiropractic care in RA lies in its ability to address biomechanical issues and reduce inflammation. RA causes joint damage and malalignment, which can exacerbate pain and limit mobility. Chiropractic adjustments help restore proper joint alignment, reducing mechanical stress and improving proprioception—the body’s ability to sense its position in space (Scott et al., 1997). This can lead to better movement patterns and less strain on inflamed joints.

Additionally, chiropractic care can stimulate the nervous system, potentially influencing the body’s inflammatory response. For example, vagus nerve stimulation, which can be indirectly supported through spinal adjustments, has been shown to reduce inflammation in musculoskeletal diseases (Koopman et al., 2016). By improving spinal health and reducing nerve interference, chiropractic care may help modulate the immune system’s overactive response in RA.

Benefits of Chiropractic Care for RA

  • Pain Relief: Chiropractic adjustments can reduce joint and muscle pain by improving alignment and reducing pressure on inflamed tissues.
  • Improved Mobility: Gentle manipulations help restore joint function, making it easier to move without discomfort.
  • Reduced Inflammation: By addressing biomechanical stress and supporting nervous system function, chiropractic care may help lower systemic inflammation.
  • Non-Invasive Approach: Unlike surgery, chiropractic care offers a low-risk, drug-free option for managing RA symptoms.
  • Holistic Care: Dr. Jimenez combines chiropractic adjustments with nutritional guidance and lifestyle recommendations for comprehensive care.

References

  • Bronfort, G., Haas, M., Evans, R. L., & Bouter, L. M. (2004). Efficacy of spinal manipulation and mobilization for low back pain and neck pain: A systematic review and best evidence synthesis. Spine Journal, 4(3), 335–356. https://doi.org/10.1016/j.spinee.2003.06.002
  • Koopman, F. A., Chavan, S. S., Miljko, S., Grazio, S., Sokolovic, S., Schuurman, P. R., … & Tak, P. P. (2016). Vagus nerve stimulation inhibits cytokine production and attenuates disease severity in rheumatoid arthritis. Proceedings of the National Academy of Sciences, 113(29), 8284–8289. https://doi.org/10.1073/pnas.1605635113
  • Scott, D. L., Shipley, M., Dawson, A., Edwards, S., Symmons, D. P., & Woolf, A. D. (1997). The effects of joint damage on muscle function, proprioception and rehabilitation. Clinical Rheumatology, 16(1), 45–51. https://doi.org/10.1007/BF02238762
  • Smolen, J. S., Aletaha, D., & McInnes, I. B. (2021). Role of joint damage, malalignment and inflammation in articular tenderness in rheumatoid arthritis, psoriatic arthritis and osteoarthritis. Annals of the Rheumatic Diseases, 80(4), 531–538. https://doi.org/10.1136/annrheumdis-2020-218744

Arthritis Explained- Video


Anti-Inflammatory Diet for Rheumatoid Arthritis

Why Diet Matters

If RA is like a fire in your joints, an anti-inflammatory diet is like a fire extinguisher. What you eat can either fuel the flames of inflammation or help put them out. An anti-inflammatory diet focuses on foods that reduce inflammation and support overall health, while avoiding foods that trigger immune responses or increase oxidative stress.

Organic teas, for example, are a simple yet effective addition to an anti-inflammatory diet. Green tea contains polyphenols, which have antioxidant and anti-inflammatory properties that can help reduce RA symptoms. Chamomile tea has apigenin, a compound that may suppress inflammatory pathways, while turmeric tea’s curcumin is a powerful anti-inflammatory agent (Personal Injury Doctor Group, 2017). These teas are like little hugs for your joints, helping to calm the inflammation storm.

Key Components of an Anti-Inflammatory Diet

Here’s a breakdown of what to include and avoid in an anti-inflammatory diet for RA:

Foods to Include

  • Fruits and Vegetables: Rich in antioxidants, vitamins, and minerals, these help combat inflammation. Think berries, leafy greens, and cruciferous vegetables like broccoli.
  • Omega-3 Fatty Acids: Found in fatty fish (salmon, mackerel), walnuts, and flaxseeds, omega-3s reduce inflammatory cytokines.
  • Whole Grains: Quinoa, brown rice, and oats provide fiber and nutrients without spiking blood sugar, which can worsen inflammation.
  • Spices and Herbs: Turmeric, ginger, and garlic have anti-inflammatory properties that can support joint health.
  • Organic Teas: Green, chamomile, and turmeric teas offer antioxidants and anti-inflammatory compounds (Personal Injury Doctor Group, 2017).
  • Healthy Fats: Olive oil, avocados, and nuts provide monounsaturated fats that help reduce inflammation.

Foods to Avoid

  • Processed Foods: Sugary snacks, fast food, and processed meats contain trans fats and additives that promote inflammation.
  • Refined Carbohydrates: White bread, pasta, and pastries can spike blood sugar and increase inflammatory markers.
  • Red Meat: High in saturated fats, red meat can exacerbate inflammation in some people.
  • Alcohol and Sugary Drinks: These can increase inflammation and interfere with RA medications.

Clinical Rationale for an Anti-Inflammatory Diet

An anti-inflammatory diet works by reducing the production of pro-inflammatory cytokines and oxidative stress, which are key drivers of RA. For example, omega-3 fatty acids inhibit the production of tumor necrosis factor-alpha (TNF-α), a cytokine involved in RA inflammation (Calder, 2017). Antioxidants in fruits, vegetables, and teas neutralize free radicals, which can damage joint tissues. By reducing systemic inflammation, an anti-inflammatory diet can complement chiropractic care, helping to improve joint function and reduce pain.

Dr. Jimenez emphasizes the importance of nutrition in RA management, often incorporating dietary counseling into his treatment plans at El Paso Back Clinic. His holistic approach ensures that patients address inflammation from multiple angles, combining dietary changes with chiropractic care for optimal results.


References


Dr. Alexander Jimenez: A Leader in Personal Injury Care in El Paso

The Importance of Personal Injury Cases

In El Paso, personal injury cases—such as those resulting from motor vehicle accidents (MVAs), slip-and-falls, or workplace injuries—are common, and they often involve musculoskeletal issues that overlap with RA symptoms. Injuries from accidents can exacerbate RA by increasing inflammation, causing joint malalignment, or triggering new pain points. For example, whiplash-associated disorders (WAD) from car accidents can worsen neck and shoulder pain in RA patients, while 18-wheeler crashes can lead to severe spinal and musculoskeletal injuries (El Paso Back Clinic, n.d.).

Dr. Alexander Jimenez stands out as a distinguished practitioner for personal injury victims in El Paso. His expertise in chiropractic care, functional medicine, and advanced diagnostics makes him a trusted choice for those seeking recovery from accident-related injuries. Whether it’s a minor fender-bender or a catastrophic 18-wheeler crash, Dr. Jimenez’s comprehensive approach helps patients heal while providing the medical documentation needed for legal claims.

Dr. Jimenez’s Clinical Approach

Dr. Jimenez’s practice at El Paso Back Clinic is built on a foundation of advanced imaging, diagnostic evaluations, and dual-scope procedures. Here’s how he helps personal injury and RA patients:

  • Advanced Imaging: Using tools like X-rays, MRIs, and CT scans, Dr. Jimenez identifies the extent of joint damage, malalignment, or inflammation. This allows him to create targeted treatment plans that address both RA and accident-related injuries.
  • Diagnostic Evaluations: Dr. Jimenez performs thorough assessments to evaluate joint function, muscle strength, and nerve health. This helps him pinpoint the root causes of pain and dysfunction, whether from RA or trauma.
  • Dual-Scope Procedures: By combining chiropractic adjustments with therapies like massage, acupuncture, and nutritional counseling, Dr. Jimenez addresses both the biomechanical and inflammatory aspects of RA and personal injuries.
  • Legal Liaison: For personal injury cases, Dr. Jimenez provides detailed medical reports that link injuries to the accident, supporting patients’ legal claims. His documentation is precise and comprehensive, making him an invaluable partner for attorneys and patients alike.

Why Choose Dr. Jimenez?

Dr. Jimenez’s unique ability to integrate clinical expertise with legal documentation sets him apart. His training as a Doctor of Chiropractic (DC), Advanced Practice Registered Nurse (APRN), and Family Nurse Practitioner-Board Certified (FNP-BC) allows him to offer a multidisciplinary approach to care. Whether you’re dealing with RA flare-ups or recovering from a car accident, Dr. Jimenez’s personalized treatment plans aim to restore function, reduce pain, and improve your quality of life.

For more information on Dr. Jimenez’s approach, visit his profiles at El Paso Back Clinic and LinkedIn.


References


Lifestyle Changes to Support RA Management

Small Changes, Big Impact

Managing RA doesn’t mean you have to overhaul your entire life overnight. Small, sustainable changes can make a big difference. Here are some practical tips to incorporate into your daily routine:

  1. Start Your Day with Tea: Swap your morning coffee for a cup of green or chamomile tea. These teas are packed with anti-inflammatory compounds that can help soothe RA symptoms (Personal Injury Doctor Group, 2017).
  2. Move Gently: Low-impact exercises like walking, swimming, or yoga can improve joint mobility without stressing inflamed tissues. Dr. Jimenez often recommends tailored exercise plans to complement chiropractic care.
  3. Prioritize Sleep: Poor sleep can worsen inflammation and pain. Aim for 7–8 hours of quality sleep by creating a relaxing bedtime routine and avoiding screens before bed.
  4. Manage Stress: Stress can trigger RA flare-ups. Try mindfulness, meditation, or deep-breathing exercises to keep stress in check.
  5. Stay Hydrated: Drinking plenty of water supports joint lubrication and overall health. Add a slice of lemon or cucumber for a refreshing twist.

The Role of Hormonal Status

For women, especially those in midlife, hormonal changes can influence RA symptoms. Estrogen fluctuations during menopause may increase inflammation and joint pain, making RA management more challenging (Straub, 2007). An anti-inflammatory diet and chiropractic care can help mitigate these effects by reducing systemic inflammation and supporting joint function. Dr. Jimenez often considers hormonal status when designing treatment plans, ensuring a holistic approach to care.


References


Integrating Chiropractic Care and Lifestyle Changes

A Holistic Approach

Chiropractic care and lifestyle changes are like peanut butter and jelly—they’re great on their own, but together, they’re unstoppable. By combining chiropractic adjustments with an anti-inflammatory diet and small lifestyle tweaks, you can address RA from multiple angles:

  • Biomechanical Support: Chiropractic care corrects joint malalignment and improves mobility, reducing stress on inflamed tissues.
  • Inflammation Reduction: An anti-inflammatory diet and organic teas lower systemic inflammation, complementing chiropractic care’s effects on the nervous system.
  • Pain Management: Both approaches help reduce pain without relying on medications, which can have side effects or interact with RA treatments.
  • Improved Quality of Life: By addressing pain, mobility, and inflammation, you can get back to doing the things you love, whether it’s gardening, biking, or just keeping up with your kids.

Dr. Jimenez’s integrative approach at El Paso Back Clinic ensures that patients receive comprehensive care tailored to their unique needs. His use of advanced diagnostics and dual-scope procedures allows him to create treatment plans that address both RA and any coexisting injuries, such as those from MVAs.

Case Study: A Patient’s Journey

Imagine Sarah, a 45-year-old El Paso resident with RA who was recently in a minor car accident. Her RA symptoms worsened after the crash, with increased joint pain and stiffness in her neck and shoulders. She visited Dr. Jimenez at El Paso Back Clinic, where he used advanced imaging to identify mild joint malalignment and soft tissue inflammation. Dr. Jimenez created a treatment plan that included:

  • Gentle chiropractic adjustments to restore joint alignment.
  • Massage therapy to relax tight muscles and reduce inflammation.
  • Nutritional counseling to incorporate anti-inflammatory foods like turmeric tea and omega-3-rich salmon.
  • A tailored exercise program to improve mobility without aggravating her RA.

Within weeks, Sarah noticed less pain and better movement. Dr. Jimenez also provided detailed medical reports for her personal injury claim, helping her attorney build a strong case. Sarah’s story shows how chiropractic care, combined with lifestyle changes, can make a real difference for RA patients and personal injury victims.


Conclusion

Rheumatoid arthritis can feel like a heavy burden, but with the right tools, you can manage its symptoms and reclaim your quality of life. Chiropractic care, led by experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, offers a non-invasive, holistic approach to reducing pain, improving mobility, and addressing inflammation. By combining chiropractic adjustments with an anti-inflammatory diet and small lifestyle changes—like sipping on organic teas or prioritizing sleep—you can tackle RA from multiple angles. In El Paso, Dr. Jimenez’s expertise in personal injury cases ensures that patients receive not only top-notch medical care but also the legal support they need to navigate accident-related claims.

Disclaimer: This blog post is for informational purposes only and should not be taken as medical advice. Always consult a qualified healthcare provider, such as Dr. Jimenez at El Paso Back Clinic, before starting any new treatment or making significant lifestyle changes. Rheumatoid arthritis and personal injuries require personalized care, and professional guidance is essential for safe and effective management.

For more information or to schedule a consultation, visit El Paso Back Clinic or contact Dr. Jimenez’s team at 915-850-0900.


References

Bone Density Test: What You Need to Know

Bone Density Test: What You Need to Know

What is a bone density test, how is it performed, and what do the results mean?

Bone Density Test: What You Need to Know

Bone Density Test

A bone density test examines bone mass, which indicates overall bone strength. Assessing bone density or mass is necessary for diagnosing osteopenia or osteoporosis, conditions that increase the risk of broken bones. The scan is performed through dual-energy X-ray absorptiometry (DEXA), which examines the thickness of the bones. Results from DEXA scans are compared to standardized values to determine whether bone density is lower than normal and whether osteopenia or osteoporosis is present.

Examination

The procedure examines bone density, or bone mass. The bones’ density, or mass, is an overall indicator of bone strength. The greater the bone density, the thicker and stronger the bones are. The test is used to diagnose osteoporosis, a condition characterized by brittle bones at risk of breaking due to significantly low bone density. A bone density test can also diagnose osteopenia, a condition characterized by lower than normal bone mass that can lead to osteoporosis. (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2025) It is recommended that all women aged 65 and older and all men aged 70 and older have a bone density scan to screen for bone loss to help prevent fractures. (Kling J. M., Clarke B. L., & Sandhu N. P. 2014)

  • Bone density scans can establish a baseline level of bone density and track changes over time.
  • For individuals with osteoporosis or osteopenia, a bone density scan can help track how well their bones respond to treatment.

Procedure

The most common bone density test is a dual-energy X-ray absorptiometry, or DEXA, scan. A DEXA scan is similar to getting an X-ray taken, but it uses two beams to produce a more detailed and sensitive reading. (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2025)

  • During a DEXA scan, the patient will lie on their back on a table with their legs elevated on a padded platform.
  • An X-ray scanner will pass over the spine and hips while another scans beneath.
  • While the scan takes place, the patient will be asked to hold very still to obtain an accurate image.
  • The scan will obtain bone density readings from the spine and hip, the two most commonly fractured bones, and generally takes less than 30 minutes.

Results

A DEXA scan measures bone density in grams per centimeter squared (g/cm²). This number indicates how densely bone cells are packed together in a specific area of bone. This bone density reading is then compared to a standardized value to determine if bone density is within a normal range or lower than average.

For postmenopausal women and men aged 50 and older, bone density values are given a T score. The T-scores are then compared to a standardized bone density level of a healthy 30-year-old adult with peak bone density levels. (Kling J. M., Clarke B. L., & Sandhu N. P. 2014) Scores indicate the following: (Kling J. M., Clarke B. L., & Sandhu N. P., 2014)

  • Equal to minus 1.0 or above: Normal bone density
  • Between minus 1.0 and minus 2.5: Low bone density (osteopenia)
  • Equal to minus 2.5 or below: Osteoporosis
  1. Bone density values are reported as a Z score for women who have not undergone menopause and men under 50 years old.
  2. Z scores are compared to bone density levels of individuals of the same age and sex.
  3. A Z score of minus 2.0 or lower indicates low bone density, which can be caused by factors other than aging, such as medication side effects, nutritional deficiencies, or thyroid problems.

Arthritis Diagnosis

Because a DEXA scan only measures the thickness of bones, it doesn’t work to diagnose arthritis. An X-ray of the affected joint is currently the most accurate way to diagnose arthritis. The Kellgren-Lawrence classification system categorizes the extent of arthritis based on the severity of joint damage seen on an X-ray. According to this system, arthritis can be classified as: (Kohn M. D., Sassoon A. A., & Fernando N. D. 2016)

Grade 1 (minor)

  • Minimal or no joint space narrowing, with possible bone spur formation.

Grade 2 (mild)

  • Possible joint space narrowing, with definite bone spur formation.

Grade 3 (moderate)

  • Definite joint space narrowing, moderate bone spur formation, mild sclerosis (abnormal thickening of bone), and possible deformation of bone ends.

Grade 4 (severe)

  • Severe joint space narrowing, large bone spur formation, marked sclerosis, and definite deformation of bone ends.

Injury Medical Chiropractic & Functional Medicine Clinic

Exercise can be incredibly beneficial for improving bone density, joint mobility, and the strength of surrounding muscles, which support and protect joints and bones. Talk to a healthcare provider to learn what interventions and available treatment options would be the most effective. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.


Osteoporosis


References

National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2025). Bone mineral density tests: what the numbers mean. Retrieved from https://www.niams.nih.gov/health-topics/bone-mineral-density-tests-what-numbers-mean

Kling, J. M., Clarke, B. L., & Sandhu, N. P. (2014). Osteoporosis prevention, screening, and treatment: a review. Journal of women’s health (2002), 23(7), 563–572. https://doi.org/10.1089/jwh.2013.4611

Kohn, M. D., Sassoon, A. A., & Fernando, N. D. (2016). Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clinical orthopaedics and related research, 474(8), 1886–1893. https://doi.org/10.1007/s11999-016-4732-4

Discover the Power of Natural Remedies for Arthritis Joint Pain

Discover the Power of Natural Remedies for Arthritis Joint Pain

Can individuals with arthritis incorporate various natural remedies to reduce joint pain in their extremities and restore mobility?

Introduction

Regarding the body, joints allow the upper and lower extremities to be mobile. This allows the host to move, bend, flex, and rotate without feelings of pain and discomfort. However, as many people age, so do the body and joints, as wear and tear can cause limited movement and stiffen the body. When this happens, it can lead to inflammatory effects and joint disorders. When the joints develop limited mobility and have overlapping risk profiles, it can come in the form of arthritis. When it comes to arthritis can come into two forms: osteo and rheumatoid, and both forms can cause two different inflammatory effects on the joints, causing pain and discomfort to the individual. Luckily, there are natural ways to manage the overlapping pain profiles caused by arthritis. In today’s article, we will look at the difference between the two forms of arthritis and how various natural remedies can help reduce pain-like symptoms caused by arthritis. We associate with certified medical providers who inform our patients of how arthritis can affect the joints and cause pain-like symptoms to their extremities. While asking important questions to our associated medical providers, we advise patients to incorporate various natural remedies to reduce pain-like symptoms related to arthritis and restore joint health. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.

 

Osteoarthritis Vs. Rheumatoid Arthritis

X-ray image of hands demonstrating rheumatoid arthritis.

 

How often do you experience pain in your upper and lower extremities in the cold and feel better with the heat? Do you experience your fingers locking up constantly, making it difficult to grasp objects? Or do you notice swelling or redness in your joints, causing a decreased range of motion? When it comes to the joints dealing with these pain-like issues, it could be due to inflammation, causing the surrounding muscles, tissues, and tendons to become swollen. When it is not being treated, it can lead to the development of arthritis. Arthritis can come in two forms: osteoarthritis and rheumatoid arthritis. These two forms can affect the joints differently, confusing many individuals. Rheumatoid arthritis is a common autoimmune joint disease that causes hyperplasia of the joint tissue and synovial inflammation, which causes cortical bone loss and marginal bone erosion. (Liu et al., 2021) Osteoarthritis can develop when the cartilage between the bones wears down, and it causes the pain associated with inflammation that sensitizes the joint capsule. (Knights et al., 2023) At the same time, osteoarthritis is a well-known degenerative joint disease that is the main cause of disability in a person’s daily living. It has a multifactorial etiology affecting the joint structures. (Yunus et al., 2020) When dealing with either of these forms of arthritis, many people have found natural remedies to help manage the symptoms and reduce the pain.


Unlock The Secrets of Inflammation- Video


Natural Remedies For Arthritis

When it comes to reducing pain-like symptoms that are caused by arthritis and managing their associated symptoms, many people start to make small changes in their daily routine. Many people start changing their eating habits by incorporating anti-inflammatory and antioxidant foods to reduce inflammatory cytokines and help reduce the progression of arthritis. (Gioia et al., 2020) At the same time, changing dietary habits are a small part of creating healthy habits. Therapeutic exercises and braces for the joints can also help reduce the pain and progression of arthritis. (Siddiq et al., 2024) When people commit to a healthy diet full of antioxidants and anti-inflammatory properties and exercise, it can help reduce not only arthritis but also the co-morbidities associated with arthritis, like chronic musculoskeletal pain. (Sakamoto et al., 2023)

 

Turmeric & Magnesium

Another natural remedy that many people can incorporate to reduce arthritis affecting their joints is taking turmeric and magnesium supplements. Turmeric is part of the curcumin plant, a powerful antioxidant that can help reduce pain affecting the joints by decreasing the inflammatory status of arthritis. (Calderon-Perez et al., 2021) This is because turmeric and curcumin are natural oxygen scavengers and active nitrogen providers that effectively treat pain from arthritic joints. (Zeng et al., 2021) At the same time, magnesium supplements can help relieve pain and arthritic joints by achieving a holistic analgesic effect on the individual. (Zhu et al., 2024) By incorporating these supplements as part of a holistic treatment plan for individuals with arthritis in their joints, they can manage their symptoms and reduce pain.


 

References

Calderon-Perez, L., Llaurado, E., Companys, J., Pla-Paga, L., Boque, N., Puiggros, F., Valls, R. M., Pedret, A., Llabres, J. M., Arola, L., & Sola, R. (2021). Acute Effects of Turmeric Extracts on Knee Joint Pain: A Pilot, Randomized Controlled Trial. J Med Food, 24(4), 436-440. https://doi.org/10.1089/jmf.2020.0074

Gioia, C., Lucchino, B., Tarsitano, M. G., Iannuccelli, C., & Di Franco, M. (2020). Dietary Habits and Nutrition in Rheumatoid Arthritis: Can Diet Influence Disease Development and Clinical Manifestations? Nutrients, 12(5). https://doi.org/10.3390/nu12051456

Knights, A. J., Redding, S. J., & Maerz, T. (2023). Inflammation in osteoarthritis: the latest progress and ongoing challenges. Curr Opin Rheumatol, 35(2), 128-134. https://doi.org/10.1097/BOR.0000000000000923

Liu, Y. Q., Liu, Y., Chen, Z. Y., Li, H., & Xiao, T. (2021). Rheumatoid arthritis and osteoporosis: a bi-directional Mendelian randomization study. Aging (Albany NY), 13(10), 14109-14130. https://doi.org/10.18632/aging.203029

Sakamoto, J., Miyahara, S., Motokawa, S., Takahashi, A., Sasaki, R., Honda, Y., & Okita, M. (2023). Regular walking exercise prior to knee osteoarthritis reduces joint pain in an animal model. PLOS ONE, 18(8), e0289765. https://doi.org/10.1371/journal.pone.0289765

Siddiq, M. A. B., Oo, W. M., & Hunter, D. J. (2024). New therapeutic strategies in osteoarthritis. Joint Bone Spine, 91(6), 105739. https://doi.org/10.1016/j.jbspin.2024.105739

Yunus, M. H. M., Nordin, A., & Kamal, H. (2020). Pathophysiological Perspective of Osteoarthritis. Medicina (Kaunas, Lithuania), 56(11). https://doi.org/10.3390/medicina56110614

Zeng, L., Yu, G., Hao, W., Yang, K., & Chen, H. (2021). The efficacy and safety of Curcuma longa extract and curcumin supplements on osteoarthritis: a systematic review and meta-analysis. Biosci Rep, 41(6). https://doi.org/10.1042/BSR20210817

Zhu, Y., Shen, S., Cui, L., Wu, L., & Zhang, B. (2024). Magnesium sulphate and sodium bicarbonate as additives for periarticular local infiltration analgesia improve pain management after unicompartmental knee arthroplasty: a prospective, double-blind, randomized controlled trial. J Orthop Surg Res, 19(1), 764. https://doi.org/10.1186/s13018-024-05233-6

 

Disclaimer

Sleep Better with a Mattress Designed for Arthritis

Sleep Better with a Mattress Designed for Arthritis

Getting a good night’s sleep can be difficult for individuals suffering from arthritis. Can finding a mattress that fits an individual’s needs help relieve aches and pains and provide restful sleep?

Sleep Better with a Mattress Designed for Arthritis

Mattress For Arthritis

Quality sleep can be difficult for those managing arthritis. Joint pain, stiffness, and tenderness can make falling and staying asleep feel impossible. A mattress for arthritis should be firm, provide comfortable support, and relieve joint pressure. (Sleep Foundation, 2024)

How Mattresses Affect Arthritis?

  • Not adequate support or cushioning can exacerbate arthritis pain and stiffness.
  • Individuals not sleeping well at night can experience significant physical and mental fatigue, increase the risk of injury, and perceive a higher level of pain.
  • Zoned mattresses provide targeted pressure relief to areas of arthritis pain, like the neck and lower back.
  • Mattresses that don’t support the body are more likely to disrupt sleep and exacerbate nighttime and daytime pain symptoms.
  • The body needs time to recover and repair during sleep, so the right mattress for arthritis will allow sound rest throughout the night.
  • A joint-supporting mattress can alleviate pain and stiffness.

What to Look For Mattress Types

Mattresses fall into three basic categories.

Foam or Latex

  • These mattresses are often recommended for individuals with chronic pain because they conform to the body and alleviate pressure points without being too firm that they aggravate existing injuries or inflammation.
  • Not all foam is the same; some mattresses are too soft to support someone with arthritis.
  • Latex is a more reliable material for support and durability, but it’s also more expensive than memory foam.

Innerspring

  • Innerspring mattresses are often long-lasting and provide firm support.
  • However, they are not recommended for individuals with arthritis because they can be hard on joints and pressure points.
  • The innerspring system doesn’t mold or conform to the body, so getting and staying comfortable can be difficult, if not impossible.
  • They’re not as heat-retaining as foam mattresses so that hot sleepers may prefer them.

Hybrid

  • A hybrid mattress typically consists of individually wrapped springs topped with one or more layers of memory foam.
  • Hybrid mattresses are often recommended for arthritis patients because they meet the expert-recommended balance between support and cushioning.

Firmness Levels

Mattress firmness is rated on a scale of 1 to 10, with firmer mattresses scoring higher, often 6 or 7 and above. However, no one firmness rating works for all individuals with arthritis. Finding the right firmness for arthritis symptoms is highly individualized. For some, a super firm sleep surface can aggravate symptoms. In determining what firmness number is needed, consider weight. For example, a person weighing 400 pounds will have a different experience on a soft mattress than a person weighing 150 pounds. Typically, larger bodies need a firmer mattress to avoid sinking too far into the mattress’s core. Petite individuals may be perfectly supported on a mattress rated 5 or 6 for firmness, but taller or heavier individuals should look for a mattress rated seven or eight.

Support and Pressure Relief

Individuals will want to look for a mattress that targets specific areas for relieving aches and pains, such as the shoulders, hips, and lower back. Foam helps relieve pressure points in the body without feeling too soft, which is helpful when managing joint pain. There is debate over whether latex or memory foam is better for relieving sensitive pressure points. A Journal of Chiropractic Medicine study suggests that latex foam may outperform traditional memory foam as it reduces body pressure and evenly distributes weight along pressure points. (Low F. Z. et al., 2017)

Motion Transfer

Motion transfer refers to a mattress’s ability to isolate body movement.  It’s helpful to consider how much you and your partner are affected by each other’s movement throughout the night. This may not be necessary for individuals who don’t sleep with a partner. So, if you or a partner disrupt sleep throughout the night, a mattress with better motion absorption is recommended.

Sleep Position Can Affect Arthritis and Joint Pain

Mattress manufacturers often design mattresses to accommodate back, side, or stomach sleepers, as different sleeping positions usually require different types of support. One study suggests that sleeping-related pain can be reduced in those with lower back pain when they choose the right sleeping surface for their preferred sleep position. (Jacobson B. H. et al., 2010) Therefore, purchasing a mattress for the preferred position is important.

Durability

A mattress’s expected lifespan depends on the materials it’s made from. A mattress that immediately loses some of its features and benefits won’t last very long. This is why it is recommended to know how long the trial period is for the mattress and keep track of its performance. Count on at least six to seven years, but latex and hybrid mattresses can last longer.

Trial Period

Considering the trial period on the mattress is important when buying online. Determining if it’s right for your body can take a little while as it takes a while to break in a new mattress, so look for a longer trial period to see and feel if it is the right choice. (Mattress Firm, 2023) Most online mattress retailers offer at least a 100-day trial period, while some offer 365 days to send it back. However long the trial period, looking into the terms and conditions of any return policy is recommended. A company can say you can return it if it doesn’t meet expectations; however, restrictions or exclusions may apply to your purchase.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.


Fighting Inflammation Naturally


References

Sleep Foundation. Noyed D. (2024). How to Choose a Mattress. https://www.sleepfoundation.org/mattress-information/how-to-choose-a-mattress

Low, F. Z., Chua, M. C., Lim, P. Y., & Yeow, C. H. (2017). Effects of Mattress Material on Body Pressure Profiles in Different Sleeping Postures. Journal of Chiropractic Medicine, 16(1), 1–9. https://doi.org/10.1016/j.jcm.2016.09.002

Jacobson, B. H., Boolani, A., Dunklee, G., Shepardson, A., & Acharya, H. (2010). Effect of prescribed sleep surfaces on back pain and sleep quality in patients diagnosed with low back and shoulder pain. Applied ergonomics, 42(1), 91–97. https://doi.org/10.1016/j.apergo.2010.05.004

Mattress Firm. (2023). Breaking In a New Mattress: Tips for a Comfortable Night’s Sleep. Mattress Firm Blog. https://www.mattressfirm.com/blog/sleep-tips/break-in-a-new-mattress

The Link Between Psoriasis and Arthritis: Causes and Treatment

The Link Between Psoriasis and Arthritis: Causes and Treatment

Can individuals dealing with psoriatic arthritis find non-surgical treatments to reduce joint pain and improve skin health?

Introduction

The body is a complex machine with a communal relationship with the joints, organs, bones, muscles, and tissues, each of which has a specific function to ensure the host is alive. The brain is the main control system that gives each body’s systems, organs, muscles and joints a job. When environmental factors or pathogens enter the body, the immune system is the first one to defend the body and eliminate the pathogens to initiate the natural healing process. However, when the immune system is attacking the body constantly, over time, it can lead to autoimmunity and cause overlapping risk profiles in the body. This, in turn, can lead the development of chronic conditions and cause individuals pain and discomfort. In today’s article, we look at an autoimmune disorder known as psoriatic arthritis, its causes and symptoms, and how treatment can help reduce its pain like effects. We discuss with certified medical providers who inform our patients how psoriatic arthritis can affect the joints. While asking informed questions to our associated medical providers, we advise patients to incorporate various non-surgical treatments to reduce psoriatic arthritis symptoms and help manage joint pain that affects a person’s quality of life. Dr. Alex Jimenez, D.C., encompasses this information as an academic service. Disclaimer.

 

What Is Psoriatic Arthritis?

Do you experience swelling in your joints that causes pain and discomfort when moving? Do you feel your skin itchier and warmer than usual? Or have you noticed that everyday tasks are more difficult now than before? Many of these pain-like scenarios are associated with joint pain associated with an autoimmune or musculoskeletal condition. Since autoimmunity is developed when environmental factors cause the immune system to attack healthy cells, it can envoke pain and discomfort to the body. When a person is dealing with an autoimmune condition, it can impact not only the individual but also the rest of the body’s system. For instance, if a person is dealing with an autoimmune condition, they could be dealing with skin issues that can cause them to develop scaly, itchy, red skin patches known as psoriasis. If they have joint pain combined with psoriasis, it can develop into psoriatic arthritis. (Skornicki et al., 2021) Now psoriatic arthritis is a heterogeneous autoimmune condition with musculoskeletal involvement that can manifest various symptoms including inflammation and arthritis. (Hackett et al., 2022) This in turn causes many individuals to think they are dealing with rheumatoid factors.

 

Causes & Symptoms

As a multifactorial pathology, psoriatic arthritis causes care often influenced by a complex interplay of immunological, environmental, and genetic factors that cause its development. (Zalesak et al., 2024) When the immune system starts to attack the healthy cells in the body, the inflammatory cytokines can become haywire and attack the “problem,” causing the development of autoimmunity. Within this integration, some of the causes can include predisposing genetic backgrounds with the presence of environmental factors that can activate the innate immune system precipitate the onset of psoriatic arthritis. (Azuaga et al., 2023) Some of the symptoms can many individuals with psoriatic arthritis can include:

  • Tendon tenderness
  • Joint pain
  • Stiffness
  • Fatigue
  • Joint swelling
  • Skin rash
  • Musculoskeletal pain

However, there are ways to manage psoriatic arthritis, reduce joint pain from affecting a person, and help them manage the symptoms.


Arthritis Explained-Video


Treatments For Psoriatic Arthritis

When it comes to treating psoriatic arthritis, healthcare professionals need to develop therapeutic options to educate the individual and develop a treatment plan that can include conventional therapies and non-pharmacological therapies that are affordable and customized with the individual’s condition. (Ogdie et al., 2020) Since psoriatic arthritis is a complex inflammatory musculoskeletal condition and skin disease, individuals must try to find ways to reduce the inflammatory effects of causing more joint issues. Non-surgical treatments like chiropractic care, physical therapy, and diet changes can help mitigate the burden of psoriatic arthritis by reducing the complications and the socio-economic impact. (McGonagle et al., 2022)

 

Another way individuals can reduce the inflammatory effects of psoriatic arthritis is by consuming anti-inflammatory foods to dampen the inflammatory cytokines attacking the joints and going to physical therapy sessions like water aerobics to help stabilize the joints and help people be more mindful about their bodies. Since psoriatic arthritis can be managed through non-surgical therapy, low-weight bearing exercise regimes and incorporating anti-inflammatory foods to reduce inflammation can help people minimize psoriatic arthritis symptoms from impacting their health and wellness journey.

 


References

Azuaga, A. B., Ramirez, J., & Canete, J. D. (2023). Psoriatic Arthritis: Pathogenesis and Targeted Therapies. Int J Mol Sci, 24(5). https://doi.org/10.3390/ijms24054901

Hackett, S., Ogdie, A., & Coates, L. C. (2022). Psoriatic arthritis: prospects for the future. Ther Adv Musculoskelet Dis, 14, 1759720X221086710. https://doi.org/10.1177/1759720X221086710

McGonagle, D. G., Zabotti, A., Watad, A., Bridgewood, C., De Marco, G., Kerschbaumer, A., & Aletaha, D. (2022). Intercepting psoriatic arthritis in patients with psoriasis: buy one get one free? Ann Rheum Dis, 81(1), 7-10. https://doi.org/10.1136/annrheumdis-2021-221255

Ogdie, A., Coates, L. C., & Gladman, D. D. (2020). Treatment guidelines in psoriatic arthritis. Rheumatology (Oxford), 59(Suppl 1), i37-i46. https://doi.org/10.1093/rheumatology/kez383

Skornicki, M., Prince, P., Suruki, R., Lee, E., & Louder, A. (2021). Clinical Burden of Concomitant Joint Disease in Psoriasis: A US-Linked Claims and Electronic Health Records Database Analysis. Adv Ther, 38(5), 2458-2471. https://doi.org/10.1007/s12325-021-01698-7

Zalesak, M., Danisovic, L., & Harsanyi, S. (2024). Psoriasis and Psoriatic Arthritis-Associated Genes, Cytokines, and Human Leukocyte Antigens. Medicina (Kaunas, Lithuania), 60(5). https://doi.org/10.3390/medicina60050815

Disclaimer

Cervical Retraction: Exercise for Neck Tightness and Mobility

Cervical Retraction: Exercise for Neck Tightness and Mobility

Can cervical retraction be a good addition to a home exercise program for individuals with neck pain, spinal arthritis, or needing to strengthen their neck muscles?

Cervical Retraction: Exercise for Neck Tightness and Mobility

Cervical Retraction

Cervical retraction is a neck exercise that involves gently sliding the head backward while keeping the chin tucked. It can help with:

  • Neck pain
  • Stretching and loosening the muscles at the back of the neck.
  • Headaches
  • Tightness
  • Improve posture
  • Improve flexibility and mobility

Preparation

Basic steps for performing a cervical retraction exercise:

  • Sit upright with good posture.
  • Tuck your chin as far as you can comfortably.
  • Look up while keeping your chin tucked.
  • Rotate the neck 1-2 inches to each side.
  • Return to the starting position.
  • Stop the exercise if you experience pain.

You want to get good at this without loading the joints while learning the movement. Gently and accurately moving your head in alignment with the neck will help you find the correct head action as it moves. Then, it can be performed as a full exercise. Performing the movement correctly requires focus. This is why cervical retraction is done while sitting in a chair with proper posture. Individuals can also stand, but it is more complicated for the body to coordinate than sitting, but it can be done once the individual has practiced.

Sitting or Standing

  • Gently tuck your chin down toward your neck.
  • The focus is alignment.
  • Keeping your chin where it is, press your head back.
  • Feel the stretch at the back of your neck.
  • Relax and repeat.
  • Try doing 8-10 reps, with 3-4 daily sessions. (North American Spine Society, 2012)

Pain Management

  • There will be soreness, especially for those with pain symptoms, but the neck should feel better.
  • Be mindful of any intense or severe pain resulting from cervical retraction.
  • Individuals with cervical spondylosis (neck arthritis) stop if pain presents. (Cleveland Clinic, 2023)

Other Neck Exercises

Another good neck-strengthening exercise is the isometric neck press. In this exercise, you move your head forward, backward, and to each side while your hand provides resistance. This develops flexibility and is recommended for those with arthritis in this area.  (Sadeghi, A. et al., 2022) Other exercises include: (Pain Consultants of West Florida, 2019)

  • Neck extensions: Backward bending can help relieve nerve compression and ease the strain on the cervical spine.
  • Side rotation: This exercise can improve neck mobility.
  • Shoulder rolls: This exercise can help keep the neck and shoulder joints fluid.

Injury Medical Chiropractic and Functional Medicine Clinic

If you have a neck condition or radiculopathy that causes pain or other symptoms going down the arm or are unsure how to do it, check with a healthcare provider or physical therapist before trying the exercise. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.


Neck Injuries


References

North American Spine Society. (2012). Cervical exercise: The Backbone of Spine Treatment. https://www.spine.org/KnowYourBack/Prevention/Exercise/Cervical-Exercise

Cleveland Clinic. (2023). Could your neck pain actually be neck arthritis? https://my.clevelandclinic.org/health/diseases/17685-cervical-spondylosis

Pain Consultants of West Florida. (2019). Chronic Neck Pain: How Core Exercises Can Help. Our Blog. https://pcwfl.com/chronic-neck-pain-how-core-exercises-can-help/

Sadeghi, A., Rostami, M., Ameri, S., Karimi Moghaddam, A., Karimi Moghaddam, Z., & Zeraatchi, A. (2022). Effectiveness of isometric exercises on disability and pain of cervical spondylosis: a randomized controlled trial. BMC sports science, medicine & rehabilitation, 14(1), 108. https://doi.org/10.1186/s13102-022-00500-7

Managing Cervical Arthritis: Effective Strategies and Therapies

Managing Cervical Arthritis: Effective Strategies and Therapies

For individuals with cervical arthritis, can physical therapies help manage symptoms and bring pain relief?

Managing Cervical Arthritis: Effective Strategies and Therapies

Cervical Arthritis

Cervical spondylosis, more commonly known as cervical arthritis or arthritis of the neck, refers to the wearing down of neck bones, discs, tendons, ligaments, and joints. The primary symptoms are neck pain and stiffness. However, it is also possible to have cervical spondylosis and not have any symptoms. The condition affects over 85% of individuals over age 65. (American Academy of Orthopaedic Surgeons, 2021) Treatment can consist of conservative therapies and includes physical therapies, alternative medicine therapies, at-home self care, and over-the-counter and prescription medications. Severe cases of cervical spondylosis are treated with surgery to repair damaged parts of the spine.

Symptoms

Neck pain and headaches at the back of the head are usually the first symptoms. (Kazeminasab S. et al., 2022) The neck can also feel stiff, with worse morning symptoms that improve throughout the day.  (Johns Hopkins Medicine, 2024) Symptoms can range from mild discomfort to severe pain. As cervical spondylosis progresses, individuals can experience:

  • Inability to turn the head or bend the neck.
  • A clicking or grinding noise when turning the neck.
  • Tenderness with pressure on the neck.
  • Pain that radiates to the shoulders or shoulder blades.
  • Pain and symptoms that disrupt sleep, sometimes causing waking up throughout the night.
  • Symptoms that decrease with rest.

More severe symptoms include:

Cervical Bone Spurs – Osteophytes

Some with cervical spondylosis have bony growths that can place pressure on the spinal nerves (a pinched nerve) (Bon Secours, 2024). Compression of spinal nerve roots produces cervical radiculopathy, which leads to pain, tingling, and weakness that radiates into the shoulders, arms, and hands.

Cervical Myelopathy

This refers to spinal impingement that leads to spinal cord dysfunction. (Spinal cord dysfunction is a nervous system disorder with interruptions in the spinal cord’s motor, sensory, and autonomic functions.) Symptoms include pain, tingling, numbness, muscle spasms, and weakness in areas below the neck. Spinal cord dysfunction can affect mobility, hand use, and bladder or bowel function control.

Causes

Where degenerative changes are commonly associated with cervical spondylosis, other conditions, and factors can lead to it and include:

Autoimmune Diseases

  • Rheumatoid arthritis and psoriatic arthritis can cause chronic inflammation in the cervical spine.

Trauma

  • Neck trauma, including injury and repetitive stress on the neck.
  • Cervical spondylosis is commonly seen in occupations that involve neck-stressing activities, such as sports.

Age

  • Wearing down of the spinal discs cartilage between the vertebrae.
  • Developing cervical spondylosis increases with age, especially after 40. (Kazeminasab S. et al., 2022)

Genetics

  • Genetic components have been identified in connection with cervical spondylosis, meaning that some types of arthritis that lead to spinal damage are hereditary. (Kazeminasab S. et al., 2022)

Treatment

Treatment begins conservatively, using protocols to preserve function and avoid surgery. Nonsurgical treatments include medications, physical therapy, at-home exercises, and alternative medicine. The treatment method a healthcare provider chooses will depend on how severe the spondylosis is and other factors like age, how much pain is being experienced, the cause, and overall health. The main objectives are to relieve pain, prevent long-term damage to the spinal cord and nerves, and help maintain performing daily activities. (Bon Secours, 2024)

Medications

Medicines used to treat cervical spondylosis include:

Nonsteroidal Anti-inflammatory Drugs NSAIDs

  • NSAIDs, including ibuprofen and naproxen sodium, are available without a prescription to relieve pain and inflammation.
  • A healthcare provider can prescribe a more powerful NSAID to help manage severe symptoms.

Corticosteroids

  • A corticosteroid injection or a short course of an oral corticosteroid, like prednisone, can ease pain and reduce inflammation.

Muscle Relaxants

  • If cervical spondylosis causes muscle spasms, a healthcare provider can prescribe cyclobenzaprine, a muscle relaxant, to manage symptoms.

Antidepressants

  • Some types of antidepressants can ease neck pain from cervical spondylosis.

Anti-seizure Meds

  • Some anti-seizure drugs can cause nerve pain resulting from damaged nerves.

Physical Therapies

  • Physical therapy will help manage pain and stiffness and keep muscles loose and relaxed.
  • A physical therapist will teach the patient exercises to stretch and strengthen neck and shoulder muscles.

At-Home Self Care

At-home exercises can help relieve pain, stiffness, and swelling. Some can include:

  • Reducing inflammation and stress on the neck through posture training.
  • At-home targeted stretches and exercises will help bring pain relief.
  • Ice treatment reduces swelling.
  • Heat will increase circulation.
  • A neck brace may be recommended briefly to avoid muscle weakness and stiffness.

Alternative Medicine

  • Chiropractic adjustments and massage therapy are alternative treatments that will help manage cervical spondylosis.
  • Chiropractic adjustments can relieve neck pain and stiffness. (American Chiropractic Association, 2024)
  • X-rays are done before to ensure it is safe. (Jenkins H. J. et al., 2018)
  • Acupuncture can also be beneficial in reducing neck pain and increasing energy circulation. (Gu C. L. et al., 2019)
  • Various therapeutic massage therapies will help relieve neck pain and stiffness. Talk to a healthcare provider before starting treatment so they can advise on whether neck massages are safe.

Surgery

A healthcare provider may recommend surgical treatment when all other treatments have failed, if neurological symptoms are severe, or if neck arthritis causes extreme pain or disability. Surgery to treat cervical spondylosis can involve removing bone spurs, part of the cervical vertebra, or a herniated disc. The removed portions of the cervical spine are fused with hardware and bone grafts.

Injury Medical Chiropractic and Functional Medicine Clinic

Chiropractic therapy is among the more conservative treatment options and may be tried first before proceeding with surgery. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution.


Arthritis Explained


References

American Academy of Orthopaedic Surgeons. (2021). Cervical spondylosis (arthritis of the neck). https://orthoinfo.aaos.org/en/diseases–conditions/cervical-spondylosis-arthritis-of-the-neck/

Kazeminasab, S., Nejadghaderi, S. A., Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, M. J. M., Kolahi, A. A., & Safiri, S. (2022). Neck pain: global epidemiology, trends and risk factors. BMC musculoskeletal disorders, 23(1), 26. https://doi.org/10.1186/s12891-021-04957-4

Johns Hopkins Medicine. (2024). Spinal arthritis (arthritis in the back or neck). https://www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-arthritis

Bon Secours. (2024). Cervical osteoarthritis (arthritis in the neck). https://www.bonsecours.com/health-care-services/spine-care/conditions/cervical-osteoarthritis

American Chiropractic Association. (2024). Neck pain. https://www.acatoday.org/patients/neck-pain-and-chiropractic/

Jenkins, H. J., Downie, A. S., Moore, C. S., & French, S. D. (2018). Current evidence for spinal X-ray use in the chiropractic profession: a narrative review. Chiropractic & manual therapies, 26, 48. https://doi.org/10.1186/s12998-018-0217-8

Gu, C. L., Yan, Y., Zhang, D., & Li, P. (2019). An evaluation of the effectiveness of acupuncture with seven acupoint-penetrating needles on cervical spondylosis. Journal of pain research, 12, 1441–1445. https://doi.org/10.2147/JPR.S199798

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