Tests Used for Brain Injuries in Chiropractic Care
Tests Used for Brain Injuries at El Paso Back Clinic® in El Paso, TX

Doctor of Chiropractic and Nurse Practitioner show the imaging result to the patient post-auto-injury rehabilitation with mild brain injury
Brain injuries can strike without warning, from a simple slip at home to a tough hit during sports or a car crash on El Paso’s busy roads. At El Paso Back Clinic® in El Paso, TX, our team of wellness chiropractic care experts knows how vital it is to spot these issues early. We blend chiropractic skills with modern tools to help patients heal and get back to life. Led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, our clinic focuses on whole-body wellness, using safe, non-invasive methods to check for head injuries.
This article dives into the tests we use at El Paso Back Clinic® to find brain injuries. We cover hands-on checks, brain function tests, and high-tech scans. Our goal is to give you clear info so you can seek help fast. Early detection means better recovery and fewer long-term problems.
The Importance of Spotting Brain Injuries Early at Our Clinic
Traumatic brain injuries (TBIs) happen when a bump or jolt shakes the brain. Mild ones, like concussions, might cause short-term headaches or dizziness. Serious cases can lead to lasting memory issues or mood changes. At El Paso Back Clinic®, we see many patients from local accidents or sports-related injuries, and we emphasize prompt action.
Our integrative approach mixes chiropractic care with nurse practitioner expertise. Dr. Jimenez uses his dual training to create custom plans. We check the spine, nerves, and brain together because a head injury often affects the neck as well.
- Common signs: Headaches, confusion, nausea, or trouble balancing.
- Why act fast: Stops swelling or bleeding from getting worse.
- Our edge: Our wellness focus means we look at lifestyle and nutrition, too.
Research backs our methods—early tests lead to stronger outcomes (Pickett et al., 2024). At our El Paso, TX clinic, we guide you through every step.
Starting with Neurological Assessments for Head Injuries
At El Paso Back Clinic®, every brain injury check begins with basic neurological tests. These quick exams help us see how the brain responds right away. No need for big machines; it’s all about skilled observation.
We rely on the Glasgow Coma Scale (GCS) to grade injury severity. The Glasgow Coma Scale (GCS), which scores from 3 to 15, assesses eye opening, verbal response, and motor response. High scores mean mild issues; low ones signal urgency. Our team, including Dr. Jimenez, uses GCS to quickly decide on next steps (Bussières et al., 2022).
We also use the Standardized Assessment of Concussion (SAC). This tests memory and focus with simple questions. For athletes, the Sport Concussion Assessment Tool 5 (SCAT5) adds balance and neck checks. Kids receive the Child SCAT5 version.
- GCS breakdown:
- Eyes: 1 (none) to 4 (spontaneous).
- Verbal: 1 (silent) to 5 (oriented).
- Motor: 1 (none) to 6 (obeys commands).
- SAC quick tips: Asks things like “What month is it?” or repeats word lists.
- SCAT5 extras: Includes symptom checklists and coordination drills.
Dr. Jimenez notes that these tests often reveal neck problems linked to head injuries. At our wellness clinic, we adjust spines to ease related pain.
Hands-On Physical Exams to Uncover Hidden Issues
Physical checks are key at El Paso Back Clinic®. We touch and move areas to find pain, weakness, or limits. This builds on your story about how the injury happened.
Reflex tests tap spots, like the knees, to check nerve pathways. Odd responses might point to brain trouble. The Balance Error Scoring System (BESS) tests stability—stand in poses and count errors. It’s useful for detecting dizziness associated with TBIs (Sillevis et al., 2018).
We measure how far you can move your neck or head without pain. Strength tests have you push against our hands. These help link head injuries to spine misalignments.
- BESS poses:
- These include the double-leg stance, single-leg stance, and tandem pose.
- Perform the exercises on both firm ground and foam to increase the challenge.
- The errors to avoid include having hands off the hips, keeping eyes open, and falling.
- Reflex checks: Hammer taps for quick reactions.
- Motion tests: Gentle turns to spot restrictions.
For El Paso locals in car wrecks, these exams guide our chiropractic adjustments. Dr. Jimenez observes that early physical checks prevent chronic issues.
Cognitive Testing to Measure Brain Function
Head injuries can fog thinking. At El Paso Back Clinic®, we use cognitive tests such as ImPACT to assess memory and reaction time. This computer-based tool is perfect for concussion assessment, as it allows you to compare your scores to norms or baselines.
ImPACT includes modules for word recall, symbol matching, and symptom rating. It’s objective and tracks progress over time. We use it for return-to-work or play decisions (ImPACT Applications, Inc., 2023a).
Our nurse practitioners add deeper checks if needed, like repeating stories or drawing shapes. These rule out other causes.
- ImPACT features:
- Visual memory: Recall designs.
- Reaction time: Click on the colors fast.
- Symptom scale: Rate 22 items like fatigue.
- Baseline testing: Ideal for athletes before seasons.
- Retesting: Every 7-10 days to monitor healing.
Dr. Jimenez integrates ImPACT with chiropractic care, noting better results when spine health supports brain recovery.
Advanced Imaging for Clear Views of Injuries
Imaging lets us see inside. At El Paso Back Clinic®, we start with X-rays for bone alignment and fractures. They’re fast and help plan adjustments.
For deeper looks, CT scans catch bleeds quickly. MRIs show soft-tissue damage, such as bruising or tears—no radiation involved. We order these through our network for full pictures (NYU Langone Health, n.d.).
Digital Motion X-ray (DMX) is a favorite here—it films spine movement to spot instability from whiplash.
- X-ray basics: Views bones in still shots.
- CT strengths: 3D slices for emergencies.
- MRI details: Magnets reveal hidden swelling.
- DMX unique: Real-time video of neck motion.
Dr. Jimenez uses imaging to confirm diagnoses, ensuring safe, targeted care at our El Paso wellness clinic.
Non-Invasive Tools Enhancing Our Chiropractic Approach
We love tools that avoid invasives at El Paso Back Clinic®. Surface Electromyography (sEMG) measures muscle activity via skin sensors. It identifies imbalances related to nerve issues post-head injury (Injury 2 Wellness Centers, 2023a).
Our INSiGHT scanners combine scans: Thermal for inflammation, Core for posture, Pulse for stress via heart rate. These insights help us create personalized plan maps (CLA Insights, 2023a).
- sEMG benefits:
- Detects tense muscles around the neck.
- Guides gentle adjustments.
- INSiGHT scans:
- Heat patterns show hot spots.
- Muscle scans check symmetry.
- No risks: This procedure is safe for individuals of all ages.
These tools reduce the need for pokes or cuts, aligning with our wellness focus (Injury 2 Wellness Centers, 2023b). Dr. Jimenez says they boost patient involvement.
Nurse Practitioners’ Role in Comprehensive Testing
Our nurse practitioners at El Paso Back Clinic® expand options. They order blood tests for markers like inflammation or clotting risks. This rules out serious issues.
They incorporate a comprehensive approach by integrating chiropractic care into their holistic plans. If scans show problems, they coordinate referrals.
- Blood work perks:
- Checks for hidden infections.
- Monitors healing proteins.
- Team integration: NPs and chiros share findings.
- Patient plans: Include rest, nutrition, and adjustments.
Dr. Jimenez, with his NP background, ensures seamless care.
Chiropractic Perspectives on Brain Injury Diagnosis
Chiropractors at our clinic see the spine-brain connection. Head hits often shift vertebrae, worsening symptoms. We use tools like Sigma for motion analysis (Kawa, n.d.).
Vestibular tests check eyes and balance. Does the patient experience pain during head movements? The source of the pain could be either the inner ear or the brain.
- Spine focus:
- Palpate for misalignments.
- Grade Whiplash: 0-4.
- Red flags: Send to ER for severe signs.
- Recovery steps: Adjustments plus exercises.
Dr. Jimenez’s observations show that chiropractic care eases concussion symptoms more quickly.
Collaborative Care for Optimal Recovery
At El Paso Back Clinic®, teamwork rules. NPs order MRIs; chiros use them for adjustments. Shared tests like SCAT5 build complete views.
Plans cover therapy, diet, and follow-ups. Patients return stronger.
- Benefits:
- Full body healing.
- Cost-effective.
- Customized to you.
- Success stories: Less pain, better function.
Dr. Jimenez’s integrative style shines in El Paso cases.
Insights from Daily Practice at the Clinic
We adapt tests to each patient. A work injury requires X-rays and ImPACT. Follow with BESS for balance gains.
Dr. Jimenez shares how INSiGHT scans catch early nerve stress, preventing long-term woes.
Patients love visual reports—they understand and stick to plans.
Overcoming Challenges in Brain Injury Detection
Access and cost can hinder. But our clinic offers affordable options and education.
Future tools, such as blood biomarkers, promise quicker diagnoses. We stay up to date for the best care.
- Hurdles:
- Rural limits in TX.
- Insurance gaps.
- Advances: AI for scan reads, more non-invasives.
Dr. Jimenez pushes for community awareness.
Final Thoughts: Seek Care at El Paso Back Clinic®
Brain injuries need prompt attention. At El Paso Back Clinic® in El Paso, TX, we use GCS, ImPACT, scans, and more for wellness-focused recovery.
If you’ve had a head hit, visit us. Our team, led by Dr. Jimenez, is here for you.
References
Bussières, A., et al. (2022). Concussion knowledge among North American chiropractors. Journal of the Canadian Chiropractic Association, 66(1), 17–26. https://pmc.ncbi.nlm.nih.gov/articles/PMC8791549/
California State Board of Chiropractic Examiners. (n.d.). Chiropractic consumer guide. https://www.chiro.ca.gov/publications/chiro_consumer_guide.pdf
CLA Insights. (2023a). The role of neurological scanning tech in modern chiropractic care. https://insightcla.com/blog/the-role-of-neurological-scanning-tech-in-modern-chiropractic-care/
CLA Insights. (2023b). The future of non-invasive diagnostics in chiropractic practices. https://insightcla.com/blog/the-future-of-non-invasive-diagnostics-in-chiropractic-practices/
CLA Insights. (2023c). Neurological scanning technology for chiropractic diagnosis. https://insightcla.com/blog/neurological-scanning-technology-for-chiropractic-diagnosis/
Comfort Rehab & Chiropractic Center. (n.d.). Chiropractic diagnostics for auto-accident injuries. https://dallasaccidentandinjuryrehab.com/chiropractic-diagnostics-for-auto-accident-injuries-comprehensive-guide-to-chiropractic-diagnostics-for-auto-accident-injury-recovery-2/
ImPACT Applications, Inc. (2023a). Chiropractor’s role in concussion management. https://impacttest.com/chiropractors-role-in-concussion-management/
ImPACT Applications, Inc. (2023b). Chiropractors role in concussion management [PDF]. https://impacttest.com/wp-content/uploads/chiropractors-role-in-concussion-management.pdf
Injury 2 Wellness Centers. (2023a). Innovative injury assessment techniques in modern chiropractic care. https://injury2wellness.com/innovative-injury-assessment-techniques-in-modern-chiropractic-care/
Injury 2 Wellness Centers. (2023b). Revolutionizing injury diagnosis: Advanced chiropractic tools explained. https://injury2wellness.com/revolutionizing-injury-diagnosis-advanced-chiropractic-tools-explained/
Injury 2 Wellness Centers. (2023c). Transforming chiropractic care: The role of X-rays in injury diagnosis. https://injury2wellness.com/transforming-chiropractic-care-the-role-of-x-rays-in-injury-diagnosis/
Jimenez, A. (n.d.). Injury Specialists. https://dralexjimenez.com/
Jimenez, A. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/
Kal, D. (n.d.). Chiropractic relief for accident head injuries. https://drkal.com/chiropractic-relief-for-accident-head-injuries/
Kawa, C. (n.d.). Diagnostic tools. https://chiropractorbricknj.com/diagnostic-tools/
Modern Chiropractic Center. (n.d.). Accurate post-car crash injury diagnosis. https://modernchiropracticcenter.com/blog/accurate-post-car-crash-injury-diagnosis/
NYU Langone Health. (n.d.). Diagnosing concussion. https://nyulangone.org/conditions/concussion/diagnosis
Pickett, W., et al. (2024). Expanding concussion care in Canada: The role of chiropractors and policy implications. Journal of the Canadian Chiropractic Association, 68(2), 145–156. https://pmc.ncbi.nlm.nih.gov/articles/PMC11418793/
Sillevis, R., et al. (2018). Survey of chiropractic clinicians on self-reported knowledge and recognition of concussion injuries. Journal of the Canadian Chiropractic Association, 62(2), 84–95. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000952/
Spine and Injury Center. (n.d.). How do chiropractors diagnose injuries. https://www.flspineandinjury.com/blog/how-do-chiropractors-diagnose-injuries
World Health Organization. (n.d.). Diagnostics. https://www.who.int/health-topics/diagnostics






