Sports or Crash? The Body Needs the Same Healing Strategy
Injuries from sports and motor vehicle accidents (MVAs) often share remarkable similarities due to the high-impact forces, sudden deceleration, or forceful twisting motions involved. Whether it’s a sprain from a basketball game or whiplash from a car crash, the body experiences comparable stress that results in similar injuries. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, Dr. Alex Jimenez, DC, APRN, FNP-BC, and our team of chiropractors, nutritionists, and medical professionals provide holistic, patient-centered care using chiropractic techniques, functional medicine, and advanced diagnostics. The severity of these injuries depends on the force and specific circumstances, and our clinic is dedicated to helping patients recover naturally while preventing long-term complications.
Common Injuries in Sports and MVAs
Both sports and MVAs can lead to traumatic brain injuries (TBIs), fractures, sprains, and strains due to intense forces. Concussions, a type of TBI, are common in contact sports like football, where a sudden hit causes the brain to move within the skull, resulting in symptoms like headaches or confusion (Skinner Firm, n.d.). Similarly, MVAs can cause concussions when the head strikes an object or moves violently during a collision (Boohoff Law, n.d.). These shared mechanisms demonstrate how rapid forces affect the brain in both contexts.
Fractures are another frequent injury. A fall during a soccer game or a car accident can break bones, with severity depending on the force and impact direction (National Institute of Arthritis and Musculoskeletal and Skin Diseases [NIAMS], n.d.). For instance, rib fractures vary based on individual anatomy and the angle of impact, as noted in biomechanics research (National Highway Traffic Safety Administration [NHTSA], n.d.). Our clinic uses advanced imaging to assess fractures and design targeted rehabilitation plans.
Sprains and strains, involving stretched or torn ligaments, muscles, or tendons, are prevalent in both scenarios. In sports, twisting motions during activities like soccer often lead to ankle or knee sprains (Therasport, n.d.; Dubuque Physical Therapy, n.d.; The Smith Clinic, n.d.). In MVAs, rapid deceleration can cause similar sprains, particularly in the neck, resulting in whiplash (Indiana Department of Health, n.d.). Neck sprains are common in both cycling accidents and car crashes, especially rear-end collisions (PubMed Central [PMC], 2011; Stroud Law, n.d.).
The severity of these injuries depends on specific factors. In sports, protective gear like helmets can reduce concussion risk, while in MVAs, seatbelts and airbags can lessen damage (Brown Health, n.d.; Advanced Ortho, n.d.). The force’s intensity, speed, and body positioning all influence outcomes. Our clinic tailors treatments to these factors, ensuring care aligns with each patient’s unique injury profile.
Dr. Alex Jimenez, a board-certified chiropractor and family nurse practitioner, leads our El Paso clinic with a passion for helping patients recover from MVAs and sports injuries. His dual expertise in chiropractic care and functional medicine allows him to address both immediate injuries and their underlying causes, promoting natural healing and long-term wellness for patients of all ages.
Dual-Scope Diagnosis and Personalized Treatment
Dr. Jimenez employs a dual-scope diagnosis to link injuries to the mechanics of an accident or activity. For example, he might connect neck pain to whiplash from a rear-end collision or a sports-related sprain to a twisting motion, assessing both visible symptoms and underlying issues like spinal misalignment. This approach informs personalized treatment plans that integrate chiropractic adjustments, acupuncture, nutrition counseling, and functional medicine. Our team of chiropractors, nutritionists, and medical professionals collaborates to ensure comprehensive care tailored to each patient’s needs.
Advanced Diagnostics and Imaging
Our clinic uses advanced diagnostic tools, including X-rays, MRIs, and functional health assessments, to identify injuries such as fractures, disc herniations, or soft tissue damage. These assessments guide precise treatment plans, ensuring care matches the injury’s severity. For instance, imaging might reveal a hidden spinal issue contributing to chronic pain, which Dr. Jimenez targets with specific therapies. This thorough approach supports both recovery and legal documentation for personal injury cases.
Medical and Legal Expertise
Dr. Jimenez’s unique ability to manage both medical treatment and legal paperwork sets our clinic apart. After an MVA, patients often face insurance disputes or lawsuits. He meticulously documents injuries, linking them to the accident, and prepares detailed reports to support legal claims. This dual expertise simplifies the process, enabling patients to concentrate on their recovery while receiving accurate medical evidence to support their claims.
Holistic Recovery Through Integrative Medicine
Our clinic combines chiropractic care, acupuncture, nutrition counseling, and functional medicine to promote natural healing. Chiropractic adjustments correct spinal and joint misalignments, addressing issues like whiplash or back pain. Acupuncture reduces pain and inflammation naturally, while nutrition counseling supports tissue repair and overall health. Functional medicine evaluates lifestyle, environmental, and genetic factors to prevent chronic issues like pain or reduced mobility.
For example, an MVA patient with a sprained ankle might receive chiropractic adjustments to restore alignment, acupuncture for pain relief, nutrition advice to support healing, and tailored exercises to rebuild strength. This integrative approach, rooted in our commitment to functional wellness, ensures faster recovery and long-term health. By addressing both the injury and its broader impact, we help patients return to a pain-free, active lifestyle in El Paso’s vibrant community.
Crash Course in Healing: Integrative Care for Car Accident Recovery
Car accidents can leave you shaken, sore, and struggling to get back to normal. From whiplash to broken bones, the injuries caused by motor vehicle accidents (MVAs) range from mild to severe, often affecting your muscles, nerves, and joints. These injuries can lead to chronic pain or long-term complications if not treated properly. Integrative care, which combines chiropractic care, acupuncture, massage therapy, and the expertise of nurse practitioners, offers a holistic approach to healing. This method doesn’t just mask pain—it tackles the root causes to restore your health and mobility.
In this blog post, we’ll explore the common injuries caused by car accidents, such as nerve damage, musculoskeletal and ligamentous injuries, and back and neck pain. We’ll dive into how integrative care, led by professionals like Dr. Alexander Jimenez in El Paso, Texas, can help you recover. You’ll learn about the science behind chiropractic adjustments, acupuncture, massage therapy, and the role of nurse practitioners in managing your care. We’ll also discuss how Dr. Jimenez’s dual expertise as a chiropractor and nurse practitioner, along with advanced diagnostics, makes him a leader in auto accident recovery. By the end, you’ll understand why integrative care is a complete and effective way to heal from car accident injuries.
Common Car Accident Injuries: What You Need to Know
Car accidents generate powerful forces that can cause significant damage to your body. Even low-speed collisions can cause significant injuries because of the sudden jolt or impact. Let’s break down the most common types of injuries and how they affect you.
Whiplash: The Neck’s Worst Enemy
Whiplash is one of the most frequent injuries in rear-end collisions. It happens when your head is forcefully whipped back and forth, straining or tearing the muscles, ligaments, and tendons in your neck. Symptoms include neck pain, stiffness, headaches, and sometimes dizziness or tingling in the arms. Whiplash can take days or weeks to show up, making it a sneaky injury that’s often overlooked (Blue Q Health, 2023).
Whiplash doesn’t just affect soft tissues. It can also compress or irritate nerves in the cervical spine, leading to radiating pain or numbness. If untreated, whiplash can cause chronic neck pain or even degenerative disc disease (Hogan Chiropractic, 2024).
Fractures: Broken Bones from High Impact
High-speed or rollover accidents can cause broken bones, especially in the arms, legs, ribs, or spine. Fractures are painful and may require immobilization or surgery, depending on their severity. For example, a compression fracture in the spine can occur when vertebrae collapse under force, leading to intense back pain and limited mobility (Novus Spine Center, n.d.).
Broken bones often heal with time, but they can lead to complications like misalignment or nerve damage if not properly managed. Physical therapy and chiropractic care can help restore function after the bone heals (Cedar Park Chiro, n.d.).
Soft Tissue Injuries: Sprains, Strains, and More
Soft tissue injuries affect muscles, ligaments, and tendons. Sprains occur when ligaments (which connect bones) are stretched or torn, while strains involve muscles or tendons (which connect muscles to bones). These injuries cause pain, swelling, and limited mobility, often in the back, neck, or shoulders (Sterling Medical Group, n.d.).
Rollover accidents are particularly likely to cause soft tissue damage because the body is tossed around, stressing multiple areas. These injuries may not be visible on X-rays, making them more difficult to diagnose without a thorough examination (Oklahoma Lawyer, n.d.).
Nerve Injuries: When Pain Radiates
Nerve injuries are common in MVAs, especially when the spine is involved. A herniated disc, for instance, can press on spinal nerves, causing sharp, shooting pain that radiates down the arms or legs (sciatica). Nerve damage can also result from whiplash or blunt trauma, leading to symptoms like numbness, tingling, or weakness (Lispine Medical, 2022).
Severe nerve injuries, such as brachial plexus damage, can occur in high-impact crashes, affecting the nerves that control arm and hand movement. These injuries require specialized care to prevent long-term disability (University of Michigan, n.d.).
Back and Neck Pain: A Common Aftermath
Back and neck pain are hallmarks of car accident injuries, often stemming from whiplash, soft tissue damage, or spinal misalignment. The sudden force of a crash can displace vertebrae (subluxation), putting pressure on nerves and muscles. This can lead to chronic pain, stiffness, or reduced range of motion if not addressed (Monitto Chiropractic, n.d.).
These injuries aren’t just painful—they can disrupt your daily life, making it hard to work, sleep, or enjoy activities. Integrative care is crucial in alleviating pain and preventing long-term complications.
The Power of Integrative Care: A Holistic Approach
Integrative care combines various healthcare disciplines to treat the whole person, rather than just their symptoms. For car accident victims, this means combining chiropractic care, acupuncture, massage therapy, and nurse practitioner expertise to address pain, restore function, and promote long-term health and well-being. Let’s explore how each component works and why they’re stronger together.
Chiropractic Care: Aligning the Spine, Relieving Pain
Chiropractic care focuses on the spine and nervous system, which are often disrupted in car accidents. Chiropractors use manual adjustments to correct spinal misalignments (subluxations), relieving pressure on nerves and restoring joint mobility. This is especially effective for treating whiplash, back pain, and nerve injuries such as sciatica (PhysMed, n.d.).
Chiropractic adjustments do more than reduce pain. They improve blood flow, reduce inflammation, and stimulate the body’s natural healing processes. Studies show that chiropractic care can significantly improve outcomes for MVA-related injuries, with patients reporting less pain and better mobility after treatment (PMC, 2011).
Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, is a leader in this field. His dual licensure enables him to integrate chiropractic techniques with medical diagnostics, resulting in personalized treatment plans. He utilizes advanced imaging techniques, such as X-rays and MRIs, to accurately identify spinal misalignments, disc herniations, and soft tissue injuries, ensuring precise care (Jimenez, 2024).
Acupuncture: Targeting Pain and Inflammation
Acupuncture, rooted in traditional Chinese medicine, involves inserting thin needles into specific points on the body to stimulate the body’s natural healing process. For car accident injuries, acupuncture reduces pain, inflammation, and muscle tension by improving blood flow and releasing endorphins, the body’s natural painkillers (Governor’s Park Chiropractic, 2023).
This therapy is particularly effective for soft tissue injuries and chronic pain. It’s a passive treatment, meaning patients can relax while the acupuncturist works, making it ideal for those with limited mobility after an accident. When combined with chiropractic care, acupuncture can enhance pain relief and accelerate recovery (MGF Chiropractic, n.d.).
Massage therapy targets soft tissue injuries by relaxing tight muscles, reducing scar tissue, and improving circulation. For car accident victims, it’s a powerful tool for relieving pain and stiffness in the neck, back, and shoulders. Techniques such as trigger point therapy and deep tissue massage can help address muscle spasms caused by whiplash or strains (Fleetwood Surrey Physio, n.d.).
When paired with chiropractic adjustments, massage therapy prepares the body for spinal corrections by loosening tight tissues. It also reduces stress and promotes relaxation, which can help with the emotional toll of an accident (Evolved Health Chiropractic, n.d.).
Nurse Practitioners: Coordinating Comprehensive Care
Nurse practitioners (NPs) play a crucial role in integrative care by providing medical expertise and coordinating treatment plans. They can diagnose injuries, prescribe medications, and order diagnostic tests, ensuring that all aspects of a patient’s health are addressed. NPs also educate patients on self-care practices, such as proper nutrition and exercise, to support their recovery (Physicians Group LLC, n.d.).
Dr. Jimenez’s background as a board-certified family nurse practitioner gives him a unique edge. Dr. Jimenez integrates chiropractic and medical care, employing tools like electromyography (EMG) and functional movement screens to evaluate nerve and muscle function. He serves as a comprehensive resource for MVA victims due to his proficiency in managing both clinical treatment and legal documentation, such as injury reports for insurance claims (Jimenez, 2024).
Why Integrative Care Works
Integrative care is effective because it addresses the root causes of injuries, rather than just their symptoms. For example, a patient with whiplash might receive chiropractic adjustments to realign the spine, acupuncture to reduce inflammation, massage to relax muscles, and NP guidance on nutrition to support healing. This multi-faceted approach ensures faster recovery and reduces the risk of chronic pain (Rebound Clinics DMV, n.d.).
Dr. Alexander Jimenez: A Leader in Auto Accident Recovery
Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a standout in the field of integrative care for car accident injuries. Based in El Paso, Texas, he brings over 25 years of experience as both a chiropractor and a board-certified family nurse practitioner. His dual licensure allows him to offer a unique blend of biomechanical and medical expertise, making him a trusted choice for MVA victims.
Dual-Scope Diagnosis and Treatment
Dr. Jimenez’s approach is grounded in clinical reasoning that connects patient symptoms to objective findings. He uses advanced diagnostics, such as X-rays, MRIs, CT scans, and electromyography (EMG), to pinpoint injuries like spinal misalignments, disc herniations, and nerve compression. These tools are crucial for identifying subtle injuries that may not be apparent in standard examinations (Jimenez, 2024).
His dual training enables him to address both the musculoskeletal and systemic effects of injuries. For example, a patient with back pain might have a herniated disc (a biomechanical issue) and inflammation or metabolic imbalances (systemic issues). Dr. Jimenez combines chiropractic adjustments with functional medicine, including nutritional guidance, to address both aspects, ensuring comprehensive healing (Jimenez, 2024).
Advanced Imaging and Diagnostics
Dr. Jimenez’s use of advanced imaging sets him apart. X-rays and MRIs reveal structural damage, while EMG and functional movement screens assess nerve and muscle function. These tests provide objective data that guide treatment and validate injury claims for legal or insurance purposes. For instance, an EMG can confirm nerve damage in a patient with radiating pain, ensuring the treatment plan targets the right issue (Jimenez, 2024).
Legal and Medical Expertise
Personal injury cases often involve legal complexities, such as proving the extent of injuries for insurance claims or lawsuits. Dr. Jimenez’s nurse practitioner training equips him to produce detailed medical reports that correlate symptoms with diagnostic findings. This is crucial for attorneys and insurance companies, as it provides credible evidence of injury and treatment needs (ChiroMed, n.d.).
His chiropractic expertise ensures that treatments, such as spinal decompression and manual adjustments, are tailored to each patient’s needs. At the same time, his NP skills enable him to manage medications or refer patients to specialists as necessary. This dual role streamlines care and reduces the need for multiple providers.
Clinical Observations and Patient-Centered Care
Dr. Jimenez’s clinical observations emphasize the importance of personalized care. He tailors treatment plans to each patient’s health profile, lifestyle, and injury severity. For example, a patient with whiplash might receive spinal adjustments, acupuncture, and a home exercise program, while someone with a fractured vertebra might need immobilization followed by rehabilitation. His integrative approach draws on evidence-based protocols from chiropractic, functional medicine, and physical therapy (Jimenez, 2024).
Patients praise Dr. Jimenez for his ability to relieve pain and restore function. Testimonials highlight his thorough exams, clear explanations, and compassionate care, which make the recovery process less daunting (El Paso Back Clinic, n.d.).
Let’s examine how integrative care addresses the specific injuries resulting from car accidents. Each treatment modality plays a role in targeting pain, restoring function, and preventing complications.
Whiplash: A Multi-Pronged Approach
Whiplash requires a combination of therapies to address soft tissue damage, nerve irritation, and spinal misalignment. Chiropractic adjustments realign the cervical spine, reducing pressure on nerves and improving mobility. Acupuncture reduces inflammation and muscle spasms, while massage therapy relaxes tight neck muscles. Nurse practitioners may recommend anti-inflammatory diets or supplements to support healing (Cedar Park Chiro, n.d.; Governor’s Park Chiropractic, 2023).
Dr. Jimenez utilizes diagnostic tools, such as MRIs, to identify hidden disc injuries or nerve compression, ensuring a precise treatment plan. Patients typically see significant improvement within 6–12 weeks with this approach (Hogan Chiropractic, 2024).
Fractures: Supporting Bone Healing
Fractures need careful management to heal properly. Chiropractors avoid adjusting areas with broken bones but can use gentle techniques to support surrounding tissues. Once the bone stabilizes, physical therapy and massage help restore strength and mobility. Nurse practitioners monitor healing with imaging and provide guidance on nutrition (like calcium and vitamin D) to strengthen bones (Novus Spine Center, n.d.).
Dr. Jimenez’s expertise ensures that fracture patients receive safe, non-invasive care that complements medical treatment, thereby reducing the risk of complications such as misalignment (Jimenez, 2024).
Soft Tissue Injuries: Restoring Flexibility
Sprains and strains benefit from massage therapy to reduce scar tissue and improve circulation. Chiropractic adjustments correct joint restrictions, while acupuncture relieves pain and promotes tissue repair and healing. Nurse practitioners may suggest stretching exercises or braces to support recovery (Sterling Medical Group, n.d.).
Dr. Jimenez utilizes functional movement screens to evaluate the impact of soft tissue injuries on mobility, tailoring treatments to restore flexibility and prevent chronic stiffness (Jimenez, 2024).
Nerve Injuries: Easing Pain and Restoring Function
Nerve injuries, like sciatica or brachial plexus damage, require precise care. Chiropractic adjustments relieve pressure on compressed nerves, while acupuncture stimulates nerve pathways to reduce pain. Massage therapy improves blood flow to affected areas, and nurse practitioners may order EMG tests to monitor nerve function (Lispine Medical, 2022).
Dr. Jimenez’s use of EMG and neurologic exams ensures accurate diagnosis and treatment, helping patients regain sensation and strength (Jimenez, 2024).
Back and Neck Pain: Comprehensive Relief
Back and neck pain often stems from multiple issues, like subluxations, muscle strains, and nerve irritation. Chiropractic care corrects spinal alignment, acupuncture reduces inflammation, and massage therapy eases muscle tension. Nurse practitioners offer holistic advice, such as ergonomic tips and stress management techniques, to help prevent pain from returning (Monitto Chiropractic, n.d.).
Dr. Jimenez’s integrative plans often include spinal decompression for disc injuries, combined with lifestyle changes to support long-term spinal health (Jimenez, 2024).
Integrative care isn’t just a feel-good approach—it’s backed by science. Let’s explore the evidence supporting chiropractic care, acupuncture, massage therapy, and nurse practitioner involvement in MVA recovery.
Chiropractic Care: Evidence-Based Healing
Studies have shown that chiropractic adjustments are effective in treating whiplash, back pain, and nerve-related injuries. A 2011 study found that MVA patients treated with chiropractic care needed an average of 14.2 sessions to see significant improvement, with many avoiding the need for ongoing pain management (PMC, 2011).
Chiropractic works by restoring spinal alignment, which reduces nerve irritation and improves joint function. This results in reduced pain, improved mobility, and faster healing (PhysMed, n.d.).
Acupuncture: Pain Relief with Precision
Research supports the role of acupuncture in reducing pain and inflammation. A 2021 study found that acupuncture significantly improved outcomes for musculoskeletal pain, including post-accident injuries, by modulating pain pathways and promoting tissue repair (PMC, 2021).
Acupuncture’s ability to stimulate endorphin release and improve blood flow makes it a powerful complement to other therapies, enhancing overall recovery (MGF Chiropractic, n.d.).
Massage Therapy: More Than Relaxation
Massage therapy has been shown to reduce muscle tension, improve circulation, and alleviate pain associated with soft tissue injuries. A 2023 study highlighted its effectiveness in treating whiplash-related muscle spasms when combined with chiropractic care (Fleetwood Surrey Physio, n.d.).
By breaking down scar tissue and improving oxygen delivery to tissues, massage therapy accelerates healing and prevents chronic stiffness (Evolved Health Chiropractic, n.d.).
Nurse Practitioners: A Medical Anchor
Nurse practitioners bring medical rigor to integrative care. They use evidence-based protocols to diagnose injuries, manage pain, and coordinate multidisciplinary treatment. Their ability to order diagnostic tests and provide patient education ensures that care is comprehensive and tailored (Physicians Group LLC, n.d.).
Dr. Jimenez’s NP training enables him to seamlessly combine medical and holistic approaches, thereby providing patients with the optimal care (Jimenez, 2024).
Why Choose Integrative Care for Car Accident Recovery?
Integrative care offers several advantages over traditional medical treatment alone. Here’s why it’s the best choice for recovering from car accident injuries.
Holistic Healing
Unlike pain medications, which only mask symptoms, integrative care addresses the root causes of pain and dysfunction. Nurse practitioners support overall health, acupuncture reduces inflammation, massage therapy heals soft tissues, and chiropractic adjustments fix spinal misalignments. This comprehensive approach leads to lasting recovery (Rebound Clinics DMV, n.d.).
Non-Invasive and Safe
Integrative therapies are non-invasive, meaning they don’t require surgery or heavy medications with side effects. Chiropractic care, acupuncture, and massage therapy are safe for most patients and can be tailored to individual needs (Cedar Park Chiro, n.d.).
Faster Recovery
By combining multiple therapies, integrative care accelerates the healing process. For example, chiropractic adjustments prepare the spine for massage therapy, which enhances the pain-relieving effects of acupuncture. Patients often experience faster results than with single-modality treatments (Governor’s Park Chiropractic, 2023).
Personalized Care
Integrative care is highly customizable. Dr. Jimenez, for instance, designs treatment plans tailored to each patient’s specific injuries, lifestyle, and goals. This ensures that every aspect of recovery is addressed, from pain relief to long-term wellness (Jimenez, 2024).
Legal and Insurance Support
For personal injury cases, integrative care providers like Dr. Jimenez offer detailed documentation that supports insurance claims or legal cases. His dual expertise ensures that injury reports are thorough and credible, helping patients secure the compensation they deserve (ChiroMed, n.d.).
Car accidents can leave you with painful and debilitating injuries, from whiplash to nerve damage. But you don’t have to live with the pain or settle for temporary fixes. Integrative care, which combines chiropractic care, acupuncture, massage therapy, and nurse practitioner expertise, offers a comprehensive and effective approach to healing. By addressing the root causes of your injuries, this approach restores your health, mobility, and quality of life.
Dr. Alexander Jimenez exemplifies the power of integrative care. His dual training, advanced diagnostics, and patient-centered approach make him a leader in auto accident recovery. Whether you’re dealing with back pain, soft tissue injuries, or complex nerve damage, his clinic in El Paso offers the tools and expertise to get you back on track.
If you’ve been in a car accident, don’t wait to seek care. Contact a qualified integrative care provider, such as Dr. Jimenez, to begin your recovery journey today. Your body deserves the best chance to heal naturally, safely, and completely.
Woodward, M. E., & Mullan, P. C. (2011). Chiropractic treatment of patients in motor vehicle accidents: A statistical analysis. Journal of Chiropractic Medicine, 10(4), 247–252. https://pmc.ncbi.nlm.nih.gov/articles/PMC3217388/
Yoganandan, N., Humm, J. R., & Pintar, F. A. (2021). Musculoskeletal injuries after road traffic crashes. Frontiers in Bioengineering and Biotechnology, 9, 749948. https://pmc.ncbi.nlm.nih.gov/articles/PMC8582890/
Broken bones are common injuries. Because children’s bones grow rapidly, they have increased flexibility. When injuries, specifically fractures, occur, they do not always break cleanly across the bone or into pieces. What type of fracture is this, and how are they treated?
Greenstick Fracture
A greenstick fracture is a partial break in a bone that occurs when a bone bends and cracks instead of breaking into separate pieces. (Wolfe J. A. et al., 2019) The term is based on a young green branch that bends and splinters but does not break into pieces when bent. Only one side of the bone is broken, while the other side gets bent. Many children experience at least one fracture during their growing years. This is one of multiple fracture types seen in children. They can happen in adults but are uncommon.
Causes
Greenstick fractures mostly occur in infants or toddlers, sometimes in children during their early adolescent and pre-adolescent years. They are partial-thickness fractures (a break in a bone that doesn’t completely break it) characterized by a break on one side and a bend on the other. Buckle fractures and bow fractures are different types of partial-thickness fractures. Greenstick fractures commonly occur:
In children under 10 years old
Occurs when a child reaches out to break a fall
During motor vehicle collisions
Sports
Direct impacts
Non-accidental trauma
It is more common in long bones, including:
Radius
Ulna
Humerus
Fibula
Tibia
Clavicle
The fracture pattern often indicates a limb’s bending or contortion.
Deformity, such as the affected body part looking crooked or out of alignment.
Treatment
If the bone is not significantly bent out of alignment, a splint or cast may be all that is necessary to treat the break. If the bone is visibly out of alignment, it must be manually straightened before the limb is put into a cast. If the break is severe, surgery may be required. Fortunately, a growing skeleton can remodel bone, so fractured bones can often realign themselves over time with minimal intervention. Healing depends on various factors, including:
Sometimes, the fracture must be bent back and repositioned in a fracture reduction procedure. An anesthetic may be used as the doctor manually realigns the bone into the correct position. After the reduction, a cast or splint will stabilize the bone and maintain proper alignment. Depending on how quickly the bone heals, a cast may be necessary for a few weeks, months, or longer, depending on the patient and/or underlying conditions.
Healing
Healing involves specialized cells that gradually rebuild and fine-tune the new bone.
The average time for a greenstick fracture to heal completely may take four weeks.
Injury Medical Chiropractic & 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, 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.
Building a Stronger Body
References
Wolfe, J. A., Wolfe, H., Banaag, A., Tintle, S., & Perez Koehlmoos, T. (2019). Early Pediatric Fractures in a Universally Insured Population within the United States. BMC pediatrics, 19(1), 343. https://doi.org/10.1186/s12887-019-1725-y
Atanelov, Z., & Bentley, T. P. (2025). Greenstick Fracture. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/30020651
Pountos, I., Clegg, J., & Siddiqui, A. (2010). Diagnosis and treatment of greenstick and torus fractures of the distal radius in children: a prospective randomised single-blind study. Journal of children’s orthopaedics, 4(4), 321–326. https://doi.org/10.1007/s11832-010-0269-3
For wrestling athletes or those thinking about getting into the sport, can knowing about common injuries help in rehabilitation and prevention?
Wrestling Injuries
Wrestling is an intense and demanding sport. Studies have found that football and wrestling are the two high school sports with the highest risk of serious injury to athletes (Center for Injury Research and Policy, 2009). The injury rate for college wrestlers is 9 injuries per 1,000 athlete exposures. (Kroshus, E. et al., 2018) While most wrestling injuries include strains and sprains, there can also be serious traumatic and unusual injuries. Using proper safety gear and learning correct techniques can significantly reduce the risk of injuries. The majority occur during competition.
Common
The most common wrestling injuries are similar to those in other sports and include:
Muscle Soreness
Muscle soreness that is experienced 12 to 48 hours after an intense workout or competition.
Resting is often all that is needed to recover.
Bruises and Contusions
Sparring, take-downs, and hard landings can result in various bruises and contusions.
Sprains and Strains
Rest, ice, compression, and elevation are recommended to treat sprains and strains immediately.
Ankle Sprains
Ankle sprains occur when surrounding ligaments stretch and tear around the joint.
Wrist Sprains
Typically, it occurs when stretching or tearing the ligaments.
Falling or landing on the hands is a common cause.
Overtraining Syndrome
Frequently occurs in athletes who train beyond the body’s ability to recover.
Dehydration
When trying to make weight, dehydration can be a serious health problem that many wrestlers experience.
Other Injuries
Other injuries common in wrestling:
Wrist tendinitis
Finger fractures
Iliotibial band syndrome
Meniscus tears
Groin pull
Hamstring pull or tear
Pulled calf muscle
Achilles tendonitis
Achilles tendon rupture
Clavicle/Collarbone fracture
Concussion
Serious
The forcing of a joint beyond its normal range of motion is the most common cause of serious injuries. The most serious wrestling injuries affect the neck, shoulder, elbow, and knee and include:
Neck
The cervical vertebrae are often forced into vulnerable positions during various techniques and movements, which can result in a neck injury. Common types include:
Neck Strain
Whiplash
Cervical Fracture
Shoulder
A combination of leverage and twisting causes most upper body and shoulder injuries during competition. Types of shoulder injuries include:
Rotator cuff injury
Shoulder separation
Shoulder dislocation
Elbow Dislocation
Elbows are under tremendous strain when maneuvering.
Dislocations of the radial head are often related to the athlete bracing for a fall on an outstretched arm during take-downs.
Knee
Most knee injuries occur to the ligaments of the knee joint.
These include anterior and posterior cruciate ligament or ACL/PCL injuries.
Safety
Wrestling requires flexibility, strength, and proper technique to prevent injury, combined with thorough instruction and coaching and following basic safety precautions. Some tips include.
Safety Gear
Wear appropriate headgear and mouthguards during practices, meets, and tournaments.
Improving Joint Flexibility
Wrestlers with a high degree of shoulder flexibility have fewer injuries.
The flexibility of the lower back, hamstrings, elbows, and cervical spine should also be worked on.
Gain or Lose Weight Safely
Avoid dramatic weight loss and weight-gaining strategies by maintaining healthy nutrition and hydration during the season.
Avoiding Dangerous Holds and Slam Moves
Safe wrestling techniques need to be followed as these can generate severe injuries.
Regardless of how common or seemingly not serious an injury or medical condition is, it’s important to rest and recover and tell a coach and health care professional, as some injuries and conditions can become serious if left untreated. Injury Medical Chiropractic and Functional Medicine Clinic focuses on and treats injuries and chronic pain syndromes through personalized care plans that improve ability through flexibility, mobility, and agility programs to relieve pain. Our providers use an integrated approach to create personalized care plans for each patient, including Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine principles. Our goal is to relieve pain naturally by restoring health and function to the body. If other treatment is needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments.
Perseverance and Power
References
Nationwide Children’s Hospital. (2024). Center for Injury Research and Policy. https://www.nationwidechildrens.org/research/areas-of-research/center-for-injury-research-and-policy
Kroshus, E., Utter, A. C., Pierpoint, L. A., Currie, D. W., Knowles, S. B., Wasserman, E. B., Dompier, T. P., Marshall, S. W., Comstock, R. D., & Kerr, Z. Y. (2018). The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys’ Wrestling (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Men’s Wrestling (2004-2005 Through 2013-2014). Journal of athletic training, 53(12), 1143–1155. https://doi.org/10.4085/1062-6050-154-17
For individuals who are getting older, can increasing bone strength help prevent fractures and optimize bone health?
Bone Strength
Bone strength is important, as a fractured hip can be serious for older individuals. A study found that for individuals in their 60s who had a hip fracture, 6.5% of women and 9.4% of men died within a year. Among individuals in their 80s, 13.1% of women and 19.6% of men died within a year. (Dimet-Wiley, et al., 2022)
Increasing bone strength can help prevent various issues. A small increase in bone mineral density has been shown to help reduce the risk of fractures, especially hip fractures. A decades-long study found that just a 3% increase in bone strength helps lower the chance of breaking a hip. Researchers enrolled two groups of individuals aged 60 and older, one in 1989 and the second in 1999.
The bone mineral density of each subject’s femoral neck joint at the top of the thigh bone near the hip was measured.
They then followed the subjects for years to see who experienced hip fractures.
While the bone mineral density of the second group was only 3% higher than the first group, these subjects experienced a 46% reduction in hip fractures. (Tran, T. et al., 2023)
Bone Loss
Bone loss is progressive in men and women and increases as the body ages. Osteoporosis is a condition in which bone tissue deteriorates. (Department of Health and Human Services Office of Disease Prevention and Health Promotion. 2020) Bones constantly break down and reform as a normal remodeling process. If the balance of this process is impaired, osteoporosis develops, resulting in more bone breakdown than formation. While men and women experience bone loss, it’s more common in females. (National Institute of Arthritis and Musculoskeletal Diseases. 2022) Menopause is a risk factor because of the decline of estrogen (National Library of Medicine, Medline Plus, 2022). Estrogen reinforces bone strength by protecting against bone breakdown; with estrogen loss, bone breakdown increases. However, anyone of any age or background can experience bone loss due to the following:
While some loss of bone strength is common, several strategies exist to maintain bone health. Exercise, specifically weight-bearing activities, can increase bone strength. When bones and muscles are used to hold a position against gravity, this mechanically stresses the bone, causing it to reform stronger. Movement and physical exercise as medicine and the forces transmitted through the bones generate mechanical signals that tell the cells to increase bone formation relative to breakdown. Exercises focusing on posture, balance, gait, and coordination are recommended for individuals with osteoporosis to strengthen the core, quadriceps, and hip flexors. Different types of exercises can include:
Walking to strengthen the spine and hips.
Walking outside or on a treadmill provides more loading force to the bone.
Planks and push-ups can strengthen the forearm and wrist bones.
Holding a water bottle in each hand and lifting up and down 10 times together or alternating a few times a day.
Side leg lifts can strengthen the hip and forearm bones simultaneously.
Weight training provides the bones with a workout by having them support a weight load.
Any exercise therapy program should be designed by a healthcare provider, physical therapist, and trainer according to the individual’s condition and appropriate for them.
Diet
What goes into the body definitely affects bone health. Calcium and vitamin D are key to bone building, but both are needed as vitamin D is needed to absorb the calcium ingested. Calcium can be found in:
Dairy
Dairy products and non-dairy alternatives are fortified with calcium.
Leafy greens.
Beans.
Almonds.
The recommended daily calcium intake for adults over 50 is 1,200 milligrams.
Vitamin D can come from:
Sunlight
Fish.
Mushrooms.
Fortified milk.
Supplements.
The recommended daily vitamin D intake for adults aged 70 is 15 micrograms and 20 micrograms for individuals over 70.
Studies have found that increasing calcium and vitamin D intake with supplements can help maintain bone health. Talk to a healthcare provider about whether supplements could be beneficial.
Hormone Therapy
Females also naturally produce testosterone, which promotes bone formation. As levels drop with age and negatively impact bone strength, hormone therapy could be recommended. Declining testosterone levels start with women in their 20s and men in their 30s. The typical drop in women is 1% to 3% yearly before menopause and stabilizes somewhat afterward. Female patients at risk of bone loss may be prescribed testosterone in various forms that continuously emit the hormone. The dosage is low, so patients do not experience unwanted hair growth or skin changes. Combined with estrogen, testosterone effectively increases bone growth in female patients. Not everyone is a candidate for hormone therapy, like individuals with a history of breast cancer, heart disease, blood clots, or liver disease. (National Library of Medicine. Medline Plus, 2019)
Making small adjustments can optimize bone health and overall well-being
At Injury Medical Chiropractic and Functional Medicine Clinic, we passionately focus on treating patients’ injuries and chronic pain syndromes to create personalized care plans that improve ability through flexibility, mobility, and agility programs tailored to the individual. Using an integrated approach, our goal is to relieve pain naturally by restoring health and function to the body through Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine protocols. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them, as Dr. Jimenez has teamed up with the top surgeons, clinical specialists, medical researchers, and premier rehabilitation providers to provide the most effective clinical treatments. We focus on what works for you and strive to better the body through researched methods and total wellness programs.
Chiropractic Care: Movement Medicine
References
Dimet-Wiley, A., Golovko, G., & Watowich, S. J. (2022). One-Year Postfracture Mortality Rate in Older Adults With Hip Fractures Relative to Other Lower Extremity Fractures: Retrospective Cohort Study. JMIR aging, 5(1), e32683. https://doi.org/10.2196/32683
Tran, T. S., Ho-Le, T. P., Bliuc, D., Center, J. R., Blank, R. D., & Nguyen, T. V. (2023). Prevention of Hip Fractures: Trade-off between Minor Benefits to Individuals and Large Benefits to the Community. Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 38(11), 1594–1602. https://doi.org/10.1002/jbmr.4907
Department of Health and Human Services Office of Disease Prevention and Health Promotion. (2020). Osteoporosis Workgroup. Retrieved from https://health.gov/healthypeople/about/workgroups/osteoporosis-workgroup
National Institute of Arthritis and Musculoskeletal Diseases. (2022). Osteoporosis. Retrieved from https://www.niams.nih.gov/health-topics/osteoporosis
National Library of Medicine. MedlinePlus. (2022). What causes bone loss? Retrieved from https://medlineplus.gov/ency/patientinstructions/000506.htm
National Library of Medicine. MedlinePlus. (2019). Hormone replacement therapy. Retrieved from https://medlineplus.gov/hormonereplacementtherapy.html
During a fall individuals tend to automatically outstretch their hands to help break a fall, which can slam onto the ground causing a falling onto an outstretched hand or FOOSH injury. Should individuals get checked by a healthcare provider if they believe there is no injury?
FOOSH Injuries
Falling down usually results in minor injuries. A FOOSH injury occurs when falling down and trying to break the fall by reaching out with the hand/s. This can result in an upper extremity injury like a sprain or a fracture. But sometimes, falling on one’s hands can lead to serious injuries and/or create future musculoskeletal issues. Individuals who have fallen or suffered a FOOSH injury should consult their healthcare provider and then a physical therapist or chiropractor to safely develop a treatment plan to rehabilitate, strengthen, and expedite recovery.
After The Injury
For individuals who have fallen down and landed on their hand, wrist, or arm, here are a few things to ensure the proper care for the injury, including:
Follow the R.I.C.E. protocol for acute injuries
Visit a healthcare provider or local emergency clinic
Contact a physical therapist
A FOOSH injury could be or become serious, so to avoid letting small issues become big problems, get examined by a musculoskeletal specialist. The healthcare provider will obtain an imaging scan of the injured and surrounding areas. They will perform a physical examination to determine the type of injury, like a sprain or muscle strain. Not getting appropriate medical treatment after a fall can result in chronic pain and loss of function. (J. Chiu, S. N. Robinovitch. 1998)
Common Injuries
A FOOSH injury can injure different areas. These usually involve the wrist and hand, but the elbow or shoulder can also be injured. Common injuries include:
Colles’ fracture
A wrist fracture where the end of the arm bone is displaced backward.
Smith’s fracture
A wrist fracture, similar to a Colles’ fracture, is where the end of the arm bone is displaced towards the front of the wrist.
Boxer’s fracture
A fracture of the small bones in the hand.
Typically, it occurs after punching something, but it can happen from falling on an outstretched fist.
Elbow dislocation or fracture
The elbow can pop out of the joint or can break a bone in the elbow.
Collarbone fracture
The force from falling with the hands and arms outstretched can travel up to the collarbone, causing a fracture.
Proximal humeral fracture
Falling onto an outstretched hand injury can cause the arm bone to get jammed into the shoulder, causing a proximal humeral fracture.
Shoulder dislocation
The shoulder can pop out of the joint.
This can cause a rotator cuff tear or labrum injury.
Regardless of the injury, individuals should visit a healthcare provider to evaluate the damage. If the injury is serious, the practitioner can make an accurate or differential diagnosis and develop a treatment plan. (William R. VanWye et al., 2016)
Physical Therapy
Individuals can benefit from physical therapy to help recover and return to their previous level of function. Physical therapy varies depending on the specific injury, but generally, a physical therapist can help individuals return to function after a fall on an outstretched hand. (William R. VanWye et al., 2016) Common treatments can include:
Treatments and modalities to decrease pain, inflammation, and swelling.
Instruction on how to wear an arm sling properly.
Exercises and stretches to improve the range of motion, strength, and functional mobility.
Balance exercises.
Scar tissue management if surgery was necessary.
The therapy team will ensure the proper treatment is utilized to quickly and safely return to normal activities.
Chiropractic Care For Healing After Trauma
References
Chiu, J., & Robinovitch, S. N. (1998). Prediction of upper extremity impact forces during falls on the outstretched hand. Journal of biomechanics, 31(12), 1169–1176. https://doi.org/10.1016/s0021-9290(98)00137-7
VanWye, W. R., Hoover, D. L., & Willgruber, S. (2016). Physical therapist screening and differential diagnosis for traumatic-onset elbow pain: A case report. Physiotherapy theory and practice, 32(7), 556–565. https://doi.org/10.1080/09593985.2016.1219798
A nerve becomes pinched/compressed when added pressure is placed on it by surrounding structures that can include muscles, bones, ligaments, tendons, or a combination. This injures and damages the nerve causing function problems and symptoms and sensations in that area or other parts of the body that are supplied by that nerve. Medical practitioners refer to this as nerve compression or entrapment. Although compressed nerves are more commonly associated with the neck, arms, hands, elbows, and lower back, any nerve in the body can experience irritation, spasms, inflammation, and compression. The causes and treatment of a compressed nerve in the knee.
Compressed Nerve In The Knee
There’s only one nerve that goes through the knee that has an increased risk of getting compressed. It’s a branch of the sciatic nerve called the peroneal nerve. The nerve goes around the outside of the knee before traveling down the outside of the lower leg. At the bottom of the knee, it lies between the bone and skin, making it vulnerable to irritation or compression by anything that can put pressure on the outside of the knee.
Causes
Traumatic injuries over time can lead to pressure on the nerve from inside the knee. Common causes of a compressed nerve in the knee include:
Frequently Crossing Legs
Compression by the opposite knee, while the legs are crossed is the most common cause.
Knee Brace
A too-tight or strong brace can compress the leg and nerve.
Thigh-High Compression Stockings
Designed to maintain pressure on the legs, if too tight these stockings can compress the nerve.
Squatting Posture For Long Periods
This position places pressure on the side of the knee.
Fractures
A fracture of the large lower leg bone/tibia or sometimes the small bone/fibula near the knee can entrap the nerve.
Lower Leg Cast
The portion of the cast around the knee can be tight and compress the nerve.
Tell the doctor if a cast or brace feels tight or is causing numbness or pain in the leg.
Knee-High Boots
The top of a boot can land right below the knee and be too tight pinching the nerve.
Knee Ligament Injury
The nerve can become compressed due to bleeding or inflammation from an injured ligament.
Knee Surgery Complications
This is rare, but the nerve can inadvertently get pinched during knee replacement surgery or an arthroscopic procedure.
Prolonged Bed Rest
When lying down the legs tend to rotate outward and the knees flex.
In this position, the mattress can place pressure on the nerve.
Tumors or Cysts
Tumors or cysts can develop right on top or next to a nerve irritating and compressing the area.
Abdominal or Gynecologic Surgery
The equipment used to keep the legs rotated outward and the knees flexed for gynecologic and abdominal surgeries can compress the nerve.
Symptoms
The peroneal nerve supplies sensation and movement to the outside of the lower leg and the top of the foot. When compressed, it becomes inflamed, which causes the symptoms of a compressed nerve. Usually, only the lining/myelin sheath around the nerve is what gets injured. However, when the nerve gets damaged, the symptoms are similar but more severe. Common symptoms include:
Weakness that limits the ability to lift the foot toward the leg aka dorsiflexion.
This causes dragging the foot when walking.
The ability to turn the foot outward and extend the big toe is also affected.
Symptoms can be felt on the outside of the lower leg and on the top of the foot and include:
Tingling or pins and needles sensations.
Numbness.
Loss of sensation.
Pain.
Burning.
For individuals that have had a pinched nerve for two or more weeks, the muscles supplied by the nerve can begin to waste away or atrophy.
Symptoms can be intermittent or continuous depending on the cause.
The other common cause is a pinched nerve in the lumbar/lower spine.
When this is the cause, sensations, and pain will present in the lower back or the back and outside of the thigh.
Diagnosis
A doctor will look at medical history and perform an examination to make a diagnosis, determine the cause, and lay out a personalized treatment plan. The nerve in the knee can be felt as it travels around the top of the tibia, so a doctor may tap on it. If there is shooting pain down the leg, a pinched nerve may be present. Tests a doctor may order can include:
Knee X-ray
Shows any bone fractures or abnormal masses.
Knee MRI
Can confirm the diagnosis
Shows masses within the nerve.
Shows details of fractures or other problems in the bones.
Electromyogram – EMG
Tests electrical activity in the muscles.
Nerve Conduction Test
Tests the signal speed of the nerve.
Treatment
Treatment is aimed at reducing pain and improving mobility.
Over-the-Counter Pain Medication
OTC medication can reduce inflammation and improve symptoms short term.
Ice and Heat
Applying either heat or ice for 15 to 20 minutes at a time can provide relief from the symptoms.
An ice pack can make symptoms worse if it adds more pressure on the nerve.
Chiropractic and Physical Therapy
Chiropractic and physical therapy can release the compressed nerve, realign the structures, strengthen the muscles, and provide gait training.
Orthotic Boot
If walking gait is affected because the foot cannot bend, an orthotic boot can help.
This is a support that maintains the foot in a neutral position to walk normally.
Corticosteroid Injection
A corticosteroid injection can reduce inflammation and relieve pressure on the nerve.
Surgery
The nerve can suffer permanent damage if it has been pinched for a long time.
If that happens, surgery cannot repair the damage.
A doctor can perform surgery to correct a fracture, tumor, or other invasive problem causing a compressed nerve.
If conservative treatment doesn’t work, a peroneal nerve decompression procedure can be done to remove the pressure.
If surgery is needed, symptoms can disappear immediately, but it takes around four months to recover and rehabilitate.
Injury Rehabilitation
References
Krych, Aaron J et al. “Is peroneal nerve injury associated with worse function after knee dislocation?.” Clinical orthopedics and related research vol. 472,9 (2014): 2630-6. doi:10.1007/s11999-014-3542-9
Lezak B, Massel DH, Varacallo M. Peroneal Nerve Injury. [Updated 2022 Nov 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549859/
Soltani Mohammadi, Sussan, et al. “Comparing the squatting position and traditional sitting position for ease of spinal needle placement: a randomized clinical trial.” Anesthesiology and pain medicine vol. 4,2 e13969. 5 Apr. 2014, doi:10.5812/aapm.13969
Stanitski, C L. “Rehabilitation following knee injury.” Clinics in sports medicine vol. 4,3 (1985): 495-511.
Xu, Lin, et al. Zhongguo gu Shang = China Journal of Orthopedics and Traumatology vol. 33,11 (2020): 1071-5. doi:10.12200/j.issn.1003-0034.2020.11.017
Yacub, Jennifer N et al. “Nerve injury in patients after hip and knee arthroplasties and knee arthroscopy.” American Journal of physical medicine & Rehabilitation vol. 88,8 (2009): 635-41; quiz 642-4, 691. doi:10.1097/PHM.0b013e3181ae0c9d
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Causes
