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Back Pain: Inflammatory or Mechanical and Chiropractic Care

Back Pain: Inflammatory or Mechanical and Chiropractic Care

It is estimated that every adult will experience some form of back pain at least once in their lives. There’s a difference between mechanical and inflammatory back pain. With inflammatory back pain, movement tends to help it, while resting worsens the pain. For some individuals, relief from inflammatory back pain is something they could have to manage for some time. Fortunately, there are effective management and relief options available.

Back Pain: Inflammatory or Mechanical and Chiropractic Care

Inflammatory vs. Mechanical Pain

Chronic back pain has two major causes. These are Mechanical and Inflammatory. They have slightly different characteristics when presenting. Chiropractors know what to look for to tell the difference between the two. Then a decision can be made on how to proceed with treatment or management.

Inflammatory

Pain caused by inflammation can be described as:

  • Not having a known definite cause.
  • Characterized by stiffness, especially after waking up.
  • Pain reduces with movement, activity, stretching, exercise.
  • Is worst during the early hours of the morning.
  • Is often accompanied by pain in the buttocks/sciatica symptoms.

Mechanical

Mechanical pain can be described as:

  • Pain that becomes worse with activity, stretching, or exercise.
  • Pain reduces with rest.
  • There is no stiffness after sleeping.
  • This pain is not constant but can become intense/severe for short periods.
  • Pain in the buttocks/sciatica symptoms do not present.

Inflammatory and Non-Inflammatory

Non-inflammatory is the same as mechanical pain. Mechanical/non-inflammatory back pain has causation related to the mechanics of the back and can result from injury or trauma. The cause of non-inflammatory pain does not necessarily present right away. For example, poor posture that leads to back pain is a mechanical/non-inflammatory cause. However, non-inflammatory back pain can be accompanied by inflammation as a natural reaction to injury. But this inflammation is not the cause of the pain. Non-inflammatory back pain can be treated effectively with conservative treatments. This includes:

  • Chiropractic adjusting
  • Physical therapy
  • Spinal decompression

Contributing Autoimmune Diseases

When inflammation is the cause of pain, it is considered inflammatory pain. Autoimmune disease/s can cause the body to attack different areas of the body mistakenly. Chronic pain can be caused by autoimmune diseases that include:

  • Rheumatoid Arthritis

Arthritis causes the immune system to attack the joints throughout the body.

  • Ankylosing Spondylitis

This is a rare type of arthritis that affects the spine. It is found more in men and usually begins in early adulthood.

  • Multiple Sclerosis

This is a disease where the immune system attacks nerve fibers and can lead to back pain.

  • Psoriatic Arthritis

This type of arthritis is characterized by patches of psoriasis along with joint pain and inflammation.

Inflammatory Pain Treatment

Individuals that think they might have inflammatory back pain should consult a doctor, spine specialist, and/or chiropractor. A general practitioner can misdiagnose inflammatory back pain as mechanical back pain. Many find relief from taking non-steroidal anti-inflammatory drugs or NSAIDs and following an exercise/physical activity regimen. However, sometimes this is not enough. This is where chiropractic treatment and physical therapy comes in.

Chiropractic and Physical Therapy

These medical professions complement each other well and can be beneficial as a part of an overall treatment plan. A chiropractor, with the help of a physical therapist, can bring significant relief. Management techniques involve:

  • Chiropractic adjustments
  • Flexion-distraction
  • Posture correction
  • Personalized exercises

Inflammation Night Pain

Inflammatory back pain tends to worsen at night. What happens is the inflammatory markers settle down when the body is not moving. A few simple practices can help you get better sleep.

  • Stretch Before Bed and When Waking

Performing stretches before going to bed and after waking up helps keep the body limber.

  • Inspect Pillows and Mattress

Sleeping with the spine out of alignment could exacerbate the problem. Using a too-soft mattress or a too-large pillow could be contributing to the pain. Sleeping on the side is recommended to use a pillow between the legs to keep the low back straight.

Exercises

Some exercises should be discussed with your doctor. Individuals have found that exercise and stretching are essential for relief.

Cardio

These exercises increase heart rate, boost mood, and release natural pain killers. Low-impact cardio exercises:

  • Swimming
  • Walking
  • Cycling

Strength-Building

Strengthening the core muscles will help maintain posture and spine support. Some of these include yoga poses:


Body Composition


Mediterranean Lifestyle

Sustainable and easy to follow three basic elements: following the diet, physical activity, and high levels of socializing. For individuals that want to change their diet and lifestyle to the Mediterranean, try the following:

  • Add more vegetables to meals. This can be salads, stews, and pizzas. Kidney beans, lentils, and peas are common Mediterranean staples.
  • Switch to whole grains as well as products made from whole grain flour. The high fiber content can improve heart health and can help lower blood pressure. Minimize refined carbohydrates like white bread and breakfast cereals.
  • Balance rich desserts with fresh fruits like oranges and bananas that can include antioxidant fruits like blueberries and pomegranates.
  • Treat meat as a side dish instead of the main course. Adding strips of chicken or beef into a vegetable saute/soup.
  • Balance meat dishes with fish and seafood. This includes sardines, salmon, clams, and oysters.
  • Go vegetarian for one day a week.
  • Cut out processed meats with high levels of preservatives.
  • Add healthy fats like avocados, sunflower seeds, nuts, and peanuts to meals.
  • Add dairy like cheese and Greek or plain yogurt.
  • Increase physical activity into a routine.
  • Talk to friends and family.
References

Cornelson, Stacey M et al. “Chiropractic Care in the Management of Inactive Ankylosing Spondylitis: A Case Series.” Journal of chiropractic medicine vol. 16,4 (2017): 300-307. doi:10.1016/j.jcm.2017.10.002

Dahlhamer, James et al. “Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults – the United States, 2016.” MMWR. Morbidity and mortality weekly report vol. 67,36 1001-1006. 14 Sep. 2018, doi:10.15585/mmwr.mm6736a2

Riksman, Janine S et al. “Delineating inflammatory and mechanical sub-types of low back pain: a pilot survey of fifty low back pain patients in a chiropractic setting.” Chiropractic & manual therapies vol. 19,1 5. 7 Feb. 2011, doi:10.1186/2045-709X-19-5

Santilli, Valter et al. “Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized, double-blind clinical trial of active and simulated spinal manipulations.” The spine journal: official journal of the North American Spine Society vol. 6,2 (2006): 131-7. doi:10.1016/j.spinee.2005.08.001

Teodorczyk-Injeyan, Julita A et al. “Nonspecific Low Back Pain: Inflammatory Profiles of Patients With Acute and Chronic Pain.” The Clinical journal of pain vol. 35,10 (2019): 818-825. doi:10.1097/AJP.0000000000000745

Getting Better Sleep with Inflammatory Spinal Arthritis

Getting Better Sleep with Inflammatory Spinal Arthritis

Inflammatory spinal arthritis can cause significant joint pain and severely damage sleep quality. Any of the following conditions can cause individuals to experience sleep problems:
  • Spondylosis (osteoarthritis)
  • Rheumatoid arthritis
  • Ankylosing spondylosis
  • Juvenile idiopathic arthritis
Dr. Jimenez from Injury Medical Chiropractic and Functional Medicine Clinic gives insight into how inflammatory spinal arthritis can disrupt healthy sleep, along with some tips to help individuals with joint pain restore healthy sleep.  
11860 Vista Del Sol, Ste. 128 Getting Better Sleep with Inflammatory Spinal Arthritis
 

Inflammatory Spinal Arthritis and Sleep

First, it is not just the joint pain of arthritis that is causing sleep problems. Research is discovering that more factors could be at play. A study in the journal SLEEP examined how individuals with chronic pain, including osteoarthritis slept. What was revealed was a strong connection between chronic pain and insomnia. Insomnia can lead to added joint pain because poor sleep can trigger inflammatory pathways that worsen arthritis pain. Plus a poor night of sleep can heighten an individual’s perception of pain the next day. Arthritis pain does not just impact the sleep of adults, but young individuals with juvenile idiopathic arthritis can also struggle with getting healthy sleep. Sleep, pain levels, and mood are strongly related.  
 

Sleep Tips

Achieving quality sleep and a well-rested body can be done. Things to consider to help secure a healthy sleep.  

Medication interference/side effects

Corticosteroids could be part of the sleep problem, as corticosteroid treatment has been linked to insomnia. If struggling to fall asleep, talk with a doctor about altering any prescribed medication regimen before sleep like taking aspirin or a nonsteroidal anti-inflammatory NSAID medication in its place.  

Adjust sleep position to joint pain

If the neck is sore/aching rest the head on a flat pillow so the cervical spine is in a neutral position. For low back joint pain, individuals might find relief by sleeping on their back or side with the knees and hips flexed at a 90-degree angle. For hip joint stiffness, sleeping on the side with a pillow between the legs is recommended.  
 

A firm mattress and support pillow

A firm mattress will support the body and help reduce pain. The right pillow/s are also important for healthy sleep. A lumbar and cervical pillow can help cushion tender areas.  

Readjust chores

Joint pain first thing in the morning needs time to adjust. For morning physical chores try to reschedule for later on in the day or if possible the night before. This could be fixing lunches, picking out clothes, preparing breakfast, or packing the work case, tools, etc. The extra time will reduce morning stress and allow the body to gently adjust.  
11860 Vista Del Sol, Ste. 128 Getting Better Sleep with Inflammatory Spinal Arthritis
 

Wake up and stretch

With joint pain in the morning, some gentle stretching can help. Doing some stretches before even getting out of bed will help minimize pain and allow the body to gradually prepare for movement. Follow the stretch session up with a hot shower to loosen stiff joints.  
 

Increase Sleep Quality

Sleep problems can affect anyone even those that don’t have inflammatory spinal arthritis/joint pain. There could be other issues causing sleep problems unrelated to joint pain. If still not getting quality sleep, talk to a rheumatologist about available options.

Body Composition

 

Osteoarthritis and Exercise

Obesity is a significant risk factor in the development of osteoarthritis. This is not only from the effects of extra weight on the body’s joints but also as a result of the pro-inflammatory effects of adipose tissue. The hips and knees are the weight-bearing joints. Excessive adipose tissue on the midsection and legs have been shown to negatively impact these weight-bearing joints. Promoting Lean Body Mass and encouraging weight loss can potentially lower the risk of osteoarthritis and improve the quality of life. Gentle exercise is regarded as safe for individuals with osteoarthritis and is a key component to improve body composition, reduce body fat mass, improve lean body mass and maintain a healthy weight. Improving body composition and utilizing exercise in weight management can have a direct and positive effect on joint health.  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
Myers W. 9 Ways to Rise and Shine With Osteoarthritis. Everyday Health.�http://www.everydayhealth.com/osteoarthritis/ways-to-rise-and-shine-with-osteoarthritis.aspx. Last updated September 25, 2014. Accessed April 18, 2017. Watson S. Why Osteoarthritis Could Disrupt Your Sleep�and Your Partner�s. Arthritis Foundation. www.arthritis.org/living-with-arthritis/comorbidities/sleep-insomnia/osteoarthritis-and-sleep.php. Accessed April 18, 2017.
How Chiropractic Care Helps With Crohn’s Disease | El Paso, TX

How Chiropractic Care Helps With Crohn’s Disease | El Paso, TX

If you or someone you love is suffering from Crohn�s disease, you know how unpleasant it can be. A chronic inflammatory bowel disease, Crohn�s can make it difficult to lead a normal life. Even when you are able to work, play and relax the way you want, the disease can still cause painful, uncomfortable symptoms that you certainly can do without.

Fortunately, chiropractic care has been helpful for a number of patients with Crohn�s disease. You may be able to get some much-needed relief for your symptoms through regular chiropractic visits.

The Symptoms of Crohn�s Disease?

In most cases, Crohn�s disease causes parts of the small bowel and colon to become inflamed. The inflammation can result in several symptoms that are nothing you want to experience if you do not have to, including regular diarrhea, malnutrition, weight loss, abdominal pain, and fatigue.

Crohn�s Disease Is Usually Treated How?

It is an unfortunate reality that Crohn�s disease has no current cure. Standard treatments include using prescription medications and sometimes surgery to eliminate symptoms. Of course, these treatments may result in unwanted side effects which can sometimes be equal to or worse than the original symptoms. That is why chiropractors prefer to use treatments that are less invasive, like adjustments and complementary therapies.

Can Chiropractic Help with Crohn�s Disease?

There have been a variety of small studies conducted to determine the effects of chiropractic on Crohn�s disease. The results of these studies have been promising. Many have shown that chiropractic adjustments have helped those with Crohn�s to feel better than they did before the adjustments. They experienced a reduction in their symptoms, with some experiencing a significant reduction.

11860 Vista Del Sol Ste. 128 How Chiropractic Care Helps With Crohn's Disease | El Paso, TX

A young man suffering from severe belly pain, being overwhelmed by the debilitating condition of celiac disease/Crohn’s disease/strong anxiety

Why Choose Chiropractic?

The best thing about using chiropractic to treat Crohn�s symptoms is that it is so gentle and free of side effects. You can try chiropractic at very little risk to yourself or the danger of experiencing an increase in your symptoms. When you consider how likely side effects are from prescription medications�you only have to watch a commercial for pharmaceuticals to see the long list of possible side effects�and the risks of surgery, it is easy to see why so many Crohn�s sufferers look to chiropractic for relief.

What is a Chiropractic Visit like when You Have Crohn�s Disease?

Chiropractors are experienced in treating a wide variety of diseases and conditions. They also know how important it is to make you feel comfortable with your experience�from start to finish.

The first thing the chiropractor will do is conduct a thorough physical examination. He or she will also ask you a number of questions to find out exactly how you feel, and what your thoughts are on your condition.

After the examination the chiropractor will design a treatment plan that may include a variety of treatments:

  • Chiropractic adjustments. Adjustments focus on helping your spine and body achieve optimal alignment. The chiropractor will only apply enough pressure to achieve the desired result.
  • Massage therapy. Massage is an excellent complementary therapy that goes hand in hand with chiropractic care. By relaxing your muscles and releasing adhesions, massage can help your adjustments stay in place and lead to improved movement and less pain.
  • Spinal decompression. Using a specially designed machine, your chiropractor can increase the space between your vertebrae�space that leads to increased blood flow lowers pain levels and often results in faster healing.

If you would like more information about what chiropractic can do for your Crohn�s, please contact us. We are standing by to answer your questions and help you schedule an appointment.


 

Reduce *LOW BACK PAIN* with Foot Orthotics | El Paso, Tx

 

 

Approximately 80 percent of the population will experience some type of back pain sometime throughout their lifetime. Low back pain and sciatica are several of the most common complaints frequently reported in a doctor office setting. But, did you know that low back pain and sciatica can be caused due to foot problems?

Custom-made functional foot orthotics can help support and promote the natural alignment of the spine. Poor posture associated with foot problems and other health issues can be corrected through the utilization of custom-made functional foot orthotics. Because every individual has unique foot anatomy, custom-made foot orthotics can be beneficial for a variety of people with foot problems and other health issues. Dr. Alex Jimenez is the non-surgical choice for foot problems.


 

Foot Orthotics

Experiencing foot pain, there�s no doubt you checked out your foot to make sure it�s not�injured�or hurting from�improper fitting shoes, corns, plantar fasciitis, etc. This may seem counterintuitive, but you may want to check the condition of the�lumbar spine (lower back)?� Most foot problems are caused by issues with the foot itself, but you might be surprised to find that pressure on the sciatic nerve can cause intense foot pain.

Before taking an opioid for pain control, give Chiropractic care and orthotics a try. The combination of Chiropractic and orthotics have been proven in clinical studies.

 

Foot-Levelers-Shoe-Infographic-Multiple-Pair

 


 

Pain & Opioid Prescription Usage

Researchers estimate that as many as 36 million people worldwide abuse opioids. Estimates in the U.S. alone reached�2.1 million people�in 2012. In 2014, six out of ten�drug overdose deaths involved an opioid � including prescription opioids for pain relief. Every day, 78 Americans die from an opioid overdose. As the Opioid drug problem continues to spiral further out of control, claiming more lives, people are looking for safer, drug-free ways to relieve their pain. Chiropractic offers such an option.

 

11860 Vista Del Sol Ste. 128 How Chiropractic Care Helps With Crohn's Disease | El Paso, TX


11860 Vista Del Sol Ste. 128 How Chiropractic Care Helps With Crohn's Disease | El Paso, TX


 

Gait Style & Chronic Postural Pain

 

The way a person walks, their gait, can be very telling. It can reveal problems in the feet, ankles, knees, and hips � even in�spinal alignment. A problem with gait can indicate pain in a patient as well as serious conditions like diabetes and arthritis. It, is a diagnostic tool for many conditions, injuries, and syndromes including autism.

When it comes to chiropractic care, a patient�s gait can offer critical clues regarding the root of their complaints, allowing for a more well-rounded, whole-body approach to treatment. If you think that the way you walk or moves doesn�t matter, think again. It most certainly does matter.

 

The_Relationship_of_Gait_Style_to_Chronic_Postural_Pain

 


 

�NCBI Resources

 

Most people don�t think of chiropractic to treat conditions that do not involve the spine, but study after study shows it is effective in treating a wide variety of health issues.�Ulcerative colitis seems to have no real connection with the spine, yet patients and researches alike are touting the effectiveness of chiropractic care to treat the condition. This is due, in part to chiropractic�s approach to whole-body wellness, but�spinal alignments�are incorporated into the care as well. Bottom line, chiropractic care is extremely effective in treating uncreative colitis, and many patients are finding relief from their symptoms and discomfort.