Bursitis types: This is a condition that affects the bursae, which are the small, fluid-filled sacs that provide cushion for the:
Bones near joints
The bursae make it easier for tissues to slide over each other. The body has around one hundred and sixty bursae. However, only a few become clinically affected. These include the:
The base of the big toe and heel
The condition typically presents near joints constantly being used repetitively, like a job, sports, house/yard chores, etc. What happens is one or more of the bursae sacs become inflamed, resulting in pain.
Inflamed or irritated bursae typically cause it from overuse or intense/vigorous activity.
It can also be caused by bacterial infection.
Arthritis and gout can also cause bursitis.
Another cause is age.
As tendons age, they can tear easily, lose their elasticity, and can’t take too much stress.
Intense physical activities can lead to bursitis. These include:
Working with a computer mouse
These types of activities can lead to incorrect posture, overuse, and injury/damage.
The main symptom is pain in and around the affected area that worsens with movement. Depending on the severity of the strain and the length of time it has been going on, the pain can be intense with active and passive movements. Other symptoms include:
For some individuals, it can present as acute, with the intensity increasing.
This happens when movement aggravates the condition.
Four major types include:
Prepatellar is an inflammation of the sac situated between the skin and the patella/kneecap. The most common causes are trauma from a fall and direct pressure/friction from repetitive kneeling. This is one of the bursitis types that can get infected. Overproduction of liquid places pressure on the other areas of the knee, causing swelling. Most individuals report swelling and knee pain just over the front of the knee.
This bursitis type goes over the lateral area of the hip. There is a distinctive tenderness and aching pain. This type is more common for individuals with arthritis conditions and fibromyalgia. This condition is also seen after surgery, mainly osteotomies. The bursa can become inflamed in case of injury or overuse. It tends to affect middle-aged or older folks. Common causes include:
Tight hip or leg muscles
Disc disease of the low back
Improper walking technique from a minor injury or strain
Overuse of the gluteal muscles
Olecranon is a common bursitis type. It is diagnosed by the appearance of swelling over the elbow. The swelling happens just behind the olecranon process of the ulna. The bursa can become infected. This bursitis does cause blood to rupture out, and fluid could be present. Individuals are advised to avoid leaning or resting on the elbows.
This is characterized by pain in the Achilles tendon. Chronic inflammation of the bursa is brought on by friction, supination, and overpronation. The flexibility of the calf muscles can be significantly reduced. Severe pain and swelling of the posterior soft tissue in front of the Achilles tendon are common symptoms. This bursitis type is often accompanied by mid-portion insertional tendinosis.
Risk Of Getting Bursitis
Anybody at any age can develop bursitis, but older individuals, specifically those in their forties and beyond, are more susceptible. This comes from all the wear and tear of the muscles and bones.
Overpronation of the foot
Leg length deviation
Tight hamstring muscles
Incorrect physical training
Not stretching properly
When Inflammation Becomes Permanent
When white blood cells cause inflammation, it’s signaling that the body’s immune system works properly. The process works like this:
White blood cells attack the foreign invader
The invader is neutralized
The inflammation deactivates
This is how the body’s defense system naturally works. But, white blood cells are not the only type of cell that emit cytokines. Adipocytes or fat cells are another type of cell that can emit cytokines and cause inflammation. Scientists have learned that fat is an active endocrine organ that secretes various proteins and chemicals, including inflammatory cytokines. The body stores excess calories as fat to be used later for energy. When the body keeps adding more adipose tissue, cytokines are released by the fat cells, triggering inflammation. Obesity is characterized as a state of low-grade, chronic inflammation. Increased fat cells place the body in a constant state of stress activating immune responses. This means the body is in a constant state of inflammation with the immune system switch permanently on.
Aaron, Daniel L et al. “Four common types of bursitis: diagnosis and management.” The Journal of the American Academy of Orthopaedic Surgeons vol. 19,6 (2011): 359-67. doi:10.5435/00124635-201106000-00006
Coelho, Marisa et al. “Biochemistry of adipose tissue: an endocrine organ.” Archives of medical science: AMS vol. 9,2 (2013): 191-200. doi:10.5114/aoms.2013.33181
Khodaee, Morteza. “Common Superficial Bursitis.” American family physician vol. 95,4 (2017): 224-231.
Pregnancy is an exciting time in a woman’s life. A healthy pregnancy is the objective, and therefore, essential to maintain a healthy diet and stay physically active. However, it can be easy to forget about the strain that pregnancy places on the body and push through the aches and pain with everything going on. Specifically the spine and pelvis. During pregnancy, the body goes through various changes to accommodate the growing baby. When pregnant, a hormone known as relaxin is released. This relaxes the joints for labor and delivery. Sometimes the ligaments can become too loose that they become structurally unstable. This causes pain. Other factors that can lead to spine misalignment and pain:
25 – 30 lbs of added weight and pressure on the spine, pelvis, legs, feet.
Weakened abdominal muscles.
Lower back curvature becomes more prominent.
Pregnant women going through discomfort/pain can benefit from chiropractic pregnancy adjustments. These maintain spinal alignment while keeping the baby safe. Chiropractors are trained to treat pregnant women; however, there is additional certification to specialize in this area. A prenatal chiropractor also provides information on:
Preparing the body for labor and birth
Maintaining healthy posture
Ensure the body is properly aligned throughout the pregnancy.
Chiropractic Benefits For A Healthy Pregnancy
The obvious benefits include back pain relief, quality of life improvement, and reducing the need for pain medications. Other benefits include:
Alleviates sciatic nerve pain
Helps to control urinary incontinence
Reduces pregnancy-related nausea
Aligns the pelvis for optimal delivery
Reduces labor and delivery time
There is little risk associated with prenatal chiropractic care. However, it is not recommended for pregnant women with health complications like vaginal bleeding or ectopic pregnancy.
If the baby does not have enough room or is going into a breeched position, a chiropractor will work on the ligaments and muscles in the pelvic region to decrease any intrauterine restrictions. Getting the pelvis aligned will allow for an optimal delivery position. This will help move the head down and give the baby more space. If there is a breech position, it is recommended to see a chiropractor once a week during the eighth and ninth months.
When to Start
After receiving approval from the obstetrician, a woman can see a chiropractor at any stage during pregnancy. Many women start chiropractic in the first trimester. This develops a relationship early and benefits the woman as her body changes throughout the pregnancy.
Most patients visit a chiropractor once a month during the first trimester. Then they increase the sessions as the pregnancy progresses. Every woman’s pregnancy is different, requiring a personalized/customized treatment plan. The chiropractor will best advise on the frequency of treatment.
A chiropractor’s job is to manipulate the woman’s spine, joints, and muscles into alignment.
The adjustments utilize gentle pressure. The techniques are adjusted accordingly. Depending on how far along the woman is, as well as musculoskeletal health. For example, they could emphasize focus on the pelvis to reduce stress on the uterus and ligaments for a few sessions. Then shift back to the spine. They will not exert excessive pressure on the abdomen and possibly incorporate specialized equipment specifically for pregnant women.
Symptoms of sciatica are common during pregnancy, typically in the later months. This comes from the added pressure on the sciatic nerve. It can be sharp, burning pain from the hip to the foot. This makes walking, sitting, and sleeping uncomfortable to unbearable. Some women are fortunate enough to experience relief if the baby moves off the sciatic nerve. However, most will need some form of treatment to manage and heal the symptoms. This usually includes:
Series of adjustments
Hot and cold therapies
Chiropractic can continue to help after giving birth, providing post-natal care helping the body return to its pre-pregnancy state healthily and optimally.
Diet, Nutrition During Pregnancy
From a nutritional perspective, a high GI diet during pregnancy increases the chances of excessive weight gain and overweight babies. Intake of low-glycemic carbs is associated with weight gain in the normal range. If planning to get pregnant or are pregnant, pay attention to the quality of carb intake for a healthy pregnancy. Health care providers recommend avoiding extreme diets for the first four to six weeks after delivery. This gives the body time to recover and helps to establish a consistent milk supply, as rapid weight loss could interfere with breastfeeding. Before going on a diet or starting an exercise program, check with a healthcare provider to rule out any medical conditions.
30 of the Most Surprising (And Alarming) Back Pain Statistics. The Good Body. https://www.thegoodbody.com/back-pain-statistics/. Last updated May 30, 2017. Accessed September 22, 2017.
Bernard, Maria, and Peter Tuchin. “Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study.” Journal of chiropractic medicine vol. 15,2 (2016): 129-33. doi:10.1016/j.jcm.2016.04.003
Gostine M. Is Lower Back Pain Normal During Pregnancy? BabyQ. https://www.babyq.com/lens/lifestyle/is-lower-back-pain-normal-during-pregnancy/. Published February 4, 2017. Accessed September 22, 2017.
Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev Musculoskelet Med. 2008; 1(2): 137–141. Published online February 26, 2008. doi: 10.1007/s12178-008-9021-8.
Individuals experiencing radiculopathy in and around the neck notice it immediately often driving them to the medicine cabinet. This condition presents with:
However, medication will only help relieve the pain temporarily but it won’t alleviate what is causing the radiculopathy. This is because pain medication/s can exacerbate the condition by blocking the pain signals with the root nerve issue never being resolved. Chiropractic is a complete solution that specifically mobilizes the cervical joints where nerve impingement is happening. The objective is to help individuals understand the underlying cause of the acute pain induced by radiculopathy and provide long-term pain relief through cervical joint mobilization.
To determine what cervical nerve bundles are being affected by a subluxation or vertebral compression a chiropractor needs to isolate the pain. This is accomplished through a description of symptoms, radiological imaging to provide visual confirmation, and an examination of the affected area. Isolating the pain allows the chiropractor to determine the extent of misalignment and how much the nerve is being compressed. This will help in the development of a customized treatment plan. A chiropractor will be able to see and feel the degree of pressure being placed on the nerve or bundle of nerves.
Mobilizing The Cervical Joints
Chiropractors approach this directly based on the individual and the severity of the case. The most common joint mobilizations include:
Low-impact adjusting will shift the misaligned vertebrae back into place
Isometric exercises will recondition the neck, shoulders, and upper back
Range of motion exercises will prevent any subtle compression/s
Corrective restoration of the cervical spine’s curve
The spine returns to normal during cervical joint mobilization and alleviates radiculopathy immediately and long term.
Proper chiropractic care will correct the affected nerve bundle, and stabilize the cervical spine to prevent/resist:
Other shifts that can occur
Chiropractic Mobilization Long Term Relief
A pinched nerve should not be treated with over-the-counter medications for long-term health. Corrective chiropractic mobilization is a recommended course of action for alleviating this and other musculoskeletal conditions. Chiropractic understands the nature and severity of radiculopathy as well as developing the proper customized treatment plan that will bring optimal results.
DASH Diet Example
3/4 cup bran flakes cereal with 1 banana and 1 cup low-fat milk
1 slice whole-wheat bread with 1 tsp. unsalted butter
1 cup coffee
Sandwich 2 slices of whole-wheat bread
3 oz. grilled thin chicken breast
2 slices low-fat cheese
1 tbsp. mustard
1/2 cup chopped/diced cucumbers
1/2 cup chopped/diced tomatoes
1 tablespoon sunflower seeds
1 teaspoon low-calorie non-cream dressing
1/2 cup fruit cocktail with no sugar
1/3 cup unsalted almonds
3 oz. lean beef with 2 tbsp. fat-free, low sodium gravy
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to 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 provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of 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.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
Licensed in Texas & New Mexico
Bone broth is a soothing, low in calories, flavorful comfort food that is packed with nutrients and highly beneficial for the spine. Bone broth is made from slowly simmering meat or poultry and is an old-fashioned home remedy for a variety of ailments. These include:
Improves joint movement
Helps wounds heal faster
Improves immune system function
Nutrients are connected with healthy bones and joints. These include:
All of these are concentrated in animal bones. The bones are cracked and cooked in a stockpot of water on a slow simmer. The breakdown releases vitamins, fatty acids, manganese, zinc, iron, and selenium. The broth helps supply the bones with these nutrients.
Bone broth is also effective when keeping track of weight because it is nourishing and hearty but low in calories. One cup of broth eaten or drank a half-hour before a meal can keep appetite in check. When hunger stays in check it is easier to maintain a healthy diet, portion sizes, and not overeat.
Bone Broth Recipe
Simmering bones in water with added vegetables, spices, vinegar, and herbs over low heat for a few hours is bone broth. A recipe for bone broth typically includes a tablespoon or two of vinegar or lemon juice. This helps soften the bones to break them down and release more nutrients. This will make around 2 quarts or 8 cups of bone broth. In a stockpot combine:
2 to 3 pounds of leftover cooked beef, chicken bones
1 chopped onion
1 chopped carrot
1 chopped rib of celery
1 tablespoon balsamic or red wine vinegar
1 bay leaf
Enough water to cover the ingredients
Add 1 cup of chopped fresh or canned tomatoes for extra flavor
Bring to a boil over high heat
Reduce heat to a low simmer, partially covered, 4 to 6 hours
During the first half-hour of simmering, skim off the foam that collects at the top.
Strain cooled broth into a bowl or jar
Refrigerate the broth up to 5 days or freeze up to a couple of months
Don’t Overdo It
When it comes to nutrients in food, it is possible to get too much. An example is of an individual in training that drank one to two quarts of bone broth three days a week for six months. They began to suffer from chronic vomiting. The doctor diagnosed there was too much vitamin D from the fatty marrow in the bones used to make the broth. Vitamin D helps the body absorb calcium. Too much calcium in the blood was causing the vomiting.
Another potential issue with drinking too much bone broth is lead contamination. Many foods contain small amounts of lead. In animals, any environmental lead that gets into the body gets stored in bone tissue. A healthy, well-nourished individual can handle small amounts of lead. When it comes to bone broth, lead is only a concern if taking abnormal quantities. The broth can also be used as a base for soups and stews keeping the body healthy along with the emotional benefits of a nutrient-rich broth. The body will feel the difference.
Chiropractic Care Knee Injury
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*
Chiropractic believes that optimal health comes from having a healthy nervous system, particularly a healthy spinal column.
Time, work, school, and everyday living means movement. And like anything that moves over and over again, at some point it’s going to get stuck or slip out of place. When the spine’s vertebrae become misaligned, pressure begins to press on the nerves that come out of the spinal cord. This is called a chiropractic subluxation and requires chiropractic realignment.
Chiropractors use a variety of techniques to mobilize the spinal discs so they can move freely along with returning them back�into place and in their proper positions.
These techniques are called spinal manipulations/adjustments.
During an adjustment, the vertebra is released or set free from the misaligned position and put back into the proper position in the spine’s column.
Adjustments allow the body to heal and maintain homeostasis.
Chiropractors are trained in a variety of adjustment techniques
Some are done by hand
Some use of specialized instruments
Ultrasound in physical therapy, treatment of shoulder muscles
Every patient is different, therefore a chiropractor will go through various treatment options with the patient, to choose the best technique and treatment plan for the patient’s condition.� Ask the chiropractor which technique they will be doing and how it works.
Chiropractors use�the following:
Using crossed hands a chiropractor presses down firmly on the areas that need adjusting and realignment. With a precise and quick thrust, the chiropractor adjusts the spine. This improves mobility in the vertebral joints.
This technique determines if the vertebrae are�freely�moving and with normal motion.
The patient is on their side when the chiropractor performs a quick and precise thrust to the misaligned vertebra, that returns them to their proper position.
Treating Female Patient�s Spine
Gentle pressure is applied with the fingertips which separate the vertebrae and opens them up.
Physiotherapist during an Achilles tendon treatment but the same technique applies to the spine
Here a specialized table is used that drops incrementally with the adjustment. The chiropractor applies a quick thrust at the same time the table drops. This allows for lighter adjustments without twisting and turning that go with manual adjustments.
This is considered the gentlest method of�spinal adjustment.
The patient lies on the table and the chiropractor uses an activator instrument to perform the adjustment/realignment/s.
TENS, Transcutaneous Electrical Nerve Stimulation in Physical Therapy. Therapist Positioning Electrodes onto Patient’s Lower Back
A chiropractic adjustment can be a great way to improve multiple areas of the body, along with improving overall health with non-invasive treatment. Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers and premiere rehabilitation�providers to bring El Paso the top clinical treatments to our community.��Providing high non-invasive protocols is our priority.
Severe *Sciatica”* Pain Relief | El Paso, Tx (2020)
The nervous system, which consists of the�(spine/nerves/brain)�is the central headquarters of the body.�Subluxation removal helps the body function at its optimum level. Chiropractic adjustments�reduce pressure on the nerves and ease the flow of communication and signals going back and forth.
Cyrex Laboratories is an advanced clinical laboratory that specializes in the functional approach in environmentally induced autoimmunity.� Cyrex works with the leading experts in medical research and provides arrays that address the cross-connections throughout the body systems. In addition to this, Cyrex�strives to deliver the best quality for the patients by always improving and using the most accurate and advanced technology.
Cyrex has multiple arrays they use to test patients depending on their symptoms. These arrays range from Alzheimer�s to Joint auto-immune reactivity screenings. Often times, patients who have issues with their joints or headaches and pain, can be traced back to an underlying issue. When a patient comes to a doctor, the practitioner will evaluate and assess the patient based on the symptoms they bring.� From here, the practitioner can go to Cyrex and order the arrays that best suit their patient�s needs. The Cyrex system revolves around immune function and measures the identifiers that can affect multiple tissues in the body, including the brain, heart, pancreas, nervous system, liver, gastrointestinal system, bones, and joints.� The turn around time for these labs is fairly quick and helps highlight the underlying route of the patient�s symptoms.
Cyrex arrays use serum (a blood draw) as their main form of testing. No matter the array the doctor orders, the patient will receive the same kit. The requisition form that is inside the kit is what matters to the phlebotomist and lab as this is where the array ordered will be marked.
The kit is a small box labeled Cyrex Laboratories, Serum Collection Kit. On top of the kit held in place by a rubber band will be a shipping label and bag for the sample to go in once collected. Inside the kit is a smaller styrofoam box that includes a serum separator tube, a serum transport tube, tube labels, a biohazard bag, and collection instructions.
As one can see from the above photo, the different arrays test for different reactions/conditions. A doctor may order one or multiple arrays depending on the patient.
Array 2 is one of the most popular, as leaky gut is a condition that affects most Americans. This test screens for IgG, IgA, and IgM of Lipopolysaccharides and Occludin/Zonulin.
Often times, practitioners will use multiple lab companies on one patient. This is not because one is superior to the other, but rather because they specialize in different areas. Even though the doctor may order labs from different companies, it is in the patient�s best interest because it allows the practitioner to view multiple areas to truly understand the underlying issue.
Patients who come in with symptoms like aching joints, headaches, trouble falling asleep, difficulty staying asleep, leaky gut, and brain fog will certainly benefit from using multiple lab companies.
Using Cyrex array 2 and DUTCH + CAR the patient will get extremely accurate information in regards to what is occurring in their body. The Cyrex array test will show the practitioner if the patient has a leaky gut and how severe. While the DUTCH + CAR allows the doctor to determine the cortisol patterns in the individual�s body. Sometimes, these levels are not rising and falling at the right times, causing the patient to be tired or having trouble staying asleep.
The patient�s health should always come first, and when doctors are knowledgable enough to use more than one lab, the patient benefits are outstanding. By using the companies together, the doctor is able to check multiple areas, leaving no guesswork when it comes to a treatment protocol. However, it is important to remember that labs vary on patient needs. Some patients are able to use the same company for all labs and obtain the accurate results they need.
Cyrex tests for many conditions and has multiple arrays. Although many
Cyrex labs are a great tool for practitioners and health coaches to use! By using these arrays, it helps the practitioner not only treat the symptoms, but it allows them the insight they need to treat the problem at the route source. The tools that Cyrex provides go a long way in evaluating the complex disorders the human body may have. By using Cyrex and coupling it with other tests from DUTCH or labrix, the patient is able to get proper treatment and get back to the hobbies they used to love and enjoy. These companies are all fantastic and provide specialities in different areas. By using more than one company, the pateint truly gets the best results and the doctors are able to construct a solid treatment protocol with all of the information obtained.�� Kenna Vaughn, Senior Health Coach�
*All information was obtained from Cyrex.com
The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
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