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Bursitis Types

Bursitis Types

Bursitis types: This is a condition that affects the bursae, which are the small, fluid-filled sacs that provide cushion for the:

  • Muscles
  • Tendons
  • 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:

  • Wrist
  • Elbow
  • Shoulder
  • Hips
  • Knees
  • 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.

Bursitis Types

Causes

  • 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:

  • Gardening
  • Typing
  • Working with a computer mouse
  • Throwing
  • Golf
  • Tennis
  • Manual tasks
  • Carpentry

These types of activities can lead to incorrect posture, overuse, and injury/damage.

Symptoms

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:

  • Tenderness
  • Stiffness
  • For some individuals, it can present as acute, with the intensity increasing.
  • This happens when movement aggravates the condition.

Bursitis Types

Four major types include:

  • Prepatellar
  • Trochanteric
  • Olecranon
  • Retrocalcaneal

Prepatellar Bursitis

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.

Trochanteric Bursitis

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:

  • Muscle tears
  • Hip injuries
  • Tight hip or leg muscles
  • Disc disease of the low back
  • Leg-length inequality
  • Improper walking technique from a minor injury or strain
  • Overuse of the gluteal muscles
  • Flat feet
  • Improper footwear

Olecranon Bursitis

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.

Retrocalcaneal Bursitis

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.

Risk Factors

  • Overpronation of the foot
  • Leg length deviation
  • Osteoarthritis
  • Obesity
  • Tight hamstring muscles
  • Incorrect physical training
  • Not stretching properly

Body Composition


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:

  • Inflammation activates
  • 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.

References

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.

Human Musculoskeletal System

Human Musculoskeletal System

Maintaining the body’s musculoskeletal system and keeping it strong can be done through chiropractic and by managing general overall health. This system includes the:

  • Bones
  • Muscles
  • Tendons
  • Ligaments
  • Soft tissues

These all work together to support the body’s weight and allow for movement. Injuries, disease, and aging can cause stiffness, pain, and other issues with mobility, function that can lead to various conditions and/or disease.

Human Musculoskeletal System

The musculoskeletal system

The skeleton provides the framework for the muscles and other soft tissues. Working together, they support the body’s weight, help to maintain proper posture and the ability for movement. Various disorders and conditions can lead to problems with the musculoskeletal system. This includes:

  • Aging
  • Injuries
  • Congenital anomalies (congenital disabilities)
  • Disease
  • All can cause pain and limit movement.

Focusing on overall health and maintaining it will keep the system in top form. This is done by:

  • Eating a healthy balanced diet
  • Maintaining a healthy weight
  • Regular physical activity/exercise
  • Chiropractic support will take the body to optimal health levels.

How does the system work?

The nervous system is the body’s central command center. It controls voluntary muscle movements. Voluntary muscles are controlled intentionally. Large muscle groups are utilized to do activities like lifting a large object. Smaller groups are used for movements, like pressing a button. Movement/motion occurs when:

  • The nervous system which includes the brain and nerves, transmits a signal to activate the skeletal/voluntary muscles.
  • The muscle fibers contract/tense in response to the signal.
  • When the muscle activates, it pulls on the tendon.
  • Tendons attach muscles to bones.
  • The tendon pulls the bone, generating movement.
  • For the muscle to relax, the nervous system sends another signal.
  • This signal triggers the muscle/s to relax/deactivate.
  • The relaxed muscle releases tension
  • The bone is moved to a resting position.

System Parts

The musculoskeletal system functions to help stand, sit, walk, run and move in general. The adult body has 206 bones and more than 600 muscles. These are connected by ligaments, tendons, and soft tissues. The parts of the system are:

Bones

Bones support the body, protect organs and tissues, store calcium, fat and produce blood cells.

  • A bone’s outside shell encapsulates a spongy center.
  • Bones provide structure and form to the body.
  • They work with the muscles, tendons, ligaments, and other connective tissues to help with movement.

Cartilage

This is a type of connective tissue.

  • Cartilage provides cushion to the bones inside the joints, along the spine, and ribcage.
  • It is firm and rubbery.
  • It protects bones from rubbing against each other.
  • It is also found in the nose, ears, pelvis, and lungs.

Joints

Bones come together and form joints.

  • Some have a large range of motion, for example, the ball-and-socket shoulder joint.
  • Others, like the knee, allow bones to move back and forth but do not rotate.

Muscles

Every muscle is made of thousands of fibers.

  • The muscles allow the body to move, sit upright, and remain still.
  • Some muscles help with running, dancing, and lifting.
  • Others are for writing, fastening something, talking, and swallowing.

Ligaments

  • Ligaments are made of tough collagen fibers
  • They connect the bones and provide stability to the joints.

Tendons

  • Tendons connect the muscles to the bones.
  • They are made of fibrous tissue and collagen
  • They are tough but not as stretchable.

Conditions and disorders

Various conditions can cause problems with the musculoskeletal system. They can affect the way an individual moves. The most common causes of inflammation, pain, and mobility issues are:

Aging

  • With the natural aging process, bones lose density.
  • Less-dense bones can lead to osteoporosis and bone fractures/broken bones.
  • As the body ages, muscles lose their mass, and cartilage starts to wear down.
  • This can lead to pain, stiffness, and decreased range of motion.
  • After an injury, an individual might not heal as quickly.

Arthritis

Pain, inflammation, and joint stiffness are the result of arthritis.

  • Older individuals are more likely to develop osteoarthritis. This is from the cartilage inside the joints breaking down. However, the condition can affect individuals of all ages.
  • Other types of arthritis also cause pain and inflammation. This includes:
  • Rheumatoid arthritis
  • Ankylosing spondylitis
  • Gout

Back problems

  • Back pain and muscle spasms can result from muscle strains or injuries, for example, a herniated disc.
  • Some conditions like spinal stenosis and scoliosis can cause structural problems in the back.
  • This can lead to pain and limited mobility.

Cancer

Congenital abnormalities

Congenital abnormalities can affect the body’s structure, function, and appearance. For example, clubfoot is a common musculoskeletal condition that babies can be born with. It causes stiffness and reduces the range of motion.

Disease

A wide range of diseases can affect bones, muscles, and connective tissues functionality.

  • For example, osteonecrosis causes the bones to deteriorate and the cells to die.
  • Other disorders, like fibrous dysplasia and brittle bone disease, cause the bones to fracture/break easily.
  • Conditions that affect the skeletal muscles are known as myopathies include types of muscular dystrophy.

Injuries

  • All types of injuries can affect bones, muscles, cartilage, and connective tissues.
  • Injuries can occur from repetitive overuse. Examples include:
  • Carpal tunnel syndrome, Bursitis, and Tendinitis
  • Sprains
  • Muscle tears
  • Broken bones
  • Injuries to the tendons, ligaments and other soft tissues can lead to chronic conditions.

Maintaining musculoskeletal health

  • Recommended ways of maintaining a healthy musculoskeletal system are to keep the bones and muscles healthy by getting:

Regular physical activity and exercise

  • This includes weight-bearing exercises combined with cardiovascular activities. Strengthening the muscles will support the joints and protect/prevent damage.

Proper sleep

  • This is so the bones and muscles can recover and rebuild.

Maintain a healthy weight

  • Added weight places pressure on the bones and joints.
  • This causes various health problems.
  • If there is added weight, it is recommended to consult a health coach and nutritionist about a personalized weight-loss plan.
  • They can help make healthy food choices that will make for strong bones and include anti-inflammation foods.

Quit tobacco use

  • Smoking decreases blood flow in the body.
  • The bones, muscles, and soft tissues need proper blood circulation to maintain health.

Regular chiropractic adjustments

  • Adjustments will help maintain the body’s balance and alignment.
  • This, along with recommended stretches and exercises, will take the body to optimal health.

Healthy Body Composition


Bodyweight Squat

This is one of the best strength exercises for building general functional low body strength. The muscle groups that get worked include the:

  • Quadriceps
  • Hamstrings
  • Glutes
  • Deep abdominals
  • Hip abductors
  • Hip rotators

Squats work almost every muscle in the legs. This also builds core strength to help with everyday movements like pushing, pulling, and lifting. There is no need to load added weight on the back to benefit from this exercise. Using the body’s weight is a perfect workout. This can be done with several variations once strength is built up. The objective is to focus on strict form for maximum effectiveness.

  • The feet should be shoulder-width apart.
  • Bend at the hips
  • Don’t let the knees go past the toes.
  • Lower the body until the thighs are parallel to the floor
References

American Chiropractic Association. Back Pain Facts and Statistics. Accessed 1/5/2021.

Centers for Disease Control and Prevention. Arthritis. Accessed 1/5/2021.

Centers for Disease Control and Prevention. Arthritis-Related Statistics. Accessed 1/5/2021.

Centers for Disease Control and Prevention. Work-Related Musculoskeletal Disorders & Ergonomics. Accessed 1/5/2021.

Merck Manuals. Effects of Aging on the Musculoskeletal System. Accessed 1/5/2021.

National Institute of Arthritis and Musculoskeletal and Skin Diseases. Healthy Muscles Matter. Accessed 1/5/2021.

Acute and Cumulative Soccer Injuries

Acute and Cumulative Soccer Injuries

Although many soccer injuries involve the legs and lower extremities, other body areas are susceptible to injury/s as well. Acute or cumulative is how soccer injuries are generally described. Acute injuries are traumatic. They are usually caused by a slip, trip, and fall, getting hit, and crashing into other players. Cumulative injuries involve repetitive stress on a muscle, joint, or connective tissue. This triggers progressive aches, pain, and physical impairment that gets worse with time. Understanding how and why they happen is the first step in injury prevention. The more common injuries experienced among soccer athletes include.

Acute and Cumulative Soccer Injuries

Concussion

This is a form of mild traumatic brain injury mTBI caused by a sudden hit/impact to the head. Players are trained to head the ball; however, concussions can happen if not ready for impact or heading at an awkward position.

Ankle Sprains

Ankle sprains are when there is stretching and tearing of ligament/s that surround the ankle joint.

  • Lateral ankle sprains or outside of the ankle can happen when a player kicks the ball with the top of the foot.
  • A medial ankle sprain or inside of the ankle can happen when the toes are turned out when the foot is flexed up.

Achilles Tendonitis

This is a chronic injury that occurs from overuse with pain in the back of the ankle. Players are constantly performing repetitive and sudden movements that, over time, can cause this type of injury.

Achilles Tendon Rupture

A rupture involves a partial or complete tear of the Achilles tendon. Often players say with a popping sound. This happens when players perform fast, explosive movements. Rapid stopping, starting, shifting, jumping can all contribute.

Groin Pull/Strain

This is a type of strain that happens when the inner thigh muscles are stretched beyond their limit. As a result, a player can pull the groin when kicking and/or resistance from an opponent trying to take the ball or kick in the opposite direction.

Hamstring Injury

These injuries involve the three back muscles of the thigh and can vary from minor strains to complete ruptures/tears. This comes from running, sprinting, jumping, and stopping, leading to these types of injuries.

Iliotibial Band Syndrome

This is an overuse/repetitive injury that involves a tendon known as the IT band. This is the connective tissue that runs along the outside of the thigh. Constant running can create friction as the band gets pulled along the outside of the knee, which can cause tendonitis.

Plantar Fasciitis

This causes foot pain caused by inflammation of the tissue bands that run from the heel to the toes. Several factors can cause the condition. This could be players using inappropriate or not correctly fitting shoes, shoes that do not provide proper arch support or playing on a hard surface.

Calf Muscle Pull

This is when one of the muscles of the lower leg gets pulled from the Achilles tendon. Again, quick and spontaneous sprinting, running, or jumping is usually the cause.

Knee Injuries

The most common soccer injuries are those that involve the knee. This is because of the stopping and shifting directions quickly and suddenly. The explosive, spontaneous movements place extreme stress on the knees and the supporting ligaments. When the stress goes beyond the ligament’s limits, it can cause a sprain or tear in the joint. When there is an injury to the knee/s, it is diagnosed using a grading scale.

  • Grade 1 Mild sprain
  • Grade 2 Partial tear
  • Grade 3 Complete tear

Runner’s Knee

Patellofemoral pain syndrome, also known as runner’s knee, is a condition where the cartilage under the kneecap gets damaged from an injury or overuse. This happens when there is a misalignment in the knee and/or strained tendons.

ACL Injury

The anterior cruciate ligament or ACL is at the front of the knee. These are the most common knee injuries. This is because the ligaments are less retractable than muscles or tendons. And those in the knees are highly vulnerable to damage.

Cruciate Ligament Injury

This type of injury does not always cause pain but often causes a popping sound when it happens. Pain and swelling develop within 24 hours. This is followed by the loss of range of motion and tenderness around and along the joint.

Meniscus Injury

The Meniscus involves a C-shaped piece of cartilage that cushions the space between the femur and the shin bone. These tears are painful and are often the result of twisting, pivoting, decelerating, or quick/rapid impact.

Shin Splints

The term describes a variety of painful symptoms that develop in the front of the lower leg. This often happens from over/intense training, or the training gets changed. Players can also develop shin splints from training while not using appropriate shoes.

Stress Fractures

These types of fractures are usually the result of overuse or repeated impact on a bone. The result is severe bruising or a slight crack in the bone.

Tendonitis

When tendons get inflamed, it is referred to as tendonitis. This comes with repetitive overuse but can also develop from a traumatic injury that causes micro-tears in the muscle fibers.

Soccer Injuries Prevention

Many of these injuries result from overuse, overtraining, improper conditioning, and/or not warming up properly. Here are few tips to help reduce the risk.

Warm-up for at least 30 minutes before playing

Pay special attention to stretching the:

  • Groin
  • Hips
  • Hamstrings
  • Achilles’ tendons
  • Quadriceps

Wear protective gear

This includes:

  • Mouthguards
  • Shin guards
  • Kinesio tape
  • Ankle supports
  • Eye protection
  • Ensure they are correctly sized and maintained.

Check the field

Check for anything that could cause injury/s. This includes:

  • Holes
  • Puddles
  • Broken glass
  • Stones
  • Debris

Avoid playing in bad weather

Or immediately after heavy rain when the field is especially slick and muddy.

Allow enough time to heal after an injury.

This also goes for minor soccer injuries. Trying too fast to get back increases the risk of worsening the injury, re-injury, and/or creating new injuries.


Body Composition


Athletes and Carb Loading

Carb loading is a strategy that athletes use.

Endurance athletes

Utilize carb-loading to help them increase energy storage for long runs, bike rides, swims, etc. When timed effectively, carb-loading has been shown to increase muscle glycogen, leading to improved performance.

Bodybuilders and fitness athletes

Use carbo-loading to build size and mass before competitions. The timing and efficacy of carb-loading vary from person to person. Make sure to experiment before the next big competition.

References

Fairchild, Timothy J et al. “Rapid carbohydrate loading after a short bout of near maximal-intensity exercise.” Medicine and science in sports and exercise vol. 34,6 (2002): 980-6. doi:10.1097/00005768-200206000-00012

Kilic O, Kemler E, Gouttebarge V. The “sequence of prevention” for musculoskeletal injuries among adult recreational footballers: A systematic review of the scientific literature. Phys Ther Sport. 2018;32:308-322. doi:10.1016/j.ptsp.2018.01.007

Lingsma H, Maas A. Heading in soccer: More than a subconcussive event?. Neurology. 2017;88(9):822-823. doi:10.1212/WNL.0000000000003679

Pfirrmann D, Herbst M, Ingelfinger P, Simon P, Tug S. Analysis of Injury Incidences in Male Professional Adult and Elite Youth Soccer Players: A Systematic Review. J Athl Train. 2016;51(5):410–424. doi:10.4085/1062-6050-51.6.03

Falling Accidents and Injuries Ways To Reduce The Risk

Falling Accidents and Injuries Ways To Reduce The Risk

As individuals advance in age, the risk of falling starts to become a regular concern. An average of one in four adults over 65 suffers from a fall every year. Around twenty percent of falling accidents result in serious injury. However, experiencing one fall increases the risk of future falls significantly. The most common injuries sustained include:
  • Hip fracture
  • Head injury
These injuries usually necessitate hospitalization. Therefore minimizing the risks is important for increasing/enhancing an individual’s quality of life and help minimize the financial burdens that can come with these types of accidents.  
11860 Vista Del Sol, Ste. 128 Falling Accidents and Injuries Ways To Reduce The Risk
 

Risk Factors for Falling

Various factors can determine an increased risk of falling. If there are two or more at the same time, the risk goes up significantly. These factors include:
  • Poor or improper walking gait mechanics
  • Poor balance
  • Vision impairment
  • Low endurance
  • Weakened muscle strength
  • Sedentary lifestyle
  • Blood pressure issues like hypotension
  • Dizziness from certain movements like lying down to sitting/standing
  • Medication side effects that cause brain fog, dizziness, sleepiness, etc
  • Poor health/underlying conditions
  • Anxiety and/or fear of falling
 

Reducing The Risk/s

There are simple ways to reduce risk while optimizing the body’s health and vitality. These include:
  • Discussing health concerns with a doctor and/or chiropractor
  • Review medications with doctor or pharmacist, specifically those that cause sleepiness or dizziness
  • Exercise regimen
  • Balance exercises
  • Core strengthening exercises
  • A physical therapist or chiropractor can assess the home for safety and possible tripping hazards
  • Regular vision check-ups at least every two years
 

Spinal Health

Restoring balance to the body will make the biggest difference in increasing overall health. However, pain, stiffness, and poor health can make getting started a difficult challenge. With the right chiropractic and physical therapy team, getting started does not have to be as challenging, with the transition being made as easily and as smooth as possible. An essential building block for overall optimal health begins with spinal alignment. When the spine is misaligned it can lead to poor nerve circulation/energy. This slows down and interferes with the body’s functions. This is often manifested with poor balance, weakness, and pain. Chiropractic spinal alignment addresses whole-body health. A chiropractic practitioner is specialized in non-invasively and systematically restoring not only the alignment of the spine but the entire body.  
11860 Vista Del Sol, Ste. 128 Falling Accidents and Injuries Ways To Reduce The Risk
 

Chiropractic Health

Find a chiropractor and talk to them about any health concerns, including falls. A customized chiropractic adjustment treatment plan will be developed along with a fitness and stretching regimen, and dietary adjustments will significantly optimize health and help prevent falls.

Sports Injuries Chiropractic Treatment

 
 

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
Hawk, Cheryl et al. �Pilot study of the effect of a limited and extended course of chiropractic care on balance, chronic pain, and dizziness in older adults.��Journal of manipulative and physiological therapeutics�vol. 32,6 (2009): 438-47. doi:10.1016/j.jmpt.2009.06.008
The Spinal Muscles: An Extensive Guide

The Spinal Muscles: An Extensive Guide

The spinal muscles and ligaments work in conjunction to help support the spine, maintain an upright posture, and control movements during activity and rest. The muscles are named based on shape, location, or a combination. Further categorization factors include muscle functions like flexion, extension, or rotation. Skeletal muscle is a form of striated muscle tissue that is voluntarily controlled by the somatic nervous system. Striated means it is striped in appearance. Most skeletal muscles are attached to bones by collagen fibers known as tendons.  
Vertebral Muscle Types Location
Forward flexors Anterior
Lateral flexors Lateral
Rotators Lateral
Extensors Posterior
 
11860 Vista Del Sol, Ste. 128 The Spinal Muscles: An Extensive Guide
 
It has the fastest contraction rate of all muscles. Before muscle/s contract, a nerve impulse starts in the brain and runs through the spinal cord to the muscle. For the muscles to contract and work properly they need energy/fuel. Mitochondria produce Adenosine triphosphate chemical cells that are needed for energy. Adenosine triphosphate is made as the mitochondria burn glucose or sugar. The blood vessels deliver the oxygen and nutrients that the mitochondria need to maintain a steady supply of adenosine triphosphate.  

The Posterior Cervical and Upper Thoracic Spinal Muscles

  1. Semispinalis Capitus – controls the head rotation and backward pulls
  2. Iliocostalis Cervicis – extends the cervical vertebrae
  3. The Longissimus Cervicus – extends the cervical vertebrae
  4. Longissimus Capitus – controls the head’s rotation and backward pulls
  5. Longissimus Thoracis – controls the extension/lateral flexion of the vertebral column and rib rotation
  6. Iliocostalis Thoracis – controls the extension/lateral flexion of the vertebral column and rib rotation
  7. Semispinalis Thoracis – extends and rotates the vertebral column
 

Muscles of the Spinal Column

 

Cervical muscles

Cervical Muscles Function Nerve
Sternocleidomastoid Extends and rotates the head and flexes the vertebral column C2, C3
Scalenus Flexes and rotates the neck Lower cervical
Spinalis Cervicis Extends and rotates the head Middle/lower cervical
Spinalis Capitus Extends and rotates the head Middle/lower cervical
Semispinalis Cervicis Extends and rotates the vertebral column Middle/lower cervical
Semispinalis Capitus Rotates the head and pulls backward C1-C5
Splenius Cervicis Extends the vertebral column Middle/lower cervical
Longus Colli Cervicis Flexes the cervical vertebrae C2-C7
Longus Capitus Flexes the head C1-C3
Rectus Capitus Anterior Flexes the head C2, C3
Rectus Capitus Lateralis Bends the head laterally C2, C3
Iliocostalis Cervicis Extends the cervical vertebrae Middle/lower cervical
Longissimus Cervicis Extends the cervical vertebrae Middle/lower cervical
Longissimus Capitus Rotates the head and pulls backward Middle/lower cervical
Rectus Capitus Posterior Major Extends and rotates the head Suboccipital
Rectus Capitus Posterior Minor Extends the head Suboccipital
Obliquus Capitus Inferior Rotates the atlas Suboccipital
Obliquus Capitus Superior Extends and bends the head laterally Suboccipital
 
CervicalMusculatureDiagram ChiropractorElPaso

Thoracic Muscles

Thoracic muscles Function Nerve
Longissimus Thoracis Extension, lateral flexion of the vertebral column, and rib rotation Dorsal primary divisions of the spinal nerves
Iliocostalis Thoracis Extension, lateral flexion of the vertebral column, and rib rotation Dorsal primary divisions of the spinal nerves
Spinalis Thoracis Extends the vertebral column Dorsal primary divisions of the spinal nerves
Semispinalis Thoracis Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
Rotatores Thoracis Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
11860 Vista Del Sol, Ste. 128 The Spinal Muscles: An Extensive Guide
 

Lumbar muscles

Lumbar muscles Function Nerve
Psoas Major Flexes the thigh at the hip joint and the vertebral column L2, L3, sometimes L1 or L4
Intertransversarii Lateralis Lateral flexion of the vertebral column The ventral primary division of the spinal nerves
Quadratus Lumborum Lateral flexion of the vertebral column T12, L1
Interspinales Extends the vertebral column Dorsal primary divisions of the spinal nerves
Intertransversarii Mediales Lateral flexion of the vertebral column Dorsal primary divisions of the spinal nerves
Multifidus Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
Longissimus Lumborum Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
Iliocostalis Lumborum Extension, lateral flexion of the vertebral column, and rib rotation Dorsal primary divisions of the spinal nerves
Blog Image  Psoas Muscle
 

Muscle Fascia Fibrous Tissue

  • Fascia is the thickened connective tissue that surrounds a muscle or muscle group. Superficial fascia is directly under the skin.
  • Epimysium surrounds the skeletal muscle.
  • Perimysium is the sheath that groups the muscle fibers into bundles.
  • Endomysium is another type of connective tissue that sheaths each muscle fiber.
  The cause of back pain and spinal muscle spasm/s can be caused by overuse, automobile accident, personal, work, or sports injury. The root cause of muscle spasm/s is usually a consequence of an injury to a structure within the lumbar spine. If there have been one or more episodes of muscle spasm in the low back, chances are it will re-occur. The muscles in the low back work together with the abdominal muscles. The spinal muscles add stability by maintaining an erect spine and maintain balance.

Back Pain Specialist

 

 

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*
Self-Massage Techniques

Self-Massage Techniques

Dealing with chronic back pain along with the COVID-19 pandemic can make it difficult to find relief on a regular basis. When regular massage sessions are not available these self-massage techniques can relieve pain and loosen tense muscles. Massage therapy has been shown to reduce low back pain, specifically for short-term purposes. There are massage therapist/s that are open with precautions in place. But there�s a good chance the massage therapist will not be able to see an individual right away when the pain presents. Back pain will not wait so here are a few tips on self-massage that individuals can do at the house.  
11860 Vista Del Sol, Ste. 128 Self-Massage Techniques
 

Safety First

Consult your spine pain specialist, chiropractor, or doctor to determine the cause of the pain and if massage will be beneficial. Before starting a self-massage regimen, be sure pain levels are not severe and you are able to perform the massage techniques. Any muscle region, spine included, can benefit from massage both professionally and self. If at any time during the massaging different pain presents other than the massage soreness, stop and evaluate what could be happening. These self-massage tips are aimed at reasonably healthy individuals. Be mindful of herniated discs, any type of impingement, or spinal compression. If an individual has this type of injury acquire medical instruction on how to perform self-massage techniques specifically for these conditions from a physician, chiropractor, or physical therapist.  
 

Self-massage

Massage therapy helps in relieving back and neck pain in different ways.
  • Relaxes muscles
  • Improves range of motion
  • Reduces injury
  • Maximizes healing
  • Better sleep
If working from home and too much sitting has your back tight, in knots, with muscle tension, and stress, self-massage is an answer that works. It is a great alternative until the massage therapy appointment.

Applied Pressure

One way to give yourself a massage is to locate the painful area/s and gently apply pressure with the thumb/s, moving the muscle/s statically by just rotating the arm/hand together with the thumb pressing on the area. If possible get into a comfortable stretching position and massage the area while the muscle, joint, ligament is stretched out and find the painful area and work it if not with the thumb technique then use a foam roller, massage tool, tennis ball, massage ball, etc, also done in slow circular motions. When applying pressure, don�t push it to the limit like working out. That is not the goal. The objective is to work out the pain/soreness and loosen up the area. Therefore it�s best to start gently and gradually build up to stronger pressure as long as it feels correct and the pain does reduce. Gradually increase the intensity of the pressure, heat, sessions, etc. But do not overdo it, as that could worsen or cause further injury.

Stretch

Although not directly massaging an area, stretching is a form of self-care that keeps the body loose and limber. Stretching out is recommended at the beginning of the day and before exercising. An example is runner�s lunge pose and a yoga pose called pigeon. These are excellent stretches for releasing the psoas muscle, located in the lower lumbar region.  
 
Yoga can help by stretching and releasing the hips, glutes, and back muscles. As with massage don�t overdo the moves, overstretch, or hold the poses for too long. Consult with a doctor for any medical concerns where yoga could be dangerous and impair health. Additionally, a family member, spouse, partner, or friend can be very helpful when stretching. Assisted stretches help and reduce the effort required to stretch oneself. Some assisted stretches include the supine twist and hamstring stretches. If you are the one assisting and want to guide the pain-relieving stretches, start gently, slowly, and pay attention to verbal and non-verbal cues, like a wincing face, and short breathing.

Utilize Massage Tools/Devices

Utilize self-massage tools and devices that can help deliver pain relief. Foam rollers and tennis balls can help with trigger points, areas of muscle pain and can help with the hard to reach areas. Massage balls can also help to apply balanced pressure and even circular massage motion. These tools are typically sandwiched between the wall or floor and the individual who rolls drags or creates friction to effectively work the muscle/s tightness, and knot/s out. Motorized massagers can help with muscle tension in the lower side of the back, hips, and glutes.  
11860 Vista Del Sol, Ste. 128 Self-Massage Techniques
 

Partner

Sometimes however there are areas difficult to reach and even if reachable massaging the area isn’t the same because of the awkward position. When this happens if possible use a spouse, family, friend, or partner to massage out those points. This could be the middle back and hamstrings to get a thorough massage. Just like a professional massage therapist having someone else can be a great help in applying heat or ice to areas that can be troublesome. But if not then make do with what you’re able. Self-massage can be very helpful and beneficial until you are able to see your massage therapist, chiropractor, or physical therapist.

Whiplash Massage Therapy

 
 

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*
A Chiropractor’s Guide to Back Spasms

A Chiropractor’s Guide to Back Spasms

Back spasms can be compared to a Charley horse in the back. These are a common complaint in doctors’ clinics throughout the country. Spasms can accompany back pain and neck pain, they can be the result of a traumatic event, like a slip and fall accident or an automobile accident. Here is why they occur and what to do about them. �

 

trapezius anatomy muscles isolated on white d illustration

 

Back Spasms

A back spasm is an involuntary and sustained contraction of one or more muscles of the spine. Spasms can occur without pain when the muscle/s shift, and pulse. But it’s when pain accompanies the spasm that it can become an issue that can lead to a chronic condition.

Example: Runners get the feeling of having a Charley horse in the calf muscle. Having a back spasm is the same. Spinal muscle spasms could be an indication of something serious, like a micro tear around a spinal disc that can generate inflammation to cause the muscles to tense up.

However, with most cases, a back muscle spasm is a symptom of a mild muscle injury, like a sprain. It can be hard to diagnose the pathology of a muscle spasm. One theory is that if there is a noxious stimulus coursing through the body, specifically the back, it can disrupt/disturb the muscles. When this happens the muscles brace/bunch up together to protect the spine. Here’s are five muscle spasm types that can cause back and neck pain.

Cervical Spine

If there is a spasm in the neck, it’s more than likely a contraction of the trapezius muscle. This is the muscle group that runs down the neck into the middle or thoracic spine/back.

neck anatomy

Back spasms in the cervical spine could indicate a contraction of the sternocleidomastoid. This is located at the base of the skull on both sides of the head. When these muscles spasm, the pain is usually localized or in one area that leads to muscle irritation. However, if the spasm is a symptom of underlying inflammation or nerve irritation, then the pain could radiate and spread down.

Thoracic Spine

The trapezius starts at the neck to the last vertebra of the thoracic spine or the middle-back. Therefore, a back spasm can affect the neck as well as the middle of the back as well. Spasms in the midback can also result from a contraction of the rhomboid muscle. These connect the shoulder blades to the rib cage and spine.

Because there is less movement in the middle-back, the muscles in this area are less likely to spasm, compared to the cervical/neck area and the lumbar/low area.

Lumbar Spine

Spasms in the lower back occur from a contraction of the erector spinae muscles. These are the large group of stabilizing muscles that are on either side of the spine or the latissimus dorsi. These muscles are commonly referred to as lats. They are one of the largest muscle groups in the body and cover the middle and lower back.

 

Lats Graphic

 

Relieving Spasms

Treatment for muscle spasms depends on how the injury originated. A full medical history is crucial for a doctor, spine specialist, or chiropractor to be able to look at all the angles in determining and diagnosing the root cause.

It could be from just leaning over and picking up a box to sleeping in an improper/uncomfortable position. This type of pain is less concerning as it is more than likely a sprain or strain, and can be treated rather quickly.

However, if the spasms started after being involved in an automobile accident or falling pretty hard, then there could be serious damage to the area. Back spasms that occur after these types of situations require an immediate full neurologic and muscular examination. This along with advanced imaging, like an MRI.

11860 Vista Del Sol, Ste. 128 The Chiropractors Guide to Back Spasms

Specialists

A spine specialist or chiropractor wants to make sure they’re not missing any underlying injuries or instabilities of the spine that would require extensive and possible invasive treatment. Red flag situations include osteoporosis, which is the loss of bone mass or ankylosing spondylitis, which is a form of arthritis that mainly affects the spine.

  • Osteoporosis can cause an underlying compression fracture.
  • Ankylosing spondylitis can cause parts of the spine to fuse together.

Both underlying conditions can cause muscle spasms. However, conservative treatment for most cases is all that is usually needed to relieve muscle spasms of the spine. These include:

  • Anti-inflammation medications and creams
  • Chiropractic manipulation to improve spinal muscles range of motion
  • Heat and ice application
  • Light activities/exercises like walking that don’t include any bending, twisting, and lifting
  • Massage therapy
  • Physical therapy
  • Therapeutic water exercise rehabilitation program
  • Ultrasound
  • Wearing a soft collar for cervical spasms
11860 Vista Del Sol, Ste. 128 The Chiropractors Guide to Back Spasms

If results do not improve within four to six weeks of conservative treatment, then an MRI or other type of scan of the area will be needed.

All that said preventing back spasms is the way to go. We’ve all heard the phrase to be heart-healthy, which concerns cardiovascular health. Now it’s about being spine healthy. Keeping the abdominal muscles, lumbar extensors, and the erector spinae muscles fit is the key. This can be accomplished with regular stretching and core exercises. Also doing yoga and Pilates will go a long way in minimizing muscle spasms and preventing injuries.

11860 Vista Del Sol, Ste. 128 The Chiropractors Guide to Back Spasms

Auto Accident Doctors & Chiropractic

 


Tendon Inflammation and Chiropractic El Paso

Tendon Inflammation and Chiropractic El Paso

Tendonitis can be a painful condition that occurs when tendon/s that connect bone/s to muscle/s become damaged/injured. This can be from overuse of the particular tendon/s or using them in an improper fashion. Whatever the case, the result is inflammation, pain, and swelling. With injury/s where the tendon is stressed/strained to the point of injury, the soft tissue around the area can also be affected. More than 4 million�peoplea year in the U.S. seek some form of medical treatment for�tendonitis symptoms.

 

11860 Vista Del Sol, Ste. 128 Tendon Inflammation and Chiropractic Care El Paso

Common types include:

  • Achilles tendonitis
  • Runner�s knee
  • Golfer’s elbow
  • Jumper’s knee
  • Pitcher�s shoulder
  • Swimmers shoulder
  • Tennis elbow

Other tendons in the body can also experience symptoms. Symptoms usually occur at the point where the tendon attaches to the bone and include:

  • Pain as a dull ache, especially when moving the limb or joint
  • Tenderness
  • Moderate swelling

Thewrist,�fingers, Achilles tendon, and ankle can all become inflamed from the condition. Primary care physicians are the ones to usually diagnose the injury. Once there is a definitive diagnosis, a non-surgical non-invasive treatment plan is the first recommended option. If these do not work then surgical procedures could be discussed. Chiropractic care is a first-line option that many physicians recommend.

 

chiropractic helps el paso tx.

Proper Rehabilitation Makes a Difference

This is usually from improper or incomplete healing.�Many individuals resume normal activities/chores as soon as the pain goes away. This is a mistake, as this is the time when continued care for the injury needs to be observed to heal completely. For this reason, tendonitis tends to recur. This inflames the area of the original injury which can then become aggravated, causing more pain. But more importantly, this aggravation can lead to a re-injury in the same area, which can be more severe the second time around. Chiropractic can help the tendon heal completely and help prevent re-injury to the area.

Chiropractic

Tendonitis symptoms can resemble other conditions, therefore the first step is confirmation. A doctor may use X-rays, MRIs, or CAT scans to make a positive diagnosis. A chiropractor will work with the patient in developing a treatment plan that is effective, and customized to the patient�s needs. The core of the treatment is focused on the root cause of the problem, and not just alleviating the symptoms.

With severe inflammation, a chiropractor will utilize inflammation reducing techniques like bracing, rest, ice, electrical muscle stimulation, ultrasound, low-level laser therapy, massage, and physical therapy. The focus is to loosen the tendon/s to reduce inflammation so that the treatment can continue to the next phase. Once the inflammation is under control, a chiropractor might start:

  • Massage
  • Physical therapy
  • Joint manipulation
  • Strength exercises

If the individual has limited joint mobility then joint manipulation and adjustments could be the best option.

 

professional athlete chiropractic treatment el paso tx.

Treatment Plan

Initial pain often subsides or even disappears after the first two to three weeks. This does not mean that the injury is fully healed. Many patients mistakenly believe that once the pain is gone the condition is gone. This is not true. Inflammation could decrease over the first three weeks, however, complete healing takes around six weeks and longer.� Scar tissue forms during this time which is how the body repairs the injury.

Once the injury is repaired the scar tissue has to be broken down so the area can regain mobility and flexibility. A chiropractor will use specialized techniques to break down the scar tissue. This could alsoinclude massage and ultrasound to help in the process.Mild stretching exercises could also be incorporated into the plan. As the tissues heal fully then a therapeutic exercise regiment can continue in the aid in breaking down the scar tissue further. These exercises will work the muscles but do not involve the tendons.

Better Health

Tendon inflammation can be healed completely and chiropractic care can help in achieving this. Chiropractic medicine takes the entire body approach, which means that everything is connected in some way. So if there is a form of pain in one place, it does not mean that that spot is where the source of the pain is coming from. It could be somewhere completely different, and so the chiropractor is going to work both areas and possibly others to alleviate the cause and not just alleviate the symptoms. Chiropractic medicine also includes diet, supplemental help, and lifestyle choices that can help the healing process and overall health. Once treatment is complete the individual can typically return to normal activities without the risk of re-injury and re-inflammation.


 

Treating Inflammation Naturally

 


 

NCBI Resources

 

Strengthen Spinal Muscles and Improve Blood Circulation El Paso, Texas

Strengthen Spinal Muscles and Improve Blood Circulation El Paso, Texas

A healthy lifestyle combined withexercisecreates toned muscles that protect the body/spine and improve blood circulation. Chiropractic is designed to bring pain relief, realign the spine, and restore the body to its natural balance through treatment and a strengthening program.

 

Spinal Blood Supply

The vascular system’s function is to nourish every cell in the body. This includes the:

  • Vertebral column
  • Spinal cord
  • Neural structures
  • Muscles

11860 Vista Del Sol, Ste. 126 Strengthen Spinal Muscles and Improve Blood Circulation El Paso, Texas

Blood

Blood contains:

  • Plasma – fluid
  • Red blood cells – erythrocytes
  • White blood cells
  • Platelets

Plasma and Cell Nourishment

Plasma, or the liquid part of blood, total’s to about 90% of blood combined with water, salts, hormones, and proteins. It delivers the proteins, fats, minerals, and lipids to each cell in the body. Cells can’t reproduce or repair any damage or injury to the body without nutrient replenishment.

 

Red Blood Cells/Oxygen

The primary benefit cells derive from blood is oxygen. Oxygen is needed to burn glucose for energy. This oxygen comes from red blood cells. Oxygenated blood pumps from the heart through the arteries while deoxygenated blood returns to the heart through the veins. The pulmonary artery is an exception, as it carries deoxygenated blood from the heart to the lungs and is reoxygenated there. The pulmonary vein then takes the oxygenated blood back to the heart from the lungs.Then the oxygenated blood gets circulated throughout the body.

 

White Blood Cells/Immunity

White blood cells are the components of the immune system and fight infection/s and bacterial toxins.

There are different types of white blood cells, these include:

  • Neutrophils
  • Eosinophils
  • Lymphocytes
  • Basophils
  • Monocytes

Each has a different job. These antibodies are transported through the circulatory system.

 

Platelets/Clotting

Platelets control bleeding from injury/s by creating a clot, through a series of chemical reactions. The spine is served by the body�s system of arteries and veins.

 

11860 Vista Del Sol, Ste. 126 The Muscles That Move and Support The Spine El Paso, TX.

 

Strengthening

Exercise instructions for specific conditions are given by a physical therapist or chiropractor. The following exercise tips apply to everyone. Remember injury prevention is key for a healthy body.

 

Warm-Up

Before starting any exercise, it’s important to warm up. A series of dynamic moves can boost your heart rate and warm up the muscles during your work out. Select whole-body movements like leg lunges combined with arm motion or walk in place while raising and lowering your arms. Once you’ve warmed up, you can stretch without risk of injury.

Appropriate Footwear

When buying tennis shoes, check for stability, flexibility, and comfort. During your test walk, make sure that the shoes feel firm and move through your entire range of motion for a stable gait. Footwear should be flexible enough to give easily at the base of the toe for a smooth gait, and there should be cushioning at all the right places with plenty of room for the toes to move. Shoes that properly fit your feet means that your walk will be more natural and healthy during exercise and in motion.

Keep Posture In Mind

Perhaps the biggest reason that these exercise tips are so important is that strong and flexible muscles will help you have proper posture. Be mindful of the following as you move:

  • When sitting, the feet should be on the floor, shoulders should be relaxed, and forearms should remain parallel with the ground.
  • If standing for an extended time, make sure to maintain posture by tucking the stomach muscles in.
  • When standing for a very long time, shift the weight from one foot to the other and from the heels to the toes and back again.

These simple tips for maintaining proper posture will passively work muscles and result in a healthier spine.

Stretch Muscles

Finally, it is important to target large muscle groups with passive exercises. Use your weight to slowly stretch your hamstrings, piriformis, and entire back. Passive stretching is gentle and relieves stress points that cause back pain. These gentle exercises provide a great deal of relief and are easily adjusted to fit your fitness level.

A chiropractor will work with you to create an exercise program that is optimal for you. Be sure to follow through with the plan and include these tips in your regular work out.

 

11860 Vista Del Sol, Ste. 126 Strengthen Spinal Muscles and Improve Blood Circulation El Paso, Texas

 

Sit-Ups/Crunches/Planks and the like

We have ligaments that connect bone to bone, and tendons that connect muscles to bones. All of these structures work together to help move and to stay balanced. Strengthening one area of your body, like the spine, should include strengthening the surrounding areas where the spine really takes the weight. And that is the core.

For the back, abdominal strengthening is important because the abs act as a front/forward anchor for the spine. They work as a counterbalance for the back muscles which means that both muscle groups need to be strong to keep the spine properly supported. If the abdominal muscles are weak then the back muscles have to work harder to support the spine.

This can lead to sprains or strains, and back pain. Strengthen, stretch, and stabilize the muscles. These are the keys to keeping the spine healthy. Building up muscle strength, keeping muscles flexible, and working on the core will help stabilize the spine. A physical therapy exercise program includes strengthening, stretching, and stabilization specific to each individual’s condition. Don’t skip the abdominal exercises when dealing with back pain, they will help in the long run!


 

Eliminate your Low Back Pain


 

NCBI Resources

 

The Muscles That Move and Support The Spine El Paso, TX.

The Muscles That Move and Support The Spine El Paso, TX.

Two types of muscles exist in the body, and they are voluntary or the ones that we can move and involuntary or those that move on their own like the digestive and heart muscles. Both can be made stronger and more resilient through exercise and physical activity. We’re shall focus on the voluntary muscles that move and support the spine.

When there is a lack of muscle strength and flexibility it can create an environment for back pain. The muscles connect to the bones through the tendons. When contracted the signal concentrates through the tendon, and moves the bone/s. The tendons are attached to the bones. When the tendons get inflamed, tendonitis can occur even in the spine.

 

11860 Vista Del Sol, Ste. 126 The Muscles That Move and Support The Spine El Paso, TX.

Muscle layers

Some go deeper while others are more superficial and at the surface. The deeper muscles are the ones that stabilize and secure the bones. The abdominal muscles along with the hips and legs can play a part in back pain/problems.

A doctor might have told you that to have a healthy spine. That is great news, however, we all need to build a strong core, which includes the abdominal muscles, to help stabilize the entire torso. There are four types of abdominal muscles.

 

11860 Vista Del Sol, Ste. 126 The Muscles That Move and Support The Spine El Paso, TX.

The Corset

The deepest is the transversus abdominis, which wraps around your body just like a corset. These muscles contract if you place your hands on your waist and cough. On the sides of your body, there are two sets of oblique muscles. The internal obliques go deeper, while the external obliques are closer to the surface. The obliques enable us to twist and bend from side to side.

The Six-Pack

And of course, there is the rectus abdominis which we all know as the six-pack. These can be sculpted into the washboard abs but they do not help in stabilizing the spine/back. The job of the abs is to pull you forward like when doing sit-ups and crunches.

They do help compress the deeper ab muscles, but to stabilize the spine, you want to strengthen the deepest ab muscles. The corset, internal obliques, and back muscles are the ones you want to work. One of the most effective ab and back workouts is Pilates. It targets all abdominal and spine muscles in a gentle way.

 

Flexors

Within the body are two muscles on either side of the body, called the iliopsoas muscles, or the psoas (so-as). These are the hip and thigh flexors which lift the thighs like when�walking, going upstairs.

 

hip positioning

 

 

When in a stationary position, the psoas enables you to bend forward or flex the hips. When sitting, the psoas stabilizes the spine into an upright position. It is one of the largest and thickest muscles, and it extends from your lumbar vertebrae, crosses in front of each hip, and attaches on the inside top of the thigh bone. When we sit for long periods it constricts or shortens the psoas, which causes soreness/pain when you stand.

 

Layers

Spinal muscles are made up of layers. The deepest are small and are attached one vertebra to another. The deepest level are the interspinalis muscles, which connect the spinous processes; thank them for helping you stretch backward.

The transversospinalis group forms a chevron pattern along the back and helps with side bending, twisting, and assists in back bending. The next layer up is the erector spinae. The main job of this group is bending, but also assist with�bending to the side . When muscle spasms occur, it’s often the erector spinae muscles.

 

11860 Vista Del Sol, Ste. 126 The Muscles That Move and Support The Spine El Paso, TX.

 

The next level consists of the rhomboids. These are situated between the shoulder blades. Exercise or physical therapy can realign the vertebrae if there is upper back, shoulder and neck pain. The wings on either side of the back are called latissmius dorsi. These stabilize the back and help in doing all kinds of activities, like pull-ups.

Next are the trapezius (traps) muscles that extend from your neck and midback to the shoulders. These muscles help move your neck and lift the shoulder blades. When there is tension, there is a tendency to lift our shoulders, which is what makes these muscles tight and sore. It�s never too late to increase strength and flexibility. Look at activities that you and your friends/family can enjoy and turn them into a regular thing.


 

Athletes and Custom Foot Orthotics


 

NCBI Resources

A�chiropractor�is the ideal�medical professional to consult with for any unexplained pain in the musculoskeletal system. They are highly qualified professionals that their specialty is treating conditions like lower back pain and they are very affordable. If you or a loved one have pain give us a call. We�re here to help!

 

How Topical Medications Alleviate Back/Neck Pain El Paso, TX.

How Topical Medications Alleviate Back/Neck Pain El Paso, TX.

There are different types of topical medications, different ways of delivery and are available for patients with back and neck pain. A physician may combine one or more types of medication for maximum relief or as a way of�limiting the side effects of larger doses of only one medication. Strong dose compounds and controlled drugs are�onlyavailable with a doctor’s prescription.

Medicines that help control/reduce pain include:

  • Narcotics
  • Anti-inflammatories
  • Muscle relaxants
  • Antidepressants
  • Anti-anxiety medications
  • Topical anesthetics

 

11860 Vista Del Sol, Ste. 126 How Topical Medications Alleviate Back/Neck Pain El Paso, TX.

 

Medicines with a low potency and low risk of side effects are available at stores and local pharmacies over-the-counter. But remember medications sold over the counter without a prescription doesn’t mean they are safe to use as much as possible. Please read the label and follow the instructions. Taking higher doses, even acetaminophen e.g. Tylenol can cause liver damage. Discussing these medications with a doctor or pharmacist before purchase would be wise. Your physician should know if you plan to continue using over-the-counter medications.

Medicines with a low potency and low risk of side effects are available at stores and local pharmacies over-the-counter. But remember medications sold over the counter without a prescription doesn’t mean they are safe to use as much as possible. Please read the label and follow the instructions. Taking higher doses, even acetaminophen e.g. Tylenol can cause liver damage. Discussing these medications with a doctor or pharmacist before purchase would be wise. Your physician should know if you plan to continue using over-the-counter medications.

Inform your physician about all the products you take including herbal remedies to decrease the risk of side effects or potential severe drug interactions. When acute pain is present, injections either intravenous or intramuscular injected into the muscles are used. For chronic pain, medications are used and are typically in pill form. Both methods have limitations and different�deliveryapproaches may be considered. This includes inhalation or topical on top of the skin applications.

Topical Pain Alleviators

These type of medications come prepared and are applied to the skin via:

Topical medications aim to reduce inflammation and soothe nerve and muscle pain. Some are available with a doctor’s prescription and others are over-the-counter. Medication administered�through the skin is becoming more popular.

Skin Cells

The skin is the largest organ of the body. It serves as�water barrier protection, it regulates body temperature, controls fluid loss, and is important to homeostasis/healthy internal balance.

It is made up of many layers and is supported by a complex blood supply. The blood vessels are in a framework of connective tissue including fat and fascia that holds the tissues together. Below that layer is the bone and muscle. There are also nerve endings that relay touch, temperature, and pain signals from the skin to the spinal cord, to the brain.

 

11860 Vista Del Sol, Ste. 126 How Topical Medications Alleviate Back/Neck Pain El Paso, TX.

 

Compoundshave been developed to safely carry the various medicines through the skin into the blood. These compound enhancers are able to penetrate the skin by opening normally closed channels for a quick time to help the skin absorb the medication/s and then close back up.

Spine Pain

Spine physicians and pain specialists often first recommend topical pain-relievers to help relieve the symptoms of back and neck pain/conditions.

Topical medicines may be used to treat the pain associated with:

  • Neck strain
  • Low back strain
  • Whiplash
  • Muscle inflammation
  • Spasms
  • Osteoarthritis
  • Rheumatoid arthritis
  • Certain types of nerve pain

Topical Advantages

  • Bases like creams, ointments, gels, and sprays make application easy.
  • Symptom relief is faster than oral medicines.
  • Symptoms reduce at a steady rate.
  • Relief can last longer.
  • Not as much medicine is needed when applied in topical form.

As the medication is diffused through the skin and enters the bloodstream, it bypasses the digestive system reducing any unwanted�side effects, like an irritated stomach.

 

Topical Disadvantages

  • Blood flows in different ways to different parts of the body. Education about the product is essential to know where to apply the product like the arm or abdomen and how often.
  • Blood flow to certain parts of the body can change over time. For example, when it’s cold the blood vessels in the skin contract which decreases the absorption of the medicine, while sweating can open the pores too much and allow too much medication to be absorbed too quickly or wash it away completely.
  • The skin could present a negative reaction. Therefore patients need to know what to do if an allergic or other reaction takes place.
  • The skin nerves are different from the spinal nerves, so certain types of neck/back pain may not respond well to topical treatment.
  • Spinal conditions/disorders deep in the body will not respond well to topical therapy.

 

11860 Vista Del Sol, Ste. 128 Sciatica in Cold Weather Can Worsen Symptoms El Paso, TX.

Is it right

Are topical pain-alleviating medications the right for you? The best person to ask is your doctor or healthcare provider. Upon a final diagnosis and medical history, your doctor should offer various treatments/therapies for pain management.

 

Conclusion

Patches and creams can be used to deliver a wide variety of medications. These topicals are becoming popular because of their convenience and, reduction of negative side-effects.

  • For individuals with muscle or tendon inflammation, applying a topical to the affected area limits the amount of medication going to other areas of the body that do not need it.
  • For those that have stomach problems and find it difficult to digest anti-inflammatories, these topicals could be all they need to stay active.
  • Individuals with chronic neck or back pain should discuss these medications with their pain specialist, physician or chiropractor to see if one of these topicals might work for them.

 

El Paso, TX Neck Pain Chiropractic Treatment

 


 

NCBI Resources

Everyone needs to take care of their back/spine because it is what holds us up as long as we keep it straight and strong.�Strengthening the core�can help prevent�a weak and misaligned spine from getting worse�and helps to eliminate pain.

Back safety should be priority one, as it affects all aspects of your life. Not only are you protecting your back, but are preventing future injury. We all need to pay attention to proper body positioning and�body mechanics, as it will pay off in the long run.

 

Ultrasound For Tight Muscles and Active Physical Therapy El Paso, TX.

Ultrasound For Tight Muscles and Active Physical Therapy El Paso, TX.

Ultrasound is a passive therapy, which means this is a treatment that a physical therapist administers. It creates gentle pulsating, penetrating heat that soothes, and relaxes spinal and any other muscles that may be tight, knotted and sore.

It is an added supplemental therapy of the primary treatment like chiropractic, therapeutic stretching, and exercise. Ultrasound releases and warms the muscles and soft tissues thus increasing circulation that speeds recovery/healing.

 

11860 Vista Del Sol, Ste. 128 Spine Muscle Pain and Myofascial Syndrome El Paso, TX.

How does ultrasound work?

The equipment creates high-frequency sound waves that flow through to the tight, knotted area with a round-headed probe. The sound waves flow deep into the muscle tissue and ligaments all the while creating a soothing heat that loosens up the tissues.

Treatment application

The therapist will apply a hypoallergenic gel to the skin, that makes for a smooth moveable surface. Then the therapist goes in gentle, circular motions with the probe, and performs the treatment, that can last several minutes.

Ultrasound can also be utilized when performing phonophoresis. This is a treatment that involves the application of topical anti-inflammatory medications that are mixed with ultrasound gel�then applied to the area with the probe. The sound waves force the medicine into the tissues to help reduce inflammation.

 

11860 Vista Del Sol, Ste. 126 Ultrasound For Tight Muscles and Active Physical Therapy El Paso, TX.

Does it hurt?

Absolutely not, the patient will only feel a tingling sensation around the area being treated. There will also be a warming sensation from the sound waves.

Ultrasound results

The ultrasound probe is glided over the surface, all the while sound waves are penetrating through the skin’s surface, which causes the soft tissues to vibrate, creates muscle tightness soothing/releasing heat. The heat induces vasodilation that draws blood into the tissues that are hurting. The increased blood flow delivers much needed:

  • Oxygen
  • Nutrients
  • Removes the cell’s waste

The heat relieves pain and inflammation, reduces muscle spasms, and accelerates healing. Depending on the area being treated, the range of motion will be increased.


 

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Physical therapists also�instruct patients on the best way to exercise to enhance overall physical fitness, move about safely (biomechanics and ergonomics), and injury prevention. Physical therapists also help patients with�long-term physical incapacity�(eg, spinal cord injury).

 

Weight Lifting and Spine Strengthening El Paso, TX.

Weight Lifting and Spine Strengthening El Paso, TX.

You might not think it, but weight lifting and spine strengthening exercises can help reduce back pain. Remember the point of this type of weight lifting is not to build up the muscles like a bodybuilder but is to develop:

  • Core strength
  • Spine strength
  • Body strength

The muscles in the back keep the spine moving and functioning properly. When the spine or abdominal muscles are weak this creates a higher probability of a back strain or injury. Having strong, healthy spine muscles are important because they function in maintaining correct posture, which in some cases, causes chronic back pain because of poor posture.

If�only one part of the body is strengthened like the back is not enough. Therefore strengthening the rest of the body is a must. These include the body’s core and leg muscles. Total body strength will reduce back pain and can help perform regular activities, like lifting heavy objects much easier, with more confidence and with a lesser probability of injury.

11860 Vista Del Sol, Ste. 128 Weight Lifting and Spine Strengthening El Paso, TX.

 

Spine strengthening exercises benefits

Most important reasons are they:

  1. Prevents future back injuries
  2. Stabilizes the spine
  3. Helps the spine move properly
  4. Help maintain correct posture
  5. Increases muscle tone
  6. Teaches correct body mechanics
  7. Helps build bone this is especially beneficial for those with osteoporosis or at risk of developing it

A personal trainer or sports chiropractor can help start a spine strengthening regimen. They will teach:

  • Simple
  • Specific
  • Strengthening

Weight lifting exercises.

A physical therapist can also develop a custom weight lifting/strength�exerciseprogram for optimal spine health and for reducing pain.

Most workout regimens incorporate a combination of weight lifting with actual weights/exercise machines and strengthening exercises/calisthenics with the body’s weight as the resistance for maintaining a healthy strong spine.

 

11860 Vista Del Sol, Ste. 128 Weight Lifting and Spine Strengthening El Paso, TX.

 

Here are a few weight lifting and back strengthening exercises that can help decrease and prevent back pain.

Talk to a doctor or chiropractor before beginning any exercise program. Remember to listen to your body and stop right away if there is something off.

Push-ups

Push-ups help strengthen the:

  • Back
  • Chest
  • Arms
  • Core muscles

Your own body weight is the resistance.

 

11860 Vista Del Sol, Ste. 128 Weight Lifting and Spine Strengthening El Paso, TX.

 

To do this:

  1. Position the body in a straight line from head to toe, the face looking down.
  2. Hands should be wider than shoulder-distance apart. Walk the hands out so they are slightly higher than the shoulders
  3. Keep the balance on toes and hands, with a straight back, lower the body to the floor by slowly bending the elbows until at a 90-degree angle.
  4. Push up using arm upper back, and chest muscles.
  5. Do 3 sets of 10 every day. As the strength increases do more reps.

Chest Flyes

Chest flies are excellent for building muscle in the:

  • Upper back
  • Chest

Dumbbells or a weight machine can be used for this exercise. To do this:

  1. Lie on the floor with the knees bent and the feet flat on the ground.
  2. Extend the arms out to either side of the body, and let them rest on the floor.
  3. With a dumbbell in each hand, raise the dumbbells until they meet at the top at the same time, and keep a slight bend in the elbows.
  4. Lower the hands to the ground, and repeat.
  5. Do this exercise 15 times 3 times a week. With added strength add more reps.

 

 

Lateral Raises

Lateral raises help strengthen the entire back. All that is needed is a set of dumbbells. To do this move:

  1. Stand or sit with the feet equal hip-distance apart. Arms are at the side.
  2. With a dumbbell in each hand and a slight bend in the elbows, raise the arms to the side until shoulder height. Keep the core engaged during the movement.
  3. Once at shoulder height, slowly lower the dumbbells, and repeat.
  4. Repeat this exercise 15 times 3 times a week. As strength increases add more reps.

 

 

These exercises should be performed slowly with a gradual build-up to more complex movements and adding more weight. Remember to breathe naturally. If you hold your breath during exercise, it can cause tension in themuscles, which can worsen any pain or create new injuries.�Before adding weight or new spine strengthening exercises, talk to a doctor about exercising with back pain. They will let you know if there are certain movements or positions that should be avoided.

Weight lifting exercises done incorrectly can lead to more back pain and added injuries. If there is any pain while doing these exercises, stop and call a doctor, chiropractor or physical therapist right away.

As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.


 

Back Pain Chiropractic Care | El Paso, Tx


 

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It can be tempting to not exercise with a spinal condition. But remember that if there is no movement at all, you could make the pain worse. Knowing what your body can handle and sticking to a workable schedule, these healthy steps will relieve you and help with back pain.

 

Chiropractic Help for Myofascial Pain Syndrome

Chiropractic Help for Myofascial Pain Syndrome

Chiropractic care focuses not only on the skeletal system and joints but also on the treatment of muscle pain. The muscles are interwoven with fascia, a type of tissue that allows muscles to glide smoothly over one another. Both muscles and fascia can develop painful adhesions, often recognized by their hard or knot like texture under the skin.

Muscle pain can be quite uncomfortable and even debilitating in certain cases. When you are suffering from muscle pain, your chiropractor can provide some much-needed relief using a variety of effective treatment options.

What is it?

The word �myofascial� is a mouthful, but there is a reason it is used by chiropractors. The first part of the word, �myo�, generally refers to your muscles. The second part of the word, �fascia�, refers to the connective tissue that is found all throughout your body. Myofascial pain syndrome is used to indicate muscle pain in its various forms. This may include issues with your fascia, muscle tissue, or both.

Myofascial pain can vary considerably, ranging from mild and frustrating to completely debilitating. Fortunately, whatever the intensity of the discomfort, chiropractic treatment can provide a solution that lessens and often eliminates the pain.

Trigger Points

The knots you have probably felt in your muscles or had others identify are also known as trigger points. These tight spots are often sensitive to the touch and can be found in any muscle in your body. As they develop, they may produce symptoms like numbness, burning, weakness, pain, and tingling.

Trigger points are caused by trauma to the body, such as an accident in a car or during athletics. They can also be caused by more mild, long-term trauma, such as working at a desk without proper ergonomics or making a repetitive motion over a long period of time.

Trigger points are challenging to identify sometimes because they occur at different spots in different people. They also produce something called �referred pain�, a pain that is felt somewhere else besides where the actual trigger point is. Chiropractors are trained to track down trigger points, though, so even if they are somewhat hidden by referred pain, they can be found eventually.

11860 Vista Del Sol, Ste. 128 Chiropractic Help for Myofascial Pain Syndrome El Paso, TX.

Chiropractor massaging a cute woman in a room

How Chiropractic Helps with Myofascial Pain Syndrome

Chiropractors are not only good at finding trigger points, but they are also good at treating them. They accomplish this using a variety of techniques. Some of the benefits of chiropractic for myofascial pain include:

Adhesion Break Up

Trauma in the muscles can cause adhesions to form. Adhesions are when muscle fibers and/or fascia bond together into a form of scar tissue. The adhesions cause the muscles to catch instead of slide smoothly, which can have a cascading effect on the body. Not only does the adhesion hurt, but it also causes joints to become misaligned and further problems to develop.

Trigger Point Pressure

Sometimes the most effective way to treat a trigger point is to apply pressure to smooth out the muscle and fascia. Chiropractors can do this with their hands or specific tools.

Alignment Improved

The cause of trigger points and muscle pain is often trauma, but sometimes the trauma is not as obvious as an accident or a trauma directly to the affected area. Misalignment in the spine or the extremities can cause the body to move incorrectly. Over time, the incorrect movement patterns can put extra strain on the muscles. Chiropractic focuses on helping your whole body become aligned, which can ease muscle pain and prevent further issues from developing.

Muscle Pain

Please contact our office to schedule an appointment with a chiropractor. Let us help alleviate your muscle pain and get you back on your feet again!

The Difference of Using *CHIROPRACTIC ORTHOTICS* | El Paso, Tx

 

 


Support for the 3 Arches

The feet are the foundation of the body. They provide the stability to perform activities by supporting the weight of the entire body using the 3-arched bond called the plantar vault.

The plantar vault provides numerous benefits:

  • Balances the body
  • Propels us forward
  • Absorbs heel-strike shock
  • Walking and running stresses adaptation

The Plantar Vault

11860 Vista Del Sol, Ste. 128 Chiropractic Help for Myofascial Pain Syndrome El Paso, TX.

 

The foot is made up of 3 arches. These arches are what keep the body balanced:

  • Medial longitudinal arch (A�C)
  • Lateral longitudinal arch (B�C)
  • Anterior transverse (metatarsal) arch (A�B)

Together, these 3 arches form an extremely strong, supportive �plantar vault� that distributes weight evenly throughout the entire body.

Arch Collapse

Over time, one or more of the arches will weaken due to pressure and wear and tear. This process is completely natural but injuries, a short leg, improper posture, and naturally weak ligaments and tendons can cause the collapse.

Custom-made orthotics are designed to provide the best possible support for all 3 arches:

  • Individually crafted from 3D scans to bolster the arches in your feet
  • Prescribed through Chiropractors to ensure you get the best possible orthotic
  • Available in a variety of styles and builds to suit your lifestyle and needs

Custom orthotics are designed to provide both the instant �ah� factor that over-the-counter orthotics like to market, and the actual needed support for your arches that will relieve pain now and prevent pain later by compensating for any and all of your weakened arches to correct your posture.


Orthotics For All Occasions

Typically, overpronation and oversupination, are caused by muscle imbalances in the foot, ankle, and lower leg. Improper shoes, misalignment in the body, and other issues can cause these muscle imbalances. The chiropractor will work with the patient to find the cause of the foot problem so that can be corrected, then work to the damage or injury done.

 

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Whole Body Help with Orthotics

Overpronation and oversupination can cause a variety of injuries and conditions that affect not only the feet and ankles, but also the knees,�hips, and back as well.

 

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The human body is an intricate machine, and everything is connected so when something goes wrong in one area, it can cause problems in other areas. The back carries a lot of the stress in the body so when there is a problem with the hips, knees, or a foot dysfunction, the spine can bear at least some of the brunt of the pain and other effects.

 

What Is A Winged Scapula & How Chiropractic Can Help El Paso, TX.

What Is A Winged Scapula & How Chiropractic Can Help El Paso, TX.

A winged scapula is a debilitating condition left untreated. The condition is often spotted by the protrusion or the sticking out of the scapula from the back. Fortunately, chiropractic treatment can fix the condition. This and associated therapies can help you get relief from your symptoms, and to strengthen your shoulders to avoid further discomfort.

Symptoms

The symptoms of a winged scapula can include:

  • Protrusion of the shoulder blade from the back
  • Pain when sitting from pressure on the scapula
  • Difficulty moving the shoulder and arm
  • Weakness in the shoulder and arm

Sometimes the symptoms of a winged scapula are relatively minor in the beginning. You may only have a little discomfort at the start. But symptoms tend to get worse over time, so it is important for you to seek treatment sooner rather than later.

Cause

There are a variety of causes of a winged scapula. Often it is the result of damage to the thoracic nerve in the shoulder, sometimes due to trauma.

The damage to the thoracic nerve can cause muscles in the shoulder to become paralyzed, leading to winged scapula symptoms. Many times the appearance of a winged scapula indicated other problems in the back and shoulder.

Poor posture can also lead to a winged scapula. Years of poor posture can weaken the muscles that hold the shoulder in place to the point where a winged scapula is more likely to occur.

11860 Vista Del Sol, A Winged Scapula Chiropractor El Paso Back Clinic

Chiropractic Care Can Help

I.D. The Cause

Because this condition can be caused by several different issues, it is important to determine the exact cause before beginning treatment. A chiropractor is well-qualified to give you a full body examination to locate the source of your injury.

Realigning The Thoracic Nerve

Chiropractors are skilled at aligning the human body, including the thoracic nerve. We can locate the point where misalignment of the nerve has occurred and often correct it.

Strengthening The Shoulders

As a winged scapula is often the result of weakened shoulder muscles, the most effective treatment is usually to strengthen the muscles. Our team can guide you in rehab exercises to return your muscle strength and support your shoulder. We can also help you learn how to activate the right muscles in the right manner to operate your shoulder properly.

Adjustments

When things like poor posture and/or injury lead to a winged scapula, the injury is usually only part of the overall issues with the body. Chiropractic adjustments are ideal for realigning your spine and limiting the pressure on the nerves in your back. Adjustments can help with the muscle imbalances and spinal imbalances that often accompany the appearance of a winged scapula.

Seek Qualified Care from a Chiropractor

The symptoms of a winged scapula can come on slowly, which makes many sufferers feel like they should try fixing the issue themselves before seeking medical care. Unfortunately, trying to heal a winged scapula on your own is not likely to be effective.

In fact, you will need some sort of assistance to even apply ice to the area, You will also need help to identify exactly what is wrong and to treat it. Seeking qualified care is recommended.

Helping You Heal

A winged scapula can be quite painful. You should not have to suffer from should pain and back pain. We encourage you to contact us to schedule an appointment and get the treatment you deserve. We are happy to help you with all your chiropractic needs.

11860 Vista Del Sol, A Winged Scapula Chiropractor El Paso Back Clinic

Shoulder Pain Rehabilitation | El Paso, Tx