An abdominal aortic aneurysm refers to an enlargement of the abdominal aorta. If the blood vessel is enlarged and starts to leak blood or rupture, it will cause severe abdominal and lower back pain. This is a serious medical emergency that necessitates emergency surgery. Unfortunately, there is no way to reverse the damage. A prominent symptom from a rupture is severe, persistent low back pain, and pain in and around the abdomen. Treatment for an abdominal aortic aneurysmdepends on the possible complications that could develop. Approaches for treatment:
Nonsurgical treatments like anti-biotics calcium channel blockers and exercise along with monitoring are used for individuals that have a low risk of rupture.
If an aneurysm is not found until it becomes an emergency, then surgery to repair the ruptured artery is absolutely necessary. If ruptured or there is a high risk of rupturing is considered an emergency.
If a rupturing aneurysm has been diagnosed, some treatment/management will be implemented to prevent severe/fatal bleeding.
For low-risk cases, lifestyle changes and possible medication/s may be recommended to slow the development. Small aneurysms are monitored using ultrasound. This can be every 6 to 12 months depending on the size and growth rate of the artery.Medications for lowering blood pressure and cholesterol could be prescribed. This is to limit the amount of plaque buildup in the aorta and reduce any pressure on the arterial walls. Quitting smoking and removing tobacco altogether whether dip, chew, vape is a significant action an individual can do to minimize the risk of aortic rupture. Other lifestyle changes involve maintaining a healthy diet and regular exercise will help lower blood pressure and cholesterol levels decreasing the chance of rupture.
Surgical treatment when necessary is to stop a rupture if leaking blood or to prevent a rupture. Surgery requires replacing the damaged portion of the aorta with a stent-graft. This is an artificial artery made from a high-tech mesh/fabric. There are two standard surgical treatments:
Open repair is the most common surgical treatment. It takes the enlarged portion of the aorta removes it and replaces it with a stent-graft. Open surgery repair consists of the following:
The incision is made in the abdomen at the site of the aneurysm.
The aorta gets clamped with the blood temporarily blocked from flowing through the damaged portion.
The damaged part is removed.
A tube graft is placed where the damaged portion was.
If the damage was not severe and does not require the removal and complete replacement, then less invasive options will be offered.
Endovascular Aortic Aneurysm Repair
EVAR endovascular aneurysm repair surgery is a minimally invasive procedure. There is no need for a large abdominal incision or removal of the damaged portion of the artery. This procedure does not require blood flow stoppage, which places less stress on the heart. Endovascular surgery involves:
A catheter is inserted into the femoral artery in the groin and guided to the abdominal aorta.
Through the catheter, the stent is guided to the aneurysm.
Once it reaches the aneurysm, it is compressed and closed.
The stent is placed in position, and the wireframe is expanded to fit the artery.
The stent is sewn/secured into place at both ends.
Once in place, the blood gets redirected from the enlarged area and flows only through the stent-graft. This takes the pressure off the artery’s walls and allows for size reduction over time, and decreases the risk of rupture.
The procedure is not an option for individuals with an aorta that cannot be accessed safely through the femoral arteries. Or if the artery is severely damaged that the aneurysm portion needs to be replaced. And if the aneurysm is too big or complex where an open repair is a more favorable option.
Follow-up monitoring is necessary after any aortic aneurysm surgical procedure. This is to ensure the stent works and the aorta is functioning without a high risk of rupture. Individuals will be advised to maintain a healthier heart and cardiovascular system. A surgeon/doctor will suggest:
Quitting smoking/tobacco intake
Taking cholesterol and blood pressure medication
Chiropractic/Physical therapy for any spinal misalignment, herniation, sciatic nerve compression back pain relief.
Lower Back Pain
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*
During an initial evaluation, your chiropractor will review your medical history, along with a discussion about current symptoms and the possible causes.
With degenerative disc/s��the main symptom is back pain. A chiropractor will examine potential causes:
How the mechanics of the spine are operating.
Thinning discs could bulge and place added pressure on the nerves of the spine.
Spinal stenosis can also cause back and leg pain.
A physical and neurological exam can pinpoint problem areas, like:
Where joint motion is restricted
Range of motion
Abnormal spinal curvature
An injury like a sprain or strain
There are different reasons why your neck or back may hurt, and your examination may include some basic tests. Observance of how you walk, and overall posture. This will help to observe body mechanics and how your spine moves. Imaging tests like x-rays or MRI are common to find the problem area and cause. The chiropractor will diagnose your condition and create a treatment plan for pain alleviation.�
The disc/s can lose their integrity, and begin to thin and possibly tear. This increases unwanted pressure on nerves and creates friction between the vertebrae. Degenerative disc disease can go through various stages. With the progression, the negative symptoms become more pronounced.
The first stage of degenerative disc disease may go unnoticed by the individual but can be identified by a chiropractor or other medical professional. The loss of the natural curvature of the spine can indicate the beginning of degenerative disc disease. Pain may not be apparent, but extra pressure is being placed on the spine which can lead to more rapid aging of the spine, nerves, joints, etc.
The degradation of discs becomes more apparent in the second stage. They may look thinner, and it is common to see deformations in the bone, such as bone spurs. The curvature of the spine will become more unnatural and the spinal canal may become more narrow. Stage 2 is often where you will begin to notice some pain and discomfort.
Stage 3 is marked by a more extreme change in the posture and curvature of the spine, along with more pain and loss of mobility. Nerve damage is common and scar tissue typically begins to form. Discs are even thinner than before, which can sometimes cause even more deformation of the bones.
The final stage of degenerative disc disease is the most severe and is typically considered irreversible. Discs are at their thinnest or gone altogether. The flexibility of the spine is extremely limited and pain is often considerable. Nerve damage can be severe and the bones of the spine may even begin to fuse together.
Chiropractic care is a preferred treatment for degenerative disc/s disease. Because it is gentle and non-invasive, chiropractic does not create undesirable side effects like prescription meds and surgery are more prone to do. The earlier the stage of the disease, the more successful the treatment. But chiropractic can help even in the most extreme cases. The goal of chiropractic is to improve joint mechanics with improved spinal motion and reduced inflammation. The chiropractor may also work on improving the function of the intervertebral discs.
Treatments can include:
One of the most effective treatments is to ensure the spine is in proper alignment. Loss of alignment, which can happen due to injury or just regular wear and tear, puts extra stress on the spine which can accelerate disc/s degradation. Adjustments bring the body back into proper alignment.
Spinal manipulation will identify the joints that are restricted or those that have abnormal motion. They will use a gentle thrusting technique.
Flexion-distraction technique uses a gentle, non-thrusting technique that is typically used to treat herniated discs and spinal stenosis.
Instrument-assisted manipulation uses a hand-held instrument. The chiropractor or therapist applies gentle force without thrusting directly into the spine.
A physical therapist can perform different types of massage to reduce muscle tension. Manual joint stretching and resistance techniques can also relieve pain and other symptoms.
Trigger point therapy
Here tight painful points on a muscle/s are identified and places direct pressure on these points to relieve tension.
Spinal decompression uses gentle but firm pressure to bring space back between the vertebrae. Space allows blood flow to return and healing to happen. Decompression is an important treatment to complement adjustments.
A low-frequency electrical current stimulates your muscles and reduces inflammation.
This type can help reduce muscle spasms, stiffness, and pain with sound waves that penetrate deep into your muscle tissues. This creates a gentle heat and enhances blood circulation.
With chiropractic, prevention is the key, and therapeutic exercises can prevent symptoms from getting worse. Seek treatment for your back and neck pain now. Our team can help you feel better and educate you on living a healthier life. Your chiropractor will work hard to treat you and address all your symptoms. Chiropractors treat the whole body and not just symptoms.�
Herniated Disc El Paso, TX
A disc can also�herniate and place pressure on the nerves that flow into the feet, and cause pain, tingling, and numbness. The wear and tear of the spine combined with a herniated disc�can pinch the nerves that go to the feet.
Q: I’m experiencing back pain more so now.�My question is, is this back pain from my baby is it normal or is it something else? I’m a 30-year-old woman in the second trimester with our first child. I would have back pain before I was pregnant but nothing serious, just normal work and a little soreness at the end of the day. There was never back soreness or pain that I thought warranted a visit to the doctor. My doctor says that it is normal from the weight of the baby and there is nothing amiss, but to discuss this with a chiropractor, as there could be some treatment/therapies/exercises to help.
El Paso, TX.
A: Having low back pain before you were pregnant concerns me, as what you are saying sounds like a possible herniated disc bulging or slipped disc. However, I cannot give you an official diagnosis unless I see you as a patient and can’t say if it is something else.
But low back pain can be caused by a combination of things. This includes your pregnancy along with:
Daily wear and tear
These are just a few of the things that could be causing your low back pain. Add pregnancy to this list and low back pain can become unbearable. Your pain can be made worse by a variety of factors.
For example, let’s say you were lifting a few pieces of light furniture before you became pregnant, and that slight soreness you felt and thought was nothing could actually be a strain, muscle spasm, or over-stretch that did not cause an injury but is the beginning of an injury waiting to happen.
During pregnancy, a growing belly can put place more pressure on the:
Hormones that are released during pregnancy can also exacerbate your back pain. The hormone relaxin causes the pelvis and the ligaments of the lower back to gain flexibility. This is in preparation for the delivery and can cause low back pain because of the added flexibility you are more prone to injury, which is why doctors say to take it easy. It could all be a combination of these factors but I would have to examine you, go over your medical history to get a proper diagnosis to create a personalized treatment plan during pregnancy and after if the need is there.
Treatment During Pregnancy
There are several treatment options for back pain. During pregnancy is not the time to experiment with medications or back pain treatments that could cause a negative response or something else to your health. The goal�during pregnancy is safety.
Here are four safe therapies for managing back pain while pregnant:
Gentle exercise/s like walking and yoga helps alleviate back pain and can also generate an overall feeling of wellness.
Physical therapy can decrease your back pain by strengthening the muscles. A physical therapist that has experience working with pregnant women is the best option.
Prenatal massage relaxes tense back muscles and reduces stress. Look for a massage therapist that specializes in prenatal massage.
Prenatal yoga classes are great for decompressing/destressing during pregnancy.
Discuss all of this with your doctor and all treatment options. It’s not a good idea to start a new exercise program when you’re pregnant. If there was a regular exercise routine before you were pregnant, you can continue, but you may have to make some adjustments as your body prepares for the delivery. Once the baby is born, you and your doctor can re-evaluate your treatment plan. But regardless of your treatment plan, you should still continue to maintain a proper healthy weight by eating right and exercising regularly to prevent back pain from worsening.
Low Back Pain Treatment While Pregnant
Chiropractic a preferred treatment for pregnancy low back pain. The chiropractor may perform a spinal subluxation to bring the spine back into alignment and the body back into proper balance. Regular chiropractic care and following the doctor�s instructions can help greatly decrease back pain so that she can better enjoy the excitement and joy of her pregnancy.
Spinal Cord Injuries Are Not Only Caused by Trauma
When people think of spinal cord injury/s or SCI’s, traumatic events like a major auto accident, hard fall, severe sports injury or intense work injury come to mind. It is true that auto accidents are the leading cause, however, non-traumatic accidents and diseases like a spinal tumor can also cause spinal cord injuries.
These types of injuries involve damage to the spinal cord that can temporarily or permanently affect its functionality. Spinal cord injuries are divided into 2 categories: traumatic and non-traumatic. Even with non-traumatic injuries the impact or severity is not lessened and the aftermath can have a devastating effect on a person�s life.
Spinal Cord Injury Trauma
Vehicle crashes: Motor vehicle accidents are the leading cause of traumatic spinal cord injuries, and they account for 40% of all SCI’s.
Falls: Falls are the second cause of traumatic spinal cord injuries, and they account for 32% of injuries.
Violence: Violent acts, like gunshot wounds or a stabbing cause around 14% of spinal cord injuries.
Spinal cord injuries occur more in men than women with 80% of cases affecting men.
Although people of all ages can experience SCI, there are activities/events that increase the risk that affects different age groups more than others. An example is high-impact actions like motor vehicle accidents and sports injuries occur more in young adults. Conversely, spinal cord injuries caused by a fall happens more in adults over age 60.
Regardless, SCI occurs more in the neck or cervical spine. Around 60% of cases involve the neck, followed by the mid-back or thoracic spine that averages to around 32% of injuries. Although most people experience low-back pain, only 9% of spinal injuries occur in the low back and tailbone or lumbosacral spine.
Understanding SCI Trauma
Damage to the spinal cord not only affects the area where the point of impact occurred. The primary injury can also damage cells, dislocate the vertebrae and cause spinal compression. It can also trigger secondary injuries, that cause a series of biological changes. This can happen within weeks or months after the injury.
The secondary injury cascade processes:
Glial cells along with the nerve cells in the spinal cord begin to die. These cells provide nutrients and other support to the nerve cells in the central nervous system. This consists of the brain and spinal cord.
The blood vessels in the spinal cord lose their ability to function, and this reduces the blood supply to the cord. When the blood supply becomes inadequate it is called ischemia. Blood vessel injuries expose the cord to inflammatory cells that in turn cause swelling. When the spinal cord becomes inflamed the spinal cord gets more and more compressed. If this happens�the initial injury progressively worsens.
This changes the cord�s structure and its normal operation. The secondary injury cascade can interfere with the cord�s ability to heal itself. This means an individual could experience permanent nerve pain and dysfunction.
Spinal cord damage does not only happen with traumatic events. An SCI can also be caused by non-traumatic diseases in the spine. Tumors are the leading cause, but infections and degenerative disc disease can also cause serious damage.
Non-traumatic SCI’s happen more than traumatic based ones. �The incidence of traumatic SCI in North America comes to around 54 cases per one million people. With the incidence of non-traumatic SCI is around 1,227 cases per million people.
Healthy Spinal Cord Injury Outcomes
Spine researchers are making great strides in developing optimal protective and regenerative treatments to improve spinal cord health after these injuries occur.
Currently, innovative medical, surgical, cell-based and alternative treatments are furthering the medical community�s understanding of SCI’s. This is dramatically improving the quality of life and creating positive futures for individuals who experience these injuries.
Car Accident Injury Rehabilitation | El Paso, Tx (2020)
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.
Edgar M. Reyes works for the city of El Paso, TX. Recommended by one of his wife’s friends, Mr. Reyes visited Dr. Alex Jimenez, chiropractor, to receive treatment for his sciatica symptoms. Edgar Reyes struggled to walk due to his sciatic nerve pain before seeing Dr. Jimenez, but thanks to the chiropractic care he’s received, Mr. Reyes can walk again. Edgar M. Reyes highly recommends Dr. Alex Jimenez as the non-surgical choice for sciatica treatment.
Sciatica Chiropractic Treatment
The primary objective of sciatica treatment is to alleviate pain in the legs and lower back. This can be accomplished via a variety of methods, including medications and physical therapy. Chiropractic care can also help. Doctors of Chiropractic (DC) or chiropractors, regularly treat sciatica. Sciatica is characterized by pain that originates in the lower back or buttock which travels into one or both legs. Sciatic nerve pain varies in intensity and frequency; minimum, moderate, severe and intermittent, frequent or constant.
We are blessed to present to you�El Paso�s Premier Wellness & Injury Care Clinic.
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.
If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend�us.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine