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Playing Tennis With Back Pain

Playing Tennis With Back Pain

Tennis is a sport that can be enjoyed by individuals of all ages and provides optimal physical activity and cardiovascular exercise. Although it can be leisurely, it does require being light on the feet with quick, starting, stopping, turning, and twisting movements for those new to playing tennis. If back pain is present, playing can be difficult. One study showed almost 40% of tennis players missed one or more tournaments because of low back pain/problems. A 2016 study found that tennis players with low back pain have difficulty moving their muscles with ease.

Playing Tennis With Back Pain

Know and Understand the Risks

Playing tennis has its risks when it comes to back pain. What can bring on or worsen back pain are the repetitive motions, like swinging, serving, volleying, and the uneven force placed on the body. This force is the power and momentum that is used for certain swings like serving and forehands. What happens is it does not evenly distribute through the body, increasing the potential to cause strains and sprains. For example, the serving motion repeatedly puts a hyperextension force through the spine. The result is overuse injuries.

Preparation

No one wants to injure their back for those new to tennis and those who have been playing for years. This is where off-court conditioning comes in and preventive measures. This includes:

  • Work on endurance and stamina
  • Strengthen the core muscles without aggravating the back
  • Ease into playing
  • Don’t play for too long when starting or multiple days in a row
  • Gradually increase the frequency and intensity
  • Focus on the fundamental skills rather than trying to blast the ball like the pros.
  • Trying to smash the ball too soon can result in a rotator cuff injury.

Stay Aware of Your Body

Playing tennis can cause an individual to become distracted; however, it’s crucial to be mindful of the body and what’s going on.

  • Pay attention to the heat.
  • Humidity
  • Proper rest between games
  • Hydration to prevent muscle cramping
  • Stretching before and after playing
  • Warming up and cooling down
  • Take a break and stretch out if pain symptoms present.
  • Never play through the pain that could result in worsening or creating new injuries.
  • Pay attention to proper form.
  • Apply modifications to prevent and avoid worsened back pain. This could be serving more simply or hitting around a stroke that generates pain symptoms.

Cooling Down

After a match, rehydrate the body and cool down. This could be a little walking around the court, if possible getting in a pool or water splash park, and let the musculoskeletal system recover. Do some spinal exercises afterward, like yoga poses. Applying anti-inflammatory creams or gels can help keep the muscles loose and promote circulation. Anti-inflammatory foods can help with pain and inflammation.

Spinal Conditions

There are individuals with spinal conditions that should not play tennis. These include:

  • Acute disc herniation
  • Active bone injury/s – fractures and stress fractures
  • Spinal instability – spondylolisthesis
  • Post-spine surgery
  • A spinal condition involving nerves and/or the spinal cord

Consult a doctor before adding tennis to a physical regimen.  Tennis is an aerobic activity that has several benefits. It keeps the body physically active for mental and physical wellness. The hormones released can help mitigate musculoskeletal pain and negative emotions like depression and anxiety that can come from experiencing back pain.


Body Composition


Magnesium

Magnesium supports a healthy immune system. It helps maintain:

  • Healthy bone structure
  • Muscle function
  • Insulin levels
  • Facilitates the body with energy
  • Acts as a calcium blocker
  • Reduces cramping
  • Aids muscle relaxation after exercise/physical activity

Magnesium is essential in several biochemical reactions; a slight deficiency can increase cardiovascular disease risk. Deficiency can also lead to an increased risk of insulin resistance. Magnesium-rich foods are also high fiber foods. Dietary fiber helps with:

  • Digestion
  • Helps control weight
  • Reduces cholesterol
  • Stabilizes blood sugar

Recommended sources of Magnesium include:

  • Green vegetables – spinach, swiss chard, and turnip greens
  • Nuts – almonds and cashews
  • Seeds
  • Legumes
  • Cocoa
References

Clinics in Sports Medicine. (April 1988) “Low back pain in the competitive tennis player.” https://europepmc.org/article/med/2968850

Journal of Science and Medicine in Sport. (April 2016) “Trunk muscle activation, fatigue and low back pain in tennis players” https://www.sciencedirect.com/science/article/abs/pii/S1440244015000845

Jahnen-Dechent, Wilhelm, and Markus Ketteler. “Magnesium basics.” Clinical kidney journal vol. 5,Suppl 1 (2012): i3-i14. doi:10.1093/ndtplus/sfr163

Katz, David L et al. “Cocoa and chocolate in human health and disease.” Antioxidants & redox signaling vol. 15,10 (2011): 2779-811. doi:10.1089/ars.2010.3697

Wang, Jinsong, et al. “Dietary magnesium intake improves insulin resistance among non-diabetic individuals with metabolic syndrome participating in a dietary trial.” Nutrients vol. 5,10 3910-9. 27 Sep. 2013, doi:10.3390/nu5103910

The Sciatic Nerve

The Sciatic Nerve

The sciatic nerve is the largest in the body and is created by five nerve roots that come together and exit the lower spine. It goes through the buttocks on either side and down the thighs all the way to the heels and soles of the feet. The sciatic nerve connects the spinal cord to the muscles of the thigh, leg, and foot. Any type of pain and/or neurological symptom/s that comes from the sciatic nerve is known as sciatica. The symptoms can be felt along the nerve’s path. This could be the:

  • Low back
  • Buttocks
  • Thighs
  • Calves
  • Feet
  • Or it could be a combination of all the areas

 

The Sciatic Nerve

Neurological Symptoms

When the nerve is compressed,  neurological symptoms can accompany the pain. These include:

Thigh muscle weakness

If the thigh muscles are affected, weakness can be felt when bending or flexing the knee.

Leg and foot muscle weakness

Weakness can be felt while attempting to bend the knee or pointing the foot/toes upward/downward. This can lead to foot drop, which makes lifting the front part of the foot when walking difficult. Difficulty can also present when getting up from a sitting position or walking on the tiptoes.

Numbness

Loss of sensation can happen when the nerve impulses/transmissions cannot pass all the way through. Common areas affected by numbness are the:

  • Side of the calf
  • Side of the heel
  • Bottom of the foot
  • Top of the foot

Paresthesia

This is an abnormal sensation felt on the skin. It is brought on by improper nerve transmission. This sensation can include:

  • Tingling
  • Tightness
  • Pins-and-needles
  • Crawling feeling along the back of the thigh and/or leg

The Sciatic Nerve Gets Affected

The sciatic nerve can become:

  • Irritated
  • Compressed
  • Inflamed
  • This lumbar/low back radiculopathy means that the pain originates in and around the lumbar and/or sacral/sacrum nerve roots.

Compression

Physical forces could affect the nerve following common conditions:

Disc Herniation

A disc in the lower back can bulge or herniate. This causes irritation that can lead to compression of a nerve root.

Stenosis

Stenosis means the opening where the sciatic nerve exit into the buttocks begins to get narrow in size. This creates a clog with the other nerve roots that compresses or irritates the sciatic nerve. Degenerative changes in the spine like the thickening of the facet joint capsules and/or ligaments can also compress the sciatic nerve.

Instability

Instability of a vertebral segment happens when one vertebra slips over the one below it, known as spondylolisthesis. There are also vertebral defects like spondylolysis which is a complete dislocation of one or more vertebrae. This can directly compress the sciatic nerve roots.

Inflammatory Response

The body’s own chemicals can irritate the nerve causing inflammation. These chemical irritants include:

  • Hyaluronic acid
  • Fibronectin protein fragments leak out of degenerated or herniated discs onto and around the sciatic nerve roots.
  • There are times when degenerated discs can cause nerve tissues to grow into a disc. The tissue penetrates the outer and inner layers of the disc, causing inflammation and pain.
  • Some studies have shown how an immune system response can contribute to sciatic pain when there is exposure to the disc material from herniated disc/s.

Glycosphingolipids which are fats, and neurofilaments which are protein polymers. They are secreted by the immune system and have been found to have high levels in individuals with sciatica. It is believed they are released in reaction to the nerve roots and exposed disc material. This can lead to inflammation of the sciatic nerve.

Body Composition

The physical characteristics of an individual can also affect the sciatic nerve. Research has shown an increased risk of sciatica in:

  • Overweight individuals
  • Obese individuals
  • Older individuals
  • Tall individuals

Work Injuries

Individuals with certain jobs can have an increased risk of developing sciatica. Examples include:

  • Semi-Truck operators
  • Machine operators
  • Construction workers
  • Hairstylists
  • Office workers
  • Athletes that lift weights

This comes from:

  • Sitting for long amounts of time
  • Poor posture
  • Constant bending forward or sideways
  • Regularly lifting the arms above shoulder level
  • All are risk factors.

Vitamin B12 deficiency

Adequate levels of vitamin B12 are important for nerve health. Vitamin B12 supports the myelin sheath that covers and protects the nerves. It is important in nerve function and in transmitting impulses. Sciatica can present from vitamin B12 deficiency. However, this is more common in individuals 60+.


Body Analysis


Alleviating Nerve Pain Through Clinical Nutrition

Clinical nutrition is a powerful tool to help alleviate sciatica. Many individuals can relieve their pain through diet adjustments. Here are a few diet tips to alleviate sciatic nerve pain through clinical nutrition:

  • Sometimes, sciatica can be triggered by constipation from an unhealthy diet
  • Incorporate fiber-rich foods
  • Fruits and vegetables will prevent constipation
  • Oily fish like salmon and halibut are rich in omega 3 fatty acids
  • Fresh pineapples and berries are anti-inflammatories that support healing and boost the immune system
  • 2-3 cups of green tea
  • Add turmeric, ginger, and garlic to meals
  • B-Vitamins are important to take in when going through sciatica and are found in green peas, spinach, navy beans, nuts, bananas
  • Foods that are rich in A-Vitamins like dairy products, dark leafy vegetables, orange-colored fruits, eggs, and oily fish
  • Foods rich in C-Vitamins, like citrus and tomatoes
  • K-Vitamins like  broccoli and spinach
  • Drink plenty of water, between 6 to 8 glasses a day

Foods to Avoid

  • Nutritionists recommend cutting out meat products except for oily fish for the first two weeks.
  • Foods that contain sunflower oil, corn oil, sesame oil, margarine, and partially hydrogenated oil.
  • Stressor foods like caffeine, processed food, soda, refined sugars, and chocolate.
  • Alcohol
References

Giuffre BA, Jeanmonod R. Anatomy, Sciatic Nerve. [Updated 2018 Dec 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482431/.

Heuch I, Heuch I, Hagen K, Zwart JA. Association between body height and chronic low back pain: a follow-up in the Nord-Trøndelag Health Study [published correction appears in BMJ Open. 2015;5(10):e006983]. BMJ Open. 2015;5(6):e006983. Published 2015 Jun 15. doi:10.1136/bmjopen-2014-006983.

Kumar, M. Epidemiology, pathophysiology and symptomatic treatment of sciatica: A review. nt. J. Pharm. Bio. Arch. 2011, 2.

Quero L, Klawitter M, Schmaus A, et al. Hyaluronic acid fragments enhance the inflammatory and catabolic response in human intervertebral disc cells through modulation of toll-like receptor 2 signaling pathways. Arthritis Res Ther. 2013;15(4): R94. Published 2013 Aug 22. doi:10.1186/ar4274.

Shiri R, Lallukka T, Karppinen J, Viikari-Juntura E. Obesity as a Risk Factor for Sciatica: A Meta-Analysis. American Journal of Epidemiology. 2014;179(8):929-937. doi:10.1093/aje/kwu007.

Summer Activities For Back Pain That Are Easy On The Spine

Summer Activities For Back Pain That Are Easy On The Spine

It is time for outdoor summer activities. Summer is iconic in its association with a wide range of outdoor activities. However, many can be physically strenuous and require a great deal of body movement. Summer gets individuals thinking of:

  • Hiking
  • Bicycling
  • Swimming
  • Water sports
  • Tennis
  • Golf
  • Gardening

This is when individuals have to figure out which activities will be easy on their backs. For those dealing with regular and/or chronic back or neck pain, athletic/movement-based activities can be done with:

  • Proper planning
  • Strain prevention/reduction
  • Activity modification/s
  • Most activities can be manageable.
  • Preventing/avoiding worsening the pain is the most recommended solution.

Individuals can still enjoy favorite outdoor activities for those who do have back pain, whether from an injury, herniated disc, muscle strain, arthritis, osteoporosis, or another cause.

Summer Activities For Back Pain That Are Easy On The Spine

Safe Summer Activities Safe For The Spine

Swimming

The best summer activity for the spine/back is swimming or any movement in the water. It is recommended and utilized in physical therapy for those with injuries and pain conditions and is shown to prove that it brings relief and exercise. Hot weather makes it easy to get in the water, whether a pool, river, or lake. Doing basic water stretches, exercises, or walking movements can bring significant pain relief. This is because the body’s weight is lessened, which lessens the spine’s pressure.

Walking

Getting outside every day and running can cause a great deal of strain. However, walking is extremely safe and effective, especially on the spine. The key is to take it slow and build up the ability to walk longer and further. However, those with spinal stenosis, which is the narrowing of the spinal canal, might find that walking increases pain. It is recommended to start with light walking sessions and modify them as much as needed. An example could be walking half a block; if pain presents, perform some other movement/s that does not cause pain, and then walk another half block. Taking it slow.

Hiking

It is not out of the question for individuals who like to hike, but caution should be taken. This is because hiking adds factors that can increase the risk for injuries or conditions if the activity is not modified. Most hikes involve hills, elevation changes, climbing, and uneven surfaces. This requires planning and preparation. It is recommended to choose hiking paths that will not exhaust an individual, and that can be easily backtracked if pain or issues arise. This is especially important for those that are flexion-intolerant.  This is when individuals feel pain when bending or leaning forward over the hips. This could be hiking up and down hills that are likely to cause flare-ups.

Fishing

Fishing is a favorite summer activity and is recommended because of the relaxed atmosphere and ability to be modified easily. Individuals can sit in a supportive chair and fish, or they can stand and fish. There is not a lot of quick bending or rotating and totally open to modifications.

Activity Moderation and/or Modification

Figuring out movement modifications or mix up the time. Activities can be enjoyed; it just requires making the right adjustment/s that will make the activity manageable. For those with back pain usually know what movements will cause pain. This can help make it easier to modify specific movements/motions. Activities that more than likely will cause inflammation flare-ups are about finding a way to do it so that the result is not as extreme.

  • One way to modify summer activities is by altering/changing the amount of time engaged. For example, instead of spending 4-6 hours fixing up the yard/gardening, break it up by doing the activity for an hour, stop, stretch, relax, rehydrate, and then continue, respectively.
  • Modification can also be done by changing the functional components of the activity/s. Rather than bending and picking up tools, pulling weeds, etc., get a work stool/bench and perform the activity sitting. This goes for any activity.

Body Composition Health


Can more fat be burned by exercising in the heat?

Individuals wonder if exercising when it’s hot out causes the body to burn more fat. After all, the body is hotter and sweating much more. However, it’s more complicated. Studies show that when exercise is done in high temperatures, the heat can affect the body’s hormonal and metabolic response. The same studies show a consistent shift from breaking down fat cells for energy and breaking down carbohydrates for energy. When exercising in extreme heat, the energy demand becomes too high to break down more fat.  Instead, it uses carbohydrates. So the extra sweat is just water, salt, and not fat. But heat can still play a positive role in improving body composition. Two ways include:

  • Heat shock proteins – HSP – Without exercise, exposure to heat can cause heat shock proteins to activate. Heat shock proteins live inside cells and aid in muscle protein synthesis and repair. When exposed to temperature/thermal stress, they increase to meet the demand.
  •  Human Growth Hormone – HGH – Synthetic Human Growth Hormone increases lean mass, reduces body fat, and improves performance. However, it is naturally produced by the body and can be enhanced through exercise.
References

American Journal of Physical Medicine & Rehabilitation. (February 2018) “Aquatic Exercises in the Treatment of Low Back Pain: A Systematic Review of the Literature and Meta-Analysis of Eight Studies”

Gobbo, Stefano et al. “Physical Exercise Is Confirmed to Reduce Low Back Pain Symptoms in Office Workers: A Systematic Review of the Evidence to Improve Best Practices in the Workplace.” Journal of Functional morphology and kinesiology vol. 4,3 43. 5 Jul. 2019, doi:10.3390/jfmk4030043

Grabovac, Igor, and Thomas Ernst Dorner. “Association between low back pain and various everyday performances: Activities of daily living, ability to work and sexual function.” Wiener klinische Wochenschrift vol. 131,21-22 (2019): 541-549. doi:10.1007/s00508-019-01542-7

Preventive Medicine Reports. (2017.)“Gardening is beneficial for health: A meta-analysis.” ncbi.nlm.nih.gov/pmc/articles/PMC5153451/pdf/main.pdf

Selby, Sasha et al. “Facilitators and barriers to green exercise in chronic pain.” Irish Journal of medical science vol. 188,3 (2019): 973-978. doi:10.1007/s11845-018-1923-x

Chiropractic Care For Individuals Post Back Surgery or Spinal Fusion

Chiropractic Care For Individuals Post Back Surgery or Spinal Fusion

Individuals that go through severe low back pain caused by degeneration, herniated discs, vehicle, personal, work, and sports injuries, surgery, or spinal fusion is usually a last resort if non-invasive treatments fail to provide relief or not enough relief. Patients try to avoid spinal fusion because it can be an intense experience and requires a year-long recovery period. Unfortunately, individuals still experience discomfort and pain after surgery. Do individuals want to know what other treatment options are available, including chiropractic care?

Chiropractic Care For Individuals Post Back Surgery or Spinal Fusion

Doctors will inform post-op patients of the risks involved with chiropractic therapy. However, chiropractic medicine can bring natural pain relief after surgery. Chiropractic treatment requires that an individual be adequately or fully healed before beginning a personalized treatment plan. At Injury Medical Chiropractic and Functional Medicine Clinic, we consult patients post-surgery about the effectiveness of rehabilitation spinal adjustments and physical therapy massage.

Wait Time After Surgery

Spinal fusion surgery involves removing the discs between two or more vertebrae and fusing the bones with metal screws and plates. The objective is to correct conditions like herniated discs and degenerative diseases by immobilizing the spine in that area. It can take at least three months for the vertebrae to fuse for a fully immobilized graft. Once the graft is complete, a few months of physical therapy are recommended to loosen/stretch and strengthen the muscles around the graft. Initial recovery combined with physical therapy typically takes a full year for a complete recovery.

It is during recovery where it can be difficult and for discomfort and pain to present. The reason is patients are recommended to avoid any twisting, bending, over-reaching motions, or the graft could break. This can make an individual take on awkward poses/postures, flexing and contracting muscles incorrectly, causing strain. The result is added discomfort and/or pain.

How Chiropractic Helps

Spinal fusion is not guaranteed to alleviate an individual’s back pain completely. But many do experience discomfort or pain post-surgery. This could be for a little while or longer, depending on their condition or injuries. Fortunately, chiropractic treatment can help bring pain relief through mobilization, manipulation, and massage techniques. Manipulations’ objective is to adjust and/or realign the bones of the spine and other areas of the body. Because of the intricacy of spinal manipulations, many who have undergone back or spinal fusion surgery are hesitant to seek chiropractic treatment. Discuss possible chiropractic care with your physician to determine if the surgical graft is strong enough to withstand spinal manipulations. If the graft is adequately/fully healed and your physician believes it can endure mild adjustments, reach out to a chiropractor to discuss a customized treatment plan.


Body Composition Testing


Poor Leg Skeletal Muscle Mass

The gluteal muscles or buttock muscles are the largest muscle group in the body. Individuals can start losing bone density by their 30s. This increases the risk of injury and further bone density loss. Bone density loss is a natural process, but the process can be accelerated for individuals with under-developed skeletal muscle mass. The health of muscles and bones are closely linked. Researchers found that individuals with less muscle mass than average for their height tended to have narrower and thinner bones. This resulted in limited lower bending strength.

Decreased muscle mass was shown to be linked to balance problems and increased risk of falls. There is a higher prevalence of sarcopenia or muscle wasting for patients with hip fractures and a reduction of leg muscle mass. The combination of:

  • Low muscle mass
  • Low bone density
  • Hip fractures
  • It can have lifelong consequences
References

Fernandez, Matthew et al. “Surgery or physical activity in the management of sciatica: a systematic review and meta-analysis.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 25,11 (2016): 3495-3512. doi:10.1007/s00586-015-4148-y

Keller, Glenda. “The effects of massage therapy after decompression and fusion surgery of the lumbar spine: a case study.” International journal of therapeutic massage & bodywork vol. 5,4 (2012): 3-8. doi:10.3822/ijtmb.v5i4.189

O’Shaughnessy, Julie et al. “Chiropractic management of patients post-disc arthroplasty: eight case reports.” Chiropractic & osteopathy vol. 18 7. 21 Apr. 2010, doi:10.1186/1746-1340-18-7

Perrucci, Rachel M, and Christopher M Coulis. “Chiropractic management of post-spinal cord stimulator spine pain: a case report.” Chiropractic & manual therapies vol. 25 5. 6 Feb. 2017, doi:10.1186/s12998-017-0136-0

Szulc, Pawel et al. “Low skeletal muscle mass is associated with poor structural parameters of bone and impaired balance in elderly men–the MINOS study.” Journal of bone and mineral research: The American Society for Bone and Mineral Research vol. 20,5 (2005): 721-9. doi:10.1359/JBMR.041230

Chiropractic Treatment or Physical Therapy: What Are My Options?

Chiropractic Treatment or Physical Therapy: What Are My Options?

Chiropractic treatment and physical therapy are treatment methods/approaches that are conservative, non-invasive, and are both practical options. Both address health concerns, like various types of pain, automobile, work, sports, and personal injuries. Both are focused on helping individuals achieve long-term results and maintain health.

11860 Vista Del Sol, Ste. 128 Chiropractic Treatment or Physical Therapy: What Are My Options?

Chiropractic and physical therapy are usually done in combination, as they complement one another. There are benefits and similarities between the two treatment options. Here are some general guidelines to decide which treatment option is best for your needs.

Primary symptoms

Chiropractors are known for the ability to provide quick relief to individuals dealing with pain and stiffness in the joints, particularly the spine. They are experts in spinal realignment and proper posture. If flexibility is limited or the joints are locking up, a chiropractor is the recommended choice.

Physical therapists or PTs are the experts in body biomechanics and soft tissue injuries. If an individual finds themselves moving differently because of pain or injury, training and exercise will help movement and maximum recovery.

11860 Vista Del Sol, Ste. 128 Chiropractic Treatment or Physical Therapy: What Are My Options?

Treatment style

Chiropractors follow a meticulous expert-based protocol for achieving the best results. They provide a hands-on approach to treatment that requires regular follow-ups and maintenance. This is an approach that some individuals prefer. Physical therapy treatment/rehabilitation programs are typically short-term. The average treatment usually lasts only 12 weeks. A physical therapist’s primary objective is to provide a fundamental understanding of how to move properly and self-manage symptoms for the long term. This usually includes a balanced exercise program.

Insurance coverage

Insurance plans vary in what is covered. The first step is to see what an individual’s insurance will cover. Benefits can be found online or by calling a representative to see how to get the care/treatment needed. Most plans cover some form of physical therapy. Chiropractic is also usually covered by insurance providers. Skipping the insurance can also be done with chiropractic clinics providing affordable options.

Options

There is no clear-cut answer as to which to see. A physical therapist or chiropractor. Individuals should follow a doctor’s recommendations as to which treatment type would benefit them. If no recommendations have been given then take a look at a clinic’s website to see what they are about. Fortunately, many chiropractic clinics include physical therapists as part of their medical team. Both chiropractic and physical therapists provide dynamic benefits for increasing and maintaining overall health.

Body Composition

Hydration Guidelines

Drink according to thirst

The body knows when it needs water. Therefore drink when you are thirsty, not before. An adequate fluid intake should be timed according to feelings of thirst.

Estimate hourly sweat loss

Those that exercise or engage in regular physical activities for prolonged periods should weigh themselves before engaging in the exercise/activity. Then drink according to thirst as the event goes on, then weigh yourself after the activity. The goal is to maintain the same weight or be slightly less. If an individual weighs more than what they drank, then they drank too much.

Excess water consumption

If an individual is not thirsty, the recommendation is to not drink water in excess. Nausea and even vomiting could ensue. A simple indicator to determine if enough water is being consumed is to check urine color. If it is colorless or slightly yellow then an individual is drinking enough water.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

American Association of Physical Therapists. www.apta.org

Cherkin, D C et al. “A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain.” The New England journal of medicine vol. 339,15 (1998): 1021-9. doi:10.1056/NEJM199810083391502

Fritz, Julie M. “Physical therapy in a value-based healthcare world.” The Journal of orthopaedic and sports physical therapy vol. 42,1 (2012): 1-2. doi:10.2519/jospt.2012.0101

Shrier I. Does stretching help prevent injuries? Evidence-based Sports Medicine. Williston, VT: BMJ Books; 2002.

Injury Related Stress And Anxiety Addressed With Chiropractic Care

Injury Related Stress And Anxiety Addressed With Chiropractic Care

Going through traumatic accidents that result in injuries can cause injury-related stress and anxiety for individuals. It is understandable that stress and anxiety are high as individuals figure out how to navigate through the situation. Therefore, it is very important to find ways to manage stress and anxiety because if they go unchecked it could become chronic leading to poor health and quality of life.

Stress/Anxiety Affects Health

Injury related stress and anxiety can be exacerbated through different factors. These can include:

  • Medical bills
  • Employment
  • Relationships
  • Independence

The causes/reasons can vary however, the physical response the body goes through is the same. A stress-inducing situation can leave an individual feeling threatened and generate a physical stress response. The body responds to stress by releasing hormones that shift the body into survival mode. This requires a lot of energy placing massive strain on the body. This is an important mechanism for healthy living. However, if it begins to present on a regular basis it can lead to negative health issues that include:

  • Depression
  • Chronic anxiety
  • Heart disease
  • High blood pressure
  • Abnormal heart rhythm
  • Heart attack
  • Stroke
  • Personality disorder
11860 Vista Del Sol, Ste. 128 Injury Related Stress And Anxiety Addressed With Chiropractic Care

The body needs time every day to recover and rejuvenate. This is not possible when the body is constantly entering a heightened state of stress. Traditional treatment can lead to the over-prescription of medications that come with their own side effects. Effective injury-related stress treatment addresses issues like:

Health problems

Injury-related stress and anxiety affect mental health and can lead to physical symptoms and disease. These include:

  • Chronic pain
  • Sleep problems
  • Gastrointestinal issues
  • Obesity
  • Asthma and breathing problems
  • Alzheimer’s, dementia, and memory loss
11860 Vista Del Sol, Ste. 128 Injury Related Stress And Anxiety Addressed With Chiropractic Care

Chiropractic Treatment and Care

A healthy brain and spinal cord are vital to the body’s optimal health. When nerve energy and blood flow get blocked it can worsen injury-related stress and anxiety. Chiropractic delivers results helping to better manage mental health by addressing underlying issues with spinal misalignment. When the spine is properly aligned neural health is optimized for everyday functions. This increases vitality and an overall sense of well-being. With brain function improved adjusting to the injury and its effects no longer cause intense stress. Individuals cannot remove all the stressors and anxiety-inducing events from their lives, but proper spinal alignment can help build resilience for whatever situations life throws.

Body Composition

Recovery and Swelling

Recovery is an essential part of maintaining optimal body health. This goes for regular work, working out, athlete’s training, and just participating in physical activity. A significant sign that the body has gone through intense physical exertion and needs recovery time is swelling. Swelling presents for different reasons. It is the body’s response to tiny, microscopic tears in the muscle that happens from constant and intense use. Running or lifting heavy objects are two examples that cause swelling. Swelling can be seen in body composition analysis results. An increase in Lean Body Mass reflects an increase in water. Recovery is about giving the body a chance to:

  • Relax
  • Recuperate
  • Recover from the swelling with the end goal of resuming physical activities

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Pickar, Joel G. “Neurophysiological effects of spinal manipulation.” The spine journal : official journal of the North American Spine Society vol. 2,5 (2002): 357-71. doi:10.1016/s1529-9430(02)00400-x

Coleman, Brian C et al. “Factors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.” Journal of manipulative and physiological therapeutics vol. 43,8 (2020): 753-759. doi:10.1016/j.jmpt.2019.10.016

Jamison, J R. “Stress management: an exploratory study of chiropractic patients.” Journal of manipulative and physiological therapeutics vol. 23,1 (2000): 32-6. doi:10.1016/s0161-4754(00)90111-8

Nerve Flossing Exercises for Sciatica

Nerve Flossing Exercises for Sciatica

Traditional medical treatment for sciatica can sometimes be not as effective or ineffective for individuals, but nerve flossing is an option that could help. Flossing is not something individuals expect to hear from a medical professional treating their sciatica. However, when sciatica does not respond to common treatment methods like light physical activity or medications, a physician, chiropractor, or physical therapist might suggest combining traditional treatment with nerve flossing to alleviate sciatic nerve pain.

11860 Vista Del Sol, Ste. 128 Nerve Flossing Exercises for Sciatica

Nerve Flossing

The nerves can get jammed/stuck between the tissues and are not able to move, flex as they should. Nerve flossing involves performing gentle exercises to mobilize and stretch the nerves that help reduce irritation, inflammation, and improve mobility, especially in the hips. Nerve flossing is also known as:

The exercises can be done at home with no equipment and simple instructions. When used in combination with other treatments, like chiropractic and physical therapy the effectiveness is increased. Consult with a doctor or doctor of chiropractic for an accurate diagnosis, because what is causing sciatica helps significantly to determine the best treatment plan.

Guidelines

These are simple exercises but they are still exercises that require following safety guidelines to prevent injury or pain. These include:

  • The body will need time to adjust to new exercises so individuals should start slow
  • Only a few repetitions should be done at a time
  • Gradually increase
  • Stop if pain presents with any of the exercises and report the pain to a doctor or chiropractic physical therapist to see if there is a problem with how the exercises are being performed or if the exercises should be done later on after further treatment.
  • Focus on staying relaxed, as tensing up the muscles decreases the effectiveness
  • Breathing properly is key. Individuals unknowingly stop breathing when doing exercises, which is not healthy. Breathe deep in and out.

Nerve Exercises

True nerve flossing is an active movement with motion otherwise, it is just stretching.

Mobilizing floss

  • Lie on the floor with both knees bent, feet flat on the floor, and with space at hip-width
  • A flat pillow can be used for the head if it makes it more comfortable
  • Tuck the chin in and be sure to keep the upper body relaxed throughout the exercise
  • Pull the right leg in towards the chest
  • Keep holding behind the right knee
  • Slowly straighten the leg until there is a comfortable stretch
  • Slowly return the knee to the starting position
  • Breathe deeply, slowly, and try not to press the lower back into the floor
  • Lower the leg back towards the chest then lower it back to the starting position
  • Perform with the left leg
  • Complete five repetitions on each side
11860 Vista Del Sol, Ste. 128 Nerve Flossing Exercises for Sciatica

Seated nerve floss

  • Sitting upright in a chair, knees spaced hip-width, feet flat on the floor, and face forward
  • Extend the left leg
  • Flex the foot toward the body
  • Extend the head up and back looking up at the ceiling
  • Gently lower head and leg down, tucking the chin into the chest while bending the leg slightly backward
  • Extend and lower head at the same time when extending and lowering the leg
  • Perform 10 repetitions
  • Switch legs and repeat the exercise
  • Perform exercise 2–3 times every day

Hamstring floss

  • Stand up straight, raise the right leg onto a step or other stable surface while keeping the leg straight and toes pointed up
  • Keeping the back straight, tilt the head and neck forward until there is a slight pull/stretch in the back
  • Point the toe and bring the chin to the chest
  • Flex the foot and return
  • Repeat five times
  • Return to starting position
  • Switch legs
  • Repeat three sets on each leg
11860 Vista Del Sol, Ste. 128 Nerve Flossing Exercises for Sciatica

Exercise for Piriformis Syndrome

The piriformis muscle joins the base of the spine to the upper leg. Because this muscle is so close to the sciatic nerve, any type of irritation or compression of the sciatic nerve can also cause piriformis syndrome. Piriformis syndrome can cause radiating pain to the:

  • Hips
  • Buttocks
  • Hamstrings
  • Pain when sitting down or walking upstairs

Nerve flossing can also help relieve the symptoms increasing flexibility and range of motion.

Mobilizing stretch

  • Lie flat on the floor on the back
  • Extend both legs
  • Bend the right leg and bring it up
  • Hold the right knee and foot
  • While holding, gently pull the leg across the right side of the body and up toward the right shoulder
  • Return to the original position
  • Repeat five times
  • Gently lower the right leg
  • Switch legs
  • Complete five repetitions on each side two to three times a day

Risks

These exercises are not about pushing the body to its limits or in a way that causes pain. They are designed to rehabilitate, stretch, and strengthen the sciatic nerve making risks for further injury minimal. If there are still concerns about the safety of nerve flossing exercises, check with a doctor, doctor of chiropractic, or physical therapist. If there is severe nerve damage or undiagnosed acute pain, nerve flossing could worsen symptoms. Nerve flossing for acute cases of nerve irritation is not recommended as this can cause nerve root aggravation with the stretching/pulling.

Flossing for Sciatica

More research is needed on how nerve flossing can best help sciatica. It is an easy, natural, medication-free treatment that can help soothe irritated and compressed nerves, improve mobility, and flexibility.

Body Composition

Tracing sources of fatigue

There is a difference between being tired after a long day working, playing, etc, and being tired on a regular daily basis. This can be referred to as Chronic Fatigue Syndrome, a clinical condition where fatigue lasts longer than 6 months. With acute, non-clinical fatigue, it is typical to experience many of the symptoms that hamper an individual’s ability to function. Symptoms can include:

With hectic schedules, sources of fatigue begin to pile up along with unhealthy diet choices that stem from:

  • No time for a well-balanced breakfast
  • No time, or forgetting to make a healthy lunch equals
  • Fast food patterns
  • Unhealthy snacks

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Anikwe EE, Tella BA, Aiyegbusi AI, Chukwu SC: Influence of Nerve Flossing Technique on acute sciatica and hip range of motion, International Journal of Medicine and Biomedical Research, 4(2) May – August 2015, www.ijmbr.com

Jeong UC, Kim CY, Park YH, Hwang-Bo G, Nam CW. The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain. J Phys Ther Sci. 2016;28(1):46-50. doi:10.1589/jpts.28.46

Don’t Give Up On Physical Therapy For Back Pain

Don’t Give Up On Physical Therapy For Back Pain

When individuals stop working on their back pain therapy, the pain can come back. Don’t give up on the process and trust the therapists/providers. Many people experience their first episode of low back pain between the ages of 20 and 40. Often they are not sure what caused their back problems. There are a variety of factors that could be contributors like:
  • Old running shoes
  • A heavy box that was inappropriately lifted and carried
  • Exercise strain
  • Too much sitting
  • Poor posture
  • Work injury
  • Personal injury
  • Sports injury
11860 Vista Del Sol, Ste. 128 Don't Give Up On Physical Therapy For Back Pain
After some time with the pain, a visit to the doctor is in order, hoping for clear answers and strong medicine. A diagnosis of non-specific back pain and a prescription for physical therapy is given. This is because doctors are now required to prescribe non-medication, non-invasive therapeutic approaches for any type of pain first. After three to four weeks of physical therapy, and there is still no improvement or signs of improvement will a doctor recommend medication/s and/or surgery.

Physical Therapy

Nonspecific back pain describes back pain that is not associated with a clear cause like:
  • Osteoporosis
  • Inflammatory arthritis
  • Tumor
  • Fracture
  • Infection
  • Structural deformity
Non-specific back pain is very common and often acute, meaning the symptoms usually go away on their own within a month. Physical therapy also known as PT can help expedite the healing process. Physical therapy can improve a variety of back-related problems, including those caused by disease and structural abnormalities. A study found that physical therapy works as well as surgery for lumbar spinal stenosis or the narrowing of the spinal canal in the low back.

Don’t Give Up On The Program

Unfortunately, many individuals do not follow through with the full course of physical therapy. Reasons include:
  • Time
  • Cost
  • Inconvenience
  • Low level of physical activity before treatment
  • Depression
  • Anxiety
  • Poor social support
  • Increased pain during exercise
11860 Vista Del Sol, Ste. 128 Don't Give Up On Physical Therapy For Back Pain
The problem with stopping physical therapy is that individuals can end up right where they began. Not following a treatment plan can have negative effects on outcomes and healthcare costs. Progress depends on how much follow-through an individual does on their own. Don’t give up on the program and maintain rehabilitative progress.

Scientifically Backed Benefits

Scientific proof means measuring results objectively to determine if a treatment works. Physical therapy has consistently proven to be highly effective. Researchers found that physical therapy led to positive health benefits when treating back pain. Specifically, individuals that followed a physical therapy program to the end had:
  • Less physical therapy visits
  • Their length of care was shorter
  • Prescription medications were used far less
  • Fewer visits to the doctor
  • Advanced imaging is used less
  • Cost savings
For example, spine stabilization exercises during an episode of low back pain can decrease pain, disability, and the risk of another episode.
11860 Vista Del Sol, Ste. 128 Don't Give Up On Physical Therapy For Back Pain

The Right Physical Therapy Clinic

Do research to find the best therapeutic clinic or professional. It is perfectly understandable to be picky about physical therapy. Several studies have shown that a healthy relationship between patients and physical therapists improves outcomes. When choosing a clinic, individuals should be aware that there are different models. The differences can influence the experience.
  • Some therapists treat more than one person at a time. This means the exercises will be shown how to do them properly, then the individual will be expected to continue on their own with the therapist returning to see the progress and start the next exercise.
  • Some therapists see the patient once, then an assistant takes over. Assistants will help with the exercise programs.
  • There are some clinics that could be out of network or do not accept insurance. Individuals can pay more, but the benefit is more one-on-one time/care with a physical therapist.
  • If an individual does not like the experience with one model, try another.
  • Remember that individuals need to advocate for their own health, treatment, and progress.
  • If an individual is not improving, then they need to have a discussion with the physical therapist.
  • The therapist can then problem solve and try a new treatment or refer the patient for additional care like imaging, medications, or a different intervention altogether. Don’t give up, relief from back pain is possible.

Don’t Give Up On Body Health

 

 

Body composition analysis an effective tool during physical therapy

Body composition is essential for understanding physiological makeup and to help guide a treatment plan to target specific areas in physical therapy programs. InBody analysis is non-invasive and convenient, making it ideal when used in conjunction with physical therapy rehabilitation programs. The InBody test provides results that can be used to educate and engage individuals to help track improvements throughout the physical therapy course. In less than 60 seconds, the test results are easy-to-understand, accurate, and objective. This helps to evaluate and monitor progress during rehabilitation. With the test a physical therapist can:
  • Assess muscle distribution
  • Focus on areas weakened by injury or surgery
  • Identify fluid imbalances related to inflammation
  • Monitor changes to determine the efficacy of the therapy program
  • Guide recommendations for long-term success
  • Don’t give up!

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
PLOS One.�(Jun 2016) �The Influence of Physical Therapy Guideline Adherence on Healthcare Utilization and Costs among Patients with Low Back Pain: A Systematic Review of the Literature.��https://pubmed.ncbi.nlm.nih.gov/27285608/ Pain and Therapy.�(Jan 2020) �Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.��https://link.springer.com/article/10.1007/s40122-020-00149-5 Spine.�(Apr 2012) �Management Patterns in Acute Low Back Pain: the Role of Physical Therapy.��https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062937/
Chiropractic Physical Therapy For Knee Pain

Chiropractic Physical Therapy For Knee Pain

Chiropractors don’t only work on the spine. Doctors of chiropractic are trained to treat the entire musculoskeletal system. They could be called joint specialists. Chiropractic physical therapy can help with knee pain. They can help bring knee pain relief in several ways by treating the root cause/s. A chiropractor will perform:

  • Knee adjustments
  • Hip adjustments
  • Posture analysis
  • Gait analysis
  • Weight distribution analysis

There are also a number of chiropractic physical therapy modalities to help with pain, swelling, and arthritis. Knee pain causes can vary. A chiropractor can determine the underlying cause, relieve the pain, and help prevent future injury.

Chiropractic and The Body’s Musculoskeletal System

Many think that treating knee pain comes down to surgery or painkillers. Surgery can be the best option for some, but it is always best to exhaust conservative treatments, which chiropractic physical therapy is one of the most effective. Pain medication can be appropriate but with the addictive potential about they are best avoided unless absolutely necessary. Chiropractic offers an alternative to pain medications and even surgery for certain cases.

Causes For Common Knee Pain Issues

Here are some of the most common causes of knee pain along with the ways a chiropractor can help to relieve the pain and treat the underlying issue. Treatment plans vary depending on the specific circumstances/conditions. �

11860 Vista Del Sol, Ste. 128 Chiropractic Physical Therapy For Knee Pain

Knee Bursitis

Bursitis is inflammation of the fluid-filled sac located in the joints between bones, tendons, and muscles. The sacs are called bursae and are essential in proper joint function. They help reduce friction during the course of regular joint movement/function. Knee bursitis is commonly caused by overuse and misalignment. It can be caused while:

  • Walking
  • Running
  • Kneeling
  • Stretching the knee
  • It can also cause swelling around the front of the kneecap

Chiropractic Treatment

The reduction of pain and swelling are the first steps of chiropractic physical therapy. This is achieved with:

  • Therapeutic massage
  • Ultrasound
  • Hot and cold therapy
  • Cold laser therapy

Once the pain and swelling are addressed then the cause of the inflamed bursa can be determined. This is done through adjustments of the knee, hips, or spine to help correct the issue and promote proper recovery and prevention.

Patellar Tendonitis

Tendonitis means there is damage or irritation to a tendon. Patellar tendonitis occurs in the tendon that connects the kneecap to the shin. This is common for individuals who run and jump regularly like athletes. Overweight individuals have an increased risk for patellar tendonitis because of the extra stress placed on the knees. This is often a result of repeated overuse and happens gradually. It can be the result of trauma to the knee as well. The pain happens just below the kneecap and increases with physical activity. �

Chiropractic Treatment

Most often rest is the first option. Chiropractic physical therapy can recommend wearing a knee brace during the treatment. They will also teach the patient proper stretching and warm-up exercises to prevent tendonitis.

Osteoarthritis

Chiropractic is effective at reducing arthritis pain and inflammation throughout the body. Osteoarthritis can make everyday activities like walking and kneeling difficult or impossible. Chiropractic is designed to help reduce pain increase blood/nerve circulation that will promote healthy joint function and movement. �

11860 Vista Del Sol, Ste. 128 Chiropractic Physical Therapy For Knee Pain

Chiropractic Treatment

Chiropractic will help osteoarthritis through:

  • Massage
  • Ultrasound
  • Laser therapy
  • All can help reduce pain and inflammation in the knees joints
  • Hands-on stretching
  • Adjustments can also help to improve the range of motion and joint function

This is important because knee pain can lead to increased pressure on the joints in the lower back, causing discomfort/pain as well.

Knee Valgus

Knee valgus also known as knock knee, is an inward tilt of the knees. It is easy to see when squatting or kneeling, but it can also happen when walking or standing. Young children tend to develop knee valgus but grow out of it by the time they are 10 years of age. However, if the knees remain bowed into the teenage years and beyond, it can cause issues in the hips, glutes, and back. Knee valgus can also be the result of:

  • Weak muscles in the legs, hips, or glutes
  • Tight muscles in the legs, hips, or glutes
  • Determining the exact cause is essential to address it and develop a treatment plan to correct the issue.

Chiropractic Treatment

Chiropractic specializes in the musculoskeletal system and a doctor of chiropractic knows what to look for. A chiropractor can address the issue through adjustments of the spine, hips, and knees. Hands-on clinic exercises and at-home exercises will be incorporated to correct the issues. These exercises combined with chiropractic will address structural and postural issues. �

Other Knee Pain Causes

Chiropractic can also address and recommend treatments for other knee conditions. These include:

11860 Vista Del Sol, Ste. 128 Chiropractic Physical Therapy For Knee Pain

Chiropractic Adjustments for Pain Relief, Function, and Prevention

Problems with the hips and spine can contribute to knee pain, as well as issues with the foot, ankle, or pelvis. Chiropractors perform a thorough examination of all the joints, tendons, and muscles that could be contributing to the pain. They will look at a full medical history and other details like:

  • Overall health
  • Diet
  • Lifestyle habits
  • Job
  • Exercise and/or sports activities
  • Injuries
  • Posture
  • Walking gait

With this information, the chiropractor will develop a customized plan unique to the individual’s needs and situation. Waiting for the pain to go away is not the best option. Chiropractic is safe, non-invasive, and offers a thorough approach to treating knee pain.


Body Composition Testimonial


 

Difficulty Moving

Lack of adequate muscle can cause difficulty moving like taking the elevator becoming a necessity, getting tired more easily, and getting in and out of a car can become a challenge. These are all possible experiences that can come as a result of losing muscle. Around 19% of women and 10% of men aged 65 years or older are unable to kneel. With no balance to kneel and pick something up means trouble. What to do to prevent massive muscle loss.

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

Hott, Alexandra et al. �Effectiveness of Isolated Hip Exercise, Knee Exercise, or Free Physical Activity for Patellofemoral Pain: A Randomized Controlled Trial.��The American journal of sports medicine�vol. 47,6 (2019): 1312-1322. doi:10.1177/0363546519830644

Bhagat, Madhura et al. �Immediate effects of Mulligan’s techniques on pain and functional mobility in individuals with knee osteoarthritis: A randomized control trial.��Physiotherapy research international: the journal for researchers and clinicians in physical therapy�vol. 25,1 (2020): e1812. doi:10.1002/pri.1812

Any Low Back Tingling, Discomfort, or Soreness Should Not Be Ignored

Any Low Back Tingling, Discomfort, or Soreness Should Not Be Ignored

Participating in any sports or physical activities strengthens the mind and body. But working out and engaging in these types of activities too much or without rest periods wears down the body. There is the feeling of a good workout with some sore muscles and achiness that lets you know the activity is working positively. However, soreness can quickly lead to pain and further injury if ignored. The lower back is a common area of soreness after working out playing sports, and where muscle spasms, pulls, and pinches occur. Being able to distinguish between workout soreness and pain is critical for maintaining a healthy spine.  
11860 Vista Del Sol, Ste. 128 Any Low Back Tingling, Discomfort, or Soreness Should Not Be Ignored
 
A constant-sore back or feelings of sharp pains is not normal. If there is a feeling of low back pain during or after a physical routine, stop and take a moment to examine the tingling, discomfort, or pain being experienced. If unsure if the soreness or pain is a cause for concern call or video conference with a chiropractor to discuss what is going on.  

Physical activity and pain

Individuals participating in physical/sports activities have an increased risk of low back pain because of the consistent running, twisting, and jumping. Any of these movements place pressure on the spine along with the surrounding ligaments and muscles, which can lead to injury. Repetitive twisting and turning, stresses the muscles around the spine, which can cause frequent muscle sprains. Running and jumping also wears down the vertebrae and discs. Impact activities can also cause injuries to the spine, nerve roots, and surrounding tissues. The most common back problems include:
  • Muscle sprains
  • Osteoarthritis
  • Bulging discs
  • Herniated discs
  • Sciatica
  • Fractures are less common but still pose a risk
Individuals should watch for achiness or stiffness that lasts longer than a few days and does not alleviate with ice or anti-inflammatory over the counter medication, or sharp pain that happens with specific movement/s, along with any pain, numbness, tingling that runs down the leg/s or to other areas should consult a medical professional.  
11860 Vista Del Sol, Ste. 128 Any Low Back Tingling, Discomfort, or Soreness Should Not Be Ignored
 

Treatment and prevention

Maintaining the body’s health is critical. If the lower back begins to present discomfort or hurts, do not ignore it. Many will play through the pain when they should be taking a break. And ignoring any back pain could create new injuries or worsen the condition. Continued pressure on the back will worsen any strains or fractures and will hinder the body from healing properly. Individuals tend to take on awkward/uncomfortable postures and move in awkward ways to avoid or compensate for the pain. This places added pressure in the wrong places and can cause/worsen an injury or condition. Pay attention to the pain. Try ice and heat therapy at home to see if it eases up. Using a foam roller or self-massage device can help if the back pain is muscular. However, if the pain is sharp, shooting, or does not go away, visit a chiropractor for diagnosis and treatment. A chiropractor will conduct imaging tests and physical exams to identify the root cause. Once a diagnosis has been reached a treatment plan will be implemented through:
  • Massage
  • Stretches
  • Therapeutic exercises
  • Spinal adjustments
  • Health coaching
Visiting a chiropractic professional will improve the condition and strengthen the spine.

Fit Body Composition

 

 

Muscle recovery

When engaging in physical activity there is microscopic damage to the muscle cells. The stress and fatigue the body goes through during physical activity cause hormone and enzyme levels to fluctuate, increasing inflammation. This leads to:
  • Fat loss
  • Increased metabolism
  • Increased strength
  • Muscle growth
However, it happens through proper recovery. There are different types of recovery: immediate, short-term, and training.
  • Immediate recovery is the short time between movements. For example, when jogging, immediate recovery is the time between each stride.
  • Short-term is the time between sets of exercises. For example, the rest periods between exercise intervals.
  • Training recovery is the period between one workout session ending and the next beginning.
Research has shown that rest time is not a one size fits all. Everyone is different and therefore should consult a fitness trainer, or sports chiropractor and experiment with what feels right. For some individuals, 24 hours works. For others, it can be 48 or 72 hours to feel fully recovered. It depends on age, fitness level, physical activity intensity, diet, sleep, and more.  

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
Smith, Jo Armour et al. �Risk Factors Associated With Low Back Pain in Golfers: A Systematic Review and Meta-analysis.��Sports health�vol. 10,6 (2018): 538-546. doi:10.1177/1941738118795425
Transverse Myelitis Rare Spinal Cord Disorder Possible Cause Covid-19

Transverse Myelitis Rare Spinal Cord Disorder Possible Cause Covid-19

Covid-19 has impacted everyone in so many ways. There is a possible connection between Covid-19 and a rare spinal disorder known as transverse myelitis. There have been three known cases of acute transverse myelitis brought on from covid-19. Although these case reports are not enough to prove that covid is the cause for transverse myelitis, researchers are delving into the possibility of a connection between the virus and this spinal condition.  
11860 Vista Del Sol, Ste. 128 Transverse Myelitis Rare Spinal Cord Disorder Possible Cause Covid-19
 

Transverse Myelitis

Transverse myelitis causes inflammation of the spinal cord. It can be caused by
  • Infections
  • Immune system disorders
  • Disorders that damage/destroy myelin
Myelin is the layer that forms around nerve cell axons or the wiring of the nervous system and insulates them. It consists of protein, fatty substances, and acts as a defensive sheath that allows electrical impulses to transmit properly. The insulation properties are essential for:
  • Proper motor function
  • Sensory function
  • Cognition
 
Without the insulation, the electrical impulses traveling through the spinal cord dissipate or weaken. The messages don’t reach the nerves and can lead to:
  • Muscle spasms
  • Twitching
  • Numbness
The most common disorder that destroys the myelin known as demyelination is multiple sclerosis. Transverse myelitis can affect individuals of:
  • Any race
  • Gender
  • Age
There are treatments, but there is no cure. Treatments consist of corticosteroids and other therapies to suppress the immune system. However, their focus is on preventing and minimizing permanent neurological damage.  
11860 Vista Del Sol, Ste. 128 Transverse Myelitis Rare Spinal Cord Disorder Possible Cause Covid-19
 

Recognizing and Identifying

Symptoms of transverse myelitis can include:
  • Pain that usually starts in the lower back and causes shooting pain/sensations down the legs, arm, and torso
  • Leg/s and arm/s weakness
  • Sensory changes in the legs, torso, and genital area
  • Bladder and Bowel dysfunction
  • Muscle spasms
  • General discomfort
  • Headaches
  • Fever
  • Loss of appetite
Depending on the segment of the spine where the damage is occurring will determine which parts of the body are affected. Diagnosis begins with a thorough medical evaluation. A doctor will utilize various methods. A thorough neurological exam will be performed to rule out any issues that require emergency intervention. If a doctor suspects transverse myelitis they will order diagnostic tests like:
  • Magnetic resonance imaging or an MRI
  • Blood tests
  • Lumbar puncture

Treatment

As previously stated, there is no cure for transverse myelitis, and treatment focuses on managing complications. Treatments can include:
  • Pain medication
  • Antiviral medications
  • Intravenous corticosteroids
  • Immunomodulating agents
  • Plasma exchange therapy
  • Intravenous immunoglobin treatment
The hard facts are that while most people with transverse myelitis have at least a partial recovery, for some, however, recovery can continue for up to two years and longer. A combination of medications, chiropractic, and physical therapy can help improve physical symptoms. The National Institute of Neurological Disorders and Stroke is working to understand the process, as to how the immune system destroys or attacks myelin. Hopefully, this will lead to answers, improved treatment, and prevention. It is well-documented that Multiple sclerosis, bacterial infections, and other viruses can cause transverse myelitis, research must continue to see if there is a connection to covid-19.

Chiropractic Lower Back Pain 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
Chakraborty, Uddalak et al. �COVID-19-associated acute transverse myelitis: a rare entity.��BMJ case reports�vol. 13,8 e238668. 25 Aug. 2020, doi:10.1136/bcr-2020-238668
Enjoy the Hobbies You Love Without Back and Neck Pain

Enjoy the Hobbies You Love Without Back and Neck Pain

We all have our hobbies that we are passionate about, love doing, and could see turning into a second career. However, certain hobbies can generate stress on the spine. This often leads to a decrease in being able to participate in these activities, which can lead to various health issues. Maintaining the body’s physical fitness and keeping the spine healthy is key to being able to continue without neck or back pain. Hobbies are an important part of life. Individuals need to enjoy what they love from sports activities to music to arts and craft projects. Having activities/hobbies help:
  • Boost mental health
  • Relieve stress
  • Lower blood pressure
  • Promotes weight loss
  • Meditative qualities
Here�s how to make sure the hobbies/activities are fun and safe.  
11860 Vista Del Sol, Ste. 128 Enjoying the Hobbies You Love Without Back and Neck Pain
 

Protecting the Neck

Poor posture is one of the leading causes of neck and back pain. Looking down or being in a standing/sitting hunched position regularly increases the load/stress on the neck increasing the chances for strain, injury, headaches, and chronic pain. In the neutral position, the skull weighs around 10-12 pounds. When leaning the head forward weight increases from let’s say 27 pounds at a 15-degree angle to 60 pounds at a 60-degree angle. The strain on the cervical vertebrae, joints, and muscles can be immense. A good example is text-neck. This has become a normal thing when using a smartphone, gaming, or other similar activities. Studies suggest that the average individual spends three to five hours a day on a smartphone or tablet. This means three to five hours of extra weight on the cervical spine. Engaging in a hobby that requires an individual to look down constantly in a similar fashion can lead to serious and chronic neck pain along with other cervical issues.  
 
Individuals are spending more time at home and getting more serious about their hobbies. This is fantastic, however, these individuals need to take time to stretch out, and get some physical activity into their hobby routine. Just like taking frequent walk-around, stretch out at work breaks, so to do hobbyists need to step back from their projects to keep a healthy balance. The position of the neck and the way it is held for activities like:
  • Sewing
  • Carpentry
  • Gardening
  • Painting
  • Pottery
  • Knitting
  • Music
Hobbies like this can increase the risk of neck pain, so the key is prevention, paying attention to head posture every now and again, and taking stretching breaks.

Proper Posture Makes a Difference

11860 Vista Del Sol, Ste. 128 Enjoying the Hobbies You Love Without Back and Neck Pain
 
Many individuals stand and sit when working on their hobbies. This is quite common and is encouraged when doing these absorbing activities. But being immersed in these activities, most forget to check their posture when doing so. This is what leads to problems that at first are shrugged off as just soreness. Eventually, the individual begins to engage in bad/awkward posture habits that avoid the pain and think this will help. This worsens the problems and promotes further strain/injury. Leaning, bending, reaching, and twisting curves the spine increasing the load and stress. Performing these actions over and over for extended periods means:
  • Strain
  • Low back pain
  • Muscle spasms
  • Sciatica
  • Leg pain
  • Foot pain
Slouching is another posture problem that increases the likelihood of lower back pain. Slouching causes gaps between the lower back vertebrae. This stresses the facet joints or the connections between the vertebrae. The soft tissues elongate/stretch and lengthen like muscles and connective tissue. What elongation does is:
  • Cause the tissues to attempt to snap back to the original shape. This can cause painful spasms.
  • Muscles that are constantly elongated become weaker with time.
The longer an individual sits, stands, and slouches impacts the body’s health negatively, leading to a chain of health problems. Maintaining proper posture and keeping the spine straight minimizes the strain on muscles and the vertebrae. Prevent pain and discomfort.  
 

Ergonomics at the House

Ergonomic stressors include:
  • The force/s required to perform and complete a physical chore/task.
  • Adopted static and awkward working postures to complete task/s
  • The repetitiveness of the task/s
Any of these factors or combination places a higher risk for discomfort, pain, and injury. The immediate surroundings like the bench, work area, craft room, etc. and how the individual moves or does not move, and interacts in these areas is the focus of ergonomics. Proper ergonomics will help protect the spine, as well as the rest of the body. Improper ergonomics can cause damage like muscle strain, repetitive movements, and incorrect posture. Taking a look at the hobby workspace the ergonomics, and making any necessary adjustments can help prevent strain/injury.

Proper seating

Make sure the right type of chair, stool, bench, etc is being utilized. Adjustable types that have neck and lower back support are the way to go. Make sure the base is stable, the seat is comfortable and adjustable. Backrests and armrests can help maintain proper posture.

Correct table/desk/workstation height

Various drafting tables and lap desks have adjustable surfaces to adjust the height for working with a proper ergonomic posture. If the work surface is not adjustable adjust the chair or make adjustments as needed. The hips should be higher than the knees to take the strain off the sacrum and lower back. The upper back should be straight, with the shoulder blades together creating a supportive platform for the neck and head.

Tools

Using the best tools for working and organization will help avoid injuries and constant awkward positions like leaning/reaching over and around the workspace. Look for tools that can be adjusted to different heights, resistance levels, etc. depending on what is needed and what will reduce any strain.

Vision

If an individual needs to lean in to get a closer look then vision could be the problem. If an individual wears glasses it could be time for a check-up. Or if an individual does not wear glasses, it could be time to see an optometrist. Non-prescription magnifiers could be the answer.  
mobility flexibility el paso tx.
 

Stretching Regularly

Working too long in one position can be detrimental to overall health. It is very understandable when individuals get into the zone, working on something creative, and not wanting to stop the flow. However, frequent breaks are vital. Stretching regularly and getting up to move around is key to staying healthy.

Neck Stretch

  • Stretch the neck by turning the head from side to side in a gentle fashion.
  • Tip the head to each side so the ear almost touches the shoulder.
  • Lower the head so that the chin almost touches the chest.
  • Turn the to look diagonally down at the armpit. This stretches the trapezius and levator scapulae muscles.
  • Hold the stretches for 10-15 seconds.
  • Always perform slowly and gently.

Lower Back Stretch

15 minutes a day of stretches will maintain the health of the spine. If pain or discomfort becomes frequent or unmanageable, seek professional help. Physical therapists and chiropractors are trained in orthopedic issues and ergonomics without prescription. Call a doctor or physical therapist to find out if treatment is necessary. Following these guidelines can help keep hobbies fun and without pain.

Lower Back Pain Skate Boarding Injury 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*
Golf Injuries and Prevention

Golf Injuries and Prevention

The most common causes of golf injuries are playing and practicing too excessively, improper swinging mechanics, and little or no physical conditioning. Pain meds either over-the-counter or prescribed, bracing, and surgical procedures are how symptoms are treated instead of the root cause/s. If the cause/s are addressed then injury prevention comes naturally.

 

11860 Vista Del Sol, Ste. 128 Golf Injuries and Prevention

Overuse

Driving requires a great deal of effort and power that puts tremendous stress on the body. When done too frequently, injuries can result. The body can take all kinds of forces thrown at it. But there is a limit as to how much it can take before an injury occurs.

Too many swinging reps while playing and practicing could cause trauma to the muscles and connective tissues, which leads to inflammation and pain. Swinging and hitting with bucket after bucket of balls to improve performance will raise the risk of injury. Try practicing swinging without hitting any balls through imagery/imagination. This has become a standard tool utilized by athletes. Practice the perfect swing mentally without the risk/threat of overusing your arms and back.

Mechanics

Improper body and swinging mechanics can lead to injury. The constant swinging, bending, squatting, and walking places added stress on muscles that can lead to a shoulder sprain/strain, elbow pain, and rib fractures. Back injuries can happen when bending far too forward while in swinging motion. Common swing mistakes that can contribute to low back pain.

S-Posture

This can happen when golfers are told to stick out their rear but what happens is that they over arch their lower backs which cause hyperlordosis. This is known as an S-Posture and it inhibits the abs and glutes. Or this also happens with a lower crossed syndrome. �

curve disorders M

Early Extension

This is a term that comes from a forward swinging movement where the lower body does not rotate from the top of the backswing to follow-through. The hips and pelvis do not turn with the body. Spinal posture is extended, the head rises up and the pelvis moves toward the ball’s position. When this happens the spine’s muscles over-activate and force the spine into a fast extension. Forward movement of the lower body toward the golf ball can be a sign of early extension. �

Early Extension

 

Ideal Position

Reverse C

This happens at the swing’s finish being in a full hyperextension position. It places added compression on the lower back right facet joints. �

11860 Vista Del Sol, Ste. 128 Golf Injuries and Prevention

Overextending, Flexing, and twisting excessively, awkwardly, and improperly increases chances of injury. A bit of advice is to have your swing analyzed by a golf pro/instructor to make sure you have proper form and technique. Preventing back injuries can be achieved through proper body mechanics by properly lifting the golf bag and properly teeing the ball.

Conditioning

Muscles will be weak and inflexible when there is no conditioning. This causes them to become highly susceptible to injury. The spine is exceptionally vulnerable to increased pressure during a golf swing. This happens from rotating while leaning forward. When the low back and abdominal muscles do not have adequate strength or flexibility the high reps of swinging will eventually cause pain.

With a golf-specific strength and flexibility program, the risk of injury is lessened along with improved performance. Programs like these don’t have to be complicated or take a long time. Stop potential golf injuries from happening by avoiding excessive practice sessions, swinging correctly, and regularly practicing golf-oriented strength and flexibility exercises.


Sports Injury 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*

Massage Therapeutics Can Improve Health and Well Being

Massage Therapeutics Can Improve Health and Well Being

Massage therapeutics is not about the candles, aromatherapy, and the spa. Although those items can be beneficial for relaxation etc, the massage part of the therapy is just that. An intense manual manipulation of the body’s tissues. Made to work out/relax tight, knotted, spasmed, and inflamed muscles, ligaments, and tendons back to a normal and relaxed function. This can be caused by injury, stress, awkward motion/s, etc. Research done by the American Massage Therapy Association shows that 50% of individuals asked for a therapeutic massage for musculoskeletal/stress issues. �

 

11860 Vista Del Sol, Ste. 128 Massage Therapeutics Can Improve Health and Well Being

More physicians, specialists, and surgeons are recognizing the health benefits that massage therapeutics can bring and are sending their patients to certified/licensed massage therapists for treatment. There is now a high demand for massage therapists with the career possibilities being one of the strongest in the health care industry. Massage therapy is the manual manipulation of muscles and soft tissues including:

  • Connective tissues
  • Ligaments
  • Tendons

This is all done with the focus of improving an individual’s health and overall well-being. Licensed certified massage therapists are highly-trained and highly-versed in anatomy and physiology. Many often work with chiropractors preparing patients for the chiropractic adjustment/s by loosening up the muscles/tissues, then after with a light massage to ease the soreness of the adjustment and if necessary with continued visits with a mild to intense massage session to keep the areas loose and mobile.

Massage therapeutics effectively treats several medical conditions, sports injuries, automobile accident injuries, personal injuries, and helps prevent health problems connected with stress. Research shows that these medical conditions can be significantly improved or even healed with massage therapeutics. �

Fitness

Top professional and weekend warrior athletes can benefit from massage therapeutics. Massage has been shown to help:

  • Reduce muscle tension
  • Improve exercise performance
  • Prevent injuries

Low Back Pain

The guidelines for treating chronic back pain. Now the suggested guidelines state that alternative treatments/therapies like massage, chiropractic, physical therapy, and acupuncture should be utilized before prescription medication, which is now the last resort, is implemented. �

Headaches

Head and neck massage reduces chronic tension headaches, along with the stress that often comes with headaches. �

11860 Vista Del Sol, Ste. 128 Massage Therapeutics Can Improve Health and Well Being

Compromised Immune System Function

Myofascial massage has been shown to improve the nervous system, which is crucial to a healthy immune system. Through massage which increases blood circulation helps to increase the activity of T cells, which recognize and destroy cells that are infected with viruses. Stress reduction has been found to be a universally recognized benefit of massage therapeutics, and can also strengthen the immune system. �

Blood Pressure

Improved blood flow with massage therapeutics can also bring blood pressure down and elevates heart health. �

11860 Vista Del Sol, Ste. 128 Massage Therapeutics Can Improve Health and Well Being

Fibromyalgia

Currently, there is no cure for fibromyalgia, but studies are showing a definite connection for those that receive myofascial massage therapeutics and improved quality of life. Reduced pain and anxiety, and quality sleep were has been experienced by individuals getting regular massage therapy. �

cancer chiropractic support el paso tx.

Cancer Pain

A common symptom for individuals battling cancer is pain, which can be mild to severe. Used in conjunction with other pain management techniques recommended by doctors, massage therapeutics have been shown to reduce pain along with anxiety symptoms.

PTSD

Those with post-traumatic stress disorder can benefit from massage therapy. Massage can help reduce:

  • Anxiety
  • Stress
  • Depression
  • Pain associated with trauma/images/memories

Massage is often recommended as a companion for PTSD psychotherapy. Therapists are well established at many medical clinics and hospitals. With the opioid epidemic, the need for safe, natural, and effective pain therapy, then massage therapists can definitely help out. �

PTSD and Chirorpactic

Chiropractic Care 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*

Spinal Injection or Nerve Block For Neck and Back Pain

Spinal Injection or Nerve Block For Neck and Back Pain

Spinal injections are exactly what the name says. They are administered direct injections of medicine/s in a specific location of the spine. These are used to treat various conditions affecting the spine when non-invasive treatment/s are not working.

This could be an area along the upper cervical/neck spine all the way down to the sacrum. Injections are also utilized in helping to diagnose neck or back pain that radiates or spreads into an individual�s arms and legs. These are known as:

  • Cervical radiculopathy
  • Lumbar radiculopathy

Spinal injection/s for diagnostic or treatment purposes could be a part of an overall treatment plan along with chiropractic/physical therapy and possible medication.

11860 Vista Del Sol, Ste. 128 Spinal Injection or Nerve Block For Neck and Back Pain

The medicine in the injection

The medicine could be comprised of a local anesthetic on its own, steroid on its own, or a combination of the two. Steroids are short for corticosteroid, which is a strong anti-inflammatory medication. A contrast dye like an x-ray dye could be added to the injection mix. This dye acts as a guide for precise placement of the needle using image guidance.

Spinal disorders that could benefit

Proceeding with an injection treatment plan is based on an individual’s unique factors that apply to their condition/state. This decision will be made after consultation, and diagnosis with your doctor, spine specialist, or chiropractor.

Healthcare providers recommend conservative treatment first. A treatment plan typically runs around 4-6 weeks. If there is no change or improvement in the individual’s condition from the conservative therapy then injection treatment/s could be recommended. Conditions, where injection/s are used, include:

  • Disc herniation
  • Facet joint pain
  • Failed back syndrome
  • Sacroiliac joint pain
  • Sciatica
  • Spinal stenosis

Spinal injection and nerve block difference

Spinal injections are a general term that could mean any type of injection involving the spine. Nerve blocks are a precise type of injection that targets a specific nerve. As the medicine is injected into the target nerve/s, it blocks or creates a blockade of the pain signals being sent from the area (ex. neck, low back, etc.) that is generating the pain.

Injection types

Epidural

An epidural means an injection on the dura. The dura is the outermost layer that encloses the spinal cord. �

11860 Vista Del Sol, Ste. 128 Spinal Injection or Nerve Block For Neck and Back Pain

3 types of epidurals. They are named according to the direction and angle the needle takes to get to the dura.

  • Caudal epidural:

The spinal canal ends at an opening at the end of the sacrum called the spinal hiatus. The medicine is injected into the epidural space through the sacral hiatus. This is the method that is used to provide anesthesia to pregnant women when they’re in labor. �

StructureoftheSacrumDiagram ElPasoChiropractor
  • Transforaminal epidural:

There are nerve roots that come out of the spinal canal at each level through a bony opening called the intervertebral foramen or neuroforamen. The medicine is injected into the epidural space in these areas.

  • Interlaminar epidural:

The lamina is a section that forms the arch of each level and forms the spinal canal. The lamina at each level lays on top of the lamina right below. The needle is inserted between the lamina for delivery of the medicine into the epidural space. �

third and fourth lumbar vertebrae lumbar vertebra lumbar spine vertebral bone

Selective Nerve Root Block – SNRB

These involve the injection of a local anesthetic onto a targeted nerve. They are typically used for diagnostic purposes. For individuals with multi-spinal compression/s, these combined with:

  • Medical history
  • Physical exam
  • MRI

These can help identify the pain generator such as spinal stenosis.

Medial Branch Block – MBB

The facet joints are bony projections that connect a vertebral level to the levels above and below. These can become arthritic and is responsible for different forms of back pain.

This type of spinal injection is local anesthetic injected on the medial branch nerves. These are the nerves that send pain signals from the facet joint/s. They are useful in determining if the facet joint is the pain generator. �

Facet Joint

These are injections directly into the facet joint itself. Much like injecting anti-inflammatory and pain meds into a knee with arthritis.

Sacroiliac Joint

The two sacroiliac joints help connect either side of the sacrum to the hip joint. Like other joints, these can get inflamed and cause painful symptoms. This is an injection directly into one or both of the sacroiliac joints.

Administration of the spinal injection or nerve block

Injections are only to be performed by doctors trained specifically in spinal injections. Injections are usually performed by an:

  • Anesthesiologist
  • Neurologist
  • Neurosurgeon
  • Orthopedic surgeon
  • Physiatrist
  • Radiologist

Role of these procedures

Reasons why an injection could be used:

  • Help as a diagnostic to identify the pain generator
  • Therapeutically to provide pain relief
  • As a prognostic pain predictor of the relief, an individual could expect from a more invasive procedure like nerve ablation.

How often

A maximum of 6 injections for one year is the recommended treatment protocol. Each injection should be based on the effect/s of the previous injection.

Potential benefits

The main benefit is to bring pain relief and the ability to function.

Potential risks

Spinal injections are considered safe with a low rate of complications. The most common include:

  • Bleeding
  • Headache
  • Facial flushing

Major complications include:

  • Puncture of the dura
  • Infection
  • Nerve damage

Major complications happen in less than one percent of those undergoing the treatment. Individuals with diabetes could see a temporary elevation of their blood sugar.

Lasting effects

How long the medicine lasts is different for everyone and comes with variables like:

  • Type of injection
  • Type of pathology
  • Diagnosis
  • Cause
  • How long the symptoms last

Most can expect to have one and a half to three months of relief. However, with some, they may only provide minimal relief, while others may see improvements for up to a year.


Treating Severe & Complex Sciatica Syndromes


 

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*