Gut Health for Faster Recovery—El Paso Back Clinic
Why your gut matters when you’re healing
After a back or neck injury—from daily strain, sports, work, or a car crash—pain and limited mobility can dominate your life. But there’s a powerful helper inside you: the gut microbiome. These trillions of microbes influence digestion, inflammation, immunity, energy, and even sleep. When they fall out of balance (called dysbiosis), bloating, irregular stools, fatigue, and higher inflammation can slow your rehab progress. The positive news is that simple daily steps can reset the balance and support your recovery. (Cleveland Clinic, 2023/2022). (Cleveland Clinic)
At El Paso Back Clinic, we often combine spine-focused care—such as chiropractic adjustments when appropriate, therapeutic exercise, soft-tissue work, and, if indicated, imaging—with practical gut-support strategies, helping patients recover more comfortably and steadily. (Dr. Alex Jimenez, El Paso clinic pages). (El Paso, TX Doctor Of Chiropractic)
Dysbiosis in plain language
Dysbiosis means your gut community is out of balance—too many “unhelpful” species, not enough beneficial ones, or less diversity overall. Diets high in refined sugars and ultra-processed foods, repeated courses of antibiotics, stress, poor sleep, and alcohol/environmental toxins are common triggers. (Cleveland Clinic, 2024; Better Health Channel, 2023; USDA ARS, 2025). (Cleveland Clinic)
Ultra-processed foods tend to be low in fiber and high in additives; over time, they’re linked with inflammation and a less favorable gut environment—exactly what you don’t want while healing. (Cleveland Clinic Newsroom, 2023). (Cleveland Clinic)
How “unhealthy” bacteria gain ground
Unwanted bacteria flourish when conditions favor them. Three everyday drivers:
Low fiber, high ultra-processed intake. Beneficial microbes feed on plant fibers and resistant starches from beans, whole grains, vegetables, and fruit. Starve them, and opportunistic species take over. (Wilson et al., 2020; Singh et al., 2017). (PMC)
Antibiotics and antimicrobials. Essential when needed, but they can also reduce helpful species; rebuilding with fiber-rich foods (and sometimes probiotics) helps restore balance. (Cleveland Clinic, 2024). (Cleveland Clinic)
Stress and poor sleep. Both alter motility and immune signaling via the brain–gut axis, nudging the microbiome toward dysbiosis. (Better Health Channel, 2023). (Better Health Channel)
SIBO: a special case to know about
Small Intestinal Bacterial Overgrowth (SIBO) happens when excess bacteria build up in the small intestine, which normally has low counts. Symptoms can include bloating, abdominal discomfort, diarrhea, early fullness, weight loss, or malnutrition. (Mayo Clinic, 2024). (Mayo Clinic)
Treatment often pairs targeted antibiotics with nutrition and root-cause fixes (e.g., motility support or addressing structural issues). Without tackling the cause, SIBO can recur. (Mayo Clinic, 2024). (Mayo Clinic)
If you notice persistent bloating, pain, or weight loss, ask your clinician about evaluation and a phased plan that treats the cause, then carefully re-expands fibers and fermented foods.
How better gut habits speed musculoskeletal recovery
Lower, steadier inflammation: A fiber-rich, plant-forward pattern boosts short-chain fatty acids (SCFAs) like butyrate that help protect the gut lining and may dampen systemic inflammation tied to pain. (Singh et al., 2017). (PMC)
Energy and participation: Balanced digestion supports energy, sleep, and mood—key drivers of successful physical therapy and home exercise. (Cleveland Clinic, 2022). (Cleveland Clinic)
Medication tolerance: If you need antibiotics or other meds, a microbiome-friendly plan can reduce GI side effects. (Cleveland Clinic, 2024). (Cleveland Clinic)
The El Paso Back Clinic approach (dual-scope care)
Our team—led by Alexander Jimenez, DC, APRN, FNP-BC—blends chiropractic care with nurse-practitioner medical evaluation. When appropriate, we use X-ray/MRI to clarify the diagnosis, and we coordinate conservative therapies with nutrition and lifestyle coaching. For injury cases, we also provide the documentation insurers and attorneys require. (El Paso, TX Doctor Of Chiropractic)
Common elements of a plan:
Dual-scope assessment: History, neuro/orthopedic testing, and imaging when indicated to pinpoint pain drivers (joint, nerve, soft tissue). (El Paso, TX Doctor Of Chiropractic)
Conservative therapies: Chiropractic adjustments (as indicated), therapeutic exercise, massage/soft-tissue work; acupuncture may be added to modulate pain and stress. (El Paso, TX Doctor Of Chiropractic)
Gut-support basics: Plant variety, fiber targets, and live-culture foods; stress and sleep tools that calm the gut–brain axis. (Cleveland Clinic Magazine; Penn State Health). (Cleveland Clinic)
Medical-legal readiness: Structured notes, imaging reports, and measurable outcomes for personal-injury and MVA cases. (El Paso, TX Doctor Of Chiropractic)
Clinical observation: Patients with back/neck pain who improve sleep and add one fermented food daily—while increasing beans/whole grains and veggies—often report less bloating and steadier energy within weeks, which helps them stay consistent with rehab.
A 4–6 week “gut-reset” that fits rehab
1) Make plants the base (daily)
Aim for colorful vegetables and fruits, beans/lentils 4–5 days/week, and whole grains (oats, barley, brown rice, quinoa). These choices feed beneficial microbes and boost SCFAs. (Wilson et al., 2020). (PMC)
2) Add one fermented food most days
Yogurt or kefir with live active cultures, kimchi, sauerkraut, or kombucha. Not all fermented foods have live microbes after processing—check the label. (Healthline; Cleveland Clinic Magazine). (Healthline)
3) Tame ultra-processed foods
Swap sugary drinks for water/unsweetened tea; favor whole-grain staples; keep packaged snacks as occasional treats. (Cleveland Clinic, 2023). (Cleveland Clinic)
4) Support sleep and stress
Target 7–9 hours with a consistent wind-down; try 5 minutes of slow breathing before bed; walk 20–30 minutes most days, and add two short strength sessions weekly. (Better Health Channel, 2023). (Better Health Channel)
5) Medications—coordinate with your clinician
Don’t stop prescribed meds on your own. If antibiotics are necessary, ask whether a food-first strategy and a short-term probiotic make sense for you. (Cleveland Clinic, 2024). (Cleveland Clinic)
6) Hygiene matters
Wash hands, rinse produce, and avoid kitchen cross-contamination to reduce exposure to harmful bacteria. (Better Health Channel, 2023). (Better Health Channel)
Two-week starter plan (easy, budget-minded)
Breakfast: Oats + kefir or yogurt + berries + nuts.
Dinner: Slow-cooker chili or lentil curry; salad with olive oil; baked potato (cool leftovers for resistant starch).
Snacks: Fruit + nut butter; carrots + hummus; plain popcorn; small kefir smoothie.
Small, steady changes add up; focus on what you can repeat during busy treatment weeks. (Penn State Health, 2018). (Penn State)
When to seek medical care now
Unintended weight loss, blood in stool, fever, severe or night-time symptoms, or a history of GI surgery.
Talk with your clinician about evaluation, including possible SIBO testing when appropriate. (Mayo Clinic, 2024). (Mayo Clinic)
Local help in El Paso
If you’re recovering from a back or neck injury and want a plan that connects spine care, gut health, and documentation for injury cases, our team can help you build a sustainable routine while we treat the root musculoskeletal drivers. (El Paso Back Clinic/Dr. Jimenez). (El Paso, TX Doctor Of Chiropractic)
Of course, I’m prone to injuries and Dr. Alex Jimenez has been helping me. I’ve known him for about six years and every time something comes up, either it’s a small injury or a major one, he’s always been there and he’s always helped me get back to my feet to start playing sports again really fast.
Madison Hill
Ankle pain refers to any type of pain or discomfort in the ankle. This pain could generally be due to an injury, such as a sprain, or due to another health issue. As stated by the National University of Health Sciences, or NUHS, an ankle sprain is one of the most frequent causes of foot pain, making up 85 percent of all ankle injuries. A sprain occurs when the ligaments tear or are overstretched.
Most ankle sprains are lateral sprains, which occur when the foot rolls, causing the ankle to twist toward the ground. This action rips or stretches the ligaments, which connect two bones or cartilages and holds a joint together. A sprained ankle often swells and lumps for a temporary amount of time. However, it might take a couple of weeks to get a severe injury like this to�heal completely.
Once healed, the sprained ankle is occasionally permanently weaker and less stable compared to the other ankle. According to a paper released by the American Academy of Family Physicians, or AAFP, the highest risk for ankle sprains includes a previous ankle sprain. Although, ankle sprains are not the only cause of foot pain. Below, we will discuss several common causes of foot and ankle pain as well as their treatment.
Causes of Ankle and Foot Pain
The ankle is a hinge joint formed by the assembly of three bones: the tibia, the fibula, and the talus. The bony knobs on both sides are called the malleoli. Overall, the ankle is an intricate structure. These constructions provide support for walking and standing. Also, stability is provided by the ligaments on the surface of the ankle. Additionally, some tendons also attach to the muscles of the ankle.
Ankle pain may be brought on by various ailments, such as sprain, strain, arthritis, gout, and tendinitis, among others. These kinds of injuries can occur on both sides of the joint. There can be pain and discomfort as well as swelling. A sprain is considered to be the most frequent cause of foot pain. As�mentioned above, a sprain is generally caused when the ankle rolls or twists so the ankle moves toward the ground, tearing or overstretching the ligaments of the ankle that hold the bones together.
An x-ray is typically done to rule out a fracture. The remedy for an ankle strain or sprain generally includes restricting the total amount of weight-bearing on the ankle, getting rest and applying ice. Drugs and/or medications can reduce symptoms. Chiropractic care can also help diagnose and treat ankle sprains and strains. Ankle and foot pain may also be due to:
Arthritis, specifically osteoarthritis,
Gout
Tendinitis
Nerve injury or disease, such as sciatica
Blocked blood vessels
Infection from the joint
While ankle strains and sprains are the most common form of foot pain, arthritis can also frequently lead to ankle pain. Arthritis is the inflammation of the joints, although multiple kinds of arthritis may lead to pain in the joints. Foot pain can be caused by three common forms of arthritis: osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis.
Osteoarthritis is a degenerative condition where the cartilage slowly begins to wear away. Osteoarthritis�causes the natural wear and tear of the joints associated with age. Older adults are more inclined to develop osteoarthritis. In most cases, an individual’s pain and discomfort, including swelling and�stiffness, among other symptoms may worsen over time.
Rheumatoid arthritis is a chronic autoimmune disease. This health issue may severely impact the foot and ankle joints. With rheumatoid arthritis, the human body’s immune cells attack the synovium covering the foot joints. Joint deformity is common with rheumatoid arthritis. A fungal or bacterial infection causes septic arthritis. If the septic arthritis is among the ankle regions, this may result in foot pain.
Following an injury, post-traumatic arthritis can develop from trauma or damage to the ankle or foot. Previous fractures and dislocations are the most common ailments that may lead to post-traumatic arthritis. Like gout, which we will discuss further below, the joints begin to wear away, although it may take several years for this to happen after the injury.
Gout occurs when uric acid accumulates in the human body. This higher than average concentration of uric acid, which is generally a by-product of the human body’s normal breakdown of older cells, can deposit crystals in the joints, causing sharp pain. Pseudogout is a similar illness where calcium deposits build up in the joints. Indicators of gout and pseudogout include soreness, swelling, and redness.
Tendinitis is a swelling of the tendon. In the ankle, it may frequently involve the anterior tibial tendon or the Achilles tendon. Tendinitis can result from an overuse injury or disorders like rheumatoid arthritis and ankylosing spondylitis. All types of tendinitis trigger pain, inflammation, and tenderness. Drugs and/or medications, applying ice and immobilizing the region are often the first line of treatment for tendinitis. Chiropractic care can also be helpful in the treatment of tendinitis. Casting may be required if the patient’s tendinitis is severe or advanced.
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Foot pain can commonly occur due to ankle injuries. In the United States alone, approximately 2 million acute ankle sprains occur every year, one of the most prevalent causes of ankle pain. Chiropractic care is a popular alternative treatment option which can help treat a variety of health issues, including foot and ankle pain.
Dr. Alex Jimenez D.C., C.C.S.T.
Chiropractic Care for Foot and Ankle Pain
Chiropractors utilize a mixture of treatment techniques and methods to ease ankle and foot pain. Chiropractic care is a safe and effective, alternative treatment option which focuses on the diagnosis, treatment, and prevention of a variety of injuries and conditions associated with the musculoskeletal and nervous system, including foot and ankle pain.
Soft tissue and joint mobilizations are done to restore proper mechanics and muscle activation. Manual therapy may be used to improve the mobility of the ankle and foot along with reducing pain. Furthermore, a chiropractor may recommend a series of lifestyle modifications to help promote a faster recovery process. Exercises are targeted to the areas that were affected. Balance training might also be implemented.
Some treatment modalities that chiropractors utilize to treat injuries to the foot and ankle include ultrasound, electrical stimulation, heat and ice treatment, and massage. These treatment methods increase circulation to enhance recovery, decrease inflammation, reduce pain and improve mobility. When you visit a healthcare professional, a full evaluation is done, goals are discussed along with an individualized treatment program which is intended to target your specific treatment requirements.
Home Treatment for Ankle and Foot Pain
For immediate at-home treatment of foot and ankle pain, the RICE system is generally recommended. The RICE treatment includes:
Rest: Avoid putting weight on the ankle. Try to move as little as possible for the first couple of days. If you have to walk or run, consider using a cane or crutches.
Ice: Begin by putting a bag of ice in your ankle for a minimum of 20 minutes at a time. Repeat this three to five times every day for three days. This�treatment helps decrease pain. Give yourself about 90 minutes between sessions.
Compression: Wrap your injured foot with an elastic bandage, such as an ACE bandage. Don’t wrap it too tightly to where your feet turn blue or your ankle becomes numb.
Elevation: Whenever possible, keep your ankle raised over heart level on a pile of pillows or another type of support arrangement to promote healing.
It’s possible to take over-the-counter drugs and/or medications, such as acetaminophen or ibuprofen, to relieve swelling and pain, however, these are often only offer temporary relief from the symptoms. Make sure to talk to a certified and qualified healthcare professional regarding any home treatment options to prevent further injury and symptoms.
If�you are suffering from foot pain or ankle pain, do not delay anymore. Chiropractors can help patients who suffer from foot, and ankle pain and they can help you, too. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at�915-850-0900�.
Curated by Dr. Alex Jimenez
Additional Topics: Acute Back Pain
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain is attributed�to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. The spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Because of this, injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.
It’s been great, my turf toe has been getting a lot better. Actually, I didn’t see a doctor for about 4 months and it just kept getting worse. But when I started seeing Dr. Jimenez, it just, little by little it’s been starting to get better. It feels a lot better when I practice and stuff like that. So, it’s getting better. – Vincent Garcia
There’s always a particular risk for athletes when it comes to sports-related injuries, or sports injuries, particularly when participating in physical activities. Moreover, contact sports, such as soccer, baseball, football and basketball, tend to have higher injury rates than any other sport.
Twice as many men suffer sports-related injuries in contrast with females as a consequence of the types of sports that they most commonly engage in. Whether you’re a seasoned and experienced athlete or you simply play as a weekend warrior, there’s always a chance of experiencing a sports injury. Below, we will discuss several of the most common types of sports injuries, or sports-related injuries.
Common Sports Injuries
Sprains and strains are the most common sports injuries. Sprains are medically defined as injuries to the ligaments, or the strong bands which connect bones to the joints. Overly stretching these ligaments beyond their natural range can ultimately damage or even tear them.
Strains are medically referred to as injuries to the muscle fibers or tendons, which connect muscles to bones. Strains are known as “pulled muscles” for a reason, overly stretching or overuse of a muscle can cause tears in the muscle fibers or tendons.
�Think of ligaments and muscle-tendon units like springs,� explained Dr. William Roberts, MD, sports medicine physician at the University of Minnesota and spokesman for the American College of Sports Medicine. �The tissue lengthens with stress and returns to its normal length, unless it is pulled too far out of its normal range.� Additionally, sports injuries can result in a variety of other health issues.
Patellofemoral Syndrome
Accidents in sports which can harm an athlete generally are inclined to be knee injuries. Patellofemoral syndrome could be caused by a slide or fall onto the knees. This type of sports injury involves swelling, inflammation and an imbalance of the knee at its groove. Strengthening exercises and stretching can help provide flexibility and mobility to the muscles. Apart from strengthening exercises and stretches, a doctor of chiropractic, or chiropractor, may utilize therapeutic techniques for this specific injury.
Concussion
A blow to the head could lead to a concussion. Concussions are a serious type of sports injury and these should never be disregarded. Symptoms indicating a possible head injury may include nausea, vomiting, confusion, headache, and slurred speech. Any athlete who incurs a concussion must seek immediate medical attention. Chiropractic care can help with several of the symptoms, such as headaches, related to a concussion.
ACL Tear
The anterior cruciate ligament, or the ACL, is a fundamental ligament found in the knee. An ACL tear can be caused due to a sudden change in directions or coming to a sudden stop when playing sports or during exercise and physical activities. There’s typically swelling, inflammation and uncertainty in movement working with an ACL tear. Chiropractic care can assist with the recovery process of an ACL tear, particularly through physical therapeutics and rehabilitation programs.
Hip Flexor Strain
The hip flexor muscles are all located in the upper front area of the thigh. Sprinting, running slopes and sudden movements could lead to a hip flexor strain. There can be pain and discomfort together with swelling and inflammation in the region surrounding the thigh. Stretching and range of motion exercises employing a doctor of chiropractic, or chiropractor, can help aid with recovery. A chiropractor will work closely with a patient to determine the best treatment approach for their sports injuries.
Shin Splints
With shin splints, there’s usually pain and other painful symptoms in the lower leg, particularly along the tibia. Shin splints are the most common type of sports injuries among runners or running athletes. Ice and cold therapy can help reduce swelling and inflammation on the site. Moreover, runners or running athletes can prevent suffering shin splints by purchasing a good pair of shoes with proper arch support. The right equipment can always promote a safe participation in sports and physical activities.
Sciatica
Sciatica is back pain which radiates down the back of the leg and into the foot. This collection of symptoms is often seen in cyclists and athletes who perform a lot of backwards turning and swinging sports like tennis and golf. Sciatica, or sciatic nerve pain, may be caused by a pinched or compressed nerve, frequently due to a bulging or herniated disc. Chiropractic care is a well-known, alternative treatment option which can help alleviate sciatica, or sciatic nerve pain, symptoms.
Shoulder Injury
Shoulder injuries in sports commonly range from dislocations and misalignments to strains and sprains of the shoulder tendons and ligaments. Because the shoulder is frequently referred to as a weak joint, it is often vulnerable to suffering harm from sports injuries during exercise and physical activities, aside from the athlete’s specific sport. Ice and cold therapy as well as chiropractic care and rehabilitation can help ease the symptoms associated with shoulder injuries.
Tennis or Golf Elbow
This issue is known as an overuse sports injury. Repetitive actions inflame the forearm and wrist. Ice and cold therapy as well as rest normally helps with the symptoms, but stretching and strengthening exercises recommended by a chiropractor can also help.
Groin Pull
Additionally known as a groin strain, the groin muscles can get strained with quick side-to-side movements when engaging in exercises and physical activities. Stretching and strengthening exercises can help with the recovery process in this case as well.
Hamstring Strain
The hamstring muscles can be found in the back of the thigh. When athletes fail to stretch or exercise accordingly before engaging in their specific sports, it can cause this muscle to be pulled. If the symptoms of this condition continue over a couple of weeks, a chiropractor, or doctor of chiropractic, can help provide the necessary treatment through the use of other treatment approaches, such as ultrasound, among others, to help encourage the natural healing of the muscle and improve symptoms.
Dr. Alex Jimenez’s Insight
Although many common sports injuries are often beyond our control, athletes can engage in stretches and exercises before participating in their specific physical activities to help prevent a sports injury. Every workout should start with a gentle warm-up to prevent most of these sports injuries. It’s important for athletes to be mindful of the amount of pressure they exert on their bodies in order for them to avoid suffering sports injuries.
If you’ve suffered a sports injury, make sure to seek immediate medical attention from a qualified and experienced healthcare professional. Many skilled sports medicine doctors are dedicated to sports medicine and also focus on providing rehabilitation determined by the performance requirements of athletes. Healthcare professionals will design a treatment plan targeted to your sports injuries.
Get back in the game with the guidance of qualified and experienced healthcare professionals in sports injuries. Contact us and make sure to schedule a consultation.�The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at�915-850-0900�.
Curated by Dr. Alex Jimenez
Additional Topics: Acute Back Pain
Back pain is one of the most prevalent causes for disability and missed days at work worldwide. As a matter of fact, back pain has been attributed as the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience some type of back pain at least once throughout their life. The spine is a complex structure made up of bones, joints, ligaments and muscles, among other soft tissues. Because of this, injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.
According to the National Institute of Health�s, National Institute of Arthritis and Musculoskeletal and Skin Disorders:
A sprain is an injury to a ligament (tissue that connects two or more bones at a joint). In a sprain, one or more ligaments is stretched or torn. A strain is an injury to a muscle or a tendon (tissue that connects muscle to bone). In a strain, a muscle or tendon is stretched or torn.
Historically, doctors of all disciplines in the clinical setting and lawyers in the medical-legal arena have erroneously attempted to separate them into 2 distinct injuries allowing a false conclusion to be derived in either prognosis or legal arguments when considering connective tissue pathology as sequella to trauma.
Anatomy of Sprains and Strains
Solomonow (2009) wrote:
There are several ligaments in every joint in the human skeleton and they are considered as the primary restraints of the bones constituting the joint. Ligaments are also sensory organs and have significant input to sensation and reflexive/synergistic activation of muscles. The muscles associated with any given joint, therefore, also have a significant role as restraints. In some joints, such as the intervertebral joints of the spine, the role of the muscles as restraints is amplified. The role of ligaments as joint restraints is rather complex when considering the multitude of physical activities performed by individuals in routine daily functions, work and sports, the complexity of the anatomy of the different joints and the wide range of magnitude and velocity of the external loads. As joints go through their range of motion, with or without external load, the ligaments ensure that the bones associated with the joint travel in their prescribed anatomical tracks, keep full and even contact pressure of the articular surfaces, prevent separation of the bones from each other by increasing their tension, as may be necessary, and ensuring stable motion. Joint stability, therefore, is the general role of ligaments without which the joint may subluxate, cause damage to the capsule, cartilage, tendons, nearby nerves and blood vessels, discs (if considering spinal joints) and to the ligaments themselves. Such injury may debilitate the individual by preventing or limiting his/her use of the joint and the loss of function. Pgs. 136-137
While ligaments are primarily known as mechanical or supportive structures responsible for joint stability, they have equally important neurological functions. Anatomical studies have shown that ligaments in the extremities and the spine are endowed with nerves called mechanoreceptors. The presence of such that sense and send neurological information to the spine and brain in the ligaments confirms that they contribute to proprioception (feeling and analyzes one�s physical positon in space and time) and kinesthesia (similar to proprioception but can maintain feeling in these nerves even with aberrant neurological imput elsewhere) and also has a distinct role in reflex activation or inhibition of muscular activities.
Simply put, the nerves in ligaments attempts to alter muscle activity to prevent further biomechanical failure and pathology (bodily injury), which effects one�s ability to move in a balanced homeostatic manner leading to further functional loss in a short amount of time. The presence of such nerves in the ligaments confirms that they contribute to proprioception and kinesthesia and have a distinct role in reflex activation or inhibition of muscular activities. Therefore, the muscles and tendons (which are inherent in muscular activity), are responsive and dependent upon ligament activity in function with both normal and pathological (inclusive of trauma) activities.
Solomonow (2009) also reported that as far back as the turn of the last century, that a reflex may exist from sensory receptors in the ligaments to muscles that may directly or indirectly modify the load imposed on the ligament. A clear demonstration of a reflex activation of muscles finally provided in 1987 and reconfirmed several times since then. It was further shown that such a ligamento-muscular reflex exists in most extremity joints and in the spine.
Mechanism of Injury
A Single trauma according to Panjabi (2006) can cause either a tear in the ligament called laxity or a subfailure injury of the spinal ligaments and injury to the mechanoreceptors embedded in the ligaments and the following cascade of events occur: pgs. 669-670
NOTE: The subfailure injury of the spinal ligament is defined as an injury caused by stretching of the tissue beyond its physiological limit, but less than its failure point.
When the injured spine performs a task or it is challenged by an external load, the transducer signals generated by the mechanoreceptors are corrupted.
Neuromuscular control unit has difficulty in interpreting the corrupted transducer signals because there is spatial and temporal mismatch between the normally expected and the corrupted signals received.
The muscle response pattern generated by the neuromuscular control unit is corrupted, affecting the spatial and temporal coordination and activation of each spinal muscle.
The corrupted muscle response pattern leads to corrupted feedback to the control unit via tendon organs of muscles and injured mechanoreceptors, further corrupting the muscle response pattern.
The corrupted muscle response pattern produces high stresses and strains in spinal components leading to further subfailure injury of the spinal ligaments, mechanoreceptors and muscles, and overload of facet joints.
The abnormal stresses and strains produce inflammation of spinal tissues, which have abundant supply of nociceptive sensors and neural structures.
Consequently, over time, chronic biomechanical failure develops leading to premature degeneration and long-term pain.
Simply explained, when there is a ligament injury or sprain, the nerves in the ligament fire signals that go to the central nervous system and causes the muscles to react as compensation to bodily injury to stabilize the structure. That in turn sets up another cascade of problems if not compensated for or repaired as the muscle spasticity cannot maintain itself for long periods of time and goes into a posture of tetanus, or perpetual spasm until the lactic acid builds. This is followed by the muscle failing and putting the entire structure in a chronic biomechanically unstable position and causing the bone to remodel or become arthritic.
According to Hauser ET. Al (2013) ligament instability in either subfailures or laxity are a clear cause of osteoarthritis. This is not speculative as the inured will develop arthritis in 100% of the time and is consistent with Wolff�s Law that has been, and continues to be accepted since the late 18th century.
Therefore, as per the above scenario, strain-sprain is an intertwined syndrome that cannot either mechanically or neurologically be separated and will cause arthritis in 100% of the post-trauma instance. How much arthritis and how quickly it will develop is dependent upon how much ligamentous damage there is.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
Solomonow, M. (2009). Ligaments: a source of musculoskeletal disorders.Journal of Bodywork and Movement Therapies,13(2), 136-154.
Panjabi, M. M. (2006). A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction.European Spine Journal,15(5), 668-676.
Hauser R., Dolan E., Phillips H., Newlin A., Moore R., Woldin B., Ligament & Healing Injuries: A Review of Current Clinical Diagnostics and Therapeutics, The Open Rehabilitation Journal, 2013, 6, 1-20
Additional Topics: Preventing Spinal Degeneration
Spinal degeneration can occur naturally over time as a result of age and the constant wear-and-tear of the vertebrae and other complex structures of the spine, generally developing in people over the ages of 40. On occasion, spinal degeneration can also occur due to spinal damage or injury, which may result in further complications if left untreated. Chiropractic care can help strengthen the structures of the spine, helping to prevent spinal degeneration.
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