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Functional Wellness and Healing from Autoimmune Conditions

Functional Wellness and Healing from Autoimmune Conditions

by | Chiropractic, Chronic Pain, Functional Medicine, Health, Holistic Medicine, Treatments, Viscerosomatic Reflex, Wellness

Learn about the role of functional wellness in addressing autoimmune conditions and supporting overall health.

Understanding Autoimmune Conditions: How Functional Wellness Can Transform Your Health

Functional Wellness and Symptom Relief from Menopause

Functional Wellness and Symptom Relief from Menopause

by | Chiropractic, Chronic Pain, Functional Medicine, Health, Holistic Medicine, Hormone Balance, Treatments, Viscerosomatic Reflex

Embrace functional wellness to enhance your quality of life. Find valuable insights to help you feel your best during menopause.

Flourishing Through Menopause: A Comprehensive Guide to Functional Wellness, Chiropractic Care, and Integrative Therapies for Symptom Relief

Introduction: Understanding Functional Wellness During Menopause

Menopause represents one of the most significant transitions in a woman’s life, marking the end of reproductive years while ushering in a new chapter of health and wellness. For millions of women worldwide, this natural biological process brings with it a constellation of symptoms that can significantly impact quality of life, from hot flashes and mood changes to joint pain and musculoskeletal discomfort. The clinical rationale for functional wellness becomes particularly important during menopause, as this approach addresses the root causes of symptoms rather than simply masking them with medications. nourishhousecalls+1​

Functional wellness emphasizes a holistic, patient-centered approach that considers the interconnected nature of body systems, lifestyle factors, and environmental influences. During the menopausal transition, when hormonal fluctuations can trigger cascading effects throughout the body, this integrative perspective offers women comprehensive strategies to manage symptoms while optimizing overall health. Rather than viewing menopause as a disease requiring treatment, functional wellness recognizes it as a natural process that can be supported through targeted nutrition, physical therapies, stress management, and lifestyle modifications. clevelandclinic+2​

The musculoskeletal system deserves special attention during menopause, as declining estrogen levels directly impact joint health, bone density, muscle mass, and connective tissue integrity. Research indicates that approximately 71% of perimenopausal women experience musculoskeletal pain, making it one of the most common yet often overlooked symptoms of this life transition. Joint stiffness, muscle aches, and widespread body pain can significantly diminish quality of life and limit physical activity precisely when exercise becomes most crucial for maintaining health. orthopedicsri+2​

Nonsurgical treatments such as chiropractic care, acupuncture, and massage therapy offer evidence-based options for addressing menopausal symptoms without the potential side effects associated with pharmaceutical interventions. These therapies can be combined with nutritional strategies, exercise programs, and lifestyle modifications to create personalized care plans that address each woman’s unique needs and health goals. dutchessbraincore+2​

What is Menopause?

Menopause is a natural biological process that marks the permanent end of menstrual cycles and fertility. It is clinically defined as occurring after 12 consecutive months of amenorrhea (absence of menstruation) not linked to a pathological cause. While menopause itself is a single point in time—the moment when a full year has passed without a menstrual period—the transition encompasses several years of hormonal changes that can produce symptoms affecting virtually every system in the body. pmc.ncbi.nlm.nih+1​

The average age of menopause for women in the United States is 51 years old, though this can vary significantly between individuals. Some women experience menopause in their early 40s, while others may not reach this milestone until their late 50s. The timing is influenced by genetics, lifestyle factors, and overall health status. myobgynvegas​

The Biological Mechanism of Menopause

Menopause results from the natural depletion of ovarian follicles over a woman’s reproductive lifespan. Each woman is born with a finite number of eggs, and as these are gradually used during monthly ovulation or naturally degenerate, the ovaries’ capacity to produce hormones diminishes. The pathophysiology involves a rapid decline in the number of primary ovarian follicles, resulting in an inadequate number to respond to follicle-stimulating hormone (FSH). ncbi.nlm.nih+1​

When the ovaries can no longer respond adequately to FSH signals from the pituitary gland, several hormonal changes occur: pmc.ncbi.nlm.nih+1​

  • Estrogen production declines significantly, though small amounts may still be produced through conversion from testosterone released by the adrenal glands.

  • Progesterone production decreases and eventually stabilizes at very low levels.

  • FSH and luteinizing hormone (LH) levels remain elevated for years after menopause onset due to the lack of negative feedback from ovarian hormones

  • Testosterone levels do not change as dramatically early in menopause, leading to a relative increase in the testosterone-to-estrogen ratio (ncbi.nlm).nih​

This hormonal shift affects virtually every organ system in the body, as estrogen receptors are present throughout tissues, including the brain, heart, bones, joints, skin, and reproductive tract. arthritis+1​

flourish-through-the-change-a-holistic-guide-to-menopause_6701b368.pdf

The Phases of Menopause

The menopausal transition unfolds over three distinct phases, each characterized by different hormonal patterns and symptom experiences.columbusobgyn+3​

Perimenopause: The Transitional Phase

Perimenopause represents the years leading up to menopause when the body begins its transition away from reproductive function. This phase typically begins 8 to 10 years before menopause, often starting in a woman’s mid-40s, though it can begin earlier. During perimenopause, hormone levels fluctuate unpredictably, creating a rollercoaster of symptoms that can be challenging to manage. mcpress.mayoclinic+2​

The early perimenopause stage is characterized by: columbusobgyn​

  • Shortened follicular phase leading to more frequent menstrual cycles

  • Occasional hot flashes lasting from seconds to minutes

  • Mild changes in skin elasticity and breast tenderness

  • Subtle mood variations and increased stress sensitivity

As perimenopause progresses into the middle and late transition stages, women typically experience: columbusobgyn​

  • Menstrual cycles that vary by seven or more days from normal patterns

  • More frequent and potentially more severe hot flashes

  • Increased vaginal dryness and sleep disruption

  • Daily hot flashes and night sweats that may feel more intense and last longer

  • Heightened anxiety or mood fluctuations

Menopause: The Defining Moment

Menopause itself is not a phase but rather a single point in time—the day when a woman has gone 12 consecutive months without a menstrual period. At menopause, the body’s production of estrogen, progesterone, and testosterone is significantly reduced, while FSH and LH levels are elevated. samitivejhospitals+2​

Postmenopause: The Years Beyond

Postmenopause begins immediately after menopause is confirmed and continues for the remainder of a woman’s life. Most menopausal symptoms gradually decrease in intensity during postmenopause, with some women experiencing significant relief within the first few years. However, certain changes require ongoing attention: joinmidi+1​

  • Bone density continues to decline due to reduced estrogen’s effects on bone remodeling.

  • Cardiovascular health becomes more vulnerable as estrogen’s protective effects diminish.

  • Genitourinary changes may persist or develop, including vaginal atrophy and urinary symptoms joinmidi​

Common Symptoms of Menopause

Menopause produces a wide spectrum of symptoms that vary dramatically between individuals. myobgynvegas+2​

Vasomotor Symptoms

Hot flashes and night sweats are among the most recognizable menopausal symptoms, affecting approximately 75% to 80% of women with varying severity. Hot flashes typically begin as a sudden sensation of warmth spreading through the upper body and face, often accompanied by flushing, sweating, and heart palpitations. templehealth+2​

Mood and Cognitive Changes

Hormonal fluctuations during menopause significantly impact brain function and emotional regulation: endocrine​

  • Mood swings ranging from irritability to sadness

  • Anxiety and increased stress sensitivity

  • Brain fog is characterized by difficulty concentrating and memory lapses

  • Depression or persistent low mood

These symptoms result from estrogen’s relationship with serotonin and other neurotransmitters that regulate mood. endocrine​

Sleep Disturbances

Sleep problems affect more than 60% of menopausal women: integratedchiropracticofboca+1​

  • Night sweats interrupt sleep cycles

  • Insomnia may develop independently of vasomotor symptoms

  • Sleep apnea risk increases during and after menopause womens-health-concern​

Genitourinary Symptoms

As estrogen declines, significant changes occur in the vulva, vagina, and urinary tract: ncbi.nlm.nih+1​

  • Vaginal dryness and thinning of vaginal tissue

  • Increased urinary tract infections

  • Urinary urgency and incontinence

Musculoskeletal Symptoms

Nearly half of menopausal patients experience musculoskeletal symptoms like joint pain: tandfonline+1​

  • Joint pain and stiffness

  • Muscle aches and loss of grip strength

  • Frozen shoulder

  • Loss of lean muscle mass

How Menopause Affects Hormones in the Body

Understanding the hormonal changes that occur during menopause provides crucial insight into why symptoms develop. samitivejhospitals+1​

Estrogen: The Primary Change

Estrogen is the primary female hormone with receptors distributed throughout the body. During menopause, estrogen levels drop dramatically—often to less than 10 pg/mL—creating widespread effects. aarp+2​

Estrogen’s decline affects multiple systems: pmc.ncbi.nlm.nih​

  • Brain: Impacts mood regulation, memory, and cognitive function

  • Bones: Accelerates bone resorption, increasing osteoporosis risk

  • Heart: Removes protective effects on blood vessels

  • Joints: Reduces cartilage protection and synovial fluid production

Progesterone and Testosterone

Progesterone production decreases during perimenopause as ovulation becomes irregular, then stabilizes at low levels after menopause. Testosterone levels do not decrease as dramatically during early menopause, creating a relative increase in the testosterone-to-estrogen ratio. samitivejhospitals+1​

FSH, LH, and Cortisol

FSH and LH levels increase significantly as the pituitary attempts to stimulate unresponsive ovaries. Cortisol levels may be elevated during menopause, contributing to sleep disturbances, weight gain, and mood changes. ncoa+2​

How Fluctuating Hormones Affect the Musculoskeletal System

The musculoskeletal system is profoundly affected by the hormonal changes of menopause, yet these effects are often overlooked or misattributed to normal aging. Research has established what experts now term the “musculoskeletal syndrome of menopause.” dralisongrimaldi+2​

The Role of Estrogen in Joint and Bone Health

Estrogen plays a vital role in maintaining musculoskeletal health through multiple mechanisms: jointrehab+2​

  • Cartilage Protection: Estrogen helps keep cartilage flexible and supports the production of synovial fluid, which lubricates joints. As estrogen levels decline, cartilage may degrade more rapidly. orthopedicsri​
  • Anti-Inflammatory Effects: Estrogen exhibits anti-inflammatory properties by inhibiting the release of inflammatory cytokines, such as TNF-α and IL-1β. When estrogen declines, inflammation increases throughout the body. pmc.ncbi.nlm.nih+2​
  • Bone Remodeling: Estrogen deficiency leads to accelerated osteoclast activity and increased bone resorption, resulting in bone loss of up to 20% during the menopausal transition. puregym+1​

Prevalence of Musculoskeletal Pain

The overall prevalence of musculoskeletal pain in perimenopausal women is approximately 71%. A study including more than 40,000 women found that osteoarthritis was more common among women who had undergone menopause at least one year prior, compared with those who had a recent menstrual period (31% vs. 24%). rheumatologyadvisor+2​

Specific Musculoskeletal Effects

  • Joint Pain and Osteoarthritis: The decline in estrogen accelerates the progression of osteoarthritis, particularly in weight-bearing joints. pmc.ncbi.nlm.nih+1​
  • Muscle Loss (Sarcopenia): Research indicates that compared to women in early perimenopause, those with menopause have 10% less muscle mass in their arms and legs. puregym​
  • Bone Density Loss: Weakened bones are more prone to fractures, increasing the risk of injury in the spine, hips, and wrists. orthopedicsri+1​
  • Weight Gain Impact: Many women experience weight gain during menopause, which can add extra stress to joints. Visceral fat increases from 5-8% to 10-15% of total body weight. puregym​

Chiropractic Care for Menopausal Symptoms

Chiropractic care offers a safe, effective, and natural approach to managing menopausal symptoms, particularly those affecting the musculoskeletal system. accidentcarechiropractic+2​

How Chiropractic Care Supports Menopausal Women

  • Hormone Regulation Through Nervous System Support: The spine houses the nerves that control the endocrine system. The hypothalamus plays a significant role in hormone production, and misalignments in the spine can interfere with its functioning. By correcting subluxations, chiropractic care can help regulate hormone production and improve menopausal symptoms. raleighchiropractic+3​
  • Reduced Nervous System Stress: Chiropractic adjustments relieve pressure on the spine and restore proper nervous system function, supporting the body’s ability to regulate hormones more efficiently. familychiropracticcolumbus+1​
  • Improved Circulation: Chiropractic adjustments improve circulation by freeing up restrictions in the spine, helping reduce hot flashes and night sweats. dutchessbraincore+1​
  • Stress Management and Better Sleep: Chiropractic care promotes relaxation, stimulates the parasympathetic nervous system, and improves sleep quality in menopausal women. integratedchiropracticofboca+2​

Evidence for Chiropractic Care

Studies published in the Journal of Vertebral Subluxation Research found that chiropractic care was effective in reducing hot flashes, night sweats, and mood swings in menopausal women. The Journal of Manipulative and Physiological Therapeutics reported improved sleep quality in menopausal women receiving chiropractic treatment. dutchessbraincore​

Acupuncture Benefits for Menopause

Acupuncture, rooted in Traditional Chinese Medicine, involves inserting thin needles into specific points to stimulate energy flow and restore balance. pmc.ncbi.nlm.nih+1​

Research on Acupuncture and Menopause

A study of Japanese women in menopause found that menopausal symptoms were significantly reduced with individualized acupuncture treatments, exclusively due to improvement of musculoskeletal symptoms. Participants experienced relief from fatigue, chronic neck pain, and low back pain. pmc.ncbi.nlm.nih​

How Acupuncture Works

Acupuncture provides benefits through several mechanisms: pmc.ncbi.nlm.nih+1​

  • Pain Modulation: Stimulates the release of natural painkillers (endorphins)

  • Inflammation Reduction: Decreases inflammatory markers

  • Hormonal Effects: May help regulate cortisol and melatonin

  • Nervous System Regulation: Activates the parasympathetic nervous system

The number of menopausal women is expected to increase from 467 million in 1990 to 1.2 billion in 2030, suggesting acupuncture’s role as an integrative therapy will continue to grow. pmc.ncbi.nlm.nih​

Massage Therapy for Menopausal Relief

Massage therapy provides valuable benefits for both physical and emotional well-being during menopause. pubmed.ncbi.nlm.nih+2​

Evidence for Massage Therapy

A randomized controlled trial found that both massage and aromatherapy were effective in reducing menopausal symptoms. Research demonstrates that therapeutic massage: pubmed.ncbi.nlm.nih​

  • Decreases the severity of sleep disturbance related to menopause

  • Reduces insomnia and anxiety-depressive symptoms pmc.ncbi.nlm.nih​

  • Improves overall mood through endorphin release and cortisol reduction westernregionhealth​

Benefits of Massage During Menopause

  • Stress Reduction: Massage reduces stress and anxiety by promoting endorphin release and reducing cortisol levels. westernregionhealth​
  • Muscle Pain Relief: Massage targets muscle knots and tension, providing relief from discomforts common during menopause. westernregionhealth​
  • Sleep Enhancement: Massage significantly improves sleep patterns and reduces sleep disturbances. pmc.ncbi.nlm.nih+1​

Physical Therapy and Exercise for Menopausal Health

Physical therapy and exercise represent cornerstones of managing menopausal musculoskeletal symptoms. resilienceorthopedics+2​

The Importance of Exercise

Exercise is one of the best treatments for menopause and joint pain: resilienceorthopedics​

  • Joint Health: Strengthens supporting muscles and promotes synovial fluid circulation.

  • Bone Density: Weight-bearing exercises stimulate bone building uclahealth+1​

  • Muscle Preservation: Resistance training counters sarcopenia puregym​

Types of Exercise for Menopausal Women

  • Resistance Training: The most recommended exercise for menopausal joint pain. Women over 60 with osteoporosis who participated in strength training showed significant improvements in bone density. uchealth+1​
  • Weight-Bearing Exercise: Walking, dancing, and stair climbing promote bone strength. Specialists recommend at least 150 minutes per week of moderate cardiovascular activity. nyulangone​
  • Mind-Body Exercise: Yoga, tai chi, and Pilates significantly improve bone mineral density, sleep quality, anxiety, depression, and fatigue in perimenopausal and postmenopausal women. pmc.ncbi.nlm.nih+1​

Aligned & Empowered: Chiropractic Conversations on Women’s Health-Video

Nutrition and Diet for Menopausal Wellness

Nutrition plays a crucial role in managing symptoms and supporting long-term health. pmc.ncbi.nlm.nih+2​

Anti-Inflammatory Dietary Approaches

An anti-inflammatory diet emphasizes: pmc.ncbi.nlm.nih+1​

  • Vegetables: Leafy greens, cruciferous vegetables

  • Fruits: Berries, cherries, citrus

  • Fatty fish: Rich in omega-3 fatty acids

  • Nuts and seeds: Walnuts, flaxseeds

  • Healthy fats: Extra virgin olive oil, avocado

  • Herbs and spices: Turmeric, ginger

The Mediterranean diet has shown particular benefits for menopausal women, associated with better bone mineral density and improved symptoms. rebellehealth+1​

Key Nutrients

  • Calcium: Recommendations of 1200-1300 mg daily for postmenopausal women. pubmed.ncbi.nlm.nih+1​
  • Vitamin D: Intake between 800-900 IU daily, combined with calcium, increases bone mineral density and reduces fracture risk. frontiersin+1​
  • Omega-3 Fatty Acids: Possess anti-inflammatory properties that reduce joint pain. Women who consumed more omega-3 fatty acids had fewer menopausal symptoms. goodrx+1​
  • Protein: Higher intake (approximately 1.2 g/kg body weight) is associated with a 32% lower risk of frailty. pmc.ncbi.nlm.nih​

Sleep Hygiene for Menopausal Women

Sleep disturbances affect more than half of menopausal women. swanstudy+1​

Evidence-Based Sleep Strategies

Research emphasizes addressing sleep issues early during the menopausal transition. Recommended strategies include: swanstudy​

  • Establish a Regular Sleep Schedule: Go to bed and wake up at the same time each day. womens-health-concern+1​
  • Create an Optimal Sleep Environment: Keep the bedroom cool, dark, and quiet; use cooling sheets; consider a fan. healthline+2​
  • Develop a Relaxing Routine: Allow time to unwind; avoid screens for at least one hour before bed. ncoa+1​
  • Mind Dietary Habits: Avoid caffeine after lunchtime; limit alcohol; avoid spicy foods close to bedtime. swanstudy+1​
  • Cognitive Behavioral Therapy for Insomnia (CBT-I): The most effective treatment for chronic insomnia during menopause. womens-health-concern​

Lifestyle Changes for Managing Symptoms

Beyond specific therapies, broader lifestyle changes significantly impact the menopausal experience. whsobgyn+2​

Stress Management

Effective techniques include: nature+1​

  • Mindfulness meditation: Significantly reduces anxiety, depression, and menopausal symptoms

  • Yoga: Improves psychological symptoms, sleep, and musculoskeletal pain

  • Deep breathing exercises: Helps manage hot flashes

Smoking Cessation and Alcohol Moderation

Women who smoke experience more frequent and severe hot flashes. Alcohol can trigger hot flashes and disrupt sleep; limiting intake to no more than one serving per day is recommended. nyulangone​

Weight Management

Maintaining a healthy weight reduces joint stress, helps manage hot flashes, and supports cardiovascular health. medlineplus+1​

Dr. Alexander Jimenez’s Clinical Observations on Integrative Menopause Care

Dr. Alexander Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, based in El Paso, Texas, brings over 25 years of expertise in integrative medicine to menopausal care. His dual licensure as a Family Practice Nurse Practitioner and Chiropractor enables patient-centered care, bridging physical medicine, functional medicine, and advanced diagnostics. a4m+1​

The Functional Medicine Approach

Dr. Jimenez’s practice emphasizes functional medicine principles, viewing the body as one integrated system. Key elements include: dralexjimenez+1​

  • Comprehensive health assessments evaluating genetics, lifestyle, and environmental factors

  • Personalized treatment plans tailored to individual health profiles

  • Integration of conventional and complementary therapies

  • Patient empowerment through education and active participation

Integrative Treatment Protocols

Dr. Jimenez’s protocols integrate multiple modalities: a4m+1​

  • Chiropractic adjustments for spinal alignment and nerve function

  • Acupuncture and electro-acupuncture for pain and hormonal balance

  • Targeted exercise programs focusing on flexibility, mobility, and strength

  • Massage therapy for muscle tension and stress management

  • Nutritional counseling supporting hormonal balance and bone health

As Dr. Jimenez emphasizes in his clinical practice, addressing root causes rather than simply treating symptoms produces lasting improvement. His team at Injury Medical & Chiropractic Clinic in El Paso collaborates to deliver personalized treatment plans, ensuring each patient receives care tailored to their unique needs. dralexjimenez+1​

For more information about Dr. Jimenez’s integrative approach, visit https://dralexjimenez.com/ or connect on LinkedIn.

Conclusion: Embracing Functional Wellness Through the Menopausal Transition

Menopause represents a significant life transition that, with the right support, can be navigated successfully. The clinical rationale for functional wellness is particularly compelling during this time, as hormonal changes create interconnected effects throughout the body that benefit from integrative, whole-person care. nourishhousecalls+1​

The musculoskeletal syndrome of menopause, affecting up to 71% of perimenopausal women, responds well to integrative approaches, including: tandfonline+1​

  • Chiropractic care for spinal alignment and nervous system support

  • Acupuncture for pain relief and hormonal balance

  • Massage therapy for muscle tension and stress reduction

  • Physical therapy and exercise for strength, flexibility, and bone health

  • Anti-inflammatory nutrition to reduce systemic inflammation

  • Sleep hygiene to support recovery and hormonal regulation

  • Stress management through mind-body practices

By embracing functional wellness principles and utilizing evidence-based integrative therapies, women can not only manage menopausal symptoms but truly flourish through this natural life transition. The goal is not merely symptom relief but optimal health, vitality, and quality of life for the years ahead.

References

 

Perimenopause: Managing Changes and Challenges

Perimenopause: Managing Changes and Challenges

by | Chronic Pain, Functional Medicine, Health, Hormone Balance, Treatments, Viscerosomatic Reflex

Find useful information on perimenopause, including potential symptoms and expert tips to cope effectively.

Introduction

Regarding one’s health and well-being, many people often become aware of how their bodies are naturally changing. This may include both male and female hormonal changes as well as the normal skeletal deterioration that occurs inside the joints. Andropause is the period of time when male testosterone levels begin to diminish. Menopause is the natural aging process that begins for women when their levels of the hormones progesterone and estrogen start to decline. Nevertheless, women experience perimenopause prior to menopause taking place. This article will discuss the definition and symptoms of perimenopause, its effects on the musculoskeletal system, and strategies for managing these problems.

 

What Is Perimenopause?

Do you experience mental fogginess, where you can’t remember what you were doing? How often do your joints ache after doing a simple errand? Or how frequently does your bladder feel full that you constantly need to go to the bathroom? Many of these issues are associated with hormonal changes within the body. For women, perimenopause is a transformative menopausal stage that usually occurs in women in their 40s and early 50s, which is widely recognized for hormonal shifts and reproductive changes in the body.

Functional Medicine Doctor for Women's Hormones | El Paso, TX Chiropractor

Additionally, perimenopause usually starts when a woman is dealing with a persistent difference in their menstrual cycle length after 12 months. (Lega & Jacobson, 2024) This is due to the ovarian hormone production of estrogen and progesterone fluctuating unpredictably.

 

Common Symptoms Of Perimenopause

When it comes to perimenopause, it can affect women differently with its symptoms. Since hormones during perimenopause fluctuate unpredictably. This is because for women, ovarian hormones like estrogen play an important role in maintaining health and homeostasis by modulating the body’s nervous, endocrine, and immune function. (Priyanka & Nair, 2020) Some of the other symptoms that are included with perimenopause are:

  • Vasomotor symptoms: Hot flashes, night sweats
  • Sleep disturbances: Insomnia, early waking
  • Mood changes: Irritability, anxiety, depression
  • Cognitive difficulties: Brain fog, memory lapses
  • Urogenital symptoms: Vaginal dryness, urinary urgency
  • Menstrual irregularities: Skipped, prolonged, or heavy periods

Additionally, since perimenopausal symptoms vary from woman to woman, perimenopause can also affect the musculoskeletal system in the body.

 

Assessing Hormone Therapy- Video

How Perimenopause Affects The Musculoskeletal System

The musculoskeletal system’s various muscles, tissues, and ligaments allow the body to be mobile and flexible without pain. However, environmental factors like physical inactivity, poor dietary habits, and chronic issues affect the musculoskeletal system, leading to overlapping risk profiles affecting the body. For perimenopausal women, their musculoskeletal system is affected by fluctuating estrogen hormone levels. When it comes to perimenopause, the musculoskeletal system will begin to develop various issues that can affect the body over time. When a woman is going through perimenopause, their bone mineral density is reduced as well as their muscle mass due to the decline of estradiol. (Wright et al., 2024) This causes the musculoskeletal system to develop:

  • Increased joint stiffness (especially in the morning) and muscle pain
  • Osteopenia and osteoporosis
  • Sarcopenia (loss of muscle mass)

This is due to hormones being associated with inflammation. When a woman has low or fluctuating estrogen hormone levels, it can lead to developmental changes in their pain perception in their muscles. The hormone estrogen is responsible for inhibiting the actions of inflammatory mediators in osteoblasts and stromal cells to ensure that bone mass is reabsorbed into the skeletal system. When perimenopause naturally occurs in the body, estrogen levels decline, and the development of musculoskeletal issues starts to appear.

 

Managing Perimenopausal Symptoms

Now, when it comes to managing perimenopausal symptoms, many women can start researching non-surgical treatments and incorporating various techniques to help manage the symptoms and reduce any pain from musculoskeletal issues associated with perimenopause. Below are some therapeutic options for perimenopausal women to manage their symptoms and restore their musculoskeletal system.

 

Hormone Therapy

For many women, hormone replacement therapy remains the gold standard for treating moderate to severe vasomotor and musculoskeletal symptoms. Hormone therapy for perimenopausal women can help restore estrogen production to the body and accelerate skeletal growth. (Moustakli & Tsonis, 2023) Estrogen therapy can:

  • Reduce joint and muscle pain
  • Slow bone density loss
  • Improve overall well-being

Note: HRT is not suitable for everyone, particularly those with a history of breast cancer, thromboembolic disease, or certain cardiovascular conditions. Always conduct a thorough risk-benefit analysis.

 

Exercise & Nutrition

For perimenopausal women, proper nutrition and exercise can help manage the perimenopausal symptoms and maintain muscle tone. Incorporating nutritional foods with high protein, calcium, and vitamin D can help maintain skeletal muscle mass and regulate proper hormone functioning. (Erdélyi et al., 2023) Combined with exercises, it can help strengthen weak muscles, improve bone density, and promote flexibility while retaining the joint’s range of motion. Exercises like tai chi are excellent for perimenopausal women as they combine meditation through slow and gentle movements that can lower fracture risk, improve muscle strength, and restore balance functionality. (Li et al., 2023)

 

Manual Therapies

Many women find relief with:

  • Acupuncture: Shown to help reduce chronic pain affecting the joints and provide anti-inflammatory effects to the musculoskeletal system. (Zhao et al., 2023)
  • Mind-body therapies: Meditation, cognitive-behavioral therapy (CBT) to address mood swings and insomnia
  • Chiropractic and physical therapy: Effective in managing musculoskeletal discomfort

 

Final Thoughts

For many women, the perimenopause is a normal time of life, and it significantly affects musculoskeletal health. Women may handle this shift with fortitude and resiliency if they remain proactive with lifestyle changes, medical treatments, and routine monitoring. In order to help women feel strong and supported throughout their perimenopausal journey, a customized treatment plan that honors their individual needs might be helpful.

Injury Medical & Functional Wellness Clinic

We associate with certified medical providers who understand the importance of assessing individuals dealing with musculoskeletal issues related to perimenopause. When asking important questions to our associated medical providers, we advise patients to incorporate numerous techniques to reduce pain-like symptoms related to the musculoskeletal system. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.

References

Erdélyi, A., Pálfi, E., Tűű, L., Nas, K., Szűcs, Z., Török, M., Jakab, A., & Várbíró, S. (2023). The Importance of Nutrition in Menopause and Perimenopause—A Review. Nutrients, 16(1), 27. https://doi.org/10.3390/nu16010027

Lega, I. C., & Jacobson, M. (2024). Perimenopause. CMAJ, 196(34), E1169. https://doi.org/10.1503/cmaj.240337

Li, J., Guo, J., Wang, X., Zhang, X., Zhang, Y., Bu, M., Yao, X., & She, Y. (2023). Efficacy and safety of tai chi exercise on bone health: An umbrella review. Osteoporos Int, 34(11), 1853-1866. https://doi.org/10.1007/s00198-023-06830-7

Moustakli, E., & Tsonis, O. (2023). Exploring Hormone Therapy Effects on Reproduction and Health in Transgender Individuals. Medicina (Kaunas, Lithuania), 59(12). https://doi.org/10.3390/medicina59122094

Priyanka, H. P., & Nair, R. S. (2020). Neuroimmunomodulation by estrogen in health and disease. AIMS Neurosci, 7(4), 401-417. https://doi.org/10.3934/Neuroscience.2020025

Wright, V. J., Schwartzman, J. D., Itinoche, R., & Wittstein, J. (2024). The musculoskeletal syndrome of menopause. Climacteric, 27(5), 466-472. https://doi.org/10.1080/13697137.2024.2380363

Zhao, F.-Y., Zheng, Z., Fu, Q.-Q., Conduit, R., Xu, H., Wang, H.-R., Huang, Y.-L., Jiang, T., Zhang, W.-J., & Kennedy, G. A. (2023). Acupuncture for comorbid depression and insomnia in perimenopause: A feasibility patient-assessor-blinded, randomized, and sham-controlled clinical trial. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1120567

Disclaimer

Functional Neurology: Understanding Menopause Brain Fog

Functional Neurology: Understanding Menopause Brain Fog

by | Nerve Injury, Neuropathy

Do you have low brain endurance when it comes to focus and concentration? Do you often feel like you must drink coffee or exercise to improve brain function? Have you been experiencing noticeable variation in your mental speed? How often do you pick up your smartphone and forget why? Many women commonly struggle to remember everyday tasks throughout their 40’s and 50’s. Research studies have determined that menopause is a prevalent cause of brain fog in women. �

 

What is Menopause Brain Fog?

 

Many women between the ages of 40 and 50 may be going through menopause or the end of their menstrual cycles.� Symptoms may vary for every woman and these can range from thinning hair to weight gain to night sweats. Many other women may also have general forgetfulness or �brain fog� which can ultimately make it hard for them to concentrate. �

 

During one research study, healthcare professionals found that about 60 percent of middle-aged women had trouble focusing or concentrating and other health issues associated with cognitive problems. These health issues increased in women going through perimenopause. Perimenopause is the stage before the menstrual cycle stops entirely. �

 

The women in the research study also reported experiencing subtle changes in memory but researchers believe that a �negative effect� may have worsened these symptoms. The researchers also found that women going through menopause generally experience negative changes in mood and other memory problems. Moreover, the research study found that brain fog may also be associated with sleep issues and other vascular symptoms associated with menopause like hot flashes. �

 

Another research study also found that women in the early stages of menopause may experience more noticeable cognition problems. Women during the first year of their last menstrual period scored the lowest on tests evaluating: �

 

  • attention
  • memory
  • verbal learning
  • working memory tasks
  • motor function

 

Memory for the women improved over time, which is the opposite of what the researchers had initially hypothesized. � Furthermore, healthcare professionals believe that midlife brain fog in women may be associated with hormonal changes. �

 

Estrogen, progesterone, follicle-stimulating hormone, and luteinizing hormone, are all responsible for different processes in the human body, including brain function. Perimenopause lasts an average of 4 years, during which time the hormone levels may ultimately fluctuate wildly and cause a variety of symptoms as the mind and the body adjust to these hormonal changes. �

Brain Fog and Alzheimer’s Disease in Women

 

Memory problems during menopause can be completely normal. You may forget where you placed your smartphone or you may have trouble remembering an old coworker’s name. However, if your cognitive problems begin to negatively affect your everyday life, it may be best for you to see your healthcare professional immediately to receive a proper diagnosis. �

 

Dementia is another well-known health issue that may also cause brain fog. Alzheimer�s disease is the most prevalent cause of dementia in older women. It generally starts with trouble remembering things as well as difficulty organizing thoughts. Unlike the brain fog associated with menopause, Alzheimer�s disease is a health issue that progressively worsens over time. �

 

Other common symptoms associated with Alzheimer�s disease and dementia include: �

 

  • trouble finding the right words to identify different objects
  • repeating questions or statements over and over
  • difficulty making decisions
  • difficulty performing daily tasks
  • changes in mood, personality, or behavior
  • getting lost, even in familiar places

 

Menopause Brain Fog Treatment

 

Menopause brain fog may be moderate and may go away on its own over time. Severe memory health issues may cause you to neglect your personal hygiene, forget the name of familiar objects, or even have difficulty following directions. �

 

Once your healthcare professional has ruled out other health issues like dementia and Alzheimer’s disease, you may explore menopausal hormone therapy (MHT). This treatment involves taking low-dose estrogen or a combination of estrogen and progestin. These hormones may help with other symptoms you may experience during menopause, not just memory loss. �

 

According to healthcare professionals, however, long-term use of estrogen may increase the risk of breast cancer, cardiovascular disease, and other health issues. Speak with your doctor to see if this type of treatment is right for you. �

 

Menopause Brain Fog Prevention

 

While you may not be able to prevent the brain fog associated with menopause, there are several lifestyle modifications you can do to help you ease into your symptoms as well as to help improve your memory and overall health and wellness. �

 

Eat a Balanced Diet

 

A balanced diet that�s rich in low-density lipoprotein (LDL) cholesterol and fat may be bad for both your brain and your heart. Instead, try a balanced diet that’s rich in whole foods and healthy fats. The Mediterranean diet, by way of instance, may help with brain health because it�s rich in omega-3 fatty acids and other unsaturated fats. Good food choices include: �

 

  • fresh fruits and vegetables
  • whole grains
  • beans and nuts
  • olive oil
  • fish

 

Exercise the Body

 

Getting regular exercise and/or physical activity is recommended for all people, including women going through menopause. Researchers and healthcare professionals believe that exercise may even help with brain fog and other memory problems. �

 

Get Enough Sleep

 

Your quality of sleep may affect brain fog. With sleep problems high on the list of symptoms associated with menopause, getting enough sleep can be a tall order. As a matter of fact, 61 percent of postmenopausal women report having insomnia. �

 

El Paso Chiropractor Staff and Doctor

According to research studies, hormonal changes in women going through menopause can cause brain fog and other memory health issues. However, these memory as well as cognition problems associated with hormonal changes and menopause, may ultimately improve on their own over time. Several treatment and prevention options can help ease menopause brain fog. If brain fog symptoms become worse, a doctor can help rule out other health issues like Alzheimer’s disease and dementia, among others. – Dr. Alex Jimenez D.C., C.C.S.T. Insight

 

 

Neurotransmitter Assessment Form

 

The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. Symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �

 

 

In honor of Governor Abbott’s proclamation, October is Chiropractic Health Month. Learn more about the proposal. �

 

Do you have low brain endurance when it comes to focus and concentration? Do you often feel like you must drink coffee or exercise to improve brain function? Have you been experiencing noticeable variation in your mental speed? How often do you pick up your smartphone and forget why? Many women commonly struggle to remember everyday tasks throughout their 40’s and 50’s. Research studies have determined that menopause is a prevalent cause of brain fog in women. �

 

The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �

 

Curated by Dr. Alex Jimenez �

 

 

Additional Topic Discussion: Chronic Pain

 

Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.

 

 

 

Neural Zoomer Plus for Neurological Disease

 

Neural Zoomer Plus | El Paso, TX Chiropractor

 

Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �

 

Formulas for Methylation Support

 

Xymogen Formulas - El Paso, TX

 

XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.

 

Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.

 

Please call our office in order for us to assign a doctor consultation for immediate access.

 

If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.

xymogen el paso, tx

 

For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �

 

* All of the above XYMOGEN policies remain strictly in force.

 

 

�

Functional Medicine Part 4: Women’s Hormones

Functional Medicine Part 4: Women’s Hormones

by | Chiropractic, Functional Medicine, Functional Medicine Series, Health, Holistic Medicine, Hormone Balance, Integrative Functional Wellness, Integrative Medicine, Natural Health, Wellness

Functional Medicine Doctor Explains Women’s Hormones

We discussed the basics for men�s hormones. Now let�s discuss the basics for women�s hormones. Unfortunately, the effects of our diet and our environment become more obvious in the anatomy and biochemistry of women. These may frequently manifest as hormone imbalances and they can greatly affect their quality of life. Mood disorders have become an epidemic.

By way of instance, depression affects 20 percent of women, about twice as much in women than in men. And premenstrual syndrome, or PMS, affects between 60 and 75 percent of women in the United States. Infertility is also an epidemic which affects more than one in seven couples and it is generally managed by reproductive endocrinologists through invasive procedures, hormone treatments, and in vitro fertilization, or IVF, often without even evaluating what is the cause of the reproductive health issues. I�ve helped many women improve their hormone imbalances through the basic principles of functional medicine.

Now, these are only several of the reasons why we need to determine the source of hormonal imbalances in women. And I believe this knowledge can help women find the answers they need to improve their overall health and wellness. Most importantly, you need to learn to listen to what your body is telling you. After all, the human body is one of the best doctors.

Taking Control of Women’s Hormones

Women�s hormones are much more complex than men�s hormones because they�re constantly changing based on their cycle as well as on their stage of life. If you�re experiencing mood swings, irregular cycles, menstrual pain, heavy bleeding, infertility, weight gain, and brain fog, functional medicine can help improve your symptoms by balancing your hormones.

Next, we will discuss the following tests you should include in your lab panels if you�re a female, including the follicle stimulating hormone, or FSH, the luteinizing hormone, or LH, progesterone, testosterone, DHEA, and estrogen. Also, it�s important to note that there isn�t just a single estrogen hormone. There are many different types of estrogens, such as estradiol.

So, let�s discuss the differences between pre-menopausal women and post-menopausal women. Pre-menopausal women should experience regular cycles every 28 days that last two or three days without a lot of pain, not too heavy bleeding, and no PMS. However, most women don�t experience regular cycles. A proper nutrition consisting of low sugar and starch, high fat, and more fiber can help correct abnormal cycles. A plant-rich diet can also help improve abnormal cycles. Caffeine and alcohol consumption can even cause hormone imbalances in women. Proper nutrition, including taking supplements like magnesium, B vitamins and fish oil, exercise, sleep, and stress management can help regulate your hormones. This is generally enough to help most women.

A doctor or functional medicine practitioner can also help balance your hormones. Because women�s hormones fluctuate throughout their cycle, progesterone and estrogen levels may be different for each woman. Also, depending on the hormonal health issues, patients may need to run their hormone lab panel tests on either day three or day 21 of their cycle for best results.

Furthermore, we will also need to evaluate your ratio of hormones, like that of estrogen to progesterone, because these can be the cause of numerous symptoms for many women. Estrogen dominance is one of the most common problems associated with a woman�s hormone ratio. Progesterone levels in women should be at their highest during the last half of their cycle. The hormone ratio between progesterone and estrogen should be 10 to one. However, if the human body is not producing the required amounts of progesterone, symptoms of estrogen dominance may begin to manifest, regardless if the human body�s estrogen levels themselves are low. Symptoms of estrogen dominance can include: anxiety, heavy bleeding, PMS, breast tenderness, shorter cycles or spotting between cycles, infertility, fluid retention, weight gain, and sleeping problems.

FSH is produced by the brain to help the follicles and the ovaries prepare to release an egg. LH is another hormone produced by the brain which triggers the release of an egg into the uterus so that conception can occur. LH also helps produce progesterone during the second half of your cycle, which may be another reason why many women have low progesterone levels.

These hormones are fundamental to look at if you�re trying to have a baby. The elevated hormone ratio between LH and FSH can demonstrate the presence of a common health issue known as PCOS or polycystic ovarian syndrome. PCOS is actually not an ovarian health issue. As a matter of fact, it�s a common problem associated with a poor diet and insulin resistance. An increased consumption of sugar and starch can cause irregular cycles, heavy bleeding, acne, hair loss, and infertility.

As for post-menopausal women, hormone blood panel tests are just as important and we generally don�t need to worry about having to evaluate them on a specific day of the month. Also, when we test a woman who�s in their perimenopause, their hormones may be tremendously unstable. Therefore, it�s ultimately essential to diagnose a woman�s symptoms to help treat the source of the health issue.

We previously discussed the importance of testosterone in men. However, testosterone is also important in women. Many women visit numerous doctors after experiencing low energy levels as well as a decreased sex drive. Most doctors will associate these symptoms with aging or they may even tell them it�s all in their head and simply prescribe them some Prozac. But if we were to run a blood panel test on them, their testosterone levels would often come back undetectable. It�s no wonder why women don�t feel like themselves after they�ve lost their libido and their vitality.

Total testosterone levels in women should be between 60 and 80 while free testosterone levels should be over 0.5. Testosterone is fundamental towards maintaining lean muscle mass and optimizing energy. Testosterone is also important for clear brain function.

Now women, if you have low testosterone levels, this may be causing you to experience a reduced sex drive or it may even be making you feel fatigue. However, this isn�t always the cause of these symptoms. That�s why it�s so essential for women to test their sex hormone levels. Testosterone is what is known as an androgen, or a male hormone, but it�s also found in women. Other androgens that help contribute to male characteristics include androstenedione, dihydrotestosterone, or DHT, and DHEA. In polycystic ovarian syndrome, or PCOS, women will commonly develop elevated levels of any of these hormones. Women who consume a lot of sugar and starch may also develop acne, hair loss or they may even grow facial hair. All of these are symptoms of too much testosterone in women.

PCOS affects approximately 8 to 12 percent of women. As previously mentioned, this health issue is a metabolic problem caused by poor nutrition which ultimately affects the human body�s insulin levels. It can also affect other hormones, such as the androgens we previously discussed. When women develop insulin resistance, the production of male sex hormones can increase. Other tests are important when PCOS is caused by FSH and LH hormones.

FSH generally triggers ovulation. However, if a woman�s FSH is too low due to PCOS, ovulation, and therefore, conception can�t occur. This is why women with PCOS are also commonly diagnosed with infertility. And the key is in a woman�s LH to FSH ratio. Increased levels of LH can stimulate androgens, such as testosterone, and decreased levels of FSH can stimulate the follicles and estrogen. Furthermore, facial hair or thinning of the head hair, irregular menstrual cycles, heavy bleeding, and weight gain in women can be symptoms of PCOS. Although PCOS is believed to be a health issue which exclusively affects overweight women, we�re starting to see an increase of women with healthy weights develop PCOS.

Because functional medicine focuses on finding the source of the health issue, if we see cysts on your ovaries or if any other lab tests indicate the presence of PCOS, we won�t simply stop there. And most often, we just have to look back at the patient�s diet. The high consumption of sugar and starch causes a tremendous metabolic disturbance which can cause a variety of other health issues. We will discuss these various metabolic conditions in another article.

Dr Jimenez White Coat
Hormones are fundamental to women’s health. Female sex hormones, including estrogen and progesterone, influence a woman’s mood, menstruation, pregnancy, menopause, and more. A variety of other hormones can also affect other aspects of a woman’s health. One of the most common health issues associated with hormonal imbalances in women is known as polycystic ovarian syndrome or PCOS. Women can be tremendously affected by hormone fluctuations. It’s essential for women to seek help from a doctor to find out if their symptoms are caused by hormone imbalances. Functional medicine can also help regulate hormones. Dr. Alex Jimenez D.C., C.C.S.T. Insight

Understanding Women’s Hormones

We measure hormonal imbalances through simple blood tests and we can also measure hormones through urine tests. Tests known as the �DUTCH� and the �Essential Estrogens� are provided by Genova to determine hormone metabolites. These can also determine the downstream breakdown products of hormones in order to help demonstrate what�s happening with your hormone metabolism.

Now, let me explain what are some of the most important things doctors or functional medicine practitioners look at when ordering a DUTCH test or an Essential Estrogens test. Hormone metabolism tests demonstrate your absolute hormone levels as well as which types of metabolites are being triggered. And this is what we utilize to look at your estrogen levels, androgen levels, and progesterone levels, as well as your cortisol levels, which we will discuss later. These are essential metabolites that can be found through our saliva, blood, and urine. We even look at all the different varieties of estrogens which get broken down by the liver.

So, it�s fundamental that we look carefully at our hormone levels. Testing for hormonal imbalances in both men and women can tell us a lot about what�s causing our symptoms as well as what we can do to treat them. We can recommend a series of lifestyle modifications, including guidance and advice in nutrition and exercise. At least that�s what a good functional medicine doctor would do.

The scope of our information is limited to chiropractic and spinal health issues as well as functional medicine topics and discussions. To further discuss the subject matter, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900�.

Curated by Dr. Alex Jimenez

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Additional Topic Discussion:�Acute Back Pain

Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes 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. 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. �

Xymogen Formulas - El Paso, TX

XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.

Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.

Please call our office in order for us to assign a doctor consultation for immediate access.

If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.

xymogen el paso, tx

For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download

* All the above XYMOGEN policies remain strictly in force.

***

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