chiropractor and nurse practitioner shows patient how to perform injury rehabilitation exercises
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Integrative chiropractic care, nurse practitioners, and telemedicine are coming together to create a powerful, convenient way to treat pain and movement problems. Many people now search online for “telemedicine chiropractor,” “virtual spine care,” or “NP and chiropractic team” because they want whole-person care without always having to drive to a clinic. This blended model can help with neck and low-back pain, chronic migraines, sports injuries, osteoarthritis, dizziness, and other long-term issues by mixing hands-on visits with remote video visits, home exercises, and lifestyle coaching (Mayo Clinic, 2024; Burstin et al., 2023; El-Tallawy et al., 2024). Mayo Clinic+2PMC+2
Below is a detailed guide to how this integrated telemedicine approach works, which conditions it helps, and how clinicians like Dr. Alexander Jimenez, DC, APRN, FNP-BC, apply it in real life. dralexjimenez.com+1
Telehealth/telemedicine uses secure video, phone, messaging, and apps so patients can meet with health professionals from home or work, rather than always going in person (Mayo Clinic, 2024). Mayo Clinic+1
Integrative chiropractic care combines spinal and joint adjustments with other therapies, such as exercise rehab, massage, nutrition, and functional medicine, to support overall health rather than just pain relief (El Paso Back Clinic, 2025). El Paso Back Clinic+1
When you add nurse practitioners (NPs) and telemedicine into this picture, you get a hybrid model where:
The chiropractor focuses on the spine, joints, muscles, and nervous system.
The NP manages medical issues, medications, labs, imaging, and chronic disease risks.
Telemedicine tools connect you with both providers for virtual exams, follow-ups, and home-care coaching (HealthCoach Clinic, 2025; Jimenez, n.d.). El Paso, TX Health Coach Clinic+2dralexjimenez.com+2
This “connected care” model means your providers can treat pain, track your progress, and update your plan even when you cannot come into the office.
Individuals look up this kind of care online when they:
Have neck (cervical) or low-back (lumbar) pain that flares with work, driving, or sitting.
Struggle with chronic headaches or migraines and want drug-sparing options.
Are dealing with sports or “weekend warrior” injuries but have busy schedules.
Live with chronic pain or osteoarthritis and need steady support over time.
Experience dizziness, balance problems, or whiplash after a car accident or fall.
Have difficulty getting to the clinic due to pain, transportation, or work.
Research shows that telehealth can safely extend care for many chronic and pain-related conditions while improving access, convenience, and patient satisfaction (Mayo Clinic, 2024; Der-Martirosian et al., 2023; Burstin et al., 2023). Mayo Clinic+2PubMed+2
In an integrated model like those at HealthCoach Clinic and Injury Medical Clinic PA, the NP and chiropractor work as a team, often within the same digital platform (HealthCoach Clinic, 2025; Jimenez, n.d.). dralexjimenez.com+3El Paso, TX Health Coach Clinic+3El Paso, TX Health Coach Clinic+3
Typical roles:
Nurse Practitioner
Reviews medical history, medications, and risk factors.
Orders labs or imaging when needed.
Adjusts medications, including for pain, sleep, or blood pressure.
Screens for red flags (fractures, infections, serious neurologic signs).
Chiropractor
Performs virtual orthopedic and neurologic checks when possible.
Designs spine-safe home exercise and stretching programs.
Coaches posture, ergonomic setups, and self-care strategies.
Provides in-clinic adjustments when hands-on care is required.
Telemedicine & Digital Tools
Secure video visits to check symptoms and movement.
Apps for exercise videos, reminders, and pain tracking.
Wearables or remote devices for heart rate, sleep, or activity (Haddad et al., 2021). PMC+1
This “hybrid care” model—mixing virtual and in-person visits—is a core recommendation for long-term pain management today (Burstin et al., 2023; NAM, 2023). PMC+2NAM+2
Many musculoskeletal and pain conditions respond well to a telemedicine-supported, team-based plan. Evidence from integrative and complementary health programs shows that virtual delivery of chiropractic and related therapies is feasible, acceptable, and often effective (Der-Martirosian et al., 2023; Shah et al., 2023). PubMed+2PMC+2
Neck and low back pain are among the most common reasons people seek telemedicine chiropractic care. Research and clinical experience suggest that combining:
Virtual posture coaching,
Guided stretching and strengthening, and
Periodic in-person manual therapy
can improve pain, function, and quality of life (Grace Medical & Chiropractic, 2024; ActiveCareRx, n.d.; El Paso Back Clinic, 2025). Grace Medical Chiro+2Active Care Rx+2
During telemedicine visits, the NP and chiropractor can:
Watch how you sit, stand, bend, and lift using video.
Teach safe spinal movements and “spine-neutral” positions.
Adjust your home workspace, car seat, or sleeping setup.
Decide whether imaging or an in-person exam is necessary.
For many people, this steady coaching combined with occasional in-office adjustments reduces pain episodes and helps avoid heavier medications or surgery.
Chronic headaches and migraines often involve more than just the head. Tight neck muscles, poor posture, jaw issues, stress, sleep problems, and medication side effects can all play a part. Clinics that combine chiropractic care, physical therapy, and medical management report better outcomes when these pieces are addressed together (Grace Medical & Chiropractic, 2024; Moore et al., 2018). Grace Medical Chiro+2Grace Medical Chiro+2
In a telemedicine-supported, integrative model, your team can:
Review headache patterns, triggers, and medication use.
Check neck range of motion, posture, and screen for red flags.
Guide neck stretches, breathing drills, and relaxation techniques.
Adjust preventive medications or supplements when appropriate.
Chiropractic adjustments, soft-tissue work, and exercise—when safely indicated—may reduce headache frequency and intensity, while the NP monitors for issues like medication overuse or blood pressure changes (Grace Medical & Chiropractic, 2024; El Paso Back Clinic, 2025). Grace Medical Chiro+2El Paso Back Clinic+2
Weekend athletes and workers who make sudden twisting or lifting movements often develop:
Sprains and strains,
Shoulder or knee pain,
Low-back pain, or
Overuse injuries.
Chiropractic care, when combined with sports medicine and rehab exercises, can speed recovery and prevent reinjury (Dallas Accident & Injury Rehab, 2024; Dallas Accident & Injury Rehab, 2023; HealthCoach Clinic, 2025). El Paso, TX Health Coach Clinic+3dallasaccidentandinjuryrehab.com+3dallasaccidentandinjuryrehab.com+3
Telemedicine is especially useful for:
Early triage – Is it safe to stay home with rest, ice, and gentle movement, or do you need imaging?
Exercise progressions – Your chiropractor can watch your form and adjust your plan on video.
Return-to-sport plans – The NP and chiropractor can coordinate training volume, bracing, and meds.
Dr. Jimenez’s sports- and performance-based rehab model demonstrates how chiropractic adjustments, strength training, and digital follow-up can keep athletes active while reducing future risk (Jimenez, 2025). dralexjimenez.com+2LinkedIn+2
For many patients, pain never fully goes away—but it can be managed. National experts now recommend hybrid care models that combine telehealth and in-person visits to manage chronic pain and reduce reliance on opioids (Burstin et al., 2023; NAM, 2023). PMC+2NAM+2
For conditions like osteoarthritis of the spine, hips, or knees, an NP–chiropractor–telemedicine team can help by:
Teaching joint-friendly movement and pacing strategies.
Guiding weight-bearing and strengthening exercises to protect joints.
Coordinating medications, injections, or topical treatments when needed.
Adding nutrition and weight-management support to lower joint stress.
Regular chiropractic care has been associated with less need for pain medication in some degenerative conditions, while multimodal care improves function and quality of life (ActiveCareRx, n.d.; Grace Medical & Chiropractic, 2024). Active Care Rx+2Grace Medical Chiro+2
Telemedicine makes it easier to maintain this steady, long-term support without the need for constant travel to the clinic.
Dizziness, “fog,” and balance problems often appear after:
Whiplash from a car accident,
Sports concussions,
Neck strain, or
Chronic neck tension.
Chiropractors and NPs can work together to determine whether symptoms stem from the neck, the inner ear, blood pressure, medication side effects, or something more serious. Telehealth programs in chiropractic and complementary medicine have successfully delivered care for conditions such as neck pain, headaches, and dizziness via video and phone visits (Der-Martirosian et al., 2023; El Paso Back Clinic, 2025). PubMed+2El Paso Back Clinic+2
Through telemedicine, your team can:
Perform balance and eye-movement screens over video.
Teach gentle posture exercises and neck stretches.
Review medications that might worsen dizziness.
Decide quickly if emergency or in-person neurologic care is needed.
Most integrative telemedicine visits follow a clear, step-by-step structure (Mayo Clinic, 2024; Haddad et al., 2021; HealthCoach Clinic, 2025). dralexjimenez.com+3Mayo Clinic+3PMC+3
Before the visit
You complete secure online forms about symptoms, injuries, and medications.
You may upload prior imaging, lab results, or photos of your home setup.
The clinic may ask you to test your camera and space so you can move safely on video.
During the visit
The NP and/or chiropractor takes a detailed history.
You perform simple movements (bending, turning your neck, walking) while on camera.
Basic neurologic and orthopedic checks are done as safely as possible through video.
The team shares your working diagnosis and explains your options in plain language.
After the visit
You receive a written care plan through the portal or app.
Home exercises, stretches, or breathing drills include video or picture instructions.
Follow-up telemedicine and in-person visits are scheduled as needed.
This model is very similar to the approach described in Dr. Jimenez’s telemedicine injury care articles, in which virtual assessments, imaging orders, medication management, and bracing can be coordinated from a distance when clinically appropriate (Jimenez, 2025). dralexjimenez.com+2dralexjimenez.com+2
For conditions like cervical and lumbar pain, chronic migraines, and athletic injuries, home-based work is just as important as in-clinic treatment. Telemedicine platforms and mobile apps now make it much easier to deliver this kind of support (HealthCoach Clinic, 2025; HealthCoach Clinic, n.d.). El Paso, TX Health Coach Clinic+2El Paso, TX Health Coach Clinic+2
Your care team may provide:
Personalized exercise videos for core, hip, and shoulder strength.
Posture drills for sitting at a computer, driving, or lifting.
Foam roller or massage-ball routines for tight muscles.
Breathing and relaxation practices to calm the nervous system.
Nutrition tips to support anti-inflammatory eating and weight control.
Dr. Jimenez’s integrative practice often links chiropractic adjustments with functional nutrition, sleep support, and strength training to improve mobility and long-term spinal health (Jimenez, n.d.; Jimenez, 2025). dralexjimenez.com+2dralexjimenez.com+2
When delivered through telemedicine, patients can practice in real time on camera, ask questions, and receive immediate corrections.
The National Academy of Medicine and other groups now highlight telehealth as a key part of chronic pain and long-term condition management (Burstin et al., 2023; NAM, 2023). PMC+2NAM+2
For chronic spine pain, osteoarthritis, or dizziness, a hybrid plan might include:
Regular virtual check-ins to review pain, sleep, mood, and function.
Adjustments to medications to reduce side effects or dependency.
Chiropractic exercise progressions to keep joints mobile and strong.
Lifestyle coaching around stress, nutrition, and pacing.
Periodic in-person visits for hands-on care, imaging, or advanced tests.
Studies of complementary and integrative health telehealth programs—especially within the VA system—show that virtual delivery of services such as chiropractic, Tai Chi, and massage can be effective and well-liked by patients (Der-Martirosian et al., 2023; Shah et al., 2023). PubMed+2ResearchGate+2
This is exactly the kind of setting where patients with chronic migraines, neck and low-back pain, or mixed dizziness symptoms can benefit from steady monitoring and small, consistent changes.
Telemedicine is powerful, but it is not right for every situation. Mayo Clinic and other major centers stress that telehealth works best when it is used alongside in-person care, not instead of it (Mayo Clinic, 2024; Haddad et al., 2021). Mayo Clinic+2PMC+2
Telemedicine is usually appropriate for:
Ongoing management of chronic neck or low-back pain without new red flags.
Stable chronic migraines where triggers and symptoms are well understood.
Sports or workplace injuries that have already been examined once in person.
Osteoarthritis flare-ups that require activity, bracing, or medication advice.
Dizziness that has been medically evaluated and is being monitored.
In-person or emergency care is needed if you:
Experience sudden, severe weakness, numbness, or loss of bladder/bowel control.
Have new chest pain, shortness of breath, or signs of stroke.
Have serious trauma (e.g., major fall, car crash with suspected fracture).
Notice rapidly worsening neurologic symptoms or confusion.
In an integrative setting, the NP and chiropractor work together to quickly identify red flags and direct you to the right level of care.
As a dual-licensed chiropractor and family nurse practitioner, Dr. Alexander Jimenez in El Paso has helped build exactly this kind of integrative, telemedicine-ready system (Jimenez, n.d.; Jimenez, 2025). dralexjimenez.com+3dralexjimenez.com+3dralexjimenez.com+3
From his clinical writings, several consistent themes appear:
Hybrid care works best. Patients often start with an in-person visit, then move into a mix of video and office care, especially after accidents, sports injuries, or spine flare-ups.
Telemedicine speeds up diagnosis. Instead of waiting weeks for a visit, patients can connect quickly, share images, and get their first plan the same day.
NP + chiropractic integration fills gaps. Many local clinics offer only chiropractic tele-visits. Dr. Jimenez’s model adds full medical management, including prescriptions, advanced imaging, and detailed medicolegal documentation when needed. dralexjimenez.com+2dralexjimenez.com+2
Lifestyle and rehab matter as much as manual care. His programs tie adjustments to nutrition, strength training, and movement coaching so gains last longer (El Paso Back Clinic, 2025; HealthCoach Clinic, 2025). El Paso Back Clinic+2El Paso, TX Health Coach Clinic+2
These observations align with broader research showing that telehealth-supported, team-based care improves access and can enhance outcomes for chronic pain and complex injuries (Burstin et al., 2023; El-Tallawy et al., 2024). PMC+2PMC+2
If you are thinking about working with a chiropractor, NP, and telemedicine-based team, a few steps can help you get better results:
Before your first visit
Write down your main symptoms, how long they have been present, and what makes them better or worse.
List all medications and supplements, including doses.
Gather past imaging or test reports, if available.
Make sure you have space to stand, walk, and lie down near your camera.
Questions to ask your team
“How do you and the NP work together on my case?”
“Which parts of my care can be done via telemedicine, and which need in-person visits?”
“What home exercises or lifestyle changes should I focus on first?”
“How will we know if this integrated plan is working?”
During follow-up visits
Track your pain, sleep, and function in a simple journal or app.
Be honest about what you did and did not do between visits.
Report any new or unusual symptoms right away.
This active, honest partnership is a big reason why hybrid telehealth programs have shown high patient satisfaction and better long-term engagement (Andrews et al., 2020; Der-Martirosian et al., 2023). PMC+1
Integrative chiropractic telemedicine brings together chiropractors, nurse practitioners, and digital tools to treat pain, injuries, and chronic conditions more comprehensively.
This approach can effectively address cervical and lumbar pain, chronic migraines, athletic injuries, chronic pain, osteoarthritis, and dizziness, especially when combined with home-based exercises and lifestyle changes.
Evidence supports the use of hybrid models that combine telehealth and in-person care for chronic pain, as well as complementary therapies such as chiropractic (Burstin et al., 2023; Der-Martirosian et al., 2023). PMC+2PubMed+2
Clinicians like Dr. Alexander Jimenez, DC, APRN, FNP-BC, show how a dual-scope, telemedicine-enabled practice can manage complex injury cases while staying patient-centered, convenient, and evidence-informed. dralexjimenez.com+2dralexjimenez.com+2
If you live with ongoing pain or have been injured in a car accident, at work, or during sports, an integrative chiropractor–NP telemedicine team may help you recover more completely while fitting care into your everyday life.
Andrews, E., Berghofer, K., Long, J., Prescott, A., & Caboral-Stevens, M. (2020). Satisfaction with the use of telehealth during COVID-19. Journal of Patient Experience, 7(5), 947–956. PMC
ActiveCareRx. (n.d.). 7 long-term benefits of regular chiropractic care. Active Care Rx
Burstin, H., et al. (2023). Integrating telehealth and traditional care in chronic pain management and substance use disorder treatment: An action agenda for building the future state of hybrid care. NAM Perspectives. NAM+2PMC+2
Dallas Accident & Injury Rehab. (2024). Integrating chiropractic care with other treatments. dallasaccidentandinjuryrehab.com
Dallas Accident & Injury Rehab. (2023). Integrating chiropractic care with sports medicine. dallasaccidentandinjuryrehab.com
Der-Martirosian, C., et al. (2023). Telehealth complementary and integrative health therapies during COVID-19 at the U.S. Department of Veterans Affairs. The Journal of Alternative and Complementary Medicine, 29(8), 1–10. PubMed+1
El Paso Back Clinic. (2025). Integrative chiropractic care benefits in El Paso. El Paso Back Clinic+1
El-Tallawy, S. N., et al. (2024). Innovative applications of telemedicine and other digital health technologies in pain management. Pain and Therapy, 13(1), 1–20. PMC
Grace Medical & Chiropractic. (2024). Why combining different treatments works better. Grace Medical Chiro
Grace Medical & Chiropractic. (2024). Achieving lasting relief from chronic headaches and migraines with Grace Medical & Chiropractic. Grace Medical Chiro
Haddad, T. C., et al. (2021). A scalable framework for telehealth: The Mayo Clinic Center for Connected Care. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 5(1), 171–178. PMC
HealthCoach Clinic. (2025). Connected care: Telemedicine and patient convenience. El Paso, TX Health Coach Clinic+1
HealthCoach Clinic. (n.d.). Telemedicine mobile app – El Paso, TX Health Coach Clinic. El Paso, TX Health Coach Clinic
Jimenez, A. (n.d.). El Paso, TX doctor of chiropractic. DrAlexJimenez.com. dralexjimenez.com+3dralexjimenez.com+3dralexjimenez.com+3
Jimenez, A. (2025). Telemedicine personal injury care in El Paso: Why injured patients choose Dr. Alex Jimenez & Injury Medical Clinic PA. dralexjimenez.com+2dralexjimenez.com+2
Jimenez, A. (2025). Chiropractic performance-based therapy for injury rehab. dralexjimenez.com
Mayo Clinic. (2024). Telehealth: Technology meets health care. Mayo Clinic+2Mayo Clinic+2
Moore, C. S., et al. (2018). The management of common recurrent headaches by chiropractors. Chiropractic & Manual Therapies, 26, 7. PMC
Shah, A. Q., et al. (2023). The use and effects of telemedicine on complementary and integrative medicine practices during the COVID-19 pandemic. BMC Complementary Medicine and Therapies, 23, 220. PMC+1
Professional Scope of Practice *
The information herein on "Connected Care: Integrating Chiropractic and Telemedicine" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
Blog Information & Scope Discussions
Welcome to El Paso's Premier Wellness and Injury Care Clinic & Wellness Blog, where Dr. Alex Jimenez, DC, FNP-C, a Multi-State board-certified Family Practice Nurse Practitioner (FNP-BC) and Chiropractor (DC), presents insights on how our multidisciplinary team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those found on this site and our family practice-based chiromed.com site, focusing on restoring health naturally for patients of all ages.
Our areas of multidisciplinary practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.
Our information scope is multidisciplinary, focusing on musculoskeletal and physical medicine, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somato-visceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various 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 musculoskeletal injuries or disorders.
Our videos, posts, topics, and insights address clinical matters and issues that are directly or indirectly related to our clinical scope of practice.
Our office has made a reasonable effort to provide supportive citations and has identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.
We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please feel free to ask Dr. Alex Jimenez, DC, APRN, FNP-BC, or contact us at 915-850-0900.
We are here to help you and your family.
Blessings
Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN
email: coach@elpasofunctionalmedicine.com
Multidisciplinary Licensing & Board Certifications:
Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License #: TX5807, Verified: TX5807
New Mexico DC License #: NM-DC2182, Verified: NM-DC2182
Licensed as a Multi-State Advanced Practice Registered Nurse (APRN*) in Texas & Multistate
Multistate Compact RN License by Endorsement (42 States)
Texas APRN License #: 1191402, Verified: 1191402 *
Florida APRN License #: 11043890, Verified: APRN11043890 *
* Prescriptive Authority Authorized
ANCC FNP-BC: Board Certified Nurse Practitioner*
Compact Status: Multi-State License: Authorized to Practice in 40 States*
Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
Degree Granted. Master's in Family Practice MSN Diploma (Cum Laude)
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
My Digital Business Card
RN: Registered Nurse
APRNP: Advanced Practice Registered Nurse
FNP: Family Practice Specialization
DC: Doctor of Chiropractic
CFMP: Certified Functional Medicine Provider
IFMCP: Institute of Functional Medicine
CCST: Certified Chiropractic Spinal Trauma
ATN: Advanced Translational Neutrogenomics
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