PODCAST: Ryan Welage and Alexander Jimenez, both medical students at the National University of Health Sciences, discuss the several new approaches that they developed in order to help people continue to engage and participate in exercise from the comfort of their own homes. Using their advanced understanding of functional medicine, biomechanics, and nutrition, they undertake explaining simple methods and techniques for complex movement protocols. Moreover, Alexander Jimenez and Ryan Welage discuss how diet can be an essential element in overall health and wellness. Dr. Alex Jimenez offers additional guidelines with the Functional Fitness Fellas, among further advice. – Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
PODCAST: Dr. Alex Jimenez, chiropractor in El Paso, TX, and Victoria Hahn discuss the fasting-mimicking diet and the ProLon Fasting Mimicking Diet program developed by Dr. Valter D. Longo. The ProLon Fasting Mimicking Diet is a high-fat, low-calorie intermittent fasting diet that may promote fat loss and reduce blood sugar, inflammation, and cholesterol, similar to other fasting methods. Valter D. Longo is an Italian-American biogerontologist and cell biologist known for his research studies on the role of fasting and nutrient response genes on cellular protection aging and diseases as well as for proposing that longevity is regulated by similar genes and mechanisms in many eukaryotes. Only a few research studies have been carried out to date regarding the fasting-mimicking diet and more research is needed to validate its benefits. – Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
Methods in treating inflammation are the focus of this video. Dr. Alex Jimenez presents a discussion of natural ways to treat inflammatory cascades. Knowing what are the best supplements are presented. This is a safe alternative that is well researched.
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Dr. Alex Jimenez RN, DC, MSACP, CCST
PODCAST: Dr Alex Jimenez, chiropractor in El Paso, TX, Kenna Vaughn, health coach, Truide Torres, Alexander Jimenez, and Astrid Ornelas discuss metabolic syndrome. The following podcast will focus on a deeper look at understanding metabolic syndrome. Metabolic syndrome is a collection of conditions which can increase the risk of developing a variety of health issues, including diabetes, stroke, and heart disease. Moreover, risk factors such as excess waist fat, high blood sugar, high blood pressure, high triglycerides, and low HDL levels. Diet and lifestyle modifications can ultimately help promote weight loss which can help improve metabolic syndrome and its associated health issues. Several different types of nutraceuticals, including Niacin or vitamin B3, vitamin D, DHEA, Nrf2, and green tea, among others. Weight loss is important to help improve metabolic syndrome. – Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
PODCAST: The COVID-19 pandemic has elevated our country into a heightened level of awareness. We start with our families and we start in our homes. Dr. Alex Jimenez, chiropractor in El Paso, TX, and Dr. Mario Ruja, chiropractor in El Paso, TX, discuss their perspective on the COVID-19 pandemic as healthcare professionals. Following the CDC’s guidelines, including staying at home, and washing your hands, has been recommended to help control the COVID-19 pandemic, among other CDC guidelines. Dr. Alex Jimenez and Dr. Mario Ruja continue to discuss the changes that the world is going through as countries learn to deal with the COVID-19 pandemic and other modern circumstances. – Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
PODCAST: Daniel Alvarado of Push Fitness Center and Dr. Alex Jimenez discuss the complications of losing weight. How to keep a focus and how to work our to the sticking point. An Ernest Discussion. Dr. Alex Jimenez, a chiropractor in El Paso, TX, and Daniel (Danny) Alvarado, owner of the PUSH Fitness Center, continues to discuss the importance of weight loss and how people and athletes can continue the effort to stay healthy. Metabolic syndrome is characterized by 5 risk factors, including excess waist fat, high blood pressure, high blood glucose or sugar, high triglycerides, and low HDL or good cholesterol levels. Diet and lifestyle modifications, such as participating and engaging in exercise and physical activity, can ultimately help improve the 5 risk factors associated with metabolic syndrome and a variety of health issues, including diabetes, stroke, and heart disease. Dr. Alex Jimenez and Daniel (Danny) Alvarado discuss how motivation is one of the most fundamental elements in the continued effort to stay healthy. Following a diet and lifestyle modifications that are unique to each individual can also help promote overall well-being. – Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
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PODCAST: Dr. Alex Jimenez, chiropractor in El Paso, TX, and Dr. Marius Ruja, chiropractor in El Paso, TX, ultimately discuss the reasons why choosing a functional medicine approach can safely and effectively improve overall health and wellness. The world has shifted in health care. There’s no time more than now which has started to look to the cause of disease as the present day focused on functional medicine approaches, methods and protocols. We discuss the “why” to choose the option of functional medicine in the present day health care system. Functional medicine focuses on natural treatment approaches to promote the healing of the human body. In this day and age, functional medicine may be essential to help improve our immune system. – Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
PODCAST: Dr. Alex Jimenez and his crew focus on making several facts about the COVID-19 pandemic clear. Currently, there is no definitive cure for COVID-19. But what can we do then you may ask? Dr. Alex Jimenez, chiropractor in El Paso, TX, and his crew presents Antiviral Strategies that have scientific substantiations from healthcare professionals around the world. In a moment where information is spread without scientific support, we must look into the research studies that have sound science evidence in order to understand non-fiction from what the true science has presented. These are difficult times and very scary times. We present a body of information present from the works of Dr. Alex Vasquez. His information at time cryptic and found in his writings do shed some light and direction which many of us can take in order to prepare for optimal support from our own immunity. The scientific community is clear. Again, at this time there is no cure for COVID-19. This does not mean we must not look at a way to optimize our immunity. Specifically, since there is much that has been studied in the ways the Antiviral Stategies can prepare our bodies. Dr. Alex Jimenez and his crew continue to discuss Antiviral Strategies and how these can improve our immune system. – Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
Dr. Alex Jimenez, a chiropractor in El Paso, TX, Kenna Vaughn, Truide Torres, Alexander Jimenez, and Astrid Ornelas, discuss how chiropractic care can ultimately help treat sciatica or sciatic nerve pain. The sciatic nerve is the largest and longest nerve in the human body. It runs from the lower back, down the buttocks and hips, and into the legs, knees, and feet. Sciatica can be caused by a variety of health issues which result in the compression or impingement of the sciatic nerve. Dr. Alex Jimenez, Kenna Vaughn, Truide Torres, Alexander Jimenez, and Astrid Ornelas discuss sciatica or sciatic nerve pain in further detail to ultimately help educate patients on their symptoms. Diet and lifestyle modifications, including nutraceuticals and exercise or physical activity, can be beneficial for patients with sciatic nerve pain. Furthermore, sciatica or sciatic nerve pain is a collection of symptoms rather than a single injury or underlying condition. Dr. Alex Jimenez, Kenna Vaughn, Truide Torres, Alexander Jimenez, and Astrid Ornelas conclude the podcast by describing how they each can help patients achieve overall health and wellness. – Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
Dr. Alex Jimenez, a chiropractor in El Paso, TX, Kenna Vaughn, Truide Torres, and Astrid Ornelas discuss what it is that they do and why they do it. Chiropractic care is a safe and effective, alternative treatment option that focuses on the diagnosis, treatment, and prevention of a variety of health issues associated with the musculoskeletal and nervous system, including neck pain, back pain, low back pain, and sciatica, among other health issues within the scope of chiropractic care. Dr. Alex Jimenez utilizes spinal adjustments and manual manipulations, among other well-known chiropractic care treatment methods and techniques, to help provide pain relief and promote overall health and wellness. Dr. Alex Jimenez, Kenna Vaughn, Truide Torres, and Astrid Ornelas discuss how they patients, from chiropractic care to educating them on diet and lifestyle changes, to help patients achieve their nutrition and fitness goals. According to Dr. Alex Jimenez, Kenna Vaughn, Truide Torres, and Astrid Ornelas, chiropractic care and functional medicine are treatment options that can naturally support well-being. – Podcast Insight
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Dr. Alex Jimenez RN, DC, MSACP, CCST
Backache Concept. Man Massaging Aching Back Suffering From Pain Sitting In Bed At Home Waking Up In The Morning
Lumbar stenosis surgery for sciatica, like any type of surgical procedure does not always yield the most successful results. This is why it’s important to carefully and methodically assess all of the personal risk factors.
Sciatica causes severe pain and surgery could be an option and hopefully of last resort. However, it’ is important to first attempt non-surgical/non-pharmacological treatment/s for six to twelve weeks before surgery to relieve symptoms and root cause. A full course of conservative treatment could include:
Physical therapy
Chiropractic
Aerobic exercise
Pain meds
Epidural steroid injection
Table of Contents
Sciatica and Stenosis
Sciatica can be caused by stenosis. This is when the spinal canal narrows, constricting, and pinching the nerves specifically the sciatic. Around ninety percent of cases stem from a herniated disccompressing the nerve roots. The damaged disc extends out and pinches the roots of the sciatic nerve. This pinching causes:
Pain
Numbness
Tingling
Muscle weakness
If it stays like this for a long time an individual can experience incontinence, along with permanent nerve and muscle damage.
Lumbar Stenosis Surgery Options
Lumbar stenosis surgery depends on the cause of sciatica: A single herniated disc could be pressing the nerve, which would only require the removal of just that portion of the disc that’s causing the compression. This procedure is known as a discectomy or microdiscectomy.
If the stenosis is caused by a bone problem like an arthritic bone spur, then space has to be made in the canal. This means a portion of the lamina or the back of the spinal column. This is called a hemilaminectomy. Sometimes the whole lamina has to be removed. This is known as a laminectomy.
If there is the instability of the spinal column, some of the lumbar vertebrae will be fused together to prevent further instability and added nerve compression.
A non-operative treatment course lasting a few weeks to months could reduce swelling in the nerve and improve sciatica symptoms. What happens is sometimes the disc gets reabsorbed over time and does not irritate the sciatic nerve.
Surgical Success
If the non-surgical options yielded minimal positive results or completely failed and surgery is the last resort talk with your surgeon to discuss the risks and benefits. The discussion will focus on factors like:
Age
Health status – levels of wellness and illness
Underlying conditions
Bodyweight
Smoker
Type of work
Individuals sixty-five and older, multiple health problems, being overweight or a smoker will place an individual at a higher risk of post complications from surgery. Studies found individuals who underwent surgery for sciatica from lumbar stenosis, identified added risk factors that could affect the outcome including:
Depression: this was because there were patients that continued to have sciatica symptoms after surgery. This means they are more likely to take antidepressants or anticonvulsants.
Quality of life from health perspective was low.
Previous spine surgery
Knowing about these factors and the possible success of sciatica surgery is something to keep in mind. The best way to understand what and how the surgery will be beneficial is to understand the risks and to remember that the risks are not the same for everybody.
Optimization
Surgical success depends on making sure patients are optimized before surgery. Increasing the chances of successful surgery after conservative treatment/s a surgeon will ask the patient to take these steps:
Weight loss is difficult, but it has been shown to improve surgical outcomes.
Light aerobic exercise, such as stationary or recumbent cycling can help keep the body’s blood flowing properly.
Exercising with pain is difficult but it will increase the cardiovascular system along with keeping the heart and lungs healthy enough to undergo surgical stress.
If the exercising causes too much pain ask the doctor about anti-inflammatory, muscle relaxants, or steroid medication along with the non-surgical treatment that can provide relief allowing exercise to resume.
Quit smoking
Smoking increases the rate of spinal degeneration and impairs the body’s ability to heal properly and optimally after surgery. If the surgery is elective, meaning it is not a medical emergency, then it is strongly encouraged to quit smoking before surgery. This will increase the chances of eliminating the habit. Don’t be afraid to get support. cancer.org/smokeout.
Pro-activeness
If taking antidepressant/s for depression, do not quit taking the medication thinking it will improve sciatica surgery success. Mental health is extremely important. The same goes for anticonvulsant meds as well. Stopping anticonvulsant medication for spinal surgery will more than likely cause extended damage or pre/post-surgical complications. Pre-existing conditions like depression means bringing the mental health provider and other specialists into the pre-surgical discussion.
Chiropractor Sciatica Symptoms
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Finding ways to manage chronic pain is a priority. Chiropractic testing and treatment could be an option that is effective and affordable. Various chiropractic care can help manage chronic pain caused by a condition like herniated disc/s. Chiropractic testing involves diagnosing the root cause/origin of the pain. Getting a proper diagnosis usually involves:
X-rays
CT scan
MRI
DNA
Table of Contents
Chiropractic testing
The correct diagnosis is essential to creating an optimal treatment plan. It is a complicated disorder that can be difficult to treat because it can present with no apparent cause. But, researchers are working to find answers to many of the questions surrounding chronic pain. When treating spine-related pain other tests can include:
Discography
Bone scans
Nerve studies
Electromyography
Nerve conduction study
Myelography
A pain specialist might consult with and refer the individual to a neurosurgeon or orthopedic spine surgeon to determine if the pain requires surgery. This is because untreated and not fully treated chronic pain is one of the leading causes of limited mobility and flexibility. Other associated issues are:
There are some experts that believe tests like MRIs are overused. There is a fear that too many tests could expose individuals to unnecessary radiation and increase medical expenses. However, determining the cause/s holds the key to a successful treatment plan. Therefore, choosing the right diagnostic strategy will help in:
Creating the most effective and optimal treatment plan
Quality of life improvement
Prevent potential complications
Reduce the cost of diagnosis
Reduce the cost of treatment
Chiropractic Management
Chronic pain does not respond to typical pain management techniques. Chiropractic management deals with chronic pain inflammation and muscle tension. Chiropractors use a variety of non-surgical techniques like:
Soft Tissue
Manual release therapy stretches the muscle/s while pressure is applied
Trigger point therapy applies pressure on the area of the tensest muscle/s
Instrument-assisted soft tissue therapy uses a tool/s to apply gentle pressure.
Manual Therapy
When the joints are not moving correctly, a chiropractor may utilize this technique to regain a full range of joint motion. This is accomplished through joint mobilization which is slow, gentle stretches of the affected joint and manipulation, which are quick but gentle movement/thrusts that stretch the joint.
Exercise Therapy combined with Self-care
A chiropractor will provide simple therapeutic exercises and stretches that can be done at home to help with the pain and to help with prevention. Also provided:
Safe lifting techniques
Posture exercises/tips
Dietary strategies to manage pain and prevent re-injury
Once diagnosed with a pain condition, a chiropractor will develop a unique customized treatment plan. Don’t be afraid to talk with your chiropractor. The more they know the better the treatment plan. Once the pain is fully addressed, patients will be able to gradually increase daily activities.
New Patient Chiropractic Care Intake Forms
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Female Physiotherapist inspecting her patient. Medical check in a physiotherapy center.
There are various chronic treatment/management options available. Chronic pain treatment focuses on treating and managing the root cause and underlying condition that is causing the pain. The physical and psychological aspects of chronic pain need to be balanced in order for a treatment plan to work.
That is why a complete treatment plan can sometimes be necessary to address both the physical and psychological factors generating the pain. Because of this treatment plans often involve different pain specialists working in conjunction with a customized treatment/management plan according to the individual’s needs. This can include a combination of treatment protocols, like:
Health coaching
Psychological therapy
Chiropractic
Physical therapy
Medication
Acupuncture
Yoga, Pilates
Table of Contents
Treatment/Management
The focus of chronic pain treatment is to:
Lessen pain frequency and intensity
Help individuals get back to work
Improve mobility and flexibility
Maintain quality of life
Reduce or eliminate reliance on pain meds
Reduce possible re-injury or new injury
Reduce mental and emotional symptoms like anxiety and depression
Pain Meds
Non-Opioids
Nonsteroidal anti-inflammatory medications are usually the first treatment for chronic mild to moderate pain. Examples are ibuprofen, aspirin, and naproxen. These medications work by blocking enzymes and reduce prostaglandinsthroughout the body that cause pain and swelling. Acetaminophen used in Tylenol is similar to these medications but works differently. Instead, these meds block the production of inflammatory chemicals in the brain.
Opioids
Opioids are narcotics and can be extremely powerful pain relievers. These are used to relieve severe pain symptoms temporarily. Narcotics work by blocking the pain signals before they get to the brain. However, these meds are highly addictive and can lead to abuse. Doctors prescribe narcotics when non-opioids and all forms of non-pharmacological treatment/s fail or don’t work in providing sufficient pain relief. Examples include:
Anticonvulsants or anti-epileptics are used to treat seizures. They can also help in relieving pain that is associated with nerve injury/damage and fibromyalgia. Examples include:
Muscle relaxants can be used for chronic pain but there is division among medical experts as to how effective they are and of their addictiveness. Plus there are few studies supporting their use in individuals with chronic pain.
Corticosteroids
Corticosteroids are hormone-based medications that help reduce inflammation. They are generated naturally in the body while some are synthesized in a laboratory. Injectable steroids can help relieve pain brought on from pinched nerves or joint disorders.
Antirheumatics
Antirheumatic meds are used to control and manage rheumatoid arthritis symptoms. They prevent or inhibit the immune system and help reduce joint damage. Examples include:
Methotrexate
Leflunomide
Hydroxychloroquine
Sulfasalazine
Antidepressants
Antidepressants are used to treat anxiety disorders and depression disorders but are also used to relieve chronic pain. They are used to treat pain caused by:
Arthritis
Migraine
Nerve damage
Fibromyalgia
These medications increase the brain’s chemical levels like serotonin, dopamine, and norepinephrine. They can also be used even when an individual has no depression symptoms. Examples include:
Amitriptyline
Venlafaxine
Paroxetine.
Alternative Treatment
Alternative treatment/management can also help with the pain. It’s recommended to discuss any type of alternative treatment with a doctor or medical professional. Doctors encourage alternative treatments along with keeping a journal of how an individual feels after a series of treatment sessions. If the individual feels better, and the treatment is working, then consider continuing for an extended period. Here are some alternative treatments/therapies to think about.
Acupuncture: Works by releasing endorphins, the natural pain-relieving chemicals, and affects the brain region that controls serotonin, the chemical that regulates mood.
Massage: Helps relieve pain by keeping muscles, ligaments loose and proper blood flow throughout the body
Meditation: Has been shown to help improve pain perception and reducing depressive symptoms
Hypnosis: Has been found to be useful in treating cancer and back pain
Psychological Therapy
Psychotherapy, also known as talking therapy could be part of a chronic pain treatment plan. What it does is to help improve the associated symptoms/conditions which include:
Depression
Anxiety
Fear of pain
Psychotherapy has shown promising results and has various forms. They are:
Acceptance/Commitment Therapy
Acceptance commitment therapy is short-term psychotherapy. There are two approaches to pain perception. One, it teaches the individual to accept things beyond what they control. Second, it encourages the individual to feel things the way they are, work towards relief instead of questioning and being skeptical. It opens an individual’s psychological perspective. It can be used to treat low back, leg, and neck pain.
Cognitive-Behavioral Therapy
This therapy educates individuals on pain, mood, behavior, and how they all relate to each other. It also trains an individual on relaxation strategies. Individuals learn techniques to replace negative thoughts concerning their pain with positive thoughts. Cognitive-behavioral therapy has been shown to be effective in treating pain caused by:
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
