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MVA’s Role in Personal Injury and Treatment Insights

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Experienced doctor examines the back of a gray-haired patient, a modern ultrasound machine indoors

Motor Vehicle Accidents: Understanding Mobility and Flexibility Challenges

MVA's Role in Personal Injury and Treatment Insights

Motor vehicle accidents (MVAs) are a significant public health concern, causing millions of injuries annually across the United States. In 2023 alone, over 6 million crashes were reported nationwide, with 391,428 in Florida. (Catalyst Physical Therapy). These accidents often result in injuries that impair mobility and flexibility, affecting victims’ ability to perform daily tasks and maintain their quality of life. This comprehensive blog post examines how MVAs contribute to mobility and flexibility issues, the specific injuries associated with them, their impact on daily activities, and effective treatment strategies. We also examine the role of advanced diagnostics in treatment and legal documentation, particularly in personal injury cases, based on clinical insights from Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso.

How MVAs Cause Mobility and Flexibility Problems

Mobility refers to the ability to move freely, while flexibility is the range of motion available at a joint. Both are essential for everyday activities, such as walking, sitting, or lifting objects. MVAs disrupt these abilities through sudden, forceful impacts that strain or damage the musculoskeletal system, leading to pain, stiffness, and restricted movement.

Common Injuries from MVAs

MVAs can cause various injuries, each with unique effects on mobility and flexibility. Below is a detailed look at the most common types:

Injury Type Description Impact on Mobility/Flexibility
Soft Tissue Injuries Damage to muscles, ligaments, or tendons, often resulting from rapid movement, such as whiplash. Causes pain, swelling, and stiffness, limiting movement. (Catalyst Physical Therapy).
Spine Injuries These injuries can include herniated discs or damage to the spinal cord due to compression or impact. Leads to chronic pain, numbness, or paralysis, restricting motion. (Cox Law Firm).
Joint Injuries Impact from the dashboard or seatbelt often results in damage to the knees, hips, or shoulders. Results in swelling, pain, and reduced range of motion, potentially causing osteoarthritis. (Kitchellaw).
Nerve Damage Damage to nerves frequently occurs as a result of spinal or soft tissue damage, such as sciatica. It impairs movement control by causing tingling, weakness, or numbness. (Sciatica Clinic).

  1. Soft Tissue Injuries
    MVAs frequently cause soft tissue injuries, especially whiplash, a common occurrence in rear-end collisions where the head jerks forward and backward. The process strains neck muscles and ligaments, resulting in pain, stiffness, and a reduced range of motion. Other soft tissue injuries, such as muscle tears or ligament sprains in the back or shoulders, can similarly limit movement and cause discomfort (Sage Hill Physio).

  2. Spine Injuries
    Spine injuries, such as herniated discs, are a serious consequence of MVAs. Damage to the cushioning between vertebrae can result in a herniated disc, which can potentially press on nerves and cause pain, numbness, or weakness. These injuries can limit a person’s ability to bend, twist, or stand for long periods. In severe cases, spinal cord injuries can lead to partial or complete paralysis, drastically reducing mobility (Cox Law Firm).

  3. Joint Injuries
    Joints, including those in the knees, hips, and shoulders, are vulnerable in MVAs. Impact from the dashboard or seatbelt can cause joint trauma, leading to pain, swelling, and reduced motion. Over time, these injuries may contribute to osteoarthritis, a degenerative condition that further impairs flexibility (Kitchellaw).

  4. Nerve Damage
    Nerve damage can result from direct trauma or secondary injuries like herniated discs. MVAs often trigger or worsen conditions like sciatica, where pain radiates from the lower back down the leg. Nerve damage can cause tingling, burning, or numbness, making it difficult to move and resulting in discomfort. (Sciatica Clinic).

Mechanisms of Injury

The sudden forces in MVAs—such as rapid deceleration, twisting, or blunt impact—create various injury mechanisms:

  • Whiplash: Rapid neck movement strains ligaments and muscles, causing nerve irritation.
  • Blunt Force Trauma: Impact from steering wheels or airbags can fracture bones or damage joints.
  • Compression Injuries: Sudden deceleration compresses the spine or joints, resulting in damage to the disc or cartilage.
  • Indirect Trauma: Minor accidents can cause hidden injuries, like nerve compression, which may lead to chronic issues if untreated (SimplyPT).

Even low-speed collisions can cause significant damage, underscoring the importance of a medical evaluation after any motor vehicle accident (MVA).

References

Impact on Daily Activities and Quality of Life

Mobility and flexibility problems from MVAs can profoundly affect daily life, turning routine tasks into significant challenges. These physical limitations often lead to emotional and financial consequences, further reducing quality of life.

Physical Limitations

  • Difficulty with Basic Movements: Pain, stiffness, or weakness can make activities like getting out of bed, dressing, or climbing stairs laborious. For example, whiplash can restrict neck movement, making it difficult to turn the head (Catalyst Physical Therapy).
  • Reduced Independence: Severe injuries may necessitate assistance with daily tasks, resulting in a dependency on family or caregivers. (Kitchellaw).
  • Work and Financial Implications: Mobility issues can prevent individuals from working, resulting in lost income and financial stress. Vocational rehabilitation may be needed to adapt to new roles (LMLawNYC).

Emotional and Psychological Impact

  • Frustration and Depression: The inability to perform normal activities can lead to feelings of helplessness and depression, particularly if recovery is slow (LMLawNYC).
  • Anxiety: Fear of reinjury or pain can cause anxiety, especially when resuming activities like driving (Michigan Auto Law).
  • Social Isolation: Physical limitations may prevent participation in social or community activities, leading to loneliness and isolation.

Long-term Complications

Untreated injuries can lead to chronic conditions, such as:

  • Chronic Pain: Persistent pain from whiplash or herniated discs can become a lifelong issue (Kitchellaw).
  • Osteoarthritis: Joint injuries may progress to degenerative conditions, further limiting mobility.
  • Permanent Disability: Severe spinal cord injuries can result in permanent mobility loss, requiring lifelong care (Cox Law Firm).

Early medical intervention is crucial in preventing these outcomes and restoring function.

References

Treatment and Rehabilitation

Effective treatment of MVA-related mobility and flexibility problems requires a multidisciplinary approach, combining chiropractic care, physical therapy, pain management, and, in severe cases, surgery. Early intervention is key to preventing chronic issues.

Chiropractic Care

Chiropractic care focuses on restoring spinal alignment and improving mobility through non-invasive techniques. Spinal adjustments, or manipulations, realign vertebrae, relieve nerve pressure, and enhance movement patterns (Wall Family Chiropractic). Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, specializes in treating motor vehicle accident (MVA) injuries. His approach includes:

  • Detailed Assessments: Evaluating injury mechanisms, biomechanics, and medical history.
  • Advanced Imaging: Using X-rays and MRIs to diagnose conditions like whiplash or herniated discs.
  • Personalized Treatment: Combining spinal manipulation, muscle therapy, and exercises to restore function (Dr. Alex Jimenez).

Dr. Jimenez’s clinical rationale for advanced imaging emphasizes the importance of accurate diagnosis. Hidden injuries, such as nerve compression, may not be evident without imaging, which guides tailored treatment plans and provides critical documentation for legal claims.

Physical Therapy

Physical therapy strengthens muscles, improves flexibility, and restores range of motion. Therapists use:

  • Manual Therapy: Techniques like joint mobilization to reduce stiffness (Catalyst Physical Therapy).
  • Exercises: Stretching and strength training to support joints and enhance resilience (Sage Hill Physio).
  • Education: Teaching proper body mechanics to prevent further injury.

Early physical therapy can break the cycle of pain and disability, improving recovery outcomes (SimplyPT).

Pain Management

Pain management strategies include medications, injections, or alternative therapies like acupuncture. These approaches control pain while rehabilitation addresses underlying causes (Kitchellaw).

Surgery

When conservative treatments fail, we reserve surgery for severe cases like significant spinal cord damage or fractures. It aims to stabilize structures or repair tissues but carries risks and requires extensive recovery (Sage Hill Physio).

Role of Advanced Diagnostics

Advanced imaging (X-rays, MRIs, CT scans) and diagnostic assessments (EMG, nerve conduction studies) are crucial for:

  • Accurate Diagnosis: Identifying hidden injuries like fractures or nerve damage (Catalyst Physical Therapy).
  • Treatment Planning: Tailoring Interventions to Specific Injuries.
  • Legal Documentation: Providing evidence for personal injury claims (Dr. Alex Jimenez).

References

Personal Injury Cases and Legal Aspects

MVAs often lead to personal injury cases, where victims seek compensation for medical expenses, lost wages, and pain and suffering. Accurate medical documentation is essential for these claims, and chiropractors play a critical role.

Dr. Jimenez’s practice in El Paso exemplifies this. His use of advanced diagnostics, such as X-rays and MRIs, ensures thorough documentation of injuries, supporting both treatment and legal proceedings. This documentation can demonstrate the extent of injuries, such as herniated discs or fractures, thereby strengthening compensation claims. (Dr. Alex Jimenez). Legal firms, such as Cox Law Firm, emphasize the importance of such records in securing fair settlements (Cox Law Firm).

References

Case Studies and Clinical Observations

The sources do not provide specific case studies; however, clinical observations from chiropractic practices highlight effective treatment strategies. For example, patients with whiplash often experience significant improvements in neck mobility and pain reduction after spinal adjustments and targeted exercises (Wall Family Chiropractic).

Dr. Jimenez’s approach integrates chiropractic care with functional medicine, addressing both physical and emotional aspects of recovery. He notes that emotional trauma, such as anxiety or depression, can exacerbate mobility issues, necessitating holistic care. His use of advanced diagnostics ensures precise treatment, improving outcomes for MVA victims in El Paso (Dr. Alex Jimenez).

References

Prevention and Long-term Management

Preventing motor vehicle accidents (MVAs) is the most effective way to avoid mobility and flexibility problems. Safe driving practices, such as wearing seatbelts, avoiding distractions, and obeying traffic laws, can reduce accident risks.

For those affected by MVAs, long-term management strategies include:

  • Regular Exercise: Strengthening core muscles and improving flexibility through yoga or physical therapy (Sage Hill Physio).
  • Proper Posture: Using ergonomic furniture to reduce spinal strain.
  • Home Modifications: Installing ramps or grab bars to enhance accessibility (Kitchellaw).
  • Ongoing Care: Regular chiropractic or physical therapy visits to monitor progress.

Home recovery tips, such as heat/ice therapy, gentle stretching, and proper nutrition, can also support healing (Wellness for Warriors).

References

Conclusion

Motor vehicle accidents can have devastating effects on mobility and flexibility, leading to physical, emotional, and financial challenges. Injuries like whiplash, herniated discs, and joint damage can disrupt daily life, but early intervention with chiropractic care, physical therapy, and advanced diagnostics can significantly improve recovery. In El Paso, Dr. Alexander Jimenez’s expertise in treating motor vehicle accident (MVA) injuries, supported by precise imaging, offers hope for victims seeking both healing and legal recourse. By understanding these challenges and seeking prompt medical attention, individuals can regain their mobility and improve their quality of life.

Key Citations

Whiplash and Achilles Tendinosis: Auto Accidents Explained

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Discover the connection between auto accidents and injuries like whiplash and Achilles tendinosis. Find insights and solutions.

Introduction: The Impact of Whiplash and Ligamentous Injuries

Picture this: you’re driving along, singing to your favorite tune, when—bam!—a car rear-ends you. Your head snaps back and forth like a bobblehead on a bumpy road. Welcome to the world of whiplash, a not-so-fun injury that’s all too common in motor vehicle accidents (MVAs). Whiplash doesn’t just make your neck feel like it’s auditioning for a stiff role in a movie; it can cause serious damage to the ligaments in your neck and upper body, leading to pain that lingers like an unwanted guest.

Ligamentous injuries, particularly those from whiplash, are a big deal because they can affect your daily life, from turning your head to picking up your groceries. In El Paso, Texas, Dr. Alexander Jimenez, a chiropractor and board-certified family nurse practitioner, is a go-to expert for helping MVA victims recover. With over 25 years of experience, he combines advanced diagnostics with personalized treatments to help patients recover and supports them in personal injury cases with detailed medical reports. In this guide, we’ll explore what ligaments are, how they can be injured in motor vehicle accidents (MVAs), the symptoms and treatments, and why Dr. Jimenez is a trusted name in El Paso for those navigating the aftermath of a crash.

References

Understanding Ligaments: The Body’s Natural Duct Tape

Ligaments are like the duct tape of your body—tough, fibrous bands that hold your bones together and keep your joints from going rogue. Made up of about 75% collagen (type I), two-thirds water, elastin, and other components, ligaments are built to stabilize joints, guide movement, and provide proprioception (your body’s sense of where it is in space). In the upper body, they’re critical in areas like the cervical spine (neck), shoulders, elbows, and wrists, ensuring everything moves smoothly without falling apart.

Think of ligaments as the unsung heroes working behind the scenes. They’re not as flashy as muscles, but without them, your skeleton would be a wobbly mess. Their mechanical properties, such as viscoelasticity (the ability to stretch and return to their original shape), allow them to absorb energy during impacts, but they have limits. When an MVA pushes them beyond those limits, you’re in for a world of hurt.

References

Mechanisms of Injury in Motor Vehicle Accidents

So, how do ligaments get injured in MVAs? Imagine your car as a roller coaster, and your body as the rider who didn’t sign up for the ride. The sudden force of a collision—whether it’s a rear-end hit, side-impact, or frontal crash—can stretch or tear ligaments. Whiplash, which affects 83% of people in rear-end collisions, is the star of this painful show (Barnsley et al., 1994). The rapid back-and-forth motion of the head overstretches neck ligaments, such as the anterior longitudinal ligament, leading to sprains or even complete tears.

Other types of collisions can also cause significant damage. Side-impact crashes might damage shoulder ligaments, while rollovers can affect multiple areas. The biomechanics are brutal: rapid velocity changes create shearing forces that ligaments simply can’t handle, potentially disrupting spinal alignment and compressing nerves, which can lead to conditions like sciatica.

References

The Root Causes of Pain- Video

The Root Causes of Pain | El Paso, Tx (2023)

Grades of Severity and Stages of Injury

Not all whiplash injuries are created equal. The Croft Whiplash Guidelines classify cervical acceleration/deceleration (CAD) trauma into five grades, each with different symptoms and treatment needs:

Grade Severity Symptoms Treatment Duration Treatment Number
I Minimal No range of motion limitation, no ligamentous injury, no neurological symptoms Up to 10 weeks Up to 21 visits
II Slight Limited range of motion, no ligamentous injury, no neurological findings Up to 29 weeks Up to 33 visits
III Moderate Limited range of motion, some ligamentous injury, neurological findings Up to 56 weeks Up to 76 visits
IV Moderate to Severe Limited motion, ligamentous instability, neurological findings, fracture, or disc issues May require permanent care Varies
V Severe Requires surgical treatment and stabilization Post-surgical chiropractic care Varies

The healing process also follows distinct stages:

  • Stage I (Acute Inflammatory): 0-72 hours, marked by swelling and pain.
  • Stage II (Repair): 72 hours to 14 weeks, where the body starts rebuilding tissue.
  • Stage III (Remodeling): 14 weeks to 12 months or more, as tissues strengthen.
  • Stage IV (Chronic): Permanent changes if healing is incomplete.

Factors such as age, prior injuries, or underlying conditions like arthritis can complicate recovery, making personalized care essential.

References

Clinical Presentation and Diagnosis

Ligamentous injuries are sneaky—like ninjas, they can cause trouble without being immediately obvious. Symptoms include pain, stiffness, swelling, reduced range of motion, and occasionally neurological issues such as tingling or radiating pain. In severe cases, these injuries can lead to chronic neck or back pain, or even sciatica, where pain shoots down the leg due to nerve compression.

Diagnosing these injuries isn’t always straightforward. Standard X-rays may miss ligament damage, so advanced imaging techniques like MRI, CT, or dynamic X-rays are often necessary. Dr. Alexander Jimenez utilizes these tools, along with electromyography (EMG), to precisely assess the extent of the injury. His dual expertise as a chiropractor and nurse practitioner allows him to interpret these diagnostics with precision, ensuring patients get the right treatment plan.

References

Treatment Protocols and Rehabilitation

Treating ligamentous injuries is like fixing a car after a crash—you need the right tools and a skilled mechanic. For mild injuries (Grade I or II), conservative treatments such as rest, ice, compression, and elevation (RICE), combined with physical therapy, can be highly effective. Chiropractic adjustments, soft tissue therapies, and massages help restore mobility and reduce pain. For more severe cases (Grade III or IV), advanced interventions, such as corticosteroid injections or regenerative therapies like platelet-rich plasma (PRP), may be necessary. Grade V injuries often require surgical stabilization, followed by chiropractic care.

Dr. Jimenez’s approach is comprehensive, combining chiropractic adjustments with physical therapy, core strengthening, and postural training. Early intervention is key to preventing chronic pain, and his clinic emphasizes rehabilitation to restore function and prevent recurrence. For example, a patient with a Grade II whiplash injury might start with daily treatments for a week, then taper to weekly sessions over several months, as outlined in the Croft Guidelines.

References

Dr. Alexander Jimenez’s Role in Personal Injury Cases

In El Paso, where MVAs are all too common, Dr. Alexander Jimenez stands out as a beacon of hope for personal injury victims. With dual licensure as a Doctor of Chiropractic (DC) and Family Nurse Practitioner (FNP-BC), he brings a unique perspective to patient care. His clinic, Injury Medical & Chiropractic Clinic, utilizes advanced diagnostics, including MRI, CT, and EMG, to accurately assess injuries. His treatments range from conservative options like chiropractic adjustments to advanced therapies like radiofrequency ablation, tailored to each patient’s needs.

Beyond medical care, Dr. Jimenez plays a critical role in personal injury cases. He provides detailed medical reports that document injuries and treatments, serving as a vital link between healthcare and legal proceedings. These reports help ensure victims receive fair compensation for their injuries. His 25 years of experience and patient-centered approach make him a trusted provider in El Paso, as evidenced by testimonials praising his thorough care.

References

Conclusion and Disclaimer

Ligamentous injuries from MVAs, particularly whiplash, can have a profound impact on your health and quality of life. Understanding their structure, how they’re injured, and the importance of early treatment is essential for recovery. In El Paso, Dr. Alexander Jimenez offers expert care, combining advanced diagnostics with personalized treatment plans to help patients heal and navigate personal injury claims. His dual expertise ensures comprehensive care, making him a trusted resource for MVA victims.

Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for medical concerns related to ligamentous injuries or whiplash.

References

Key Citations

Musculoskeletal Ligaments: What to Know After a Car Accident

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Discover essential information about musculoskeletal ligaments in car accidents and how to manage resulting injuries.

Introduction

Ligaments are the unsung heroes of your body, quietly holding your joints together like the trusty sidekicks in a superhero movie. But when a motor vehicle accident (MVA) strikes, it’s like a villain crashing the scene, throwing everything into chaos. Ligament injuries from MVAs are common and can lead to significant pain, especially in the neck and back. This comprehensive guide examines the clinical rationale behind these injuries, the structure and function of ligaments in the upper body, and the challenges associated with their healing. We’ll also spotlight Dr. Alexander Jimenez, a leading practitioner in El Paso, Texas, whose expertise helps MVA victims recover and navigate personal injury cases. Written for a high school reading level, this post combines scientific insights with a touch of humor—think Wednesday Addams delivering a biology lesson with a sly grin. But don’t worry, we’ll end on a serious note to emphasize the importance of proper care.

What Are Ligaments?

Ligaments are dense, fibrous bands of connective tissue that connect bones to other bones, acting as the body’s natural stabilizers. They’re like the ropes that keep a tent upright, ensuring joints don’t wobble too much. In the upper body, ligaments play a critical role in the neck (cervical spine), shoulders, elbows, and wrists.

Structure of Ligaments

Ligaments are complex structures designed for strength and flexibility:

  • Composition: About 75% of a ligament’s dry weight is collagen, primarily type I, which provides tensile strength. The rest comprises water (approximately two-thirds of the total weight), elastin for elasticity, and proteoglycans for lubrication.
  • Hierarchy: Collagen fibers are organized into fibrils, which bundle into larger fibers, embedded in a matrix with fibroblasts (cells that maintain the ligament).
  • Epiligament: A vascular outer layer that supplies nutrients and contains sensory nerves, merging with the bone’s periosteum at attachment points.
  • Insertions: Ligaments anchor to bones via a fibrocartilaginous zone, distributing stress to prevent tears.

Key Ligaments in the Upper Body

Region Ligaments Function
Cervical Spine Anterior/posterior longitudinal, ligamentum flavum, and interspinous ligaments Stabilize neck vertebrae
Shoulder Glenohumeral, coracohumeral, acromioclavicular ligaments Prevent shoulder dislocation
Elbow Medial (ulnar) and lateral (radial) collateral ligaments Ensure elbow stability
Wrist Radiocarpal, ulnocarpal ligaments Support wrist movement

Ligaments are like the bouncers at a joint party, keeping everything in check. However, when an MVA crashes the scene, they may become overwhelmed.

Function of Ligaments

Ligaments do more than hold bones together—they’re dynamic players in joint health.

Primary Functions

  1. Stability: Ligaments limit excessive joint movement. For example, the glenohumeral ligaments in the shoulder prevent dislocations while allowing a wide range of motion.
  2. Guidance: Their attachment points and stiffness guide joint motion, ensuring smooth, controlled movements, especially in complex joints like the spine.
  3. Proprioception: Ligaments contain mechanoreceptors that send signals to the brain about joint position, aiding coordination and balance.

Mechanical and Viscoelastic Properties

  • Nonlinear Anisotropic Behavior: Ligaments are flexible under low loads but stiffen as tension increases, absorbing energy to protect joints.
  • Viscoelasticity: They exhibit load relaxation (less stress under constant stretch) and creep (elongation under sustained load). Excessive creep can cause joint laxity.
  • Energy Absorption: Ligaments absorb shock during impacts, but MVAs can exceed their capacity, leading to injury.

Picture ligaments as the safety nets in a circus act—catching you when you fall, but stretching too far if the fall is too hard.

From Injury to Recovery- Video

From Injury to Recovery (with Chiropractic Care) | El Paso, Tx (2023)

Ligament Injuries in Motor Vehicle Accidents

MVAs are a leading cause of ligament injuries due to their sudden, forceful nature. The rapid acceleration and deceleration in crashes can stretch ligaments beyond their limits, causing sprains (partial tears) or complete ruptures.

Mechanisms of Injury

  • Whiplash: Common in rear-end collisions, where the head snaps forward and backward, straining cervical ligaments like the anterior longitudinal ligament.
  • Side-Impact Collisions: These can jolt the shoulder or elbow, damaging ligaments such as the acromioclavicular or medial collateral ligaments.
  • Frontal Collisions: Rapid deceleration can hyperextend the shoulder or elbow, tearing supporting ligaments.

Common Upper Body Ligament Injuries

Injury Site Ligaments Affected Symptoms
Cervical Spine Anterior/posterior longitudinal, ligamentum flavum Neck pain, stiffness, instability
Shoulder Glenohumeral, acromioclavicular Shoulder pain, weakness, instability
Elbow Medial/lateral collateral ligaments Elbow pain, swelling, reduced motion

According to research, whiplash injuries, often involving cervical ligaments, account for up to 83% of injuries in rear-end collisions (Barnsley et al., 1994).

Healing Process of Ligament Injuries

Ligament healing is a slow, complex process that rarely restores the tissue to its original strength.

Phases of Healing

  1. Inflammatory Phase (Days 1-7): Bleeding forms a hematoma, and inflammatory cells clear debris while releasing growth factors.
  2. Proliferative Phase (Weeks 1-6): Fibroblasts produce new collagen, forming a weak, disorganized scar.
  3. Remodeling Phase (Months to Years): The scar matures, with collagen aligning along stress lines, but it remains biomechanically inferior.

Healing Challenges

  • Incomplete Recovery: Scars are only 10-20% as strong as normal ligaments, with failure loads at 50% and increased creep, leading to joint laxity.
  • Influencing Factors: Larger gaps between torn ends, lack of contact, and excessive movement hinder healing. Age and nutrition also matter.

Treatment Strategies

  • Conservative: Rest, ice, compression, elevation (RICE), physical therapy, and bracing.
  • Surgical: Repair or reconstruction for severe tears.
  • Emerging Therapies: Gene therapy and tissue engineering show promise but aren’t yet standard.

Clinical Insights from Dr. Alexander Jimenez

Dr. Alexander Jimenez, a Doctor of Chiropractic (DC), Advanced Practice Registered Nurse (APRN), and Board-Certified Family Nurse Practitioner (FNP-BC), is a leading expert in El Paso. His clinic specializes in treating ligament injuries related to motor vehicle accidents (MVAs).

Diagnostic Approach

Dr. Jimenez uses advanced tools:

  • Imaging: MRI, CT scans, and dynamic X-rays to assess ligament damage and joint stability.
  • Electromyography (EMG): Evaluates nerve and muscle function related to injuries.

Treatment Approach

Treatment Type Methods
Conservative Chiropractic adjustments, physical therapy, bracing, lifestyle changes
Advanced Corticosteroid injections, radiofrequency ablation, and surgical consultation
Regenerative Platelet-rich plasma (PRP) injections to promote healing
Rehabilitation Core strengthening, postural training, mindfulness, biofeedback

Dr. Jimenez emphasizes early intervention to prevent chronic pain, such as sciatica, which can develop from untreated ligament injuries.

Role in Personal Injury Cases

Dr. Jimenez provides detailed medical reports for legal proceedings, including:

  • Injury descriptions
  • Diagnostic findings
  • Treatment plans
  • Prognoses

His ability to bridge the gap between medical and legal needs ensures that MVA victims receive fair compensation.

Personal Injury Cases in El Paso

El Paso sees numerous MVAs, with many victims suffering ligament injuries. These cases often involve physical, emotional, and financial challenges. Dr. Jimenez’s clinic is a vital resource, offering expert care and legal support. His comprehensive reports help attorneys build strong cases, ensuring victims can cover medical costs and lost wages.

Conclusion

Ligamentous injuries from MVAs are serious, often leading to chronic neck and back pain if not treated properly. Understanding the structure, function, and healing challenges of ligaments is key to effective management. Dr. Alexander Jimenez’s expertise in El Paso, combining advanced diagnostics, tailored treatments, and legal support, makes him a beacon of hope for MVA victims. While we’ve added a touch of humor to lighten the mood, these injuries demand serious attention. Seek expert care promptly to ensure the best recovery.

Disclaimer: This post is for informational purposes only and is not medical advice. Consult a qualified healthcare professional for diagnosis and treatment.

Key Citations

Automobile Collisions Resulting in Nerve Injury Explained

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Doctor explaining a x-ray to the patient and pointing at the computer screen, the woman is wearing a cervical collar

Comprehensive Guide to Nerve Injuries from Motor Vehicle Accidents

Automobile Collisions Resulting in Nerve Injury Explained

Introduction to Nerve Injuries from Motor Vehicle Accidents

Motor vehicle accidents (MVAs) are a significant cause of injuries worldwide, with nerve injuries being among the most serious due to their potential for long-term consequences. These injuries can result from various mechanisms, including direct trauma (compression, stretching) or indirect trauma (such as whiplash). Whiplash, common in rear-end collisions, involves a rapid back-and-forth movement of the head and neck, which can damage nerves in the cervical spine (International Journal of Environmental Research and Public Health, 2020). Nerve injuries may lead to chronic pain, numbness, or even disability, significantly affecting a person’s quality of life.

In El Paso, Texas, Dr. Alexander Jimenez, a board-certified chiropractor and family nurse practitioner, specializes in treating nerve injuries related to motor vehicle accidents (MVAs). His unique combination of chiropractic expertise and medical training allows him to provide holistic care and comprehensive documentation for personal injury claims (Dr. Alex Jimenez). This guide examines the types, causes, symptoms, diagnosis, treatment, and legal implications of nerve injuries resulting from motor vehicle accidents (MVAs), offering context for Dr. Jimenez’s clinical approach.

Types of Nerve Injuries from MVAs

Nerve injuries from MVAs can be categorized based on the mechanism of injury and the nerves affected. Below are the primary types:

Compression Injuries

Compression injuries occur when nerves are pinched or pressed by surrounding structures, such as bones, muscles, or swollen tissues. In MVAs, sudden forces can cause soft tissue swelling or disc herniation, compressing nerves and disrupting their function. For example, a herniated disc may press on spinal nerve roots, leading to pain or numbness (Houston Pain Specialists).

Stretching Injuries

Stretching injuries happen when nerves are overstretched due to rapid movements during an accident. Whiplash, for instance, can stretch nerves in the neck, causing temporary or permanent damage. The severity depends on the extent of the stretch, ranging from mild irritation to complete nerve tears (The Russo Firm).

Laceration or Transection

In severe motor vehicle accidents (MVAs), nerves can be cut or severed, resulting in complete loss of function in the affected area. This type of injury is less common but can result in permanent disability if not surgically repaired.

Indirect Trauma (e.g., Whiplash)

Indirect trauma, such as whiplash, can cause nerve damage without direct impact. The rapid motion can inflame tissues or damage ligaments, leading to nerve compression or irritation. Whiplash is a leading cause of nerve-related symptoms in MVAs, often affecting the cervical spine (International Journal of Environmental Research and Public Health, 2020).

Peripheral Neuropathy

Peripheral neuropathy is a condition where peripheral nerves (outside the brain and spinal cord) are damaged, often as a result of MVA-related trauma. It can cause symptoms like numbness, tingling, and weakness in the extremities, significantly impacting daily activities (The Russo Firm).

References

Medical Causes and Mechanisms

Understanding the physiological mechanisms behind nerve injuries is crucial for effective treatment. Below are the primary causes and mechanisms:

Compression Injuries

Compression disrupts a nerve’s ability to transmit signals, resulting in symptoms such as pain, numbness, or weakness. In MVAs, compression can occur due to swelling, inflammation, or physical pressure from displaced structures, such as bones or discs. Prolonged compression may cause permanent damage if not addressed promptly (Houston Pain Specialists).

Stretching Injuries

Stretching injuries occur when rapid movements, such as whiplash, pull nerves beyond their normal range. This can tear nerve fibers, resulting in temporary or permanent nerve dysfunction. The severity depends on whether the nerve is partially or completely torn (The Russo Firm).

Indirect Trauma and Whiplash

Whiplash causes rapid neck movement, leading to inflammation and swelling that can compress or irritate nerves. Ligamentous injuries, such as tears in the annulus fibrosus (the outer layer of spinal discs), can cause disc herniation, which presses on nerve roots and results in conditions like sciatica (Dr. Alex Jimenez). Research indicates that whiplash-related ligament damage can lead to spinal instability, further exacerbating nerve compression (International Journal of Environmental Research and Public Health, 2020).

Development of Peripheral Neuropathy

Peripheral neuropathy often develops as a secondary effect of MVA-related nerve injuries. Trauma can damage peripheral nerves directly or through mechanisms like inflammation or vascular changes. For example, blunt force trauma or twisting in an accident can crush or stretch nerves, leading to symptoms like numbness, tingling, and muscle weakness (Singleton Schreiber). Over time, untreated nerve damage may result in chronic neuropathy, requiring long-term management.

Mechanism Description Potential Outcome
Compression Pressure from swelling or structures like discs or bones Pain, numbness, weakness
Stretching Overextension of nerve fibers Temporary or permanent dysfunction
Indirect Trauma (Whiplash) Inflammation or ligament damage causing nerve irritation Sciatica, chronic pain
Peripheral Neuropathy Damage to peripheral nerves from trauma or secondary effects Numbness, tingling, weakness

References

Symptoms and Diagnosis

Nerve injuries from MVAs present a range of symptoms, which may not always appear immediately after the accident. Recognizing these symptoms and obtaining an accurate diagnosis are critical for effective treatment.

Common Symptoms

  • Numbness or Tingling: Often felt in the hands, feet, arms, or legs, indicating nerve compression or damage (Bensinger Legal Services).
  • Sharp, Burning, or Shooting Pain: Pain that radiates along nerve pathways, often due to sensory nerve damage.
  • Muscle Weakness: Difficulty with tasks like lifting or walking, suggesting motor nerve damage.
  • Loss of Reflexes: Reduced or absent reflexes, particularly in spinal injuries.
  • Sensitivity to Touch or Temperature: Heightened sensitivity, indicating sensory nerve issues.
  • Chronic Pain: Persistent pain that may worsen over time if untreated (Cura Clinical).

Diagnostic Methods

Diagnosing nerve injuries requires a combination of clinical evaluation and advanced diagnostic tools:

  • Clinical Evaluation: A healthcare provider assesses symptoms, medical history, and physical function to identify potential nerve damage.
  • Advanced Imaging: Magnetic Resonance Imaging (MRI) provides detailed images of soft tissues, including nerves, to detect compression or damage (AICA Orthopedics). MRI neurography and diffusion tensor imaging (DTI) can further visualize nerve structures (OAEPublish).
  • Nerve Conduction Studies (NCS): These measure the speed and strength of nerve signals to assess damage (Johns Hopkins Medicine).
  • Electromyography (EMG): This test evaluates muscle electrical activity to detect nerve-related issues (Johns Hopkins Medicine).

Dr. Alexander Jimenez likely utilizes these tools, along with functional medicine assessments such as the Living Matrix, to identify the root causes of nerve injuries and develop personalized treatment plans (Dr. Alex Jimenez).

Diagnostic Tool Purpose Example Use in MVAs
MRI Visualizes soft tissues and nerve compression Detects disc herniation or nerve damage
NCS Measures nerve signal speed and strength Identifies peripheral neuropathy
EMG Assesses muscle electrical activity Confirms motor nerve damage

References

Treatment and Management

Treating nerve injuries from MVAs depends on the injury’s type and severity. Treatment options range from conservative approaches to surgical interventions, with a focus on relieving symptoms and restoring function.

Conservative Management

  • Rest and Immobilization: Reduces further nerve irritation.
  • Medications: Anti-inflammatory drugs, nerve pain medications, or muscle relaxers to manage symptoms (Houston Pain Specialists).
  • Physical Therapy: Exercises to Enhance Mobility and Reduce Nerve Compression.

Chiropractic Care

Chiropractic care, as practiced by Dr. Alexander Jimenez, focuses on spinal adjustments to relieve pressure on nerves caused by misalignments (subluxations). His approach integrates functional medicine to address underlying causes, promoting natural recovery without reliance on surgery or medications (Dr. Alex Jimenez). For example, patients like Mr. and Mrs. Dominguez recovered from motor vehicle accident (MVA) injuries through Dr. Jimenez’s therapies and exercises at Push-as-Rx, led by Dr. Alex Jimenez.

Interventional Procedures

  • Nerve Blocks: Injections to reduce pain and inflammation.
  • Epidural Injections: Target nerve compression in the spine (Houston Pain Specialists).
  • Radiofrequency Ablation: Disrupts pain signals for longer-term relief.

Surgical Interventions

Severe cases, such as nerve lacerations or significant compression, may require surgery to repair nerves or decompress affected areas. Dr. Jimenez collaborates with surgeons and specialists to ensure comprehensive care (Dr. Alex Jimenez).

Treatment Type Description Suitability
Conservative Rest, medications, and physical therapy Mild to moderate injuries
Chiropractic Spinal adjustments, functional medicine Nerve compression, whiplash
Interventional Nerve blocks, epidural injections Chronic pain management
Surgical Nerve repair or decompression Severe nerve damage

References

Impact on Patients

Nerve injuries from MVAs can have profound effects on patients’ lives, leading to chronic pain, disability, and emotional distress. Peripheral neuropathy, for instance, can cause persistent symptoms like numbness, tingling, and weakness, making daily tasks challenging (The Russo Firm). Chronic pain may also lead to reduced mobility, lost wages, and psychological impacts like anxiety or depression.

In El Paso, where 19,150 traffic accidents were reported in 2021, with 25–27% resulting in injuries, the prevalence of nerve injuries illustrates the importance of specialized care (Dr. Alex Jimenez). Patient stories, such as those of Mr. and Mrs. Dominguez, demonstrate the potential for recovery with proper treatment, as well as the importance of addressing injuries early to prevent long-term complications (Dr. Alex Jimenez).

References

Legal Aspects and Personal Injury Claims

Nerve injuries from MVAs often lead to personal injury claims, as victims seek compensation for medical expenses, lost wages, and pain and suffering. In El Paso, where traffic accidents are common, accurate and thorough medical documentation is crucial for successful claims. Chiropractors, such as Dr. Alexander Jimenez, play a vital role by providing detailed medical charts, treatment plans, and progress reports that establish the extent of injuries and the necessity of treatment (Comfort Rehab & Chiropractic Center).

Dr. Jimenez’s dual expertise as a chiropractor and nurse practitioner allows him to produce comprehensive documentation that meets both medical and legal standards. His use of advanced diagnostics, such as MRI and nerve conduction studies, provides objective evidence of nerve damage, strengthening his claims (Dr. Alex Jimenez). In Illinois, for example, personal injury claims have a two-year statute of limitations, underscoring the importance of timely medical and legal action (Blumenshine Law Group).

Legal Aspect Importance Role of a Chiropractor
Documentation Establishes injury severity and treatment necessity Provides detailed medical charts and reports
Timely Action Meets the statute of limitations Ensures prompt diagnosis and treatment
Objective Evidence Strengthens claim validity Uses advanced diagnostics like MRI and NCS

References

Dr. Alexander Jimenez’s Clinical Approach

Dr. Jimenez’s method for treating nerve injuries from motor vehicle accidents (MVAs) is distinguished by his dual qualifications as a chiropractor and nurse practitioner. He employs a holistic, evidence-based strategy that integrates chiropractic adjustments with functional medicine principles. His treatments focus on correcting spinal misalignments to relieve nerve pressure and addressing underlying causes through nutritional and lifestyle interventions (Dr. Alex Jimenez).

Use of Advanced Diagnostics

Dr. Jimenez utilizes advanced imaging techniques, including MRI, to visualize nerve compression and damage. He also employs nerve conduction studies and electromyography to assess nerve function, ensuring accurate diagnosis (Johns Hopkins Medicine). His use of the Living Matrix Functional Medicine Assessment helps identify systemic factors contributing to nerve injuries, enabling the development of personalized treatment plans.

Balancing Medical and Legal Needs

In personal injury cases, Dr. Jimenez provides detailed documentation that supports legal claims. His reports include objective findings from diagnostics, treatment details, and patient progress, which are essential for proving the extent of injuries and the necessity of care (Comfort Rehab & Chiropractic Center). His collaborative approach with surgeons and specialists ensures comprehensive care while meeting legal requirements.

Patient-Centered Care

Dr. Jimenez’s practice emphasizes patient-centered care, as seen in cases like those of Mr. and Mrs. Dominguez, who recovered from motor vehicle accident (MVA) injuries through his therapies and exercise programs (Dr. Alex Jimenez). His focus on non-invasive treatments and natural recovery aligns with the needs of MVA victims seeking to avoid surgery.

Conclusion

Nerve injuries from motor vehicle accidents are complex and can lead to chronic pain, peripheral neuropathy, and significant life changes. Understanding the types, causes, and treatments of these injuries is crucial for recovery. In El Paso, Dr. Alexander Jimenez offers specialized care that combines chiropractic and medical expertise, using advanced diagnostics to tailor treatments and provide robust documentation for personal injury claims. If you’ve been in an MVA and suspect nerve injuries, seek immediate medical attention and consider consulting a specialist like Dr. Jimenez to ensure both recovery and legal support.

Peripheral Neuropathy Causes and Symptoms

Key Citations

Ligamentous Injuries and Chronic Neck Pain: Causes and Effects

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Understand ligamentous injuries and their role in chronic neck pain. Discover expert tips on prevention and management in this informative article.

Introduction: The Neck’s Silent Suffering

In the grim theater of personal injury law, where every case is a tale of pain and pursuit of justice, chronic neck pain plays the role of the uninvited guest who refuses to leave. It’s not just a fleeting ache; it’s a persistent shadow that lingers after motor vehicle accidents (MVAs), turning daily life into a macabre dance of discomfort. Necks, those unsung heroes that hold up our heads, are complex structures comprising bones, muscles, and ligaments. When injured, they don’t just heal with a bandage and a pat on the back. No, they whisper tales of ligamentous laxity and cervical instability, haunting victims with pain that’s as relentless as a stormy night.

Picture this: you’re in a car crash, and your neck takes the brunt of the chaos. The ligaments—those tough, fibrous bands that keep your spine in check—get stretched or torn. Suddenly, your neck feels like a poorly constructed Jenga tower, teetering on the edge of collapse. In the spirit of Wednesday Addams, let’s embrace the darkness of this reality: chronic neck pain isn’t just a nuisance; it’s a puzzle that demands solving. In the world of personal injury, resolving cases means helping clients heal and ensuring they receive the compensation they deserve. Let’s dive into the science, the legal implications, and the expertise of Dr. Alexander Jimenez, El Paso’s trusted guide through this shadowy landscape.

The Science of Chronic Neck Pain: Ligaments and Instability

Anatomy of the Cervical Spine

The cervical spine, or neck, is a marvel of engineering, comprising seven vertebrae (C1-C7) that allow you to nod, turn, and tilt your head. The upper cervical spine (C0-C2) is particularly mobile, responsible for 50% of neck rotation and flexion. This mobility comes at a cost: it relies heavily on ligaments for stability. Key players include the transverse, alar, and capsular ligaments, with the capsular ligaments surrounding the facet joints being especially critical. These ligaments act like the ropes of a suspension bridge, keeping everything in place during movement.

Capsular Ligament Laxity and Cervical Instability

Ligaments are tough, but they’re not invincible. When subjected to trauma, like the sudden jolt of a car crash, they can stretch or tear, leading to laxity. This laxity causes cervical instability, where the vertebrae move more than they should, resulting in symptoms such as pain, muscle spasms, headaches, dizziness, and even neurological issues, including tingling in the arms. A 2014 study, Chronic Neck Pain: Making the Connection Between Capsular Ligament Laxity and Cervical Instability (The Open Orthopaedics Journal), reviewed literature up to December 2013 and found that capsular ligament laxity is a primary cause of chronic neck pain. The study notes that these ligaments can withstand forces up to 220 N but lose strength when damaged, leading to increased motion (e.g., 294% more axial rotation with unilateral facet damage).

Why Conventional Treatments Fall Short

Conventional treatments like NSAIDs, cervical collars, and physical therapy often provide temporary relief but fail to address ligament damage. The study highlights that these methods don’t promote healing of the ligaments, leaving patients with persistent pain. Imagine trying to fix a wobbly table by putting a book under one leg—it might help for a moment, but the table’s still broken. This is where prolotherapy comes in, a regenerative injection therapy that stimulates the body’s healing process to repair ligaments, potentially restoring stability and reducing pain.

Ligamentous Injuries in Motor Vehicle Accidents

The Mechanics of Whiplash

Motor vehicle accidents, particularly rear-end collisions, are a leading cause of ligamentous injuries. Whiplash occurs when the head is rapidly jerked forward and backward, subjecting the neck to forces that can exceed 1,000 N. The capsular ligaments absorb up to 10 times more force than the intervertebral discs, leading to elongation of 85%-275% post-injury. This damage can cause chronic symptoms like neck pain, headaches, dizziness, and vertigo, often persisting long after the accident.

Dr. Alexander Jimenez, in his blog post Ligamentous Injuries: Insights from an Expert (Sciatica Clinic), emphasizes that whiplash can strain or tear cervical ligaments, leading to chronic neck pain. He notes that these injuries are often underdiagnosed because they don’t always appear on standard X-rays, requiring advanced imaging techniques such as MRI, CT, or digital motion X-rays (DMX).

The Challenge of Diagnosis

Diagnosing ligamentous injuries is like trying to find a ghost in a haunted house—you know it’s there, but it’s hard to see. Standard X-rays often miss soft tissue damage, and even MRIs can be inconclusive without the aid of functional imaging. Dr. Jimenez utilizes specialized tests, such as the Sharp-Purser test and dynamic X-rays, to detect instability, ensuring an accurate diagnosis. This is particularly crucial in personal injury cases, where proving the extent of the injury is essential for a successful legal claim.

Related Conditions: From Spondylosis to Sciatica

Cervical Spondylosis and Instability

Cervical spondylosis, a degenerative condition, often begins with ligament injuries. The Open Orthopaedics Journal study describes three stages: dysfunctional (characterized by ligament and cartilage damage), unstable (characterized by increased laxity), and stabilized (characterized by the formation of osteophytes). Ligament laxity can exacerbate symptoms such as neck pain and stiffness, particularly when new injuries occur on top of pre-existing degeneration.

Post-Concussion Syndrome and Vertebrobasilar Insufficiency

Ligamentous injuries can also contribute to conditions like post-concussion syndrome (PCS) and vertebrobasilar insufficiency (VBI). PCS, affecting up to one-third of concussion patients, includes symptoms like chronic neck pain and headaches, often linked to cervical instability from whiplash-type injuries. VBI, caused by vertebral artery compression during neck rotation, can lead to dizziness and vertigo, with normal rotation causing 20%-30% occlusion.

Barré-Liéou Syndrome

Barré-Liéou syndrome, with symptoms like neck pain, headaches, and vertigo, is reported in 87% of cases following cervical injury. The study suggests overlap with PCS and whiplash-associated disorders, all tied to cervical instability from ligament damage.

Connection to Sciatica

While the focus is on neck pain, ligamentous injuries in the lumbar spine can lead to sciatica by destabilizing vertebrae and compressing nerves (L4-S3). Dr. Jimenez notes that these injuries are an underrecognized cause of sciatica in MVA victims, causing symptoms like radiating pain, numbness, and weakness.

Chiropractic Care for Healing After Trauma- Video

Chiropractic Care for Healing After Trauma | El Paso, Tx (2024)

 

Treatment Options: Beyond Temporary Fixes

Conservative Treatments

Conservative treatments include chiropractic adjustments, physical therapy, bracing, and lifestyle modifications. These can help manage symptoms but may not repair ligaments. Dr. Jimenez’s practice combines these with advanced interventions to address both symptoms and underlying damage.

Regenerative Therapies: Prolotherapy and PRP

Prolotherapy, highlighted in the 2014 study, involves injecting a solution (often dextrose) to stimulate ligament repair. Studies show it can increase ligament mass by 44%, thickness by 27%, and junction strength by 28%. Dr. Jimenez also offers platelet-rich plasma (PRP) therapy, which uses the patient’s blood to promote tissue healing. These regenerative approaches aim to restore stability and reduce chronic pain.

Advanced Interventions

For severe cases, corticosteroid injections or minimally invasive procedures, such as radiofrequency ablation, may be considered. Surgical consultation is reserved for complete ligament tears or significant instability. Early intervention is crucial to prevent chronic pain or permanent nerve damage.

Dr. Alexander Jimenez: El Paso’s Trusted Expert

A Unique Approach to Care

In El Paso, Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a beacon for MVA victims. His dual licensure allows him to blend holistic chiropractic care with traditional medical interventions. His practice utilizes advanced diagnostics, including MRI, CT, EMG, and dynamic X-rays, to uncover hidden injuries. Treatments range from chiropractic adjustments and physical therapy to pain management and regenerative therapies, such as PRP.

Bridging Medical and Legal Needs

Dr. Jimenez’s expertise extends beyond treatment. He provides legally actionable medical documentation, crucial for personal injury cases. His reports detail the extent of ligamentous injuries, linking them to the MVA, which strengthens legal claims and ensures fair compensation.

A Wednesday Addams Perspective

Let’s channel Wednesday Addams for a moment: “Chronic neck pain is like living with a guillotine that never quite drops. It’s always there, threatening to ruin your day. But with someone like Dr. Jimenez, you might just escape the blade.” Okay, maybe it’s not that dramatic, but untreated ligament injuries can feel like a life sentence. Dr. Jimenez’s comprehensive approach is like a well-placed trapdoor, offering a way out of the pain.

The Legal Importance of Ligamentous Injuries

In personal injury law, documenting invisible injuries, such as ligament damage, is critical. These injuries can lead to significant disability, affecting work, relationships, and quality of life. Dr. Jimenez’s detailed reports provide the evidence needed to prove the injury’s impact, ensuring clients receive compensation for medical costs, lost wages, and pain and suffering.

Conclusion: A Path to Recovery and Justice

Chronic neck pain after an MVA is more than a minor inconvenience; it’s often a sign of ligamentous injuries that can lead to long-term suffering if ignored. The Open Orthopaedics Journal study highlights the role of capsular ligament laxity and cervical instability, suggesting that prolotherapy may be a promising solution. In El Paso, Dr. Alexander Jimenez stands out as a trusted expert, using advanced diagnostics and a dual-scope approach to help patients heal and attorneys win cases.

For those navigating the aftermath of an MVA, understanding and addressing ligamentous injuries is the key to recovery and justice. With the right care, those whispers of pain can be silenced, allowing victims to reclaim their lives. And while we might joke about necks held together by duct tape, the reality is serious: proper diagnosis and treatment can make all the difference.

References

Disclaimer

Car Accident: Understanding Pain and Thoracic Outlet Syndrome

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Understand thoracic outlet syndrome after a car accident and explore ways to manage pain and improve mobility.

Introduction

Your life may completely change in an automobile accident more quickly than you can say “fender bender.” Injuries that linger like an unwanted visitor might accompany the crumpled bumpers and insurance-related hassles. Your neck, the unsung hero who keeps your head up as you binge-watch your favorite program, is the site of one such injury. Damage to ligaments caused by an accident may result in a variety of issues, such as Thoracic Outlet Syndrome (TOS), which can cause tingling and numbness in the arms, making them feel as if they’re trying out for a zombie movie. The clinical viewpoint of these injuries will be covered in this piece, along with how El Paso physician Dr. Alexander Jimenez aids in victims’ recovery and the need to record these injuries for your health and any future legal claims.

 

What Happens to the Cervical Spine After a Car Accident?

Picture your neck as a tower of Jenga blocks carefully stacked to keep everything in place. Now, imagine a car rear-ending you, sending those blocks wobbling like a bad game night. Whiplash is a rapid back-and-forth motion of the neck that occurs in approximately 1 million car accidents annually in the U.S., costing society up to $29 billion and affecting individuals’ socio-economic lifestyles. Whiplash doesn’t just give you a sore neck; it can seriously mess with the ligaments that hold your cervical spine together.

 

The Anatomy of Your Neck

The seven vertebrae in the cervical spine are cushioned by discs and held together by ligaments, which are the anterior longitudinal ligament, posterior longitudinal ligament, capsular ligaments, interspinous ligaments, supraspinous ligaments, and ligamentum flavum. These ligaments are like the seatbelts of your spine, keeping everything secure. However, in a crash, the sudden force, ranging from 3.5 to 8 g’s in a rear-end collision, can stretch or tear these ligaments, thereby reducing their strength. A study found that whiplash decreases the force required for ligament failure by approximately 20% (149.4 N vs. 186.0 N) and energy absorption by roughly 22% (308.6 J vs. 397.0 J). (Tominaga et al., 2006). This damage can lead to cervical instability, where your neck becomes as wobbly as a bobblehead on a dashboard.

 

The Whiplash Effect

Whiplash is like your neck trying to do an impromptu dance move it wasn’t prepared for. The rapid motion overstretches ligaments beyond their normal range, sometimes causing micro tears or complete ruptures. This instability can lead to chronic pain, stiffness, and even more complex issues down the road, like Thoracic Outlet Syndrome. It’s as if your neck says, “I’m done holding it together!” and passes the problem to other parts of your body. It’s like a disaster with the neck and ligaments, which is no laughing matter, as it can significantly impact your daily life, from simply turning your head to lifting your arms.

 

Can Ligament Damage Cause Thoracic Outlet Syndrome?

Now, let’s discuss Thoracic Outlet Syndrome, or TOS, which may sound like something you’d find in a haunted mansion, but it is, in fact, a medical condition. TOS happens when the nerves or blood vessels in the thoracic outlet—the narrow space between your collarbone and first rib get compressed, causing pain, numbness, or tingling in your arms and hands, making you feel like your limbs are staging a protest. But how does a neck injury from a car crash lead to this?

 

The Connection Between Whiplash and TOS

When your cervical spine ligaments are damaged, they can’t hold the vertebrae as tightly, leading to instability or misalignment. This can affect nearby structures, like the scalene muscles in your neck, which are part of the thoracic outlet. Inflammation or scar tissue from the injury can further narrow this space, squeezing the brachial plexus nerves or subclavian vessels. A study found that 30 out of 35 whiplash patients had thoracic outlet syndrome (TOS), confirmed by slowed ulnar nerve conduction velocity, suggesting a direct link. (Sanders et al., 2007) It’s like your neck’s injury sends a ripple effect, turning the thoracic outlet into a crowded subway station where nerves and vessels get squished.

 

Types of TOS

TOS comes in three flavors:

  • Neurogenic TOS: The most common (95% of cases), where nerves like the brachial plexus are compressed, causing arm pain and numbness.
  • Venous Thoracic Outlet Syndrome (TOS): Affects veins, leading to swelling or thrombosis in approximately 5% of cases.
  • Arterial TOS: The rarest (1%) form involves compression of the artery, which can cause issues with blood flow.

Whiplash typically leads to neurogenic thoracic outlet syndrome (TOS) due to nerve compression from damaged muscles or ligaments. It’s like imagining the nerves are trapped in a dark, cramped corridor, crying out for freedom!

 

Why It Happens

In a car accident, trauma can damage or injure the scalene muscles, causing inflammation and narrowing of the thoracic outlet. Cervical instability may also alter your posture, causing your shoulders to shift forward and compress the outlet further. It’s like your body’s architecture gets a bad renovation, and the nerves pay the price.

 

What Is Thoracic Outlet Syndrome?- Video

What is Thoracic Outlet Syndrome? | El Paso, Tx (2023)

Understanding TOS Symptoms After Whiplash Injuries

So, what does TOS feel like? If you’ve been in a car crash and now your arms feel like they’re buzzing with static or aching like you’ve been arm-wrestling Uncle Fester from the Addams Family, TOS might be to blame. Let’s break down the symptoms and why they happen.

 

Symptoms of TOS

  • Pain in the neck, shoulder, or arm.
  • Numbing/Tingling sensation in the arms or hands, especially the ring and pinky fingers.
  • Muscle Weakness in the upper extremities
  • Swelling or Discoloration: In venous TOS, your arm might swell or turn blue.

These symptoms arise because the brachial plexus nerves, which carry signals from your spine to your arms, are compressed. (Cavanna et al., 2022) This is akin to a traffic jam on the nerve highway, where signals become stuck, causing pain or sensory changes.

 

Acute vs. Chronic Symptoms

In the acute phase (within 3.5 months post-accident), neck pain might dominate, with TOS symptoms being mild. But in chronic cases (over 2 years), TOS symptoms like arm pain and numbness can become the main issue.  This is why early treatment is crucial, and when individuals ignore the pain associated with TOS, it is like neglecting a creaky floorboard in the Addams Family mansion; it only worsens over time.

 

Pathophysiology of Nerve Pain

When the brachial plexus is compressed, it disrupts nerve signals, leading to pain, tingling, or weakness. The capsular ligaments, which contain sensory nerves, can also be injured, contributing to chronic pain. Studies show that nerve blocks or radiofrequency ablation can relieve this pain, confirming the link between nerve compression. (Li et al., 2021) It’s as if your nerves are sending SOS signals, but the message gets garbled.

How Dr. Alexander Jimenez Helps MVA Victims in El Paso

In El Paso, Dr. Alexander Jimenez is like the Lurch of injury recovery—big on expertise and always there to help. As a chiropractor and family nurse practitioner, he brings a unique blend of holistic and evidence-based care to MVA victims. His clinic specializes in treating whiplash, back pain, and conditions such as thoracic outlet syndrome (TOS), utilizing functional medicine and advanced therapies to restore mobility and alleviate pain.

 

Integrative Care Approach

Dr. Jimenez’s dual licensure allows him to combine chiropractic adjustments with medical interventions, addressing both the structural and physiological aspects of injuries. His team, including chiropractors, nurse practitioners, and nutritionists, creates personalized treatment plans. For example, they might use chiropractic adjustments to correct spinal misalignment, physical therapy to strengthen muscles, and nutritional guidance to reduce inflammation. This integrative approach is like a well-orchestrated dance, as everyone works together for a flawless performance.

 

Supporting Legal and Medical Needs

Dr. Jimenez excels at correlating soft tissue and spinal injuries for personal injury attorneys and healthcare teams. By thoroughly documenting injuries through clinical evaluations and imaging, he ensures that the link between the MVA and symptoms, such as TOS, is clear. This is vital for legal claims, as it proves the accident caused the injury. His clinic’s focus on spine health and pain management makes him a trusted provider in El Paso.

 

Treatment Options

Some treatments offered include:

  • Chiropractic Adjustments: To realign the spine through mechanical and manual manipulation and reduce nerve compression.
  • Physical Therapy: Various exercises can help strengthen neck and shoulder muscles, improving stability. (Service, 2025)
  • Functional Medicine: Addressing inflammation and overall health to support recovery.
  • Pain Management: Techniques like nerve blocks or manual therapy to alleviate symptoms.

Dr. Jimenez’s approach helps to tinker with the body with a creative, precise, and effective method to promote health and wellness to the individual.

 

Documenting Ligamentous Injuries for Personal Injury Claims

Documenting injuries after an MVA is like keeping a detailed diary in the household. You need to record every creak and groan to understand the full story, as accurate documentation is essential for treatment and legal purposes.

 

Why Documentation Matters

  • Medical Treatment: Identifying ligament tears or instability through MRI or dynamic X-rays guides treatment, ensuring you receive the appropriate care, such as physical therapy or surgery, as needed.
  • Legal Claims: Proving that the accident caused your injuries is crucial for insurance claims or lawsuits. Detailed records link symptoms like TOS to the MVA.
  • Preventing Misdiagnosis: TOS is often misdiagnosed due to its vague symptoms. Proper documentation helps differentiate it from conditions like cervical radiculopathy.

 

How to Document

  • Clinical Evaluation: A thorough examination conducted by a healthcare provider, such as Dr. Jimenez, can identify signs of ligament damage or thoracic outlet syndrome (TOS).
  • Imaging: MRI shows soft tissue damage, while dynamic X-rays reveal instability.
  • Nerve Studies: Tests such as ulnar nerve conduction velocity can confirm thoracic outlet syndrome (TOS). (Hanif et al., 2007)
  • Medical Records: Detailed notes on symptoms, timeline, and treatments strengthen your case.

Without this, it’s like trying to convince people there’s no ghost in the attic. (Archie & Rigberg, 2017)

 

Challenges in Documentation

TOS is tricky to diagnose because its symptoms overlap with other conditions, like cervical disc disease. Studies note that TOS lacks standardized tests, making clinical expertise crucial. (Wang et al., 2019) Providers like Dr. Jimenez bridge this gap by combining clinical insight with diagnostic tools.

 

A Serious Note on Recovery

In addition to causing damage to your vehicle, auto accidents may also lower your quality of life. Seek medical attention right away if you experience weakness, arm numbness, or neck discomfort after a motor vehicle accident (MVA). Please don’t dismiss it as a bad day. If left untreated, these symptoms may indicate more severe diseases, including TOS or cervical instability. Seek treatment from a reputable professional who can help you recover with skill and empathy, such as Dr. Alexander Jimenez. In addition to assisting with your treatment, meticulously recording your injuries guarantees that you have the evidence you need to support any future legal claims. You are entitled to a pain-free and powerful return to your life.

 

Injury Medical Chiropractic & Personal Injury Clinic

We associate certified medical providers who understand the importance of assessing individuals experiencing TOS (thoracic outlet syndrome) associated with an auto accident. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for reducing the overlapping risk profiles of TOS correlated with being involved in an auto accident to promote speedy recovery. Dr. Alex Jimenez, D.C., utilizes this information as a professional academic service. Disclaimer

References

Archie, M., & Rigberg, D. (2017). Vascular TOS—Creating a Protocol and Sticking to It. Diagnostics, 7(2), 34. https://doi.org/10.3390/diagnostics7020034

Cavanna, A. C., Giovanis, A., Daley, A., Feminella, R., Chipman, R., & Onyeukwu, V. (2022). Thoracic outlet syndrome: a review for the primary care provider. Journal of Osteopathic Medicine, 122(11), 587-599. https://doi.org/10.1515/jom-2021-0276

Hanif, S., Tassadaq, N., Rathore, M. F., Rashid, P., Ahmed, N., & Niazi, F. (2007). Role of therapeutic exercises in neurogenic thoracic outlet syndrome. J Ayub Med Coll Abbottabad, 19(4), 85-88. https://www.ncbi.nlm.nih.gov/pubmed/18693607

Li, N., Dierks, G., Vervaeke, H. E., Jumonville, A., Kaye, A. D., Myrcik, D., Paladini, A., Varrassi, G., Viswanath, O., & Urits, I. (2021). Thoracic Outlet Syndrome: A Narrative Review. Journal of Clinical Medicine, 10(5), 962. https://doi.org/10.3390/jcm10050962

Sanders, R. J., Hammond, S. L., & Rao, N. M. (2007). Diagnosis of thoracic outlet syndrome. Journal of Vascular Surgery, 46(3), 601-604. https://doi.org/10.1016/j.jvs.2007.04.050

Service, N. H. (2025). Exercises for neck problems. https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/neck-and-back-problems-and-conditions/exercises-for-neck-problems

Tominaga, Y., Ndu, A. B., Coe, M. P., Valenson, A. J., Ivancic, P. C., Ito, S., Rubin, W., & Panjabi, M. M. (2006). Neck ligament strength is decreased following whiplash trauma. BMC Musculoskelet Disord, 7, 103. https://doi.org/10.1186/1471-2474-7-103

Wang, X. T., Yao, M., Zhong, M., Wang, Y. J., Shi, Q., & Cui, X. J. (2019). Thoracic outlet syndrome in a postoperative cervical spondylotic myelopathy patient: A case report. Medicine (Baltimore), 98(11), e14806. https://doi.org/10.1097/MD.0000000000014806

Disclaimer

Ligamentous Injuries: Insights from an Expert

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
A mature man helping a young woman to walk away from the car after an accident.

Understanding Ligamentous Injuries from Motor Vehicle Accidents: Clinical Rationale, Sciatica Connection, and Expert Care in El Paso

Ligamentous Injuries: Insights from an Expert

Motor vehicle accidents (MVAs) are a leading cause of injuries worldwide, with millions of people affected each year. Among the most common injuries sustained in MVAs are ligamentous injuries, which can have significant short- and long-term impacts on a person’s health. These injuries often affect the spine and surrounding structures, potentially leading to conditions like sciatica, a painful condition that can severely limit mobility and quality of life. In El Paso, Texas, Dr. Alexander Jimenez, DC, APRN, FNP-BC, stands out as a trusted provider for victims of personal injury, offering specialized care that bridges clinical treatment and legal documentation. This article examines the clinical rationale behind ligamentous injuries resulting from motor vehicle accidents (MVAs), their relationship to sciatica, and how Dr. Jimenez’s expertise and advanced diagnostic methods make him a trusted resource for El Paso personal injury cases.

What Are Ligamentous Injuries?

Ligaments are tough, fibrous bands of connective tissue that connect bones to other bones, providing stability to joints. In the context of MVAs, ligamentous injuries occur when these structures are stretched, torn, or otherwise damaged due to the sudden and forceful movements involved in a collision. Common areas affected include the cervical spine (neck), the lumbar spine (lower back), and other joints, such as the knees or shoulders.

How MVAs Cause Ligamentous Injuries

Motor vehicle accidents often involve high-impact forces, such as sudden acceleration, deceleration, or lateral movements. These forces can place extreme stress on ligaments, exceeding their normal range of motion. For example:

  • Whiplash: A rapid back-and-forth motion of the neck, common in rear-end collisions, can strain or tear ligaments in the cervical spine.
  • Side-Impact Collisions: These can cause lateral bending of the spine, stressing ligaments in the lower back or pelvis.
  • Rollovers: Multiple directional forces subject the body to complex injuries in these accidents.

According to a comprehensive study on soft tissue injuries, ligaments are particularly vulnerable in motor vehicle accidents (MVAs) because they are designed to withstand tension but not sudden, excessive force (Jimenez, 2024). When ligaments are injured, they may lose their ability to stabilize joints, resulting in pain, inflammation, and potential complications, such as sciatica.

Types of Ligamentous Injuries

We can classify ligamentous injuries based on their severity as follows:

  1. Sprains: Overstretching or minor tearing of ligaments, causing mild pain and swelling.
  2. Partial Tears: More significant damage, leading to instability and moderate to severe pain.
  3. Complete tears refer to a full rupture of a ligament, which often requires surgical intervention and results in significant joint instability.

These injuries can affect any ligament in the body, but in MVAs, the spine is a primary concern due to its role in supporting the body and housing the spinal cord and nerves.

References

Jimenez, A. (2024). Soft tissue injuries in motor vehicle accidents: A clinical perspective. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

The Clinical Rationale for Ligamentous Injuries in MVAs

Understanding why ligamentous injuries occur in motor vehicle accidents (MVAs) requires an examination of biomechanics and clinical evidence. Although ligaments are strong, they cannot withstand the abrupt forces of a car accident.

Biomechanical Factors

When a vehicle is involved in a collision, the occupants experience rapid changes in velocity. For instance, a rear-end collision may cause the body to thrust forward while the head lags, resulting in a shearing force on the cervical spine. Such impacts can stretch or tear ligaments, particularly in the anterior longitudinal ligament or posterior ligamentous complex (Jimenez, 2024).

The lumbar spine is also at risk, especially in high-speed or side-impact crashes. Sudden twisting or bending can damage ligaments, such as the iliolumbar ligament, which stabilizes the lower back and pelvis. These injuries disrupt the spine’s normal alignment, potentially compressing nerves and causing referred pain, such as sciatica.

Clinical Presentation

Patients with ligamentous injuries often present with:

  • Pain and Stiffness: Localized pain at the injury site, which may worsen with movement.
  • Swelling and Inflammation: Due to tissue damage and the body’s inflammatory response.
  • Reduced Range of Motion: Caused by pain and joint instability.
  • Neurological Symptoms: If the injury affects nearby nerves, patients may experience tingling, numbness, or radiating pain.

In severe cases, ligamentous injuries can lead to chronic pain or conditions like spinal instability, where the spine fails to maintain proper alignment during movement (Jimenez, 2024). This instability can exacerbate nerve compression, contributing to conditions like sciatica.

Why Ligamentous Injuries Are Often Overlooked

Ligamentous injuries can be challenging to diagnose because they may not appear on standard X-rays, which primarily show bones. Soft tissue damage requires advanced imaging, such as MRI or CT scans, to visualize ligaments and assess their integrity. Additionally, symptoms may not manifest immediately, leading to delayed diagnoses and prolonged recovery times.

References

Jimenez, A. (2024). Soft tissue injuries in motor vehicle accidents: A clinical perspective. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

The Connection Between Ligamentous Injuries and Sciatica

Sciatica is a condition characterized by pain that radiates along the sciatic nerve, which runs from the lower back through the hips, buttocks, and down each leg. While sciatica is often associated with herniated discs, ligamentous injuries from MVAs can also contribute to this condition by altering spinal mechanics and compressing nerves.

How Ligamentous Injuries Cause Sciatica

Ligamentous injuries in the lumbar spine can destabilize the vertebrae, leading to abnormal movement or misalignment. This can result in:

  • Nerve Compression: Damaged ligaments may allow vertebrae to shift, compressing the sciatic nerve roots (L4-S3).
  • Inflammation: Injured ligaments trigger inflammation, which can irritate nearby nerves, including the sciatic nerve.
  • Muscle Spasms: Compensatory muscle tightening in response to ligamentous instability can further compress nerves, exacerbating the condition.

According to Dr. Alexander Jimenez, a leading chiropractor and family nurse practitioner, ligamentous injuries are a significant yet underrecognized cause of sciatica in motor vehicle accident (MVA) victims (Sciatica Clinic, n.d.). The inflammation and instability caused by these injuries can mimic or exacerbate other spinal conditions, making accurate diagnosis critical.

Symptoms of Sciatica Linked to Ligamentous Injuries

Patients with sciatica caused by ligamentous injuries may experience:

  • Sharp or burning pain radiating from the lower back to the leg
  • Numbness or tingling in the buttocks, thigh, or foot
  • Weakness in the affected leg, making walking or standing difficult
  • Pain that worsens with sitting, coughing, or sneezing

If you fail to address the underlying ligamentous injury promptly, these symptoms can significantly impact your daily life.

Clinical Insights from Dr. Jimenez

Dr. Jimenez emphasizes that sciatica from ligamentous injuries requires a comprehensive approach to diagnosis and treatment. He notes that many patients initially attribute their pain to muscle strain, which can delay proper care. By using advanced imaging and diagnostic assessments, Dr. Jimenez can identify ligamentous damage and its role in sciatica, ensuring targeted treatment (Sciatica Clinic, n.d.).

References

Sciatica Clinic. (n.d.). Sciatica causes and treatments. Retrieved from https://sciatica.clinic/

El Paso Personal Injury Cases: The Role of Dr. Alexander Jimenez

El Paso, Texas, is a bustling city with a high volume of motor vehicle traffic, making MVAs a common occurrence. Personal injury cases related to motor vehicle accidents (MVAs) often involve complex medical and legal considerations, as victims seek compensation for medical expenses, lost wages, and pain and suffering. Dr. Alexander Jimenez has established himself as a trusted provider in El Paso, offering specialized care for MVA victims and serving as a critical link between medical treatment and legal documentation.

Dr. Jimenez’s Qualifications

Dr. Jimenez holds a unique combination of credentials that set him apart in the field of personal injury care:

  • Doctor of Chiropractic (DC): Specializing in spinal health and musculoskeletal injuries.
  • Advanced Practice Registered Nurse (APRN): Allowing him to provide advanced medical assessments and interventions.
  • As a Board-Certified Family Nurse Practitioner (FNP-BC), he is equipped to provide comprehensive primary care and coordinate multidisciplinary treatment.

This dual expertise in chiropractic and nursing allows Dr. Jimenez to address both the structural and systemic aspects of MVA injuries, making him an ideal provider for complex cases involving ligamentous damage and sciatica.

Enhanced Imaging and Diagnostic Assessments

Accurate diagnosis is the cornerstone of effective treatment for ligamentous injuries. Dr. Jimenez employs state-of-the-art diagnostic tools to evaluate MVA-related injuries, including:

  • Magnetic Resonance Imaging (MRI): To visualize soft tissues like ligaments and nerves.
  • Computed Tomography (CT) Scans: To assess bone alignment and detect subtle fractures.
  • Electromyography (EMG): To evaluate nerve function and identify compression or irritation.
  • Dynamic X-rays are used to assess joint stability during movement.

These tools enable Dr. Jimenez to precisely assess the extent of ligamentous damage and its impact on surrounding structures, including the sciatic nerve. For example, an MRI might reveal a partial tear in the iliolumbar ligament, while an EMG could confirm sciatic nerve irritation, guiding the development of a personalized treatment plan (Jimenez, 2024).

Dual-Scope Interventions

Dr. Jimenez’s treatment method employs “dual-scope interventions,” which combine chiropractic techniques with medical treatments to address both the physical and nerve-related aspects of MVA injuries. Common interventions include:

  • Chiropractic Adjustments: To restore spinal alignment and reduce nerve compression.
  • Physical Therapy: To strengthen muscles and improve joint stability.
  • Pain Management: Including non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections to reduce inflammation.
  • Regenerative therapies, such as platelet-rich plasma (PRP), are used to promote ligament healing.

This integrative approach ensures that patients receive comprehensive care that addresses the root cause of their symptoms, rather than just masking pain (Sciatica Clinic, n.d.).

Bridging Medical and Legal Needs

In personal injury cases, medical documentation is critical for securing fair compensation. Dr. Jimenez’s qualifications as both a chiropractor and a nurse practitioner enable him to provide detailed, medically accurate reports that meet the standards of legal proceedings. His reports include:

  • Injury Descriptions: Detailing the mechanism of injury and its clinical significance.
  • Diagnostic Findings: Summarizing imaging and test results in clear, accessible language.
  • Treatment Plans: Outlining the necessity and duration of care, which is crucial for establishing “medically essential” treatment.
  • The prognosis involves estimating long-term outcomes and potential complications, including chronic sciatica.

These reports are invaluable for attorneys representing MVA victims, as they provide a clear link between the accident, the injuries, and the required medical care. Dr. Jimenez’s ability to translate complex medical findings into legally actionable documentation makes him a vital asset in El Paso personal injury cases (Jimenez, 2024).

References

Jimenez, A. (2024). Soft tissue injuries in motor vehicle accidents: A clinical perspective. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

Sciatica Clinic. (n.d.). Sciatica causes and treatments. Retrieved from https://sciatica.clinic/

Treatment and Recovery for Ligamentous Injuries and Sciatica

Recovering from ligamentous injuries and associated sciatica requires a multidisciplinary approach tailored to the patient’s specific needs. Dr. Jimenez’s clinic in El Paso offers a range of treatments designed to promote healing, reduce pain, and restore function.

Conservative Treatments

For mild to moderate ligamentous injuries, conservative treatments are often effective:

  • Chiropractic Care: Adjustments to correct spinal misalignments and relieve nerve pressure.
  • Physical Therapy: Exercises to strengthen supporting muscles and improve flexibility.
  • Bracing or Taping: To stabilize joints and prevent further damage.
  • Lifestyle modifications reduce strain during daily activities.

These treatments aim to restore function without invasive procedures, which is particularly important for patients seeking to avoid surgery (Sciatica Clinic, n.d.).

Advanced Interventions

In cases of severe ligamentous damage or persistent sciatica, more advanced interventions may be necessary:

  • Corticosteroid Injections: To reduce inflammation around the sciatic nerve.
  • Minimally invasive procedures, such as radiofrequency ablation, are used to manage chronic pain.
  • Surgical Consultation: For complete ligament tears or significant spinal instability, Dr. Jimenez may refer patients to orthopedic specialists.

Dr. Jimenez’s ability to coordinate these interventions ensures that patients receive seamless care, from diagnosis to recovery (Jimenez, 2024).

Rehabilitation and Long-Term Management

Rehabilitation is a critical phase of recovery, focusing on restoring strength, mobility, and function. Dr. Jimenez’s team designs individualized rehab programs that may include:

  • Core Strengthening: To support the spine and prevent future injuries.
  • Postural Training: To correct movement patterns that exacerbate pain.
  • Pain Coping Strategies: Such as mindfulness or biofeedback to manage chronic discomfort.

For patients with sciatica, long-term management may involve periodic chiropractic adjustments or maintenance therapy to prevent recurrence (Sciatica Clinic, n.d.).

The Importance of Early Intervention

Early treatment is crucial for ligamentous injuries, as delayed care can lead to chronic pain, joint instability, or permanent nerve damage. Dr. Jimenez encourages MVA victims to seek evaluation as soon as possible, even if symptoms seem mild, to prevent complications like sciatica (Jimenez, 2024).

References

Jimenez, A. (2024). Soft tissue injuries in motor vehicle accidents: A clinical perspective. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

Sciatica Clinic. (n.d.). Sciatica causes and treatments. Retrieved from https://sciatica.clinic/

Why should El Paso residents choose Dr. Alexander Jimenez?

For El Paso residents injured in motor vehicle accidents (MVAs), Dr. Alexander Jimenez offers a unique combination of clinical expertise, advanced diagnostics, and legal acumen. His practice is built on a patient-centered philosophy that prioritizes

  • Comprehensive Care: Addressing both the physical injury and its broader impact on a patient’s life.
  • Evidence-Based Treatment: Using the latest research and technology to guide clinical decisions.
  • Dr. Jimenez collaborates with attorneys, imaging centers, and other specialists to ensure holistic care for his patients.

Testimonials and Community Impact

Dr. Jimenez has earned a reputation as a compassionate and effective provider in El Paso. Patients praise his thorough approach and ability to explain complex medical issues in simple terms. His clinic serves as a hub for personal injury care, helping countless MVA victims regain their health and navigate the legal process.

Accessibility and Convenience

Located in El Paso, Dr. Jimenez’s clinic is easily accessible to residents of the city and surrounding areas. The facility is equipped with cutting-edge diagnostic tools, and the staff is trained to handle the unique needs of personal injury patients, from scheduling urgent appointments to coordinating with legal teams.

References

Sciatica Clinic. (n.d.). Sciatica causes and treatments. Retrieved from https://sciatica.clinic/

Conclusion

Ligamentous injuries from motor vehicle accidents are a significant health concern, with the potential to cause chronic pain and conditions like sciatica. In El Paso, Dr. Alexander Jimenez stands out as a leading provider for personal injury victims, offering advanced diagnostics, dual-scope interventions, and legally actionable medical documentation. His unique qualifications as a chiropractor and nurse practitioner enable him to address both the clinical and legal aspects of motor vehicle accident (MVA) injuries, ensuring that patients receive the care they need and the compensation they deserve. By understanding the clinical rationale behind these injuries and seeking timely care from experts like Dr. Jimenez, MVA victims can achieve better outcomes and reclaim their quality of life.

References

Jimenez, A. (2024). Soft tissue injuries in motor vehicle accidents: A clinical perspective. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

Sciatica Clinic. (n.d.). Sciatica causes and treatments. Retrieved from https://sciatica.clinic/

Back Problems and Fender Bender: A Comprehensive Guide

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Explore the connection between back problems and fender bender incidents that can be caused. Find solutions and recovery tips inside.

Introduction

A slight fender bender may cause severe damage to the top, middle, and lower parts of the back due to the abrupt shock. Even minor crashes might result in injuries that cause ongoing agony and anguish. Do you experience back discomfort due to stiffness that makes it difficult to bend and turn? Do you have numbness or tingling in your limbs that you can get rid of simply by shaking them? Or are you unable to get out of bed because of your frequent headaches? After being involved in a fender-bender collision, many of these pain-like sensations are often associated with such situations. This article will cover the five typical back issues that may occur after a vehicle accident, their symptoms, and practical non-surgical treatments, with a particular emphasis on the role that chiropractic therapy plays in many people’s recovery.

Whiplash-Associated Disorders

One of the most common injuries in rear-end or front-end collisions is whiplash, where the neck and upper back are forcefully jerked back and forth rapidly like a whip. (Stroke, 2023) This causes the muscles, ligaments, and soft tissues to strain, resulting in pain and discomfort for individuals.

 

Symptoms

  • Neck and upper back pain or stiffness
  • Reduced range of motion
  • Headaches
  • Shoulder pain or tingling in the arms
  • Fatigue or dizziness

 

Non-Surgical Treatments

  • Chiropractic Care: Chiropractors use gentle spinal adjustments to restore alignment in the cervical and thoracic spine, reducing tension and improving mobility. Chiropractors incorporate various techniques, such as spinal manipulation and soft tissue therapy, that can help alleviate pain-like symptoms and promote healing of the back.
  • Physical Therapy: Individuals can incorporate various stretching and strengthening exercises to help restore flexibility and prevent stiffness.
  • Ice and Heat Therapy: Applying a cold pack initially reduces inflammation, while heat later relaxes tight muscles.
  • Pain Management: Over-the-counter anti-inflammatory medications (e.g., ibuprofen) can help manage discomfort.

Chiropractic care is particularly effective for whiplash because it addresses misalignments that may contribute to pain and restricted movement, offering a drug-free path to recovery.

 

Lumbar Sprains & Strains

The lower back (lumbar spine) is vulnerable to sprains (ligament injuries) and strains (muscle or tendon injuries) during a collision. The sudden impact can overstretch or tear these tissues, leading to acute pain.

 

Symptoms

  • Lower back pain that worsens with movement
  • Muscle spasms or cramping
  • Stiffness or difficulty standing upright
  • Pain radiating to the buttocks or thighs

 

Non-Surgical Treatments

  • Chiropractic Care: Chiropractors perform lumbar adjustments to correct spinal misalignments and relieve pressure on affected tissues. They may also employ techniques such as myofascial release to reduce muscle tension.
  • Rest and Activity Modification: Short-term rest followed by gradual reintroduction of movement prevents stiffness.
  • Therapeutic Exercises: Core-strengthening exercises, guided by a professional, stabilize the lower back. (Quentin et al., 2021)
  • Massage Therapy: This complements chiropractic care by relaxing tight muscles and improving circulation.

Chiropractic adjustments help restore proper spinal function, reducing pain and preventing chronic issues from developing in the lumbar region.

 

Herniated Discs

Herniated discs can happen when the soft inner portion of the spinal disc bulges through its outer portion within the spine. (Jin et al., 2023) Individuals involved in an auto collision may experience herniated discs due to the compressive forces, which can cause irritation to nearby nerves and lead to significant discomfort.

 

Symptoms

  • Sharp or burning pain in the back
  • Numbing or tingling sensations in the upper and lower extremities
  • Weakness in the affected area
  • Pain that worsens with sitting, bending, or coughing

 

Non-Surgical Treatments

  • Chiropractic Care: Chiropractors use non-invasive techniques, such as spinal decompression and gentle adjustments, to reduce pressure on the affected disc and nerves. These methods aim to reposition the disc and improve spinal alignment.
  • Epidural Steroid Injections: These can reduce inflammation around the nerve roots.
  • Physical Therapy: Exercises improve spinal stability and reduce strain on the disc.
  • Lifestyle Modifications: Avoiding activities that aggravate the injury, such as heavy lifting, supports healing.

Chiropractic care is a cornerstone of herniated disc treatment, as it focuses on restoring spinal mechanics without surgery, often providing significant relief from symptoms.

 

Facet Joint Injuries

Facet joints, which connect the vertebrae, can become irritated or injured during a fender bender, especially in side-impact crashes. (Du et al., 2022) This can lead to localized pain and restricted movement.

 

Symptoms

  • Localized back pain, often on one side
  • Pain that worsens with twisting or bending
  • Tenderness when pressing on the affected area
  • Stiffness in the spine

 

Non-Surgical Treatments

  • Chiropractic Care: Chiropractic adjustments target the facet joints to restore proper motion and reduce inflammation. Mobilization techniques can also alleviate stiffness.
  • Anti-inflammatory medications help manage pain and swelling.
  • Heat Therapy: Applying heat improves blood flow and relaxes surrounding muscles.
  • Posture Training: Correcting posture reduces stress on the facet joints. (Torres-Pareja et al., 2019)

Chiropractors excel at treating facet joint injuries by realigning the spine back to its neutral position and improving joint function, which can significantly reduce pain and restore mobility.

 

Thoracic Spine Injuries

The mid-back (thoracic spine) is less commonly injured due to its stability. However, a fender bender can still cause sprains, strains, or misalignments in this region, especially if the torso twists during impact.

 

Symptoms

  • Mid-back pain or aching
  • Stiffness when rotating the torso
  • Radiating chest pain in the ribs
  • Difficulty taking deep breaths

 

Non-Surgical Treatments

  • Chiropractic Care: Adjustments to the thoracic spine correct misalignments and improve joint mobility. Chiropractors can also incorporate soft tissue techniques, such as MET (muscle energy technique therapy), to address muscle tension.
  • Breathing Exercises: These help maintain rib cage mobility and reduce discomfort.
  • Postural Exercises: Strengthening the upper back prevents further strain. (Dareh-Deh et al., 2022)
  • TENS Therapy: Electrical stimulation therapy can reduce pain by interrupting nerve signals. (Teoli et al., 2025)

Chiropractic care is highly effective for thoracic injuries, as chiropractors can assess the root cause of pain and spinal misalignments while promoting natural healing and recovery.

 

Why Choose Chiropractic?- Video

Why Choose Chiropractic? | El Paso, Tx (2023)

The Power of Chiropractic Care

Chiropractic care stands out as a safe, non-invasive, and effective treatment for back problems after a fender bender. By focusing on spinal alignment, joint function, and soft tissue health, chiropractors address the underlying causes of pain rather than just masking symptoms. (Stephen Dies, 1992) Regular chiropractic visits can:

  • Reduce pain and inflammation
  • Restore range of motion
  • Prevent chronic pain by addressing injuries early
  • Support overall spinal health

Unlike surgical options, chiropractic care requires no downtime and avoids the overlapping risk profiles associated with invasive procedures. It’s also customizable, with chiropractors tailoring treatments to each patient’s specific injuries and needs.

 

When to Seek Care

If you experience back pain, stiffness, or other symptoms after a fender bender, don’t wait to seek treatment. Early intervention from auto collisions can help prevent minor injuries from developing into chronic conditions. Consult a chiropractor or healthcare provider for a thorough evaluation, which may include various imaging tests (such as X-rays or MRIs) to assess the extent of the injury that the body has sustained.

 

Conclusion

Back issues from whiplash to ruptured discs may result after a fender crash, but there is a way to heal with non-surgical therapies, especially chiropractic adjustments. Spinal adjustments, therapeutic exercises, and complementary treatments can help individuals restore their mobility and improve their quality of life by addressing symptoms such as pain, stiffness, and numbness. After a vehicle accident, it’s critical to put your spinal health first and consider chiropractic adjustments as a vital component of your recovery.

 

Injury Medical Chiropractic & Personal Injury Clinic

We associate certified medical providers who understand the importance of assessing individuals with back pain associated with a fender bender collision. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their back pain correlated with being involved in an auto accident to promote speedy recovery. Dr. Alex Jimenez, D.C., utilizes this information as a professional academic service. Disclaimer

References

Dareh-Deh, H. R., Hadadnezhad, M., Letafatkar, A., & Peolsson, A. (2022). Therapeutic routine with respiratory exercises improves posture, muscle activity, and respiratory pattern of patients with neck pain: a randomized controlled trial. Sci Rep, 12(1), 4149. https://doi.org/10.1038/s41598-022-08128-w

Du, R., Xu, G., Bai, X., & Li, Z. (2022). Facet Joint Syndrome: Pathophysiology, Diagnosis, and Treatment. J Pain Res, 15, 3689-3710. https://doi.org/10.2147/JPR.S389602

Jin, Y. Z., Zhao, B., Zhao, X. F., Lu, X. D., Fan, Z. F., Wang, C. J., Qi, D. T., Wang, X. N., Zhou, R. T., & Zhao, Y. B. (2023). Lumbar Intradural Disc Herniation Caused by Injury: A Case Report and Literature Review. Orthop Surg, 15(6), 1694-1701. https://doi.org/10.1111/os.13723

Quentin, C., Bagheri, R., Ugbolue, U. C., Coudeyre, E., Pelissier, C., Descatha, A., Menini, T., Bouillon-Minois, J. B., & Dutheil, F. (2021). Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health, 18(16). https://doi.org/10.3390/ijerph18168430

Stephen Dies, J. W. S. (1992). Chiropractic treatment of patients in motor vehicle accidents: a statistical analysis †. J Can Chiropr Assoc., 36(3), 139-145. https://pmc.ncbi.nlm.nih.gov/articles/PMC2484939/

Stroke., N. I. o. N. D. a. (2023). Whiplash Information Page.  Retrieved from https://www.ninds.nih.gov/health-information/disorders/whiplash

Teoli, D., Dua, A., & An, J. (2025). Transcutaneous Electrical Nerve Stimulation. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/30725873

Torres-Pareja, M., Sanchez-Lastra, M. A., Iglesias, L., Suarez-Iglesias, D., Mendoza, N., & Ayan, C. (2019). Exercise Interventions for Improving Flexibility in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis. Medicina (Kaunas, Lithuania), 55(11). https://doi.org/10.3390/medicina55110726

Disclaimer

Bunions: From Early Signs to Treatment Paths

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Close-up of a foot with a bunion corrector on a decorative carpet in a home setting.

How can someone manage the early signs of bunions?

Bunions: From Early Signs to Treatment Paths

Bunions

A bunion, also known as hallux valgus, is a painful bone lump on the side of the big toe. Misalignment of the big toe is the most common cause of bunions. If you have bunions, you can notice redness, thicker skin, swelling, and pain around your big toe joint. You can’t stop a bunion from growing, but you can manage your symptoms as they get worse. Pain management tactics and various treatment options are among the first indicators of bunions. (MedlinePlus, 2024)

Early Signs That Can Be Seen

Bunions typically begin as small growths and do not usually cause noticeable problems. In the early stages of a bunion, you may experience the following symptoms around the metatarsophalangeal (MTP) joint, which joins the base of your big toe to the remainder of your foot. (American Academy of Orthopaedic Surgeons, 2022)

  • Irritation
  • Swelling, darkened epidermis
  • Hard epidermis that has thickened
  • A bony mass is present.
  • Prominence in which the big toe moves toward the second toe or even under it
  • Corns and calluses

Physical Symptoms at an Early Stage

Bunions may not be immediately visible, but they can cause discomfort even in the early stages. These are some early indicators that a bunion is getting bigger. (MedlinePlus, 2024)

  • Pain in the foot and big toe
  • When wearing tight, narrow-toed shoes or walking, this soreness is more apparent.
  • Decreased movement of the big toe
  • Tenderness
  • Inflammation
  • Swelling
  • Stiffness
  • Heat

Stages

Bunions are often progressive, meaning they tend to deteriorate over time. Complications may arise if you fail to prevent the growth of your bunions. The following symptoms characterize bunions in their advanced phases: (American Academy of Orthopaedic Surgeons, 2022)

  • Chronic, severe pain situated in and around the MTP joint, as well as the sides and sole of your foot
  • Bursitis is a condition that results in the formation of a fluid-filled cyst at the base of the big toe.
  • Your big toe is bending toward and even crossing over your second toe.
  • Overgrowth of bone along the side of your big toe
  • Inability to accommodate your typical footwear
  • Struggling to continue
  • In hammer toe deformities, the middle of the second, third, or fourth toes bends upwards, approximating a claw or hammer.
  • Hallux rigidus is a form of arthritis that affects the large toe.

Halt the Advancement

Bunions will become permanent once they have begun to develop. Nevertheless, there are a few methods to prevent them from deteriorating or resulting in additional complications. Which of the following are included (American Academy of Orthopaedic Surgeons, 2022)

  • Not wearing shoes that don’t fit right or high heels
  • Wearing orthopedic shoes or shoes that are wide, comfortable, have soft soles, and have low heels
  • Putting spacers between your toes so they don’t scrape against each other
  • Putting over-the-counter (OTC) pads consisting of felt, silicone, or foam over the bunion
  • Stretching your calf muscles to help your joints line up better

Management of Pain

Ice packs and non-steroidal anti-inflammatory drugs (NSAIDs), such as Motrin (ibuprofen) or Advil, can be effective in alleviating bunion discomfort. Studies have also shown that Botox injections into the forefoot muscles may help alleviate pain. (Hurn, S. E., et al., 2022)

Non-surgical Treatment in the Early Stages

If your bunions continue to worsen after trying the steps mentioned above, you may need to consult a podiatrist (foot doctor) or another healthcare professional. A doctor may suggest

Orthotics, or foot orthoses

  • Orthoses, also referred to as foot orthoses, are inserts specifically engineered to alleviate discomfort associated with bunions and prevent chafing.

Splints

Physical Therapy

  • A physical therapist can help you improve the alignment of your feet and joints by prescribing exercises and may carry out manual therapy to alleviate discomfort. (Hurn, S. E., et al., 2022)

Podiatrist

A podiatrist is a medical doctor (M.D.) who specializes in treating health problems that affect the feet, ankles, and lower legs. If you want help with your bunion issues, ask your doctor for a referral to a podiatrist. (American Podiatric Medical Association, 2025)

Chiropractic Treatment

Managing bunions from a chiropractor’s and nurse practitioner’s perspective involves addressing biomechanical issues, pain, inflammation, and potential progression of the condition. Below is an integrated approach based on insights from both professions, focusing on conservative, non-surgical strategies:

Chiropractor’s Perspective

Chiropractors focus on the musculoskeletal system, alignment, and biomechanics, which can play a significant role in bunion management. Their approach often emphasizes the role of foot function in the overall health of the body.

  1. Foot and Lower Body Alignment:
    • Assessment: Chiropractors evaluate foot mechanics, gait, and posture to identify contributing factors, such as overpronation, flat feet, or pelvic imbalances.
    • Adjustments: Manual adjustments to the foot (e.g., mobilizing the tarsal or metatarsal bones) or other areas (such as the ankle, knee, hip, or spine) may improve alignment and reduce stress on the big toe joint.
    • Example: Correcting an overpronated foot can reduce medial stress on the hallux valgus (bunion).
  2. Soft Tissue Therapy:
    • Techniques such as myofascial release or active release therapy can address tight or overworked muscles (e.g., the abductor hallucis) and fascia in the foot.
    • Benefit: Improves flexibility and reduces tension around the bunion, potentially slowing deformity progression.
  3. Custom Orthotics or Footwear Advice:
    • Chiropractors may recommend custom orthotics to support the arch, stabilize the foot, and redistribute pressure away from the bunion.
    • Suggest wide-toe-box shoes to reduce compression on the big toe and promote natural foot movement.
  4. Exercise and Rehabilitation:
    • Strengthening Exercises such as toe curls and marble pickups aim to improve the intrinsic foot muscles and enhance the mobility of the big toe.
    • Stretching: Stretches for the Achilles tendon, calf muscles, and plantar fascia to reduce strain on the forefoot.
    • Example: Toe spreader exercises or using toe spacers to encourage proper alignment.
  5. Lifestyle and Ergonomic Advice:
    • Avoid wearing high heels or narrow shoes, as they can exacerbate bunions.
    • Weight management can help reduce pressure on the feet, as excess weight can aggravate symptoms.

Nurse Practitioner’s Perspective

Nurse practitioners (NPs) approach bunions from a primary care and medical management standpoint, focusing on symptom relief, patient education, and coordinating care.

  1. Pain and Inflammation Management:
    • Medications: Recommend over-the-counter NSAIDs (e.g., ibuprofen) for pain and inflammation, with guidance on safe use.
    • Topical Treatments: Suggest topical anti-inflammatory gels or creams for localized relief.
    • Ice Therapy: Apply ice packs (15-20 minutes) to reduce swelling and discomfort, especially after prolonged periods of standing.
  2. Patient Education and Self-Care:
    • Educate on bunion progression and the importance of early intervention.
    • Recommend a pad or a Moleskine to protect the bunion from friction and pressure in shoes.
    • Consider using nighttime splints or toe spacers to maintain alignment, although evidence on their efficacy is mixed.
  3. Footwear and Orthotic Guidance:
    • Similar to chiropractors, NPs emphasize proper footwear (wide-toe-box, low-heel shoes) and may refer to a podiatrist or orthotist for custom orthotics.
    • Recommend avoiding activities that exacerbate symptoms, such as prolonged standing in tight shoes.
  4. Referral and Coordination:
    • NPs may refer to a podiatrist or orthopedic specialist if conservative measures fail or if the bunion causes significant pain or deformity.
    • Coordinate care for patients with comorbidities (e.g., diabetes, arthritis) that complicate bunion management, ensuring foot health is prioritized to prevent ulcers or infections.
  5. Monitoring and Preventive Care:
    • Conduct routine foot examinations to track the advancement of bunions, particularly in individuals with risk factors such as family history or connective tissue disorders.
    • Screen for related conditions (e.g., plantar fasciitis, hammertoes) that may worsen with bunions.

Integrated Approach

Combining chiropractic and NP perspectives creates a holistic plan:

  • Initial Assessment: The nurse practitioner (NP) evaluates overall health, pain levels, and medical history, while the chiropractor assesses biomechanics and gait.
  • Pain Relief: NPs guide on medications or ice therapy, while chiropractors provide manual therapy to reduce joint stress.
  • Corrective Measures: Chiropractors prescribe exercises and orthotics, and NPs reinforce footwear and self-care strategies.
  • Long-Term Management: Both monitor progress, with NPs coordinating referrals if needed and chiropractors optimizing foot function to prevent recurrence.

Evidence and Notes

  • Studies suggest conservative measures (orthotics, exercises, proper footwear) can reduce pain and slow bunion progression in mild to moderate cases. However, severe cases may require surgical evaluation (Journal of Foot and Ankle Research, 2018).
  • Toe spacers and splints may help alleviate symptoms, but they don’t correct the deformity in the long term (American Academy of Orthopaedic Surgeons).
  • Both professionals emphasize the importance of patient compliance with footwear changes and exercises for optimal outcomes.

When to Seek Further Care

  • If the patient’s pain persists despite conservative measures, it’s time to seek additional care.
  • Significant deformity or difficulty walking.
  • NPs can evaluate symptoms of infection, skin deterioration, or numbness to identify systemic problems, such as neuropathy.

For personalized care, consult a chiropractor for biomechanical assessment and a nurse practitioner for medical management. If needed, they can refer you to a podiatrist for specialized foot care.

Injury Medical Chiropractic and Functional Medicine Clinic

Dr. Jimenez is a nurse practitioner who combines medical knowledge with chiropractic care to address a wide range of health issues. The clinic has individualized care plans that include functional medicine, acupuncture, electroacupuncture, and sports medicine. The clinic focuses on strength, agility, and flexibility to help those with chronic pain syndromes and injuries. Patients of all ages and abilities can get personalized treatment and wellness outcomes with comprehensive care plans and in-person and virtual health coaching.

Enhance Your Performance with Functional Foot Orthotics

References
MedlinePlus (2024). Bunions. U.S. Department of Health and Human Services.
American Academy of Orthopaedic Surgeons. (2022). “Bunions.” OrthoInfo. from https://orthoinfo.aaos.org/en/diseases–conditions/bunions/.
Hurn, S. E., Matthews, B. G., Munteanu, S. E., & Menz, H. B. (2022). Effectiveness of Nonsurgical Interventions for Hallux Valgus: A Systematic Review and Meta-Analysis. Arthritis care & research, 74(10), 1676–1688. https://doi.org/10.1002/acr.24603
Aebischer, A. S., & Duff, S. (2020). Bunions: A review of management. Australian Journal of General Practice, 49(11), 720–723. https://doi.org/10.31128/AJGP-07-20-5541
American Podiatric Medical Association. (2025). “What is a podiatrist?” Advancing foot and ankle medicine and surgery. from https://www.apma.org/patients-and-the-public/what-is-a-podiatrist/.

Auto Accident: Essential Recovery Tips For Delayed Symptoms

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Identifying the delayed symptoms that auto accident survivors may encounter is essential. Stay informed to ensure your health and safety.

Introduction

Both the body and the psyche may be severely affected by auto accidents, even little ones. Some injuries may show up days, weeks, or months later, while others may be seen right away. It is possible to greatly enhance rehabilitation and quality of life by identifying these delayed symptoms, comprehending their effects, and knowing how to react. This article looks at seven typical delayed symptoms, describes what to do while the symptoms are gone, talks about how it affects the body and day-to-day activities, and looks at successful therapies such chiropractic adjustments.

 

Seven Common Delayed Symptoms

Delayed symptoms often arise due to the body’s initial adrenaline surge, which can mask pain, or because soft tissue injuries take time to manifest. Here are seven symptoms to watch for:

  1. Neck Pain or Stiffness: Whiplash, a common injury resulting from rear-end collisions, can cause neck pain, stiffness, or a reduced range of motion. Symptoms can emerge days or weeks after the accident. This common injury causes sudden biphasic movements, thus leading to injuries to the bony, muscular, and ligamentous structures of the body. (Alektoroff & Papanagiotou, 2021)
  2. Headaches: Post-traumatic headaches, often linked to whiplash or mild traumatic brain injury, may start days later and range from tension-type to migraines. These cause the individual to have increased pain sensitivity and cervical musculoskeletal impairments. (Di Antonio et al., 2023)
  3. Back Pain: Strains, sprains, or herniated discs in the lower or upper back may not cause immediate discomfort but can develop as inflammation builds. Additionally, back pain is associated with impaired movement coordination, which can affect the body’s sensory function. (Delitto et al., 2012)
  4. Numbness or Tingling: Nerve damage or compression, such as from a pinched nerve or herniated disc; these musculoskeletal issues can lead to tingling or numbness in the arms, legs, or hands.
  5. Fatigue or Sleep Issues: Physical trauma or stress from the accident can disrupt sleep patterns, leading to chronic fatigue or insomnia over time.
  6. Cognitive or Emotional Changes: Symptoms like difficulty concentrating, memory problems, anxiety, or irritability may indicate a concussion or post-traumatic stress.
  7. Joint Pain or Swelling: Joint injuries, such as those to the shoulders or knees, may cause delayed swelling, stiffness, or pain due to inflammation or damage to the cartilage.

 

What to Do During the Delay Period

The period before symptoms appear is critical for protecting your health and legal rights. Here are key steps to take:

  • Seek Medical Evaluation: Even if a person feels fine, visiting a healthcare provider within 24–72 hours is crucial. They can perform a thorough exam, order imaging (e.g., X-rays or MRIs), and document latent injuries.
  • Monitor Your Health: Keep a daily journal of physical and mental changes, no matter how minor. Note pain, discomfort, or mood shifts to help identify patterns.
  • Avoid Strenuous Activity: Individuals should refrain from heavy lifting, intense exercise, or activities that could exacerbate underlying injuries, such as running or participating in contact sports.
  • Document the Accident: Individuals should take photos of everything, including the accident scene, vehicle damage, and any visible injuries that may have occurred during the accident. They should also collect witness statements and file reports with the police for insurance and legal purposes within the time frame of the accident.
  • Consult a Specialist: If symptoms emerge or your primary provider recommends it, schedule appointments with specialists, such as chiropractors, neurologists, or orthopedic doctors.
  • Follow Up Regularly: Schedule follow-up visits to track your condition, as some symptoms may take several weeks to appear.
  • Notify Your Insurance: Make sure to report the accident to the insurance company promptly, but avoid giving detailed statements about your health until you have been fully evaluated.

 

Car Accident Injury Rehabilitation- Video

Car accident Injury Rehabilitation | El Paso, Tx

Impact on Quality of Life & the Body

Delayed symptoms can significantly affect both physical health and daily life. Physically, untreated injuries may worsen, leading to chronic conditions. For example:

  • Musculoskeletal Damage: Whiplash or back injuries can lead to muscle spasms, reduced mobility, or chronic pain if left untreated.
  • Neurological Effects: Concussions or nerve compression may impair cognitive function, balance, or sensation, complicating daily tasks.
  • Inflammation and Scarring: Soft tissue injuries can lead to prolonged inflammation or the formation of scar tissue, which can limit flexibility and cause discomfort. Additionally, chronic inflammation, when left untreated, can lead to joint damage and tenderness if there are pre-existing conditions like rheumatoid arthritis. (Gessl et al., 2021)

Quality of life often suffers as a result. Chronic pain or fatigue can hinder work performance, leading to lost income or job stress. Sleep disturbances and emotional changes, like anxiety or depression, may strain relationships or reduce social engagement. Simple activities, such as driving, exercising, or sitting for extended periods, may become painful or difficult, which can lower overall well-being.

 

Treatment Options: Chiropractic Care & More

Treating delayed symptoms requires a comprehensive approach tailored to the injury. Below are effective treatments with a focus on chiropractic care:

  • Chiropractic Care: Chiropractors specialize in diagnosing, assessing, and treating musculoskeletal injuries, especially those involving the spine. They use spinal adjustments, manipulations, and soft tissue therapies to:
    • Restore joint mobility and alignment to reduce pain from whiplash or back injuries. (Stephen Dies, 1992)
    • Relieve nerve compression to address numbness or tingling.
    • Chiropractic care promotes natural healing by improving blood flow and reducing inflammation.
    • Regular chiropractic sessions can prevent chronic pain and improve recovery outcomes.
  • Physical Therapy: Targeted exercises and stretches strengthen muscles, improve flexibility, and restore range of motion. Therapists may use heat, ice, or ultrasound to relieve pain. To that point, physical therapy can improve the individual’s body function and reduce disability. (Hon et al., 2021)
  • Pain Management: Over-the-counter medications (e.g., ibuprofen) or prescription drugs can reduce inflammation and pain. In severe cases for pain management, corticosteroid injections may be recommended.
  • Massage Therapy: This complements chiropractic care by relaxing tight muscles, reducing spasms, and improving circulation, especially for neck or back pain.
  • Cognitive or Psychological Therapy: For concussion-related symptoms or emotional distress, cognitive behavioral therapy (CBT) or counseling can address anxiety, memory issues, or PTSD.
  • Lifestyle Adjustments: Incorporating rest, a balanced diet, and stress management techniques (e.g., meditation or yoga) supports recovery and reduces fatigue.
  • Medical Interventions: In rare cases, surgery may be needed for severe injuries like herniated discs or fractures. Consult an orthopedic specialist for evaluation.

 

Conclusion

After an automobile accident, delayed symptoms might be unexpected, but they can be lessened with prompt action and appropriate care. By identifying symptoms such as headaches, neck discomfort, or cognitive problems, getting medical attention quickly, and implementing therapies like chiropractic adjustments, you can always safeguard your health and well-being. To restore strength and well-being, be proactive by keeping an eye on your symptoms, heeding your doctor’s recommendations, and making your recovery a top priority. For tailored medical advice on your health and well-being, generally speaking, you should always speak with a healthcare provider.

 

Injury Medical Chiropractic & Functional Medicine Clinic

We associate certified medical providers who understand the importance of assessing individuals with pain-like delayed symptoms affecting their musculoskeletal system when involved in an auto accident. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain correlated with musculoskeletal issues after being involved in an auto accident to promote recovery. Dr. Alex Jimenez, D.C., utilizes this information as a professional academic service. Disclaimer

References

Alektoroff, K., & Papanagiotou, P. (2021). [Whiplash injury of the cervical spine]. Radiologe, 61(8), 710-713. https://doi.org/10.1007/s00117-021-00877-5 (Schleudertrauma der Halswirbelsaule.)

Delitto, A., George, S. Z., Van Dillen, L., Whitman, J. M., Sowa, G., Shekelle, P., Denninger, T. R., & Godges, J. J. (2012). Low Back Pain. Journal of Orthopaedic & Sports Physical Therapy, 42(4), A1-A57. https://doi.org/10.2519/jospt.2012.42.4.a1

Di Antonio, S., Arendt-Nielsen, L., & Castaldo, M. (2023). Cervical musculoskeletal impairments and pain sensitivity in migraine patients. Musculoskelet Sci Pract, 66, 102817. https://doi.org/10.1016/j.msksp.2023.102817

Gessl, I., Popescu, M., Schimpl, V., Supp, G., Deimel, T., Durechova, M., Hucke, M., Loiskandl, M., Studenic, P., Zauner, M., Smolen, J. S., Aletaha, D., & Mandl, P. (2021). Role of joint damage, malalignment and inflammation in articular tenderness in rheumatoid arthritis, psoriatic arthritis and osteoarthritis. Ann Rheum Dis, 80(7), 884-890. https://doi.org/10.1136/annrheumdis-2020-218744

Hon, S., Ritter, R., & Allen, D. D. (2021). Cost-Effectiveness and Outcomes of Direct Access to Physical Therapy for Musculoskeletal Disorders Compared to Physician-First Access in the United States: Systematic Review and Meta-Analysis. Phys Ther, 101(1). https://doi.org/10.1093/ptj/pzaa201

Stephen Dies, J. W. S. (1992). Chiropractic treatment of patients in motor vehicle accidents: a statistical analysis †. J Can Chiropr Assoc., 36(3), 139-145. https://pmc.ncbi.nlm.nih.gov/articles/PMC2484939/

Disclaimer

Differential Diagnosis in Sciatica Part 2

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Differential Diagnosis in Sciatica Part 2

When you visit a doctor’s office for a medical concern, the healthcare professional will perform various diagnostic procedures to determine the source of your symptoms. The doctor will review the patient’s current symptoms and medical history as well as the patient’s results from a physical evaluation to diagnose an injury and an underlying condition.  

 

Once the healthcare professional has reviewed the patient’s current symptoms, medical history, and results from the physical evaluation, the doctor will make a list of the probable injuries and underlying conditions that may be causing the patient’s signs. This is the differential diagnosis. A differential diagnosis refers to the process of differentiating between two or more health issues that share similar signs and symptoms. The doctor will perform additional tests or assessments to rule out specific injuries and underlying conditions to reach a final diagnosis and follow up with treatment.  

 

The differential diagnosis generally varies depending on the health issue. Various health issues can cause common symptoms, which may make it challenging to determine the source of the pain and discomfort. Sciatica is a collection of symptoms rather than a single condition, and it can frequently occur as a symptom associated with various health issues. Sciatica is characterized as pain, tingling sensations, and numbness due to compression or impingement along the length of the sciatic nerve.  

 

Sciatica commonly occurs when an underlying health issue results in the compression or impingement of the sciatic nerve in the lower back. A bulging or herniated disk is one of the most common causes of sciatica. However, various other underlying health issues can cause sciatica, and determining what causes sciatica is necessary for proper treatment. In part 2 of this article, we will demonstrate the differences between sciatica and other health issues with similar painful symptoms. 

 

Sacroiliac Joint Dysfunction

Experts generally attribute between 15 and 30 percent of chronic low back pain cases to the sacroiliac joint. Irritation, swelling, or inflammation of one or more sacroiliac joints is commonly referred to as sacroiliac joint dysfunction, sacroiliac joint disease, or sacroiliitis. Moreover, sacroiliac joint dysfunction or disease may cause sacroiliitis.  

 

sacroiliac joint dysfunction diagram | El Paso, TX Chiropractor  

Sacroiliac joint dysfunction is characterized as a sharp, stabbing pain that radiates from the pelvis and hips, down into the lower back or lumbar spine, and throughout the legs. Patients might experience tingling sensations or numbness. Every person experiences symptoms of SI joint dysfunction differently, and the signs can vary from person to person, depending on the source of the sacroiliac joint dysfunction. Common signs and symptoms of SI joint dysfunction include: 

 

  • low back pain
  • pain in the buttocks, hips, and pelvis
  • pain in the groin
  • painful symptoms in the SI joints
  • pain when standing from a sitting position
  • stiffness
  • burning sensations
  • weakness
  • numbness
  • pain radiating down into the thighs and legs
  • feeling like the legs may buckle and not support the weight of the body

 

Because the joints are situated deep within the human body, it often makes it difficult for healthcare professionals to diagnose the health issue. The healthcare professional may perform various tests to diagnose SI joint dysfunction, including provocative tests, injections, and imaging techniques such as X-rays, MRIs, and CT scans, in order to determine the appropriate treatment.  

 

Gluteus Tendinopathy

Gluteus medius tendinopathy (GMT), also known as dead butt syndrome (DBS), is a painful health issue caused by the inflammation of the tendons in the gluteus medius muscle. Although GMT most commonly affects athletes, it can also affect people starting a new exercise program, during an intense workout routine, or due to an underlying health issue.  

 

The common symptoms associated with gluteus medius tendinopathy, or GMT, include pain and discomfort, stiffness, and weakness in the hip or buttocks region. The painful symptoms can generally worsen throughout weight-bearing exercises, such as walking, running, and climbing. For many people, the pain and discomfort associated with dead butt syndrome, or DBS, can radiate down the hips, buttocks, and legs or thighs, similar to sciatica and hamstring tendinopathy. Sciatica is a collection of symptoms characterized by pain and discomfort, tingling sensations, and numbness along the sciatic nerve.  

 

Gluteal Medius Tendinopathy Diagram 2 | El Paso, TX Chiropractor  

Many patients diagnosed with GMT also report experiencing painful symptoms when lying in bed on the affected hip or buttocks region, as well as pain, discomfort, stiffness, and weakness throughout the night and upon rising in the morning. Moreover, if DBS progresses beyond the initial stage, the hip bursa may become inflamed, leading to a condition known as trochanteric bursitis, which can also result in swelling, tenderness, redness, or warmth in the hip, among other related health issues.  

 

When the tendon becomes inflamed due to an injury or an aggravated underlying condition, such as fibromyalgia, the gluteus medius can fail to trigger appropriately; hence, the “dead butt” term is utilized as an alternate name for this health issue. People sitting down for extended periods of time may cause their hip flexors to become tight, and failure to stretch before physical activities can cause DBS. If not treated, gluteus medius tendinopathy (GMT), or dead butt syndrome (DBS), can cause problems like trochanteric bursitis, IT band syndrome, and plantar fasciitis, along with other health issues.

 

 

 

 

Ischiogluteal Bursitis

A bursa is a fluid-filled sac that functions by helping to decrease friction around the joints. However, when the fluid inside a bursa becomes infected or irritated due to excessive movement, the bursa can become swollen, causing pain and discomfort, ultimately making it difficult to move the affected joint. This health issue is commonly known as bursitis.  

 

 

Although bursitis generally occurs in the knee, called “housemaid’s knee,” or in the elbow, called “tennis elbow,” it can occur in any joint in the human body. When it occurs in the buttocks, it is known as ischiogluteal bursitis. Here, the bursa is between the ischial tuberosity at the pelvis base and the hamstring tendon.  

 

Bursitis Diagram | El Paso, TX Chiropractor

 

 

The symptoms of ischiogluteal bursitis can be similar to those of hamstring tendonitis. Several of the most common symptoms associated with ischiogluteal bursitis include pain and discomfort as well as tenderness in the buttocks region. Painful symptoms may frequently occur when stretching the hamstring muscle or flexing the knee against resistance.  

 

 

The symptoms of ischiogluteal bursitis can also be similar to those of sciatic nerve pain. Sciatica is a collection of symptoms characterized by pain, discomfort, tingling sensations, and numbness. While the symptoms of ischiogluteal bursitis may be similar to those of sciatica, sciatic nerve pain occurs when the sciatic nerve is irritated, compressed, or impinged due to an injury and an aggravated condition. An infection causing ischiogluteal bursitis can ultimately lead to a fever.

 

 

 

The three most common causes of bursitis are generally due to injury or trauma, infection, and crystal deposits. Trauma can include repetitive movements or a blow to the region. For example, an injury may occur as a result of a fall. Occasionally, trauma or injury can cause blood to leak into the bursa, causing ischiogluteal bursitis or any other type of bursitis.  

 

Infection, septic bursitis, or an infection in the bursa generally occurs in the joints that are located closer to the surface of the human body. This health issue frequently affects men; however, it does not seem to be a leading cause of ischiogluteal bursitis. Crystal deposits can also form around the joints when there is too much uric acid in the human body. Crystal deposits also cause gout, which shares many similar symptoms with bursitis.  

 

Proximal Hamstring Injury

Hamstring injuries are several of the most common types among athletes. These make up for most days or even weeks missed each year among AFL football players. The majority of partial or complete tears include either the hamstring muscle belly or the distal musculotendinous junction. However, a proximal hamstring injury is ultimately uncommon. For example, an injury may occur as a result of a fall. This type of injury accounts for under 10 percent of all hamstring injuries, along with other related health issues.  

 

The proximal hamstring tendon can become injured through progressive stretching or through sudden and intense contraction when the hip is forcefully flexed over an extended knee. In younger patients with an average proximal hamstring tendon, injuries can occur from activities like sprinting or hurdling; however, the athletes most commonly affected in this case are waterskiers who fall forward while keeping their knee extended. In elderly patients, proximal hamstring injuries can result from different types of trauma, such as slipping on a wet surface or inadvertently performing the “splits.” 

 

Proximal hamstring injuries could include complete tendon or incomplete/partial tears. Young patients frequently avulse or fracture the bone and tendon in the pelvis or ischium. In older patients, the tendon usually avulses or tears from the bone of the ischium ‘s attachment point. Occasionally, the tendon may tear in its midsubstance, leaving a stump of tendon still attached to the bone. People frequently refer to this type of injury as a partial tear. 

 

Proximal Hamstring Injury Diagram 2 | El Paso, TX Chiropractor  

Adductor Injuries

Acute damage to the muscles of the groin is known as an adductor muscle strain. Although various muscles in the human body can be injured, the adductor longus, medius, magnus, and gracilis are some of the most well-known muscle groups to be affected by an injury. According to healthcare professionals, strains are muscle tears that generally occur due to the powerful contraction of the muscles against resistance, often during what is referred to as an eccentric load.  

 

Groin Strains Diagram 1 | El Paso, TX Chiropractor  

An adductor muscle strain occurs during acute muscle contraction, such as during kicking, pivoting, or skating. Factors that can predispose a person to injury include failure to properly stretch or warm up and fatigue from overuse. The risk of experiencing an adductor strain increases with sports involving strides like sprinting, soccer, and hockey. Sports with repeated movements like football, martial arts, and gymnastics can also substantially increase the risk of experiencing an adductor strain. Struggling to warm up, stretch, or be properly conditioned can also cause an adductor muscle strain.  

 

The symptoms associated with an adductor muscle strain most commonly involve various painful symptoms, which are most frequently related to other types of muscle strain. Common symptoms of an adductor muscle strain include a sudden onset of pain and discomfort, occasionally accompanied by the feeling of a pop in the inner section of the thigh, as well as the inability to maintain action after the first onset of painful symptoms. Because an adductor strain may cause groin or hip pain, many patients and healthcare professionals may confuse this type of injury with sciatica or sciatic nerve pain.  

 

People frequently refer to this type of injury as a partial tear of the adductor tendons, adduction of the legs and of the injured leg. Pain can develop gradually or cause sudden and severe, sharp pain. A swelling or a lump may also be experienced from the adductor muscle(s), stiffness at the groin area, or an inability to contract or extend the adductors. Acute cases restrict exercises and physical activities due to the tendon’s inability to withstand repeated tensile loading.  

 

adductor tendinopathy diagram 2 | El Paso, TX Chiropractor  

Many sports, including running, soccer, horse riding, gymnastics, and swimming, trigger the adductors. The repetitive movements and the continuous change of direction in physical activities activate the adductor tendon, which makes athletes more prone to developing adductor tendinopathy and other groin injuries. Other causes of adductor tendinopathy can include over-stretching of the adductor tendons or a sudden increase in training intensity, particularly if the training type changes significantly.  

 

Adductor tendinopathy may occur due to considerable leg length discrepancy, which affects gait pattern. Poor or abnormal movement patterns may also overly stress the adductor tendons. Muscular length gaps, strength imbalances, or weakness in the thoracic muscles or abdominals can also significantly contribute to the development of adductor tendinopathy. Other causes include a failure to properly warm up, inactivity, fatigue, obesity, age-related weaknesses, genetics, or degeneration.  

 

Spinal Tumors

Other health issues typically cause back pain. However, when painful symptoms are caused by spinal tumors, it’s essential for a healthcare professional to perform an accurate diagnosis to follow up with proper treatment. There are three types of tumors that can cause back pain: vertebral column tumors, intradural-extramedullary tumors, and intramedullary tumors.  

 

spinal tumor diagram | El Paso, TX Chiropractor

 

Tumors in the spine can cause back pain when the growth weakens the bone, which can ultimately result in spinal fractures, compression or impingement of the nerves, and spinal distress. Acute cases restrict exercises and physical activities due to the tendon’s inability to withstand repeated tensile loading. The spinal tumor irritates the sciatic nerve. Furthermore, the following symptoms below may ultimately be commonly associated with a spinal tumor, including 

 

  • Symptoms may include neck pain or back pain, which can be followed by neurological health issues such as tingling sensations, weakness, and numbness in both the upper and lower extremities, along with abnormal bladder and bowel habits.
  • Painful symptoms, particularly in the morning
  • Severe pain with manipulation of the affected region of the spine
  • training intensity, particularly if the training type changes significantly
  • Other health issues typically cause back pain. These symptoms may include loss of appetite, nausea, vomiting, weight loss, fever, or chills.

 

If any tumor is located in the spine and if there’s no other known cancer, a healthcare professional may perform a series of comprehensive evaluations and additional testing of all common organs in which cancer can develop. Because many vertebral column tumors originate from cancer in another organ, the ultimate goal of spinal tumor treatment is to 

 

  • Other symptoms that may accompany back pain include appetite loss, which is more likely to occur by removing pressure on the nerve roots
  • Maintain neurological structure and function by removing pressure on the spinal cord
  • Correct structural and functional instability in the spine by correcting the unstable spine with a spinal fusion

 

 

As previously mentioned, when you seek medical attention for a health issue, it’s essential for the healthcare professional to accurately diagnose your medical concern in order to follow-up with the proper treatment. A differential diagnosis is a list of possible injuries and/or underlying conditions which may be causing symptoms. Sciatica, a group of signs and symptoms commonly characterized by pain, discomfort, tingling sensations, and numbness, is a well-known health issue which can have many differential diagnosis. – Dr. Alex Jimenez D.C., C.C.S.T. Insight

 

 

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The purpose of the article was to discuss the differential diagnosis of sciatica with various other health issues. Accurate diagnosis and proper treatment are important for sciatic nerve pain management. We focus our information on chiropractic, musculoskeletal, and nervous health issues, along with functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. 

 

 

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XXYMOGEN’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 the office so that we can assign a doctor for your consultation and provide immediate access.

 

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

 

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For your convenience and review of the XYMOGEN products, please review the link: *XYMOGEN-Catalog-Download

 

 

 

Additional Topic Discussion: Severe Sciatica

 

 

Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain is 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. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and aggravated conditions, such as herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms; however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.  

 

 

 

 

 

 

 

Formulas for Methylation Support

Xymogen Formulas - El Paso, TX

 

 

 

 

XXYMOGEN’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 the office so that we can assign a doctor for your consultation and provide 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 link: *XYMOGEN-Catalog-Download

 

Benefits of Chiropractic and Nurse Practitioners After MVC

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
A young injured woman in a plastic stretcher after a car accident, covered by thermal blanket. Top view.
What are the advantages of having a chiropractor and a nurse practitioner therapy team help with spine health after a motor vehicle accident?

Benefits of Chiropractic and Nurse Practitioners for Motor Vehicle Collisions

Motor vehicle collisions (MVCs) are a major source of spinal injuries, including whiplash, ruptured discs, and soft tissue injuries, which can cause excruciating pain and limit movement. These injuries often require multimodal therapy for both short-term symptoms and long-term rehabilitation. Chiropractors specialize in musculoskeletal therapy, including manual therapies and spine adjustments, while nurse practitioners, as advanced practice registered nurses, provide medical examinations, write prescriptions, and supervise general health management. The collaboration of these specialists aims to provide a comprehensive, patient-centered strategy for spine health following MVC. (Kent, R., et al., 2023) A chiropractic and nurse practitioner combination can deliver an extensive spinal health treatment for individuals recuperating from car accident injuries, emphasizing pain management and enhancement of mobility.
  1. A chiropractic and nurse practitioner team can offer a comprehensive approach to spinal health after a car accident by addressing pain, improving mobility, and facilitating faster recovery.
  2. Chiropractors focus on spinal alignment and joint mobility.
  3. Nurse practitioners provide broader medical oversight and patient education.
  4. The team approach can lead to more effective and personalized care for individuals recovering from car accident injuries. (Riva, J. J., et al., 2010)

Important benefits of working together like this

A chiropractor and nurse practitioner (NP) can work together to give you complete care for your spine health after an automobile accident (MVC). They can meet both your short- and long-term needs.

Holistic and Multidisciplinary Care

  • Collaborative care between chiropractors and NPs tackles both structural and systemic issues, resulting in better outcomes, notably for MVC-related spinal injuries, chronic neck pain, and headaches. (Riva, J. J., et al., 2010)

Treatment Plans That Are Customized

  • Chiropractors and NPs design individualized treatment programs, considering each patient’s unique circumstances, including any history of accidents or health issues, current medications, and preexisting conditions. This method improves results by customizing treatment to each individual’s needs.

Pain Management Without Overreliance on Medications

  • Chiropractic therapy relieves pain using non-invasive approaches, potentially reducing narcotic consumption. NPs can provide short-term pain treatment while monitoring side effects, guaranteeing safety, and lowering the risk of reliance. This mix of natural pain treatment and medical supervision reduces dependence and negative consequences. (Prater, C., Tepe, M., & Battaglia, P. 2020)

Faster recovery and rehabilitation

  • Chiropractic adjustments can improve joint function and minimize muscular spasms, as shown in car accident treatment. NPs can send patients to physical therapy and track their progress, expediting recovery and reducing the risk of chronic back pain. This integrated care promotes recovery while reducing long-term problems such as chronic back pain.

Legal Assistance and Insurance

  • Chiropractic and medical providers must properly document injuries and treatments for insurance claims or legal lawsuits following a motor vehicle accident to ensure equitable reimbursement and care coverage.

The Reason for Its Success Post-MVC

A chiropractor and a nurse practitioner work together to help people with their spine health following a motor vehicle collision (MVC). This team integrates nurse practitioners’ medical management skills with chiropractors’ chiropractic knowledge to speed healing, lower the risk of chronic conditions, and improve patient outcomes. This method is very helpful for complicated MVC-related spine injuries since it provides rapid alleviation and long-term health.

Chiropractic and Functional Medicine Clinic for Injuries

Dr. Jimenez is a nurse practitioner who uses medical knowledge and chiropractic care to help people with various health issues. The clinic offers individualized care plans that include functional medicine, acupuncture, electro-acupuncture, and sports medicine. The clinic tackles chronic pain syndromes and injuries by focusing on strength, agility, and flexibility. Patients of all ages and abilities get personalized treatment and wellness results through comprehensive care plans and health coaching in person and online.

Personal Injury Rehabilitation

References
Kent, R., Cormier, J., McMurry, T. L., Johan Ivarsson, B., Funk, J., Hartka, T., & Sochor, M. (2023). Spinal injury rates and specific causation in motor vehicle collisions. Accident; analysis and prevention, 186, 107047. https://doi.org/10.1016/j.aap.2023.107047 Riva, J. J., Muller, G. D., Hornich, A. A., Mior, S. A., Gupta, A., & Burnie, S. J. (2010). Chiropractors and collaborative care: An overview illustrated with a case report. The Journal of the Canadian Chiropractic Association, 54(3), 147–154. Prater, C., Tepe, M., & Battaglia, P. (2020). Integrating a Multidisciplinary Pain Team and Chiropractic Care in a Community Health Center: An Observational Study of Managing Chronic Spinal Pain. Journal of primary care & community health, 11, 2150132720953680. https://doi.org/10.1177/2150132720953680

Pain Management: Finding Relief Fast After An Auto Accident

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Car accident recovery: Understand the importance of pain management and methods for better healing after an accident.

Introduction

Car crashes can cause a variety of ailments that may impact the body. Soft tissue injuries from car crashes are among the most frequent and may cause severe pain and discomfort in many parts of the body, making it difficult to go about everyday activities and necessitating a methodical approach to pain treatment. Do some of your headaches make you want to be in a dark, quiet place? Does your shoulder range of motion seem limited to you? Or do your shoulders and lower back hurt to the point of radiating? Soft tissue injuries, their symptoms, and both surgical and non-surgical treatment options are the main topics of this article’s suggestions for post-accident pain management.

 

Understanding Soft Tissue Injuries

Soft tissue injuries damage muscles, tendons, ligaments, and fascia. Common examples include whiplash, sprains, strains, and contusions. These injuries frequently occur during automobile accidents due to sudden forces exerted on the body, such as rapid deceleration or impact. The mechanisms of soft tissue injuries can become an issue as they can affect a person’s functionality, especially if the area has overlapping risk profiles. (Arosarena & Eid, 2021)

 

Symptoms of Soft Tissue Injuries

Various symptoms of soft tissue injuries depend on where the injury is located and how severe it is, but often include:

  • Pain and Tenderness: Localized or diffuse pain that worsens with movement or pressure.
  • Swelling: Inflammation due to fluid buildup in the affected area.
  • Stiffness: Reduced range of motion in joints or muscles.
  • Bruising: Discoloration from damaged blood vessels beneath the skin.
  • Muscle Spasms: Involuntary contractions causing discomfort.
  • Weakness: Reduced strength in the injured area, often noticeable in sprains or strains.
  • Neck or Back Pain: Common musculoskeletal pain associated with whiplash, where pain may radiate to the shoulders or arms due to a cracking sound within the cervical spine, causing pain to appear either hours or days. (Bannister et al., 2009)

 

Beyond the Surface: Understanding the Effects of Personal Injury- Video

Beyond the Surface: Understanding the Effects of Personal Injury | El Paso, Tx (2024)

Guidelines for Pain Management

Effective pain management after an automobile accident requires a comprehensive approach tailored to the individual’s injury severity, medical history, and response to treatment. The following guidelines provide a framework for managing pain associated with soft tissue injuries.

 

1. Initial Assessment & Diagnosis

  • Medical Evaluation: Individuals should seek immediate medical attention to assess the extent of injuries. A healthcare provider may use physical exams, imaging (e.g., X-rays, MRIs), or diagnostic tests to identify soft tissue damage.
  • Pain Assessment: Document pain levels using tools like the Visual Analog Scale (VAS) to guide treatment planning.
  • Monitor Symptoms: Track symptoms over time, as some injuries, like whiplash, may have delayed onset.

 

2. Non-Surgical Treatment Options

Non-surgical treatments are typically the first line of management for soft tissue injuries, aiming to reduce pain and inflammation and promote healing.

 

RICE

  • Rest: Limit activities that exacerbate pain to allow tissues to heal.
  • Ice: Apply cold packs every fifteen to twenty minutes every hour to reduce swelling and numbness in the affected area. (Hubbard & Denegar, 2004)
  • Compression: Use elastic bandages to minimize swelling, ensuring not to wrap too tightly.
  • Elevation: Elevating the injured area above the heart level can help reduce fluid buildup.
  • Evidence: RICE is widely recommended for acute soft tissue injuries to manage initial symptoms affecting the musculoskeletal system.

 

Medications

  • Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can temporarily help relieve pain and inflammation in soft tissues.
  • Muscle Relaxants: Prescribed for muscle spasms, particularly in whiplash cases.
  • Topical Analgesics: Creams or patches for localized pain relief.
  • Considerations: Long-term NSAID use should be monitored to avoid gastrointestinal or cardiovascular side effects.

 

Physical Therapy

  • Stretching and Strengthening: Guided exercises to restore mobility and strength.
  • Manual Therapy: Massage or myofascial release incorporates various techniques to reduce tension.
  • Modalities: Ultrasound, electrical stimulation, or heat therapy to enhance healing. (Papadopoulos & Mani, 2020)
  • Evidence: Physical therapy is effective for chronic whiplash and other soft tissue injuries, improving function and reducing pain.

 

Alternative Therapies

  • Acupuncture: May reduce pain by stimulating specific points in the body.
  • Chiropractic Care: Spinal adjustments to alleviate pain, particularly for neck and back injuries.
  • Massage Therapy: Helps promote relaxation and reduces muscle tension where the affected area needs attention.

Acupuncture and chiropractic care show promise for pain relief in soft tissue injuries through various results. Chiropractic care can incorporate soft tissue mobilization to increase internal rotation and improve range of motion by reducing musculoskeletal pain. (Jusdado-García & Cuesta-Barriuso, 2021)

 

Psychological Support

  • Cognitive Behavioral Therapy (CBT): Helps manage chronic pain by addressing emotional and psychological factors.
  • Mindfulness and Relaxation Techniques: Reduces stress-related pain amplification.

 

3. Surgical Treatment Options

Surgery is rarely required for soft tissue injuries; however, they are considered during severe cases or when conservative treatments fail.

 

Arthroscopic Surgery

They are used to repair or remove damaged tissue from torn ligaments or tendons (e.g., rotator cuff tears). They are minimally invasive, utilizing smaller incisions to reduce persistent pain or instability, creating a faster recovery.

 

Tendon or Ligament Repair

  • Open surgery to reattach or reconstruct severely torn tendons or ligaments is often followed by extensive rehabilitation to restore function.
  • Indication: Complete tears causing significant functional impairment.

 

Fasciotomy

  • Rarely used for severe contusions causing compartment syndrome, where pressure buildup threatens tissue viability.
  • Involves cutting the fascia to relieve pressure.
  • Risks: Infection, scarring, and prolonged recovery.

 

4. Rehabilitation & Long-Term Management

  • Gradual Return to Activity: Follow a structured rehabilitation plan to prevent re-injury.
  • Pain Monitoring: Regularly assess pain levels to adjust treatments as needed.
  • Lifestyle Modifications: Maintain a healthy weight, practice good posture, and avoid activities that strain the injured area.

Structured rehabilitation programs improve outcomes for soft tissue injuries by providing multimodal treatments that are customized for the individual. (Bussières et al., 2016)

 

Considerations & Precautions

  • Individualized Care: Treatment plans should account for age, overall health, and injury severity.
  • Avoid Overtreatment: Overuse of medications or unnecessary surgeries can lead to complications.
  • Follow-Up: Regular check-ups to monitor recovery and address persistent pain.
  • Legal and Insurance Aspects: Documents of injuries and treatments for insurance claims or legal proceedings should be related to the accident.

 

Conclusion

After a car accident, pain treatment calls for a multimodal approach, especially for soft tissue injuries such sprains, strains, and whiplash. When non-surgical therapies like RICE, medicines, physical therapy, and, in rare instances, surgery are combined with timely medical assessment, people may have excellent pain relief and recovery. The best results are guaranteed when medical specialists are consulted and evidence-based recommendations are followed.

Injury Medical Chiropractic & Functional Medicine Clinic

We associate certified medical providers who understand the importance of assessing individuals with pain-like symptoms affecting their musculoskeletal system. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain correlated with musculoskeletal issues after being involved in an auto accident. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer

References

Arosarena, O. A., & Eid, I. N. (2021). Mechanisms of Soft Tissue Injury. Facial Plast Surg, 37(4), 424-431. https://doi.org/10.1055/s-0041-1727247

Bannister, G., Amirfeyz, R., Kelley, S., & Gargan, M. (2009). Whiplash injury. The Journal of Bone and Joint Surgery. British volume, 91-B(7), 845-850. https://doi.org/10.1302/0301-620x.91b7.22639

Bussières, A. E., Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Hayden, J., Hendrickson, B., Hincapié, C., Pagé, I., Passmore, S., Srbely, J., Stupar, M., Weisberg, J., & Ornelas, J. (2016). The Treatment of Neck Pain–Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline. Journal of Manipulative and Physiological Therapeutics, 39(8), 523-564.e527. https://doi.org/10.1016/j.jmpt.2016.08.007

Hubbard, T. J., & Denegar, C. R. (2004). Does Cryotherapy Improve Outcomes With Soft Tissue Injury? J Athl Train, 39(3), 278-279. https://www.ncbi.nlm.nih.gov/pubmed/15496998

https://pmc.ncbi.nlm.nih.gov/articles/PMC522152/

Jusdado-García, M., & Cuesta-Barriuso, R. (2021). Soft Tissue Mobilization and Stretching for Shoulder in CrossFitters: A Randomized Pilot Study. International Journal of Environmental Research and Public Health, 18(2), 575. https://doi.org/10.3390/ijerph18020575

Papadopoulos, E. S., & Mani, R. (2020). The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain. Int J Low Extrem Wounds, 19(4), 350-358. https://doi.org/10.1177/1534734620948343

Disclaimer

Spine and Back Pain Assistance Tips After A Car Accident

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Learn about spine and back pain recovery strategies to manage your condition effectively and regain mobility after a car accident.

Introduction

An individual may sustain physical injuries to their back, spine, and upper and lower limbs after a vehicle collision, particularly if it was mild. Acute or persistent pain might arise from injuries caused by the abrupt forces involved in a collision. Can you feel your shoulders, back, and neck becoming stiff? Does the discomfort radiate down from your back? Or do your headaches keep getting in the way of your everyday activities? In this lesson, we will examine the causes of back and spine pain, identify its symptoms, and discuss how people may heal and restore their quality of life with the use of efficient therapies like chiropractic adjustments.

 

Spine & Back Pain Causes After a Car Accident

The spine and back are vulnerable during a car accident due to the rapid acceleration, deceleration, and twisting motions that occur. Common causes of pain include:

  1. Whiplash and Soft Tissue Injuries: A person in a rear-end collision will experience a common injury known as whiplash. This musculoskeletal injury occurs when the head and neck are forcefully jerked forward and backward. (Stroke, 2023) This can strain or tear muscle tissue structures in the neck and upper back, leading to the development of pain and stiffness throughout the body.
  2. Herniated Discs: The impact of a car collision can cause the spinal segments to compress or displace the intervertebral discs, causing them to bulge or rupture. This may irritate nearby nerves, compressing them, resulting in back pain-associated numbness or weakness within the upper and lower extremities. (Ge et al., 2019)
  3. Spinal Misalignment: The sudden jolts and movements the body experiences after a car collision can misalign the spinal vertebrae, disrupting the spine’s natural curvature. This can lead to numerous pain-like symptoms, such as muscle spasms, restricted movement, and pain.
  4. Fractures or Dislocations: In severe accidents, the spinal vertebrae may fracture or dislocate, causing intense pain and potential nerve damage. These injuries can negatively influence an individual’s social and financial situation when being treated. (Fakharian et al., 2017)
  5. Facet Joint Injuries: The facet joints, which connect the vertebrae, can become sprained or damaged during a collision, leading to pain.

 

Symptoms of Spine & Back Pain

Depending on the collision’s severity, the spine and back can develop symptoms depending on the type of injury the person is experiencing. Common signs include:

  • Localized or Radiating Pain
  • Stiffness
  • Muscle Spasms
  • Numbness or Tingling
  • Headaches
  • Fatigue or Weakness

Delayed onset of symptoms is common, with pain or discomfort appearing hours or days after the accident. Seeking prompt medical evaluation is critical to prevent complications.

 

From Injury to Recovery with Chiropractic Care- Video

From Injury to Recovery with Chiropractic Care | El Paso, Tx (2023)

The Role Of Chiropractic Care in Treatment

Chiropractic care is a non-surgical treatment option focusing on restoring spinal alignment, improving mobility, and reducing pain within the musculoskeletal system. It is particularly effective for managing spine and back pain caused by car accidents. Key benefits of chiropractic care include:

  1. Spinal Adjustments: Chiropractors use controlled, manual techniques to realign the spine, relieve pressure on the compressed nerves, and restore joint function. This can reduce pain, improve mobility, and restore the normal range of spinal movement. (Choi et al., 2015)
  2. Soft Tissue Therapy: Chiropractors can incorporate massage or myofascial release techniques to help relax the tight muscles, reduce spasms, and promote healing in strained ligaments and tendons.
  3. Pain Management: Since chiropractic care can alleviate pain without reliance on medications, which may have side effects. Chiropractic adjustments and therapies target the root cause of discomfort.
  4. Rehabilitation Support: Chiropractors often provide exercises and stretches as part of the individual’s customized treatment plan to strengthen muscles and prevent future injuries.
  5. Holistic Approach: Chiropractic care emphasizes overall wellness, addressing physical symptoms and lifestyle factors that impact the person’s recovery process.

Chiropractic care is effective for conditions like whiplash, which is associated with neck and lower back pain. Compared to standard medical care, it reduces pain and improves function. (Bryans et al., 2014)

 

Other Treatment Options

While chiropractic care is highly effective, a comprehensive treatment plan may include:

  • Physical Therapy: To restore strength and flexibility back to the body while reducing low back and neck pain. (Alrwaily et al., 2019)
  • Pain Management: Over-the-counter or prescription medications for short-term relief.
  • Medical Imaging: X-rays, MRIs, or CT scans to diagnose fractures or herniated discs.
  • Surgery: In rare cases, for severe injuries like spinal fractures or significant disc herniations.

 

When to Seek Care

Individuals involved in a car accident must have a prompt evaluation by a healthcare provider, such as a chiropractor or physician. Even if symptoms are mild, this is essential because if the injuries are untreated, they can cause overlapping risk profiles or long-term complications to the body. A chiropractor can assess spinal alignment, recommend a personalized treatment plan, and coordinate with other providers.

 

Conclusion

Back and spine discomfort after a vehicle accident may significantly affect a person’s day-to-day activities, but recovery can be aided by prompt action and the right treatment. In order to manage pain, restore function, and avoid chronic problems, chiropractic therapy provides a safe and efficient solution. A chiropractor is essential in helping accident victims recover their health since they can determine the root causes of pain-like symptoms and promote general wellbeing.

 

Injury Medical Chiropractic & Personal Injury Clinic

We associate certified medical providers who understand the importance of assessing individuals with pain-like symptoms affecting their spines and backs. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain correlated with musculoskeletal issues. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer

References

Alrwaily, M., Schneider, M., Sowa, G., Timko, M., Whitney, S. L., & Delitto, A. (2019). Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial. Braz J Phys Ther, 23(6), 506-515. https://doi.org/10.1016/j.bjpt.2018.10.003

Bryans, R., Decina, P., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Ruegg, R. P., Shaw, L., Watkin, R., & White, E. (2014). Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther, 37(1), 42-63. https://doi.org/10.1016/j.jmpt.2013.08.010

Choi, J., Lee, S., & Jeon, C. (2015). Effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis. J Phys Ther Sci, 27(6), 1937-1939. https://doi.org/10.1589/jpts.27.1937

Fakharian, E., Mohammadzadeh, M., Saberi, H. R., Fazel, M. R., Rejali, M., Akbari, H., Mirzadeh, A. S., & Mohammadzadeh, J. (2017). Spinal injury resulting from car accident: Focus to prevention. Asian J Neurosurg, 12(2), 180-184. https://doi.org/10.4103/1793-5482.152110

Ge, C. Y., Hao, D. J., Yan, L., Shan, L. Q., Zhao, Q. P., He, B. R., & Hui, H. (2019). Intradural Lumbar Disc Herniation: A Case Report and Literature Review. Clin Interv Aging, 14, 2295-2299. https://doi.org/10.2147/CIA.S228717

Stroke., N. I. o. N. D. a. (2023). Whiplash Information Page.  Retrieved from https://www.ninds.nih.gov/health-information/disorders/whiplash

Disclaimer

Exercise and Dementia: Benefits for Brain Health

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
selective focus of senior multicultural athletes synchronous exercising on step platforms at gym

Is it true that exercise improves general health and lowers the risk of dementia in the elderly?

Exercise and Dementia: Benefits for Brain Health

Physical Activity and Dementia Prevention

Dementia is a group of disorders that affect memory and thinking. It is currently the seventh biggest cause of mortality in the world (World Health Organization, 2025). Every year, about 10 million new instances of dementia are identified worldwide (Yoon J.H. et al., 2023). A study that looked at the link between exercise and insulin in the brain found that regular exercise may help the brain work better and may even lower the risk of getting dementia. Scientists have found that things like.

Muscles necessitate exercise and movement. Those who do not engage in physical activity develop inflexible muscles, which impede insulin’s ability to function effectively. The body becomes more responsive to insulin when it moves, as it softens and squeezes those muscles. Dementia may be prevented by identifying methods to decrease insulin resistance.

Physical Activity Associated with Reduced Risk

For two weeks, researchers observed 21 older persons with prediabetes and discovered that exercise helps the brain control insulin, which directly improves cognitive function. They finished 12 supervised moderate-to-high-intensity exercise sessions. (Malin S. K. et al., 2025)

  • The finding indicated a significant increase in brain-derived extracellular vesicles carrying insulin-related proteins.
  • These tiny messengers help neurons communicate and play a crucial role in maintaining the brain.
  • AKT (protein kinase B, or PKB) is a group of three serine/threonine-specific protein kinases that play crucial roles in various cellular processes, including cell survival, growth, metabolism, and cell cycle regulation.
  • The protein is believed to be a major player in insulin signaling and has implications for neuronal cell growth and health.
  • Poor insulin response can lead to dementia, so the idea that exercise can help prevent this by possibly increasing insulin signaling is significant.

These results suggest that physical activity could be an easy and low-cost method to help keep your brain healthy over the long term, but further research is needed. In the next part of the project, researchers will employ an insulin spray and MRIs to learn more about how insulin changes how the brain works. To learn more about how the insulin spray works, they will examine how blood flows in the brain before and after giving it.

Insulin and Physical Activity are Crucial for Cognitive Health

Insulin is a hormone that controls blood sugar. The pancreas makes it. But its part in brain health is just as important. There are many insulin receptors in the brain. When insulin binds to them, it helps neurons talk to each other and strengthens synaptic connections, which help with learning and remembering. (Gray, S. M., Meijer, R. I., & Barrett, E. J. 2014)

The brain is more susceptible to cognitive decline when insulin signaling is inadequate, as evidenced by conditions such as type 2 diabetes. (Yoon J.H. et al., 2023) Research indicates that insulin resistance plays a role in the accumulation of amyloid-beta plaques and tau tangles, which are fundamental features of Alzheimer’s disease. (Hong, S., Han, K., & Park, C. Y. 2021) These changes in the brain might happen more slowly or not at all if insulin sensitivity improves. Exercise, especially aerobic exercise, is good for the health of your brain. Studies have shown that adults who exercise can improve or maintain their memory and reasoning skills. (Rosenberg A. et al., 2020) Additional methods for enhancing mental health include:

  • Staying socially involved
  • Challenging the mind
  • Getting Restful Sleep
  • Stress Management
  • Healthy diet
  • Staying active.
  • Managing Diabetes
  • Managing Blood Pressure

The future of dementia prevention will likely involve a combination of lifestyle interventions, including exercise and medications, to achieve the most significant impact. Regular exercise has the potential to substantially reduce the risk of dementia in individuals with diabetes or prediabetes and to support the maintenance of optimal brain health.

Injury Medical Chiropractic and Functional Medicine Clinic

Dr. Jimenez is a Family Practice Nurse Practitioner who uses advanced medical knowledge and chiropractic care to treat various illnesses. We combine Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine at our clinic to make personalized care programs that help people heal naturally, move around, and stay healthy for a long time. We give patients the tools they need to succeed, no matter their age or health problems, by focusing on flexibility, agility, and strength. We at El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center are very dedicated to helping people who have been hurt or have chronic pain. We have programs for people of all ages and impairments that focus on improving flexibility, mobility, and agility. We ensure that every patient gets tailored care and wellness outcomes by using in-person and virtual health coaching and full care plans.

Is Motion the Key to Healing?

References

World Health Organization. (2025). “Dementia.” World Health Organization. from https://www.who.int/news-room/fact sheets/detail/dementia#:~:text=Alzheimer%20disease%20is%20the%20most,60%E2%80%9370%25%20of%20cases.

Yoon, J. H., Hwang, J., Son, S. U., Choi, J., You, S. W., Park, H., Cha, S. Y., & Maeng, S. (2023). How Can Insulin Resistance Cause Alzheimer’s Disease?. International Journal of Molecular Sciences, 24(4), 3506. https://doi.org/10.3390/ijms24043506

Malin, S. K., Battillo, D. J., Beeri, M. S., Mustapic, M., Delgado-Peraza, F., & Kapogiannis, D. (2025). Two weeks of exercise alters neuronal extracellular vesicle insulin signaling proteins and pro-BDNF in older adults with prediabetes. Aging cell, 24(1), e14369. https://doi.org/10.1111/acel.14369

Gray, S. M., Meijer, R. I., & Barrett, E. J. (2014). Insulin regulates brain function, but how does it get there?. Diabetes, 63(12), 3992–3997. https://doi.org/10.2337/db14-0340

Hong, S., Han, K., & Park, C. Y. (2021). The insulin resistance by triglyceride glucose index and risk for dementia: population-based study. Alzheimer’s research & therapy, 13(1), 9. https://doi.org/10.1186/s13195-020-00758-4

Rosenberg, A., Mangialasche, F., Ngandu, T., Solomon, A., & Kivipelto, M. (2020). Multidomain Interventions to Prevent Cognitive Impairment, Alzheimer’s Disease, and Dementia: From FINGER to World-Wide FINGERS. The Journal of Prevention of Alzheimer’s disease, 7(1), 29–36. https://doi.org/10.14283/jpad.2019.41

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