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Athletic Training Checklist: EP Functional Wellness Clinic

By
Dr. Alex Jimenez
-
back view of personal trainer standing near african american athlete lifting barbell

For individuals starting an exercise program and professional athletes, training must be well-spent to develop fitness and specific sports skills. It is important to remember basic athletic training concepts to ensure you are making the most of the workouts. Working one-on-one with a sports medicine doctor, chiropractor, physical therapist, or personal trainer can help individuals achieve fitness goals.

Athletic Training Checklist: EP's Chiropractic Team

Athletic Training Checklist

Abilities and Interests

  • Individuals need to enjoy the training to stick with the program long enough to see results.
  • Rather than picking a generic program or doing what everyone else is doing, adjust workout time and intensity to fit your lifestyle, current fitness level, and ability to push when needed.
  • Choose a workout routine that meets your personal goals.
  • Working with a trainer is highly recommended if you don’t know where to begin.
  • For more advanced individuals, a personal trainer is a great way to fine-tune a fitness plan.

Keep It Simple

  • Athletic training involves consistency and focus.
  • Simplify the training by alternating hard, easy, long, and short workouts and sports skills practice.
  • Remember to enjoy the workouts and listen to your body.

Be Mindful of Overtraining

  • The body does not get stronger by constantly training.
  • The body needs to rest and be allowed to recover to develop.
  • Fitness is built by alternating workouts with recovery.
  • The best way to avoid overtraining is to listen to your body.
  • If your heart rate remains elevated after sleeping, or the legs feel heavy, and if motivation fades, more rest may be needed.
  • For individuals who train year-round, taking a week off every three months is recommended, and it is also the time to change the training routine.

Variation

  • Vary the workouts and intensity to enjoy a well-rounded routine that can help avoid burnout or plateauing.
  • Alternate training intensity and workout time.
  • Even training programs you enjoy can gradually lose physical efficiency if not changed.
  • To improve, variation is needed to challenge the body in different ways.
  • Workouts should be modified every month.
  • Cross-training is another great way to vary a routine and improve fitness.

Training Flexibility

  • Training consistency is what matters.
  • Don’t worry if you have to miss a day.
  • Continue with the training plan.

Realistic Goals

  • Finding a balance when setting goals between what you want to achieve and what you can do.
  • Be honest about fitness levels and potential.
  • If you are new to a sport or fitness routine, take it slow until you know what your body can accomplish to decrease the risk of injury.

Patience

  • It takes time and consistency to build up fitness and performance.
  • Avoid falling into the mindset that more is better.
  • This can result in injuries and loss of motivation.

Consistency

  • Even when starting with short workouts, doing them regularly is important.
  • Avoid falling victim to working out hard only on weekends and doing nothing during the week.
  • Injuries are much more common when exercise is inconsistent.

Nutrition

  • Sports nutrition and hydration go are vital to improving your ability to exercise and train.
  • Individuals on a regular exercise routine should reassess their nutrition plan.

Proper Equipment

  • Sports injury prevention begins by using the right equipment.
  • Whatever sport or exercise routine, ensure the equipment and footwear work and fit properly.
  • Pads, helmets, and mouthguards are made to help protect athletes and should be utilized.

Becoming An Olympic Athlete

References

American Dietetic Association, Dietitians of Canada, American College of Sports Medicine, Rodriguez NR, DiMarco NM, Langley S. American College of Sports Medicine Position Stand: Nutrition and Athletic Performance. Medicine & Science in Sports & Exercise. 2009;41(3):709-731. doi:10.1249/mss.0b013e31890eb86.

Beaupre, Justin, et al. “Athletic Training and Population Health Science.” Journal of athletic training vol. 57,2 (2022): 136-139. doi:10.4085/314-19

Garber CE, Blissmer B, Deschenes MR, et al. Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness in Apparently Healthy Adults. Medicine & Science in Sports & Exercise. 2011;43(7):1334-1359. doi:10.1249/mss.0b013e318213fefb.

Halson, Shona L, and Laura E Juliff. “Sleep, sport, and the brain.” Progress in brain research vol. 234 (2017): 13-31. doi:10.1016/bs.pbr.2017.06.006

Jeukendrup, Asker E. “Periodized Nutrition for Athletes.” Sports medicine (Auckland, N.Z.) vol. 47, Suppl 1 (2017): 51-63. doi:10.1007/s40279-017-0694-2

Kreher JB, Schwartz JB. Overtraining Syndrome: A Practical Guide. Sports Health. 2012;4(2):128-138. doi:10.1177/1941738111434406.

Mujika, Iñigo. “Quantification of Training and Competition Loads in Endurance Sports: Methods and Applications.” International Journal of sports physiology and Performance vol. 12, Suppl 2 (2017): S29-S217. doi:10.1123/ijspp.2016-0403

Therapeutic Wavelengths, Tissue Absorption, & Spinal Decompression

By
Dr. Alex Jimenez
-

Introduction

The musculoskeletal system, comprising muscles, tissues, and ligaments, works with the brain from the central nervous system to provide mobility, stability, and function to the upper and lower extremities. However, pathogens, injuries, or traumas related to environmental factors can lead to overlapping risk profiles and musculoskeletal pain, causing disability and discomfort to individuals. Fortunately, many people opt for non-surgical treatments to alleviate pain and restore their bodies. This article delves into how pain affects muscles and tissues, how chronic conditions related to muscle and tissue pain, and how non-surgical treatments can ease such pain. We work with certified medical providers who use our patients’ valuable information to provide non-surgical treatments for muscle and tissue pain affecting the musculoskeletal system. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

How Does Pain Affect The Muscles & Tissues

Do you experience muscle or tissue strain from reaching high places or neck and back pain from prolonged phone or computer use? Have you recently lifted a heavy object and now feel discomfort in your back muscles? These are all common forms of musculoskeletal pain that can affect various body parts. Symptoms can often vary depending on the severity of the pain, and research studies revealed that chronic musculoskeletal pain can be complex and either nociceptive or neuropathic. When muscle and tissue pain occurs, it can misalign the upper and lower regions of the body and cause muscle groups to work harder to alleviate the discomfort. This can lead to spinal subluxation and haywire nerve roots.

 

 

Now research studies mentioned that many individuals dealing with musculoskeletal pain often report decreased productivity or have to change or quit their jobs due to the pain. The symptoms that are correlated with muscle and tissue pain include:

  • Tenderness and weakness
  • Steady aches
  • Random sharp pains
  • Inflammation
  • Fatigue
  • Tingling 
  • Numbness
  • Joint issues

Various symptoms similar to pain can affect the muscles and tissues throughout the body. These symptoms can be widespread or localized to specific areas associated with the musculoskeletal system. The central nervous system is also impacted since the nerve roots are connected to the muscles and tissues in the musculoskeletal system. The nerve roots originate from the spinal cord and intertwine with muscle and tissue fibers, which can cause them to become trapped. This can result in stiff and contracted muscles, leading to chronic muscle and tissue pain.

 

Chronic Conditions Associated With Muscle & Tissue Pain

Experience muscle and tissue pain that affects the nerve roots. It may be due to chronic conditions like myofascial pain, sciatic nerve pain, herniated disc, or other musculoskeletal-related issues. Research studies suggest that this type of pain can be localized, regional, or widespread and can move from one spot to another, leading to sensory abnormalities and chronic conditions. Environmental factors like occupational hazards can also cause chronic muscle and tissue pain. For instance, desk jobs, truck drivers, and construction workers may experience pain due to overworking or overstretched muscle and tissue fibers, poor posture, and excessive sitting. This discomfort and pain in the extremities can be relieved with proper care and treatment.

 

From Injury To Recovery With Chiropractic Care- Video

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

Musculoskeletal pain can affect the muscle, tissue fibers, and nerve roots. If you experience this type of pain due to environmental factors, treatments are available to help alleviate the pain and reduce symptoms in your upper and lower extremities. While surgical or invasive treatments like spinal surgery or nerve root blocker injections are options, they can be costly and cause stress for some individuals. However, some non-invasive treatments, like chiropractic care, use gentle manual manipulation to stretch affected muscles and release pain, providing relief and allowing for natural healing. The video above talks more about non-invasive treatments for musculoskeletal pain.

Non-Surgical Treatments For Muscle & Tissue Pain

 

Research studies revealed that non-surgical treatments are crucial for enhancing recovery and overall well-being, as musculoskeletal pain can significantly impact one’s quality of life. Non-surgical treatments are safe, gentle, and cost-effective for those experiencing musculoskeletal pain affecting their muscles and tissue fibers. These treatments can also be personalized and combined with other corresponding therapies to reduce pain and restore muscle and tissue function. Here are some non-surgical treatments that may be helpful.

 

Therapeutic Wavelengths

Dr. Perry Bard, D.C., and Dr. Eric Kaplan, D.C., FIAMA, explained in their book “The Ultimate Spinal Decompression” that therapeutic wavelengths are a safe and non-invasive way to provide deficient muscles and tissue fibers with necessary nutrients and to relax affected surrounding muscles. The book also highlights that therapeutic wavelengths can promote healing in aging, sick, injured, or malfunctioning tissues and muscles. There are several benefits to therapeutic wavelengths, including:

  • Water retention
  • Hemoglobin absorption
  • Regulating melanin
  • Restoring connective tissue

 

Laser Therapy

Research studies have revealed that low-level laser therapy can alleviate the effects of overused muscles and tissues by reducing inflammation and oxidative stress. This therapy emits a gentle, warming light that stimulates the body’s natural healing process by promoting effective cellular function. Benefits of low-level laser therapy include:

  • Accelerate tissue repair
  • Increased reduction of fibrous tissue formation
  • Increase anti-inflammatory response
  • Improve nerve function
  • Restore muscle tone

 

Spinal Decompression

If you’re experiencing musculoskeletal pain due to nerve root compression between muscle and tissue fibers, spinal decompression could be a non-surgical solution that helps. This treatment involves gentle traction that stretches the spine, which can help to reduce fatigue in your muscles and tissues. Research shows that spinal decompression can help rehydrate your spine, relieve pain in your upper and lower extremities, and allow your muscle and tissue fibers to stretch and feel relief from the effects of musculoskeletal pain.

 

Conclusion

Various environmental factors can affect the muscles and tissues in the musculoskeletal system, resulting in pain-like symptoms. These can be caused by injuries, trauma, or overlapping risk profiles, making individuals unable to work. Fortunately, non-surgical treatments can help alleviate the affected muscles and tissue fibers, providing a safe, gentle, and cost-effective means of restoring the body and promoting healing. These treatments can also be combined with other therapies to enhance an individual’s health and wellness journey.

 

References

Apfel, C. C., Cakmakkaya, O. S., Martin, W., Richmond, C., Macario, A., George, E., Schaefer, M., & Pergolizzi, J. V. (2010). Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study. BMC Musculoskeletal Disorders, 11(1). doi.org/10.1186/1471-2474-11-155

Arendt-Nielsen, L., Fernández-de-las-Peñas, C., & Graven-Nielsen, T. (2011). Basic aspects of musculoskeletal pain: from acute to chronic pain. Journal of Manual & Manipulative Therapy, 19(4), 186–193. doi.org/10.1179/106698111×13129729551903

Crofford, L. J. (2015). Chronic Pain: Where the Body Meets the Brain. Transactions of the American Clinical and Climatological Association, 126, 167–183. www.ncbi.nlm.nih.gov/pmc/articles/PMC4530716/

El-Tallawy, S. N., Nalamasu, R., Salem, G. I., LeQuang, J. A. K., Pergolizzi, J. V., & Christo, P. J. (2021). Management of Musculoskeletal Pain: An Update with Emphasis on Chronic Musculoskeletal Pain. Pain and Therapy, 10(1). doi.org/10.1007/s40122-021-00235-2

Ferraresi, C., Hamblin, M. R., & Parizotto, N. A. (2012). Low-level laser (light) therapy (LLLT) on muscle tissue: performance, fatigue and repair benefited by the power of light. Photonics & Lasers in Medicine, 1(4). doi.org/10.1515/plm-2012-0032

Gregory, N. S., & Sluka, K. A. (2014). Anatomical and Physiological Factors Contributing to Chronic Muscle Pain. Current Topics in Behavioral Neurosciences, 20, 327–348. doi.org/10.1007/7854_2014_294

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Disclaimer

Making A Satisfying Salad: EP Functional Wellness Clinic

By
Dr. Alex Jimenez
-
Diet menu, Vegan food. Healthy salad with spinach, mango, pecan and vinaigrette dressing on a rustic wooden table.

A satisfying salad is a great way to get more fruits and vegetables high in vitamins, minerals, and fiber. A salad using the right ingredients can be a filling meal. With the summer heat kicking in, making a quick, satisfying salad using your favorite ingredients can help cool off, rehydrate, and refuel the body. 

Making A Satisfying Salad: EP Functional Chiropractic Clinic

Making A Satisfying Salad

Leafy Greens

  • Start with leafy greens.
  • They’re low in calories and a healthy source of fiber.
  • Different varieties include iceberg lettuce, leaf lettuce, spinach, escarole, romaine, kale, and butter lettuce.
  • The darker greens offer more nutrients.

Vegetables

  • Carrots, peppers, green beans, eggplant, Brussels sprouts, broccoli, cauliflower, cabbage, zucchini, tomatoes, cucumbers, onions, or scallions.
  • Raw diced or cooked vegetables are a good addition.
  • Leftover cooked vegetables will work.
  • Brightly colored vegetables have flavonoids rich in antioxidants, fiber, vitamins, and minerals.
  • Choose all the colors and add two or three half-cup servings.

Grains – Starch

  • Add whole grains or starchy vegetables.
  • A serving of cooked:
  • Whole grains like brown rice, barley, or quinoa.
  • Starchy vegetables like roasted sweet potatoes or cooked butternut squash.
  • These provide fiber, complex carbohydrates, vitamins, and minerals.

Fruit

  • Fruits or berries, blueberries, raspberries, blackberries, pomegranate seeds, apple slices, oranges, dates, and raisins can add vitamins, fiber, and antioxidants.
  • One-half cup of apple slices has 30 calories.
  • One-half cup of berries has about 40 calories.

Protein

  • A hard-boiled egg is an excellent source of protein.
  • A serving of lean beef, cooked shrimp, tuna, chicken breast, cheese strips, beans or legumes, hummus, tofu, or cottage cheese.
  • Be mindful of portion size.
  • A quarter cup of chopped chicken meat or one egg will add 75 calories.
  • Half a can of tuna adds about 80 calories.
  • Depending if it is low fat, two ounces of cubed or shredded mozzarella or cheddar cheese can add 200 calories.

Nuts or Seeds

  • Almonds, cashews, walnuts, pecans, sunflower, pumpkin, or chia seeds are great for added crunch.
  • All nuts add protein and heart-healthy polyunsaturated and monounsaturated fatty acids.
  • One-eighth cup of nuts adds around 90 calories.
  • Walnuts contain omega-3 fatty acids.

Salad Dressing

  • Add salad dressing.
  • One tablespoon of regular commercial salad dressing adds 50 to 80 calories.
  • Low-fat and reduced-calorie dressings are available.
  • Use freshly squeezed lemon or lime juice.
  • Make a dressing with avocado, walnut, or extra virgin olive oil.

Low-Carbohydrate Taco Salad

This is an easy recipe. The meat can be prepared ahead or be leftovers from another meal.

Ingredients

  • One pound lean ground beef – 85% to 89% lean.
  • One tablespoon of chili powder.
  • Salt and pepper, to taste.
  • Green onions, chopped with white and green parts separated.
  • One head of lettuce, chopped.
  • One medium tomato, chopped.
  • One avocado, diced.
  • Optional – one 4-ounce can of sliced olives.
  • 1 1/2 cups of grated fat-free cheddar, Monterey Jack cheese, or a combination.
  • 1/2 cup fat-free Greek or plain yogurt.
  • 1/2 cup salsa.

Preparation

  • Cook beef in a skillet with chili powder, the white part of the onions, and salt and pepper.
  • Once cooked, cover the pan.
  • In a large salad bowl, mix the green onion, lettuce, tomato, avocado, and olives.
  • Add the meat and cheese and gently toss together.
  • Top with dollops of low-fat or reduced-calorie sour cream, yogurt, or salsa.
  • Try other meats like ground turkey, chicken, or pork.
  • For a vegetarian option, replace the ground meat with beans or textured vegetable protein.
  • Adding beans will increase fiber, protein, and total carbohydrates.

Body Signals Decoded

References

Chambers L, McCrickerd K, Yeomans MR. Optimizing foods for satiety. Trends in Food Science & Technology. 2015;41(2):149-160. doi:10.1016/j.tifs.2014.10.007

Cox, B D et al. “Seasonal consumption of salad vegetables and fresh fruit in relation to the development of cardiovascular disease and cancer.” Public health nutrition vol. 3,1 (2000): 19-29. doi:10.1017/s1368980000000045

Dreher ML, Davenport AJ. Hass avocado composition and potential health effects. Crit Rev Food Sci Nutr. 2013;53(7):738-750. doi:10.1080/10408398.2011.556759

Roe, Liane S et al. “Salad and satiety. The effect of timing of salad consumption on meal energy intake.” Appetite vol. 58,1 (2012): 242-8. doi:10.1016/j.appet.2011.10.003

Sebastian, Rhonda S., et al. “Salad Consumption in the U.S. What We Eat in America, NHANES 2011-2014.” FSRG Dietary Data Briefs, United States Department of Agriculture (USDA), February 2018.

Yen, P K. “Nutrition: salad sense.” Geriatric nursing (New York, N.Y.) vol. 6,4 (1985): 227-8. doi:10.1016/s0197-4572(85)80093-8

Idiopathic Peripheral Neuropathy Alleviated With Spinal Decompression

By
Dr. Alex Jimenez
-

Introduction

The central nervous system is responsible for sending neuron signals to all the organs and muscles in the body, allowing for mobility and proper functioning. These signals are constantly exchanged between the organs, muscles, and brain, informing of their activities. However, environmental factors and traumatic injuries can impact the nerve roots, disrupting the flow of signals and leading to musculoskeletal disorders. This can result in misalignments in the body and chronic pain if left untreated. Today’s article will inform us about peripheral neuropathy, a nerve injury correlated with back pain, and how spinal decompression can relieve this condition. We work with certified medical providers who use our patients’ valuable information to provide non-surgical treatments, including spinal decompression, to relieve pain-like symptoms associated with peripheral neuropathy. We encourage patients to ask essential questions and seek education about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

What Is Peripheral Neuropathy?

 

Peripheral neuropathy refers to a range of conditions that affect the nerve roots and can cause chronic symptoms throughout the body, as research studies revealed. The nerve cells in our body transmit messages between the brain and other body parts. When these cells are damaged, it can disrupt communication between the central nervous system, leading to muscle and organ problems. Studies have linked peripheral neuropathy to pain and other symptoms, which can have a negative impact on daily activities, quality of life, and mental and physical well-being. Additionally, peripheral neuropathy may increase the risk of falls.

 

How Peripheral Neuropathy Correlates With Back Pain

Have you recently felt a tingling or sharp sensation when you stepped or experienced constant lower back pain? These symptoms could be related to peripheral neuropathy, which can cause back pain. “The Ultimate Spinal Decompression,” a book by Dr. Perry Bard, D.C. and Dr. Eric Kaplan, D.C., FIAMA, explains that peripheral neuropathy is nerve damage that affects the legs, causing numbness, pain, tingling, and oversensitivity to touch in the toes and feet. This can cause the muscles in the lower back to shift weight away from the painful areas, leading to low back pain. Research studies have revealed that chronic low back pain can involve both nociceptive and neuropathic pain mechanisms. Nociceptive pain is a response to tissue injury that activates the muscles. In contrast, neuropathic pain affects nerve roots branching from the spine and lower limbs, often resulting from damaged spinal discs. Fortunately, there are ways to manage peripheral neuropathy and its associated back pain.

 

Peripheral Neuropathy Relief & Treatment- Video

Peripheral Neuropathy Relief & Treatment | El Paso, TX (2019)

Peripheral neuropathy is a nerve injury that affects people differently and can cause sensory symptoms in the upper and lower body. Those with peripheral neuropathy may experience constant pain in their extremities, which can lead to compensation in other muscles and spinal misalignment. This can result in chronic musculoskeletal conditions. Studies show that peripheral neuropathy, especially in cases of low back pain, can cause a malfunction in the brain’s pain modulatory system, leading to overlapping risks and dysfunction. However, various treatments are available to restore the body and reduce neuropathic pain, including chiropractic care and spinal decompression. The video above explains more information on how these treatments can help alleviate neuropathic pain and release the body from subluxation.

Spinal Decompression Alleviates Peripheral Neuropathy

 

Peripheral neuropathy can cause a lot of pain, and many people consider surgery to treat it. However, this can be expensive, so some people opt for non-surgical treatments like spinal decompression and chiropractic care. Studies have shown that spinal decompression can be very helpful in relieving nerve entrapment and improving low back pain symptoms. It’s a safe and gentle treatment that uses traction to help the spine return to its position and allow fluids and nutrients to flow back in. Combining spinal decompression with other therapies can also help reduce peripheral neuropathy symptoms, improving people’s quality of life and helping them become more mindful of their bodies.

 

Conclusion

Peripheral neuropathy is a condition that results from nerve injuries and can affect both the upper and lower parts of the body. This disorder can cause sensory symptoms that may lead to musculoskeletal conditions, spinal misalignment, and disability. Pain and discomfort are common experiences for those with this condition, which can negatively impact their daily lives. Fortunately, spinal decompression can help alleviate the effects of peripheral neuropathy by gently stretching the spine, releasing entrapped nerves, and correcting subluxation. These treatments are safe, non-invasive, and can be incorporated into an individual’s health and wellness plan.

 

References

Baron, R., Binder, A., Attal, N., Casale, R., Dickenson, A. H., & Treede, R-D. (2016). Neuropathic low back pain in clinical practice. European Journal of Pain, 20(6), 861–873. doi.org/10.1002/ejp.838

Hammi, C., & Yeung, B. (2020). Neuropathy. PubMed; StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK542220/

Hicks, C. W., & Selvin, E. (2019). Epidemiology of Peripheral Neuropathy and Lower Extremity Disease in Diabetes. Current Diabetes Reports, 19(10). doi.org/10.1007/s11892-019-1212-8

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Li, W., Gong, Y., Liu, J., Guo, Y., Tang, H., Qin, S., Zhao, Y., Wang, S., Xu, Z., & Chen, B. (2021). Peripheral and Central Pathological Mechanisms of Chronic Low Back Pain: A Narrative Review. Journal of Pain Research, 14, 1483–1494. doi.org/10.2147/JPR.S306280

Ma, F., Wang, G., Wu, Y., Xie, B., & Zhang, W. (2023). Improving Effects of Peripheral Nerve Decompression Microsurgery of Lower Limbs in Patients with Diabetic Peripheral Neuropathy. 13(4), 558–558. doi.org/10.3390/brainsci13040558

Disclaimer

Athletic Running Shoes For Back Problems: Sciatica Clinic

By
Dr. Alex Jimenez
-
Mam and woman in red sports clothes choosing trail shoes for hiking standing near the showacase of the modern sports shop

Individuals on their feet all day regularly experience back problems and discomfort symptoms. Wearing unstable shoes that are flat with no arch support with little or no shock absorption or the wrong type of shoe for gait can cause biomechanical issues that can cause back discomfort and lead to chronic back pain. Athletic running shoes are recommended for lower back pain because they are well-cushioned and designed to help absorb the impact of walking or running. They also have proper arch and ankle support to maintain foot position for correct posture. What to look for in running shoes to help relieve back pain and keep the back injury free?

Choosing Athletic Running Shoes For Back Problems: IMCFMCAthletic Running Shoes

Shoes that don’t have enough cushioning can cause inflammation in the back muscles from the lack of impact absorption. The best athletic running shoes for back pain relief are stiff, supportive, and well-cushioned. When selecting shoes for back pain, the most important factors to consider are:

  • Stiffness of the sole.
  • Quality support and cushioning.
  • Proper and comfortable fit.

Shoe Type

  • Athletic running shoes are available in various types of support for all foot types.
  • Consider foot structure and gait when selecting shoes.
  • Flat and high-arched feet can cause muscle imbalances, which increase pressure on the back, hips, legs, knees, ankles, and feet.
  • Consider motion-control shoes for flat feet or overpronation.

Arch Support

  • Proper arch support ensures that the feet stay aligned and takes the pressure off the knees, hips, and back, decreasing the risk of inflammation.
  • Look for a shoe with a rigid sole and solid heel cup for optimal foot and ankle support.
  • Make sure that the shoe fits the individual foot and gait type.
  • If you can twist the shoe or fold the shoe in half, there is insufficient support in the arch.
  • For example, overpronation requires stability with added medial support to prevent arch collapse.

Cushioning

Shoe cushioning:

  • Absorbs shock and vibration.
  • Reduces the impact of each step.
  • Helps alleviate back pressure.
  • A well-cushioned shoe provides comfort and support.
  • Wearing shoes without adequate cushioning makes the back muscles absorb the shock every time a foot takes a step.

Proper Fit

Proper shoes need to fit properly.

  • Shoes that are too tight could cause painful rubbing and foot blisters.
  • The irritation can force an awkward and unhealthy gait, worsening the back strain and pain.
  • Shoes that are too large could cause the feet to slip and slide, increasing the risk of injury.
  • Shoes with a wide toe box or in wide sizes can be an option to prevent cramped toes.
  • The correct fit will ensure the feet are properly aligned and prevent injury.

Traction

  • Shoes with excellent traction will keep the body stable and prevent slipping.
  • Look for grip rubber outsoles with a textured pattern.
  • The grooves and patterns increase friction and provide grip to the person while walking or running.

Durability

  • Wearing worn-out shoes with inadequate cushioning and shock absorption can increase the risk of back problems.
  • Depending on the uses, shoes can wear out in three months or less.
  • It is important to replace shoes when the cushioning wears out.
  • Look for high-quality material that doesn’t wear down quickly.

Improve Whole-Body Wellness

References

Anderson, Jennifer, et al. “A narrative review of musculoskeletal problems of the lower extremity and back associated with the interface between occupational tasks, feet, footwear, and flooring.” Musculoskeletal care vol. 15,4 (2017): 304-315. doi:10.1002/msc.1174

American Podiatric Medical Association. Which Running Shoe is Right for You?

Hong, Wei-Hsien, et al. “Effect of shoe heel height and total-contact insert on muscle loading and foot stability while walking.” Foot & ankle international vol. 34,2 (2013): 273-81. doi:10.1177/1071100712465817

National Institute of Arthritis and Musculoskeletal and Skin Diseases. Back Pain: Diagnosis, Treatment, and Steps to Take.

National Institute of Neurological Disorders and Stroke. Low Back Pain Fact Sheet.

Relieve Back Pain From Work With Spinal Decompression

By
Dr. Alex Jimenez
-

Introduction

Many people in the workplace suffer from back pain, which can limit and affect their ability to function and lead to a lifetime of discomfort and disability. Back pain can range from a dull, slow ache to a sharp, radiating pain and can cause the body to be misaligned. Fortunately, non-surgical treatments such as spinal decompression can help to relieve pain and discomfort. In this article, we will witness the impact of back pain in the workplace, how different occupations are associated with back pain, and how spinal decompression can help to alleviate these symptoms. We work with certified medical providers who use our patients’ valuable information to provide non-surgical treatments, including spinal decompression, to relieve pain-like symptoms associated with back pain in the workplace. We encourage patients to ask essential questions and seek education about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

The Impact Of Back Pain In The Workplace

 

Are you experiencing headaches or neck tension? Do you feel pain radiating down your leg from sitting for extended periods? Or do you feel aches in your lower back after sitting at a computer for a long time? These symptoms could be due to the development of back pain. Research studies revealed that back pain is a common cause of missed work and reduced productivity. Depending on the severity, back pain has various mechanical or non-specific reasons. Some of the categories that many individuals in the workplace have back pain include:

  • Acute back pain: Last for a few days to a few weeks.
  • Subacute back pain: Last between 4 to 12 weeks.
  • Chronic back pain: Last longer than 12 weeks.

 

Occupations Associated With Back Pain

Back pain is a problem that many working individuals have experienced. This can lead to constant pain and compensating for the pain by using other muscle groups. Research studies revealed that both men and women in the workforce are affected by back pain, which can be influenced by psychological factors and can significantly impact their ability to perform occupational activities. Jobs like truck drivers, office workers, healthcare providers, and manual laborers are associated with back pain due to the physical demands of these occupations, increasing the risk of developing back pain. Some of the common causes associated with back pain at work include the back and surrounding muscles being under constant strain include:

  • Force: Exerting excessive force on the back muscles can cause injuries
  • Repetition: Repeating movements can lead to muscle strain on the surrounding muscles and affect the spine.
  • Inactivity: Sitting down for an extended period can lead to poor posture and cause the back muscles to be shortened.

 

Examples Of Workplace Conditions Associated With Back Pain

In many jobs, employees have to exert themselves physically, which can increase the risk of developing back pain. Some common workplace conditions that contribute to this risk include:

  • Using hands or body as a clamp to hold heavy objects while performing tasks. 
  • Maintaining the same posture while performing tasks.
  • Performing motions constantly without small breaks in between.
  • Performing tasks that involve long reach, both vertical and horizontal.
  • Cold temperatures
  • Vibrating working surfaces, machinery, or vehicles.
  • The floor surface is uneven, slippery, or sloped.

Fortunately, there is hope for those experiencing back pain. Research studies have shown that available treatments can aid in modifying activities and improving workplace conditions, providing relief and preventing pain from returning.

Non-Surgical Treatments For Pain Relief-Video

The Natural Way to Heal: Non-Surgical Chiropractic Care for Pain Relief | El Paso, Tx (2023)

If you’re experiencing back pain due to work-related strain, there are treatments available that can help alleviate the pain and reduce its effects from returning. Many people who work for a living suffer from this issue because of the physical demands of their job, which can lead to various risk factors. Fortunately, several non-surgical treatments are available to help reduce the symptoms of low back pain. Spinal decompression and chiropractic care are two examples of such therapies. These methods use traction, manual manipulation, and other techniques to restore the spine to its proper alignment and relieve back pain. Both treatments are gentle and non-invasive, as they work with the body’s natural healing process to stretch tight muscles and prevent future pain. The video above explains how these treatments can help enhance your body’s healing process and avoid recurring back pain.

Spinal Decompression Relieving Back Pain

 

It’s important to know that putting too much pressure on your back can lead to back pain. If you’re experiencing back pain, spinal decompression can help. This technique involves gently stretching out tight muscles in your back and reducing pain and other symptoms. According to Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., authors of “The Ultimate Spinal Decompression,” spinal decompression uses gentle traction to slowly pull the spine and alleviate painful spinal pressure that causes back pain. Adding spinal decompression to your daily routine can help reduce muscle weakness and pain and increase awareness of your body to prevent future injuries.

 

Conclusion

Missing work due to back pain is common among many working individuals. Certain job occupations require physical exertion, which can push the body beyond its limits. When individuals try to compensate for the pain in their back muscles, it puts more strain on other muscle groups. Fortunately, treatments such as spinal decompression can provide relief by realigning the body and reducing subluxation associated with back pain. This non-surgical treatment helps the body naturally heal, enabling individuals to experience a pain-free journey toward health and wellness.

 

References

Disclaimer

Treadmill Walking Exercise Errors: EP Functional Wellness Clinic

By
Dr. Alex Jimenez
-
Group of athletes running on electric treadmills at modern gym. People jogging on treadmills.

Working out on a treadmill is a great way to get cardiovascular exercise when unable to go outside or to change things up. However, it’s not just about getting on the machine and walking or running. Like anything, proper form and posture are important in preventing injuries. This allows the individual to walk smoother and faster, burn more calories, and get the full benefits. Individuals with a medical condition that impacts posture or makes it difficult to walk on a treadmill should speak to a healthcare provider for recommendations to ensure they can work out without aggravating the condition or putting themselves at risk. There is an option of working with a physical or occupational therapist to address any concerns individuals may have about using a treadmill.

Treadmill Walking Exercise Errors: EP Chiropractic Team

Treadmill Walking Exercise Errors

Safety

A common error is getting on a treadmill with the belt already running. This may seem unnecessary, but many accidents happen when individuals just jump on. To avoid injuries, it is recommended to follow these safety tips.

  • Make sure the machine is off.
  • Know where the emergency stop switch is.
  • Stand next to the base/running deck.
  • Clip the safety key to your body to stop the treadmill if you slip or stumble.
  • Start the treadmill and set it to slow speed.
  • Look at the speed and carefully get onto the moving tread.
  • Gradually increase the speed once comfortably on board.

Wrong Shoes

A healthy step is to strike with the heel in front with the forward foot slightly off the surface. The foot then rolls from heel to toe; by the time the toe is on the ground, the individual is halfway into the next step, and the forward foot is now the rear foot and ready for the toes to push off to take the next step.

  • This sequence is only possible with flexible shoes.
  • Wearing stiff shoes may not allow for the roll-through.
  • Stiff shoes force the foot to slap down.
  • The body and walking stride become a flat-footed stomp.
  • Take a few minutes during a walking session to think about what the feet are doing.
  • Ensure they strike with the heel, roll through the step, and the rear foot provides an adequate push-off.
  • If you cannot do this in your present shoes, then it’s time to look at other flexible walking/running shoes.

Holding The Handrails

  • The handrails provide stability, but natural walking posture or natural movement involves a healthy stride and arm motion.
  • Constantly holding onto the handrails doesn’t allow for this motion.
  • Walking or running at a slower pace is recommended without using the handrails.
  • Individuals will get a better workout at a slower pace than they would at a faster rate holding on to the rails.
  • Individuals with a disability or balance issues may need the handrails and should consult a trainer or physical therapist for healthy workout recommendations.

Leaning Forward

Proper walking posture means the body is upright, not leaning forward or backward.

  • Before stepping onto the treadmill, check and readjust your posture.
  • Engage the abdominals and maintain a neutral spine.
  • Give the shoulders a backward roll so they are not hunched up.
  • Get on the treadmill and walk.
  • Remind yourself to maintain this upright posture.
  • When changing pace or incline, check your posture again.

Looking Down and Not Ahead

  • A healthy walking posture means the head is up and the eyes forward.
  • An unhealthy walking posture can lead to neck, shoulder, and low back pain.
  • Improper posture doesn’t allow the body to take full, complete breaths.
  • It also reinforces unhealthy sitting postures.
  • Check the shoulders and do a backward roll every few minutes to ensure they aren’t hunching forward.

Overstriding

  • Overstriding means the front heel hits the ground too far in front of the body.
  • Many individuals do this to walk faster.
  • An overstride can result in the foot slipping, which can cause a trip and/or a fall.
  • A healthy walking stride means the front heel strikes close to the body while the back foot stays on the ground longer to provide a powerful push-off.
  • This push-off provides more speed and power and works the muscles better to burn more calories.
  • You may need to shorten the stride and take shorter steps when beginning.
  • Then focus on feeling the back foot and getting a thorough push with each step.
  • Focus on this for a few minutes each session until it becomes familiar and walking becomes faster and easier.

No Arm Movement

  • If the handrails are not necessary, the arms should be moving during the workout.
  • Proper arm motion allows the body to go faster and burn more calories.
  • The swinging motion can help shoulder and neck problems developed from unhealthy postures.
  • The legs only move as fast as the arms do.
  • To speed up the legs, speed up the arms.

Going Too Fast

  • Go only as fast as the body can go while maintaining proper walking posture and form.
  • If overstriding, leaning forward, or hunching shoulders begin to present, slow down until a comfortable/maintainable speed that allows the body to walk correctly is found.
  • If the workout doesn’t feel like it’s helping
  • Individuals with a bad walking form at high speeds may consider adding running intervals.
  • Running will create quick bursts of higher heart rate and change form.

Running Intervals

  • Warm up at a slow speed for 3 to 5 minutes.
  • Increase walking speed to a fast pace that can maintain proper walking form.
  • Start a jog and increase the speed to match the jogging pace.
  • Jog for 1 to 3 minutes.
  • Return to the fast walking pace for 3 to 5 minutes.
  • Jog for 1 to 3 minutes.
  • Repeat until the end of the workout.
  • Finish with 3 to 5 minutes at an easy walking pace to cool down.

Challenge Yourself

When the body has fully adapted to a workout, it’s time to challenge the body to achieve greater fitness and stay motivated. This is where workout variation intensity, duration, frequency, and/or mode come into play.

Intensity

  • Add intensity by increasing the incline or the speed.

Duration

  • Increase the time spent on the treadmill.
  • If spending 30 minutes for several weeks, increase to 45 minutes for at least one weekly session.
  • After a couple of weeks, increase to 60 minutes.

Frequency

  • Once the body is used to treadmill walking, try to incorporate a session every day or every other day.
  • Walk at a brisk pace for 30 to 60 minutes, going for a total of 150 to 300 minutes per week.

Type of Exercise

  • Try jogging or running.
  • Alternate using the exercise bike, rowing machine, or stair climber.
  • Add weight training, circuit training, or anything enjoyable that gets the body moving in different ways.

Set goals and get into the habit of using the treadmill regularly to reap all the benefits. Avoid common treadmill errors, stay safe, and make the most out of walking and running workouts.

Move Better, Live Better

References

Centers for Disease Control and Prevention. Benefits of Physical Activity.

Donlin, Margo C et al. “Adaptive treadmill walking encourages persistent propulsion.” Gait & Posture vol. 93 (2022): 246-251. doi:10.1016/j.gaitpost.2022.02.017

Donlin, Margo C et al. “User-driven treadmill walking promotes healthy step width after stroke.” Gait & Posture vol. 86 (2021): 256-259. doi:10.1016/j.gaitpost.2021.03.031

Hashiba, M. “Transient change in standing posture after linear treadmill locomotion.” The Japanese Journal of Physiology vol. 48,6 (1998): 499-504. doi:10.2170/jjphysiol.48.499

Liang, Junjie et al. “The effect of anti-gravity treadmill training for knee osteoarthritis rehabilitation on joint pain, gait, and EMG: Case report.” Medicine vol. 98,18 (2019): e15386. doi:10.1097/MD.0000000000015386

MacEwen, Brittany T et al. “A systematic review of standing and treadmill desks in the workplace.” Preventive medicine vol. 70 (2015): 50-8. doi:10.1016/j.ypmed.2014.11.011

Disc Herniation Relieved By Spinal Decompression

By
Dr. Alex Jimenez
-

Introduction

The spine consists of soft tissues, ligaments, the spinal cord, nerve roots, and cartilage, forming an S-shaped curve with three regions: cervical, thoracic, and lumbar. Its primary functions are to keep the body upright, provide mobility, and support the upper body’s weight. Injuries or other factors can cause mild to severe pain-like symptoms that affect the spine’s three regions, leading to misalignment and disc herniation, which can cause further complications. Fortunately, non-surgical treatments like spinal decompression can restore the spine’s functionality by realigning the body and restoring the spinal discs. This article will discuss how disc herniation affects the spine and body and how decompression therapy can treat it. We work with certified medical providers who use our patients’ valuable information to provide non-surgical treatments, including spinal decompression, to relieve pain-like symptoms associated with disc herniation and prevent chronic musculoskeletal issues. We encourage patients to ask essential questions and seek education about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

How Does Disc Herniation Affect The Spine?

 

Do you experience stiffness or tingling in your neck, shoulders, or low back? Do you have radiating pain that is similar to other musculoskeletal conditions? Or do you feel aches and pains during stretching? These symptoms are often associated with spinal disc herniation, as research studies revealed, where the nucleus pulposus within the spine displaces and compresses the spinal nerve or cord. This can be caused by poor posture, incorrect lifting of heavy objects, or excessive twisting and turning, leading to wear and tear on the spinal disc. Left untreated, this can cause neurologic compromise or activity limitation to the rest of the body, as additional research shows. The three spinal regions can all be affected by this condition, causing a range of issues such as: 

  • Numbness and tingling in the arms, hands, and fingers
  • Muscle weakness and stiffness in the neck and shoulders
  • Gait disturbances
  • Paralysis
  • Cardiovascular abnormalities
  • Back pain
  • Muscle weakness in hips, legs, buttocks, and feet
  • Sciatic nerve mimicry

 

An Overview Of Disc Herniation-Video

What Causes Disc Herniation? | El Paso, Tx (2023)

Have you been experiencing numbness, tingling sensations, or instability when walking? These issues could be caused by disc herniation, which occurs when the spinal cord and nerves are compressed or aggravated by the nucleus pulposus. This can cause pain in the cervical, thoracic, and lumbar areas and affect the functioning of your extremities. Research studies have revealed the severity of the herniation depends on the section affected, the size of the spinal canal, and pressure on the nerves. However, non-surgical, safe, and gentle treatments, such as chiropractic care and decompression therapy, can alleviate the effects of disc herniation. Watch the video above to learn more about the causes of disc herniation and the available treatments.

Decompression Therapy Treating Disc Herniation

 

If you are experiencing disc herniation, some treatments can help restore functionality to your spine. According to research studies, decompression therapy is one such treatment that works by using negative pressure within the spinal disc to increase hydration. This process pulls nutrients and oxygenated blood back into the disc, reducing pressure on the entrapped surrounding nerve root. Additionally, decompression therapy relieves the associated symptoms caused by disc herniation. In “The Ultimate Spinal Decompression,” written by Dr. Perry Bard, D.C., and Dr. Eric Kaplan, D.C., FIAMA, they explain that individuals with a herniated disc who use decompression therapy will feel negative or non-gravitational pressure within their spinal canal, which reduces the pressure from inside the disc. Decompression therapy helps restore the spine’s functionality and facilitates natural healing.

 

Other Treatments For Disc Herniation

Combining decompression therapy with chiropractic care can be effective in treating disc herniation. Chiropractic care involves spinal adjustments and manual manipulation to restore the natural alignment of the spine, which can relieve pressure on nerves caused by disc herniation. Gradual realignment of the vertebrae can help alleviate symptoms and reduce pain and discomfort while restoring the spine’s strength, flexibility, and mobility.

 

Conclusion

If the spinal cord is affected by environmental factors or injuries, it can cause pain and discomfort to the person. This is known as disc herniation, where the nucleus pulposus in the spine protrudes out of the spinal socket and presses on the spinal nerve. This can lead to neurological problems and affect the three spinal regions, causing mild to severe issues depending on the pressure on the spinal cord. However, non-surgical treatments like chiropractic care and decompression therapy can safely and gently manipulate the spine, realigning and hydrating the disc so the body can heal naturally. This can relieve pain and discomfort in the spine and restore mobility to the body.

 

References

Choi, J., Lee, S., & Hwangbo, G. (2015). Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation. Journal of Physical Therapy Science, 27(2), 481–483. doi.org/10.1589/jpts.27.481

Donnally III, C. J., Butler, A. J., & Varacallo, M. (2020). Lumbosacral Disc Injuries. PubMed; StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK448072/

Hao, D.-J., Duan, K., Liu, T.-J., Liu, J.-J., & Wang, W.-T. (2017). Development and clinical application of grading and classification criteria of lumbar disc herniation. Medicine, 96(47), e8676. doi.org/10.1097/md.0000000000008676

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Mesfin, F. B., Dydyk, A. M., & Massa, R. N. (2018, October 27). Disc Herniation. Nih.gov; StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK441822/

Disclaimer

Improving Walking Posture: EP Functional Health Clinic

By
Dr. Alex Jimenez
-
Young sport team walking in line along paved area in front of stadium. Group training, teamwork concept

For individuals with aches and pains after walking, the first thing to check is posture. How an individual holds their body is important in walking effortlessly and comfortably. Improving walking posture will make it easier to breathe and walk farther and faster. Injury Medical Chiropractic and Functional Medicine Clinic can treat back problems, restore mobility, and retrain individuals on achieving and maintaining healthy posture.

Improving Walking Posture: EP's Chiropractic Injury Specialists

Walking Posture

Sitting for extended periods weakens neck and back muscles and decreases spinal mobility, making it more difficult to maintain a healthy walking posture. Improving and maintaining healthy walking posture can go a long way regarding the body’s health.

Benefits

The benefits include:

  • Strengthened core, back, leg, and buttock muscles.
  • Improved balance and stability.
  • Easier breathing.
  • Increased energy levels.
  • Improved walking speed, distance, and gait.
  • Back and hip discomfort symptoms prevention.
  • Decreased risk of injury and falling.

Set Up Posture

  • Stand up straight.
  • Engage the core.
  • Relax shoulders.
  • Keep the chin parallel to the ground.
  • Eyes forward.
  • Minimize leaning forward or backward.
  • Spend the first 15 seconds of walking focusing on posture.
  • Once a rhythm is achieved, periodically check yourself to ensure you stay consistent with proper posture until it becomes normal.

Stand up Straight

  • Visualize standing tall and straight.
  • Resist the temptation to slouch or arch the back.

Control Leaning Forward or Back

  • Leaning strains the back muscles when sitting, standing, and walking.
  • Leaning slightly forward from the ankles when walking up a hill.
  • Going downhill, leaning slightly forward, or maintaining a straight back is okay.

Keep Eyes Forward

  • Avoid looking down.
  • The focus should be about 20 feet ahead.
  • Maintaining a forward visual path allows individuals to see anything from the side.

Keep Chin Parallel to the Ground

  • This reduces strain on the neck and back.
  • A proper chin position maintains forward focus rather than down.

Shoulders Back and Relaxed

  • Shrug and allow the shoulders to fall and relax slightly back.
  • Loosening up the shoulders helps relieve tension and…
  • Positions the shoulders to use healthy arm motion while walking.
  • Shrug and re-loosen at intervals during the walk to ensure the shoulders stay relaxed.

Engage Core Muscles

  • The core muscles help resist slouching and leaning.
  • Keep the stomach pulled in slightly.
  • Take deep, full breaths to maintain a healthy walking posture.

Maintain Neutral Pelvis

  • Ensure the hips are not tilting forward or back while walking.
  • Practice sticking out the buttocks, tucking them in, and finding a natural middle.
  • The middle is the healthy balance that will keep you from arching the back muscles and spine.

Devices

  • Resist the urge to engage with the phone or activity monitor while walking and looking down.
  • Only look when necessary and then mindfully regain posture.
  • Some activity monitors have vibration alerts to reduce the need to look down.
  • Utilize earbuds or headphones for making and taking calls and other tasks.
  • Certain earbuds or headphones allow for voice commands, so you don’t have to look at the phone.

Chiropractic Realignment and Retraining

Maintaining proper posture is a gradual process. A chiropractor can correct years of practicing unhealthy postures like forward head issues or chronic slouching and realign the spine to restore optimal function.

  • A chiropractic therapy team will work on bones and muscles in specific body regions.
  • Massage will relax the muscle tissues to restore correct balance.
  • Chiropractic techniques will realign the neck, spine, hips, and pelvis.
  • Decompression therapy may be used to stretch the body.
  • Strengthening and stretching exercises will maintain adjustments.
  • Posture retraining will teach individuals to stay aware of their spinal position and help create healthy habits.

Regular posture checks, whether at work, school, just walking around doing errands, or exercising, will help the body learn proper positioning until it becomes second nature.

Revitalize and Rebuild

References

Buldt, Andrew K et al. “The relationship between foot posture and plantar pressure during walking in adults: A systematic review.” Gait & Posture vol. 62 (2018): 56-67. doi:10.1016/j.gaitpost.2018.02.026

Hackford, Jessie, et al. “The effects of walking posture on affective and physiological states during stress.” Journal of behavior therapy and experimental psychiatry vol. 62 (2019): 80-87. doi:10.1016/j.jbtep.2018.09.004

Lin, Guohao, et al. “The relationship between forward head posture, postural control, and gait: A systematic review.” Gait & Posture vol. 98 (2022): 316-329. doi:10.1016/j.gaitpost.2022.10.008

Suh, Jee Hyun, et al. “The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial.” Medicine vol. 98,26 (2019): e16173. doi:10.1097/MD.0000000000016173

Woollacott, Marjorie, and Anne Shumway-Cook. “Attention and the control of posture and gait: a review of an emerging area of research.” Gait & Posture vol. 16,1 (2002): 1-14. doi:10.1016/s0966-6362(01)00156-4

Spinal Manipulation & Decompression Treatment For Low Back Pain

By
Dr. Alex Jimenez
-

Introduction

Low back pain is a common issue worldwide that can cause individuals to miss work and require emergency care. This type of pain occurs in the lumbar region of the spine, which supports the upper body and is surrounded by muscles, ligaments, and tissues. If left untreated, it can cause disability. Fortunately, treatments available can reduce pain and alleviate other symptoms. This article will explain how low back pain occurs, how it relates to disorders, and how spinal manipulation and decompression treatment can help. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical therapies like spinal decompression to alleviate pain-like symptoms associated with the low back and reduce its correlating musculoskeletal disorders. We encourage referring patients to associated medical providers based on their findings while supporting that education is a remarkable tool to ask our providers essential questions at the patient’s request. Dr. Jimenez, D.C., comprises this information as an educational service. Disclaimer

 

How Does Low Back Pain Occur?

 

Do you frequently experience discomfort or pain in your lower back? Does it bother you when you bend down or lift heavy objects? Or are you dealing with radiating pain similar to sciatic nerve pain? These are all common symptoms associated with low back pain. Research studies have revealed that low back pain can stem from various potential sources, including anatomical, neurological, and psychological factors, making identifying the pain’s root cause complex. Additionally, research studies have revealed that low back pain can vary among many individuals and are complex, depending on how severe the symptoms affect the body. Low back pain can occur when the spinal discs in the lumbar regions of the spine become compressed due to unwanted pressure or axial overload or when the surrounding muscles are overused or underused.

 

Disorders Correlating With Low Back Pain

Low back pain is a complex musculoskeletal disorder caused by various factors. Research studies have revealed two types of low back pain: specific and non-specific. Non-specific low back pain is usually caused by overuse of muscles or wear and tear on the spinal vertebrae and joints. On the other hand, specific low back pain is caused by a relationship between environmental factors and the pain itself, such as compressed neural structures, joint inflammation, or spinal instability. Studies also suggest low back pain can affect an individual’s health and daily activities. Low back pain can also cause referred pain, meaning it can be felt in a different area of the body, affecting vital organs or muscles. For example, sciatic nerve pain is often associated with low back pain.

 

The Path To Healing- Video

The Path to Healing *PERSONAL INJURY* | El Paso, Tx (2023)

Have you been experiencing aches and pain in your lumbar spine? Does it hurt when you twist or bend over or lift something heavy? These pains are often related to low back pain, which can also be connected to other chronic conditions that affect the body. Low back pain is a common and complex issue affecting the body’s upper and lower parts. The lumbar region of the body is responsible for stabilizing the upper body’s weight, and the surrounding muscles, ligaments, and tissues protect the spinal cord. When the body experiences unwanted pressure or pathological factors, it can lead to low back pain and its associated symptoms. Unfortunately, back pain can significantly impact daily life, causing people to miss work or be unable to participate in regular activities. However, treatments available can reduce the effects of low back pain and its associated symptoms. The video above demonstrates how chiropractic care and spinal decompression can help alleviate low back pain, restore stability and mobility to the lumbar region, and improve a person’s quality of life.

How Spinal Manipulation & Decompression Treatment Relieves Low Back Pain

 

Many treatments available can help individuals struggling with low back pain. According to “The Ultimate Spinal Decompression” by Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., chiropractic care is one such treatment that can be effective. This type of care uses spinal manipulation to alleviate the effects of low back pain. Chiropractic care can offer relief by gently re-aligning the spine and reducing subluxation. Studies have shown that this treatment, known as decompression treatment, can reduce stress on posterior muscles, improving pain intensity and functionality. Additionally, decompression treatment can further help by stretching the lumbar spine and rehydrating discs. Both of these treatments are non-invasive, gentle, and non-surgical and can increase mobility and stability in the lumbar spine while reducing pain.

 

Conclusion

Low back pain can significantly affect a person’s ability to move around and maintain balance. It’s a common issue that can lead to disability and extended periods away from work, depending on its intensity. The causes can arise from various factors, including environmental factors and unwanted pressure. However, non-surgical, gentle, and non-invasive treatments can help alleviate the symptoms of low back pain. These treatments can realign the lumbar spine and stretch the affected muscles, relieving pain. By utilizing these treatments, individuals can become more mindful of their back health and prevent future injuries.

 

References

Allegri, M., Montella, S., Salici, F., Valente, A., Marchesini, M., Compagnone, C., Baciarello, M., Manferdini, M. E., & Fanelli, G. (2016). Mechanisms of low back pain: a guide for diagnosis and therapy. F1000Research, 5(2), 1530. doi.org/10.12688/f1000research.8105.1

Casser, H.-R., Seddigh, S., & Rauschmann, M. (2016). Acute Lumbar Back Pain: Investigation, Differential Diagnosis, and Treatment. Deutsches Aerzteblatt Online, 113(13). doi.org/10.3238/arztebl.2016.0223

Choi, E., Gil, H. Y., Ju, J., Han, W. K., Nahm, F. S., & Lee, P.-B. (2022). Effect of Nonsurgical Spinal Decompression on Intensity of Pain and Herniated Disc Volume in Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 1–9. doi.org/10.1155/2022/6343837

Grabovac, I., & Dorner, T. E. (2019). Association between low back pain and various everyday performances. Wiener Klinische Wochenschrift, 131(21-22), 541–549. doi.org/10.1007/s00508-019-01542-7

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Shemshaki, H., Etemadifar, M., Fereidan-Esfahani, M., Mokhtari, M., & Nourian, S.-M. (2013). What is the source of low back pain? Journal of Craniovertebral Junction and Spine, 4(1), 21. doi.org/10.4103/0974-8237.121620

Disclaimer

Late Night Healthy Nutritious Snacks: EP Functional Wellness

By
Dr. Alex Jimenez
-
Young woman having fun while changing channels on TV and eating popcorn in the evening at home.

With the summer approaching, the day’s heat makes the body want to eat light or not at all. That’s when late-night hunger kicks in. Individuals can’t sleep because their stomachs won’t stop growling. Whatever the reason, the body needs something to eat to go back to sleep. The challenge is figuring out what’s quick, tasty, healthy, and can help promote sleep, as some foods contain compounds that can improve sleep.

Late Night Healthy Nutritious Snacks: EP Chiropractic Clinic

Late-Night Nutritious Snacks

There are several reasons for needing a late-night snack, and a healthy snack can be a good way to get some additional nutrients for the next day. Having small nutrient-rich snacks under 200 calories is fine. Individuals who regularly have late-night snacks should consider having prepared snacks to promote sleep and not inhibit sleep. Planning is the key to choosing snacks to help support healthy sleep and satisfy hunger.

Snacks To Consider

Pumpkin Seeds

  • Pumpkin contains tryptophan which contributes to sleep.
  • They also contain essential nutrients zinc, phosphorus, potassium, selenium, and magnesium.
  • These can help combat illnesses related to inflammation.

Bananas

  • Bananas are a healthy source of dietary melatonin.
  • In one study, individuals who ate a banana had an increase in serum melatonin levels two hours after eating.
  • The potassium content of bananas can help inhibit muscle cramps, a problem some individuals have when trying to sleep.

Glass of Milk

  • Warm or cold, a glass of milk before bed can help improve sleep.
  • Milk contains antioxidant and anti-inflammatory properties, which can help improve sleep quality.
  • Sleep-inducing amino acids like tryptophan are also found in milk.
  • Dairy milk is not the only type of milk shown to aid sleep.
  • Soy milk is a good source of both melatonin and tryptophan.
  • Plant-based milk made with nuts can confer the same benefits as whole nuts.

Milk and Cereal

  • Individuals may reserve cereal for breakfast, but it can make a healthy late-night snack to promote sleep.
  • One study found that high-glycemic carbs in many corn-based cereals before bed reduced the time it took to fall asleep.
  • Limit portion size as the entire snack should be under 300 calories, especially for those with heartburn, as a heavy meal can exacerbate the problem.
  • Dairy products contain calcium, a mineral that directly produces the sleep hormone melatonin and is a natural relaxant in the body.

Peanut Butter and Jelly Sandwich

  • Foods like peanut butter contain an amino acid called tryptophan, which is converted into melatonin to promote sleepiness.
  • Carbohydrates like bread and jelly help make tryptophan more available to the brain.
  • Option for whole grain bread and natural peanut butter with no added sugars for added nutrition.

Yogurt with Fruit

  • Plain yogurt with berries, chopped nuts, and honey.
  • Yogurt provides a healthy source of calcium, which has been linked to better sleep.
  • Be sure to read the labels, as some varieties contain added sugar.

Fruit and Nuts

  • Fruit and nuts are great when hungry and tired.
  • They provide nutritional benefits, including vitamins, minerals, protein, complex carbs, healthy fats, and fiber.
  • They nourish, provide satisfaction, and help the body fall asleep.
  • An apple with a handful of almonds, a banana, and pecans, or a pear with a few walnuts.
  • One teaspoon of peanut butter on banana slices or dip apple slices in almond butter.
  • If almond butter is too thick for dipping, microwave 1-2 tablespoons for 30 seconds until it’s soft enough to dip.

Popcorn

  • Popcorn is a great snack that is low in calories.
  • Three cups of air-popped popcorn have fewer than 100 calories and about 4 grams of fiber.
  • Skip the butter and mix in dried spices for extra flavor.

Vegetables and Dip

  • Craving something crunchy and low-calorie, fresh vegetables and dip.
  • Any combination of raw carrots, broccoli florets, cucumber slices, celery, zucchini, peppers, and grape tomatoes can satisfy a rumbling stomach.
  • Enhance the flavor with a plain low-fat cottage cheese dip, Greek yogurt, or hummus.

Turkey Sandwich

  • When craving a sandwich, a combination of protein and complex carbohydrates from lean protein like turkey and whole grain bread with tomato, lettuce, and a splash of mayo and mustard can satisfy.
  • Allow enough time to digest, as being too full can inhibit sleep.

Mediterranean Nachos

  • Top toasted healthy corn or pita chips with hummus, paprika, and red pepper for a crunchy and satisfying late-night snack to help the body fall asleep.
  • Chickpeas, the primary ingredient in hummus, contain tryptophan.

Body In Balance

References

Bandín, C et al. “Meal timing affects glucose tolerance, substrate oxidation, and circadian-related variables: A randomized, crossover trial.” International Journal of Obesity (2005) vol. 39,5 (2015): 828-33. doi:10.1038/ijo.2014.182

Beccuti, Guglielmo, et al. “Timing of food intake: Sounding the alarm about metabolic impairments? A systematic review.” Pharmacological research vol. 125, Pt B (2017): 132-141. doi:10.1016/j.phrs.2017.09.005

Behrouz, Sepide, et al. “The Antioxidant, Anti-Inflammatory, and Immunomodulatory Effects of Camel Milk.” Frontiers in immunology vol. 13 855342. 12 Apr. 2022, doi:10.3389/fimmu.2022.855342

Gallant, Annette, et al. “Nutritional Aspects of Late Eating and Night Eating.” Current obesity reports vol. 3,1 (2014): 101-7. doi:10.1007/s13679-013-0081-8

Stobiecka, Magdalena, et al. “Antioxidant Activity of Milk and Dairy Products.” Animals: an open access journal from MDPI vol. 12,3 245. 20 Jan. 2022, doi:10.3390/ani12030245

Vertebral Subluxation Complex Relieved By Spinal Decompression

By
Dr. Alex Jimenez
-

Introduction

Misalignment of the spine can occur due to various factors, causing stress and joint shifting. The spine plays an important role by supporting the body’s weight and maintaining stability, consisting of vertebrae, facet joints, spinal nerves and cord, and intervertebral discs. The surrounding muscles, tissues, and ligaments protect the spinal cord from damage. However, the spine may develop chronic conditions due to axial load pressure, affecting the body. Fortunately, non-surgical and non-invasive treatments can realign the spine and naturally heal the body. This article discusses spinal subluxation and its symptoms, along with the effectiveness of spinal decompression in alleviating subluxation. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical therapies like spinal decompression to alleviate pain-like symptoms associated with spinal subluxation. We encourage referring patients to associated medical providers based on their findings while supporting that education is a remarkable tool to ask our providers essential questions at the patient’s request. Dr. Jimenez, D.C., comprises this information as an educational service. Disclaimer

 

What Is Spinal Subluxation?

 

Are you experiencing muscle tightness in your neck, back, or shoulders? Do you feel pain radiating down your arms or legs? Or are you experiencing muscle aches in different parts of your body? These issues may be caused by spinal subluxation, which research shows can occur in the cervical, thoracic, and lumbar spine sections. A spinal subluxation can be caused by traumatic injuries or normal factors that cause the spinal vertebrae to shift out of alignment. This can cause a lot of discomfort. Studies also reveal that spinal subluxation can interfere with neuron communication between the brain and the rest of the body, leading to unwanted symptoms that affect the functioning of the nervous and organ systems and overall health.

 

Symptoms Associated With Spinal Subluxation

A spinal subluxation happens when the spine shifts out of alignment due to traumatic or normal factors. According to Dr. Eric Kaplan, D.C, FIAMA, and Dr. Perry Bard, D.C., in their book “The Ultimate Spinal Decompression,” biomechanical instability can cause the surrounding muscles and joints to destabilize or increase antagonist coactivation to stabilize the body. Simple movements like bending, twisting, or turning can cause the surrounding muscles to overstretch and make the body feel unstable. Research studies mentioned that displacement in any part of the spinal skeletal frame could press against the surrounding nerves, which can cause neuron signals to be hardwired and create too much or too little communication with the surrounding muscles and joints. Other symptoms associated with spinal subluxation include:

  • Muscle tightness around the back
  • Pain and discomfort
  • Headaches
  • Limited mobility
  • Tingling sensations 
  • Digestive and respiratory issues
  • Low energy

 

Thoracic Spine Pain- Video

Thoracic Spine Pain | El Paso, Tx (2023)

Do you experience pain or discomfort when twisting, turning, or bending? Have you felt muscle aches, pain, or tenderness in your back, or do you feel unsteady when walking? These symptoms may be caused by spinal misalignment or subluxation. Subluxation occurs as pressure compresses spinal discs, causing vertebrae to shift from their normal position. A subluxation can occur in different spine sections, resulting in overlapping risks. This causes pain in various body parts, known as referred pain. Fortunately, non-surgical treatments like chiropractic care and spinal decompression can reduce the effects of subluxation, realign the spine, and promote natural healing for muscles, ligaments, and joints. The video above explains thoracic spine pain symptoms and how manual and mechanical manipulation can alleviate pain-like symptoms, rehydrate spinal discs, and kick-start the body’s natural healing process.

Spinal Decompression Alleviating Spinal Subluxation

 

If you suffer from muscle pain associated with spinal subluxation, you can alleviate the associated pain symptoms in several ways. One option is spinal decompression, a non-surgical treatment shown to effectively reduce residual pain and disability, improve range of motion, and modulate neural mechanical sensitivity, as research studies mentioned. Through gentle spine stretching, spinal decompression helps realign the body and allows spinal discs to return to their original position. This, in turn, will enable nutrients, fluids, and oxygenated blood to rehydrate the discs and promote natural healing. For added benefits, spinal decompression can be combined with additional treatments, such as physical therapy and chiropractic care. Best of all, it is a safe and non-invasive treatment allowing individuals to be more mindful of how they move their bodies.

 

Conclusion

Spinal misalignment or subluxation can occur over time due to traumatic injuries or normal factors. This can cause the spinal vertebrae to shift out of alignment, leading to referred muscle pain and chronic issues that can eventually result in disability. However, non-surgical and non-invasive treatments like spinal decompression use mechanical traction to gently stretch the spine and realign it, releasing the body’s natural healing process. Additionally, non-surgical treatments like spinal decompression help individuals be more mindful of their bodies and prevent new injuries from occurring. Combining spinal decompression with other therapies can promote health and wellness in many individuals.

 

References

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Marcon, A. R., Murdoch, B., & Caulfield, T. (2019). The “subluxation” issue: an analysis of chiropractic clinic websites. Archives of Physiotherapy, 9(1). doi.org/10.1186/s40945-019-0064-5

Munakomi, S., & M Das, J. (2022). Cervical Subluxation. PubMed; StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK559144/

Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, A. A., & Pillastrini, P. (2023). The effects of the addition of mechanical traction to physical therapy on low back pain? A systematic review with meta-analysis. Acta Orthopaedica et Traumatologica Turcica, 57(1), 3–16. doi.org/10.5152/j.aott.2023.21323

Vernon, H. (2010). Historical overview and update on subluxation theories. Journal of Chiropractic Humanities, 17(1), 22–32. doi.org/10.1016/j.echu.2010.07.001

Disclaimer

Pinched Nerve Duration: EP Functional Health and Wellness Clinic

By
Dr. Alex Jimenez
-
chiropractor touching leg of attractive patient in grey t-shirt

A pinched, compressed, overly stretched, twisted, and entangled nerve can happen throughout the body. The most common locations are the neck, shoulder, upper back, upper chest, arm, elbow, hand, wrist, low back, legs, and feet. This disrupts the nerve’s ability to function properly. Each nerve stimulates muscles and detects sensations in specific areas of the skin or internal organs so they work properly. Common symptoms are tingling, numbness, pain, weakness, and musculoskeletal problems. The average pinched nerve duration can last a few days to as long as 4 to 6 weeks or, in some cases, longer, in which case individuals should see a doctor or neurologist. Injury Medical Chiropractic and Functional Medicine Clinic can relieve, release, and restore nerve health.

Pinched Nerve Duration: EP's Chiropractic Injury Specialists

Pinched Nerve

A pinched nerve is caused by pressure from surrounding tissues that place added stress on it. Muscles, bones, cartilage, and tendons can all press, pull, or entangle a nerve. This can result in a loss of function, which can then lead to symptoms including:

  • Tingling
  • Numbness
  • Muscle weakness
  • Various types of pain – sharp, electrical, throbbing, aching, and radiating/spreading out to other areas.
  • Burning sensation
  • A pinched nerve can become serious, cause chronic pain conditions and lead to permanent nerve damage.
  • More severe cases may require surgery.

Pinched Nerve Duration

Pinched nerve duration depends on the injury, which can happen suddenly or gradually. A temporary case with an acute cause, such as injury or poor posture, can last several days. Cases related to chronic conditions, like arthritis, may last longer. Treatment, as well as recovery, also vary based on the location of the injury and what’s causing the pressure.

Body Locations

Neck

A pinched nerve in the neck can cause tingling sensations and pain, which can travel to the shoulders and arms. This type can be caused by:

  • Sleeping position
  • Repetitive movements
  • Injuries
  • The pain will usually ease within several days unless a chronic health condition is the cause of the pinching.

Lower back

A pinched nerve in the lower back is often brought on by herniated discs that compress nerve roots.

  • It may also be caused by arthritis or injuries.
  • Individuals may feel a sharp pain in the lower back, as well as in the buttocks and back of the leg.
  • Sciatica may be a symptom.
  • Lower back pain may be acute, lasting only a few days.
  • If the injury doesn’t resolve, it may cause chronic back pain that can last 12 weeks or more.

Leg

  • The legs can develop pinched nerves from herniated discs or injuries.
  • If left untreated can lead to peripheral neuropathy.
  • This can develop over several weeks or years.

Hip

A pinched nerve in the hip can last a few days if related to an injury. If the pain lasts longer than a few days, consult a doctor. Possible causes of chronic hip pain may include:

  • Obesity
  • Bone spurs
  • Arthritis

Shoulder

Shoulder pain brought on by a pinched nerve usually starts in the upper spine and is caused by:

  • Injury
  • Tendinitis
  • Arthritis
  • To tell if the pain symptoms are from a pinched nerve and not a muscle strain, the pain tends to occur in one shoulder, and there is a sharpness to the aches.
  • Left untreated, arthritis or tendinitis can lead to chronic pain that can come and go for several weeks, months, or years.

Wrist

Repetitive overuse is commonly linked to pinched nerves in the wrist.

  • Pinched nerves can lead to carpal tunnel syndrome – pain and numbness extending through the arm, hand, and fingers.
  • Pain lasting over two months could indicate other underlying conditions, like arthritis.

Chiropractic Relief

Chiropractic adjustments identify the impacted nerve/s and use various therapies to remove the compression, relieving symptoms and the injury or issue. A personalized treatment plan can include the following:

Sciatica During Pregnancy

References

Cornwall, R, and T E Radomisli. “Nerve injury in traumatic dislocation of the hip.” Clinical orthopedics and related research, 377 (2000): 84-91. doi:10.1097/00003086-200008000-00012

Dmytriv, Mariya, et al. “PT or cervical collar for cervical radiculopathy?.” The Journal of family practice vol. 59,5 (2010): 269-72.

Hochman, Mary G, and Jeffrey L Zilberfarb. “Nerves in a pinch: imaging of nerve compression syndromes.” Radiologic clinics of North America vol. 42,1 (2004): 221-45. doi:10.1016/S0033-8389(03)00162-3

Lopez-Ben, Robert. “Imaging of nerve entrapment in the foot and ankle.” Foot and ankle clinics vol. 16,2 (2011): 213-24. doi:10.1016/j.fcl.2011.04.001

Needham, C W. “Pinched nerves and signature signs.” Connecticut Medicine vol. 57,1 (1993): 3-7.

Siccoli, Alessandro, et al. “Tandem Disc Herniation of the Lumbar and Cervical Spine: Case Series and Review of the Epidemiological, Pathophysiological and Genetic Literature.” Cureus vol. 11,2 e4081. 16 Feb. 2019, doi:10.7759/cureus.4081

What Is Spinal Decompression Therapy?

By
Dr. Alex Jimenez
-

Introduction

Many people experience pain daily at some point in their lives. The causes of pain can vary from person to person and can be due to environmental factors or normal wear and tear on the body. When the spine is under unwanted pressure, spinal discs can become compressed and musculoskeletal disorders can cause vertebrae to wear down, leading to chronic pain and disability. Fortunately, many treatments are available to alleviate pain and help the body restore itself naturally. This article focuses on a non-surgical treatment called spinal decompression, which can reduce the effects of musculoskeletal pain and help with the back and spine’s cervical, thoracic, and lumbar areas. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical therapies like spinal decompression to alleviate pain-like symptoms associated with environmental factors. We encourage referring patients to associated medical providers based on their findings while supporting that education is a remarkable tool to ask our providers essential questions at the patient’s request. Dr. Jimenez, D.C., comprises this information as an educational service. Disclaimer

 

What Is Spinal Decompression?

 

Do you feel stiffness in your upper or lower body? Are you experiencing any discomfort in your back, neck, or shoulders? Or are you feeling pain during simple movements? If these issues persist, consider spinal decompression therapy to alleviate your pain. Research studies reveal that many people experience pain at least a few times due to compression of the intervertebral discs caused by everyday wear-and-tear injuries and poor posture. This happens when the vertebral bones compress the spinal cord and discs, creating a risk of further complications. Luckily, spinal decompression is a non-surgical treatment option that is safe, gentle, and proven successful. It gently stretches the spine, relieving pressure on the spinal disc. Some of the physical benefits of spinal decompression therapy include:

  • Pain level decrease
  • Spine mobility improves
  • Postural integrity enhances
  • Develops core strength
  • Joint flexibility increases
  • Decrease stress levels
  • The immune system is boosted
  • Prevents new injuries from occurring

 

Chiropractic Care for Disc Herniation-Video

What Causes Disc Herniation? | El Paso, Tx (2023)

Do you feel pain or stiffness in certain body areas, especially when stretching or bending? These symptoms are often caused by spinal disc compression. Fortunately, many non-surgical treatments are available to help reduce the effects of spinal disc compression and promote natural healing. One such treatment is spinal decompression, as studies reveal that it uses negative pressure to stretch the muscles around the spine and reduce stress. Spinal decompression can be combined with other non-surgical treatments like chiropractic care to relieve pressure from the spine and reduce pain. Chiropractic care involves realigning the spine and reducing referred neck, shoulder, or back pain. Both therapies are non-invasive and can be combined with physical and nutritional treatment for optimal results. The video above explains how non-surgical treatments can help with disc herniation and associated symptoms.

Spinal Decompression For Musculoskeletal Pain

 

If you experience axial load on your spine from various factors, it could lead to musculoskeletal pain. Research shows that musculoskeletal pain is somatic by nature and can be associated with other pain syndromes related to the spine. Spinal decompression therapy can help alleviate this referred pain by using gentle traction to stretch the spine. Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C.’s book, “The Ultimate Spinal Decompression,” stated that this therapy creates space between the vertebrae, allowing herniated or bulging discs to return to their positions in the spine. This reduces pressure on nerves and soft tissues and increases the circulation of oxygenated blood, fluids, and nutrients to the spinal disc. This helps stimulate the body’s natural healing mechanism and reduce musculoskeletal pain in the cervical, thoracic, and lumbar regions. Therefore, spinal decompression therapy can alleviate pain symptoms associated with those areas.

 

Conclusion

If you’re experiencing musculoskeletal pain in your neck, upper back, or lower back, it could be due to unwanted pressure on your spine. A variety of environmental factors can cause this pressure. Spinal decompression is a non-surgical treatment that can help alleviate this pressure using gentle traction on the spine. Spinal decompression can create negative pressure, increasing disc height and stretching the surrounding muscles. This can help reduce pain and prevent new injuries from occurring. Combining spinal decompression with other therapies can help individuals become more mindful of their bodies and avoid adding unwanted pressure to their spine.

 

References

Choi, E., Gil, H. Y., Ju, J., Han, W. K., Nahm, F. S., & Lee, P.-B. (2022). Effect of Nonsurgical Spinal Decompression on Intensity of Pain and Herniated Disc Volume in Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 1–9. doi.org/10.1155/2022/6343837

Choi, J., Lee, S., & Hwangbo, G. (2015). Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation. Journal of Physical Therapy Science, 27(2), 481–483. doi.org/10.1589/jpts.27.481

El-Tallawy, S. N., Nalamasu, R., Salem, G. I., LeQuang, J. A. K., Pergolizzi, J. V., & Christo, P. J. (2021). Management of Musculoskeletal Pain: An Update with Emphasis on Chronic Musculoskeletal Pain. Pain and Therapy, 10(1). doi.org/10.1007/s40122-021-00235-2

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Disclaimer

Knee and Ankle Automobile Collision Injuries: Sciatica Clinic

By
Dr. Alex Jimenez
-

Automobile accidents and collisions can cause knee and ankle injuries in various ways. Automobile crashes are considered high-energy collisions versus slip and fall traumas which are generally low-energy. However, a 30mph or under-collision can have serious and detrimental effects on the knees and ankles. The sudden forces can cause the knees to collide with the dashboard or push the feet and legs into the body, generating intense pressure and compressing the bones, muscles, and ligaments damaging soft tissues and bone structures from the impact. The Injury Medical Chiropractic and Functional Medicine Clinic Team can rehabilitate, realign, strengthen, and restore function to individuals with minor to severe auto collision injuries.

Knee and Ankle Automobile Collision Injuries: EP Chiropractic Team

Knee and Ankle Injuries

Musculoskeletal motor vehicle crash/collision injuries affect the body’s movement. The impact can pull, tear, crush, and smash bones, muscles, tendons, ligaments, discs, and nerves. These injuries restrict the range of motion and can cause pain and sensation symptoms. The National Accident Sampling System reports 33% of injuries sustained during vehicle collisions are to the lower extremities.

  • Despite the knees and ankles having soft tissues that absorb and distribute the energy’s impact, the forces from the collision often happen instantly and unexpectedly, causing the individual to tense up, which overwhelms the structures.
  • Even panic stepping on the brake pedal can cause injury to the ankle and foot.
  • A passenger’s reflex of trying to resist forces can experience foot, ankle, and knee injuries from bracing off the vehicle’s floorboard.
  • Automobile collisions can cause strains, sprains, fractures, and dislocations.

Torn, Strained, or Sprained Knee

  • If the foot becomes planted on the floorboard while the body continues to move forward or sideways, the force can travel into the knee, causing twisting or shearing.
  • Depending on the injury type, the impact strength can damage different ligaments.
  • The ligaments resist forces that push the knee inwards/medially and outwards/laterally and slightly resist rotational forces.
  • When any of these ligaments are damaged, swelling, pain, and limited ranges of motion can result.
  • Putting weight on the affected leg can be difficult.
  • In some cases, the ligaments tear completely, necessitating surgical repair.
  • Once the individual can engage in mild activity, they can begin a rehabilitation program to restore function.
  • Recovery times vary based on the location and severity of the injury.

Fractured Knee or Ankle

  • When a fracture occurs in a joint, like the knees or ankles, surgical procedures may be necessary to repair the broken bone/s.
  • Broken bones can result in simultaneous damage and/or inflammation of the connective tissues that can cause the muscles to contract/tighten or atrophy during the recovery and healing phases.
  • Joints and bones are kept healthy with moderate movement and weight-bearing.
  • Fractures require immobilization of the affected area.
  • A physical therapy rehabilitation program can begin when the brace or cast comes off.
  • Targeted exercises and resistance will strengthen and stretch the joint to improve flexibility and promote healing through improved circulation.

Torn Meniscus

  • The meniscus is a C-shaped area of cartilage that rests between the thigh and shin bones.
  • It acts as a shock absorber.
  • The meniscus can become torn, resulting in pain, stiffness, and loss of motion.
  • This injury can heal independently with the right rest and therapeutic exercises.
  • A chiropractic auto collision specialist can diagnose the severity of the tear and provide the recommendations needed to rehabilitate and strengthen the knee.
  • If the tear is severe enough, surgery may be required.

Strained or Sprained Ankle

  • Strained tendons and sprained ligaments can result from the ankle being subject to tremendous force.
  • Strains and sprains vary in severity.
  • Both indicate that the connective tissue has been damaged or stretched beyond normal limits.
  • They can present with pain, inflammation, and problems moving the affected area.
  • With proper medical attention and rehabilitation, recovery is possible.

Torn Achilles Tendon

  • The Achilles tendon connects the calf muscle to the heel and is necessary for walking, running, physical activity, and bearing weight.
  • If the tendon gets torn, surgery will be required to reattach the muscle and tendon.
  • After recovery, the individual can begin physical therapy to work the tendon and muscle, slowly building strength and range of motion.
  • It is critical to do this with the supervision of an expert in musculoskeletal rehabilitation to avoid re-injury or developing new injuries.

Chiropractic Treatment

Any musculoskeletal motor vehicle injuries can result in intense pain that worsens with activity, inflammation, swelling, redness, and/or heat in the affected area. This is why correctly diagnosing the injury is essential if the condition is to be properly and thoroughly treated. A physical examination will vary based on the individual’s state and can include:

  • Strength assessment
  • Range of motion
  • Reflexes
  • Other variables to determine the underlying issues.
  • Diagnostic imaging such as X-rays, MRIs, and CT scans can help identify and clarify injuries’ extent, nature, and location and rule out problems.

A qualified healthcare professional will combine the data with medical history to develop an accurate diagnosis. Our ability to effectively treat accident individuals is based on applying clinical expertise in musculoskeletal diagnosis and care. Our medical team takes a practical approach to help individuals quickly heal from musculoskeletal injuries using the latest treatments possible. When you meet with one of our professionals, you will feel relaxed and confident that you have come to the right place.

From Injury To Recovery

References

Dischinger, P C et al. “Consequences and costs of lower extremity injuries.” Annual proceedings. Association for the Advancement of Automotive Medicine vol. 48 (2004): 339-53.

Fildes, B et al. “Lower limb injuries to passenger car occupants.” Accident; analysis and prevention vol. 29,6 (1997): 785-91. doi:10.1016/s0001-4575(97)00047-x

Gane, Elise M et al. “The impact of musculoskeletal injuries sustained in road traffic crashes on work-related outcomes: a protocol for a systematic review.” Systematic reviews vol. 7,1 202. 20 Nov. 2018, doi:10.1186/s13643-018-0869-4

Hardin, E C et al. “Foot and ankle forces during an automobile collision: the influence of muscles.” Journal of biomechanics vol. 37,5 (2004): 637-44. doi:10.1016/j.jbiomech.2003.09.030

Li, Wen-Wei, and Cheng-Chang Lu. “Knee deformity following a motor vehicle accident.” Emergency medicine journal: EMJ vol. 38,6 (2021): 449-473. doi:10.1136/emermed-2020-210054

M, Asgari, and Keyvanian Sh S. “Crash Injury Analysis of Knee Joint Considering Pedestrian Safety.” Journal of biomedical physics & Engineering vol. 9,5 569-578. 1 Oct. 2019, doi:10.31661/jbpe.v0i0.424

Torry, Michael R et al. “Relationship of knee shear force and extensor moment on knee translations in females performing drop landings: a biplane fluoroscopy study.” Clinical biomechanics (Bristol, Avon) vol. 26,10 (2011): 1019-24. doi:10.1016/j.clinbiomech.2011.06.010

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Sciatica Specialist
STOP SUFFERING! We specialize in advanced non-surgical approaches in treating sciatica. Our focus is to stop the pain, remove the cause and prevent chronic recurrence of complex sciatica pain syndromes. We treat with advanced protocols and supportive care plans. Blessings - Dr. Alex Jimenez DC, MSACP, IFMCP, CIFM, ATN
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