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Function Restoration Chiropractor: Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Senior man lying on back and bending his knees with physical therapist pushing them to patient belly

The sciatic nerve is the longest in the body and is the central nerve in the leg. A critical nerve that comes off the spine runs through the pelvis, into the buttocks, down the back of each thigh, and finally into the feet. It is a mixed nerve meaning it is made up of both motor/movement) and sensory/sensation fibers. The nerves merge with the spinal nerve roots before they enter the spinal cord, where the sensory information travels to and from the brain. If the nerve is inflamed, compressed, twisted, damaged, or injured, this can negatively affect the muscles’ function, leading to chronic pain conditions. Injury Medical  Function Restoration Chiropractors will do precisely that for the sciatic nerve and the rest of the body. 

Function Restoration Chiropractor: Sciatic Nerve

Nerve Roots and Branches

Different nerve roots make up the sciatic nerve, with two starting in the lower back and three at the bottom of the spine or sacrum. At the  knees, the nerve splits into two branches:

  • The peroneal nerve runs from the knee’s outer part to the foot’s outer part and splits into two main branches below the knee.
  • The tibial nerve goes down the back of the calf, extending to the heel and sole.

There are smaller branches at the:

  • Hips
  • Inner thighs
  • Calves
  • Feet

Sciatic Nerve Function

The sciatic nerve’s purpose serves motor functions by assisting the muscles in the legs and feet to move, walk, run, and stand. And for the sensory function of feeling sensations in the legs and feet includes pain, numbness, burning, and electrical sensations.

Motor Functions

The nerve provides motor functions that power movement to the muscles that move the thighs, legs, and feet. Essential motor functions:

Hip adduction

  • Bringing the thighs together inward toward the body

Knee flexion

  • Bending the knee.

Inversion of the foot

  • Movement of the foot inward to the body.

Eversion of the foot

  • Movement of the foot away/outward from the body

Dorsiflexion of the foot

  • Pointing the foot up.

Plantarflexion

  • Pointing the foot down.

Flexion of toes

  • Pointing the toes down.

Extension of toes

  • Pointing the toes up.

Motor function signs of sciatic nerve problems include difficulty or inability to walk, bend the leg, and/or stand on tiptoe or the heel.

Sensory Functions

The nerve provides sensation to the different areas; when the nerve is injured, the corresponding area may feel unique/abnormal sensations with differing degrees of numbness, pins-and-needles, and pain. Commonly affected areas include:

  • Front, back, and outside the thigh.
  • Front, back, and outside the lower leg.
  • The top and outer side of the foot.
  • Bottom of the foot.
  • Between the toes.

Like motor function disruption, sensory impairment is determined by where the problems are occurring.

Function Restoration Chiropractor

Affected, reduced, and inhibited motor and sensory functions can lead to muscle weakness, chronic pain, and permanent nerve damage. Function restoration chiropractor and physical therapeutic massage can help manage nerve compression and irritation. Spinal manipulations restore misaligned vertebral discs taking the pressure off the nerve relieving the pain, and regaining nerve signal flow and mobility. Chiropractic will induce deep muscle relaxation to stop muscle spasms, release tension, soothe the nerve, release endorphins, and restore sciatic nerve function.

Spinal Decompression

References

Bouche, P. “Compression and entrapment neuropathies.” Handbook of clinical neurology vol. 115 (2013): 311-66. doi:10.1016/B978-0-444-52902-2.00019-9

Cook, Chad E et al. “Risk factors for first-time incidence sciatica: a systematic review.” Physiotherapy research international: the journal for researchers and clinicians in physical therapy vol. 19,2 (2014): 65-78. doi:10.1002/pri.1572

Giuffre BA, Jeanmonod R. Anatomy, Sciatic Nerve. [Updated 2021 Jul 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482431/

An Overview On Systemic Lupus Erythematosus

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

The body’s immune system is vital in protecting the body from foreign invaders that can wreak havoc. The immune system has a casual relationship with different body systems like the gut, endocrine, and central nervous systems that work together to keep the body functional. When environmental or genetic factors affect the body over time, the immune system will begin to attack normal, healthy cells causing issues and becoming a risk of developing autoimmune diseases. Autoimmune diseases are when the body starts to attack itself, and if it is not managed over time, it can lead to the development of chronic disorders. Today’s article looks at one of the most common autoimmune diseases, systemic lupus erythematosus or lupus, its symptoms and factors, and how to manage lupus with available treatments. We refer patients to certified providers specializing in autoimmune therapies to help those with systemic lupus and its associated symptoms. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Systemic Lupus Erythematosus?

 

Are you experiencing fatigue? How about sharp pain located in your chest? Have you been experiencing headaches that seem to pop up for no reason? Some of these symptoms are signs that you could be at risk of developing lupus. Lupus or systemic lupus erythematosus is a systemic autoimmune disease with a multisystem involvement that occurs when an individual’s immune system starts to attack their tissue and organs. Systemic refers to multiple affected organs, lupus refers to various skin diseases, and erythematosus refers to inflamed, reddened skin. Studies reveal that lupus is a chronic inflammatory autoimmune disease affecting multiple organ systems and potentially associated with different factors. Lupus is tricky to diagnose because it often mimics other ailments like fibromyalgia, rheumatoid arthritis, and other autoimmune diseases; it can cause inflammation in the different body systems.

 

The Symptoms and Factors

Even though lupus is difficult to diagnose, the signs and symptoms vary for individuals who might be at risk of developing lupus. Some signs may suddenly appear or evolve, ranging from mild to severe depending on the factors. Some of the factors that are associated with lupus include:

  • Sun exposure
  • Lifestyle habits (stress, smoking, diet, physical inactivity)
  • Toxins
  • Genetic (Family history)

Many of these factors contribute to the development of lupus and are closely associated with other autoimmune diseases like diabetes, RA (rheumatoid arthritis), and fibromyalgia. So how do these autoimmune diseases correlate with lupus? Since lupus can mimic other autoimmune disorders, some symptoms overlap, affecting the different body systems like the joints, skin, kidneys, blood cells, brain, heart, and lungs. For example, many autoimmune diseases are closely associated with inflammation, which could potentially be involved with the gut. Some of the symptoms that are associated with lupus include:

  • Fatigue
  • Joint and muscle pain
  • Headaches
  • Butterfly rash
  • Headaches
  • Skin legions
  • Stomach issues

 

Systemic Lupus Erythematosus Overview-Video

Systemic lupus erythematosus (SLE) - causes, symptoms, diagnosis & pathology

Have you been experiencing issues with your gut? How about joint stiffness and swelling? Or are you constantly feeling the effects of fatigue? Many of these symptoms are associated with lupus, and the video above explains what systemic lupus erythematosus is and how it affects the body. Lupus is an autoimmune disease that is difficult for physicians to diagnose since it mimics other issues that a person may be experiencing. An example would be fibromyalgia associated with lupus. Studies reveal that the presence of fibromyalgia could be a separate diagnosis or potentially be involved with lupus as a confounder. In fibromyalgia and lupus, somatic symptoms like fatigue, aching, and pain may overlap and affect the surrounding muscles and organs. This is known as somato-visceral pain. Fortunately, there are ways to manage autoimmune diseases like lupus.

Treatments To Manage Lupus

 

When a person is dealing with an autoimmune disease like lupus, it may feel like it is the end of the world to them. While there is no cure for lupus, there are ways to manage this autoimmune disease from progressing further to causing more damage to the body. Making small changes in food intake, adding more supplements to boost the immune system like vitamin D, exercising, and chiropractic care work together to manage autoimmunity in the body. So how do all these things work together? Well eating anti-inflammatory foods filled with antioxidants to dampen inflammatory effects. Supplements like vitamin D can help improve and maintain a healthy immune system. Chiropractic care not only focuses on the musculoskeletal system but can help the immune system to its total capacity by correcting any subluxations or spinal misalignments in the body.

 

Conclusion

The immune system helps the body by attacking foreign invaders that wreak havoc inside while having a casual relationship with different body systems. When environmental or genetic factors affect the body over time, the immune system mistakenly attacks normal, healthy cells thinking they are foreign invaders. This is known as autoimmune disease and, if not managed over time, can lead to the development of chronic disorders. Lupus is an autoimmune disease that can mimic other chronic conditions, making it tricky to diagnose. Some of the overlapping symptoms associated with lupus can vary in severity. While there is no cure for lupus, available treatments can help manage the symptoms and associated conditions. Combining healthy eating habits, exercise, vitamin intake, and chiropractic care can help improve a person’s health and wellness.

 

References

Justiz Vaillant, Angel A, et al. “Systemic Lupus Erythematosus – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 15 Mar. 2022, https://www.ncbi.nlm.nih.gov/books/NBK535405/.

Maidhof, William, and Olga Hilas. “Lupus: An Overview of the Disease and Management Options.” P & T : a Peer-Reviewed Journal for Formulary Management, MediMedia USA, Inc., Apr. 2012, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3351863/.

Wolfe, Frederick, et al. “Fibromyalgia, Systemic Lupus Erythematosus (SLE), and Evaluation of SLE Activity.” The Journal of Rheumatology, U.S. National Library of Medicine, Jan. 2009, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2944223/.

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Cheerleading Conditioning Chiropractic

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

Cheerleading and the physically intensive gymnastics and acrobatics put participants’ body’s/musculoskeletal systems at an increased risk of injury. A wrong move or falling at the wrong angle can cause permanent damage. Cheerleaders must follow a balanced diet and maintain physical fitness, strength, endurance, and flexibility to be successful cheerleaders. Cheerleading conditioning builds the musculature and spinal strength to decrease the risk and prevent injury.

Cheerleading Conditioning Chiropractor

Cheerleading Conditioning

Cheerleaders must have a solid musculoskeletal system to ensure their safety and the safety of their squads. Workouts include cardio, strength training, and flexibility exercises.

Warming Up

  • Before any workout, the muscles need to be warmed up.
  • Spend five minutes jumping rope, running in place, jogging on a treadmill, or doing any mild activity to raise the heart rate.
  • After the muscles are warmed up, stretch all major muscle groups.

Cardio

Strength Training

Performing partner lifts, pyramids, and basket tosses calls for strong muscles.

  • Focus on the shoulders, arms, back, core, and legs.
  • Strength training workouts can be done with exercise equipment or body weight.
  • Bodyweight workouts include pushups, situps, partner leg lifts, squats, and lunges.
  • Perform 10 to 12 repetitions each, working up to 75 – 100 reps.

Flexibility

  • Cheerleading conditioning focuses on the hamstrings, quads, glutes, abdominals, chest, shoulders, back, and pectorals.
  • Yoga, Pilates, or regular stretching at home will increase flexibility.
  • Incorporate stretches that focus on the major muscle groups.
  • Stretch at the end of the workout.

Balance Training

Balance is essential.

  • This is where yoga can improve balance.
  • Try tree pose by standing on the right foot, and the left leg bent on the right knee.
  • The left thigh should be parallel to the ground.
  • Raise arms overhead and make a V motion keeping the abdominal muscles tight.
  • Balance for up to one minute.
  • Switch to the other foot.
  • Once balance is mastered on the ground, try balancing on a cushion to add instability.
  • Repeat three to five times on each foot.

Common Injuries

Common injuries include:

  • Hand and finger injuries.
  • Ligament sprains in the knees and ankles.
  • Muscle strains in the hip, low back, and legs.

Overuse injuries

  • Cheerleading is becoming a year-round sport.
  • Starting with tryouts during spring.
  • Teams may hold or go to organized summer cheerleading camps to learn new skills, improve skill sets, and create routines for competition.
  • Continuous training and competitions increase the chance of overuse injuries.
  • The wrists, elbows, knees, and ankles can be injured by repetitive stress.

More severe injuries are:

  • The repetitive tumbling places significant pressure on the spine and can cause stress fractures.
  • Dislocation of the shoulder or elbow.

Injury Causes

  • Lack of arm and shoulder, foot, and ankle strength.
  • Little to no core and abdominal strength.
  • Flexibility problems.
  • Improper conditioning.
  • Unhealthy diet.
  • Performing skills that are advanced for the cheerleader’s current level.

Chiropractic Enhancement

Chiropractic care can treat injuries and strengthen the body’s musculoskeletal system to prevent injuries. Chiropractic’s goal is optimal body performance by redistributing blood circulation, nerve energy flow, correct muscle positioning, and skeletal alignment. Many cheerleading teams are incorporating chiropractic. Injury Medical Chiropractic and Functional Medicine Clinic also specializes in sports medicine rehabilitation, strength training, nutrition, and health coaching.

Cheerleading Strength Training Workout

References

Boden, Barry P, and Christopher G Jarvis. “Spinal injuries in sports.” Neurologic clinics vol. 26,1 (2008): 63-78; viii. doi:10.1016/j.ncl.2007.12.005

Miners, Andrew L. “Chiropractic treatment and the enhancement of sport performance: a narrative literature review.” The Journal of the Canadian Chiropractic Association vol. 54,4 (2010): 210-21.

Mueller, Frederick O. “Cheerleading injuries and safety.” Journal of athletic training vol. 44,6 (2009): 565-6. doi:10.4085/1062-6050-44.6.565

Pang, Yanbin, et al. “Premature exhaustion of mesenchymal stromal cells from myelodysplastic syndrome patients.” American journal of translational research vol. 9,7 3462-3468. 15 Jul. 2017

Wan, Jing-Jing, et al. “Muscle fatigue: general understanding and treatment.” Experimental & molecular medicine vol. 49,10 e384. 6 Oct. 2017, doi:10.1038/emm.2017.194

The Impact of Fatigue & Rheumatoid Arthritis

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

Many individuals have dealt with issues affecting their lives in some way or form. People with autoimmune diseases must learn to manage their immune system from constantly attacking their bodies to function normally. The immune system’s primary function in the body is to attack environmental factors that harm the cells, muscles, and organs. When a person has an autoimmune disease, either from their family history or environmental factors, their immune system will begin to attack the body’s normal cells because it thinks it is a foreign invader to the body. Some common autoimmune disorders that most people have include lupus, ankylosing spondylitis, and rheumatoid arthritis. Most of these common autoimmune disorders correlate to common symptoms that add to other issues that affect the body. Today’s article looks at rheumatoid arthritis, its symptoms, how it relates to fatigue, and how there are available treatments to manage rheumatoid arthritis as well as fatigue. We refer patients to certified providers specializing in musculoskeletal therapies to help those who suffer from rheumatoid arthritis and fatigue. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Rheumatoid Arthritis?

 

Have you been feeling stiffness and inflammation around your joints? have you experienced gut issues affecting your life? Or do problems of insomnia or fatigue seem to affect your quality of life? Many of these symptoms are associated with rheumatoid arthritis. Rheumatoid arthritis is an autoimmune disease that causes inflammation and swelling in the joints. The video above explains how to manage rheumatoid arthritis and its associated symptoms. Fatigue is one of the symptoms associated with rheumatoid arthritis as the inflammatory cytokines could be a co-morbidity in altering brain function that can lead to an overlap of pain and fatigue in the body, as studies reveal. While there hasn’t been a cure for rheumatoid arthritis, various treatment approaches can help people manage the symptoms of rheumatoid arthritis.

 

The Symptoms

 

Some of the most commonly rheumatoid arthritis symptoms do to the body include pain, swelling and inflammation of the joints, joint deformity, and stiffness. Unlike wear and tear damage from different types of common inflammatory issues, rheumatoid arthritis symptoms may come and go that can range from mild, moderate, or even severe. When this happens, rheumatoid arthritis may be the result of making it difficult to perform simple tasks and cause joint alterations. Research shows that rheumatoid arthritis associated with inflammation can damage different body parts like the gut. Gastrointestinal problems like leaky gut, IBS, or SIBO could trigger flare-ups in individuals who have rheumatoid arthritis. This is known as somato-visceral pain, where the muscles affect the vital organs, causing problems for the body. 

 

How Does Fatigue Correlate To RA?

Individuals that have rheumatoid arthritis do suffer from various symptoms that are associated with inflammatory issues. When inflammation begins to affect the body, it can overlap the profiles of fatigue and poorer quality of life in the individual. So how does fatigue correlate to rheumatoid arthritis? Studies reveal that fatigue is considered one of the acute symptoms of rheumatoid arthritis that imposes a burden on individuals, thus being associated with reducing their health and wellness. Fatigue has many dimensions that do impact many individuals. Some people will explain to their primary physicians that they are constantly tired, overworked, and repeatedly stressed from everyday life or disorders affecting their bodies. For rheumatoid arthritis individuals, studies reveal that high inflammatory factors associated with fatigue may cause them to feel exhausted. This is related to individuals who have insomnia from other conditions.

Managing Rheumatoid Arthritis-Video

Managing Rheumatoid Arthritis and all aspects of health | Britt Ringstrom | TEDxUMN

Have you been feeling stiffness and inflammation around your joints? have you experienced gut issues affecting your life? Or do problems of insomnia or fatigue seem to affect your quality of life? Many of these symptoms are associated with rheumatoid arthritis. Rheumatoid arthritis is a chronic autoimmune disease that causes inflammation and swelling in the joints. The video above explains how to manage rheumatoid arthritis and its associated symptoms. Fatigue is one of the symptoms associated with rheumatoid arthritis as the inflammatory cytokines could be a co-morbidity in altering brain function that can lead to an overlap of pain and fatigue in the body, as studies reveal. While there hasn’t been a cure for rheumatoid arthritis, various treatment approaches can help people manage the symptoms of rheumatoid arthritis.

Treatments For RA & Fatigue

 

Even though there hasn’t been a cure for rheumatoid arthritis, there are ways to manage the associated symptoms of rheumatoid arthritis. Eating anti-inflammatory riched foods could potentially dampen the effect of inflammation on the joints. One way while exercising can help loosen up stiff joints and bring back muscle strength, thus restoring joint motion. Treatments like chiropractic care can also provide pain relief and management for individuals dealing with rheumatoid arthritis. Chiropractic care comprises passive and active treatment modalities for rheumatoid arthritis and fatigue. Chiropractors utilize spinal adjustments and manual manipulation to reduce misalignment or subluxation of the spine. Chiropractic care may also help with many symptoms like fatigue associated with rheumatoid arthritis without invasive treatments or medication. Chiropractic care could potentially improve the function of the bones, joints, and even the nervous system in the body.

 

Conclusion

Rheumatoid arthritis is a chronic inflammatory disease that causes joint stiffness and swelling. The causes of this autoimmune disease are unknown. Still, factors like stress, gut issues, and obesity are associated with symptoms like fatigue, leaky gut, muscle stiffness, and poorer quality of life could potentially be involved with rheumatoid arthritis. Treatments like eating anti-inflammatory foods, exercising, and chiropractic care could help manage inflammatory issues triggering rheumatoid arthritis and potentially reduce the effects of fatigue from the body, thus slowing down the progression and bringing back a person’s quality of life.

 

References

Chauhan, Krati, et al. “Rheumatoid Arthritis – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 30 Apr. 2022, https://www.ncbi.nlm.nih.gov/books/NBK441999/.

Korte, S Mechiel, and Rainer H Straub. “Fatigue in Inflammatory Rheumatic Disorders: Pathophysiological Mechanisms.” Rheumatology (Oxford, England), Oxford University Press, 1 Nov. 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6827268/.

Pope, Janet E. “Management of Fatigue in Rheumatoid Arthritis.” RMD Open, BMJ Publishing Group, May 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299512/.

Santos, Eduardo J F, et al. “The Impact of Fatigue in Rheumatoid Arthritis and the Challenges of Its Assessment.” Rheumatology (Oxford, England), Oxford University Press, 1 Nov. 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6827262/.

Staff, Mayo Clinic. “Rheumatoid Arthritis.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 18 May 2021, https://www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648.

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Whey Protein Powder and Muscle Health

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Happy young woman in sports clothing preparing protein cocktail at home

The body needs protein which is essential in building muscle, repairing tissue, producing enzymes and hormones and is a source of energy. Whey is a complete protein source that provides all the essential amino acids, vitamins, minerals, and other nutrients that increase anabolism, also known as muscle growth. It is used for various reasons. Some individuals want to build muscle mass and gain strength, while others want to lose weight and achieve improved results from working out. Even individuals who don’t exercise can benefit from the supplement as it supports immune function, helps reduce blood pressure, and improves insulin response.

Whey Protein Powder: Musculoskeletal Health

Whey Protein

Whey protein is made from the liquid produced during the cheese-making process.

  • Milk comprises two forms of protein: casein (80%) and whey (20%).
  • It contains less than 0.5 g of fat and only 5 mg of cholesterol per serving.
  • Pure whey does not contain any gluten.
  • It is referred to as the most nutritious protein available.
  • It’s easy to digest.
  • Incorporating whey into a healthy diet can help lower the risk of diabetes.

Types

There are three primary types of whey protein in supplements.

Whey Protein Concentrate – WPC

  • The percentage of protein available in the concentrate can vary from 30 to 90 percent.
  • The concentrate generally contains low levels of carbohydrates and fat.

Whey Protein Isolate – WPI

  • Isolate contains more protein than concentrate.
  • They are almost always at least 90 percent protein.
  • This is because they’ve been further processed and thus have no fat or lactose.

Whey Protein Hydrolysate – WPH

  • Hydrolysate is a form that has already gone through partial hydrolysis, a process so the body can absorb protein.
  • It is considered pre-digested, so it gets absorbed quicker.

Concentration is the most popular and least expensive option that retains the most nutrients. However, some individuals can tolerate isolate and hydrolysate a lot better and are ideal for those trying to cut down on carbs and fats.

Benefits

Increased Strength and Muscle

  • Helps to increase protein consumption.
  • Most brands contain 80 to 90 percent without added carbs or fats.
  • Helps to build muscle and increase strength after physical activity/exercise recovery.

Can Help Burn Fat

  • A study found a group of adults that supplemented their diet with whey protein experienced a decrease in body fat and weight.
  • Combining whey protein and resistance training, participants found their weight and fat loss were even higher.

Can Help Stabilize Blood Sugar

  • Consuming whey protein with a high glycemic index before a meal can help stimulate insulin production while preventing spikes in blood sugar levels.
  • The protein naturally reduces blood sugar levels after meals when consumed before the meal.

Improves Heart Health

  • It can help reduce blood pressure and arterial stiffness.
  • It has been linked to improving individual lipid profiles.
  • Promotes heart health by building muscle and helping with weight loss.

Increased Immunity

  • It can help encourage glutathione synthesis, which increases immune system function.
  • It is also rich in vitamins and minerals that promote immune function.
  • It helps the body recover from oxidative stress and inflammation.

Improves Energy Levels

  • It helps to increase glycogen, a source of energy during exercise or other physical activities.
  • It also increases leptin which helps balance the body’s energy levels.
  • Whey is easily digested, which can be quickly converted to energy.

Factors to Consider When Choosing

Flavor

  • The flavor is crucial because nobody wants to drink a daily protein shake they cannot enjoy.
  • Options like chocolate and vanilla are usually safe.
  • If experimenting, get a small container to start.

Mixability

  • Not all supplements mix properly or thoroughly.
  • Find a brand that dissolves quickly and has little clumping.

Container Size

  • Most protein supplements are available in 1 lb, 2 lb, 5 lb, or 10 lb containers.
  • Larger sizes are more cost-effective.
  • One 5 lb package is cheaper than buying five 1 lb containers.

Everything You Need To Know

References

Ebaid, Hossam et al. “Whey protein enhances normal inflammatory responses during cutaneous wound healing in diabetic rats.” Lipids in health and disease vol. 10 235. 14 Dec. 2011, doi:10.1186/1476-511X-10-235

Hashemilar, Mazyar, et al. “Effect of Whey Protein Supplementation on Inflammatory and Antioxidant Markers, and Clinical Prognosis in Acute Ischemic Stroke (TNS Trial): A Randomized, Double-Blind, Controlled, Clinical Trial.” Advanced pharmaceutical bulletin vol. 10,1 (2020): 135-140. doi:10.15171/apb.2020.018

Kim, Jooyoung, et al. “Effect of timing of whey protein supplement on muscle damage markers after eccentric exercise.” Journal of exercise rehabilitation vol. 13,4 436-440. 29 Aug. 2017, doi:10.12965/jer.1735034.517

Marshall K. Therapeutic applications of whey protein. Alternative Medicine Review. 2004;9(2):136-156.

Pradhan, Geetali, et al. “Ghrelin: much more than a hunger hormone.” Current opinion in clinical nutrition and metabolic care vol. 16,6 (2013): 619-24. doi:10.1097/MCO.0b013e328365b9be

Volek, Jeff S et al. “Whey protein supplementation during resistance training augments lean body mass.” Journal of the American College of Nutrition vol. 32,2 (2013): 122-35. doi:10.1080/07315724.2013.793580

Dancing For Your Health & Wellness

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

Introduction

Everyone is trying to find what exercise works for them as they start looking for ways to improve their health and wellness. Many individuals who begin to work out would go with finding a personal trainer or a gym that helps incorporate muscle strength training and cardio training to improve their heart and lung capacity to make the body feel good while strengthening their muscles. One of the unique forms of exercise that involve both the heart and muscles is dancing. Dancing is a great way to not only improve musculoskeletal and cardiovascular health but can help reduce overlapping conditions that a person is dealing with in their bodies. Today’s article looks at how dancing helps with musculoskeletal health, affects the heart and brain, and how chiropractic care goes hand in hand with dancing. We refer patients to certified providers specializing in musculoskeletal and cardiovascular therapies to help those with heart and muscle issues. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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Dancing For Musculoskeletal Health

 

Have you ever noticed people take a cardio class with music playing in the background and see them happy afterward? How do athletes incorporate cardio into their exercise regime to improve their mobility and flexibility? Or how do particular video games make you get up and move around? All these scenarios imply that cardio exercises like dancing may help improve musculoskeletal function. Dancing is one of the many aerobic exercises that can help improve a person’s social skills and is something that can be taken up early while providing many beneficial qualities like:

  • Increase strength
  • Improve gait and balance
  • Reduce functional loss
  • Reducing the risk of falls
  • Rehabilitating musculoskeletal injuries
  • Stabilize core muscles

For the musculoskeletal system, dance would be considered an isometric exercise involving different muscle groups like the hips, shoulders, back, and abdominals without using the joints. When a person is dancing, each of the various movements is related to strengthening the core muscles by working thoroughly with the abdominals. Dance can even help improve posture by maintaining strength and enhancing stability in the body. Studies reveal that dance’s impact on individuals with chronic issues like Parkinson’s disease associated with motor and non-motor symptoms can increase their quality of life. So what does that mean? It means that dancing, even for just one song, can help with movement and foster balance, flexibility, and muscle endurance through repeated tasks while associating with accessible, social, and attractive aspects of a person’s physical abilities.

 

How Does Dancing Affect The Heart and Brain?

Dancing not only helps with musculoskeletal issues, but it can help improve brain and heart function in the body. Studies reveal that moderate-intensity dancing was inversely associated with a reduced risk for cardiovascular disease mortality. What dancing does to the heart is that it makes the body intake more oxygen to the lungs, which relates to the heart beating faster and circulating the blood to be transported throughout the entire body. But how does dancing correlate to brain health? Let’s look at dance fitness classes, like Zumba, and use it as an example. Studies show that dance fitness classes provide several health benefits that could reduce mood disorders like depression and anxiety while improving cognitive skills. This means that dance fitness classes like Zumba do repetitive movements to the beat of the music that engages the individual to repeat the steps while having fun. When the muscles begin to do repetitive movements, this motor function sends the signal to the brain, making the person remember the movements later, known as muscle memory. When an individual suffers from neurological disorders like dementia or Alzheimers, dancing could potentially be involved with music therapy, allowing the individual to reduce the risk of developing neurological disorders from progressing further.

How Does The Body React To Dancing?-Video

Have you felt terrific after listening to a good song? How about feeling like you just had a workout? Or have you noticed certain areas in your body like your abdominals, legs, and back looked more toned? All these are beneficial signs that you should add dancing to your regime. The video explains what happens to the body when people are dancing. Dancing could potentially be a mediator for many athletes that play sports.

 

What happens to the body when we dance? - SDC

 

An example would be football and ballet. How do football and ballet relate to each other? Football utilizes efficient and precise movements that benefit every position on the field, while ballet requires speed to make them flawless on stage. Combining the two, many football players will increase their speed and agility associated with ballet to avoid tackles, jump higher, catch passes and avoid injuries on the field. Dancing is an excellent way to get some cardio exercises in, and combined with other treatments can make a difference in a person.

Chiropractic Care & Dancing

 

Like all athletic individuals, professional dancers utilize various treatments to recover and improve their performance. Treatments like chiropractic care are safe, effective, and widely used by young and professional athletes that want to prevent injuries from progressing. Chiropractic care for professional athletes and the general population can help prevent and treat injuries like back and neck pain or aggravating conditions like sciatica through spinal manipulation. Chiropractic care also helps restore an individual’s original well-being while increasing their strength, flexibility, and mobility. By working with an experienced chiropractor, an individual can regain their stamina by adopting new ways to prevent injuries caused by spinal complications from reoccurring in the body.

 

Conclusion

Dancing for 30 minutes to an hour can be used as part of an exercise regime and could potentially reduce chronic issues that affect the body’s brain, heart, and muscles. Dancing could also enhance a sports athlete’s performance by increasing their agility, endurance, and performance. Combined with chiropractic care, individuals will begin to see improvements in their range of motion, flexibility, and even an increase in their brain function to dance longer and improve their health and wellness. So whether you are a professional or not, dancing is for everyone.

 

Reference

Barranco-Ruiz, Yaira, et al. “Dance Fitness Classes Improve the Health-Related Quality of Life in Sedentary Women.” International Journal of Environmental Research and Public Health, MDPI, 26 May 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312518/.

Ferchak, Dawn. “Belly Dance Your Back Pain Away – Spineuniverse.” Spine Universe, 14 Oct. 2020, https://www.spineuniverse.com/wellness/exercise/belly-dance-back-pain.

Gyrling, Therese, et al. “The Impact of Dance Activities on the Health of Persons with Parkinson’s Disease in Sweden.” International Journal of Qualitative Studies on Health and Well-Being, Taylor & Francis, Dec. 2021, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8547839/.

Merom, Dafna, et al. “Dancing Participation and Cardiovascular Disease Mortality: A Pooled Analysis of 11 Population-Based British Cohorts.” American Journal of Preventive Medicine, U.S. National Library of Medicine, June 2016, https://pubmed.ncbi.nlm.nih.gov/26944521/.

Disclaimer

Fatigue Ankylosing Spondylitis: Chiropractic Care

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Young topless man is standing in clinic while woman in uniform is doing check-up of his back

Fatigue Ankylosing Spondylitis: Fatigue is a significant complaint for individuals dealing with ankylosing spondylitis. Ankylosing spondylitis is a chronic inflammation of the spine’s joints that can cause them to become fused or locked up. The process can cause the spine to stiffen, limiting movement, reducing flexibility, and generating a severe hunched posture. Symptoms can include back pain, stiffness, and the inability to take a deep breath if the ribs are involved. Fatigue can have a variety of causes, but in ankylosing spondylitis, inflammation and cytokines play a significant role. The underlying cause of ankylosing spondylitis is still being researched, but it currently affects around 300,000 Americans.

Fatigue Ankylosing Spondylitis

Fatigue Ankylosing Spondylitis

Most individuals with ankylosing spondylitis experience pain in the lower back but can also feel pain in their hips and neck, have abdominal pain, or experience problems with vision. Inflammatory back pain is usually strongest in the morning but can also come from inactivity.

Spinal Condition and Extreme Exhaustion

The inability to move along with a decreased spinal range of motion impacts body functionality, sleep quality, and respiratory function affecting energy levels and leading to mild to severe fatigue. Studies have shown that 50% – 85% of individuals with ankylosing spondylitis experience fatigue.

Fatigue is brought on by inflammation, as the body generates the same chemicals when fighting a cold or flu; an individual’s body constantly works to reduce inflammation, leaving them drained and unable to perform ordinary tasks. Inflammatory diseases take a significant toll on the whole body, leading to an increased risk of depression and increased fatigue levels.

Exercise, Massage, and Diet

Many individuals find that their symptoms flare up after long periods of inactivity, like sleeping. This can make wanting to fall and stay asleep complicated, exacerbating fatigue and vice versa, creating a vicious cycle. Even though it can be challenging to move, gentle exercise is recommended. Exercise can help slow the disease progression, build muscle, and improve sleep. It is recommended to speak with a spine specialist, doctor, chiropractor, physical therapist, or exercise trainer about a customized exercise treatment program.

Many individuals with ankylosing spondylitis find therapeutic massage helpful in temporarily relieving pain, and stiffness, reducing stress and improving flexibility from increased blood circulation. A combination of gentle chiropractic massage, exercise, ergonomic adjustments, and rheumatology treatment is recommended for many cases. An anti-inflammatory diet comprised of foods like fatty fish, fruits, nuts, and leafy green vegetables can fight inflammation and decrease fatigue.

AS Causes, Symptoms, Diagnosis, Treatment, and Pathology

References

Cornelson, Stacey M et al. “Chiropractic Care in the Management of Inactive Ankylosing Spondylitis: A Case Series.” Journal of chiropractic medicine vol. 16,4 (2017): 300-307. doi:10.1016/j.jcm.2017.10.002

Li, Ting, et al. “Fatigue in Ankylosing Spondylitis Is Associated With Psychological Factors and Brain Gray Matter.” Frontiers in medicine vol. 6 271. 21 Nov. 2019, doi:10.3389/fmed.2019.00271

Zhang, Jun-Ming, and Jianxiong An. “Cytokines, inflammation, and pain.” International anesthesiology clinics vol. 45,2 (2007): 27-37. doi:10.1097/AIA.0b013e318034194e

Sacroiliac Dysfunction Causes More Than Back Issues

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

Maintaining healthy joints is crucial to preventing injuries from affecting the body. Incorporating physical activities, eating healthy foods, staying hydrated, and getting a routine check-up are ways to ensure that the body is functional, including the joints. The joints in the body act like shock absorbers that soften the impact of any injuries that the body has sustained. However, as the body ages, so do the joints, causing them to become hardened and cause problems in the body. In today’s article, we will look at sacroiliac dysfunction, what issues it affects besides back pain, and how chiropractic care manages sacroiliac dysfunction. We refer patients to certified providers specializing in musculoskeletal therapies to help those with sacroiliac dysfunction. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Sacroiliac Dysfunction?

 

Are you experiencing pain in the pelvis? Do your hips seem tighter than usual? Do you feel muscle stiffness when you twist from side to side? Some of these issues are signs that you might be experiencing sacroiliac dysfunction. Around the pelvic region lies the sacroiliac joint, a weight-bearing solid joint connecting the pelvis to the sacrum. It is surrounded by tough ligaments that support the body as it distributes the weight from the upper body to the lower body. However, like all the other joints in the body, any injury or condition can cause this joint to be unstable and succumb to the pain, causing sacroiliac dysfunction. Sacroiliac dysfunction or sacroiliac joint pain is defined as one of the potential causes of axial low back pain. When there are issues affecting the sacroiliac joints, it’s associated with about a quarter of most low back pain cases. This is due to the problems that overlap with pain associated with the low back. Studies reveal that dysfunction in the sacroiliac joint can relate to leg or back pain, making diagnosing the problem difficult. Back pain associated with sacroiliac dysfunction causes the pelvis to be hypermobile, causing the risk of developing radiating groin pain. Leg pain associated with sacroiliac dysfunction causes muscle tension and stiffness to the low back, legs, or buttock region, mimicking sciatica-like symptoms.

What Other Issues Does It Affect?

Many individuals may not realize that when they are experiencing sacroiliac dysfunction, symptoms show that they overlap with lumbar spine pathologies. However, sacroiliac dysfunction can also affect the pelvic region of the body. Studies reveal that when the muscles around the body’s pelvic area become inflamed or irritated, it can cause stiffness in the sacroiliac joints, thus developing the risk of pelvic pain. Pelvic pain is usually defined as non-menstrual pain that causes functional disability to the lower extremities. Around the pelvic region, the lower sacral nerves provide extensive neurologic connections to the structures throughout the pelvic area that maintain normal pelvic organ function. When issues like sacroiliac dysfunction become the risk of pelvic pain, it may potentially involve pelvic symptoms like constipation. Studies reveal that constipation is significantly associated with a high prevalence of pelvic organ prolapse and low urinary tract symptoms. Other issues that sacroiliac dysfunction correlates with are:

  • Ankylosing spondylitis
  • Rheumatoid arthritis
  • Inflammatory issues
  • Hip pain
  • Pelvic pain
  • Low back pain
  • Piriformis syndrome

An Overview Of Sacroiliac Joint Pain- Video

Understanding Sacroiliac Joint Pain

Are you experiencing radiating from your lower back down to your leg? How about stiffness in your hips? Are you feeling constipated or have a sense of fullness in your bladder? You may suffer from sacroiliac dysfunction in your pelvic region if you notice these symptoms. The video above explains how to understand sacroiliac joint pain. The sacroiliac joint connects the pelvis and sacrum, surrounded by tough ligaments and muscles that help support the body by distributing weight from the upper body to the lower body. When issues affect the sacroiliac joints can overlap other risk profiles like low back pain, leg pain, and pelvic pain. This can make diagnosing sacroiliac dysfunction difficult because the symptoms are similar to other issues. For example, hip pain is associated with piriformis syndrome while potentially being involved with sciatica. How would hip pain be correlated with piriformis syndrome? The piriformis muscle can become overused and injured and can entrap the sciatic nerve (which runs from the lumbar spine, through the hips, and down to the leg), causing radiating, throbbing pain. Other times referred pain in the low back can affect different areas in the body due to sacroiliac dysfunction. Luckily, there are treatments available to manage sacroiliac dysfunction.

How Chiropractic Care Manages Sacroiliac Dysfunction

 

When issues of sacroiliac dysfunction become associated with leg or back pain, physicians often misdiagnose it as a soft tissue issue rather than a joint issue. Many doctors might rule out various medical conditions before including sacroiliac dysfunction as part of the diagnosis. Some treatments like massage therapy can help loosen up the tight muscles surrounding the joints relieving the pain and discomfort. At the same time, chiropractic care utilizes spinal manipulation and mobilization to the affected spinal area. Since the sacroiliac joint is an essential part of the musculoskeletal system, chiropractors specialize in this area. Through practical, non-invasive methods, chiropractic care has proven to not only relieve pain in the spine but can also help rehabilitate the spine. Chiropractors are specially trained to guide the individual through several phases of care that help loosen the stiff muscles and strengthen the joints. Chiropractic care will help decrease the pain from returning to the body and let the individual return to their health and wellness journey.

 

Conclusion

Maintaining healthy joints is crucial to prevent injuries from affecting the body. The sacroiliac joints are part of the musculoskeletal system that connects the pelvic bone to the sacrum. This joint is surrounded by tough ligaments and muscles that support the upper and lower half of the body through weight distribution. When the sacroiliac joint becomes unstable, it can succumb to pain, thus becoming sacroiliac dysfunction. Sacroiliac dysfunction sometimes mimics low back and leg pain, making it difficult to diagnose. Co-morbidities like pelvic pain correlate to sacroiliac dysfunction, causing somato-visceral pain in different body areas. Treatments like chiropractic care can help strengthen the stiff muscles and joints in the body through spinal manipulation and mobilization in practical, non-invasive treatment. Chiropractic care can help rehabilitate the spine while decreasing the pain from returning to the body.

 

References

Jonely, Holly, et al. “Chronic Sacroiliac Joint and Pelvic Girdle Dysfunction in a 35-Year-Old Nulliparous Woman Successfully Managed with Multimodal and Multidisciplinary Approach.” The Journal of Manual & Manipulative Therapy, Maney Publishing, Feb. 2015, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4459139/.

Raj, Marc A, et al. “Sacroiliac Joint Pain.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 12 Feb. 2022, https://www.ncbi.nlm.nih.gov/books/NBK470299/.

Singh, Prashant, et al. “Pelvic Floor Symptom Related Distress in Chronic Constipation Correlates with a Diagnosis of Irritable Bowel Syndrome with Constipation and Constipation Severity but Not Pelvic Floor Dyssynergia.” Journal of Neurogastroenterology and Motility, Korean Society of Neurogastroenterology and Motility, 31 Jan. 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326213/.

Yeomans, Steven. “Sacroiliac Joint Dysfunction (SI Joint Pain).” Spine, Spine-Health, 7 Feb. 2018, https://www.spine-health.com/conditions/sacroiliac-joint-dysfunction/sacroiliac-joint-dysfunction-si-joint-pain.

Disclaimer

Hydrating Foods, Body Heat, and Health

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Summer fruits and berries. Watermelon, strawberry, raspberry, cherry and apricots

Medical experts advise that maintaining body hydration is one of the most important things to do in extreme heat. Individuals out in the heat lose electrolytes like sodium, potassium, and chloride and need added electrolytes to prevent cramping and excessive sweating that can strain the body. Dehydration can be dangerous, leading to heat exhaustion and possible heat stroke. If gulping water all day seems like a lot, remember that not all hydration must come from drinking water; there are hydrating foods that contain enough water that can be incorporated.

Hydrating Foods, Intense Heat, Body Health

H2O

The body needs H20 to:

  • Deliver nutrients to the cells
  • Regulate body temperature
  • Prevent infection
  • Lubricate the joints
  • Maintain organ function
  • Help with mood
  • Help with Sleep
  • Help with Cognition

Electrolytes

Sweating is vital for maintaining body temperature, and electrolytes are essential in maintaining the body’s homeostasis. Electrolytes help coordinate muscle contractions, heart function, and the conductivity of electric signals transmitting to and from the nervous system. The kidneys regulate fluid absorption and excretion to maintain electrolyte balance, but an imbalance can occur when electrolyte levels spike or drop. An electrolyte imbalance is caused by a change in the number of electrolytes in the body. Sodium, potassium, and calcium are the common elements most likely to be affected by an electrolyte imbalance. Other reasons why electrolyte levels can change include:

  • Unhealthy diet
  • Medications
  • Kidney problems

It is recommended that instead of focusing on how many glasses of water have been drunk, concentrate on two biomarkers:

  • How often do you urinate?
  • What color is the urine?

When the body is thoroughly hydrated, an individual should go to the bathroom every two to three hours, and the urine should be a pale yellow. If it looks orange, it indicates that the body is trying to conserve water and needs further hydration.

Hydrating Foods

Consulting a doctor or nutritionist is recommended to help determine what foods are safe for the individual if there are underlying conditions or other health concerns. Here are a few hydrating foods that contain at least 80 percent water that can be eaten throughout the hot day to maintain body hydration.

Apples

  • Best known for their fiber content  (up to 5 grams), they are also more than 80 percent water.
  • A quick crunchy snack with potassium, vitamin B6, C, and magnesium.

Watermelon

  • These can be up to 92 percent water.
  • Contain vitamin A, B6, and C, plus lycopene and antioxidants.
  • Watermelon can be cubed by itself or with feta cheese, olive oil, salt, pepper, and basil for a sweet-savory salad.

Peaches

  • These can contain up to 88 percent water, fiber, protein, and vitamin C.
  • Peaches can be added to salsas or incorporated into a salad.

Carrots

  • Carrots are around 90 percent water.
  • Rich in beta carotene, which the body uses to make vitamin A.
  • Vitamin A helps the eyes convert light into a signal sent to the brain, allowing for better sight in dim to dark light.
  • Vitamin K
  • Potassium
  • Fiber

Cucumbers

  • Cucumbers have more than 96 percent water.
  • They also contain potassium, phosphorus, magnesium, and some calcium.
  • They contain nutrients known as cucurbitacins, which can have an anti-diabetic effect.
  • Fisetin is an anti-inflammatory substance that helps brain health.

Potatoes

  • The waxy variety contains more water, as much as 80 percent.
  • They contain potassium, vitamin C, fiber, and minerals.
  • Have them baked or roasted with skins to keep as much potassium as possible.

Tomatoes

  • Tomatoes are almost 95 percent water.
  • They contain cancer-fighting carotenoid lycopene, vitamin A and C, and potassium.
  • Sliced onto sandwiches, sauteed into pasta, or blended into a gazpacho.

Cantaloupe

  • 90 percent water.
  • Contains beta-carotene, fiber, and vitamin C.
  • It can be eaten by itself, chopped into salads or smoothies.

Plain yogurt

  • One cup of plain yogurt is around 88 percent water.
  • It contains protein, gut probiotics, calcium, zinc, magnesium, potassium, and phosphorus.
  • Top with some berries for extra hydration.

These are a few hydrating foods that can help with the intense heat. Others include zucchini, iceberg lettuce, strawberries, blueberries, celery, broccoli, and cauliflower. Healthy H2O levels benefits include:

  • Decreased appetite.
  • Improved physical performance during exercise.
  • Increased energy levels.
  • Optimal brain function.

What Are The Most Hydrating Foods?

References

Bergeron, Michael F. “Hydration and thermal strain during tennis in the heat.” British journal of sports medicine vol. 48 Suppl 1, Suppl 1 (2014): i12-7. doi:10.1136/bjsports-2013-093256

Gauer, Robert, and Bryce K Meyers. “Heat-Related Illnesses.” American family physician vol. 99,8 (2019): 482-489.

Karppanen, H et al. “Why and how to implement sodium, potassium, calcium, and magnesium changes in food items and diets?.” Journal of human hypertension vol. 19 Suppl 3 (2005): S10-9. doi:10.1038/sj.jhh.1001955

Schiefermeier-Mach, Natalia, et al. “Electrolyte Intake and Major Food Sources of Sodium, Potassium, Calcium, and Magnesium among a Population in Western Austria.” Nutrients vol. 12,7 1956. 30 Jun. 2020, doi:10.3390/nu12071956

Strimbu, Kyle, and Jorge A Tavel. “What are biomarkers?.” Current opinion in HIV and AIDS vol. 5,6 (2010): 463-6. doi:10.1097/COH.0b013e32833ed177

Piriformis Syndrome May Cause More Than Hip Pain

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

The muscles in our body help us be active when we want to be, rest and repair after activities, and continue to provide everyday movements that help keep the body functioning correctly. For athletes and the general population, physical training and eating healthy foods help deliver fuel to not only the internal organs but also help support the muscles, ligaments, and skeletal joints from injuries. As many individuals start to think about their health and wellness, many factors tend to pop up that can cause them to halt their health and wellness journey. Issues like stress, accidents, traumatic events, and lifestyle habits can affect the body and, over time, can become the risk of developing into chronic problems. An example would be where a person is experiencing hip pain associated with piriformis syndrome. Today’s article looks at piriformis syndrome, how it can cause more than hip pain, and how there are available treatments for piriformis syndrome. We refer patients to certified providers specializing in musculoskeletal therapies to help those with piriformis syndrome. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Piriformis Syndrome?

Have you been experiencing pain radiating from the buttock down to your legs? Does it hurt when you are sitting down? Or are you feeling tingling sensations and numbness on your butt and thighs? Some of these symptoms might be signs that you might be experiencing piriformis syndrome. Research studies have defined piriformis syndrome as a clinical condition where everyday stress affecting the body causes the piriformis muscle (the small muscle deep in the buttock region) to become tight and irritates the sciatic nerve. When that sciatic nerve becomes aggravated, it can become the risk of developing into sciatica. Many individuals don’t realize that the sciatic nerve also gets affected when their piriformis muscles in the buttock region become overused and tight through strenuous activities. This is due to the belief that any unusual traumatic abnormality in the piriformis muscle will be associated with sciatica symptoms. However, when a person is experiencing buttock pain that travels down the leg caused by the affected piriformis muscle, many will rule out some of the more common causes of sciatica like nerve root impingement triggered by disc herniation.

Surprisingly, three primary causing factors can be associated with piriformis syndrome. The first causing factor is myofascial trigger points may be the results of referred pain (pain or discomfort from another body location). The second causing factor is nerve entrapment against the greater sciatic foramen passing through the various piriformis muscles. And finally, the third causing factor is sacroiliac joint dysfunction due to piriformis muscle spasm. Studies reveal that the piriformis muscle helps stabilize the sacroiliac joint; when the small muscle starts to become irritated, it causes pain in the buttock region. But how does sacroiliac dysfunction relates to piriformis syndrome? Well, since low back pain is associated with sacroiliac dysfunction, the pain will often radiate down to the knee and the groin muscles while becoming a risk of developing piriformis syndrome. 

 

Piriformis Syndrome Causes More Than Hip Pain?

Due to its broad size in the greater sciatic foramen, the piriformis muscle can become overused and tight, thus becoming piriformis syndrome. Piriformis syndrome can also become a risk to the numerous vessels and nerves that exit out in the pelvis region and may become compressed, causing more than just hip pain. Studies reveal that piriformis syndrome may be masquerading as ischiofemoral impingement triggering extra-articular hip pain by entrapping the quadratus femoris muscle causing groin pain. Another cause that piriformis syndrome is associated with is chronic pelvic pain. How does chronic pelvic pain correlate with piriformis syndrome? Chronic pelvic pain is a non-cyclic pain localized in the pelvis, potentially involving the surrounding muscles like the piriformis muscle supporting the irritated hip joint and pelvis region. Piriformis syndrome could also be an overlapping condition risk of developing other health issues like fibromyalgia in many people. Some conditions have common symptoms associated with piriformis syndrome, including:

  • Tingling sensations
  • Numbness
  • Muscle tenderness
  • Pain while sitting
  • Discomfort while exercising

The Difference Between Sciatica & Piriformis Syndrome-Video

Piriformis Syndrome Or True Sciatica - Everything You Need To Know - Dr. Nabil Ebraheim

Have you found it challenging to be comfortable while sitting down doing leisure activities? How about radiating pain that travels down your leg? Or do your hips feel tight and stiff? Experiencing these symptoms means that you might suffer from piriformis syndrome. The video above explains the difference between piriformis syndrome and sciatica. Studies reveal that piriformis syndrome is classically defined as sciatic pain; however, it is not sciatica. Sciatica is caused by compressed sciatic nerve due to herniated disc in the lumbar spine. In contrast, piriformis syndrome is caused when a traumatic injury or an underlying condition causes the piriformis muscle to spasm and aggravate the sciatic nerve. Various factors like prolonged sitting, repetitive movements that involve the legs, and even extensive stair climbing can cause the piriformis muscle to be easily damaged or injured, causing piriformis syndrome. Fortunately, there are ways to alleviate sciatic nerve pain and improve piriformis syndrome.

Treatments Available For Piriformis Syndrome

 

Many treatments are accessible to manage the pain and discomfort caused by piriformis syndrome for suffering individuals. Some people take over-the-counter medicine to decrease the pain, while others utilize a hot/cold pack on the affected area to relieve discomfort. The symptoms associated with piriformis syndrome usually go away without any additional treatment; however, if the pain or discomfort is still there, many people might benefit from alternative options for treatment, like chiropractic care, physical therapy, or even spinal decompression. Whether it is through gentle stretching, spinal manipulation, or decompression, these treatments are for anyone dealing with piriformis syndrome and its associated symptoms. Physical therapy can help decrease the painful symptoms associated with piriformis syndrome through gentle stretches that help return a person’s range of motion. Chiropractic care incorporates spinal adjustments and manual manipulations to treat various injuries or conditions. Spinal decompression uses traction to gently pull on the spine to release the aggravated nerve from causing pain. The relief can gradually restore a person’s natural health while managing its associated symptoms with various treatments available for individuals with piriformis syndrome.

 

Conclusion

Piriformis syndrome is a condition where everyday stress affects the piriformis muscle in the buttock region to become irritated and tight while aggravating the sciatic nerve. Many think traumatic abnormalities affecting their piriformis muscle will be associated with sciatica symptoms. However, sciatica is due to nerve root compression triggered by disc herniation. Piriformis syndrome is where that small muscle is overused from various factors that cause more than hip and butt pain. Some overlapping conditions associated with piriformis syndrome can become mediators for groin and pelvic pain. Fortunately, chiropractic care, physical therapy, and decompression can help restore the body gradually by managing piriformis syndrome and its associated symptoms.

 

References

Hicks, Brandon L., et al. “Piriformis Syndrome.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 21 Apr. 2022, https://www.ncbi.nlm.nih.gov/books/NBK448172/.

Newman, David P, and Liang Zhou. “Piriformis Syndrome Masquerading as an Ischiofemoral Impingement.” Cureus, Cureus, 16 Sept. 2021, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520408/.

Professionals, Northwest Medical. “Piriformis Syndrome/Sacroiliac Dysfunction.” Northwest Medical Center, 2021, https://nw-mc.com/piriformis-syndromesacroiliac-dysfunction/.

Ro, Tae Hoon, and Lance Edmonds. “Diagnosis and Management of Piriformis Syndrome: A Rare Anatomic Variant Analyzed by Magnetic Resonance Imaging.” Journal of Clinical Imaging Science, Medknow Publications & Media Pvt Ltd, 21 Feb. 2018, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843966/.

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Rib Misalignment Pain Chiropractic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Close up of backbone of an anatomical human skeleton standing in empty hospital office with nobody in it during medical consultation. Examination room equipped with professional instrument. Back shot

The ribs are designed to protect the lungs and heart and assist breathing. Twenty-four ribs start at the shoulders in the thoracic spine region and run down the mid-back covering the front, back, and side of the chest. Almost all ribs are attached in two places, including the spine in the back and the sternum in the front of the chest, by cartilage joints. Trauma, poor posture, intense coughing, sneezing, and heaving are a few factors that can cause mechanical rib dysfunction or rib misalignment.

Rib dysfunction and misalignment are typically caused by unhealthy postures like slumped back and rounded shoulders, weakened posterior muscles, and repetitive stress from work, sports, and intense physical activity. Any ribs can become misaligned, causing dysfunction and stress on the body. A chiropractor can adjust and reset the rib as they do for misaligned and compressed spinal joints.

Rib Misalignment, Dysfunction, Pain Chiropractor

Rib Cage Design

The ribcage is flexible and expands when inhaling. Each rib is attached to the spine by three joints in the back and the breastbone in the front. Breathing is an involuntary reflex that is impossible to avoid movement in these joints. The joints are small but allow flexing, so the ribs rise and fall with each breath. These rib joints can become inflamed from rib misalignment causing movement problems that can restrict breathing.

Rib Misalignment

Rib misalignment symptoms can include:

  • Difficulty breathing.
  • Difficulty when trying to sit up.
  • Dull, achy, deep pain next to the spine or under the shoulder blade.
  • Unexplained back pain.
  • Pain when moving or walking.
  • Painful sneezing and/or coughing.
  • Tenderness and pain in the front of the chest.
  • The formation of a lump over the affected rib.
  • Swelling and/or bruising in the region.
  • Numbness in nearby or surrounding ribs.
  • Radiating pain from the back to the front and vice versa.
  • Improvement when pressure is applied to the affected rib.

Rib Dysfunction

Up to 50% of emergency room visits for chest pain symptoms result from non-cardiac factors, with the majority being rib misalignment and the muscles and joints around the rib cage becoming irritated/inflamed.

Causes

There can be several reasons for a misaligned rib. The more common causes include:

Unhealthy Postures

  • Unhealthy postures stress the body that can place pressure on the posterior portion of the ribcage.
  • With time, the ribs can start to shift out of alignment.

Physical Activity, Exercise, and Sports

  • Working out intensely can cause the ribs to shift out of position.
  • Weight lifting improperly can cause the body to shift along with the muscles involved not being strong enough to handle the added weight and movement, causing rib misalignment.

Pregnancy

  • As a woman’s body changes, the weight shifts to the front.
  • This can create a downward pull on the rib cage, increasing misalignment risk.

Intense Coughing or Sneezing

  • Excessive or severe coughing, associated with asthma, bronchitis, or pneumonia, can significantly strain the ribcage.
  • Coughing from a common cold can generate stress to cause a rib to dislocate.
  • Sneezing hard can also cause a rib to shift out of place.
  • Illnesses associated with constant coughing and sneezing can increase an individual’s susceptibility to rib misalignment because of the weakened state of the muscles.

Intense Vomiting

  • Vomiting intensely or heaving can cause the condition.
  • Vomiting does not necessarily involve the lungs, but the convulsive action can cause a rib shift/pop out.

Chiropractic Treatment

Chiropractic can diagnose and treat rib misalignment/dysfunction by using various stretching or massage techniques to loosen the area, making the muscles more flexible, then applying firm pressure to realign the rib back. The treatment plan will include specific stretches, postural exercises, diet, and other recommendations to prevent rib problems.

Spinal Decompression In 90 Seconds

References

Flodine TE, Thomas M. Osteopathic Manipulative Treatment: Inhaled Rib Dysfunction. [Updated 2021 Aug 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560751/

Jawed, Muzamil. and Bruno Bordoni. “Osteopathic Manipulative Treatment: Muscle Energy Procedure – Exhaled Ribs.” StatPearls, StatPearls Publishing, 19 February 2022.

Rib somatic dysfunction (417242001); Costal somatic dysfunction (417242001); Somatic dysfunction of rib (417242001) https://www.ncbi.nlm.nih.gov/medgen/736159

Vemuri, Adithi. and Kiyomi K. Goto. “Osteopathic Manipulative Treatment: Counterstrain/FPR Procedure – Thoracic Vertebrae.” StatPearls, StatPearls Publishing, 15 November 2021.

Fibromyalgia Could Cause Something More In The Body

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

Everyone has dealt with acute or chronic pain at some point in their lives. The body’s response tells many of us where the pain is located and can leave the body sore as the immune system begins to heal the affected area. When disorders like autoimmune diseases start to attack the body for no reason, then that is when chronic issues and disorders begin to overlap in risk profiles on other various problems that affect both the muscles and organs. Autoimmune diseases like fibromyalgia can affect a person’s body; however, they could be associated with different issues affecting the body. Today’s article looks at fibromyalgia, how it affects the musculoskeletal system, and how chiropractic care helps manage fibromyalgia in the body. We refer patients to certified providers specializing in musculoskeletal treatments to help those with fibromyalgia. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Fibromyalgia?

 

Have you experienced excruciating pain that is spread all over your body? Do you have trouble sleeping and feel exhausted every day? Do you experience brain fog or other cognitive disturbances? Many of these issues are signs and conditions of fibromyalgia. Fibromyalgia is defined as a chronic condition that is characterized by widespread musculoskeletal pain. Symptoms like fatigue, cognitive disturbances, and multiple somatic symptoms often overlap and accompany this disorder. Around two to eight percent of the world population suffers from fibromyalgia, and it affects women more than men. Sadly though, fibromyalgia is a challenge to diagnose, and the pain can last several months to years. Some of the main symptoms that fibromyalgia does to the body include:

  • Muscle and joint stiffness
  • General sensitivity
  • Insomnia
  • Cognitive dysfunction
  • Mood disorders

Fibromyalgia could also potentially be associated with specific diseases like diabetes, lupus, rheumatic diseases, and musculoskeletal disorders.

 

How Does It Affect The Musculoskeletal System?

The musculoskeletal system in the body has three muscle groups: skeletal, cardiac, and smooth muscles that provide different functions correlating how the body moves. Individuals with fibromyalgia will experience amplified painful sensations affecting their brain and spinal cord to process pain and nonpainful signals potentially associated with musculoskeletal disorders. The neural structures from the brain become hyper-reactive to any soft tissues close to the spine, known as segmental facilitation. These changes that occur to the soft tissues are called trigger points, and if situated in the muscles, they are referred to as “myofascial” trigger points. Studies reveal that the pathophysiology of musculoskeletal dysfunction can be considered secondary to central abnormalities of pain modulation associated with fibromyalgia.

An Overview Of Fibromyalgia-Video

Fibromyalgia | Symptoms, Associated Conditions, Diagnosis, Treatment

Have you been experiencing excruciating pain in different areas of your body? Have you been constantly tired throughout the entire day? Or has your mood been dampened all of a sudden? These are the signs that you have fibromyalgia, and the video above gives an overview of what fibromyalgia is. Fibromyalgia is defined as a chronic disorder that is difficult to diagnose. Studies reveal that fibromyalgia is possible to be described as a cognitive disorder that triggers painful amplifications and sensory nociceptors that become hypersensitive. So what does this mean, and how is the nervous system affected by fibromyalgia? The nervous system has the central and peripheral systems. The peripheral system has a component known as the autonomic nervous system that regulates involuntary bodily functions. The autonomic system consists of two subsystems: the sympathetic and parasympathetic systems. For individuals with fibromyalgia, the sympathetic nervous system, which provides the “fight or flight” response, is constantly active, causing the parasympathetic nervous system, which provides the “rest and digest” response, to be inactive in the body. The good news is that individuals with fibromyalgia and its associated symptoms can find relief through treatment.

Chiropractic Care & Fibromyalgia

 

Even though there hasn’t been a cure for fibromyalgia yet, treatments are available to manage and improve the symptoms associated with fibromyalgia with chiropractic care. Chiropractic care can help relieve fibromyalgia pain by carefully correcting spinal misalignments or subluxations through spinal adjustments and manual manipulations of the body. Studies reveal that the effectiveness of chiropractic care for fibromyalgia patients helps improve their range of motion to the cervical and lumbar areas of the spine. Chiropractic care can help improve their flexibility, decrease their pain levels, and have better sleep quality. People diagnosed with fibromyalgia need to understand that many options for pain management don’t rely on medicines. Chiropractic care is gentle and non-invasive. It can be helpful for individuals that want to take control of their circumstances and have chiropractic therapy as a vital part of managing their well-being.

Conclusion

Fibromyalgia is a chronic disorder that affects the musculoskeletal system by causing stiffness in the muscles and joints, general sensitivity, and other chronic issues associated with this disorder. Individuals with fibromyalgia will describe their pain as unbearable due to the nerves in the sympathetic system being hyperactive and tender to the touch. Fortunately, treatments like chiropractic care can help relieve fibromyalgia pain through spinal adjustments and manual manipulations. Chiropractic care for individuals with fibromyalgia can help improve their range of motion and flexibility and decrease their pain levels without using medicines. Incorporating chiropractic care as a treatment for fibromyalgia can be vital in managing a person’s well-being.

 

References

Bhargava, Juhi, and John A Hurley. “Fibromyalgia – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 1 May 2022, https://www.ncbi.nlm.nih.gov/books/NBK540974/.

Blunt, K L, et al. “The Effectiveness of Chiropractic Management of Fibromyalgia Patients: A Pilot Study.” Journal of Manipulative and Physiological Therapeutics, U.S. National Library of Medicine, 1997, https://pubmed.ncbi.nlm.nih.gov/9272472/.

Geel, S E. “The Fibromyalgia Syndrome: Musculoskeletal Pathophysiology.” Seminars in Arthritis and Rheumatism, U.S. National Library of Medicine, Apr. 1994, https://pubmed.ncbi.nlm.nih.gov/8036524/.

Maugars, Yves, et al. “Fibromyalgia and Associated Disorders: From Pain to Chronic Suffering, from Subjective Hypersensitivity to Hypersensitivity Syndrome.” Frontiers, Frontiers, 1 July 2021, https://www.frontiersin.org/articles/10.3389/fmed.2021.666914/full.

Siracusa, Rosalba, et al. “Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update.” International Journal of Molecular Sciences, MDPI, 9 Apr. 2021, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8068842/.

Disclaimer

Diarrhea and Low Back Pain: Chiropractic Medical Care

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

Experiencing low back pain and diarrhea can be a symptom of a viscerosomatic reflex, somatovisceral reflex, or a combination. A reflex is an involuntary response to nervous system stimulation. A doctor tapping below the knee causes the foot to kick forward is a basic example of a reflex. This is a somatovisceral or body organ reflex. Back pain could be from awkward posture, repetitive motions like bending or twisting, or injury that affects the spinal column. The effects could cause nerve compression and damage that can cause firing misinterpreted signals impacting/damaging internal organ function, causing pain and other symptoms.

However, the damage caused to the compressed/injured organ nerves can also cause back pain symptoms. This is a viscerosomatic or organ body reflex. One study found that a group of chiropractic patients dealing with low back pain also had increased bowel problems, even though there was no specific cause, link, or association between the two. Lower back pain and diarrhea may be completely unrelated, but if symptoms are recurring, there is an increased chance of an underlying medical issue.

Diarrhea and Back Pain: Chiropractic Medical Care

Chiropractic Medicine

Chiropractic medicine is founded on the nervous system’s control of the body’s organ systems, whose impulse signals travel through the spinal cord. Body systems include the muscles, bones, and all organs. Any problems with the spine and/or nerve changes from normal wear and tear, injury, or infection can affect signal transmissions that can alter system functions. Altered nerve conduction can impact overall health and is referred to as reflex pathways in the nervous system. A somatovisceral reflex is where the musculoskeletal system causes altered nerve conduction creating organ system dysfunction and/or illness. Diarrhea brought on by back pain is an example.

Causes Of Back Pain and Diarrhea

Appendicitis

The appendix extends from the colon in the lower right abdomen. Appendicitis is inflammation of the appendix. The pain usually appears near the belly button and spreads to the right side of the stomach. Some individuals’ appendix extends behind the colon, which can also cause low back pain. Symptoms include:

  • Loss of appetite
  • Inability to relieve gas
  • Constipation
  • Abdominal pain – Moderate to severe
  • Diarrhea
  • Fever
  • Nausea
  • Vomiting

Appendicitis can be life-threatening and requires immediate treatment; if left untreated, the condition can worsen within hours, causing a rupture that can leak through the abdominal cavity.

Fecal impaction

Fecal impaction is stools that have become hard, dry, and stuck in the rectum and can cause abdominal and low back pressure and pain. It is commonly caused by chronic constipation, which can be associated with dehydration, lack of fiber, physical inactivity, medication side effects, or long-term use of laxatives. Taking laxatives for a long time can cause the intestines to shut off automatic evacuation of the bowels. Although the condition is common in older individuals, it can happen to individuals of any age who experience chronic constipation. Symptoms can include:

  • Bloating
  • Cramping
  • Bladder pressure
  • Bladder incontinence
  • Leakage or sudden diarrhea after long-term constipation.
  • Rectal bleeding

Enteropathic arthritis

Enteropathic arthritis is a chronic inflammatory arthritis associated with inflammatory bowel disease or IBD. Types include:

  • Ulcerative colitis
  • Crohn’s disease

Different arthritic diseases like ankylosing spondylitis and psoriatic arthritis can cause symptoms like diarrhea and abdominal pain or be associated with developing inflammatory bowel disease. Varying symptoms depend on the bowel disease and arthritis type and include:

  • Fatigue
  • Cramping
  • Joint pain
  • Joint stiffness
  • Loss of appetite
  • Bloody diarrhea

Pancreatic Cancer

The symptoms of pancreatic cancer vary depending on the type, location, and cancer stage. Pancreatic cancers in the early stages usually don’t cause signs or symptoms. Possible symptoms can include:

  • Abdominal pain
  • Back pain
  • Poor appetite
  • Weight loss
  • Dark urine
  • Diarrhea
  • Nausea
  • Vomiting
  • Jaundice

Chiropractic is ideal for addressing reflex issues. A doctor of chiropractic adjusts the spine to improve alignment, joint motion, and nerve energy transmission, improving nerve circulation/signal flow, which can help with unrelated health conditions. A chiropractor will locate any areas of spinal misalignment; once identified, a personalized treatment plan will return the correct alignment to the spine, enabling the nervous system to return to optimal function.

Decompression Spinal Non-Surgical

References

https://www.arthritis.org/diseases/inflammatory-bowel-disease

https://www.mayoclinic.org/diseases-conditions/pancreatitis/symptoms-causes/syc-20360227

https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0032-1301760

Sengupta, Jyoti N. “Visceral pain: the neurophysiological mechanism.” Handbook of experimental pharmacology,194 (2009): 31-74. doi:10.1007/978-3-540-79090-7_2

Walden, Anna L et al. “Bladder and bowel symptoms among adults presenting with low back pain to an academic chiropractic clinic: results of a preliminary study.” Journal of chiropractic medicine vol. 13,3 (2014): 178-87. doi:10.1016/j.jcm.2014.07.006

Wood, Jackie D. “Neuropathophysiology of functional gastrointestinal disorders.” World journal of gastroenterology vol. 13,9 (2007): 1313-32. doi:10.3748/wjg.v13.i9.1313

Swimming Might Improve Your Musculoskeletal System

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

Introduction

When the weather becomes hot, and everyone begins to plan fun activities to enjoy, one of the many activities that comes to mind is hanging out in the pool. Swimming is an excellent way to combat the summer heat, but can provide much more for the body. For athletes, it provides another form of cardio exercise to improve their performance when they are competing. For individuals looking for an affordable exercise regimen or just some fun activity, swimming can become a therapy that can benefit them if they were previously injured. Today’s article looks at how swimming causes an impact on the musculoskeletal system, its beneficial properties to the heart, and how aqua therapy combined with chiropractic care helps optimize full-body health. We refer patients to certified providers specializing in musculoskeletal treatments and hydrotherapy to help those with musculoskeletal disorders. We also guide our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez, DC, provides this information as an educational service only. Disclaimer

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Swimming & Its Impact On The Musculoskeletal System

Water or swimming can benefit those looking for different cardio exercises to build muscle endurance or have a clear sense of mind. Swimming is fantastic for all body sizes, and when it is done correctly, it can be highly recognized as a form of rehabilitation and injury recovery known as aquatic therapy. Research studies reveal that aquatic treatments and exercises can significantly reduce pain in individuals who suffer from low back pain while increasing physical function. Some of the impacts that swimming/aquatic therapy provides on the musculoskeletal system include:

  • Builds muscle strength
  • Improves endurance
  • Stabilizes joints
  • Improves poor posture

Swimming/ hydrotherapy is an excellent low-impact exercise that is easy on the back and spine, especially for individuals suffering from low back pain or spinal misalignments. Studies reveal that the efficacy of aquatic activities helps strengthen the abdominals and legs and stretch the back while managing musculoskeletal issues. 

 

When individuals suffer from back pain associated with chronic issues, it can become concerning for the vital organs that have a causal relationship with the muscle, as they are also affected. When spinal joints and muscles suffer from abnormal weight increases, the muscles and ligaments become misaligned. Misalignment or subluxation is defined as spinal vertebrates that are out of place and cause pressure on the surrounding nerves exiting the spinal cord. These spinal issues then become a risk of developing musculoskeletal disorders in the body. Unlike many aerobic exercises like running or cycling that may be hard on the spine, swimming has little to no impact on the spinal structures. So when individuals begin swimming, they realize that the water buoyancy helps support their body weight while relieving stress on all joints and decompressing the spine. This gives the individual a greater range of motion, while the water provides a sense of purification as it helps the body relax. Hence, hydrotherapy helps relax people who suffer from obesity or muscle injuries associated with muscle and joint pain, as the water provides gentle resistance while relaxing the muscles to promote longer exercise sessions.

 

The Benefits Of Swimming For The Heart

 

Swimming or any form of water aerobics is not only beneficial to the musculoskeletal system but can help improve cardiac function in the heart and even the lungs. Studies reveal that swimming is an effective option for maintaining and enhancing cardiovascular fitness. Some of the benefits swimming provides for the cardiovascular system include:

  • Lowers blood pressure
  • Improve circulation
  • Reduces heart rate

But how does swimming improve cardiovascular function in the body? Individuals submerge underwater; they hold their breath until the air is needed. Being submerged underwater may help lung capacity while gaining control of how a person breathes. Breathing exercises associated with aqua therapy help promote stronger lungs and heart while increasing their capacity for blood and airflow to the heart and lungs. Say, for example, a person is having trouble breathing due to restrictive blood and air flow associated with cardiopulmonary issues, which may be involved in experiencing an asthma attack associated with obesity.

The Benefits Of Swimming

Have you wanted to try a different form of cardio exercise? Have you been experiencing a limited range of motion in your arms, shoulders, back, and neck? Do you feel tightness across your chest? The video above gives an overview of the health benefits of swimming. Swimming or aquatic therapy allows the individual experiencing chronic pain to do cardio activities without increasing or worsening pain, which is therapeutic for the body. Many people are either training for an athletic event or finding a leisure activity that will benefit them in the long run. Swimming is an important factor in a person’s quality of life as it helps them become motivated to make small changes to better their health. Additionally, regular cardiovascular exercises/activities like swimming benefit pain reduction in a therapeutic sense. When individuals are trying to figure out and determine the proper training or therapy that can help alleviate their specific ailments, their goal is to see how those exercises should be done in a certain amount of time without causing fatigue or increased pain as the primary objective.

Aqua Therapy & Chiropractic Care

When looking for the proper exercise regime or treatment for pain issues, it can be challenging to see what works and what doesn’t. For those with musculoskeletal disorders related to chronic issues, aqua therapy and chiropractic care go hand in hand in alleviating pain. Aqua therapy exercises can range from simple routines in shallow waters to high-tech equipment like underwater treadmills for muscle conditioning. Active water therapy exercises that are diverse in relieving musculoskeletal pain should be tailored to the person and the specific conditions that are ailing them.

 

But how does chiropractic care work hand in hand with aqua therapy? Chiropractic care and exercise have a causal relationship when treating musculoskeletal disorders. Many individuals do suffer from spinal misalignment, which can lead to the development of musculoskeletal issues that cause discomfort. Since many individuals associate chiropractic care with back problems, the reality is that chiropractic care not only helps with back issues but also with various issues that affect the muscles, joints, and organs related to each other. An example would be an individual with low back problems who cannot do any activities for long periods, while triggering gut issues. This is defined as somato-visceral pain, where affected muscles associated with internal organs trigger pain. So, for a chiropractor to adjust an individual dealing with back pain related to gut or heart issues, it can slowly restore the person’s natural alignment by reducing the irritated nerve roots between the vertebrae and strengthening the surrounding muscles and tissues. Afterward, a chiropractor may recommend exercises like aquatic therapy to speed up the rehabilitation process, as studies reveal that physical activities positively impact health while being associated with perceived symptom reductions in musculoskeletal injuries and cardiovascular and blood conditions. Once a chiropractic regimen and exercise routine are in place, injury prevention keeps the individual moving pain-free.

 

Conclusion

Whether it is having fun in the sun or finding a new exercise, swimming is not just for playing, but can be therapeutic for individuals dealing with chronic issues. Any aquatic exercise provides little to no impact on the body as it helps strengthen the musculoskeletal and cardiovascular systems with gentle force. Combined with chiropractic care, many individuals dealing with musculoskeletal and chronic organ issues will become motivated to better themselves in the long run.

 

References

Ariyoshi, Mamoru, et al. “Efficacy of Aquatic Exercises for Patients with Low-Back Pain.” The Kurume Medical Journal, Kurume University School of Medicine, 11 Aug. 2009, https://www.jstage.jst.go.jp/article/kurumemedj1954/46/2/46_2_91/_article.

Lazar, Jason M, et al. “Swimming and the Heart.” International Journal of Cardiology, U.S. National Library of Medicine, 18 Apr. 2013, https://pubmed.ncbi.nlm.nih.gov/23602872/.

Massey, Heather, et al. “Perceived Impact of Outdoor Swimming on Health: Web-Based Survey.” Interactive Journal of Medical Research, JMIR Publications, 4 Jan. 2022, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8767464/.

Shi, Zhongju, et al. “Aquatic Exercises in the Treatment of Low Back Pain: A Systematic Review of the Literature and Meta-Analysis of Eight Studies.” American Journal of Physical Medicine & Rehabilitation, U.S. National Library of Medicine, Feb. 2018, https://pubmed.ncbi.nlm.nih.gov/28759476/.

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Connective Tissue Tightness and Pain: Chiropractic Care

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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A female physiotherapist giving diathermy treatment on the patient's back.

Muscle tension happens when the muscles stay contracted after working, sports, exercise, and stress, presenting with stiffness and achiness that progresses to chronic myofascial pain. Myofascial is used to describe the connective tissues throughout the body. Myo refers to the muscles, and fascia refers to the body tissues. Myofascial pain syndrome describes muscle pain in various forms. Most individuals have experienced chronic muscle tension in muscle pain or tension headaches. Myofascial pain can vary, ranging from mild to severe. Chiropractic can provide treatment and post-prevention plans to eliminate the pain and strengthen the body.

Body Connective Tissue/Fascia: Tightness, Pain, and Chiropractic

Connective Tissue

Myofascial pain syndrome is a complex condition that could be repetitive stress injuries on the muscles or nervous system malfunction and is often characterized by symptoms like:

  • Muscle tenderness, soreness, and aches.
  • Sensitive areas all over the body – trigger points.
  • Fatigue
  • Sleep problems

Each symptom is not a sign of the condition, but it could be myofascial pain syndrome when combined and does not resolve with some time. This chronic pain disorder is associated with referred pain that appears in one part of the body but the root cause in another region.

Chiropractic Care

Chiropractic medicine will get to the root of the problem with a thorough diagnosis. This will be done through physical examination, medical history, and symptom review. The chiropractor will perform a detailed exam of the affected muscles, including a range of motion test, strength test, and palpations of suspected trigger points to see how the muscles respond, twitch, and/or cause pain in a specific pattern or region. Sometimes blood tests are ordered to look for other causes, like vitamin D deficiency or hypothyroidism. Chiropractic can combine treatment therapies that include:

Massage therapy

  • Therapeutic massage will loosen the tight, knotted muscles and relieve cramping and/or spasms.

Physical Therapy

  • Includes stretching, postural, and strengthening exercises.

Medication

Injections

  • Pain medications are directly injected into the trigger points.

Chiropractic physicians work on the whole body and not just the hurting areas. Chiropractors are trained to incorporate treatment with primary care and specialists. Patients receive education in exercise programs, corrective exercises, nutritional recommendations, and health coaching.

Spine Decompression

References

American Chronic Pain Association. Resource Guide to Chronic Pain Management. (https://www.theacpa.org/wp-content/uploads/2018/05/ACPA_Resource_Guide_2018-Final_Feb.pdf) Accessed 4/17/2019.

Lavelle, Elizabeth Demers, et al. “Myofascial trigger points.” Anesthesiology clinics vol. 25,4 (2007): 841-51, vii-iii. doi:10.1016/j.anclin.2007.07.003

Stults-Kolehmainen, Matthew A et al. “Chronic psychological stress impairs recovery of muscular function and somatic sensations over a 96-hour period.” Journal of strength and conditioning research vol. 28,7 (2014): 2007-17. doi:10.1519/JSC.0000000000000335

Tantanatip A, Chang KV. Myofascial Pain Syndrome. [Updated 2021 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499882/

Vernon, Howard, and Michael Schneider. “Chiropractic management of myofascial trigger points and myofascial pain syndrome: a systematic review of the literature.” Journal of manipulative and physiological therapeutics vol. 32,1 (2009): 14-24. doi:10.1016/j.jmpt.2008.06.012

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