The sacrum and coccyx are part of the vertebral spinal column and could contribute to low back pain. They are not like the other bones in the spinal column. The sacrum, also known as the sacral vertebra, sacral spine, and S1 is a large, flat triangular-shaped bone that is between the hip bones and below the last lumbar vertebra known as L5. The coccyx, known as the tailbone, is positioned below the sacrum.
The sacrum and coccyx are made up of smaller bones that fuse and grow into a solid bone mass by the age of 30. The sacrum is composed of 5 fused vertebrae known as S1-S5 and 3 to 5 smaller bones that fuse creating the coccyx. Both are weight-bearing bones and are integral to walking, standing, and sitting functions.
Table of Contents
Sacrum and the Lumbosacral Spine
The sacrum forms the back of the pelvis. Along with the coccyx and the two sacroiliac joints make up the pelvic girdle. S1 is at the top of the sacrum and connects to the last lumbar vertebrae L5. Together they create the lumbosacral spine. Where they join forms the lumbosacral curves known as lumbar lordosis and lumbar kyphosis.
The curvature works to support the upper body, weight/force distribution maintains spinal balance and flexibility. Lordosis is the inward curve of the spine, but too much can cause swayback that can be associated with spondylolisthesis. Loss of this curve can cause spinal imbalance and can lead to Flatback syndrome.
Kyphosis is the outward curve of the spine. The location of the sacrum at the intersection of the spine and pelvis means it has an important role in the movement of the low back and hips. The sacrum’s joints help to bear weight and help stabilize the spinal column along with the ligaments, tendons, and muscles help support/stabilize joint movement.
Lumbosacral joint
Joint L5 and S1connect the lumbar spine to the sacrum. The pressure at this meeting point can be massive as the curve of the spine shifts from the lordotic forward curve to a kyphotic backward curve. The L5-S1 region bears weight, absorbs, and distributes the upper body’s weight when moving and resting. Disc herniation and spondylolisthesis are more common at L5-S1 for this reason.
Sacroiliac joints
The sacroiliac joints connect the sacrum to the left and right sides of the pelvis. The range of movement of the sacroiliac joints is minimal compared to other joints like the knees. However, the joints are essential for walking, standing, and stabilization of the hips. Sacroiliitis and sacroiliac joint dysfunction are two spinal disorders related to the joints. Other spinal disorders related to the sacral spine include:
The coccyx commonly known as the tailbone is just below the sacrum. It is smaller than the sacrum and has an important weight-bearing function. It helps supports weight while sitting.An example is leaning back while sitting. This motion and position increase the pressure/weight on the coccyx. An injury in this area can cause tailbone pain. Inflammation of the coccyx’s connective tissue that results in tailbone pain that gets worse when sitting is a common symptom. A traumatic event like a fall or auto accident that causes a tailbone fracture can also cause this pain.
Sacral and Coccygeal Nerves
The spinal cord ends at L1-L2, which branches out into the cauda equina, which is a bundle of nerves that looks like a horse’s tail. In the sacrum, there are sacral nerves known as the sacral plexus. Plexus means a network of nerve structures. The sacral and lumbar plexus compose the lumbosacral plexus. This is where the sciatic nerve, which is the largest nerve in the sacral plexusconverges into the band. Sciatic nerve compression causes a combination of symptoms known as sciatica. It is very well known for causing low back and leg pain.
The coccygeal nerve serves the tailbone. There are five sacral nerves numbered S1 through S5 and are part of the spinal cord.
S1 supports groin and hip function
S2 the back of the thighs
S3 the middle of the buttock area
S4 and S5 the anus and vagina
Injury or trauma to the sacral spine can cause mild stress fractures to severe bone fractures. These fractures can cause sacral nerve compression and intense pain. Symptoms include:
A doctor or chiropractor, physical therapist are excellent sources for information to help prevent sacrum and coccyx pain. These medical professionals will utilize a patient’s medical history, recommend lifestyle changes and injury prevention guidelines.
If at risk of developing osteoporosis then a bone mineral density test could be recommended.
Proper posture must be maintained. Avoid slouching as this places added pressure on the lumbosacral spine and the sacroiliac joints.
Proper body mechanics when engaging in any activity needs to be observed.
Use legstrength to lift objects.
Avoid twisting while lifting or holding heavy objects, as this can cause sprain, strain, or serious injury of the lower spine.
Put on the seat belt. Auto accidents are a major cause of spine trauma. Exercise restraint when driving or riding in any vehicle even a golf cart.
Sciatica Pain Relief
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Shot of tired business woman with back pain looking uncomfortable while working from home on laptop.
Nutritional relief for acute and chronic back pain can be achieved by eating specific fruits and vegetables. Individuals dealing with acute and chronic back pain have recently been asking if their diets can be modified to reduce back pain. Absolutely, eating healthier will lead to weight loss and will help reduce back pain symptoms.
The big surprise was a nutritionist that did not know about this recommendation to help ease back pain symptoms. Life seems to throw a lot of curveballs especially in the midst of pain. Stress eating and just eating great tasting food is one method/technique of dealing with the pain, as it makes you feel good and forget the pain for a little while.
However, the problem is still present and becomes worse with the added weight. Not to mention the consequences of eating too much unhealthy food, like diabetes, high blood pressure, etc. Eating junk food and suffering in silence can become a way of life.
Table of Contents
Pain Relief With Healthy Food
Most individuals will experience back pain at some point. There are a variety of causes from disease to injury and just normal wear and tear.Fortunately, for most, it will be short-lived. But for some chronic pain can develop, creating a new set of health issues and makes achieving back pain relief more complicated. It may sound too easy but making adjustments to your diet can make all the difference in dealing with and eliminating back pain.
Manage and eradicate back pain
Constantly going for the wrong foods, speeds up the inflammation process. Various studies show certain foods contain components that have anti-inflammatory properties. Experts agree that choosing healthy foods for and/or chronic illnesses reduces flare-ups, inflammation and helps heal the body back to top form.
The pain reduces because the inflammation triggers are kept in check. This means the grocery store and healthy foods can be a powerful tool for fighting inflammation. Our ancestors lived off the land eating organic natural foods and healed themselves without refined products.
Multi-colored vegetables and fruits
Dark green vegetables supply powerful nutrients that fight inflammation. Added benefits are they help remove cancer-causing free radicals. Examples include:
Spinach
Broccoli
Kale
Collard greens
Orange and yellow vegetables like:
Carrots
Squash
Pumpkin
Peppers
Pineapple
Carrots contain vitamin E and C and antioxidants that protect the healthy tissue around the inflamed area. Pineapple contains natural enzymes that help break down fibrin that forms around any acute injury. As the barrier is broken down nutrients are allowed to penetrate the area and ease the inflammation.
Nutritional Relief
The ability to heal the body with proper food choices should be a no brainer. But because humans are creatures of habit, breaking away from what is normal for the individual can be a challenge. Some simple ways to start eating toward healing:
Reduce the fat intake like butter, corn, red meat, and simple carbohydrates that are high in sugar and low in fiber.
When eating fill up with vegetables, fruits, and herbs and reduce the meat intake. Eat two to three servings of fruits and vegetables at all meals.
There are plenty of choices that can aid in healing the body from the inside out. Take nutritional relief steps now and start on the road to recovery.
Reduce Lower Back Pain Work Out
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The use of prescription medication for sciatica is being discouraged while natural treatments/therapies are becoming the new standard. This is currently happening in the United Kingdom and its National Institute for Health and Care Excellence. The focus is to reduce the use of medication for sciatica and aim for natural treatments unless absolutely necessary. This is to help reduce the opioid epidemic, along with reducing the use of medications and their negative side effects that cause other conditions and illnesses.
The National Institute for Health Care Excellence has updated its guidelines with specific language that discourages the use of multiple classes of drugs for various ailments/conditions like sciatica. The United States has already set up similar guidelines limiting the use of prescription medications for sciatica until after a regimen of non-pharmacological treatment/therapies like physical therapy, chiropractic, acupuncture, massage, etc. If no improvement is seen in four to six months then medication can be administered.
The guidelines say that individuals with acute or chronic sciatica should not be given gabapentinoids, this is a class of drugs designed to treat seizures, other antiepileptics, oral corticosteroids, and opioids. They also report that there is no evidence on the use of antidepressants for sciatica. However, it is recognized that it can benefit some individuals but should not just be handed out for every case.
Table of Contents
Medication for Sciatica
Medication does work for sciatica. It’s the side effects and addiction issues they are trying to avoid. Options include:
Opioids have been overprescribed for all types of pain. However, they don’t help in repairing the damaged/pinched nerves and only relieve/sedate the pain symptoms. In addition side effects like confusion, dizziness, and sleep problems are increased leading to more health issues.
Treatment Options
When it comes to acute pain over the counter medications, NSAIDs, oral steroids, and gabapenitoids can be recommended for a brief period and not long term. This is just to settle the pain until a non-medication treatment plan is developed to realign, adjust, and restore the sciatic nerve to its proper position. A physician or physical therapist/chiropractor can diagnose the difference between actual sciatica and low back pain.
Physical Therapy and Chiropractic
Chiropractic treatment and physical therapy for sciatica first look to determine the cause of the condition and how the individual spends their day as far as do they sit or stand for a good portion of the day along with the types of activities like lifting, bending, stretching, twisting, etc.
The nerves are irritated and send signals to the brain. This could be tingling with pain, numbness, or a combination. The body wants to protect itself. Once the source of irritation is identified the chiropractor or physical therapist works with the patient to workout/massage/release the muscles, ligaments, joints to work the sciatic nerve back to full health and function.
The chiropractor/therapist challenges the nerve to get back into proper form in a safe fashion. How the condition resolves depends if it’s acute or chronic. In acute cases, the pain level is higher but is easier to treat. The faster chiropractic and physical therapy intervention are sought out the better the odds additional treatment will not be required. The first sessions of chiropractic and physical therapy are designed to calm the system down. Then the body will begin to heal itself within about four weeks without medication.
Conservative Therapy
Preference for non-surgical treatment is the way to go whenever possible. Only when significant weakness in the leg or foot from nerve compression, surgery could be necessary. It can become an emergency situation if there is numbness around the groin and if it affects bowel or bladder function. Six to eight weeks of conservative treatment is the key. And if no improvement correlated with an MRI is achieved, then surgical treatment could be the next phase of treatment.
Sciatica Pain Rehabilitation
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Physiotherapist explaining the spine to girl patient in the clinic
Children and adolescents are experiencing back pain. Why it happens, and how parents can help prevent it is the objective. When thinking of back pain the image is typically a man or woman, hunched over grabbing their backs and wincing in pain. However, back pain in children and adolescents is not that uncommon.
According to a 2020 study published in Spine, around thirty-four percent of children report having back pain, with almost nine percentexperiencing severe back pain. By the time they are fifteen, 20 to 70% of children will have experienced back pain at some point. Developing chronic back pain increases with age and is more common in girls.
The study found those that sought out early treatment, physical therapy, and chiropractic being the most prescribed lessened the need for more invasive treatments, like spinal injections, and surgery. Back pain can have a major impact on an adult’s life, and more so on a child. Prevention and treatment are important to help restore overall health and wellness.
Table of Contents
Signs and Symptoms
Symptoms can vary, the most common:
Pain increases with movement, like bending or twisting
Increased pain after sitting or standing for an extended period
Sore and tender muscles around the spine
Tight muscles
Muscle spasms
Most back pain in children is mild. However, there are times when the child will require medical attention. A child should see a doctor if back pain persists for more than two or three days, if there is a fever, or if there is any numbness or weakness in the arms and legs.
Common Causes
Like adults, muscle sprains and strains are the most common cause of back pain. Strains are more common in the low back than around the neck or middle back and usually occur from overuse injuries, poor posture, poor body mechanics, and falls. Other common causes include:
Sitting and slouching in front of the computer for too long
Carrying an overloaded backpack
Spinal Conditions
Recreational and sports activities with injuries sustained are the most common causes of developing back pain. However, back pain can be brought on by underlying health and spine-related conditions. About a third of adolescents with low back pain could have a spinal condition. The most common conditions include:
Idiopathic Scoliosis
This is an abnormal curvature of the spine. This is usually not a painful condition. Some curvatures can be severe enough to cause pain and require medical care. Scoliosis can include the middle, low spine, or the entire spine. It is most common in adolescents 11-17 years of age. Symptoms include:
Tilted shoulders
Uneven hip bones
One side of the ribs projects out more than the other
Scheuermann’s kyphosis
This is a growth disorder of the vertebrae. It happens when the front of the spine does not grow as fast as the back of the spine. This can produce a humpback curvature. The spine bends forward but the child cannot stand up straight. Usually, it happens during accelerated growth periods.
Spondylolysis
The vertebrae can break in children and kids that do repetitive exercises involving bending and twisting. Sports like gymnastics and football create a heightened risk for spondylolysis. It usually affects the low back and presents with non-stop low back pain. The most common treatment is rest. Other causes include:
Spinal cord tumors
Sickle cell anemia
Infection
Tumors and infections are highly uncommon in children. They often present with pain and fever. If the nerves are pinched numbness, tingling, and weakness in the extremities can develop.
Common Treatments
Back pain in children is usually a short experience and can be treated with ice, rest, and over-the-counter medications like acetaminophen for children and nonsteroidal anti-inflammatory drugs like ibuprofen. A playing/exercise program can significantly help reduce child back pain.
However, there could be a need to modify the activity, so as to not worsen the injury or create new injury/s. The activities could be made to be lighter or a brace could be utilized. A specialist like a chiropractor/physical therapist can provide treatment, along with exercises, stretches, and lifestyle changes that will help reduce the pain. Complementary therapies like massage and acupuncture can enhance the child’s healing/recovery time and knock out the pain quickly.
Parental Prevention
Proper posture can and will prevent back pain. Children’s and adolescents’ musculoskeletal structures continue to develop at this stage. Therefore, sitting, standing, and lifting properly is paramount to preventing back pain. Along with this is avoiding activities that place repeated strain on the spine. An example is an overexertion while playing sports. Tips for keeping kids back-pain free:
Avoid activities that generate repeated strain on the same muscles
Stretching breaks need to be incorporated when sitting for a long time
As much as possible make the home a stress-free environment
Maintain a healthy weight and diet with balanced meals and snacks
Help promote overall mental and physical health
Children and kids that are stressed out or depressed have a greater risk of developing back pain. Encourage the kids to stay active, get proper sleep, stretch out, and eat foods that are healthy for the spine. If back pain is presenting, a customized treatment plan along with lifestyle changes will get the child back to their favorite activities.
Lower Back Pain Chiropractic Treatment
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Bald mature man touching painful back while sitting on medical couch in rehabilitation clinics and listening to recommendations of doctor
Acetaminophen, best known as Tylenol, is one of the most common medications for headaches and general pain. More than likely the most common back, neck, and overall pain medication around. However, it is only a pain reducer, and will not reduce inflammation.
Doctors often recommend this medicine before moving on to prescription medication. A member of the analgesic pain reliever class of medications. These can vary in strength along with side effects, but their purpose is to reduce pain. Acetaminophen can be found in over 600 prescriptions and over-the-counter medicines, including certain opioids. Other acetaminophen brand names include:
Tylophen
Tempra
FeverAll
Mapap
Pharbetol
Panadol
Table of Contents
Strength and Weakness
When neck or back pain presents, over-the-counter medicines fall into two categories. These are acetaminophen or non-steroid anti-inflammatory drugs also known as NSAIDs. Acetaminophen and NSAIDs like Advil, aspirin both relieve pain. However, non-steroid anti-inflammatories also help in reducing inflammation. Although non-steroid anti-inflammatories have this added benefit, they can also present potential side effects like stomach and gastrointestinal problems.A spinal sprain or strain can cause acute back pain. Acetaminophen is typically recommended for acute back or neck pain and for pain that comes and goes quickly. Individuals that experience periodic pain usually take acetaminophen when the pain flares up. Individuals with chronic spinal pain report acetaminophen help to alleviate/reduce the pain. Many with chronic pain use acetaminophen regularly and not only when the pain presents. This helps manage before pain strikes.
Safety
Acetaminophen is gentle on the stomach, making some individuals preferring it over the non-steroid anti-inflammatories. But just like any other medication acetaminophen has its risks and can cause severe damage if used improperly.
Taking acetaminophen in large doses can cause severe liver damage. The Food and Drug Administration reports that acetaminophen overdoses send over fifty-thousand individuals to the emergency room every year. And over one-hundred Americans die yearly from accidental overdoses.
Using acetaminophen safely means taking no more than 3,000 milligrams a day and no more than 1,000 milligrams at a time. Take extra precautions when taking extra-strength. These can include as much as 650 mg per pill/capsule.Before taking acetaminophen for back and neck pain, talk to a doctor or pharmacist about the proper dosage. And tell the doctor about all the medications being taken including natural herbs and holistic. Another reason for telling the doctor is that many other medications have acetaminophen included without you knowing it. Part of the discussion should include alcohol consumption. This can elevate the risk of negative reactions.
Resources
If non-pharmacological treatments/therapies done for at least 4 months prove ineffective then an acetaminophen regimen could be a safe and effective part of a back and neck pain treatment plan. While this medicine is one of the most common treatments, it is not without risks and side effects. Talk to a doctor or pharmacist about all the medications and supplements to ensure the regimen supports health for the long-term. To learn more along with safety information go to Acetaminophen Patient Guide.
Severe Back Pain Chiropractic Treatment
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Pretty brunette sportswoman in tanktop and leggins sitting in pose of lotus on marble tile while practicing yoga by riverside in the morning
Breathing exercises along with meditation can be beneficial for individuals with back pain. Breath control techniques, exercises, and meditation techniques help bring the mind and body into functional harmony.This can help ease and reduce back pain. The article discusses the benefits of how these techniques help promote spinal health.
Table of Contents
Breathing Exercises
Developing the ability to rhythmically breathe properly and optimally helps reduce back pain. This is because it allows the individual to focus on breathing, keeping the brain from focusing on the back pain. Most individuals breathe in a shallow manner, taking short, uneven breaths. This does not allow for sufficient blood flow throughout the body. Only the minimum amount is being pumped, which does not help inflamed/injured areas.
Proper breathing technique involves taking deep slow, smooth breaths that reach into the abdominal area. Each inhale should be the same length when exhaling. One way to make sure is to inhale and hold for five seconds then exhale for five seconds. This can be done while sitting or lying down but these exercises should be practiced anywhere regularly to get into the habit of breathing fully. It could be in the car, at work, at a desk, the store, etc.
Meditation
Meditation helps the body and the brain relax. This helps to loosen and unclench the back muscle tension. It helps decrease the perception of pain by resetting the focus on something other than the pain. While meditating the objective is to let go of negative thoughts, specifically thoughts on pain, allowing the positive to take over.
There are various ways this can be achieved like listening or watching the rain, ocean waves, or nature soothing videos. It’s not about forgetting the back pain but a system to cope with it. Meditation helps an individual become more aware of their mind and body. Meditation should be done sitting or lying down in a comfortable position.
Connecting Mind and Body
Today local gyms and yoga studios offer workshops that focus on breathing and meditation combined with linking the mind and body. Check out DVDs and books available. These exercises/techniques are different for everyone. Try a variety to figure out which works for you, as it could be a combination. It’s all about finding safe natural ways to help relieve and prevent back pain. Although these are not considered strenuous physical activity, consult with a doctor or chiropractor before beginning a breathing/meditation regimen.
Back Pain Rehabilitation
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Woman pharmacist with prescription assisting a customer standing at the counter. Doctor in drugstore suggesting medical drug to buyer. Druggist with prescription assisting and explaining dosage of medicines to young african woman with copy space.
Prescription medications are used for treating various types of pain and their causes like inflammation and muscle spasms. Medication can be an important component of a multi-approach treatment plan. Today they are computer-generated and transmitted electronically to a local pharmacy. This article is to help understand what they say and what they mean.
Prescription Shorthand example could be something like – Medication Name 250 mg PO bid x 5 days.
The first part is themedication name, which can be a brand name or have a generic name.
The second part is 250 mg. This refers to how strong the medication is. In this case, it is 250 milligrams.
PO means the medication is taken by mouth.
The bid means twice a day.
The x 5 days means that this prescription is to be taken for 5 days.
Most of us know the Rx to mean prescription. This is true, with Rx being the abbreviation for the Latin word that means to receive. Prescription abbreviations come from Latin terminology. Here are some common ones used today.
Abbreviation
Translation
Latin Terminology
ac
before meals
ante cibum
bid
twice a day
bis indie
cap
capsule
capsula
gt
drop
guuta
hs
at bedtime
hora somni
od
right eye
oculus dexter
os
left eye
oculus sinister
po
by mouth
per os
pc
after meals
post cibum
pil
pill
pilula
prn
as needed
pro re nata
q2h
every 2 hours
quaque 2 hora
qd
every day
quaque die
qh
every hour
quaque hora
qid
4 times a day
quater in die
tab
tablet
tabella
tid
3 times a day
ter in die
Understanding what a prescription says is more than just getting it filled at the pharmacy. Remember medications are not without risk. Here are a few guidelines designed to help individuals at the doctor’s office, pharmacy, and at the house.
Table of Contents
Doctor Discussions
Make sure the doctor knows the entire medical history. Include past reactions to medications like rashes, indigestion, dizziness, and loss of appetite even if only a minor reaction.
If taking vitamins, supplements, and herbal compounds a doctor needs to know what is being taken, how much, and how often. This is because certain supplements are known to react with certain medications.
Over-the-counter medications can be purchased without a prescription but that does not mean not without risk. Tell the doctor precisely what is being taken, the dosage, frequency, and the reason for taking these medicines.
Ask the doctor for the full name of the medication that is being prescribed.
Discuss the use of the medication
The proper dosage
How often to be taken
If a dose is missed
Possible interactions with other medications including over-the-counter
Reaction/s to the medication
How it’s supposed to work
Side effects
Activity level affects
Can it be taken with coffee, alcohol, supplements, etc
Take notes to help remember the information.
Ask for available written material/information about the medication.
The Pharmacy
The pharmacy and the patient’s profile is needed for the information included in the records like surgeries, allergies, and other medications being taken. This is to prevent a medication/s interaction complication.
Tamper-resistant caps will be provided if children or young adults are present.
Ask the pharmacist to include what the medication is used for on the label or if it is too long then a printout.
Not remembering how to take the prescription happens. Contact the pharmacy/pharmacist and do not guess.
For many, the doctor will telephone, or have a direct line with a pharmacy/s to send prescriptions instantly. However, it is a good idea to review the dose and frequency with the doctor or pharmacist to be completely sure.
If a new medication has been prescribed, the pharmacist can fill only half the prescription. This is in case a reaction or side effect presents and can help in saving on the cost.
Traveling to a different state/city/climate could require modifications, as some medications will not work properly if there is exposure to sun or other elements.
Certain large pills or tablets can be difficult to swallow, so before crushing or splitting, check with the pharmacist. Some medications have alternative forms of ingestion.
At Home Medication Safety
With children in the house don’t keep the medication in the nightstand or on the bathroom counter or cabinet. Always keep medications in a secure area.
Keep an antidote like Syrup of Ipecac. This is to induce vomiting if poison or harmful chemical is swallowed. Learn the dosing directions and precautions before an emergency.
Keep the phone numbers for poison control center and EMS.
Reaction or any side effects, call the doctor immediately.
Do not mix medications with other medicines along with their bottles. Keep medications in the bottles they came in. Mixing medications in one bottle can alter stability.
Keep medications in a dark, dry, and cool (non-refrigerated unless indicated) place. Heat, light, and humidity can affect medication potency and stability.
Take medications as directed by the doctor. Medications that are strong enough to heal can also cause damage/injury if taken incorrectly.
Never share or take another person’s medication.
Only give children medication when fully awake and alert.
Some prescriptions and over-the-counter medications come with a dosing cup. Cups can be different sizes along with the dosing measurements. Do not use a cup from another product.
When the prescription expires, destroy the unused medication and bottle or take them to a drug disposal site. Some pharmacies offer this service.
Keep a list including medical history and medications being taken on a regular basis along with the dose and frequency in a wallet or purse. This information can help during a medical emergency.
Understanding the medication is the key to treating the condition. These recommendations could help to be healthy and safe.
Chiropractor for Auto Injuries
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Awesome bodybuilder showing his muscles and posing in studio on grey background
Weightlifting and chiropractic go hand in hand as a perfect team. Weightlifting can be utilized by everyone in some way. Whether it’s for general exercise, strength training, rehabilitation, bodybuilding, looking and feeling good, spinal health matters. When the spine and the body’s central nervous system work in harmony, muscle function is at its optimum.
Many individuals consider health care to be a reactionary function. The proverb if it’s not broken then don’t fix it, is an approach currently being applied to various health conditions. Only after an individual exhibits or feels ailment symptoms is when they’ll see a medical professional. Weightlifters are thought to be generally more in tune with their bodies. But they are no different in that many do not seek medical attention until symptoms present.
Bodybuilding involves lifting heavy weights while maintaining proper posture and balance. Weightlifters, athletes, and fitness enthusiasts know that balance includes a healthy diet along with combining fitness training with a positive mindset. Individuals involved in some type of exercise/fitness regimen know that the muscles need time to recover and build new tissue.
Weightlifters, athletes, and overall fitness enthusiasts are discovering chiropractic medicine and the benefits. Fear of the unknown is usually the biggest reason for people not seeing a chiropractor. But for athletes, weightlifters, etc not seeing a chiropractor, it is usually they’re worried they will have to stop training/competing for awhile. Whatever the reason/s for not seeing a chiropractor here are five for seeing one that everybody and every bodybuilder should know.
Table of Contents
Chiropractic Mind and Muscle
Distractions in weightlifting will almost always result in an injury. The mind and body need to be balanced when working out. Just adding more weight or doing more repetitions will not create the best bodybuilder. Professional weightlifters know that it’s not about working harder, but working smarter. This is where chiropractic enters the picture.
All the body’s muscles connect to joints or the spine. The joints and spine must be in proper alignment for the muscles to work in proper balance with each other. In today’s world, it’s all about the quick fix. Whether it’s a pill for whatever or fast food. However, some things need time and proper care to flourish. Chiropractic and bodybuilding are two of those things.
A Spinal Shift Makes WeightLifting Harder
When the spine is not aligned, muscles on one side will be forced to work harder than the other side. This is a perfect injury set-up. An example is doing bench presses with one foot firmly on the ground, with the other using only the toes. That is the picture when the spine is out of alignment. Working out with an uneven foundation opens the doors to injury/s.
A chiropractor can discuss the best bodybuilding routine that will get results, give diet/supplement recommendations and advice on proper lifting techniques, as well as, stretches and flexibility exercises. They see the changes in the body before any pain is felt. Based on this they can decrease the potential for injury.
Minor Injuries Lead to Severe Injuries
Many weightlifters believe if they feel pain after a workout then it means it was a good workout and is considered a sign that the muscles were worked to the maximum. However, this is not always true. Microtrauma injuries are not always detected because they can hide behind the minor muscle pain after a heavy workout.
Microtrauma injuries are small tears in the connective tissue and the fibers of the muscle itself. These micro-tears can cause swelling that is not seen but can be felt. This type of trauma needs proper recovery time to heal. And if treatment is not sought out it can increase the risk for severe injuries later. These include:
Ruptured ligaments
Joint function loss
Fractures
Bodybuilders that receive regular chiropractic adjustments also benefit from having one on one discussions about strength, diet, power, or pain they’re experiencing and get sound advice/recommendations. The chiropractor will know the difference and will know how to prevent further injury.
Weightlifting and Maximum Potential
Professional weightlifters understand that a combination of natural approaches and the utilization of these resources will bring optimal results. Bodybuilders, athletes, and fitness lovers are utilizing chiropractic in order to stay healthy, fit, and aligned. It is a perfect team, fitness, and chiropractic.
Weightlifting makes the body stronger. This comes from the added stress on the bones, muscles, and joints, which causes them to adapt. However, there is also an added strain that can misalign the spine and pinch the nerves. Pinched nerves cause lower levels of muscle strength and the development of scar tissue. Individuals might not be aware as this condition does not always cause pain.Chiropractic involves adjusting the spine back into its natural, proper position. This allows the muscles to achieve maximum potential. Protein supplements and powders can also help. Chiropractic relieves the stress that occurs from weightlifting and releases the subluxations. Regular chiropractic prevents injuries, helps injuries heal quickly, and allows for continued training with modifications depending on the patient’s case.
Alleviating Pain and Preventing Injury
The muscles function and perform based on the signals sent and received by way of the central nervous system. When an injury occurs to the muscles, ligaments, tendons, or other areas of the body, inflammation, and swelling occurs. Inflammation is not all bad and is a good sign that the body has been injured, needs attention, and is dealing with the injury.
But communication needs to be relayed for this to happen. When the joints in the spine are out of place or are not moving properly, the information can be scrambled or gets cut off. This can make it feel as if everything is fine, when there should be pain or when something hurts in one area when the pain is located in another area. Chiropractic restores function to joints, re-aligns the spine and improves range of motion. This opens up the communication lines completely and allows the body to heal on its own.
Frequently Asked Questions
How soon can I go back to lifting? It depends on the individual case, but most go back to training the following day if there are no injuries. However, discuss the matter with a doctor.
Can a chiropractor adjust a big muscular individual? A chiropractor knows how to manipulate the body so that they don’t have to be stronger than the individual, no matter their size.
Can I adjust myself? Chiropractors are trained doctors, that know where to apply specific movement and pressure to a joint that is causing problems.
Do I need chiropractic because my back doesn’t hurt? An individual does not have to be hurt to benefit from chiropractic. Chiropractic can be utilized to improve performance and as preventative treatment.
Can chiropractic help with difficulty sleeping after workouts?Tension and stress as well as tight muscles are irritating to the central nervous system. Hot baths can help relax the muscles. Chiropractic helps release tension, relieve stress, leading to a better night’s sleep.
Most Recommended Chiropractor
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Physiotherapist giving back massage to a woman in clinic
Women experiencing low back pain will find there are a variety of possible causes. Lower back pain can stem from the reproductive system or the spine itself. Finding the possible cause of low back pain can be difficult to diagnose. As well as, pinpointing the pain can be a very challenging task. Women wonder how it’s possible to mistake menstrual cramps for back pain and then it happens to them. There are certain conditions that make the low back and core region a central location of continual pain. And unfortunately, women could be more susceptible.
Most individuals will experience low back pain at some point during their life. However, there is a slight prevalence and is more common in females than males across all ages. Low back pain in women increases with age. A research comparison studying middle-aged individuals reported an increase of low back pain in females versus males post-menopause. Some possible low back pain causes include.
Table of Contents
Menopause and Hormone Issues
Chronic lower back pain is one of the most reported musculoskeletal issues women face during menopause. About sixty-seventy percent of perimenopausal women present symptoms associated with estrogen deficiency. And over half in perimenopause report chronic musculoskeletal pain. Many of these studies show increasing menopausal symptoms and the correlation to chronic low back pain symptoms.
Menstruation and Uterine Dysfunction
Dysmenorrhea is a uterine dysfunction that involves frequent and severe cramping during menstruation, which often leads to low back pain. The condition is classified as primary or secondary. Both types include low back pain as a common symptom.Primary dysmenorrhea starts when a woman begins menstruation and continues throughout their life. Intense contractions can cause continual and severe menstrual cramping. Secondary dysmenorrhea usually starts later and is caused by another condition like endometriosis or pelvic inflammatory disease.
Endometriosis
Endometriosis is a condition that can contribute to back pain in women. Tissue that behaves like endometrial tissue begins to grow outside of the uterus, in the pelvic cavity or other areas. The new tissue responds to the body’s hormonal changes and can cause swelling, pain, spotting, and bleeding. Endometriosis growths bleed monthly as well. Without a place for the blood to go, the excess irritates and inflames the surrounding tissue.
The condition can cause heavy periods, chronic pain, and scar tissue build-up. Symptoms can present at any menstrual cycle stage. Pelvic pain that runs down the legs is common. Some women have also reported throbbing, shooting pain that can be mild to severe. Symptoms include:
Abdominal pain
Low back pain
Pain when walking or standing
Pain during ovulation
Pain when urinating
Urinary urgency
Pelvic inflammation
Constipation
Pain during intercourse
Bowel movement pain
Rectal pain that radiates
Pain caused by scar tissue build-up within the bladder, fallopian tubes, bowels, and ovaries
Chronic fatigue
Endometriosis can be diagnosed by a doctor during an initial pelvic exam. Further imaging tests to assist in the identification could be requested.
Spinal Issues
The reproductive organs can sometimes contribute to back pain. However, women can also be susceptible to degenerative conditions that affect the spine’s structure. Low back pain is common with an average patient experiencing one to two episodes a year. Low back pain can start in early adulthood and become a chronic problem that can be triggered by various events or activities. Most back pain issues are resolved within six weeks. This is known as acute low back pain. When the pain doesn’t stop for more than 12 weeks it is considered chronic lower back pain.
Postmenopausal Compression Fractures
Around twenty-five percent of women will go through a vertebral compression fracture of the middle or lower spine. The risks increase with age, with around a 40 percent chance at 80 years of age. Small cracks in the vertebrae can cause severe disability and limit function. Osteoporosis is the most common cause of vertebral compression fracture/s. Postmenopausal women are at an increase of developing osteoporosis. This comes from hormonal changes that decrease bone mineral density, leaving the bones open to fracture.
Spondylolisthesis
This is when one vertebral body, or the thick oval bone segment in front of the vertebra, slips against an adjacent body. The result is pain or mechanical symptoms. The pain can spread throughout the spine to the hip, buttocks, into the legs, and possibly the foot. The condition can be congenital, from an unknown cause, or acquired. There is some research on childbirth and hysterectomies putting women at risk for spondylolisthesis.
It is common in the lumbar spine/lower back, but can also present in the cervical spine/neck region. The thoracic/middle spine is extremely rare except in trauma cases. The thoracic spine is the longest region of the spine. It is between the cervical and lumbar regions. One cause of the increased pain is longer times spent sitting in chairs that are not ergonomic. A second is being confined to smaller workspaces. The key is to get up and move around or use a sit-stand desk to alternate sitting and standing. Irregular and localized low back pain is typical for low back spondylolisthesis. The pain usually worsens when the area/region is flexed or directly touched.
Piriformis Syndrome
Back pain sometimes isn’t back pain, but piriformis syndrome. The piriformis muscle is a small muscle that extends from the lower spine to the top of the femur. It can involuntarily contract and compress or irritate the sciatic nerve. The muscle helps rotate and turn the leg and foot outward. Symptoms are consistent with sciatica. It typically presents with buttock pain that shoots, aches, or throbs along the leg’s backside, thigh, calf, and foot. Tingling along the nerve along with numbness is common. Causes include:
Buttock injury
Hip injury
Weight training specifically the gluteal/buttock, hips, and hamstrings
Sitting for a long time – Examples include truck drivers, desk job workers, etc.
Damage to the piriformis muscle
Sciatic nerve wraps around the piriformis muscle
Sacroiliac Joint Dysfunction
Sacroiliac joint dysfunction involves inflammation of the joints, located at the connection of the pelvis and lower spine. It can present as low back or buttock pain that radiates down the leg/s. The pain worsens when climbing stairs or standing for an extended amount of time. Sacroiliac joint dysfunction can be tough to diagnose, as it is often mistaken for other low back pain causes.
SI joint dysfunction causes:
Pregnancy – the increased weight and altered movement/s can cause additional stress and wear.
Joint infection – in rare cases, the joints can be subject to infection.
Arthritis – the joints can develop arthritis from normal wear and tear.
Traumatic Injury – the joints can be injured from a forceful impact from a fall or auto accident.
Most cases do not end up requiring medication or surgery. It is when the pain lasts more than six weeks that there could be something more taking place like neurologic symptoms or other conditions, spinal or otherwise.
Personalized Chiropractic Spine Treatment
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
X-ray of lungs or spinal cors held by one of doctors in whitecoats during consultation and discussion of its details
A spinal tumor is an uncommon cause of back pain. They rarely occur and can be either benign or malignant. Some tumors can metastasize or spread out to other parts of the body. This is done through the arteries, veins, the lymphatic system, and directly depending on the location.
A tumor of the breast, prostate, lung, and kidney can metastasize into the spine increasing the risk of spinal compression. This could lead to neurologic dysfunction and paralysis. Many individuals present with back pain as the key symptom. The pain can worsen at night and have no relation to certain activities. Other symptoms include:
Aneurysmal bone cysts or ABCs usually cause pain and swelling. They can be large and typically affect children and adolescents.
Eosinophilic Granuloma
This type of spinal tumor usually develops in the vertebral bodies of children and adolescents. If the tumor is systemic it is called histiocytosis X. However, these tumors rarely lead to vertebral collapse and paraparesis. And also rarely but on occasion, they can heal spontaneously on their own.
Giant Cell Tumor
This type of spinal tumor affects children, adolescents, and young adults. They can be found around the cervical, thoracic, or lumbar segments of the spine, but are more common in the sacrum region.
Hemangioma
Hemangiomas develop most often in the thoracic or middle back. These affect adults and are known to be vascular masses that are progressive and can cause vertebral collapse and slight paralysis.
Osteoblastoma
These tumors can be large, aggressive, and painful. They affect children and adolescents. They can sometimes cause spinal deformity and paralysis.
Osteochondroma
This a slow-growing spinal tumor that comes from cartilage and usually affects adolescents. It is uncommon and typically found in the posterior or rear of the spine.
Osteoid Osteoma
A very small bone tumor that is less than 2 cm. It typically affects adolescents. It is known to cause night pain and can result in spinal deformity.
Malignant – Cancerous
Chordoma
This is typically seen in adults. About 50% involves the sacrum, but it can affect other regions of the spine. These tumors usually require aggressive treatment.
Chondrosarcoma
This tumor affects the spinal cartilage in middle-aged adults. It grows slowly but can be dangerous. Aggressive medical treatment is required.
Ewing/Ewing’s Sarcoma
An aggressive spinal tumor that affects adolescents and young adults. In certain cases, it can metastasize.
Lymphoma
Lymphoma can present in one or more vertebral bodies. It affects middle-aged and older adults. The lymphatic system can sometimes be involved.
Osteosarcoma
This is a bone cancer that develops in adolescents and middle-aged adults. It can metastasize and require aggressive medical treatment.
Plasmacytoma
Plasmacytoma typically presents in middle-aged and older adults. They usually present in the pedicle and vertebral body and can cause paraparesis.
Back pain does not always mean that there is a tumor present. But if back pain does not resolve or if neurologic symptom/s are experienced, early medical intervention/treatment is definitely warranted. A primary spinal tumor or those that originate in the spine are uncommon. However, metastatic spinal tumors are.
Spinal tumors are not a common cause of back pain, but if there is pain whose cause cannot be identified and continues with no change, it could be an indicator of something more going on. Persistent pain, specifically if it is not brought on with activity or if it worsens at night, could be a potential red flag needing further examination by x-ray, CT, or MRI. Metastatic tumors, that spread from another area such as the lung, breast, colon, and prostate are a more common type of spinal tumor. Individuals with a family history of cancer that develop back pain out of nowhere should be examined to exclude a spinal tumor.
Neck and Low Back Pain Treatment
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Having the right attitude about weight loss can go a long way in being successful. Being overweight contributes to poor health, sleep problems, increased risk for disease/s, and back pain. Weight problems can result from:
Eating the wrong food/s
Limited or no regular physical activity/exercise
Stress eating
Age
Genetics
These can all be overcome by setting sensible goals and realistic expectations. The first step is to discuss weight loss and general health with your healthcare provider. A doctor, health coach, or fitness chiropractor can help develop a fully customized weight loss treatment plan along with exercise, diet, and lifestyle changes/adjustments. Weight loss plans can include:
Dietary
Exercise
Behavioral
Medication
Surgical modification of the digestive system if necessary
A realistic properly developed and safe weight loss plan has a greater rate of success. If your doctor isn’t quite sure which is the best approach, they could reference a health coach, weight loss, or metabolic specialist. Assessing one’s body weight is now a more involved process than just stepping on a scale. The assessment usually involves measuring the Body Mass Index or BMI, waist circumference, and medical history. This information is analyzed to determine if there are any risks due to excess weight like high blood pressure, diabetes, heart disease, and cancer.
Table of Contents
Nutrition Feeding The Body
A weight-loss treatment program does require a reduction in calories. An optimal treatment plan means changing/adjusting lifestyle bad habits and turning them into good/positive habits. This can include nutritional education, relearning to eat, manage stress, and adapting.
It is important to feed the body the proper nutrients it needs to maintain optimum health. No one food has all these essential nutrients. Therefore, it takes a combination of a variety of foods to help meet the body’s needs. If an individual has been overweight or obese for an extended amount of time, the body could be starving for these vital nutrients.
Nutrients
Sources
Functions
Proteins
Meat, Fish, Poultry, Eggs, Dairy, Legumes, Nuts
Formation of muscles, bone, blood, enzymes, specific hormones, cell membranes, tissue repair, regulates water/acid-base balance
Carbohydrates
Grains, Fruits, Vegetables
Supplies energy to brain cells, nervous system, blood, and muscles during physical activity and exercise
Fats
Meat, Fish, Poultry, Supplements
Supplies energy, insulates/cushions organs, helps in vitamin absorption
Vitamins
Fruits, Vegetables, Grains, Meat, Dairy
Promotes chemical reactions in the body’s cells
Minerals
Contained in most food groups
Regulates body functions, assists with growth, a catalyst for energy release
Water
Water, Liquids, Fruits, Vegetables
Medium for transporting chemicals, assists in chemical reactions, regulates temperature, removes waste, accounts for 50-70% of body weight
Types of Fats
Fats are essential in absorbingfat-solublevitamins A, D, E, and K.
Saturated Fat is known to increase blood cholesterol levels. This type of fat is found primarily in meat and dairy products. For example butter.
Polyunsaturated Fathas been shown to lower blood cholesterol levels. It is found in plant sources like cottonseed, corn, safflower, sunflower, and soybean.
Monounsaturated Fat has been shown to lower thelow-density cholesterol or LDL, which is unhealthy cholesterol. It can be found in avocados, olive, canola, and peanut oil.
A healthy diet should not exceed 30% of fat per day. An easy way to cut back is to:
Go for lean cuts of meat
Trim the visible fat
Remove the skin from poultry
Select water-packed tuna
Choose dairy products made from skim or low-fat milk
Eating and Losing Weight Recommendations
These recommendations could be redundant, but it is a start.
Drink at least eight glasses of water every day. This does not include tea, coffee or other beverages
Eat only when hungry
Stop when full
Eat and chew slowly – It takes 20 minutes for the stomach to tell the brain the body is full
Select foods that take a lot of chewing, which will satisfy the body with less food
Drinking a warm beverage with a meal helps promote the feeling of fullness and satisfaction
Serve food on a smaller plate – This fools the eyes, fooling the brain into believing that the meal is the same amount
Have a piece of fruit or a small fruit smoothie in between meals to keep hunger in check
Keep the kitchen stocked with healthy ready to eat snacks
It’s the small thorough steps that add up to achieve goals
Physical Activity Benefits
Healthy food combined with healthy eating habits and regular physical activity can help weight loss goals be met. Building and preserving muscle mass helps the body burn calories. Plus it decreases the risk of:
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Massage doctor. The man is undergoing rehabilitation
Massage therapists have come a long way in reducing pain and improving wellness. Back pain is one of the most common reasons people seek physical therapy, chiropractic care, and massage therapy. Back pain affects around three in four adults at some point in their lives. Research supports that massage is a bona fide back pain treatment option. This could be welcome news to those who prefer not to use medications or invasive approaches to managing back pain. The right massage therapists can make all the difference in achieving the benefits.
Table of Contents
Massage goals
The first thing is to figure out what the goals are from the massage itself.
Are there acute back or neck issues that need to be addressed?
Looking for non-invasive therapy for long-term management of a chronic spinal condition?
Is the massage for performance enhancement? Could be athletic or to help perform daily activities easier.
Is it just wanting to relax?
Figuring out what it is to be achieved from the massage is essential to finding the right therapist.
Massage clinic, spa, health club, home
A massage can be performed in health clubs, spas, medical clinics, and at home. The location does not predict the massage type or specialty of the massage therapists, but it can be an indicator. Example: For athletic performance, a gym, or Crossfit center massage therapist is a good place to start. If massage is part of a back and neck pain management plan, look into the massage therapists at a medical clinic or a therapeutic massage clinic.
Ask for recommendations and ask questions
When searching, get recommendations, and ask plenty of questions to get all the information needed.
After a few prospects have been found then ask plenty of questions before making an appointment. This can help determine if this will be a long-term therapeutic relationship or a one-time visit. If looking to manage a serious spinal condition, the recommendation would be to find a therapist with more experience.
Massage education programs that are only entry-level do not provide in-depth education and practice for the many specific and complex spinal conditions. The real experience comes from years of practice along with continued education. This is how massage therapists are able to expand their clinical analysis and treatment development expertise. Get a sense of the massage therapist’s education and practice experience. This will help significantly when choosing a therapist best equipped.
Questions to ask potential therapists:
How long have you been practicing?
What’s your massage education?
Related education or practice experience? Many nurses or occupational therapists go on to become massage therapists. This means the information and knowledge from their nursing are now integrated into their massage practice.
How much-continued education have you gone through?
How many sessions do you offer?
What does the schedule look like? Think about scheduling when the therapist is more refreshed, like early in the workweek or their scheduled shift.
Do you have specialties with specific conditions or techniques?
Do you get massaged? If so, how often? Massage is a labor-intensive task. Therefore, it could be best to go to a therapist that keeps themselves healthy and balanced.
How long does it take for the initial appointment?
Do you have to book ahead?
If a therapist is booked don’t get frustrated
If a long-term therapeutic relationship for the management of a spinal condition is the goal, then it may be worth waiting for. A therapist that has a long wait time for initial appointments means they have patients that see them regularly and that’s a very good sign of quality care. One possible option for individuals waiting for their appointment is to go to a local massage school to get treated. This option is less expensive, great for body maintenance, and provides opportunities for the training therapists.
Professionalism
A quality indicator is the professionalism of the therapist. This includes the extent to which they model the values of a health care professional valued by the patient. This is different for everyone. Questions to consider:
Are they on time?
Does the therapist cancel appointments?
Are you comfortable around them?
Do they listen?
Does the patient help in the development of a treatment plan?
Are they comfortable and engaged in the work?
Are they taking their massage career seriously?
Feeling at ease during the appointment/s is very important to massage success and relief. If anything about the therapist causes hesitation, look for another.
Massage Management
Massage is an excellent back pain treatment option that has gained popularity as a complement to pain management plans and as an alternative to invasive procedures. But, massage is not a cure-all. Often the cause of the back pain does not go away entirely. This is where massage therapy comes in as a pain management tool.
It’s important to consider the condition’s duration and severity when evaluating the success of a session. This helps in planning the massage schedule. When there is a complex and established spinal condition be patient, as a 1-hour massage is not going to solve a 10-year back pain battle. However, with perseverance massage can safely and effectively help reduce pain and promote a better quality of life.
Whiplash Massage Therapy
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Physiotherapist giving shoulder therapy to a woman in clinic
The shoulder/s are the joints where the upper-arm bones known as the humerus, the shoulder blades or scapula, and the collarbone/clavicle come together. The upper-arm bone fits into the scapula socket and is held in place by muscles and tendons. This is the rotator cuff. It covers and protects the upper-arm and allows for raising and movement of the arm. Pain in the shoulder can have a variety of causes.
Injuries can occur in a slip and fall or automobile accident. A task like painting the house could cause a repetitive/overuse injury. The soft tissues in the shoulder, muscles, tendons, and ligaments can get injured from excessive strain, falls, and improper motion. Shoulder pain can come from certain conditions like arthritis. And it can present from problems or issues in other parts of the body. This is known as referred pain.
The shoulder takes on more than we realize. It is made up of an intricate network of ligaments and muscles, with the rotator cuff taking most of the load when moving. It is the most flexible joint in the human body, and one of the most unstable. It is unstable because of its unique construction. Other joints like the ankle or elbow are limited in their range of motion. Shoulder injuries are common, as the shoulder sustains more injuries than almost any other part of the body.
Table of Contents
Injury Symptoms
Here are some questions to help figure out if there is a shoulder injury:
Does the arm move normally?
Is there extreme stiffness?
Is there pain and what type – throbbing, stinging, shooting
Does it feel like it could pop out of the socket?
Is it strong enough for normal activities?
Certain shoulder injuries can be treated at home for a few days with rest and ice. The shoulder can be bandaged with Kinesio tape to hold it in place if necessary. But serious injuries require professional medical help. Symptoms/signs that a medical professional is needed:
The shoulder joint looks deformed
The shoulder cannot be used at all
The pain is extreme and intense
The shoulder is swelling rapidly
The arm and/or hand is weak and/or numb
Common injuries
Dislocation
When the shoulder gets pulled back hard or rotated too far, the top of the arm can get popped out of the socket. This can cause pain, weakness, swelling, numbness, and bruising.
Separation
This is an injury affecting the joint where the collarbone and shoulder blade come together. It is the acromioclavicular or AC joint. An accident, fall, or traumatic impact can tear the ligaments holding it together. If the collarbone gets shifted out of place, a bump on top of the shoulder will appear.
Fracture
After a fall or a hard hit, the bones can break or become cracked. The most common breaks are to the collarbone and the arm bone that is the closest to the shoulder. Pain presents along with bruising can occur. If the collarbone is broken, the shoulder may sag and there will be no ability to lift the arm.
Cartilage tear
The cartilage or rubbery padding that runs around the rim of the shoulder joint can suffer injury and/or get torn. Repetitive motions and overuse can lead to a tear. It can also be injured in a fall, or anytime it absorbs the brunt of the force. Pain can be felt when reaching over the head, or the shoulder feels/seems to be weak. Sensations like catching, locking, or grinding may also be felt.
Rotator cuff tear
The rotator cuff belongs to a group of muscles and tendons that hold the arm in place and allow for lifting the arm up and overhead. It can suffer damage through overuse or in an accident. The rotator cuff begins to show wear and tear with age. It can hurt at night and when trying to lift objects. Individuals have also reported a crackling sound when moving.
Frozen shoulder
This is a condition that limits how much the joint moves. Bands of tissue or adhesions build up in the joint and keep the shoulder from moving freely. This is where the freeze happens. It comes from the pain, causing the individual to not use it, this allows the adhesions to build.
Impingement
This is when the tendons of the rotator cuff become pinched within the bones of the shoulder. It can cause swelling and pain. It is often set off when lifting the arms over the head repetitively.
Bursitis
This is when the fluid-filled sacs or bursa that cushion the joints get swollen and irritated. Usually, the onset occurs from repetitive motions. However, it can also be caused by a fall or other injury. The pain occurs most when moving the shoulder.
Other causes
Osteoarthritis
Also known as degenerative joint disease. It is the most common form of arthritis. It can affect any joint, including the shoulders. The cartilage between the bones breaks down and allowing them to rub against each other causing pain and stiffness.
Rheumatoid arthritis
This is a disease that causes the immune system to attack the protective lining in the joints. It causes pain and stiffness in the shoulders.
Referred pain
There could be nothing wrong, yet pain or discomfort presents. This could be a sign of a condition involving the lungs, gallbladder, liver, nerves, etc.
Heart attack
Shoulder pain could be brought on from the tightness in the chest and trouble breathing. Get emergency medical help immediately.
Tendinitis
The tendons that make up the rotator cuff become inflamed. It can happen progressively over time or quickly from an accident, fall, or a direct hit to the shoulder.
Bone spurs
These are small, smooth pieces of bone that begin to rub up against the rotator cuff keeping the shoulder from proper movement. They can lead to tendonitis or a tear.
Diagnosis
A doctor or chiropractor will begin with a physical exam to check for structural problems to rule out anything involving the spine or neck. Next, is the range of motion exam to see how strong and flexible the shoulder is. This involves moving the arms in different ways, like:
Above the head
Across the body
Behind
Rotate 90 or 180 degrees
The doctor could recommend imaging tests to get a closer look:
X-rays
These can help find bone spurs, arthritis, and other bone-related causes of shoulder pain. The doctor could recommend an arthrogram. This involves using a dye to enhance the details allowing them to render more clearly.
MRI scan
Radio waves and a powerful magnet generate detailed images of the shoulder.
CT scan
This is a series of X-rays taken from various angles. When placed together, they allow for optimal views to be seen.
EMG
This measures electrical activity in the muscles to see if there are any problems with the nerves.
Arthroscopy
A surgical procedure that utilizes a tiny fiber-optic camera, allowing the doctor to see high-definition images. With certain cases, the doctor could be able to treat the problem during the procedure.
Treatment
Dislocations, separations, and fractures require medical attention. Getting the shoulder back to the right position followed by a sling to hold it in place while healing and in recovery. For less serious issues, the doctor could recommend rest, heat/ice, and medicine like ibuprofen or aspirin to help with the pain and swelling.
Chiropractic treatment for shoulder injury/s and pain. A Chiropractor can:
Relieve pain
Improve range of motion
Increase flexibility
Restore function to the joint
If the shoulder does not show improvement after the first steps, the doctor could recommend injecting an anti-inflammatory medication straight into the joint for the swelling and pain relief. There are times when cartilage tears, rotator cuff tears, and a frozen shoulder does not improve with rest, physical therapy, or medication. As a last resort, the doctor could recommend surgery. Any problem with the shoulder means that the treatment plan will probably include stretches and exercises to help strengthen the joint and improve the range of motion.
Prevention
Consider how often the shoulders are used at work and play. Then find ways to protect it:
If working at a desk, make sure the chair has proper back support and promotes proper posture.
Take several short breaks to move around at least once an hour.
If work requires heavy lifting, proper technique is essential.
First face the object being lifted
Keep the back straight
Bend the knees using the legs for power
When reaching for a heavy object overhead, use a step-ladder to get a better position.
Ask the doctor or chiropractor about a strength and conditioning regimen for the muscles around the shoulders, to keep them strong and flexible.
Chiropractic Treatment Shoulder Pain
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Doctor explaning back pain to senior patient in hospital office pointing at laptop screen with human skeleton. Nurse in blue uniform holding radiography and elderly doctor taking notes on clipboard in clinic corridor.
Radiofrequency ablation, also known as RFA is a minimally invasive procedure performed in an outpatient clinic to treat neck, back, facet joints, and sacroiliac joint pain. It involves the use of radio waves pulsing at a high frequency that temporarily disable the nerves from transmitting pain signals to the brain. Relief can last three to six months. Radiofrequency ablation treatment could be an option to manage chronic back and neck pain. There are other names, but the radio frequency concept is the same. They are:
Chronic neck, back, and hip pain take a significant toll on the body. Finding the right treatment can make all the difference. However, it does not work for everyone. For those that might have tried other non-surgical treatments to manage the pain, including physical therapy and steroid injections, that did not bring relief then radiofrequency ablation could be another treatment option.
Table of Contents
Radiofrequency Ablation Benefits
Pain relief compared to steroid injections lasts longer
Relief exceeds that of injections
It is a non-surgical procedure
Complication risks are low
Opioid or other analgesic medication is reduced
Quick recovery
Improved quality of life
Relief can last six months to a year, and longer
Pain Reduction
Before undergoing radiofrequency ablation, a doctor must pinpoint the nerves causing the neck, back, or sacroiliac joint pain. They will perform a nerve block injection to determine if there is temporary relief from the pain. If there is temporary relief it means that the origin of the pain was found. This could qualify to become a candidate for radiofrequency ablation.
A Medial branch block is performed to diagnose the facet joint/s that are causing the pain.
Asacroiliac joint block is performed to determine if and which sacroiliac joint is causing the pain.
Preparation
The doctor will give instructions on how to prepare for the procedure. Instructions can vary from those listed, as every patient’s case is unique.
Do not eat 6 hours prior to your procedure
Wear loose, comfortable clothing
Easy to put on shoes
Have a designated driver for after the procedure
Make sure the doctor knows about all medications, vitamins, supplements, and herbs being taken
Follow the doctor’s instructions when taking prescribed and over-the-counter medications. This includes vitamins, supplements, and herbs
Bring all medications on the day of the procedure to be taken with minimal interruption
Radiofrequency ablation usually takes an hour or longer depending on the extent of the treatment. One example could be the number of facet joints being treated.
The Procedure
The patient will be positioned face down on the treatment table. Pillows are offered and positioned for optimal comfort. The area where the treatment will be administered is sterilized. The areas of the body not undergoing the treatment are covered with a sterile covering. Sedation could be utilized but not heavy sedation. More than likely it will be what is known as twilight sedation.
A local anesthetic is injected into and around the area/s being treated. Because radiofrequency ablation involves electricity a grounding pad is attached to the calf of one of the legs. The treatment table is adjusted for the precise placement of the needles and electrodes. The doctor will use fluoroscopy or a real-time x-ray as a guide.
Once the needle/s and electrode/s placement is confirmed, a low electrical current is sent through the electrodes. This creates waves of pulsating energy that stimulate and change the nerve/s sensory tissue so it does not send pain signals. Some individuals report a warm or mild pulsing sensation. When finished, the electrodes and needles are removed. The treated area is cleaned up, sterilized and bandages are applied.
After the Procedure
After the procedure, the patient is sent home with a set of recovery instructions. An example could be:
Keep the bandages in place
Don’t take a bath or shower
A shower can be taken the following day and the bandages removed
Do not perform any strenuous activity for up to two days
When the anesthetic wears off, the individual will have soreness and some mild pain around the treatment area. As long as everything is fine individuals can return to work and normal routine within three days. Full recovery can take up to two weeks for the treated/ablated nerves to stop sending pain signals. Although the nerves no longer conduct pain, it is temporary and not a permanent fix. This is because the nerves grow back. If the cycle starts over, talk with the doctor about another session.
Peripheral Neuropathy Relief & Treatment
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Bone broth is a soothing, low in calories, flavorful comfort food that is packed with nutrients and highly beneficial for the spine. Bone broth is made from slowly simmering meat or poultry and is an old-fashioned home remedy for a variety of ailments. These include:
Nutrients are connected with healthy bones and joints. These include:
Calcium
Phosphorous
Vitamin D
Collagen protein
All of these are concentrated in animal bones. The bones are cracked and cooked in a stockpot of water on a slow simmer. The breakdown releases vitamins, fatty acids, manganese, zinc, iron, and selenium. The broth helps supply the bones with these nutrients.
Bone broth is also effective when keeping track of weight because it is nourishing and hearty but low in calories. One cup of broth eaten or drank a half-hour before a meal can keep appetite in check. When hunger stays in check it is easier to maintain a healthy diet, portion sizes, and not overeat.
Table of Contents
Bone Broth Recipe
Simmering bones in water with added vegetables, spices, vinegar, and herbs over low heat for a few hours is bone broth. A recipe for bone broth typically includes a tablespoon or two of vinegar or lemon juice. This helps soften the bones to break them down and release more nutrients. This will make around 2 quarts or 8 cups of bone broth. In a stockpot combine:
2 to 3 pounds of leftover cooked beef, chicken bones
1 chopped onion
1 chopped carrot
1 chopped rib of celery
1 tablespoon balsamic or red wine vinegar
1 bay leaf
6 peppercorns
Enough water to cover the ingredients
Add 1 cup of chopped fresh or canned tomatoes for extra flavor
Bring to a boil over high heat
Reduce heat to a low simmer, partially covered, 4 to 6 hours
During the first half-hour of simmering, skim off the foam that collects at the top.
Strain cooled broth into a bowl or jar
Refrigerate the broth up to 5 days or freeze up to a couple of months
Don’t Overdo It
When it comes to nutrients in food, it is possible to get too much. An example is of an individual in training that drank one to two quarts of bone broth three days a week for six months. They began to suffer from chronic vomiting. The doctor diagnosed there was too much vitamin D from the fatty marrow in the bones used to make the broth. Vitamin D helps the body absorb calcium. Too much calcium in the blood was causing the vomiting.
Another potential issue with drinking too much bone broth is lead contamination. Many foods contain small amounts of lead. In animals, any environmental lead that gets into the body gets stored in bone tissue. A healthy, well-nourished individual can handle small amounts of lead. When it comes to bone broth, lead is only a concern if taking abnormal quantities. The broth can also be used as a base for soups and stews keeping the body healthy along with the emotional benefits of a nutrient-rich broth. The body will feel the difference.
Chiropractic Care Knee Injury
Dr. Alex Jimenez’s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
