In this episode (2 of 4) Dr. Alex Jimenez presents Evonne Britton, and unbelievable track star and olympic athlete who is going to talk to young aspiring athletes a little bit about what it takes to be a successful and healthy athlete. She also will be talking about her preparation she will talk specifics and also will talk some of her story. Stay tuned for more of Evonne Britton and Dr. Alex Jimenez
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Dr. Alex Jimenez DC, MSACP, ATN, IFMCP. CIFM, CCST
Osteopath doing a myofascial hamstring tendon manipulation bending the leg of a young woman on a consultation couch in an alternative medicine and healthcare concept
Tight and sore hamstrings commonly occur during workout and exercise, but can just as easily result from a fall or other accident. Individuals usually experience pain located at the back of the thigh with associated weakness along with the feeling of the muscles becoming tighter and a consistent soreness. Consistent tightness in the back of the legs is not only uncomfortable but can also make movement difficult.
Many individuals stretch every day, do yoga, etc trying to relieve hamstring tension, with short-term relief only to have the tightness return. This is frustrating but more importantly, indicates that the problem might not have to do with the muscle’s length. There could be an underlying issue that needs to be identified and addressed. A chiropractic approach will diagnose and treat the root of the pain, not just the symptoms.
Table of Contents
Hamstring/s Tightness
The hamstring is not a single string. It is a set of three muscles that run along the back of the thigh. The muscles allow for the bending of the leg at the knee. With a hamstring strain, one or more of these muscles can become overloaded and can start to tear. Strains often happen during activities that involve running, jumping, and/or sudden stopping and starting. This is where stretching doesn’t help, however, a chiropractic adjustment can help.
Weak Muscle Compensation
One possible cause for the tightness has to do with various related muscles and not the hamstrings themselves. Muscles that typically stabilize and facilitate movement could be too weak or are not functioning properly. What usually happens is that the muscles that are active have to work harder to compensate for the others that are not working/functioning properly.
The tension in the hamstrings can be alleviated through chiropractic exercises/stretches that activate the stabilizing muscles and get the circulation moving to promote strength and take the pressure off the hamstrings.
These muscle weaknesses can be caused by spinal misalignments that pull the body in an awkward fashion, throwing the body’s balance off. Each condition feeds the other as the hamstrings have to work harder, the body leans to the side that doesn’t cause pain, causing the spine to shift out of alignment and so begins the awkward body shifting to avoid the pain cycle. A chiropractic adjustment will restore balance and stability to the entire body.
A Pelvic Tilt
Pelvic tilt could be a contributing factor for tightness and soreness. This comes from:
Poor posture
Lack of physical activity
Weight gain
These factors can cause the pelvis to shift forward ever so slightly. But just that slight tilting could be pulling on the hamstrings. In order to rectify the tilt, exercise is recommended, and chiropractic manipulation to realign any spinal shifting.
Sciatic Irritation
Another issue is sciatic nerve irritation that could mimic tightness in the muscles. The sciatic nerve runs down the back of the leg and the irritation could make the hamstring appear to be tight. This is where stretching the hamstrings can worsen the condition by irritating the sciatic nerve, causing inflammation.
The sciatic nerve could also be experiencing irritation from spinal misalignment. A vertebral disc could be bulging or herniated. This could inflame the nerve root. A bone spur or inflamed joint could be impinging/compressing on the nerve root exits.
A chiropractic treatment plan will relieve the tension being placed on the nerve and allow for proper blood circulation and transmission of signals without interruptions. Talk to a chiropractor about an examination to identify the exact root causing the discomfort.
Advanced 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*
References
Hoskins, Wayne, and Henry Pollard. “Hamstring injury management–Part 2: Treatment.” Manual therapy vol. 10,3 (2005): 180-90. doi:10.1016/j.math.2005.05.001
A woman is exercising in gym. She has a rehabilitation. A therapist is helping the woman to do the exercises.
With intense automobile, work, and sporting/fitness accidents, and natural disasters, individuals can experience multiple traumas also known as polytrauma. Recovery and rehabilitation can be a difficult and challenging journey. Multiple traumas are serious medical emergencies only given to individuals going through a severe situation. Polytrauma references multiple severe traumas that occurred at the same time. An individual can experience a:
Physical therapy and chiropractic rehabilitation could be part of a treatment program. This is to restore the body’s mobility, function, and promote the body’s natural healing abilities. The importance of creating the proper rehabilitation program can make all the difference and restoring the integrity of the spine is critical.
Table of Contents
Spinal Stabilization
Any type of trauma despite its severity can have the potential to interfere/disrupt spinal functions.
Suffering a concussive hit to the head could cause damage to the cervical spine.
Falling off a ladder could shift the vertebral discs.
Hitting the knee on an object can cause a spinal misalignment from shifting the weight to the other leg for a day or two.
Spinal misalignments and/or dysfunction are common in multiple trauma cases. Dealing with broken bones and substantial wounds often means the spine could need to be realigned. Even if there are no localized injuries to the back or neck. Spinal misalignment, translation/rotation, herniated discs, or other conditions can hinder the overall recovery process and present new health issues.
Nerve Damage
Often, a lasting issue from multiple traumas is nerve damage. The severity can completely destroy nerve endings making it impossible to regain feeling or movement in certain areas of the body. The nerve damage can be regenerated if the impediment is rooted in the spine and is addressed in time.
Correcting spinal discs that have shifted along with subluxations that can compress the nerves and interfere with signal communication can help restore the areas directly affected. Example: Broken arms or legs can lose sensations that can be regained by spinal realignment. There are arteries that follow the spinal pathway. When the spinal integrity is restored proper circulation/blood flow is achieved, which is essential in natural recovery.
Trauma Beyond the Injury
Developing the correct rehabilitation treatment plan could mean the difference in a speedy and healthy recovery. Chiropractic can be an integral part of the recovery process, especially for a body that has sustained severe musculoskeletal injuries. The spine is an extension of the central nervous system. This means that bringing relief to the spine can affect positive healing in the injured areas. The critical role of the spine in an individual’s rehabilitation and whole well-being is why no matter the extent of the trauma, we deliver relief.
Auto Accident Injury 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*
References
Kroupa, J. “K definici polytraumatu a polytraumatismu” [Definition of “polytrauma” and “polytraumatism”]. Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca vol. 57,4 (1990): 347-60.
Senior woman in activewear watching online courses on laptop while exercising at home.
As individuals advance in age, the risk of falling starts to become a regular concern. An average of one in four adults over 65 suffers from a fall every year. Around twenty percent of falling accidents result in serious injury. However, experiencing one fall increases the risk of future falls significantly. The most common injuries sustained include:
Hip fracture
Head injury
These injuries usually necessitate hospitalization. Therefore minimizing the risks is important for increasing/enhancing an individual’s quality of life and help minimize the financial burdens that can come with these types of accidents.
Table of Contents
Risk Factors for Falling
Various factors can determine an increased risk of falling. If there are two or more at the same time, the risk goes up significantly. These factors include:
A physical therapist or chiropractor can assess the home for safety and possible tripping hazards
Regular vision check-ups at least every two years
Spinal Health
Restoring balance to the body will make the biggest difference in increasing overall health. However, pain, stiffness, and poor health can make getting started a difficult challenge. With the right chiropractic and physical therapy team, getting started does not have to be as challenging, with the transition being made as easily and as smooth as possible.
An essential building block for overall optimal health begins with spinal alignment. When the spine is misaligned it can lead to poor nerve circulation/energy. This slows down and interferes with the body’s functions. This is often manifested with poor balance, weakness, and pain. Chiropractic spinal alignment addresses whole-body health. A chiropractic practitioner is specialized in non-invasively and systematically restoring not only the alignment of the spine but the entire body.
Chiropractic Health
Find a chiropractor and talk to them about any health concerns, including falls. A customized chiropractic adjustment treatment plan will be developed along with a fitness and stretching regimen, and dietary adjustments will significantly optimize health and help prevent falls.
Sports Injuries 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*
References
Hawk, Cheryl et al. “Pilot study of the effect of a limited and extended course of chiropractic care on balance, chronic pain, and dizziness in older adults.” Journal of manipulative and physiological therapeutics vol. 32,6 (2009): 438-47. doi:10.1016/j.jmpt.2009.06.008
Handsome young man is moving, having pain in his back while packing, standing among cardboard boxes
Trying to understand what is causing back pain that comes out of nowhere, whether a spinal issue or a kidney issue can be quite challenging. Doing a self-examination, retracing steps, and constantly thinking about it is exhausting. The right healthcare professional that has experience in spinal issues, as well as, understanding various health conditions that can contribute to spine pain, and making the correct diagnosis can help in developing the proper treatment plan or refer the individual to the proper specialist.
Table of Contents
The Kidneys
The organs are located below the ribs, close to the middle/thoracic back. Healthy kidneys support and help with:
These can easily be mistaken for mid and upper back pain. However, if there is persistent soreness or irritation it could mean a more significant health issue associated with the kidneys could be present.
Spine Problem or Stone/s
If there is a feeling of kidney pain it is possible to come from one of two places and/or both. This could be distension/ballooning of the capsule called the ureter that surrounds the kidneys. The ureters are the tubes that are attached to each kidney and transport urine from the kidneys to the bladder. Urine contains salts and minerals. These minerals can clump together creating a kidney stone and block the ureters. The ureter contracts from the stone that is creating the blockage.
When there is a blockage from a stone, the urine can back up and cause the capsule to expand causing pain. The pain location is usually on one side and is categorized as a dull ache – meaning the pain is constantly present and causing discomfort. Chronic back pain caused by nerve compression is typically on one side like sciatica.
The pain from a stone can be only slight unless the stone is trying to move. Then the pain can be severe and last for several minutes before it passes. However, if the pain is excruciating and a kidney stone is suspected, go to the hospital and get an examination. Collecting the stone is crucial when it passes in order to be analyzed. A stone analysis will help in figuring the proper treatment to prevent another kidney stone/s from developing.
Spine Problem or Infection
A kidney infection could be another cause of back pain. Kidney infection/s are typically caused by bacteria. A dull throbbing could be sensed in the middle and/or upper back.
Symptoms
Signs and symptoms associated with infection often include back, side, and groin pain as well as a combination of symptoms like:
Chills
Fever
Burning sensation when urinating
Constant sensation of needing to use the bathroom
Nausea
Vomiting
Causes
Causes that can increase the chances of developing an infection.
Kidney stone/s
Nerve damage that affects the bladder
Spinal damage that does not allow the bladder to be emptied
Urinary tract infection
Older individuals can develop kidney infections without any underlying conditions. There are rare genetic diseases like polycystic kidney disease and Fabry disease that can cause kidney pain and be mistaken for back pain.
Telling the Difference
There is no quick and easy way to figure out if it is back or kidney pain. Especially, if a constant aching is present. Seeing an experienced doctor or chiropractor is the recommended option for getting a formal and accurate diagnosis. A physical exam, family, and personal medical history will be collected along with various tests. Tests can include:
Urine analysis
Culture
Abdominal X-ray
CT scan
MRI
Pain medications and specific fluids are usually prescribed along with time to pass the stone. Antibiotics can be prescribed for kidney infections, chiropractic treatment can be suggested for spinal alignment/myofascial tense muscle release, and home remedies can help treat any discomfort. These can include:
Using ice/heat on the area where there is discomfort
Self-massage
Staying properly hydrated
Diet adjustment/s
Taking over the counter pain meds when necessary
Back Pain Specialist
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*
References
Tozzi, P et al. “Low back pain and kidney mobility: local osteopathic fascial manipulation decreases pain perception and improves renal mobility.” Journal of bodywork and movement therapies vol. 16,3 (2012): 381-391. doi:10.1016/j.jbmt.2012.02.001
Young woman working out using a barbell at the gym
Muscle strength can mean different things to different people. But in general, the body’s muscles need to be strong and agile enough to endure work, sports, and regular physical daily activities. Exercise and chiropractic fitness complement each other with strong evidence supporting exercise as being as effective as other non-surgical treatments for low back pain.
A chiropractic fitness treatment program is highly effective for increasing core muscle strength and reducing acute lower back pain. This combined with light aerobic exercise helps with digestion, keeps the muscles toned, and promotes better circulation. An acute and chronic low back pain treatment/management plan could include:
Chiropractic manipulation/balancing
Massage therapy to keep muscles loose and circulation moving
Core strengthening with an exercise regimen – Example could be walking around the neighborhood, core strengthening, yoga, and more.
Stretching regimen
Injury prevention guidelines
Health coaching includes diet, supplements, weight-loss, stress management, and more.
Individuals experiencing chronic soreness and/or fatigue could be presenting something more serious. There are several factors that measure the strength of the muscles other than just physical force.
Table of Contents
Factors that Affect Strength
There are different ways to measure muscle strength. There are variables like endurance, muscle coordination, and maximum forceare some of the ways to assess the health and strength of the muscles. Factors that can influence strength include:
Functional neural signal sending and the response of the muscle/s
The ability of the nervous system to coordinate proper movement and generate muscle force
Spinal Alignment
Muscle strength involves the nervous system. Muscle health is important, but the input and output of each muscle transmitting from the nervous system is the control center for proper movement and strength. When the connection is healthy and strong, the nervous system and brain can effectively generate movement and regulate the right amount of muscle strength.
When increasing strength, the focus should be on proper nerve circulation, which starts with spinal alignment. It enhances the effectiveness of strength training. Even small changes/disruptions can lead to the spine shifting out of alignment. These changes over time begin to affect the signals being sent between the spinal cord, brain, and muscles.
Once alignment is addressed, then the body can heal and strengthen itself naturally and the exercise regimen can be reevaluated by the chiropractor. It is important for a chiropractor to reevaluate a patient’s exercise program following the initial therapy to determine the effectiveness.Measuring the spinal range of motion and the effectiveness of the exercises is one way to make a determination. Then the exercise regimen could be advanced or intensified for optimal health. Options can include:
With time, there should be less fatigue and more energy for daily physical tasks.
Proper spine care is handled best through chiropractors that specialize in sports physical fitness therapy/rehabilitation and preventive care. They follow specific protocols that focus on the root cause of spinal misalignment. The key factor is to get adjusted, get moving, and improve body health.
Strong 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*
References
Gudavalli, Maruti Ram et al. “A randomized clinical trial and subgroup analysis to compare flexion-distraction with active exercise for chronic low back pain.” European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 15,7 (2006): 1070-82. doi:10.1007/s00586-005-0021-8
Tensed male worker standing with back pain in factory
The body is made up of muscles and fascia that can be thought of as myofascial chains or linked muscular tissue systems. When the fascia is healthy it is smooth and flexible. The fascia is a thin layer of connective tissue that envelopes and holds each:
Organ
Blood vessel
Bone
Nerve fiber
Muscle
The tissue provides and supports the body’s internal structure. However, the fascia is also made up of nerves that can be as sensitive as the skin. Stress, injury, strain, overuse, etc can cause it to tighten up. The fascia can appear as a large sheet of tissue. But it is made up of multiple layers with hyaluronan fluid that lubricates and increases the elasticity of the surfaces. It is made to stretch with movement. It can dehydrate, tighten around the muscles, limiting mobility, and causing painful knots to develop.
Table of Contents
Symptoms
Symptoms can be felt throughout the body’s myofascial chains, but are often intensified in the lower back and neck. They include:
Aching muscle pain
Pain that does not stop or worsens and does not ease up
Tender knots felt around the muscles
Excessive pressure on muscles or joints that present pain
Sleep issues from the pain or discomfort
Sciatica
Factors
Factors that can cause the fascia to go through adhesion or become sticky/gluey, and wrinkled include:
A sedentary lifestyle with limited or no physical activity
Overuse/Repetitive movements that overwork a certain area of the body
Overuse, underuse, or acute injury can cause adhesion in:
Muscles
Ligaments
Tendons
Nerves
It is like having sticky glue in the muscles, causing a reduction in the range of motion and flexibility.
Causes
Pain can be generated from the skeletal muscle or connective tissuesbeing held down by tight or tightening fascia. The pain can also come from damaged myofascial tissue. This can happen where muscle fibers contract causing restriction, specifically at a trigger point. Or a muscle contraction can block proper blood flow to the structures, which keep the contraction process going until the area is treated.
Tissue tightness that restricts movement or pulls the body out of alignment. This will cause an individual to favor the side of the body that is not hurting. An example is individuals with low back pain or sciatica will lean to one side. However, now they are overusing that hip creating a set up for more injuries.
Myofascial Chains
Myofascial chains include the front/anterior, and back/posterior chain. The back connects the following structures:
Force can be transmitted along the chain between the lat, the lumbar fascia, and the glute max. For example, tight lats can limit shoulder motion and cause impingement.
Chiropractic Treatment
A chiropractor can use a variety of examination and treatment techniques for myofascial pain. A chiropractor trained in differential diagnosis is especially helpful if the pain is felt in one place, but the actual root cause is in another area, specifically going along the myofascial chain. Treatments can include:
Massage targeting the affected muscle with the intent of loosening up the tissues to alleviate pain.
Myofascial release therapy releases muscle tightness and shortness.
Stretches can help lengthen the muscles and relieve tension.
Everybody experiences muscle pain now and again after a hard workout or from work involving movements the body is not used to. The muscles need time to heal for the pain to go away. This is usually a few days. However, in some cases, the muscles never stop hurting and can start to hurt more intensely. Individuals initially think this is normal, especially if continuing to work out or engage in strenuous movements while the muscles are healing. This pain is not normal and could be a sign that the body is experiencing myofascial pain syndrome. Myofascial pain can lead to chronic pain and can cause an individual’s quality of life to decline. Fortunately, chiropractic manipulation can help with instability relieving low back pain symptoms and improving lumbar function.
Chronic Pain Chiropractic Care
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*
References
Xiao, Qing-Ming et al. Zhongguo gu shang = China journal of orthopaedics and traumatology vol. 33,10 (2020): 928-32. doi:10.12200/j.issn.1003-0034.2020.10.008
Osteopath doing a hip evaluation in his clinic checking the mobility and function of the joint on a young female patient on a couch
Acid reflux is a common digestive problem. It happens when the stomach acid flows back into the esophagus or food pipe and irritates the lining. Sensations of burning discomfort in the abdomen and chest are also known as heartburn. Other digestive problems include:
Heartburn that can be chronic or short-term
Constipation
Diarrhea
Irritable Bowel Syndrome
If there are two or more episodes a week, it can be diagnosed as Gastroesophageal Reflux Disease/GERD. Symptoms usually present after eating. And symptoms can be especially pronounced if an individual lies down soon after. Additional symptoms can include:
Feeling that the throat is blocked
Acidic taste in the mouth
Bad breath
Pressure in the upper abdomen
Cramping
Nausea
Inability to swallow – if trouble with swallowing and choking persists or becomes severe, seek medical attention immediately
A chiropractor can help restore the body’s spinal balance and alignment. This can promote proper digestion without acid reflux symptoms. Realigning the spine back to a healthy shape, strengthens the back muscles, reducing the mechanical pressure on the internal organs. It also circulates the nerve energy to flow freely restoring normal function to the stomach and other organs.
Table of Contents
Acid Reflux Causes
The most common causes of acid reflux are:
Poor posture
Obesity
Pregnancy from the pressure placed on the stomach
High acidic diet – tomatoes, soda, coffee both regular/decaf, alcohol, and chocolate are common heartburn triggers
It has to do with something altering the body’s ability to generate digestive enzymes, acid, or a structural misalignment issue that can lead to disrupted digestion and acid reflux symptoms. When the body is out of alignment it can lead to aching hips, sore back, neck, and shoulders.
A misaligned spine can cause improper digestion and movement of food from the stomach to the intestines. Proper posture is a lot more than just keeping the body straight. Incorrect posture can lead to kyphosis, the spinal column rounding, which can cause the spine to push on areas where there is normally, no pressure. Two are the gastric and stomach areas.
Digestion
Common treatment options for acid reflux include:
Diet adjustments
Learning to eat less food at a slower pace
Weight loss
Quitting smoking
Posture education
Adopting a standing posture after eating allowing for optimal digestion
Medications can also be utilized like non-steroidal anti-inflammatories and anti-depressants. However, they may need to be modified as they can affect the efficiency of the esophageal sphincter.
A chiropractor will address the spinal misalignment that is affecting the body’s nerve flow for proper digestion. Once the body is in balance the physical process of proper digestion is restored. Along with synapses from the autonomic system, which is where digestion is controlled will be able to fire without interference. Additional chiropractic treatments that can benefit include:
Health coaching
Soft tissue therapy
Core strengthening for stomach pressure alleviation
Talk with a chiropractor to go through treatment options. Everyone is different, and so each treatment plan is unique to the individual’s needs and condition. Poor digestion and acid reflux affect the proper absorption of nutrients and minerals that can affect normal bodily processes. Chiropractic can get an individual back to normal digestive regulation.
Effective Chiropractic 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*
References
Angus, Katherine et al. “What effect does chiropractic treatment have on gastrointestinal (GI) disorders: a narrative review of the literature.” The Journal of the Canadian Chiropractic Association vol. 59,2 (2015): 122-33.
Doctor examining a female patients back in the hospital
Smoking negatively impacts an individual’s health, as most know about its effect on the lungs. However, it can cause chronic back pain, and affect spinal health, as well. Research has discovered that having a history of smoking, hypertension/high blood pressure, and coronary artery disease are all risk factors for atherosclerosis and have a significant connection with low back pain development.
Despite all the anti-smoking ads created by The American Lung Association or American Cancer Society showing longtime smokers with tracheotomies, oxygen tanks, etc, individuals continue to smoke.
Aggravating pre-existing health conditions like asthma
Chronic back pain
Chronic pain and blood vessels
Smoking can generate general body pain that can overwhelm the vascular system. These are the blood vessels that include:
Arteries
Capillaries
Veins
Smoking’s primary impact is on blood flow and circulation. The blood becomes thick and sticky, which makes the heart have to work harder to circulate the blood. This thickening and lack of proper circulation can cause blood clots, as well as, damage muscles, tendons, and the other spinal structures, like the discs.
Individuals that smoke have issues with healing properly from injuries/wounds, as well. This means if a disc or nerve gets injured it takes longer to heal or does not heal properly/completely.
Smoking contributes to continued inflammation, which can increase pain
It can interfere with prescribed medications for pain management/other conditions
Proper absorption of minerals, nutrients, chemicals, medications, is disrupted
Damage to the spinal discs and facet joints
The pain can come from the neuron stimulation from the nicotine, as well as the other chemicals and toxins in the smoke itself.
Back Pain Worsened
There are spinal conditions like dried out/desiccated discs, or osteoporosis, that could’ve been caused or worsened through smoking.
Degenerative Disc Disease
Smoking is connected to the development of this disease, also known as disc dehydration. Smoke toxins, as well as, nicotine contributes to dehydrated discs and the cellular damage done to the vascular system.
Osteoporosis
It is associated with a higher risk of osteoporosis/thin bones, which can lead to an increased risk for spinal fractures.
Fibromyalgia
Individuals that smoke and have fibromyalgia report intensified symptoms, quality of life is worse, and an increase in anxiety compared to non-smokers with fibromyalgia.
Spinal Fusion
Smoking can delay or prevent proper healing/fusion when trying to permanently connect the vertebrae. The negative impacts can lead to worse surgical outcomes.
Sleep and Mood
It can also negatively influence mood and sleep quality. It is a vicious cycle for individuals that are depressed, have pain, or anxiety. Because of the tendency to smoke more in order to cope. However, this is very unhealthy and only leads to worse pain and other health issues.
Quitting
It can absolutely be done with the right resources. Various therapies can help an individual to quit smoking.
Medications
Cognitive-behavioral therapy
Hypnosis
Acupuncture
Chiropractic for spinal alignment and blood circulation
Quitting improves an individual’s lifespan, quality of life, reduces the chances of chronic disease, and alleviates pain. Talk with a primary care physician about a treatment plan that can includenicotine replacement therapy, counseling, and support.
Depression and Chronic 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*
References
Green, Bart N, et al. “Association Between Smoking and Back Pain in a Cross-Section of Adult Americans.” Cureus vol. 8,9 e806. 26 Sep. 2016, doi:10.7759/cureus.806
Male osteopath performing diaphragm myofascial treatment on a female patient manipulating the muscle with his hands, with copy space
The heart never stops working. The efficiency of the heart and how it operates depends on various factors related to individual health. High blood pressure management can include chiropractic treatment for proper spinal alignment. This promotes improved nervous system function, regulation, and optimal blood flow throughout the body.
High blood pressure is also known as hypertension, often it has no symptoms, and if left untreated, it could lead to heart conditions like heart disease and stroke. Blood pressure is the force the heart exerts on the arteries each time it contracts and relaxes. It is measured with a blood pressure cuff or monitor.
Normal is around 120/80 mmHg
A blood pressure reading of 130/90 mmHg or more, is categorized as high blood pressure.
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High blood pressure
Any type of heart condition can place added strain on the body and can lead to poor quality of life, disease, and be fatal. When the body’s ability to pump the proper amount of blood gets compromised the body suffers from a lack of oxygenated blood. These issues can go undiagnosed for years. Often high blood pressure does not get associated with any specific symptoms other than general poor health. When left untreated, high blood pressure can lead to issues like:
Heart attack
Stroke
Kidney disease
Dementia
Prevention and regular monitoring are crucial for staying on top of any potential heart issues.
Heart conditions
Different heart conditions can cause pain in the chest, upper back, and shoulder(s):
Angina is when the heart muscle does not get enough blood causing chest pain.
A heart attack occurs when there is reduced or complete loss of blood supply from the blockage of an artery.
Pericarditisis the inflammation of the thin layers that surround the heart.
Heart conditions are commonly associated with chest pain but remember that chest pain is not always present or severe. Pain-related to the heart can also be felt in other areas, like the shoulder or upper back.
Risk factors
Risk factors associated with high blood pressure include:
An unhealthy diet high full of processed foods, sugar, and salt
The most common treatment for high blood pressure is medication. However, this does not address the root cause of the issue in relation to individual lifestyle and underlying imbalances of the body that include the spine.
Lifestyle
Lifestyle adjustments should be the first line of defense for managing, and reversing heart health issues. High blood pressure management includes:
Chiropractic is a specialized approach that focuses on identifying and addressing the root cause of musculoskeletal health issues and optimized organ function through restored impaired nerve function. Spinal misalignment can cause nerve signals to be impaired/damaged that can affect the heart and overall health.
A chiropractic physician can help reduce the strain on the body’s functions by restoring nerve function/energy/blood flow with spinal adjustments that bring the body back into proper alignment. One primary cause of high blood pressure is over-activation of the autonomic nervous system, which regulates the stress response.
When spinal alignment is achieved, there is improved regulation to prevent unnecessary spikes in stress affecting body homeostasis and organ function. Chiropractic can help an individual achieve the best possible heart health. Once the diagnosis is found, an effective customized treatment plan will be developed.
Chiropractor Near Me
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*
References
Win, Ni Ni et al. “Effects of Upper and Lower Cervical Spinal Manipulative Therapy on Blood Pressure and Heart Rate Variability in Volunteers and Patients With Neck Pain: A Randomized Controlled, Cross-Over, Preliminary Study.” Journal of chiropractic medicine vol. 14,1 (2015): 1-9. doi:10.1016/j.jcm.2014.12.005
Shot of physiotherapist helping patient to do exercise on fitness ball in physio room.
Because sciatica is an inflammatory condition, with the sciatic nerve specifically being the target, sciatica fitness and exercise is one of the first recommendations from chiropractors. Sciatica is a series of symptoms from a variety of underlying medical causes and condition/s. This could be:
Too much sitting, which most of us are doing these days
Work injuries
Automobile accident injuries
Sports injuries
Awkward movements/motions that pulled the sciatic nerve in the wrong direction
Twisted sciatic nerve with other muscles
Back and leg muscle spasms
Herniated disc
Degenerative disc disease
Hernia
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A Proper/Correct Diagnosis Is Essential
A correct diagnosis of the cause is essential to help the chiropractor formulate a customized optimal treatment plan. Individuals can experience the same symptoms across the board, however, despite the similarities, sciatica requires a careful, customized precision approach to treatment. An ideal treatment plan often requires a very specific exercise regimen and chiropractic adjustment schedule. Therefore, there is no one-size-fits-all solution.
Sciatica can be treated effectively with the right chiropractic approach with a high success rate for alleviated symptoms. Effectively treating sciatica requires direct treatment to the specific cause, rather than using techniques that only mask the pain. Example: If a herniated disc is the root cause, sciatica can be relieved by reducing the bulge of the disc, thus bringing down the irritation/inflammation and compression of the sciatic nerve.
Sciatica treatment/s depends on the cause
A stretching regimen for sciatica caused by a low back herniated disc will be different than stretches for treating low back spinal stenosis. Understanding how sciatica is the key to unlocking a treatment plan that will work to minimize pain and inflammation.
Exercise Can Help
Exercising and sciatica fitness will help relieve sciatic pain in various ways. These include:
Improves the range of motion, which reduces stress on the spine
Higher activity levels generate adrenaline and endorphins, to help combat the pain
Specific exercises/stretches need to be done that target the sciatic nerve and the root cause. Working with a chiropractor will bring an understanding of specifically how the body should be worked out, the intensity of the workout, and where on the body the focus should be.For example, if the nerve is irritated from a pelvic tilt and low back compression, a chiropractor could recommend a minimal cardio workout with combined strength exercises for the hamstrings, glutes, and lower body. A strength and conditioning regimen will increase stability in the lower body, prevent pelvic tilt, and reinforce the chiropractic adjustments/alignment.
Chiropractic Benefits
However, sciatica fitness and exercise on its own is not the complete solution for dealing with chronic sciatic pain. Chiropractic adjustments along with chiropractic prevention are necessary to restore the stability and integrity of the spine. When used in combination with exercise, the re-alignment and corrections can take effect sooner and maintain optimal spinal health. When individuals condition and strengthen their body, The musculature that supports the spine gets massive reinforcement. This minimizes the chances of a reoccurring pelvic tilt from weakened core muscles. The long-term effects of sciatica fitness/exercise and chiropractic spinal/hip manipulation work together to form a perfect combination.
Sciatica Fitness
For truly long-term effects of pain relief and a better quality of life, a chiropractic treatment plan is highly recommended. Specific targeted adjustments and re-alignment with a sciatica fitness program will promote optimal health and wellness.
Reduce Lower Back Pain With Foot Orthotics
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*
References
Beavers, Kristen M et al. “Effect of exercise training on chronic inflammation.” Clinica chimica acta; international journal of clinical chemistry vol. 411,11-12 (2010): 785-93. doi:10.1016/j.cca.2010.02.069
Coulombe, Brian J et al. “Core Stability Exercise Versus General Exercise for Chronic Low Back Pain.” Journal of athletic training vol. 52,1 (2017): 71-72. doi:10.4085/1062-6050-51.11.16
Mature muscular man doing squats with large barbell with heavy weight plates
The number of individuals experiencing hip along with back pain is increasing and could benefit from chiropractic hip realignment. Chiropractic treatment is the recommended first-line option for hip pain and other issues related to misaligned hips. It is non-invasive and allows the body to heal naturally.
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Shifted Hips
Hips that fall out of proper alignment have the potential to cause a variety of health issues in the body. The hips support a great deal of the body’s weight and facilitate substantial movement. The hips need to be properly balanced to allow for optimal mobility without compensation from the lower back and legs. A shift in the hips can occur from:
Shifted hips can cause pain in the low back, hips, and legs. This occurs from an altered gait and range of motion in this region. However, the hip joints, pelvic bones, muscles, and ligaments can all contribute to hip shifting and pain. Hip issues can also cause sciatica.
Hip Function
The hips do not receive as much attention until aches and pain start to present. Our hips are involved in nearly everything we do, providing numerous functions. It is no wonder they can cause tremendous pain when they’re out of alignment. The hips:
Keep the body upright
Bear the body’s weight
Allow for smooth:
Walking
Kicking
Running
Jumping
Sitting
Hip Adjustment
How to know if a hip adjustment is necessary? If there is any type of discomfort, soreness, and especially pain, a chiropractor is the best medical professional to perform an examination and recommend if an adjustment is necessary or could just need ice/heat and rest.
However, if the source is being caused by another condition or injury the chiropractor will recommend the proper health care professional/specialist that can treat the issue. Hip pain can also be brought on from a different part of the body having its own issues. One of the most common types of hip pain is actually from a hernia or sciatica.
Chiropractic Hip Realignment
Chiropractic techniques focus on rebalancing the body, especially when realigning the hips. Manual manipulation and mobilization treatment techniques can improve flexibility, strength, and positioning to promote optimal balance and hip realignment.
A combination of adjustment techniques can be performed on the hip and spinal joints. Massage treatment can be incorporated into the treatment plan to loosen tight muscles, as the hips are realigned and are able to move freely. The holistic nature of chiropractic doesn’t just treat just the symptoms but identifies and treats the root cause. If the pain continues or worsens then the possibility for hip surgery could be recommended.
Complex Treatment
Working on imbalanced hips is not as straightforward as adjusting the low back. This is because there are a variety of arteries, nerves, joints, muscles, and other tissue structures that need to be considered during hip realignment. A chiropractor will use a careful combination of techniques when treating an imbalanced hip due to the complex nature of the area. In addition to chiropractic adjustments, chiropractors will suggest ways to improve hip mobility at home. This includes:
Stretches
Posture work
Exercises
These will help prevent the hips from shifting out of alignment. Treating pain at its source is what chiropractors do. Chiropractic hip realignment along with the realignment of the spine will allow the body to move freely, maintain balance and strength.
Hip Labral Tear 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*
References
Okuzu, Yaichiro et al. “Hip-Spine Syndrome: Acetabular Anteversion Angle Is Associated with Anterior Pelvic Tilt and Lumbar Hyperlordosis in Patients with Acetabular Dysplasia: A Retrospective Study.” JB & JS open access vol. 4,1 e0025. 29 Jan. 2019, doi:10.2106/JBJS.OA.18.00025
Woman pain neck head and back home sitting sofa. Studio shot.
Seasonal Affective Disorder is a form of depression that has to do with the changing of the seasons, specifically when fall begins. It affects around 10 million Americans during the fall and winter seasons. Back pain can be a symptom of the disorder. For most individuals, the condition follows a pattern:
These are typical symptoms for many dealing with the condition. The individual can experience aches and pains throughout the body, but especially the back. Recent studies have shown how various forms of depression, like Seasonal Affective Disorder, can present with pain, specifically back/spinal pain. Many individuals play it off as the blues, but research has found, depression can have a much more significant impact on an individual’s quality of life. The exact cause is still unknown. But research is finding a connection related to the level of sunlight an individual receives throughout the day.
Research has shown there could be a biochemical imbalance in the brain when there is less daylight during fall and winter. As the seasons change from summer to fall individuals can experience a shift in circadian rhythms that can cause them to disrupt their regular daily routine. However, Seasonal Affective Disorder is more common for individuals living where the daylight lessens and has been shown to affect women more than men and young adults.
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Depression and Back Pain Connection
Depression can present with pain symptoms and the pain can enhance the depression. Headaches, Body aches, and especially backaches are common symptoms of depression. Research has shown that individuals with severe depression can actually feel a more intense level of pain.
Physical symptomslike back pain or headaches can be the only or the beginning symptom/s of seasonal affective depression. As research continues to grow as to how the nervous system interacts with the body, pain symptoms have been found to be connected to biological mechanisms connected with stress, anxiety, and depression.
Living a sedentary lifestyle, with little or no physical activity and regular exercise can be another cause for Seasonal Affective Disorder. Depression itself can cause fatigue that restrains individuals from exercising and working the core muscles for optimal spinal strength and health.
This added stress on the spine’s discs, joints, and ligaments, makes the body more susceptible to low back pain, muscle strains, illness, and injuries. Pain can wear an individual down impacting mood and overall health.
Symptoms
The difference between Seasonal Affective Disorder and chronic depression is that Seasonal Affective Disorder is limited to the same time of the year during the time of less light, and winter months. Symptoms of Seasonal Affective Disorder can be the same as those associated with depression. They are:
Feeling Low/Depressed
Weight gain
Increased appetite
Craving sugar and carbohydrates
Sleeping all-day
Consistent drowsiness
Hopelessness
Loss of interest in enjoyed activities
Symptoms can also be related to low levels of Vitamin D, which is associated with anxiety and depression for individuals with fibromyalgia. Seasonal Affective Disorder can be related to chronic pain conditions the way depression can. Some individuals with chronic fatigue syndrome can also present with symptoms of Seasonal Affective Disorder.
Treatment
Diagnosis for Seasonal Affective Disorder requires an individual to experience at least two years of symptoms that become worse at a specific time of the year. And the depressive episodes have to significantly be worse than the non-seasonal episodes of depression. There are four types of treatments, that can be used individually or in combination. They are:
Cognitive-behavioral therapy/CBT is a form of psychotherapy that is effective for the disorder, as well as other conditions. It relies on techniques that identify negative thoughts and work on ways to not dwell on the negative and focus more on positive things and thoughts.
Lightbox Therapy
Diminished sunlight when fall and winter arrive can be replaced with regular exposure to a bright, artificial lightbox. Individuals sit or stand in front of the lightbox when they get up on a daily basis. This is done when fall begins and goes on until spring. The lightbox filters out ultraviolet rays and requires around 20 to 60 minutes of exposure to 10,000 lux of cool-white fluorescent light.
Vitamin D
Low levels of vitamin D were found in individuals with Seasonal Affective Disorder. Talk to a doctor about the proper level of vitamin D that should be taken through supplements.
The Pain and Backaches
Understanding how pain and depression are interconnected treating both conditions as part of an integrative treatment plan can include:
A light aerobic exercise program that stimulates serotonin levels and releases endorphins to relieve depression and pain.
Low-dose antidepressants can reduce depression symptoms and back pain. They work to inhibit the reuptake of neurotransmitters like serotonin and norepinephrine that is associated with a person’s mood and the way they perceive pain.
What Works
Everyone is unique, which means that different treatment plans and combinations of treatment plans may have to be tried out before finding the optimal one. A significant factor is not settling with the pain and just accepting it. Healing can be a unique and complex experience. The objective is for the individual and doctor to work collaboratively.
Depression and Chronic 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*
References
Robertson, David et al. “Associations between low back pain and depression and somatization in a Canadian emerging adult population.” The Journal of the Canadian Chiropractic Association vol. 61,2 (2017): 96-105.
Mixed-race man suffering from low back pain after training in gym
Osteonecrosis is a condition that causes the death of bone tissue from temporary or permanent loss of blood supply to the affected area. It is commonly known asAvascular necrosis and can lead to miniature/tiny breaks in the bone and the bone/s eventually collapsing. Specifically, it affects the upper part of the femur or femoral head and surrounding joints.
It can occur in any bone however, osteonecrosis typically affects the hip/s. Pain associated with osteonecrosis of the hip can be localized to the center of the groin, thigh, or buttock. Because of the hip joint’s close proximity to the sciatic nerve, misdiagnosis for sciatica is common.
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Mimicking Sciatica Symptoms
Unfortunately, many health care providers can misdiagnose osteonecrosis hip pain as sciatica. Whatever the cause of the hip injury, most individuals with hip pathology report pain in the groin, upper thigh, and buttocks.
That is why a trained medical professional that knows the differences in the symptoms of each condition can make all the difference in making a proper diagnosis. And a proper diagnosis leads to proper and complete treatment of whichever condition it may be. With osteonecrosis, misdiagnosis often delays the proper treatment and continues to progress. Common symptoms of sciatica:
Leg pain is the primary symptom can be mild to severe
Low back pain is secondary can be mild to severe
Nerve-related symptoms
Numbness
Tingling
Shooting pain
Pins-and-needles sensation
Muscle weakness
Hip pain especially flexion and internal rotation of the hip.
Leg or foot weakness
Osteonecrosis Symptoms and Similarities
For many, there are no symptoms in the early stages of osteonecrosis. As the condition worsens, the affected joint could present pain symptoms only when weight is placed on it. Eventually, individuals begin to feel the pain even when lying down. Pain can be mild to severe with a gradual development. Other symptoms that mimick sciatica:
Walking Inability
Walking gait is complicated with both conditions which is a major cause behind the misdiagnosis.
Limping
Individuals often limp with osteonecrosis of the hip and spinal disc problems. This is another reason that the condition is misdiagnosed as a spinal disc problem or nerve root compression of the sciatic nerve.
Hip Pain
The tributaries/veins of the sciatic nerve also supply the hip area and often cause confusion between the two conditions.
Differences
Despite all of the similarities. There are differences in both conditions.
Nature of The Pain
With sciatica, the pain is related to the nervous system. Movement can complicate the pain. While rest helps to reduce the pain.
With Osteonecrosis the pain is geared toward the muscular. Rest does not help reduce the pain. In fact, the pain increases at night.
Location
Sciatica pain can radiate through the whole leg from the low back to the toe.
Osteonecrosis pain is confined to the hip joint, groin, and radiates to the knee joint only. Osteonecrosis pain does not radiate below the knee joint.
Restricted Movement
Osteonecrosis of the hip joint, means the movements involving the hip joint are restricted. Individuals cannot rotate the leg to the right and left. Individuals cannot bend or fold from the hip.
With sciatica, the rotation of the leg is not affected. Movements involving stretching the sciatic nerve can cause relief or pain.
Walking Gait Differences
Gait is the way an individual stands and walks.
Osteonecrosis of the hip joint causes individuals to not be able to open the hip joint properly or to step properly.
With sciatica, an individual tends to lean on their side to relax the compression on the nerve.
Risk Factors
More than 20,000 people enter hospitals for the treatment of osteonecrosis of the hip yearly. Other than the hip, areas of the body likely to be affected are the shoulder, knee, hand, and foot. The condition can occur for a variety of reasons. A few of these include:
Fracture – a broken bone can interrupt the blood flow to other sections of the bone.
Dislocation of bone or joint/s
Alcoholism
Trauma
Radiation damage
Steroid use
Some individuals can have more than one condition or injury that contributes to hip flexor pain. An example is that it is possible to have both hip osteoarthritis and hip impingement. Without proper treatment, the condition can worsen, causing joint or hip pain from the degradation of the bone.
Anyone can be affected, but osteonecrosis is most common in individuals aged 30 to 50. Treatment options include a total replacement of the hip known as arthroplasty. And if it is sciatica then chiropractic treatment is a first-line treatment protocol. However, a chiropractor can make the distinction between the two and treat the sciatica or refer the patient to the proper specialist.
Lower Back 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*
References
Li, Wen-Long et al. “Exploring the Risk Factors for the Misdiagnosis of Osteonecrosis of Femoral Head: A Case-Control Study.” Orthopaedic surgery, 10.1111/os.12821. 16 Oct. 2020, doi:10.1111/os.12821
Male osteopath during sacral loin treatment procedure, massaging his woman client on a couch
Chiropractic spinal mobilization techniques involve the slow and steady movements of the spine’s joints reestablishing their range of motion. Because it is a slower treatment style the techniques are done with the hands. However, a chiropractor can use various instruments/tools as well.
Spinal mobilization treatment has the same focus as spinal manipulation. To get the body back to optimal health and allow the body to heal itself naturally. However, there can be a variety of reasons for utilizing spinal stabilization, with treatment depending on the patient’s needs, if there are underlying conditions, or previous injury/s, and individual preference.
Some prefer mobilization because it is gentler and does not generate the pops or cracking sounds. And the chiropractor’s style/specialization comes into play. Some work in the firm manipulation high-velocity style, while others utilize the softer mobilization style and others work in combination.
This adjustment re-alignment utilizes the necessary force to release the joint out of its restricted motion to improve mobility and reduce pain. There are various types of high-velocity low-amplitude manipulation approaches. These are the more common manipulation techniques:
Diversified Technique
This high-velocity low-amplitude technique is the one that is commonly associated with chiropractic manual adjustments. The chiropractor applies a short – low-amplitude, quick high-velocity thrust of the restricted joints. This is done one at a time with the objective to restore the normal range of motion. The patient is positioned in various positions to optimize the adjustment/alignment.
Gonstead Adjustment
The Gonstead technique is another high-velocity low amplitude adjustment. It is similar to the diversified technique. The difference is the evaluation performed to specifically locate the painful joint and positioning of the body as the treatment is performed. Chiropractic or physical therapy chairs and tables can be used to position the patient for optimal treatment, like a cervical chair or a chest-knee table.
Thompson Terminal Point Drop Technique
Here specialized treatment tables with sections that drop down during a high-velocity low-amplitude thrust. The idea is that as the table drops the piece dropped allows for easier movement of the joint. A cracking sound can sometimes be heard. It depends on the patient and their condition. This type of manipulation can also be done in a gentle fashion making it a form of spinal mobilization.
Spinal mobilization
Slow steady motion/movements are performed to mobilize the joint. Spinal mobilization can be recommended for certain individuals for different reasons like:
Individual preference for spinal mobilization over spinal manipulation
Individuals with a sensitive nervous system can benefit from the gentle technique. This can keep the body from experiencing a negative reaction that can cause muscle spasms or other issues.
Individuals with certain conditions could be given a recommendation for spinal mobilization. This could be:
Individuals in the acute stage of their condition and experiencing severe pain
Obesity can be a factor as the positioning and the manipulation procedures can be a challenge for the provider and the patient requiring a low force approach.
Mobilization Approaches
The more common spinal mobilization approaches include:
Activator Technique
The Activator is a hand-held, spring-loaded tool that generates a low-force impulse. A patient lies face down on the adjustment table, while the chiropractor:
Examines leg length
Performs muscle testing
Adjusts the spine and/or extremity joints
Cox Flexion-Distraction Technique
Here a gentle adjustment is designed to adjust the vertebrae by gently stretching the lower spine. This is usually performed in a series of repetitive slow movements like a steady rocking motion.
Toggle Drop
Here gravity is utilized to apply the adjustment. The chiropractors’ hands are crossed and on top of each other. Then the chiropractor presses down quickly and firmly on the area of the spine while a section of the table drops. The table sections can be raised and dropped according to the localization of the spinal adjustment.
McKenzie Technique
This technique incorporates active patient involvement, empowerment, and self-care as part of the treatment.
Spinal Release
The chiropractor separates the misaligned vertebrae by applying gentle pressure using the fingertips, with the objective to restore the spine back to a natural position.
Sacro-Occipital Technique – SOT
This technique utilizes wedges/blocks under the pelvis. This allows gravity with added low-force to assist the chiropractor to realign the pelvis.
Sciatica Alleviation
All of these techniques can be utilized by a chiropractor for sciatic nerve pain alleviation or can discover other conditions that could be mimicking sciatica.
Nerve mobilization techniques have been recently used as a method to adjust radiating pain related to disc disease, and in particular, mobilization techniques for the sciatic nerves improve mobility of the sciatic nerves, decrease mechanosensitivity of the nervous system, and heighten compliance of nerve tissues, relieving low back pain.
Jeong, Ui-Cheol et al. “The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain.” Journal of physical therapy science vol. 28,1 (2016): 46-50. doi:10.1589/jpts.28.46
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*
