What Chiropractors Do & Why They Do It | El Paso, Tx (2020)
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Chiropractic Testing and Treatment for Chronic Pain
- X-rays
- CT scan
- MRI
- DNA
Table of Contents
Chiropractic testing
The correct diagnosis is essential to creating an optimal treatment plan. It is a complicated disorder that can be difficult to treat because it can present with no apparent cause. But, researchers are working to find answers to many of the questions surrounding chronic pain. When treating spine-related pain other tests can include:- Discography
- Bone scans
- Nerve studies
- Electromyography
- Nerve conduction study
- Myelography
- Sleep disorders
- Problems with focus
- Depression
- Creating the most effective and optimal treatment plan
- Quality of life improvement
- Prevent potential complications
- Reduce the cost of diagnosis
- Reduce the cost of treatment
Chiropractic Management
Chronic pain does not respond to typical pain management techniques. Chiropractic management deals with chronic pain inflammation and muscle tension. Chiropractors use a variety of non-surgical techniques like:Soft Tissue
- Manual release therapy stretches the muscle/s while pressure is applied
- Trigger point therapy applies pressure on the area of the tensest muscle/s
- Instrument-assisted soft tissue therapy uses a tool/s to apply gentle pressure.
Manual Therapy
When the joints are not moving correctly, a chiropractor may utilize this technique to regain a full range of joint motion. This is accomplished through joint mobilization which is slow, gentle stretches of the affected joint and manipulation, which are quick but gentle movement/thrusts that stretch the joint.Exercise Therapy combined with Self-care
A chiropractor will provide simple therapeutic exercises and stretches that can be done at home to help with the pain and to help with prevention. Also provided:- Safe lifting techniques
- Posture exercises/tips
- Dietary strategies to manage pain and prevent re-injury
New Patient Chiropractic Care Intake Forms
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*Chronic Pain Treatment/Management
There are various chronic treatment/management options available. Chronic pain treatment focuses on treating and managing the root cause and underlying condition that is causing the pain. The physical and psychological aspects of chronic pain need to be balanced in order for a treatment plan to work.
That is why a complete treatment plan can sometimes be necessary to address both the physical and psychological factors generating the pain. Because of this treatment plans often involve different pain specialists working in conjunction with a customized treatment/management plan according to the individual’s needs. This can include a combination of treatment protocols, like:
- Health coaching
- Psychological therapy
- Chiropractic
- Physical therapy
- Medication
- Acupuncture
- Yoga, Pilates
Table of Contents
Treatment/Management
The focus of chronic pain treatment is to:
- Lessen pain frequency and intensity
- Help individuals get back to work
- Improve mobility and flexibility
- Maintain quality of life
- Reduce or eliminate reliance on pain meds
- Reduce possible re-injury or new injury
- Reduce mental and emotional symptoms like anxiety and depression
Pain Meds
Non-Opioids
Nonsteroidal anti-inflammatory medications are usually the first treatment for chronic mild to moderate pain. Examples are ibuprofen, aspirin, and naproxen. These medications work by blocking enzymes and reduce prostaglandins throughout the body that cause pain and swelling. Acetaminophen used in Tylenol is similar to these medications but works differently. Instead, these meds block the production of inflammatory chemicals in the brain.
Opioids
Opioids are narcotics and can be extremely powerful pain relievers. These are used to relieve severe pain symptoms temporarily. Narcotics work by blocking the pain signals before they get to the brain. However, these meds are highly addictive and can lead to abuse. Doctors prescribe narcotics when non-opioids and all forms of non-pharmacological treatment/s fail or don’t work in providing sufficient pain relief. Examples include:
- Buprenorphine
- Fentanyl
- Hydrocodone
- Oxycodone
- Hydromorphone
- Methadone
- Morphine
- Tramadol
Anticonvulsants
Anticonvulsants or anti-epileptics are used to treat seizures. They can also help in relieving pain that is associated with nerve injury/damage and fibromyalgia. Examples include:
- Gabapentin
- Pregabalin
- Carbamazepine
- Lamotrigine
Muscle Relaxants
Muscle relaxants can be used for chronic pain but there is division among medical experts as to how effective they are and of their addictiveness. Plus there are few studies supporting their use in individuals with chronic pain.
Corticosteroids
Corticosteroids are hormone-based medications that help reduce inflammation. They are generated naturally in the body while some are synthesized in a laboratory. Injectable steroids can help relieve pain brought on from pinched nerves or joint disorders.
Antirheumatics
Antirheumatic meds are used to control and manage rheumatoid arthritis symptoms. They prevent or inhibit the immune system and help reduce joint damage. Examples include:
- Methotrexate
- Leflunomide
- Hydroxychloroquine
- Sulfasalazine
Antidepressants
Antidepressants are used to treat anxiety disorders and depression disorders but are also used to relieve chronic pain. They are used to treat pain caused by:
- Arthritis
- Migraine
- Nerve damage
- Fibromyalgia
These medications increase the brain’s chemical levels like serotonin, dopamine, and norepinephrine. They can also be used even when an individual has no depression symptoms. Examples include:
- Amitriptyline
- Venlafaxine
- Paroxetine.
Alternative Treatment
Alternative treatment/management can also help with the pain. It’s recommended to discuss any type of alternative treatment with a doctor or medical professional. Doctors encourage alternative treatments along with keeping a journal of how an individual feels after a series of treatment sessions. If the individual feels better, and the treatment is working, then consider continuing for an extended period. Here are some alternative treatments/therapies to think about.
- Acupuncture: Works by releasing endorphins, the natural pain-relieving chemicals, and affects the brain region that controls serotonin, the chemical that regulates mood.
- Massage: Helps relieve pain by keeping muscles, ligaments loose and proper blood flow throughout the body
- Meditation: Has been shown to help improve pain perception and reducing depressive symptoms
- Hypnosis: Has been found to be useful in treating cancer and back pain
Psychological Therapy
Psychotherapy, also known as talking therapy could be part of a chronic pain treatment plan. What it does is to help improve the associated symptoms/conditions which include:
- Depression
- Anxiety
- Fear of pain
Psychotherapy has shown promising results and has various forms. They are:
Acceptance/Commitment Therapy
Acceptance commitment therapy is short-term psychotherapy. There are two approaches to pain perception. One, it teaches the individual to accept things beyond what they control. Second, it encourages the individual to feel things the way they are, work towards relief instead of questioning and being skeptical. It opens an individual’s psychological perspective. It can be used to treat low back, leg, and neck pain.
Cognitive-Behavioral Therapy
This therapy educates individuals on pain, mood, behavior, and how they all relate to each other. It also trains an individual on relaxation strategies. Individuals learn techniques to replace negative thoughts concerning their pain with positive thoughts. Cognitive-behavioral therapy has been shown to be effective in treating pain caused by:
- Spinal cord injury
- Chronic migraines
- Fibromyalgia
- Rheumatoid arthritis
- Irritable bowel syndrome
- Osteoarthritis
- Multiple sclerosis
- HIV/AIDS
- Cancer
Early and aggressive treatment/management of chronic pain can make a significant difference. Knowledge is power so make sure you understand all options before deciding which to take.
Sciatica Pain Treatment 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*
Chronic Pain Diagnosis
- Chiropractor
- Physical therapist
- Neurosurgeon
- Pain medicine specialist
- Physiatrist
- Rheumatologist
- Orthopedic spine surgeon
Table of Contents
Chronic Pain Diagnosis
- When did the pain begin?
- Describe and rate the pain, is it shooting, electrical, burning, throbbing, dull, or sharp?
- Has there ever been an injury at or around the problem area?
- What activities/actions/movements relieve and worsen the pain?
- Is there a history of mental illness, like depression or anxiety?
Labs
Tests will be ordered to identify physical/non-physical causes that could be the cause or contributor. Possible tests include:Blood
Blood tests are used in the diagnosis of infections and inflammation. Individuals with infection/s or inflammatory disorders have high levels of white blood cells and inflammatory reactive substances like C-reactive protein. Blood tests also help determine the presence of rheumatoid arthritis, gout, or cancer. If rheumatoid arthritis is present, the blood analysis will show positive results for proteins known as rheumatoid factor.Urine
Urinalysis is commonly used to check for gout. This is a type of arthritis that causes high blood levels of uric acid. A doctor may order a urine test for a patient using prescription pain meds.Spinal tap
A doctor inserts a needle into the lower back and a sample of cerebrospinal fluid is collected. Cerebrospinal fluid is clear and protects the brain and spinal cord. A cerebrospinal fluid analysis helps to diagnose disorders of the central nervous system and certain cancers.Musculoskeletal/Neurological tests
A musculoskeletal exam looks at posture, joint mobility, muscle stiffness, tightness, and swelling in or around the area, as well as the rest of the body. An example is a diagnosis of carpal tunnel syndrome. A detailed spine examination is done to identify deformities and moving/walking posture. A neurological examination is used to check:- Muscle strength
- Touch reaction
- Balance
- Overall sensation
- Memory
- Alertness
- Mood
- Behavior
Imaging
Imaging provides detailed images of the body’s organs and bones. Doctors use these to:- Spot fractures or inflammatory alterations in the bone/s
- Focus on details of a bone and surrounding structures
- Differentiate between growths, infections, or fractures
- Identify nerve/s injury or damage
X-Rays
X-rays are standard in the diagnosis of fractures. An arthrogram is an x-ray that uses a contrasting agent to check and identify joint disorders.MRI
Magnetic resonance imaging uses a magnetic field and radio waves to create detailed images. Magnetic resonance imaging helps in diagnosing:- Low back pain
- Fibromyalgia
- Osteoarthritis
- Migraine
- Pelvic pain
- Peripheral neuropathy
Electrodiagnostic
EMG – Electromyography
EMG’s are used to diagnose disorders of the muscles and nerves. Electrical activity in the muscles is recorded to see how the impulses/electrical signals are transmitting from the nerves to muscles.- Numbness
- Muscle weakness
- Muscle pain
- Tics
- ALS – Amyotrophic lateral sclerosis
- Carpal tunnel syndrome
- Radiculopathy from pinched nerves in the spine
- Muscular dystrophy
Nerve Conduction
A nerve conduction study measures the speed of electrical signals passing through a nerve. It can identify:- Carpal tunnel syndrome
- Herniated disk disease
- Sciatic nerve injury/damage/abnormality
Back 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*Anybody Can Have Chronic Pain
- Injury – Even after the injury has healed, the nerves keep sending pain signals to and from the brain. Doctors are still not sure why this occurs.
- Disease – Conditions can cause chronic pain like fibromyalgia and osteoarthritis.
- Nerve problems – Part of the nervous system can be injured, the nerves themselves. This is called neuropathic pain.
- Unknown Cause/s – Pain that presents with no obvious injury, disease, or nerve problem.
Table of Contents
Military Veterans
Chronic pain is quite common in veterans according to a National Veterans Affairs Study. Around one in five veterans receiving primary care have chronic pain. While one in ten has chronic pain syndrome. Veterans recently served in a war, tend to report a variety of causes for their pain. This includes:- Multiple injuries
- Brain trauma
- Muscle injuries
- Bone/s injuries
Athletes
Most sports require a certain level of fitness. Athletes train with all types of activities to help maintain their body’s. Unfortunately, they are still not immune to chronic pain. Chronic pain is common with:- Gymnasts
- Football players
- Soccer players
- Runners
- Basketball players
- Ballet dancers
Common chronic conditions for athletes:
- Low back pain
- Leg pain
- Stress fractures or cracks inside a bone
- Tendinitis
- Diabetes
- Recurrent fractures
- Spinal stenosis is a narrowed spinal canal, which creates added pressure on the nerves that travel through the low spine into the legs
Seniors
Age is a high-risk factor for chronic pain. Around 30-40% of individuals older than sixty-five have or are beginning to deal with chronic pain. The severity in anybody forty-five to sixty-five is the greatest. Common conditions that cause chronic pain in older adults are:- Cancer
- Arthritis and gout
- Heart disease
- Kidney disease
- Damaged nerves
- Stroke
- Shingles
Women
Men and women experience pain differently. Several factors contribute to this. These include:- Hormones
- Menstruation
- Puberty
- Reproductive health
- Arthritis
- Brittle bones
- Migraines
- Irritable bowel syndrome
Improved Nervous System
When there is a communication breakdown between the brain and the body’s tissues, organs, and cells it can lead to a variety of health problems. There are many chronic and even degenerative health conditions that are impacted by the nervous system. Studies have shown that chiropractic is a highly effective treatment for numerous neurological conditions which include:- Ataxia
- Autism
- Cerebral palsy
- Epilepsy
- Multiple sclerosis
- Parkinson’s
- Tourette’s Syndrome
- Vertigo
Chronic Body 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*Causes of Chronic Pain
Table of Contents
Spinal Cord and the Nerves of the Corresponding Organs
Fibromyalgia
Individuals with fibromyalgia experience unexplained pain in almost every part of their bodies. Doctors and scientists are still trying to figure out what causes fibromyalgia. Currently, scientists think a part of the condition comes from an imbalance of certain chemicals in the brain. They believe the imbalances play a critical role. Fibromyalgia can create:- Tender areas
- Muscle pain
- Headaches
- Long-term back pain
- Long-term neck pain
Osteoarthritis
Osteoarthritis causes severe sporadic or non-stop aches and pain in the knees, hips, spine, and feet. Associated symptoms include joint stiffness, swelling, and limited joint mobility. Individuals with osteoarthritis could have some pain throughout their lives. According to the CDC, around fifteen million adults with arthritis have severe pain in their joints.Rheumatoid Arthritis
Rheumatoid arthritis causes continual aching that affects multiple joints. The hands, wrists, and knees are the most affected joints. Individuals with rheumatoid arthritis can present alternate symptoms, like joint stiffness, swelling, and fever.Multiple Sclerosis
Multiple sclerosis is a disease of the brain and the spinal cord. What happens is the immune system targets and damages the protective covering of the nerves themselves. The brain can’t properly and effectively communicate with the body. Multiple sclerosis causes pain in the legs, feet, arms, and hands. Associated symptoms include burning, prickling, or stabbing pain just about every day.Sciatica
Sciatica can cause mild to sharp, electrical burning pain that travels from the lower back through the buttocks to the back of the leg and even into the foot. Chronic sciatica lasts for three months or more. The condition is more common in adults age 40 and older.Carpal Tunnel Syndrome
Carpal tunnel syndrome causes pain and numbness in the:- Hand
- Wrist
- Forearm
- Thumb
- Index finger
- Middle finger
- Ring finger
- Repetitive hand movements
- Rheumatoid arthritis
- Diabetes
- Underactive thyroid gland
- Some women experience carpal tunnel during pregnancy
Injury Trauma
Around half of the cases involving chronic pain are linked to physical trauma and injury. Individuals hospitalized after a serious injury often report chronic pain symptoms within the first year. Scientists are still unsure of how injuries lead to chronic pain. They believe several factors increase the risk. These include:- Pre-injury depression
- Anxiety
- Alcohol use
- Family history of chronic pain
Spinal Injuries
One of the most common causes of chronic back pain. The lower back is the area likely to be affected. Certain types of chronic pain can have more than one cause. For example, general back pain could be caused by a single factor or a combination of factors like:- Poor posture
- Improper lifting of heavy objects
- Improper carrying of heavy objects
- Being overweight places added strain on the back and knees
- Abnormal curvature of the spine
- Wearing high heels too often
- Sleeping on a worn-out mattress
- Degenerative disc changes
Combat Injuries
More than half of combat-related injuries are the result of explosions, from landmines, and shrapnel. Nearly all injured soldiers have to deal with some type of pain and many have a traumatic brain injury. A traumatic brain injury can cause chronic headaches. Delayed treatment and repeated injuries in injured soldiers make up for most chronic pain cases.Sports Injuries
Sports injuries and chronic pain is nothing new. Studies found that 1 in 2 football players deal with chronic pain in their retirement. This along with sleep problems and mild-severe depression. Both can contribute to chronic pain. Athletes are continuously exposed to high-risk injury situations. Having the pressure of performing optimally and winning can take a toll on an athlete’s health.Weight
Obesity does not directly cause chronic pain, but it does raise the risk. Around 40% of individuals that are obese also experience mild to severe chronic pain. Plus, individuals that are severely overweight are more likely to develop a condition that can cause chronic pain like diabetes, arthritis, and fibromyalgia.Chiropractic Care on Personal 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*How Does Pain Become Chronic?
Table of Contents
Nerves and the brain
Nerves control the body’s functions like the organs, sensation, and movement. The nervous system receives information and generates the correct response. Two major types of nerves are sensory and motor. Sensory nerves relay information like touch, temperature, and pain to the brain and spinal cord. Motor nerves relay signals from the brain back to the muscles, which causes them to contract voluntarily or reflexively. The peripheral nervous system is the combined millions of nerves throughout the body. The peripheral nervous system’s nerves relay signals/messages to the central nervous system, which is comprised of the brain and spinal cord.Acute vs. Chronic
Acute pain has a short duration of around three months or less. The causes are usually clear and not as difficult to diagnose. The underlying factor/s like an injury is resolved the pain also goes away. As the pain is gone, the individual no longer has problems carrying out daily activities. A few causes of acute pain are:- Surgical procedures
- Dental procedures
- Bone fractures
- Burns
- Open wounds
- Childbirth
CP and CPS
Chronic pain is defined as any type of pain that persists for six months or longer. Chronic pain syndrome is a collection of conditions that are associated with chronic pain. These conditions can make the pain worse or cause other complications like sleep problems, anger, anxiety, and depression.Causes
Doctors don’t know exactly what causes chronic pain syndrome. It often starts with an injury or painful condition such as:- Arthritis
- Broken bones
- Back pain
- Cancer
- Headaches
- Joint problems
- Muscle strains and sprains
- Repetitive strain injuries
- Fibromyalgia
- Nerve injury/damage
- Lyme disease
- Ulcers
- Inflammatory bowel disease
- Irritable bowel syndrome
- Surgery
Diagnosis
A doctor will go over an individual’s medical history, illnesses, or injuries that could have started the pain. They will ask questions to learn more about the type of pain being felt and how long. Questions can include:- When did the pain begin?
- Where on the body does it hurt?
- What does the pain feel like – Throbbing, Pounding, Shooting, Sharp, Pinching, Stinging, Burning
- The severity of the pain on a scale of 1 to 10
- What sets the pain off?
- What makes it worse?
- Have any treatments helped?
- Computed tomography is a powerful X-ray that generates detailed images.
- Magnetic resonance imaging uses magnets and radio waves to take pictures of the organs and structures.
- X-rays use radiation in very low doses to create images of the body’s structures.
Chronic Hand 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*Chronic Pain and Chronic Pain Syndrome
- Tense muscles
- Limited moveability
- Lack of energy
- Appetite change
- Arthritis pain
- Cancer pain
- Low back pain
- Neurogenic pain comes from nerve damage to the brain or other areas of the body
- Psychogenic pain comes from processing errors of pain signals in the brain.
Table of Contents
Common Complaint
Chronic pain is a common complaint nowadays, especially from older individuals. And it is possible for an individual to have more than one chronic pain condition at a time. Some conditions that can cause chronic pain include:Chronic Fatigue Syndrome
This causes extreme fatigue and pain that comes out of nowhere.Endometriosis
This is a painful condition in females, where the cells that line the inside of the uterus, instead grow outside.Fibromyalgia
This causes widespread pain throughout the body.Inflammatory Bowel Disease
This is a long-term disorder that can cause inflammation in the digestive tract.Interstitial Cystitis
This causes mild to severe pain in the bladder.Temporomandibular Joint Dysfunction
This causes severe pain and stiffness in the jaw.Effects: Physical and Mental
Long-term pain can severely affect work, everyday activities, and social life. It’s common for individuals to have problems with sleep, appetite, concentration, and mobility. These individuals are more likely to be depressed, anxious, and irritable. Chronic pain increases the risk of anxiety and mood disorders.Chronic pain syndrome is both physical and mental
Around twenty-five percent of individuals with chronic pain will continue with a condition known as chronic pain syndrome. Emotional effects that accompany chronic pain often include depression, anger, anxiety, and a fear of re-injury. This type of fear can limit an individual’s ability to return to regular work and activities. Experts believe that there is a problem with the nerve/s system and glands used to handle stress. This makes them feel pain differently. Other experts believe that chronic pain syndrome is a learned response. This is because when in pain, individuals have a tendency to repeat bad behaviors even after the pain is gone or has reduced. Research suggests that psychological problems on their own are not behind chronic pain syndrome. It appears to be linked to abnormalities between specific glands including the hypothalamus, pituitary, adrenal glands, and the nervous system. The abnormalities control reactions to stress, injury, and trauma. This could explain why people experience pain differently. Understanding chronic pain means understanding the anatomy of the nervous system, which is highly complex. Through the nerves, the nervous system transmits messages to and from the brain.Chronic 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*Chronic Pain Throughout the United States
Table of Contents
Definition
The International Association for the Study of Pain defines pain as:“An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” IASP TerminologyFor the layman, pain is a highly discomforting experience. It can be brought on from an injury or could be the brain is having problems processing pain signals correctly. Pain can vary in its:
- Severity
- Time/s when it presents
- Location
- Involvement of other areas of the body
- Aching
- Burning
- Cramping
- Dull
- Electric
- Intense
- Sharp
- Shooting
- Stabbing
Causes
What causes chronic pain is not always clear and can be challenging to diagnose the root cause. There are possibilities like:- Injury – Even after an injury has healed, the nerves can still send pain signals to the brain. Medical experts are unsure why this happens.
- Disease – There are conditions that can cause chronic pain. Fibromyalgia, osteoarthritis, headaches, and shingles are a few examples.
- Nerve issues/problems – the nerves of the nervous system can be injured themselves. This type is known as neuropathic pain.
- Unknown/Other – Pain can develop, even with no obvious injury, disease, or nerve problem.
Living with chronic pain in the United States
Life changes are an essential part of effective treatment for chronic pain. Proper regular sleep is a must, as the body needs to heal itself and during the sleep cycle is when it happens. Living with chronic pain is a very challenging and difficult task. Taking care of yourself is the main objective. Proper sleep, a healthy diet, moderate exercise, stress management, and proper treatment will get an individual back to as normal a life as possible with chronic pain. The aim for individuals is to figure out/learn everything they can about what is causing the pain. Understand the limits and work within them. Keep an open mind and try new ways to manage the pain. Research scientists believe that major advances in neuro medicine will generate more and better treatments for chronic pain.Depression & 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*Golf Injuries and Prevention
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Overuse
Driving requires a great deal of effort and power that puts tremendous stress on the body. When done too frequently, injuries can result. The body can take all kinds of forces thrown at it. But there is a limit as to how much it can take before an injury occurs. Too many swinging reps while playing and practicing could cause trauma to the muscles and connective tissues, which leads to inflammation and pain. Swinging and hitting with bucket after bucket of balls to improve performance will raise the risk of injury. Try practicing swinging without hitting any balls through imagery/imagination. This has become a standard tool utilized by athletes. Practice the perfect swing mentally without the risk/threat of overusing your arms and back.Mechanics
Improper body and swinging mechanics can lead to injury. The constant swinging, bending, squatting, and walking places added stress on muscles that can lead to a shoulder sprain/strain, elbow pain, and rib fractures. Back injuries can happen when bending far too forward while in swinging motion. Common swing mistakes that can contribute to low back pain.S-Posture
This can happen when golfers are told to stick out their rear but what happens is that they over arch their lower backs which cause hyperlordosis. This is known as an S-Posture and it inhibits the abs and glutes. Or this also happens with a lower crossed syndrome.Early Extension
This is a term that comes from a forward swinging movement where the lower body does not rotate from the top of the backswing to follow-through. The hips and pelvis do not turn with the body. Spinal posture is extended, the head rises up and the pelvis moves toward the ball’s position. When this happens the spine’s muscles over-activate and force the spine into a fast extension. Forward movement of the lower body toward the golf ball can be a sign of early extension.Early Extension
Ideal Position
Reverse C
This happens at the swing’s finish being in a full hyperextension position. It places added compression on the lower back right facet joints.Conditioning
Muscles will be weak and inflexible when there is no conditioning. This causes them to become highly susceptible to injury. The spine is exceptionally vulnerable to increased pressure during a golf swing. This happens from rotating while leaning forward. When the low back and abdominal muscles do not have adequate strength or flexibility the high reps of swinging will eventually cause pain. With a golf-specific strength and flexibility program, the risk of injury is lessened along with improved performance. Programs like these don’t have to be complicated or take a long time. Stop potential golf injuries from happening by avoiding excessive practice sessions, swinging correctly, and regularly practicing golf-oriented strength and flexibility exercises.Sports Injury 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*Spinal Injury Could Cause Neurogenic Bladder Dysfunction
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Symptoms
- Constant bathroom visits
- Control in urination is limited
- Complete involuntary urination
- Sudden urge/s to urinate
- The bladder is unable to hold urine
- The bladder fails to empty completely
- Overfilling of the bladder creates intense pressure causing accidental leakage
Nerves of the Bladder
The brain and spinal cord function as the headquarters with the spine as the body’s highway that transmits and relays signals/messages to and from the bladder. In the low back, the spinal cord splits apart into a bundle of nerves called the cauda equina.Potential Causes of Neurogenic Bladder Dysfunction
Spinal Cord Injury/s are a common cause of neurogenic bladder dysfunction. The spinal cord does not have to be severed to cause paralysis below the injured part of the spine. If the spinal cord gets bruised or there is improper blood flow, the spinal cord’s ability to send nerve signals can become inhibited. Cauda Equina Syndrome happens when the nerves spinal roots become pinched or compressed. It is rare, but it is a serious medical condition that requires immediate medical attention. Causes of cauda equina syndrome include:- Low back disc herniation
- A tumor in or near the low back
- Spinal fracture
- Infection
- Spinal stenosis which affects the spinal canal
- Trauma like an auto accident, personal/work/sports injury
- Spinal condition from injury or present from birth
Treatment
The treatment depends on the cause or causes of neurogenic bladder dysfunction. A primary physician could call upon a bladder specialist like a urologist, nephrologist, or urogynecologist to collaborate and coordinate the treatment plan. If the dysfunction is caused by a nerve root compression, a spinal procedure (discectomy) is performed to decompress and relieve the pressure on the nerves.Nutrition and Fitness During These Times
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*Chiropractic and The Benefits for Children’s Health and Wellness
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Non-invasive
Chiropractic treatment is holistic and non-invasive. For children’s health, adjustments help with proper growth and development by removing or limiting digestive issues like:- Nursing
- Re-flux
- Colic
- Constipation
- Allergies
- Asthma
- Bed-wetting
- Colds
- Ear infections
- Attention deficit disorder
- Attention deficit hyperactivity disorder
- Autism
Nutrition
Parents who are considering chiropractic treatment for their children’s health and wellness should also expect nutritional health coaching for optimal health. Chiropractors go through extensive training in nutrition and are qualified to offer nutritional plans that are part of the treatment. Proper nutrition is important for everyone’s health. But for children who are growing and developing, it is essential that they get the nutrients they need for optimal spine health and development. Some foods and food additives can cause behavioral issues. These foods include:- Dairy
- Artificial colors
- Sugar
- Preservatives
- Other food allergens
Wellness Philosophy
Educating parents and families about the benefits of proper nutrition and fitness are essential for children’s health and wellness. Families need to follow the principles of:- Eating whole foods
- Junk food minimalization
- Electronic device limits
- Playing/exercising regularly
Safe
Overall, chiropractic care for children is safe and highly effective. Children typically have a positive response or no response. If you’re considering chiropractic for your child, there are many resources to help make an informed decision. For more information, visit the International Chiropractic Pediatric Association to find a chiropractor.Personalized Medicine Genetics & Micronutrients
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*Chiropractic Physician For Pain Management
- Chiropractic
- Acupuncture
- Physical therapy
- Massage therapy
“Provide Safer, More Effective Care for patients with chronic pain” and that “non-opioid therapy is preferred for chronic pain outside of active cancer, palliative, and end-of-life care.” CDC
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Myths
- Individuals that have pain believe they have to live with it and that it’s just part of the wear and tear on the body. It is true that the body wears down, however continual pain does not have to be part of the cycle. Chiropractic adjustments keep the body balanced and in proper alignment bringing relief and providing pain prevention.
- Then there are those that believe the answer is muscle relaxers or pain meds, not realizing that chiropractic can offer relief.
- The most common myth is that chiropractic physicians only treat back pain. Chiropractic doctors treat a wide variety of acute and chronic pain syndromes including:
- Headaches
- Sports injuries
- Auto Accident injuries
- Personal injuries
- Work injuries
- Athletic performance enhancement
- Neuropathy
- Fibromyalgia
- Stress
- Fertility
- Pregnancy
Chiropractic Pain Management
Chiropractic physicians’ principal focus is on the musculoskeletal and nervous systems and their impact on the health of an individual. They often work collaborate with the individual’s primary or emergency health care providers in diagnosis, treatment, and management for their health condition/s. They take into account various factors that are affecting their patients’ health, which include:- Trauma
- Stress
- Posture
- Body mechanical dysfunction
- Exercise
- Nutrition
- Reduce pain
- Prevent musculoskeletal deterioration
- Improve strength
- Increased range of motion
The Benefits
Chiropractic therapy as a no-meds approach to pain management has gained support. The misconceptions and myths are being debunked as individuals and science are seeing the effectiveness of chiropractic for many pain-related conditions. Many job insurance plans cover chiropractic. Medicare and Medicaid include chiropractic services and are offered at military facilities/clinics. The benefits of chiropractic include:- The risk of pain meds dependence is significantly reduced
- The causes of pain and treating them naturally is the goal
- Reduces inflammation
- Improves athletic performance
- Natural rehabilitation for auto, personal, sports and work injuries
- Health coaching
Treating Severe & Complex Sciatica Syndromes
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*Massage Therapeutics Can Improve Health and Well Being
Massage therapeutics is not about the candles, aromatherapy, and the spa. Although those items can be beneficial for relaxation etc, the massage part of the therapy is just that. An intense manual manipulation of the body’s tissues. Made to work out/relax tight, knotted, spasmed, and inflamed muscles, ligaments, and tendons back to a normal and relaxed function. This can be caused by injury, stress, awkward motion/s, etc. Research done by the American Massage Therapy Association shows that 50% of individuals asked for a therapeutic massage for musculoskeletal/stress issues.
More physicians, specialists, and surgeons are recognizing the health benefits that massage therapeutics can bring and are sending their patients to certified/licensed massage therapists for treatment. There is now a high demand for massage therapists with the career possibilities being one of the strongest in the health care industry. Massage therapy is the manual manipulation of muscles and soft tissues including:
- Connective tissues
- Ligaments
- Tendons
This is all done with the focus of improving an individual’s health and overall well-being. Licensed certified massage therapists are highly-trained and highly-versed in anatomy and physiology. Many often work with chiropractors preparing patients for the chiropractic adjustment/s by loosening up the muscles/tissues, then after with a light massage to ease the soreness of the adjustment and if necessary with continued visits with a mild to intense massage session to keep the areas loose and mobile.
Massage therapeutics effectively treats several medical conditions, sports injuries, automobile accident injuries, personal injuries, and helps prevent health problems connected with stress. Research shows that these medical conditions can be significantly improved or even healed with massage therapeutics.
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Fitness
Top professional and weekend warrior athletes can benefit from massage therapeutics. Massage has been shown to help:
- Reduce muscle tension
- Improve exercise performance
- Prevent injuries
Low Back Pain
The guidelines for treating chronic back pain. Now the suggested guidelines state that alternative treatments/therapies like massage, chiropractic, physical therapy, and acupuncture should be utilized before prescription medication, which is now the last resort, is implemented.
Headaches
Head and neck massage reduces chronic tension headaches, along with the stress that often comes with headaches.
Compromised Immune System Function
Myofascial massage has been shown to improve the nervous system, which is crucial to a healthy immune system. Through massage which increases blood circulation helps to increase the activity of T cells, which recognize and destroy cells that are infected with viruses. Stress reduction has been found to be a universally recognized benefit of massage therapeutics, and can also strengthen the immune system.
Blood Pressure
Improved blood flow with massage therapeutics can also bring blood pressure down and elevates heart health.
Fibromyalgia
Currently, there is no cure for fibromyalgia, but studies are showing a definite connection for those that receive myofascial massage therapeutics and improved quality of life. Reduced pain and anxiety, and quality sleep were has been experienced by individuals getting regular massage therapy.
Cancer Pain
A common symptom for individuals battling cancer is pain, which can be mild to severe. Used in conjunction with other pain management techniques recommended by doctors, massage therapeutics have been shown to reduce pain along with anxiety symptoms.
PTSD
Those with post-traumatic stress disorder can benefit from massage therapy. Massage can help reduce:
- Anxiety
- Stress
- Depression
- Pain associated with trauma/images/memories
Massage is often recommended as a companion for PTSD psychotherapy. Therapists are well established at many medical clinics and hospitals. With the opioid epidemic, the need for safe, natural, and effective pain therapy, then massage therapists can definitely help out.
Chiropractic Care 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*