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Women With Low Back Pain and Possible Causes

11860 Vista Del Sol, Ste. 128 Women With Low Back Pain and Possible Causes
Physiotherapist giving back massage to a woman in clinic
Women experiencing low back pain will find there are a variety of possible causes. Lower back pain can stem from the reproductive system or the spine itself. Finding the possible cause of low back pain can be difficult to diagnose. As well as, pinpointing the pain can be a very challenging task. Women wonder how it’s possible to mistake menstrual cramps for back pain and then it happens to them. There are certain conditions that make the low back and core region a central location of continual pain. And unfortunately, women could be more susceptible.  
11860 Vista Del Sol, Ste. 128 Women With Low Back Pain and Possible Causes
 
Most individuals will experience low back pain at some point during their life. However, there is a slight prevalence and is more common in females than males across all ages. Low back pain in women increases with age. A research comparison studying middle-aged individuals reported an increase of low back pain in females versus males post-menopause. Some possible low back pain causes include.

Menopause and Hormone Issues

Chronic lower back pain is one of the most reported musculoskeletal issues women face during menopause. About sixty-seventy percent of perimenopausal women present symptoms associated with estrogen deficiency. And over half in perimenopause report chronic musculoskeletal pain. Many of these studies show increasing menopausal symptoms and the correlation to chronic low back pain symptoms.

Menstruation and Uterine Dysfunction

Dysmenorrhea is a uterine dysfunction that involves frequent and severe cramping during menstruation, which often leads to low back pain. The condition is classified as primary or secondary. Both types include low back pain as a common symptom. Primary dysmenorrhea starts when a woman begins menstruation and continues throughout their life. Intense contractions can cause continual and severe menstrual cramping. Secondary dysmenorrhea usually starts later and is caused by another condition like endometriosis or pelvic inflammatory disease.

Endometriosis

Endometriosis is a condition that can contribute to back pain in women. Tissue that behaves like endometrial tissue begins to grow outside of the uterus, in the pelvic cavity or other areas. The new tissue responds to the body’s hormonal changes and can cause swelling, pain, spotting, and bleeding. Endometriosis growths bleed monthly as well. Without a place for the blood to go, the excess irritates and inflames the surrounding tissue. The condition can cause heavy periods, chronic pain, and scar tissue build-up. Symptoms can present at any menstrual cycle stage. Pelvic pain that runs down the legs is common. Some women have also reported throbbing, shooting pain that can be mild to severe. Symptoms include:
  • Abdominal pain
  • Low back pain
  • Pain when walking or standing
  • Pain during ovulation
  • Pain when urinating
  • Urinary urgency
  • Pelvic inflammation
  • Constipation
  • Pain during intercourse
  • Bowel movement pain
  • Rectal pain that radiates
  • Pain caused by scar tissue build-up within the bladder, fallopian tubes, bowels, and ovaries
  • Chronic fatigue
Endometriosis can be diagnosed by a doctor during an initial pelvic exam. Further imaging tests to assist in the identification could be requested.  
11860 Vista Del Sol, Ste. 128 Women With Low Back Pain and Possible Causes
 

Spinal Issues

The reproductive organs can sometimes contribute to back pain. However, women can also be susceptible to degenerative conditions that affect the spine’s structure. Low back pain is common with an average patient experiencing one to two episodes a year. Low back pain can start in early adulthood and become a chronic problem that can be triggered by various events or activities. Most back pain issues are resolved within six weeks. This is known as acute low back pain. When the pain doesn’t stop for more than 12 weeks it is considered chronic lower back pain.

Postmenopausal Compression Fractures

Around twenty-five percent of women will go through a vertebral compression fracture of the middle or lower spine. The risks increase with age, with around a 40 percent chance at 80 years of age. Small cracks in the vertebrae can cause severe disability and limit function. Osteoporosis is the most common cause of vertebral compression fracture/s. Postmenopausal women are at an increase of developing osteoporosis. This comes from hormonal changes that decrease bone mineral density, leaving the bones open to fracture.

Spondylolisthesis

This is when one vertebral body, or the thick oval bone segment in front of the vertebra, slips against an adjacent body. The result is pain or mechanical symptoms. The pain can spread throughout the spine to the hip, buttocks, into the legs, and possibly the foot. The condition can be congenital, from an unknown cause, or acquired. There is some research on childbirth and hysterectomies putting women at risk for spondylolisthesis. It is common in the lumbar spine/lower back, but can also present in the cervical spine/neck region. The thoracic/middle spine is extremely rare except in trauma cases. The thoracic spine is the longest region of the spine. It is between the cervical and lumbar regions. One cause of the increased pain is longer times spent sitting in chairs that are not ergonomic. A second is being confined to smaller workspaces. The key is to get up and move around or use a sit-stand desk to alternate sitting and standing. Irregular and localized low back pain is typical for low back spondylolisthesis. The pain usually worsens when the area/region is flexed or directly touched.

Piriformis Syndrome

Back pain sometimes isn’t back pain, but piriformis syndrome. The piriformis muscle is a small muscle that extends from the lower spine to the top of the femur. It can involuntarily contract and compress or irritate the sciatic nerve. The muscle helps rotate and turn the leg and foot outward. Symptoms are consistent with sciatica. It typically presents with buttock pain that shoots, aches, or throbs along the leg’s backside, thigh, calf, and foot. Tingling along the nerve along with numbness is common. Causes include:
  • Buttock injury
  • Hip injury
  • Weight training specifically the gluteal/buttock, hips, and hamstrings
  • Sitting for a long time – Examples include truck drivers, desk job workers, etc.
  • Damage to the piriformis muscle
  • Sciatic nerve wraps around the piriformis muscle
piriformis detail
 

Sacroiliac Joint Dysfunction

Sacroiliac joint dysfunction involves inflammation of the joints, located at the connection of the pelvis and lower spine. It can present as low back or buttock pain that radiates down the leg/s. The pain worsens when climbing stairs or standing for an extended amount of time. Sacroiliac joint dysfunction can be tough to diagnose, as it is often mistaken for other low back pain causes.

SI joint dysfunction causes:

  • Pregnancy – the increased weight and altered movement/s can cause additional stress and wear.
  • Joint infection – in rare cases, the joints can be subject to infection.
  • Arthritis – the joints can develop arthritis from normal wear and tear.
  • Traumatic Injury – the joints can be injured from a forceful impact from a fall or auto accident.
Most cases do not end up requiring medication or surgery. It is when the pain lasts more than six weeks that there could be something more taking place like neurologic symptoms or other conditions, spinal or otherwise.

Personalized Chiropractic Spine Treatment

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Spinal Tumor Type Overview

11860 Vista Del Sol, Ste. 128 Spinal Tumor Type Overview
X-ray of lungs or spinal cors held by one of doctors in whitecoats during consultation and discussion of its details
A spinal tumor is an uncommon cause of back pain. They rarely occur and can be either benign or malignant. Some tumors can metastasize or spread out to other parts of the body. This is done through the arteries, veins, the lymphatic system, and directly depending on the location. A tumor of the breast, prostate, lung, and kidney can metastasize into the spine increasing the risk of spinal compression. This could lead to neurologic dysfunction and paralysis. Many individuals present with back pain as the key symptom. The pain can worsen at night and have no relation to certain activities. Other symptoms include:
11860 Vista Del Sol, Ste. 128 Spinal Tumor Type Overview
 

Benign – Noncancerous

Aneurysmal Bone Cysts

Aneurysmal bone cysts or ABCs usually cause pain and swelling. They can be large and typically affect children and adolescents.

Eosinophilic Granuloma

This type of spinal tumor usually develops in the vertebral bodies of children and adolescents. If the tumor is systemic it is called histiocytosis X. However, these tumors rarely lead to vertebral collapse and paraparesis. And also rarely but on occasion, they can heal spontaneously on their own.  
 

Giant Cell Tumor

This type of spinal tumor affects children, adolescents, and young adults. They can be found around the cervical, thoracic, or lumbar segments of the spine, but are more common in the sacrum region.

Hemangioma

Hemangiomas develop most often in the thoracic or middle back. These affect adults and are known to be vascular masses that are progressive and can cause vertebral collapse and slight paralysis.

Osteoblastoma

These tumors can be large, aggressive, and painful. They affect children and adolescents. They can sometimes cause spinal deformity and paralysis.

Osteochondroma

This a slow-growing spinal tumor that comes from cartilage and usually affects adolescents. It is uncommon and typically found in the posterior or rear of the spine.

Osteoid Osteoma

A very small bone tumor that is less than 2 cm. It typically affects adolescents. It is known to cause night pain and can result in spinal deformity.  
 

Malignant – Cancerous

Chordoma

This is typically seen in adults. About 50% involves the sacrum, but it can affect other regions of the spine. These tumors usually require aggressive treatment.

Chondrosarcoma

This tumor affects the spinal cartilage in middle-aged adults. It grows slowly but can be dangerous. Aggressive medical treatment is required.

Ewing/Ewing’s Sarcoma

An aggressive spinal tumor that affects adolescents and young adults. In certain cases, it can metastasize.

Lymphoma

Lymphoma can present in one or more vertebral bodies. It affects middle-aged and older adults. The lymphatic system can sometimes be involved.

Osteosarcoma

This is a bone cancer that develops in adolescents and middle-aged adults. It can metastasize and require aggressive medical treatment.

Plasmacytoma

Plasmacytoma typically presents in middle-aged and older adults. They usually present in the pedicle and vertebral body and can cause paraparesis.  
11860 Vista Del Sol, Ste. 128 Spinal Tumor Type Overview
 
Back pain does not always mean that there is a tumor present. But if back pain does not resolve or if neurologic symptom/s are experienced, early medical intervention/treatment is definitely warranted. A primary spinal tumor or those that originate in the spine are uncommon. However, metastatic spinal tumors are. Spinal tumors are not a common cause of back pain, but if there is pain whose cause cannot be identified and continues with no change, it could be an indicator of something more going on. Persistent pain, specifically if it is not brought on with activity or if it worsens at night, could be a potential red flag needing further examination by x-ray, CT, or MRI. Metastatic tumors, that spread from another area such as the lung, breast, colon, and prostate are a more common type of spinal tumor. Individuals with a family history of cancer that develop back pain out of nowhere should be examined to exclude a spinal tumor.

Neck and Low Back Pain Treatment

 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Weight Loss Change and Recommendations for Success

11860 Vista Del Sol, Ste. 128 Weight Loss Change and Recommendations for Success
Having the right attitude about weight loss can go a long way in being successful. Being overweight contributes to poor health, sleep problems, increased risk for disease/s, and back pain. Weight problems can result from:
  • Eating the wrong food/s
  • Limited or no regular physical activity/exercise
  • Stress eating
  • Age
  • Genetics
11860 Vista Del Sol, Ste. 128 Weight Loss Change and Recommendations for Success
 
These can all be overcome by setting sensible goals and realistic expectations. The first step is to discuss weight loss and general health with your healthcare provider. A doctor, health coach, or fitness chiropractor can help develop a fully customized weight loss treatment plan along with exercise, diet, and lifestyle changes/adjustments. Weight loss plans can include:
  • Dietary
  • Exercise
  • Behavioral
  • Medication
  • Surgical modification of the digestive system if necessary
A realistic properly developed and safe weight loss plan has a greater rate of success. If your doctor isn’t quite sure which is the best approach, they could reference a health coach, weight loss, or metabolic specialist. Assessing one’s body weight is now a more involved process than just stepping on a scale. The assessment usually involves measuring the Body Mass Index or BMI, waist circumference, and medical history. This information is analyzed to determine if there are any risks due to excess weight like high blood pressure, diabetes, heart disease, and cancer.

Nutrition Feeding The Body

A weight-loss treatment program does require a reduction in calories. An optimal treatment plan means changing/adjusting lifestyle bad habits and turning them into good/positive habits. This can include nutritional education, relearning to eat, manage stress, and adapting. It is important to feed the body the proper nutrients it needs to maintain optimum health. No one food has all these essential nutrients. Therefore, it takes a combination of a variety of foods to help meet the body’s needs. If an individual has been overweight or obese for an extended amount of time, the body could be starving for these vital nutrients.  
Nutrients Sources Functions
Proteins Meat, Fish, Poultry, Eggs, Dairy, Legumes, Nuts Formation of muscles, bone, blood, enzymes, specific hormones, cell membranes, tissue repair, regulates water/acid-base balance
Carbohydrates Grains, Fruits, Vegetables Supplies energy to brain cells, nervous system, blood, and muscles during physical activity and exercise
Fats Meat, Fish, Poultry, Supplements Supplies energy, insulates/cushions organs, helps in vitamin absorption
Vitamins Fruits, Vegetables, Grains, Meat, Dairy Promotes chemical reactions in the body’s cells
Minerals Contained in most food groups Regulates body functions, assists with growth, a catalyst for energy release
Water Water, Liquids, Fruits, Vegetables Medium for transporting chemicals, assists in chemical reactions, regulates temperature, removes waste, accounts for 50-70% of body weight

Types of Fats

Fats are essential in absorbing fat-soluble vitamins A, D, E, and K.
  • Saturated Fat is known to increase blood cholesterol levels. This type of fat is found primarily in meat and dairy products. For example butter.
  • Polyunsaturated Fat has been shown to lower blood cholesterol levels. It is found in plant sources like cottonseed, corn, safflower, sunflower, and soybean.
  • Monounsaturated Fat has been shown to lower the low-density cholesterol or LDL, which is unhealthy cholesterol. It can be found in avocados, olive, canola, and peanut oil.
A healthy diet should not exceed 30% of fat per day. An easy way to cut back is to:
  • Go for lean cuts of meat
  • Trim the visible fat
  • Remove the skin from poultry
  • Select water-packed tuna
  • Choose dairy products made from skim or low-fat milk
11860 Vista Del Sol, Ste. 128 Weight Loss Change and Recommendations for Success
 

Eating and Losing Weight Recommendations

These recommendations could be redundant, but it is a start.
  • Drink at least eight glasses of water every day. This does not include tea, coffee or other beverages
  • Eat only when hungry
  • Stop when full
  • Eat and chew slowly – It takes 20 minutes for the stomach to tell the brain the body is full
  • Select foods that take a lot of chewing, which will satisfy the body with less food
  • Drinking a warm beverage with a meal helps promote the feeling of fullness and satisfaction
  • Serve food on a smaller plate – This fools the eyes, fooling the brain into believing that the meal is the same amount
  • Have a piece of fruit or a small fruit smoothie in between meals to keep hunger in check
  • Keep the kitchen stocked with healthy ready to eat snacks
  • It’s the small thorough steps that add up to achieve goals

Physical Activity Benefits

Healthy food combined with healthy eating habits and regular physical activity can help weight loss goals be met. Building and preserving muscle mass helps the body burn calories. Plus it decreases the risk of:
  • Heart disease
  • High blood pressure
  • Type 2 diabetes
  • Colon cancer
  • Breast cancer
  • Osteoporosis
  • Arthritis
  • Reduces body fat
  • Lowers cholesterol
  • Relaxes muscular tension
  • Reduces anxiety and depression
  • Increases energy, concentration, self-esteem, self-confidence

Weight Loss Doctor of Chiropractic

 
 

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 Therapists and Spine Health

11860 Vista Del Sol, Ste. Massage Therapists and Spine Health
Massage doctor. The man is undergoing rehabilitation
Massage therapists have come a long way in reducing pain and improving wellness. Back pain is one of the most common reasons people seek physical therapy, chiropractic care, and massage therapy. Back pain affects around three in four adults at some point in their lives. Research supports that massage is a bona fide back pain treatment option. This could be welcome news to those who prefer not to use medications or invasive approaches to managing back pain. The right massage therapists can make all the difference in achieving the benefits.  
11860 Vista Del Sol, Ste. Massage Therapists and Spine Health
 

Massage goals

The first thing is to figure out what the goals are from the massage itself.
  • Are there acute back or neck issues that need to be addressed?
  • Looking for non-invasive therapy for long-term management of a chronic spinal condition?
  • Is the massage for performance enhancement? Could be athletic or to help perform daily activities easier.
  • Is it just wanting to relax?
Figuring out what it is to be achieved from the massage is essential to finding the right therapist.

Massage clinic, spa, health club, home

A massage can be performed in health clubs, spas, medical clinics, and at home. The location does not predict the massage type or specialty of the massage therapists, but it can be an indicator. Example: For athletic performance, a gym, or Crossfit center massage therapist is a good place to start. If massage is part of a back and neck pain management plan, look into the massage therapists at a medical clinic or a therapeutic massage clinic.

Ask for recommendations and ask questions

When searching, get recommendations, and ask plenty of questions to get all the information needed. After a few prospects have been found then ask plenty of questions before making an appointment. This can help determine if this will be a long-term therapeutic relationship or a one-time visit. If looking to manage a serious spinal condition, the recommendation would be to find a therapist with more experience.  
 
Massage education programs that are only entry-level do not provide in-depth education and practice for the many specific and complex spinal conditions. The real experience comes from years of practice along with continued education. This is how massage therapists are able to expand their clinical analysis and treatment development expertise. Get a sense of the massage therapist’s education and practice experience. This will help significantly when choosing a therapist best equipped.

Questions to ask potential therapists:

  • How long have you been practicing?
  • What’s your massage education?
  • Related education or practice experience? Many nurses or occupational therapists go on to become massage therapists. This means the information and knowledge from their nursing are now integrated into their massage practice.
  • How much-continued education have you gone through?
  • How many sessions do you offer?
  • What does the schedule look like? Think about scheduling when the therapist is more refreshed, like early in the workweek or their scheduled shift.
  • Do you have specialties with specific conditions or techniques?
  • Do you get massaged? If so, how often? Massage is a labor-intensive task. Therefore, it could be best to go to a therapist that keeps themselves healthy and balanced.
  • How long does it take for the initial appointment?
  • Do you have to book ahead?

If a therapist is booked don’t get frustrated

If a long-term therapeutic relationship for the management of a spinal condition is the goal, then it may be worth waiting for. A therapist that has a long wait time for initial appointments means they have patients that see them regularly and that’s a very good sign of quality care. One possible option for individuals waiting for their appointment is to go to a local massage school to get treated. This option is less expensive, great for body maintenance, and provides opportunities for the training therapists.  
11860 Vista Del Sol, Ste. Massage Therapists and Spine Health
 

Professionalism

A quality indicator is the professionalism of the therapist. This includes the extent to which they model the values of a health care professional valued by the patient. This is different for everyone. Questions to consider:
  • Are they on time?
  • Does the therapist cancel appointments?
  • Are you comfortable around them?
  • Do they listen?
  • Does the patient help in the development of a treatment plan?
  • Are they comfortable and engaged in the work?
  • Are they taking their massage career seriously?
Feeling at ease during the appointment/s is very important to massage success and relief. If anything about the therapist causes hesitation, look for another.

Massage Management

Massage is an excellent back pain treatment option that has gained popularity as a complement to pain management plans and as an alternative to invasive procedures. But, massage is not a cure-all. Often the cause of the back pain does not go away entirely. This is where massage therapy comes in as a pain management tool. It’s important to consider the condition’s duration and severity when evaluating the success of a session. This helps in planning the massage schedule. When there is a complex and established spinal condition be patient, as a 1-hour massage is not going to solve a 10-year back pain battle. However, with perseverance massage can safely and effectively help reduce pain and promote a better quality of life.

Whiplash Massage Therapy

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

The Shoulder: Pain Symptoms, Causes, and Chiropractic

11860 Vista Del Sol, Ste. 128 The Shoulder: Pain Symptoms, Causes, and Chiropractic
Physiotherapist giving shoulder therapy to a woman in clinic

The shoulder/s are the joints where the upper-arm bones known as the humerus, the shoulder blades or scapula, and the collarbone/clavicle come together. The upper-arm bone fits into the scapula socket and is held in place by muscles and tendons. This is the rotator cuff. It covers and protects the upper-arm and allows for raising and movement of the arm. Pain in the shoulder can have a variety of causes.  

TheCauseofShoulderInjuriesDuringCarAccidents ElPasoChiropractor
 

Injuries can occur in a slip and fall or automobile accident. A task like painting the house could cause a repetitive/overuse injury. The soft tissues in the shoulder, muscles, tendons, and ligaments can get injured from excessive strain, falls, and improper motion. Shoulder pain can come from certain conditions like arthritis. And it can present from problems or issues in other parts of the body. This is known as referred pain.

The shoulder takes on more than we realize. It is made up of an intricate network of ligaments and muscles, with the rotator cuff taking most of the load when moving. It is the most flexible joint in the human body, and one of the most unstable. It is unstable because of its unique construction. Other joints like the ankle or elbow are limited in their range of motion. Shoulder injuries are common, as the shoulder sustains more injuries than almost any other part of the body.

 

Injury Symptoms

Here are some questions to help figure out if there is a shoulder injury:

  • Does the arm move normally?
  • Is there extreme stiffness?
  • Is there pain and what type – throbbing, stinging, shooting
  • Does it feel like it could pop out of the socket?
  • Is it strong enough for normal activities?

Certain shoulder injuries can be treated at home for a few days with rest and ice. The shoulder can be bandaged with Kinesio tape to hold it in place if necessary. But serious injuries require professional medical help. Symptoms/signs that a medical professional is needed:

  • The shoulder joint looks deformed
  • The shoulder cannot be used at all
  • The pain is extreme and intense
  • The shoulder is swelling rapidly
  • The arm and/or hand is weak and/or numb
11860 Vista Del Sol, Ste. 128 The Shoulder: Pain Symptoms, Causes, and Chiropractic
 

Common injuries

 

Dislocation

When the shoulder gets pulled back hard or rotated too far, the top of the arm can get popped out of the socket. This can cause pain, weakness, swelling, numbness, and bruising.

 

Separation

This is an injury affecting the joint where the collarbone and shoulder blade come together. It is the acromioclavicular or AC joint. An accident, fall, or traumatic impact can tear the ligaments holding it together. If the collarbone gets shifted out of place, a bump on top of the shoulder will appear.

 

Fracture

After a fall or a hard hit, the bones can break or become cracked. The most common breaks are to the collarbone and the arm bone that is the closest to the shoulder. Pain presents along with bruising can occur. If the collarbone is broken, the shoulder may sag and there will be no ability to lift the arm.

 

Cartilage tear

The cartilage or rubbery padding that runs around the rim of the shoulder joint can suffer injury and/or get torn. Repetitive motions and overuse can lead to a tear. It can also be injured in a fall, or anytime it absorbs the brunt of the force. Pain can be felt when reaching over the head, or the shoulder feels/seems to be weak. Sensations like catching, locking, or grinding may also be felt.

 

Rotator cuff tear

The rotator cuff belongs to a group of muscles and tendons that hold the arm in place and allow for lifting the arm up and overhead. It can suffer damage through overuse or in an accident. The rotator cuff begins to show wear and tear with age. It can hurt at night and when trying to lift objects. Individuals have also reported a crackling sound when moving.

 

Frozen shoulder

This is a condition that limits how much the joint moves. Bands of tissue or adhesions build up in the joint and keep the shoulder from moving freely. This is where the freeze happens. It comes from the pain, causing the individual to not use it, this allows the adhesions to build.

 

Impingement

This is when the tendons of the rotator cuff become pinched within the bones of the shoulder. It can cause swelling and pain. It is often set off when lifting the arms over the head repetitively.

 

Bursitis

This is when the fluid-filled sacs or bursa that cushion the joints get swollen and irritated. Usually, the onset occurs from repetitive motions. However, it can also be caused by a fall or other injury. The pain occurs most when moving the shoulder.

 

Other causes

 

Osteoarthritis

Also known as degenerative joint disease. It is the most common form of arthritis. It can affect any joint, including the shoulders. The cartilage between the bones breaks down and allowing them to rub against each other causing pain and stiffness.

 

Rheumatoid arthritis

This is a disease that causes the immune system to attack the protective lining in the joints. It causes pain and stiffness in the shoulders.

 

Referred pain

There could be nothing wrong, yet pain or discomfort presents. This could be a sign of a condition involving the lungs, gallbladder, liver, nerves, etc.

 

Heart attack

Shoulder pain could be brought on from the tightness in the chest and trouble breathing. Get emergency medical help immediately.

 

Tendinitis

The tendons that make up the rotator cuff become inflamed. It can happen progressively over time or quickly from an accident, fall, or a direct hit to the shoulder.

 

Bone spurs

These are small, smooth pieces of bone that begin to rub up against the rotator cuff keeping the shoulder from proper movement. They can lead to tendonitis or a tear.  

11860 Vista Del Sol, Ste. 128 The Shoulder: Pain Symptoms, Causes, and Chiropractic
 

Diagnosis

A doctor or chiropractor will begin with a physical exam to check for structural problems to rule out anything involving the spine or neck. Next, is the range of motion exam to see how strong and flexible the shoulder is. This involves moving the arms in different ways, like:

  • Above the head
  • Across the body
  • Behind
  • Rotate 90 or 180 degrees

The doctor could recommend imaging tests to get a closer look:

 

X-rays

These can help find bone spurs, arthritis, and other bone-related causes of shoulder pain. The doctor could recommend an arthrogram. This involves using a dye to enhance the details allowing them to render more clearly.

 

MRI scan

Radio waves and a powerful magnet generate detailed images of the shoulder.

 

CT scan

This is a series of X-rays taken from various angles. When placed together, they allow for optimal views to be seen.

 

EMG

This measures electrical activity in the muscles to see if there are any problems with the nerves.

 

Arthroscopy

A surgical procedure that utilizes a tiny fiber-optic camera, allowing the doctor to see high-definition images. With certain cases, the doctor could be able to treat the problem during the procedure.  

 

Treatment

Dislocations, separations, and fractures require medical attention. Getting the shoulder back to the right position followed by a sling to hold it in place while healing and in recovery. For less serious issues, the doctor could recommend rest, heat/ice, and medicine like ibuprofen or aspirin to help with the pain and swelling.

Chiropractic treatment for shoulder injury/s and pain. A Chiropractor can:

  • Relieve pain
  • Improve range of motion
  • Increase flexibility
  • Restore function to the joint

If the shoulder does not show improvement after the first steps, the doctor could recommend injecting an anti-inflammatory medication straight into the joint for the swelling and pain relief. There are times when cartilage tears, rotator cuff tears, and a frozen shoulder does not improve with rest, physical therapy, or medication. As a last resort, the doctor could recommend surgery. Any problem with the shoulder means that the treatment plan will probably include stretches and exercises to help strengthen the joint and improve the range of motion.

 

Prevention

Consider how often the shoulders are used at work and play. Then find ways to protect it:

  • If working at a desk, make sure the chair has proper back support and promotes proper posture.
  • Take several short breaks to move around at least once an hour.
  • If work requires heavy lifting, proper technique is essential.
  1. First face the object being lifted
  2. Keep the back straight
  3. Bend the knees using the legs for power
  • When reaching for a heavy object overhead, use a step-ladder to get a better position.
  • Ask the doctor or chiropractor about a strength and conditioning regimen for the muscles around the shoulders, to keep them strong and flexible.

 

Chiropractic Treatment Shoulder Pain


 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Radiofrequency Ablation Non-Surgical Minimally Invasive Treatment

11860 Vista Del Sol, Ste. 128 Radiofrequency Ablation Non-Surgical Minimally Invasive Treatment
Doctor explaning back pain to senior patient in hospital office pointing at laptop screen with human skeleton. Nurse in blue uniform holding radiography and elderly doctor taking notes on clipboard in clinic corridor.
Radiofrequency ablation, also known as RFA is a minimally invasive procedure performed in an outpatient clinic to treat neck, back, facet joints, and sacroiliac joint pain. It involves the use of radio waves pulsing at a high frequency that temporarily disable the nerves from transmitting pain signals to the brain. Relief can last three to six months. Radiofrequency ablation treatment could be an option to manage chronic back and neck pain. There are other names, but the radio frequency concept is the same. They are:
11860 Vista Del Sol, Ste. 128 Radiofrequency Ablation Non-Surgical Minimally Invasive Treatment
  Chronic neck, back, and hip pain take a significant toll on the body. Finding the right treatment can make all the difference. However, it does not work for everyone. For those that might have tried other non-surgical treatments to manage the pain, including physical therapy and steroid injections, that did not bring relief then radiofrequency ablation could be another treatment option.

Radiofrequency Ablation Benefits

  • Pain relief compared to steroid injections lasts longer
  • Relief exceeds that of injections
  • It is a non-surgical procedure
  • Complication risks are low
  • Opioid or other analgesic medication is reduced
  • Quick recovery
  • Improved quality of life
  • Relief can last six months to a year, and longer
 

Pain Reduction

Before undergoing radiofrequency ablation, a doctor must pinpoint the nerves causing the neck, back, or sacroiliac joint pain. They will perform a nerve block injection to determine if there is temporary relief from the pain. If there is temporary relief it means that the origin of the pain was found. This could qualify to become a candidate for radiofrequency ablation.
  • A Medial branch block is performed to diagnose the facet joint/s that are causing the pain.
  • A sacroiliac joint block is performed to determine if and which sacroiliac joint is causing the pain.

Preparation

The doctor will give instructions on how to prepare for the procedure. Instructions can vary from those listed, as every patient’s case is unique.
  • Do not eat 6 hours prior to your procedure
  • Wear loose, comfortable clothing
  • Easy to put on shoes
  • Have a designated driver for after the procedure
  • Make sure the doctor knows about all medications, vitamins, supplements, and herbs being taken
  • Follow the doctor’s instructions when taking prescribed and over-the-counter medications. This includes vitamins, supplements, and herbs
  • Bring all medications on the day of the procedure to be taken with minimal interruption
Radiofrequency ablation usually takes an hour or longer depending on the extent of the treatment. One example could be the number of facet joints being treated.

The Procedure

The patient will be positioned face down on the treatment table. Pillows are offered and positioned for optimal comfort. The area where the treatment will be administered is sterilized. The areas of the body not undergoing the treatment are covered with a sterile covering. Sedation could be utilized but not heavy sedation. More than likely it will be what is known as twilight sedation. A local anesthetic is injected into and around the area/s being treated. Because radiofrequency ablation involves electricity a grounding pad is attached to the calf of one of the legs. The treatment table is adjusted for the precise placement of the needles and electrodes. The doctor will use fluoroscopy or a real-time x-ray as a guide.  
11860 Vista Del Sol, Ste. 128 Radiofrequency Ablation Non-Surgical Minimally Invasive Treatment
 
Once the needle/s and electrode/s placement is confirmed, a low electrical current is sent through the electrodes. This creates waves of pulsating energy that stimulate and change the nerve/s sensory tissue so it does not send pain signals. Some individuals report a warm or mild pulsing sensation. When finished, the electrodes and needles are removed. The treated area is cleaned up, sterilized and bandages are applied.

After the Procedure

After the procedure, the patient is sent home with a set of recovery instructions. An example could be:
  • Keep the bandages in place
  • Don’t take a bath or shower
  • A shower can be taken the following day and the bandages removed
  • Do not perform any strenuous activity for up to two days
When the anesthetic wears off, the individual will have soreness and some mild pain around the treatment area. As long as everything is fine individuals can return to work and normal routine within three days. Full recovery can take up to two weeks for the treated/ablated nerves to stop sending pain signals. Although the nerves no longer conduct pain, it is temporary and not a permanent fix. This is because the nerves grow back. If the cycle starts over, talk with the doctor about another session.

Peripheral Neuropathy Relief & Treatment

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Bone Broth, Healthy, Comforting, and Good for the Spine

11860 Vista Del Sol, Ste. 128 Bone Broth, Healthy, Comforting, and Good for the Spine
Organic Chicken Bone Broth in a Bowl
Bone broth is a soothing, low in calories, flavorful comfort food that is packed with nutrients and highly beneficial for the spine. Bone broth is made from slowly simmering meat or poultry and is an old-fashioned home remedy for a variety of ailments. These include:
  • Improves joint movement
  • Helps wounds heal faster
  • Improves immune system function
  • Rebuilds bones
Nutrients are connected with healthy bones and joints. These include:
  • Calcium
  • Phosphorous
  • Vitamin D
  • Collagen protein
All of these are concentrated in animal bones. The bones are cracked and cooked in a stockpot of water on a slow simmer. The breakdown releases vitamins, fatty acids, manganese, zinc, iron, and selenium. The broth helps supply the bones with these nutrients.  
11860 Vista Del Sol, Ste. 128 Bone Broth, Healthy, Comforting, and Good for the Spine
 
Bone broth is also effective when keeping track of weight because it is nourishing and hearty but low in calories. One cup of broth eaten or drank a half-hour before a meal can keep appetite in check. When hunger stays in check it is easier to maintain a healthy diet, portion sizes, and not overeat.

Bone Broth Recipe

Simmering bones in water with added vegetables, spices, vinegar, and herbs over low heat for a few hours is bone broth. A recipe for bone broth typically includes a tablespoon or two of vinegar or lemon juice. This helps soften the bones to break them down and release more nutrients. This will make around 2 quarts or 8 cups of bone broth. In a stockpot combine:
  • 2 to 3 pounds of leftover cooked beef, chicken bones
  • 1 chopped onion
  • 1 chopped carrot
  • 1 chopped rib of celery
  • 1 tablespoon balsamic or red wine vinegar
  • 1 bay leaf
  • 6 peppercorns
  • Enough water to cover the ingredients
  • Add 1 cup of chopped fresh or canned tomatoes for extra flavor
  • Bring to a boil over high heat
  • Reduce heat to a low simmer, partially covered, 4 to 6 hours
  • During the first half-hour of simmering, skim off the foam that collects at the top.
  • Strain cooled broth into a bowl or jar
  • Refrigerate the broth up to 5 days or freeze up to a couple of months

Don’t Overdo It

When it comes to nutrients in food, it is possible to get too much. An example is of an individual in training that drank one to two quarts of bone broth three days a week for six months. They began to suffer from chronic vomiting. The doctor diagnosed there was too much vitamin D from the fatty marrow in the bones used to make the broth. Vitamin D helps the body absorb calcium. Too much calcium in the blood was causing the vomiting. Another potential issue with drinking too much bone broth is lead contamination. Many foods contain small amounts of lead. In animals, any environmental lead that gets into the body gets stored in bone tissue. A healthy, well-nourished individual can handle small amounts of lead. When it comes to bone broth, lead is only a concern if taking abnormal quantities. The broth can also be used as a base for soups and stews keeping the body healthy along with the emotional benefits of a nutrient-rich broth. The body will feel the difference.
 

Chiropractic Care Knee Injury

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Certain Medications Increase Risk for Osteoporosis and Spinal Fractures

11860 Vista Del Sol, Ste. 128 Certain Medications Increase Risk for Osteoporosis and Spinal Fractures
Portrait of unrecognizable doctor holding x-ray explaining in to female patient, copy space
Medications can be lifesavers when it comes to the treatment of various conditions. But they can also open the door to other serious conditions. Medications fall into pharmacological drug classes. Certain medications can interfere with bone health, and induce bone density loss. Users of these medications could put them at risk for osteoporosis and possible spinal fracture/s. Medications that can potentially weaken bones and how to protect yourself is the focus. Not all of the medications listed are for treating spinal disorders or neck and back pain.  
11860 Vista Del Sol, Ste. 128 Certain Medications Increase Risk for Osteoporosis and Spinal Fractures
 

Steroids

Steroids taken by mouth are commonly prescribed for spinal conditions. This includes:
  • Low back pain
  • Neck pain
  • Spinal inflammatory arthritis
These medications carry anti-inflammatory compounds that are pretty powerful. These help the pain but can cause bone loss with long-term use. These types of steroids put the bones at risk because of how they slow down the osteoblasts, which are bone-building cells. As the osteoblasts are slowed, the work of the osteoclasts, which are bone-absorbing cells gets increased straining the system and ultimately leading to bone loss.

Examples of steroids:

  • Dexamethasone
  • Methylprednisolone
  • Prednisone
Daily doses of more than 5 mg pose the biggest threat to the skeletal system. Ask a doctor about a short-term low-dose regimen, especially, if there is a heightened risk for osteoporosis or spinal fracture.

Selective Serotonin Receptor Uptake Inhibitor

Selective serotonin receptor uptake inhibitors help those with neck and low back pain in a variety of ways. These include reducing the mental and emotional effects of chronic pain. But, selective serotonin receptor uptake inhibitors can boost the fracture risk. This type of medication can cause bone loss in older women and reduced bone density in men and children.

Examples of selective serotonin receptor uptake inhibitors:

Ask a doctor for another type of selective serotonin receptor uptake inhibitor. Possibilities include serotonin and norepinephrine reuptake inhibitors, that can achieve the same results without bone loss and fracture risks.

Certain Anticonvulsants

Anticonvulsants are used to control seizures. However, they have been found to help individuals with spinal nerve pain. But there are some types of anticonvulsants that can increase the liver’s vitamin D metabolism. This lowers the blood’s vitamin D levels. Vitamin D is essential to the body’s ability to absorb calcium. That means that lower vitamin D levels can cause bone loss.

Examples of anticonvulsants:

Talk to a doctor, chiropractor, or health coach about taking a vitamin D supplement/s to boost vitamin D levels.

Certain Diabetic Medications

There are two types of diabetic medications that can increase the risk of fracture. Thiazolidinediones known as TZD’s and sodium-glucose cotransporter 2 inhibitors. The TZD’s increase the fat cells in the bone marrow, and lower the bone-building cells. The sodium-glucose cotransporter 2 inhibitors can reduce bone density.

Examples of TZD’s:

If there is a high risk of fracture, ask a doctor if an alternative medication to a TZD can be taken.

Examples of sodium-glucose cotransporter 2 inhibitors:

  • Canagliflozin
  • Dapagliflozin
  • Empagliflozin
If there is a greater risk of falls, ask a doctor if an alternative to taking a sodium-glucose cotransporter 2 inhibitor can be taken.

Hormone Medications

Medications that reduce estrogen or androgen levels in the body also increase the bone’s absorbing cell activity. And this can lead to bone density loss.

Examples of hormone medications:

  • Anastrozole
  • Exemestane
  • Leuprolide
  • Goserelin
  • Medroxyprogesterone acetate
If there is an increased risk for osteoporosis or fracture, talk to a doctor about ways to protect the bones while taking these medications.

Antacids

Antacids both over-the-counter and prescription that contain aluminum help to neutralize stomach acid. There are other medications called H2-blockers also known as proton-pump inhibitors. These reduce how much acid the stomach produces. While these aid in reducing heartburn, stomach pain, etc, long-term use can reduce the body’s ability to absorb calcium and thus increase the risk for fracture.

Examples of these types of antacids:

Examples of Proton-Pump Inhibitors:

  • Omeprazole
  • Esomeprazole
  • Lansoprazole
Ask a doctor if a different H2-blocker can achieve the same results. Additionally, a doctor, nutritionist, or health coach could recommend dietary changes/adjustments to help reduce stomach acid.

Blood Thinners and Anticoagulants

These medications help reduce the risk of stroke, can interfere with the body’s ability to absorb calcium. They reduce the activity of the bone-building cells. This causes bone loss and increases the risk of fracture.

Examples of anticoagulants or blood thinners:

  • Enoxaparin sodium
  • Warfarin
Talk to a doctor about a possible alternative anticoagulant. A change in medication has been shown to put the bones at less risk.

Diuretics

Loop diuretics work by reducing inflammation/swelling along with water retention by increasing the kidneys urine production. These medications can cause the kidneys to remove key nutrients like calcium, potassium, and magnesium to help increase bone production. Reduction in all of these increases the risk of bone loss and a spinal fracture.

Examples of loop diuretics:

  • Furosemide
  • Ethacrynic acid
  • Bumetanide
Talk to a doctor about an alternative known as a thiazide diuretic. These encourage the kidneys to retain calcium, thus increasing bone density.

Reduce The Risk

Protecting bone health is the objective. A bone mineral density test could help along with taking bone-boosting supplements. Learning about the risks of taking these medications can help prevent osteoporosis and spinal fractures. Keep track of all medications over-the-counter, prescription, holistic, all-natural, etc, and make sure all doctors, specialists understand what is being taken. A spine specialist or endocrinologist might not what the other doctor has prescribed, so keep everyone informed.
 

Rehabilitation for Cerebral Palsy

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

The Spinal/Vertebral Column

11860 Vista Del Sol, Ste. 128 The Spinal/Vertebral Column
Male osteopath doing a postural evaluation on a young female patient assessing the alignment of her vertebrae and spine in an alternative medicine and healthcare concept
The spinal/vertebral column extends from the skull to the pelvis and consists of individual bones known as vertebrae. It is what holds the body upright, allows the body to bend, twist, and is the conduit for major nerves running from the brain to the rest of the body. The vertebrae are grouped into four regions. They are the:
11860 Vista Del Sol, Ste. 128 The Spinal/Vertebral Column
 
Spinal Terminology Number of Vertebrae Area of Body Abbreviation
Cervical 7 Neck C1-C7
Thoracic 12 Chest T1-T12
Lumbar 5-6 Low back L1-L5
Sacrum 5 fused vertebrae Pelvis S1-S5
Coccyx 3 Tailbone None

Cervical Vertebrae

The cervical spine breaks down into two parts. The upper cervical C1 and C2, and the lower cervical C3 through C7. The C1 vertebrae are known as the Atlas and the C2 the Axis. The Occipital Bone is a flat bone that forms the back of the head.

Atlas

The Atlas is the first cervical vertebra and is abbreviated as C1. This vertebra supports the skull. It appears different from the other spinal vertebrae, as it resembles a ring and is made up of two masses joined at the front and back by the anterior and posterior arches.  

Axis

The Axis is the second cervical vertebra and is abbreviated C2. It is a tooth-like process that projects upward. It is referred to as the odontoid process or dens, which is Latin for tooth. It provides a kind of pivot and collar that allows the head along with the atlas to rotate.

Thoracic Vertebrae

The thoracic vertebrae become larger from T1 through T12. What makes the thoracic spine unique is that it is the only vertebrae that support the ribs and is made up of pedicles, spinous processes, and large neural passageways that help reduce nerve compression. Unfortunately, not everyone has a large intervertebral foramen, which can cause compression.  
 
  1. Vertebral Body
  2. Spinous Process
  3. Transverse Facet
  4. Pedicle
  5. Foramen
  6. Lamina
  7. Superior Facet
The thoracic vertebrae are attached to the ribs. However, at T11 and T12, the ribs are not attached and are called floating ribs. The region of the spine’s range of motion is limited because of the rib/vertebrae attachments and the long spinous processes.  

Lumbar Vertebrae

The lumbar vertebrae increase in size from L1 through L5. These are the vertebrae that take the body’s weight along with any loading force that can create biomechanical stress. The pedicles are longer and wider than the thoracic spine pedicles, and the spinous processes are horizontal and more square. The neural passageway is large but nerve root compression is very common due to disc herniation from poor posture, prolonged sitting, improper lifting, etc.  
11860 Vista Del Sol, Ste. 128 The Spinal/Vertebral Column

Vertebrae’s Purpose

The vertebrae range in size with the cervical region being the smallest. The lumbar low back region is the largest. The vertebral bodies of the spinal column are what bear the weight. The body’s upper weight is dispersed through the spine to the sacrum and pelvis. Thee natural curves in the spine provide resistance, flexibility by distributing the body’s weight, and axial loads/forces sustained when in motion. Vertebrae are made up of many elements critical to the overall function of the spine. This includes the intervertebral discs and facet joints. Functions of the spinal/vertebral column include:  
Protection Spinal Cord Internal Organs
Attachment Ligaments Muscles Tendons
Support Structure Head Shoulders Chest Connect Upper and Lower body Balance
Mobility and Flexibility Extension – bending backward Flexion – bending forward Side bending Rotation Combination
Other The bones produce red blood cells Stores minerals

Sacrum

The sacrum is located behind the pelvis. It consists of five bones that are abbreviated S1 through S5. They are fused together in a triangular shape. The sacrum fits between the hipbones and connects the spine to the pelvis. The last vertebra L5 moves with the sacrum. Right below are five more bones that are also fused together and they form the Coccyx or tailbone.

Intervertebral Discs

The intervertebral discs make up a quarter of the spinal/vertebral column’s length. There are no discs between the Atlas, Axis, and Coccyx. Discs are not connected to the body’s vascular system and so depend on the endplates to disperse essential minerals and nutrients. The cartilaginous layers keep the discs in place. They are fibrocartilaginous cushions that function as the spine/body’s shock absorbers. They protect the vertebrae, brain, nerves, etc. There is some vertebral motion that the discs allow but individual disc movement is limited. Significant motion is possible when the discs work together.  
11860 Vista Del Sol, Ste. 128 The Spinal/Vertebral Column
 

Annulus Fibrosus and Nucleus Pulposus

Intervertebral discs are made up of an annulus fibrosus and a nucleus pulposus. The annulus fibrosus is a strong radial structure made up of lamellae. Concentric sheets of collagen fibers connect to the endplates. These sheets are positioned at various angles. The annulus fibrosus encapsulates the nucleus pulposus.  
 
Both are made up of water, collagen, and proteoglycans. However, the larger amount of water and proteoglycans are in the nucleus pulposus. Proteoglycan molecules are essential because they attract and retain water. The nucleus pulposus consists of a hydrated gel-like substance that resists compression. The amount of water in the nucleus changes throughout the day. This depends on the activity or non-activity. All in all proper care and maintenance of the spinal/vertebral column is vital to general health and overall well-being.
 

Car Accident Rehabilitation Chiropractor

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Neck Brace or Collar for Neck Pain Disorders

11860 Vista Del Sol, Ste. 128 Neck Brace or Collar for Neck Pain Disorders
Senior woman with bandage on her neck sitting in wheelchair and talking to the man in the room
Using a neck brace or collar can be part of a treatment option for individuals dealing with a neck injury, pain, and recovery. Cervical-neck spinal conditions can go from mild to debilitating if left untreated and could progress to chronic pain. Whiplash and abnormal cervical lordosis, which is an unnatural curvature of the spine, can happen from looking down at a phone too long, known as text-neck. These are common but different neck disorders that can be helped with a neck brace. Being prescribed a neck brace depends on the severity of the pain symptoms. Does it present with or without upper back pain, radiate into the shoulders, cause headaches/migraine? These details will help a doctor or chiropractor figure out the best treatment option. If the patient can benefit then a neck brace, also called a cervical collar or cervical orthosis could be used.  
11860 Vista Del Sol, Ste. 128 Neck Brace or Collar for Neck Pain Disorders
 

Neck Brace

Fortunately, spinal surgery is rarely necessary. There are plenty of non-surgical treatment options that can help manage and reduce neck pain. A neck brace or collar could be part of a treatment plan that includes:
  • Chiropractic
  • Physical therapy
  • Massage
  • Acupuncture
  • Medications – over-the-counter and prescription if necessary
The treatment plan will be based on the outcome of:
  • Physical examination
  • Neurological examination
  • X-rays
  • Other imaging tests
  • Severity of symptoms
These combined will confirm a diagnosis with the treatment focusing on:
  • Neck stabilization
  • Pain management
  • Advanced healing
  • Early mobilization

Brace Basics

There are a variety of soft and rigid neck braces available to help manage different cervical spine conditions. The type of brace prescribed is based on the diagnosis and treatment plan. Soft neck braces are flexible and offer the greatest range of motion. Rigid collars are for stricter immobilization/stabilization. Stabilization refers to immobilizing the head and neck. Limiting or preventing motion helps to support the head while reducing weight from the cervical spine. Two of the most common neck pain disorders are whiplash and poor posture.  
 

Soft Collar

Whiplash is a hyperflexion and hyperextension neck injury. It is caused when the neck quickly, forcefully and swiftly whips forward and backward. Whiplash injuries most commonly happen from auto accidents, work, personal, and sports injuries. Whiplash symptoms are considered sprains and strains. This is when ligaments, in this case, those of the neck, and the muscles are stretched or torn. These include:
  • Neck pain
  • Stiffness
  • Muscle spasms
  • Headaches that start in the neck
However, all of the symptoms can radiate into the head and upper back. This is where a doctor could recommend a soft cervical collar as part of a treatment plan. This could be in conjunction with muscle relaxants and physical therapy. Soft collars provide neck support to help reduce soft tissue inflammation and the pain forty-eight to seventy-two hours after the injury. Soft neck braces are usually made of foam and covered with cotton or other easily washable, comfortable wearable material. The brace wraps around the neck and is secured with Velcro straps. Be aware that over-using a neck brace can happen. A doctor will explain further and will prescribe/encourage performing daily motion exercises, and stretching exercises, as soon as the patient is able after a whiplash injury.

Rigid Collar

Lordosis means the normal forward curve in the neck. However, the normal curve can change negatively with time when the head regularly bends forward past the shoulders. An example is looking down at your phone. Most of us spend hours a day looking down at a phone pad, etc. This causes significant strain on the neck. The human head weighs around 12 pounds. This weight increases to about 60 pounds when the head and neck are extended forward and bent down. A constantly increased load on the spine can lead to massive stress to the bones, ligaments, and muscles with the potential change in the normal curve and chronic neck pain. Text neck is another spinal disorder that a neck brace can help treat. Depending on the severity of the pain and injury a rigid neck brace or collar could be used.  
11860 Vista Del Sol, Ste. 128 Neck Brace or Collar for Neck Pain Disorders
 
All neck braces offer some degree of head and neck support. Another type of rigid neck brace has adjustable features that were developed to treat forward head posture caused by poor posture. This brace is called the Cervigard Forward Head Posture Neck Collar. It supports while correcting the alignment of the head and neck. Regular use can gradually restore the normal curvature by correcting head and neck posture.  
 
Doctors recommend the brace be worn for 20 minutes a day or several hours, depending on the severity of pain and injury. The process of correcting the deformation can be compared to straightening teeth with braces, aligners, etc. This retrains the muscles and corrects the abnormal soft tissue tightness that develops from the condition.  
 

Instructions

If a doctor prescribes a brace, follow their instructions for how to wear the neck brace. This will ensure the pain reduces and alleviates, while at the same time reducing the risk of the negative effects of overuse. Ask the doctor or chiropractor how to care for the brace.
 

Neck & Low Back Pain Treatment

 
   

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Osteoid Osteoma of the Spine: Muscle Spasms, and Pain

11860 Vista Del Sol, Ste. 128 Osteoid Osteoma of the Spine: Muscle Spasms, and Pain
Physiotherapist explaining spine model to patient in the clinic
Osteoid osteoma refers to a benign tumor/s that can grow on the spine as well as other areas of the body. They are not cancerous, but they can cause pain and abnormal curvature of the spine. It can begin as a small benign spinal tumor that can cause pain, especially at night. They do respond well to over-the-counter pain relievers and can go away on its own. However, if symptoms are unmanageable, other treatments are available.  
11860 Vista Del Sol, Ste. 128 Osteoid Osteoma of the Spine: Muscle Spasms, and Pain
 

Osteoid Osteoma

Osteoid means a type of tissue that eventually turns to bone. Osteoma means a type of tumor unique to bones. They are small typical size is less than one inch across. These growths represent around ten percent of all benign bone tumors, with one percent representing spinal tumors. They can appear and also affect the bones of the arms, hands, fingers, ankles, or feet. They are discovered on the spine around fifteen percent of the time. Osteoid osteomas of the spine affect the posterior, or back area of the vertebrae rather than the anterior, or front region. However, any area of the spine could be affected. But they are most common in the low back.
  • 60% affect the lumbar spine lower back
  • 27% affect the cervical spine or neck region
  • 12% affects the thoracic spine or middle back

Risks

Osteoid osteoma is not cancerous and will not spread out to the various organ systems the way malignant cancer does. It can be discomforting, painful, and could have to be removed. There are some risks associated with osteoid osteomas including:

Scoliosis

It could provoke muscle spasms of the erector spinae. These are the muscles that support the spine and could lead to scoliosis. The spine has a natural curvature. Scoliosis generates an S or C shaped curve to the left, right, or both ways affecting function and mobility. This type is more likely to contribute to the left or right curve of the spine affecting the lower back.  
scoliosis treatment el paso tx.
 

Incorrect diagnosis

Because osteoid osteoma can cause scoliosis, sometimes a doctor will focus on treating the abnormal curve instead of the osteoma.

Nerve root compression

Most individuals do not pose a risk for nerve root compression. But there is a risk if the growth begins to press against the spinal cord, as it can interfere with nerve function. This can lead to spreading/radiating pain and sciatica.
 

Causes

The causes of osteoid osteoma are not completely understood. What is known is that men are three times more likely to be diagnosed than women. Young people also pose a risk at development. It can develop at any age, but around eighty percent are diagnosed in individuals under 30 years of age. The core of an osteoma is a growth called a nidus. Inside are growing tumor cells, blood vessels, along with cells that progress to bone. A bony shell encapsulates the whole thing.

Signs and Symptoms

Osteoid osteomas usually cause a dull ache at the site of the tumor along with muscle spasms. The pain often gets worse at night. It can be relieved with non-steroidal anti-inflammatory medications like ibuprofen and aspirin. The pain can also be sharp, and occur during the day, worsening with activity and sometimes progressing to severe pain over time. In some cases, however, there are no symptoms.  
11860 Vista Del Sol, Ste. 128 Osteoid Osteoma of the Spine: Muscle Spasms, and Pain
 

Diagnosis

Doctors usually notice painful or swollen soft tissue around the tumor during a physical examination. There could be a lump, but this is rare. Imaging tests like an X-ray or a CT scan will be ordered. An x-ray can show the bone thickening, but a CT scan will show the nidus clearly as a dark center surrounded by white cortical bone. Sometimes a CT and MRI imaging scan is used in conjunction to diagnose osteoid osteomas. In some cases, a biopsy could be needed. This is taking a tissue sample and sending it to a lab to be examined under a microscope. However, this is rarely needed.  
 

Treatment

Nonsurgical

Non-steroidal anti-inflammatory medications can be effective relieving symptoms. If it can be controlled with just medication, then this could be the only treatment necessary. Some patients do well trying a different painkiller if the preferred medication no longer works. This needs to be discussed with your doctor, as chronic medication use is associated with issues like ulcers, kidney damage, and concerns about opioid addiction. When this approach is taken, the pain lasts for about three years with the lesion breaking down in five to seven years.

Surgical

If the pain cannot be controlled or the osteoma develops to scoliosis, surgery could be the next step. Most spinal osteomas are surgically removed with open curettage. It is a small incision. The nidus is scooped/scraped out and the cavity walls are removed with a motorized burr. Often a small amount of bone graft material is used to fill in the area. Unfortunately, surgical resection means having to stay at the hospital. Recovery time can be painful.

Radiofrequency ablation

For osteomas that affect the bones other than the spine, radiofrequency ablation. It is a minimally invasive outpatient procedure with a short recovery time. During the procedure, radiofrequency waves generate heat within the nidus around six minutes destroying the tumor. Surgeons use CT scans to precisely target the tumor. The procedure takes one to two hours and afterward, the patient waits in a recovery room for up to four hours. However, radiofrequency ablation is not as commonly used to treat spinal osteomas. This comes from the risk of thermal nerve damage. The needle tip can reach 194 degrees Fahrenheit, which is more than enough to damage the nerves. Candidates for radiofrequency ablation are usually young patients with no history of neurological problems. Osteoid osteoma is not as scary as it sounds, remember the best defense is a knowledgeable doctor and chiropractor. If back pain is presenting, do not wait to get treatment. There is a spine specialist who can help.

Chronic Pain Chiropractic 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*

Healthy Aging of the Body’s Muscles

11860 Vista Del Sol, Ste. 128 Healthy Aging of the Body's Muscles
Buffed strong man practicing functional training powerlifting workout exercises with a barbell and smiling, close-up photo
Healthy aging is not the easiest to do. The muscle aging process breaks down faster than they get repaired as the body ages. This makes it difficult to participate and carry out regular activities. For healthy aging to be achieved exercise is a must. Specifically, strength training helps to regain muscle loss from aging/inactivity. Strength training reduces the difficulty of daily tasks, enhances the body’s energy, and composition. Strength training combined with vitamin D supplementation will slow down muscle loss, help regain muscle mass/strength, maintain healthy blood sugar levels, and prevent falls. New health problems, new aches, pains, and new fragility caused by muscle loss. What steps can be taken to promote healthy aging and staying healthy and fit? The science of aging, and what can be done to age gracefully and maintain optimal health.  
11860 Vista Del Sol, Ste. 128 Healthy Aging of the Body's Muscles
 

The body and aging

The body’s muscles are constantly going breaking down and repairing themselves. As the muscles are used throughout the day, tiny microscopic tears happen from wear and tear. This is where the tears need to be rebuilt with protein. As the body gets older, it stops rebuilding muscle as efficiently and with time, there is a reduction in overall muscle mass and strength. This loss can be from a combination of factors including:
  • Hormone changes – increasing/decreasing levels
  • Physical inactivity
  • Underlying conditions like cardiovascular disease, diabetes, cancer
This reduction in muscle mass does not just happen to the seniors and the elderly. Body development and strength are at their optimal in an individual’s twenties and start to plateau in the thirties. A decrease in strength usually leads to being less active, and routine activities start to become more difficult. Less activity leads to:
  • Less to no calories burned
  • Minimal muscle development
  • Negative changes to body composition
  • Muscle loss
  • Increase in body fat
At some point in an individual’s thirties, the body begins to progressively lose muscle each year. At fifty an individual could have lost around ten percent of the body’s muscle. Then an additional 15% by sixty and another 15% by seventy. Then overall functionality is lost and the ability to enjoy life to the fullest decreases.

Muscle loss factors

Sarcopenia

Sarcopenia is a significant loss of muscle mass and strength. It focuses on diet changes and physical activity that cause progressive loss of muscle mass.
  • Balance issues
  • Change in walking ability
  • Decreased ability to perform daily activities
It was once believed that muscle loss and the effects that came with it were inevitable. However, with the advancements in science and musculoskeletal health, along with continuing to stay active and keeping track of body composition, there are ways to combat loss of muscle mass and strength. Causes include:
  • Age
  • Improper nutrition – decreased protein intake
  • Hormonal changes
  • Increase in pro-inflammatory proteins that the body makes, not the type that is eaten
  • Decreased physical activity
  • Vascular disease/s

Malnutrition

Malnutrition is a lack of nutritional intake, which can affect body composition. Malnutrition can create complications that not only affect diet and exercise but how the body responds to diet and exercise. Elderly individuals tend not to get enough protein, which is essential for healthy muscle repair. This is often because they have trouble chewing, food-costs, and trouble cooking limit their access to getting protein on a regular basis. Inadequate protein intake can lead to sarcopenia. Protein requirements for older individuals are higher than for the younger population. This is brought on by age-related changes like a decreased response to protein intake. This means that older individuals need to consume more protein to achieve the same anabolic effect. Micronutrient deficiency means a lack of nutrients. These are minerals and vitamins, that support body processes like cell regeneration, immune system health, and eyesight. Examples are iron or calcium deficiencies. This deficiency has the highest impact on normal physiological functions/processes and can happen with a protein-energy deficiency. This is because most micronutrients are obtained from food.  
 

Body composition and age

Proper lean muscle mass is essential for healthy aging. A lack of enough muscle can result in:

Difficulty moving

This is when regular movements are no longer regular but now take massive amounts of strength and energy. Examples include taking the elevator becoming a necessity and getting in and out of a car is just as challenging. Loss of function and independence are common as muscle loss progresses. Nineteen percent of women and ten percent of men aged 65 or older no longer have the ability to kneel.

Weight gain

The muscles are linked with the body’s metabolism, so once muscles begin to diminish, so does the metabolism. This is referred to as the body’s metabolism slowing down. What is actually happening is a loss of muscle, meaning the body needs fewer calories to function. When the body needs fewer calories and an individual continues eating the same amount of calories, this is when body fat starts to accumulate. This can happen with no significant changes to individual weight. As muscle loss progresses, it is replaced by fat. Body-weight can remain unchanged, but changes in body composition are unseen, which often leads to an array of health problems associated with obesity.

New healthy aging problems

Studies show that weight gain at a steady rate can lead to adult-onset diabetes. This is due to more body fat and muscle loss. Skeletal muscle mass loss has been linked with insulin resistance. This means the less muscle, the less insulin sensitive an individual becomes. As insulin sensitivity decreases and becomes more resistant, the risk factors for type 2 diabetes increases. Loss of muscle can cause other problems with age. One damaging condition is osteoporosis. A few ways to prevent muscle loss.
  • Eat a proper amount of protein throughout the day. Space out protein across several meals rather than trying to eat it all at once. This will ensure the proper amount daily.
  • Monitor body composition regularly. Try to keep muscle mass loss and fat mass gain at a minimum.
  • Begin a strength training routine.
11860 Vista Del Sol, Ste. 128 Healthy Aging of the Body's Muscles
 

Focus on building muscle

Muscle loss and weakness has been shown to not be a part of aging, but rather as a result of chronic inactivity. Muscle mass is lost with age but it is not the aging process itself that causes muscle atrophy. It is because individuals tend to become more inactive. Physical inactivity is really what causes muscle loss and weakness. However, something can be done about inactivity. For example, there was a study on postmenopausal women that revealed that regular resistance training increased muscle strength by about 19% after one year. Scientific researchers believed this training increased bone mineral density, which defends against brittle bones. This along with related studies also confirmed that bone frailty can be reduced. Muscle strength relative to muscle mass can also be improved with resistance/strength training. The idea is that physical aging can be slowed down with physical activity. This is to keep the muscles from losing function.

DNA damaged cells

Telomeres are caps at the end of DNA strands that protect the chromosomes. They can be thought of as the plastic ends on shoelaces. If those shoelaces lose the plastic ends the laces become frayed until they unravel and can no longer do their job. The same can be said of telomeres, the DNA strands become damaged and the cells cannot do their job. A shortening of the Telomere is a hallmark of cellular aging. Cells with shortened telomeres tend to malfunction and secrete hormones that trigger an inflammatory response and tumor formation. A study found that individuals that exercise regularly have longer telomeres. This does not mean that an individual has to spend the entire day at the gym. Only moderate, not heavy strength training was found to be effective.  
 

Maintain muscle

Older individuals can still be reluctant to try improving their fitness level. Many believe that years of inactivity has done its damage and that they are too old to train. However, anyone can set goals to improve body composition that will improve energy levels and maintain activity. Functional fitness refers to the ability to move comfortably throughout daily life. It not only benefits physical activity but contributes to improved body composition. The aging process does reduce metabolic rate and often leads to increased body fat. Lean Body Mass contributes to the overall Basal Metabolic Rate also known as metabolism. This is the number of calories the body needs to support its essential functions. Engaging in strength training or resistance exercises can regain some of the muscle loss brought on from aging and inactivity. This can lead to an increase in lean body mass, which increases Basal Metabolic Rate. This all helps prevent:
  • Bone loss
  • Heart disease
  • Obesity
  • Age-related falls
With age and the loss of lean muscle mass, balance and agility follow. Tendencies to fall increase and the injuries from those falls can be detrimental to overall health and quality of life. Fractures caused by falling are higher in elder women. A study of all-women over the age of fifty spent 12 weeks using bands as the chosen form of resistance, as opposed to dumbbells or seated machines, saw a significant increase in strength. None of the participants reported injuries. This could be important for those that are worried that exercise could cause too much strain on the body.

It is never too late

Six percent of adults in the United States engage in resistance training or some form of weight training at least twice a week. There are misconceptions that weight training has an age limit. This is not true. The benefits from lifting weights, whether dumbbells, bodyweight exercises, bands, machines, etc are for everyone young and old. This does not mean training at high-intensity. Older adults should look to resistance training to increase energy levels and decrease body fat. A study in Sports Medicine focused on the effects of strength training for older adults found:
  • Increased power
  • Reduced difficulty to perform daily tasks
  • Enhanced energy
  • Improved body composition
  • Participation in spontaneous physical activity
There are several key changes for older adults to increase their healthy aging. They are:
  • Eating sufficient nutrients
  • Monitoring body composition
  • Strength/resistance training
Both strength training and proper nutrition are vital for maintaining or achieving ideal body composition.
 

Vitamin D

Vitamin D is a nutrient that can be acquired in several ways. It supports the normal physiologic functions that include the absorption of minerals like calcium and zinc. This nutrient can be acquired through food consumption, supplemental form, and exposure to the sun. Most foods in a regular diet provide a relatively small amount with the exception of fatty-fish. Examples of natural food sources include:
  • Salmon
  • Swordfish
  • Egg yolks
  • Fortified foods like milk, orange juice, and yogurt
Once Vitamin D enters the body, it goes through the liver, kidneys and gets converted into an active form, known as a prohormone. It is then circulated into the blood. A prohormone is essential to normal physiological function and support of the skeletal muscle system.

Building muscle

Vitamin D plays an important role in bone health. More recently it has been reported to contribute to muscle quality. Skeletal Muscle Mass decreases with age, primarily from decreased activity. Treatment includes proper nutrition, exercise, and vitamin D naturally or in supplementation form. It was found to slow down muscle loss, help regain muscle mass and strength.

On your feet

Falls are the number-one cause of fatal and nonfatal injury/s. Low vitamin D levels could be partly to blame. There is strong evidence that vitamin D deficiency can increase the risk of a fall in older adults. The connection has to do with the effects of muscle strength and function. Around 250 older adults participated in a trial of taking vitamin D daily plus calcium supplementation improved:
  • Quadriceps strength
  • Postural control
  • Daily functions
  • Standing up
  • Walking
After a year falls were found to decrease by over 25%. Compared with patients that only received calcium, and improved by almost 40% after 20 months. Supplements helped these individuals counter the effects of aging and inactivity on their muscles, and was important in preventing potential falls that could result in injury. Getting enough vitamin D is a step to take to supplement exercise, strength training, and maintain muscle health.

Blood sugar check

Vitamin D benefits for muscle health have been linked with muscle mass and blood sugar. Insulin is a hormone that allows blood sugar into the muscles. Individuals with sufficient blood vitamin D levels have a significantly lower risk of hyperglycemia than those with below-recommended levels. Research shows that daily vitamin D supplements in combination with calcium slow down the long-term rise in blood sugar in individuals with prediabetes. Research has shown that supplementation is beneficial for those who are classified as having a deficiency.

Vitamin D Supplements

For individuals with vitamin deficiencies, supplementation can help prevent loss of muscle, strength, falling, and the progression of hyperglycemia. Aging can be accomplished strength training, aerobic exercise, a healthy diet, and the regular monitoring of body composition.

Healthy aging

Maintaining optimal health and aging the way we were supposed to is possible. It does get harder to maintain ideal body composition. The muscles have a harder time rebuilding/repairing and can experience sarcopenia and malnutrition. It is not about getting a flawless physique, but about being able to participate in activities and maintain a healthy lifestyle. Achieving functional fitness through:
  • Observation
  • Diet evaluation
  • Dietary supplementation
  • Twice a week strength training
  • Five-time a week moderate cardiovascular fitness
It is never too late to start on the journey towards optimal health and healthy aging.

Weight Loss Techniques – Push Fitness Center

 
 

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*

When Sciatica Is Not Spine Related

11860 Vista Del Sol, Ste. 128 When Sciatica Is Not Spine Related
Physiotherapist examining womans back in clinic

There are other causes of sciatica that are not spine-related. It is sometimes called non-spinal pathology, which means not related to the spine. The most common cause of sciatic pain is a herniated disc. Non-spine-related causes of sciatica can imitate/copy the symptoms of a herniated disc in the low back. When a lumbar herniated disc causes sciatica, people typically report a sudden onset of pain with leg pain worse than any back pain that might be present. In addition to pain in the leg, there are also reports of leg weakness, numbness, and tingling. Leg pain becomes worse after:

  • Long periods of sitting/standing
  • Forward bending
  • Body maneuvers that increase pressure in intervertebral discs
  • Coughing
  • Sneezing

Individuals also report when lying down and the spine is extended the back pain reduces and alleviates the pain. Determining the source of sciatica pain correctly means that it is important to:

  • Characterize the activities leading up to when the symptoms first presented
  • Location of the pain
  • Associated factors that reduce and worsen the pain
  • Medical history
11860 Vista Del Sol, Ste. 128 When Sciatica Is Not Spine Related
 

Because there are quite a few non-spine-related causes, it can be helpful to keep in mind:

  • The way the sciatic nerve runs through the lower body. It starts in the lower lumbar and upper sacral nerve roots. It exits through the pelvis and runs down the back of the thigh to the knee where it branches out into nerves that provide the motor and sensory functions to the legs and feet.
  • Non-spinal sciatica causes. Non-spinal causes usually are the result of irritation of the nerve itself. The most common ways to irritate the nerve are compression, traction, or injury.
  • Symptoms perceived as sciatica may not be related to the nerve at all. Injury/s to structures close to the nerve, like the hip, can copy symptoms caused by irritation of the nerve.

 

Hip joint disorders can emulate sciatica symptoms

Because the sciatic nerve is close to the hip joint, an injury to the hip could resemble symptoms of sciatica. Whatever the cause of the hip injury, those with hip pathology often report pain in the groin, upper thigh, and buttocks. The pain gets worse with activity, specifically bending, and rotation of the hip.

Leg pain that turns into a limp when walking means that more likely the hip, and not the lower back, is the cause of the leg pain. X-rays and if necessary MRIs of the hip can help in determining if the hip is the cause of leg pain. An example of hip pathology that mimics spine-related sciatica:

Hip Osteoarthritis

This is characterized by the loss of cartilage. This results in the narrowing of the ball and socket joint. For individuals with arthritis of the spine and hip, a doctor could use a steroid injection as a therapeutic providing pain relief and a diagnostic to help identify the root cause/pain generator.  

 

Osteonecrosis

The femoral head can collapse from a lack of blood flow. Risk factors include:

  • Alcohol abuse
  • Sickle cell disease
  • Chronic steroid use
  • Femoral neck fracture
  • Hip dislocation

 

Femoroacetabular Impingement

This can stem from constant abnormal rubbing between the femoral neck and acetabulum from a bone deformity of the femur, or the acetabulum. Hip impingement at the joint can start the onset of arthritis along with tears of the labrum. This is cartilage that surrounds the hip joint and provides stability.

 

Trochanteric Bursitis

There are fluid-filled sacs called bursas/bursae that help decrease friction between the bones, surrounding tendons, and muscles. They are at multiple locations on the body. Bursitis means that the bursa is inflamed and can be quite painful. The greater trochanter is a bony outward bump that extends from the femur. Trochanteric bursitis refers to inflammation of the bursa that separates the greater trochanter with the muscles and tendons of the thigh. Common symptoms are pain on the outside of the thigh that worsens by pressing on the area and can interfere with proper sleep when lying on the affected side.

 

Femoral Neck Stress Fracture

Incomplete fracture/s of the femoral neck typically occur in individuals that walk or run long distances regularly like runners and soldiers. The pain is usually focused around the groin and can be subtle when it presents. Walking or running makes the pain worse.

 

Sacroiliac joints and fractures

The sacroiliac joints connect the spine to the pelvis. There are two joints, one on either side of the sacrum. While they are relatively immobile, they go through tremendous force doing routine daily activities. Sacroiliac joint pathology that can mimic spine-related sciatica include:

 

Sacroiliitis

This is inflammation of the sacroiliac joints. The pain presents in a slow fashion with no obvious injury or cause. The pain is usually localized to the buttocks and can radiate down the back of the thigh. It is believed to be caused by irritation of the sciatic nerve by the inflammatory molecules in the sacroiliac joint or could present as referred pain from the joint. This is pain that is detected in a location other than the area of the pain generator. The pain reduces with light walking.  

11860 Vista Del Sol, Ste. 128 When Sciatica Is Not Spine Related
 

Sacral Fracture

A fracture of the sacrum can occur in those with a weakened bone after a minor injury and without trauma. Risk factors include:

  • Advanced age
  • Osteoporosis
  • Chronic steroid use
  • Rheumatoid arthritis
  • Vitamin D deficiency.

The pain usually localizes in the low back radiates to the buttocks, or groin, and worsens with activity.

 

Trauma-related

Trauma to the pelvis or thigh can definitely cause sciatica pain and symptoms. With high-energy injuries, it is possible for the nerve roots of the sciatic nerve to get pulled or torn. More common causes include:

  • Posterior hip dislocation
  • Pelvic fracture

The hamstring muscles are in close proximity to the sciatic nerve. A torn hamstring can irritate the sciatic nerve either through direct compression from the localized bleeding known as a hematoma or from an inflammatory response triggered when the injury happened.  

 

Penetrating trauma

If some sharp object like a tool or shrapnel penetrates any area where the sciatic nerve is, it could cause sciatica by cutting the nerve. Or the object tears the nerve, known as a laceration. Most cases of trauma-induced sciatica result from a mild form of nerve injury known as neuropraxia. This is an injury that temporarily blocks nerve function. Neuropraxia can develop from the shock waves that surround the object as it travels through the tissue.

 

Benign tumors and metastatic cancer

Discovering cancer during diagnosis for sciatica is rare. Symptoms that increase the possibility of cancer being the cause include:

  • Cancer in medical history
  • 50 years and older
  • Leg pain that goes on through the night
  • No relief from lying on the back
  • Night sweats
  • Unexplained weight loss

When back pain presents in a subtle fashion without a history of trauma or injury and is not affected by activity or changes in position can also suggest cancer as the cause. Tumors usually cause sciatica by applying direct compression on the nerve. They can be benign or malignant. Tumor/s can arise from the sciatic nerve itself:

 

Shingles

Shingles are a painful rash that occurs on one side of the body. It is caused by the varicella-zoster virus, which is the virus that causes chickenpox. The virus can lie dormant in nerve cells for years without causing any symptoms. Older individuals and individuals with underlying conditions in an immunocompromised state can cause the virus to activate. If the virus reactivates around the buttock and thigh, it can feel like sciatica. The presence of a red rash with blisters around the painful area is consistent with shingles.

 

Childbirth and endometriosis

During pregnancy, the pelvis can become compressed between the growing baby and the bones in the pelvis. Also, having the hips and knees flexed and supported in stirrups too long can also cause sciatica. However, pregnancy-related sciatica is often temporary.

A less common cause that occurs in women is endometriosis. Endometriosis is the growth of tissue somewhere other than the uterus, usually the ovaries and fallopian tubes. In some cases, this tissue can accumulate around the sciatic nerve or the nerve itself. As the tissue responds to the changes taking place during a normal menstrual cycle, recurrent sciatica pain can present.

 

Vascular diagnoses

Arteries and veins in the pelvis and lower extremities that have become abnormal can cause sciatica. Either through compression or lack of oxygen from poor blood flow. An aneurysm can happen when the wall of the artery weakens and cannot withstand the pressure of the blood flowing through. This enlarges the artery and in some cases, the artery grows large enough to compress the nerve.

Peripheral artery disease can cause sciatica when not enough blood is circulated from the heart to the muscles in the legs. If not enough oxygen is delivered to the muscles, leg pain and numbness can occur. It’s called claudication and is characterized by pain that is aggravated when walking and relieved when standing still. Risk factors for peripheral artery disease include:

  • Smokers both current and those who have quit
  • High blood pressure
  • High cholesterol
  • Diabetic

 

Diabetes/high blood sugar

Diabetic peripheral neuropathy happens from nerve damage caused by high blood sugar. Nerves that are exposed to chronic high blood sugar can get damaged from the disruption of proper blood flow or from an alteration of the cellular structure of the nerve.

 

Prescription meds

Nerve and muscle damage can happen as a side effect of prescription meds. Neuropathy and myopathy can cause symptoms that mimic sciatica brought on by disc herniation. Sometimes, if the medication is no longer taken the symptoms go away. The list of medications include:

  • Chemotherapy agents
  • Antibiotics
  • Statins medication to help lower cholesterol

 

Piriformis syndrome and back pocket wallets

 

 

The piriformis muscle originates on the sacrum, runs through the sciatic notch, shown above, and attaches to the top of the femur. The sciatic notch also includes the sciatic nerve. Piriformis syndrome is caused when the piriformis muscle compresses the sciatic nerve. Individuals typically report pain in the buttocks that shoots down the same leg and is made worse when sitting. Piriformis syndrome can be difficult to diagnose, but physical exam maneuvers have been developed in aiding the diagnosis of the syndrome. They involve some form of hip abduction resistance and external rotation to cause a contraction of the piriformis muscle.  

11860 Vista Del Sol, Ste. 128 When Sciatica Is Not Spine Related
 

Back pocket wallet

Also known as wallet neuritis, and wallet sciatica are terms that have been used to describe compression of the sciatic nerve by a heavy/bulky wallet in a back pocket. It is similar to symptoms of piriformis syndrome and presents in the buttocks and the same leg that can get aggravated from sitting. Usually, if the wallet is the sole cause, taking the wallet from the back pocket to another pocket or other storage option often brings pain relief.

 

Conclusion non-spine related causes

While the majority of sciatica cases are caused by a back problem, injury, etc. There are various causes outside of the spinal column. Being able to describe the:

  • Location
  • Pain severity
  • Associated symptoms
  • Factors that aggravate and alleviate the pain

These can absolutely help your doctor, chiropractor, specialist accurately diagnose and generate an optimal customized treatment plan for spine-related or non-spine-related sciatica.


 

Chiropractors & Sciatica Syndrome Expose

 


 

Nourishment For A Healthy Spine

11860 Vista Del Sol, Ste. 128 Nourishment For A Healthy Spine
Physiotherapist explaining spine model to patient in clinic
Individuals dealing with back pain or spinal condition that negatively impacts their general health want to know about what they can do to make the pain go away. Back pain and spinal issues that individuals experience can be reduced and alleviated with proper nourishment, exercise, and if necessary chiropractic or physical therapy to keep the body aligned. Fortunately, the majority of these individuals will not need surgery. In addition to the back pain, they want to know what they can do to prevent the pain from radiating to other areas and becoming chronic. This is where proper nourishment for bone health comes into play. It is now becoming a part of the mainstream media as science and technology are finding the links surrounding body/bone health and how nutrition fits into it all.  
11860 Vista Del Sol, Ste. 128 Nourishment For A Healthy Spine
 
We’ve seen and heard about Omega-3 fatty acids for heart health or the importance of fruits and vegetables to help prevent cancer. There is also the nutritional health of the bones and the spine is the largest, not to mention the spinal cord housing all the nerves that establish communication with the body.

Vitamins

Continual optimal health is based on the body’s vitamin and mineral composition. Many of the beneficial vitamins that keep the bones strong can be found in supplements. However, it is recommended to get into the habit of getting nourishment from real food in combination with supplements. This is because a person can follow a vitamin supplement regimen with no benefits. This is because their diet consists of heavily processed, unhealthy foods. Therefore eating highly nourishing foods is the best way to begin. Here are a few to consider:

Dairy

Dairy can be difficult for individuals with intestinal issues and other autoimmune conditions. It can seem daunting trying to figure out what to get and what to avoid. For those with lactose intolerance avoid dairy products altogether and look to calcium and vitamin D supplements. The quality of the dairy product/s also makes a difference. Therefore make sure it doesn’t have artificial ingredients or sugars. This is essential to keeping dairy as part of a healthy diet.

Offal

Offal is the term for internal organs of animals that are used as food. It offers a massive dose of bone-healthy vitamins. Before saying absolutely not, there are plenty of recipes to consider, remember this is about spinal bone health. Beef, calf, and chicken liver, are examples of high sources of:
  • Vitamin A, which repairs tissue and contributes to the formation of bone
  • Vitamin B12 which is important for healthy bone marrow
  • Vitamin K is necessary for proper absorption of calcium into the bones
  • Iron is a necessity for healthy cells and muscles that support the spine

Greens

Spinach packs vitamin A and B12. Kale and broccoli are great sources of Vitamin K and Iron. Nutritionists have a saying that goes “the greener the vegetable, the better.” Eating these vegetables in raw form is not for everybody, so find recipes that incorporate them into favorite dishes while adjusting to the flavors.  
11860 Vista Del Sol, Ste. 128 Nourishment For A Healthy Spine
 

Oranges

Orange fruits are all great sources of vitamin A essential for repairing damaged tissue and in the formation of strong healthy bones and include:
  • Nectarines
  • Cantaloupe
  • Apricots
  • Carrots
  • Sweet potatoes
It does not matter if it is the brain, heart, digestive system, or the spine the body is as healthy as what it consumes. Small dietary changes can generate intense bone protection, especially when it comes to a healthy weight. Obesity and back pain are becoming too common. The condition has been studied extensively and the proof is overwhelming. The body was not designed to carry around this extra weight. Remember the spine is the central support structure and needs to be maintained with proper posture, exercise, and nourishment.

Improve Whole Body Wellness with Functional 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*

Essential Oils for Back Pain Guide

11860 Vista Del Sol, Ste. 128 Essential Oils for Back Pain Guide
orange oil in glass bottle and on a table
Essential oils for back pain could be a treatment option as long as they are used correctly. Although their popularity has grown, people are still divided when it comes to their effectiveness. The common questions that arise are, do these plant-based oils have the power to alleviate pain, or are they just a placebo?  
11860 Vista Del Sol, Ste. 128 Essential Oils for Back Pain Guide
 

Oils

They are essentially chemicals extracted from various plants. They are aromatic, and as far as chemical compounds go they can easily enter the air allowing for inhalation. Doctors have been asked for their opinions on essential oils. And they agree that they can be effective. However, it is something that is difficult to prove scientifically. Currently, there is not a great deal of research to turn to prove that they work. One reason is that it’s difficult to do this type of study. But there are some reliable studies. An example is a study found that using essential oils as aromatherapy can significantly reduce pain. Another study found orange oil specifically to relieve pain. There is more developing research that suggests certain oils applied as a topical agent to the low back, like wintergreen or peppermint, they act as an alternative pain reducer to traditional meds that cause side effects. Definitely more research needs to be done to become a standard form of care. And they can be it just depends on what it’s for. For example, can they cure cancer? No. Can they help with the symptoms? Yes. Certain oils have anti-inflammatory and muscle-relaxing properties. Patients have reported aromatherapy and oils applied topically has helped them with their pain. But, just like anything, it is different for everybody.  
 

When to use

Back pain/conditions that are appropriate for essential oils would be chronic, low-level pain. With any type of numbness, weakness, bowel/bladder dysfunction, or severe, incapacitating pain, go to the hospital, emergency clinic, etc. If pain symptoms do not improve within three to five days, make an appointment with a doctor, chiropractor, or spine specialist. Always check with a healthcare physician before starting an essential oil regimen. This is to make sure there are no adverse effects or complications. It is essential to see a doctor or spine specialist making sure a serious condition is not the cause of the back pain. Severe conditions should not be treated with only essential oils. Oils are considered to be a small part of a larger integrative treatment plan. This includes:
  • Allopathic therapies
  • Physical therapy
  • Mind-body
  • Exercises
  • Sleep
  • Anti-inflammatory diet

Use for back pain

Once a doctor clears an individual to use essential oils, adding them to a back-care treatment plan can be done in two ways.
  • Aromatherapy, with the use of a diffuser to release into the air, allowing for inhalation.
  • Topical agent in the form of a salve, lotion, or cream, and massaged into the pain area
11860 Vista Del Sol, Ste. 128 Essential Oils for Back Pain Guide
 
There are combined aromatic salves and lotions that appeal to patients. An example is an aromatherapy combined with calming lavender oil. Oils that are used to alleviate back pain:
  • Lavender is an excellent choice as an aromatherapy
  • Orange
For a topical agent:
  • Ginger
  • Camphor
  • Menthol
  • Rosemary
  • Wintergreen
  • Mint

What to Know

Choosing the topical option means the oil needs to be diluted as undiluted oil can cause a rash or other reaction. They can be diluted with a carrier. This can be almond, avocado, or coconut. Never ingest essential oil. They can be extremely toxic if ingested and should not be used for small children. Used correctly they could help out with back pain issues, ask your doctor or chiropractor if they could be an option.
 

Lower Back Pain Treatment

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*