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Sciatica or Osteonecrosis of Femoral Head? A Common Misdiagnosis

11860 Vista Del Sol, Ste. 128 Sciatica or Osteonecrosis of Femoral Head? A Common Misdiagnosis
Mixed-race man suffering from low back pain after training in gym
Osteonecrosis is a condition that causes the death of bone tissue from temporary or permanent loss of blood supply to the affected area. It is commonly known as Avascular necrosis and can lead to miniature/tiny breaks in the bone and the bone/s eventually collapsing. Specifically, it affects the upper part of the femur or femoral head and surrounding joints.  
11860 Vista Del Sol, Ste. 128 Sciatica or Osteonecrosis of Femoral Head? A Common Misdiagnosis
 
It can occur in any bone however, osteonecrosis typically affects the hip/s. Pain associated with osteonecrosis of the hip can be localized to the center of the groin, thigh, or buttock. Because of the hip joint’s close proximity to the sciatic nerve, misdiagnosis for sciatica is common.  
 

Mimicking Sciatica Symptoms

Unfortunately, many health care providers can misdiagnose osteonecrosis hip pain as sciatica. Whatever the cause of the hip injury, most individuals with hip pathology report pain in the groin, upper thigh, and buttocks. That is why a trained medical professional that knows the differences in the symptoms of each condition can make all the difference in making a proper diagnosis. And a proper diagnosis leads to proper and complete treatment of whichever condition it may be. With osteonecrosis, misdiagnosis often delays the proper treatment and continues to progress. Common symptoms of sciatica:
  • Leg pain is the primary symptom can be mild to severe
  • Low back pain is secondary can be mild to severe
  • Nerve-related symptoms
  • Numbness
  • Tingling
  • Shooting pain
  • Pins-and-needles sensation
  • Muscle weakness
  • Hip pain especially flexion and internal rotation of the hip.
  • Leg or foot weakness
11860 Vista Del Sol, Ste. 128 Sciatica or Osteonecrosis of Femoral Head? A Common Misdiagnosis
 

Osteonecrosis Symptoms and Similarities

For many, there are no symptoms in the early stages of osteonecrosis. As the condition worsens, the affected joint could present pain symptoms only when weight is placed on it. Eventually, individuals begin to feel the pain even when lying down. Pain can be mild to severe with a gradual development. Other symptoms that mimick sciatica:

Walking Inability

Walking gait is complicated with both conditions which is a major cause behind the misdiagnosis.

Limping

Individuals often limp with osteonecrosis of the hip and spinal disc problems. This is another reason that the condition is misdiagnosed as a spinal disc problem or nerve root compression of the sciatic nerve.

Hip Pain

The tributaries/veins of the sciatic nerve also supply the hip area and often cause confusion between the two conditions.  
 

Differences

Despite all of the similarities. There are differences in both conditions.

Nature of The Pain

  • With sciatica, the pain is related to the nervous system. Movement can complicate the pain. While rest helps to reduce the pain.
  • With Osteonecrosis the pain is geared toward the muscular. Rest does not help reduce the pain. In fact, the pain increases at night.

Location

  • Sciatica pain can radiate through the whole leg from the low back to the toe.
  • Osteonecrosis pain is confined to the hip joint, groin, and radiates to the knee joint only. Osteonecrosis pain does not radiate below the knee joint.

Restricted Movement

  • Osteonecrosis of the hip joint, means the movements involving the hip joint are restricted. Individuals cannot rotate the leg to the right and left. Individuals cannot bend or fold from the hip.
  • With sciatica, the rotation of the leg is not affected. Movements involving stretching the sciatic nerve can cause relief or pain.

Walking Gait Differences

Gait is the way an individual stands and walks.
  • Osteonecrosis of the hip joint causes individuals to not be able to open the hip joint properly or to step properly.
  • With sciatica, an individual tends to lean on their side to relax the compression on the nerve.

Risk Factors

More than 20,000 people enter hospitals for the treatment of osteonecrosis of the hip yearly. Other than the hip, areas of the body likely to be affected are the shoulder, knee, hand, and foot. The condition can occur for a variety of reasons. A few of these include:
  • Fracture – a broken bone can interrupt the blood flow to other sections of the bone.
  • Dislocation of bone or joint/s
  • Alcoholism
  • Trauma
  • Radiation damage
  • Steroid use
Some individuals can have more than one condition or injury that contributes to hip flexor pain. An example is that it is possible to have both hip osteoarthritis and hip impingement. Without proper treatment, the condition can worsen, causing joint or hip pain from the degradation of the bone.  
11860 Vista Del Sol, Ste. 128 Sciatica or Osteonecrosis of Femoral Head? A Common Misdiagnosis
 
Anyone can be affected, but osteonecrosis is most common in individuals aged 30 to 50. Treatment options include a total replacement of the hip known as arthroplasty. And if it is sciatica then chiropractic treatment is a first-line treatment protocol. However, a chiropractor can make the distinction between the two and treat the sciatica or refer the patient to the proper specialist.
 

Lower Back Pain Relief


 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Li, Wen-Long et al. “Exploring the Risk Factors for the Misdiagnosis of Osteonecrosis of Femoral Head: A Case-Control Study.” Orthopaedic surgery, 10.1111/os.12821. 16 Oct. 2020, doi:10.1111/os.12821

Chiropractic Spinal Mobilization Manipulation Techniques and Sciatica

11860 Vista Del Sol, Ste. 128 Chiropractic Spinal Mobilization Manipulation Techniques and Sciatica
Male osteopath during sacral loin treatment procedure, massaging his woman client on a couch
Chiropractic spinal mobilization techniques involve the slow and steady movements of the spine’s joints reestablishing their range of motion. Because it is a slower treatment style the techniques are done with the hands. However, a chiropractor can use various instruments/tools as well. Spinal mobilization treatment has the same focus as spinal manipulation. To get the body back to optimal health and allow the body to heal itself naturally. However, there can be a variety of reasons for utilizing spinal stabilization, with treatment depending on the patient’s needs, if there are underlying conditions, or previous injury/s, and individual preference. Some prefer mobilization because it is gentler and does not generate the pops or cracking sounds. And the chiropractor’s style/specialization comes into play. Some work in the firm manipulation high-velocity style, while others utilize the softer mobilization style and others work in combination.  
11860 Vista Del Sol, Ste. 128 Chiropractic Spinal Mobilization Manipulation Techniques and Sciatica
 

Manipulation High-Velocity Low-Amplitude Techniques

This adjustment re-alignment utilizes the necessary force to release the joint out of its restricted motion to improve mobility and reduce pain. There are various types of high-velocity low-amplitude manipulation approaches. These are the more common manipulation techniques:

Diversified Technique

 
  This high-velocity low-amplitude technique is the one that is commonly associated with chiropractic manual adjustments. The chiropractor applies a short – low-amplitude, quick high-velocity thrust of the restricted joints. This is done one at a time with the objective to restore the normal range of motion. The patient is positioned in various positions to optimize the adjustment/alignment.

Gonstead Adjustment

 
 
The Gonstead technique is another high-velocity low amplitude adjustment. It is similar to the diversified technique. The difference is the evaluation performed to specifically locate the painful joint and positioning of the body as the treatment is performed. Chiropractic or physical therapy chairs and tables can be used to position the patient for optimal treatment, like a cervical chair or a chest-knee table.  
 

Thompson Terminal Point Drop Technique

Here specialized treatment tables with sections that drop down during a high-velocity low-amplitude thrust. The idea is that as the table drops the piece dropped allows for easier movement of the joint. A cracking sound can sometimes be heard. It depends on the patient and their condition. This type of manipulation can also be done in a gentle fashion making it a form of spinal mobilization.  
 

Spinal mobilization

Slow steady motion/movements are performed to mobilize the joint. Spinal mobilization can be recommended for certain individuals for different reasons like:
  • Individual preference for spinal mobilization over spinal manipulation
  • Individuals with a sensitive nervous system can benefit from the gentle technique. This can keep the body from experiencing a negative reaction that can cause muscle spasms or other issues.
  • Individuals with certain conditions could be given a recommendation for spinal mobilization. This could be:
  1. Advanced osteoporosis
  2. Bone pathology
  3. Spinal deformity
  4. Types of inflammatory arthritis
  • Individuals in the acute stage of their condition and experiencing severe pain
  • Obesity can be a factor as the positioning and the manipulation procedures can be a challenge for the provider and the patient requiring a low force approach.

Mobilization Approaches

The more common spinal mobilization approaches include:

Activator Technique

 
11860 Vista Del Sol, Ste. 128 Chiropractic Spinal Mobilization Manipulation Techniques and Sciatica
 
The Activator is a hand-held, spring-loaded tool that generates a low-force impulse. A patient lies face down on the adjustment table, while the chiropractor:
  • Examines leg length
  • Performs muscle testing
  • Adjusts the spine and/or extremity joints

Cox Flexion-Distraction Technique

 
 
Here a gentle adjustment is designed to adjust the vertebrae by gently stretching the lower spine. This is usually performed in a series of repetitive slow movements like a steady rocking motion.

Toggle Drop

 
chiropractic toggle drop technique
 
Here gravity is utilized to apply the adjustment. The chiropractors’ hands are crossed and on top of each other. Then the chiropractor presses down quickly and firmly on the area of the spine while a section of the table drops. The table sections can be raised and dropped according to the localization of the spinal adjustment.  
 

McKenzie Technique

 
 
This technique incorporates active patient involvement, empowerment, and self-care as part of the treatment.  
11860 Vista Del Sol, Ste. 128 Chiropractic Spinal Mobilization Manipulation Techniques and Sciatica
 

Spinal Release

The chiropractor separates the misaligned vertebrae by applying gentle pressure using the fingertips, with the objective to restore the spine back to a natural position.  
11860 Vista Del Sol Ste. 128 Change of Weather Worsening Back Pain El Paso, TX.
 

Sacro-Occipital Technique – SOT

This technique utilizes wedges/blocks under the pelvis. This allows gravity with added low-force to assist the chiropractor to realign the pelvis.  
 

Sciatica Alleviation

All of these techniques can be utilized by a chiropractor for sciatic nerve pain alleviation or can discover other conditions that could be mimicking sciatica.
Nerve mobilization techniques have been recently used as a method to adjust radiating pain related to disc disease, and in particular, mobilization techniques for the sciatic nerves improve mobility of the sciatic nerves, decrease mechanosensitivity of the nervous system, and heighten compliance of nerve tissues, relieving low back pain. Jeong, Ui-Cheol et al. “The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain.” Journal of physical therapy science vol. 28,1 (2016): 46-50. doi:10.1589/jpts.28.46

Sciatica Pain Relief


 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Chiropractic Techniques: Spinal Manipulation

11860 Vista Del Sol, Ste. 128 Chiropractic Techniques: Spinal Manipulation
Massage doctor. The man is undergoing rehabilitation
There is a multitude of chiropractic techniques for spinal alignment. They are used by chiropractors all over the world. All chiropractors have their favorite and specific techniques that they utilize. Depending on how long they have been practicing they can have five to ten different approaches or more refined techniques from years of experience. The focus of these chiropractic techniques is to get the body back to optimal health and allow the body to heal itself naturally. As the body gets restored joint function is enhanced, muscle tension is released, and inflammation and pain are alleviated.  
11860 Vista Del Sol, Ste. 128 Chiropractic Techniques: Spinal Manipulation
 
Various approaches use a form of force, hence the manipulation of the spine. The chiropractic adjustment technique that is the most common is spinal manipulation. It can also be called the diversified technique or HVLA – high-velocity, low-amplitude thrust. However, chiropractic techniques are continually evolving. This comes from creating variations on existing techniques, a combination of techniques, or the chiropractor needs to adjust/tweak their own specific technique/s because they begin to suffer overuse injury/s from the constant adjusting, pushing, thrusting motions. Most techniques are named after the chiropractor that developed the method. These are the most common spinal manipulation techniques currently in use.  

Manipulation Techniques

Chiropractic adapts to the condition/s and specific needs of each individual. Treatment plans can involve a forceful approach and a gentler force technique. This could happen during the same visit or the treatment plan could be half forceful adjustments, that could range from 6 to 10 visits, with the final visits using the gentle approach.

Spinal Manipulation

This is the High-Velocity Low-Amplitude Thrust technique. The most frequently used chiropractic technique. This is the manipulation that most are familiar with because of the audible pop that results. This is from the chiropractor’s hands applying a controlled quick forceful thrust to the spine while the body is positioned in a specific way.  
11860 Vista Del Sol, Ste. 128 Chiropractic Techniques: Spinal Manipulation
 

Spinal Mobilization

This is the Low-Force/Gentle Chiropractic Technique. These techniques are for individuals that require a gentler approach. The technique is known as spinal mobilization. This approach could be utilized due to:
  • Underlying conditions like Osteoporosis for example
  • Pathology
  • Size of the patient – a baby or child for example
  • Patient’s comfort
  • The patient prefers the gentle approach
Some chiropractors prefer and/or specialize in mild spinal mobilization techniques. These are techniques that do not involve twisting the body or using forceful thrusts. Along with spinal mobilization, chiropractors often employ complementary therapy, as part of an overall treatment plan. This could be:
  • Ice
  • Heat
  • Physical therapy
  • Electric stimulation
  • Ultrasound
 
Individuals need to discuss symptoms and preferences with the chiropractor. It is their role to perform a thorough examination to determine the most optimal treatment plan satisfactory to the patient. Chiropractors are not the only health care providers who utilize spinal manipulation for back pain. Osteopathic physicians can also provide types of spinal adjustments. Physical and massage therapists often work with chiropractors with continued treatment. They are fully trained in providing spinal therapy as well.
 

Pregnancy Lower Back Pain Chiropractic Treatment


 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Belly Dancing Can Help Ease and Reduce Back Pain

Back Pain. Young fit woman rubbing muscles of her lower back, suffering from acute ache during workout outdoors, copy space

Belly dancing has been found to be an effective way to help individuals managing low back pain. It could be utilized as a part of a chiropractic treatment plan. The dancing is beneficial for improving posture and allows an individual to improve their fitness with a light form of aerobic exercise.  

 

Regular physical activity/exercise and a healthy lifestyle go hand in hand. For individuals with spinal issues, the right stretches and exercises can make a difference in their quality of life. It increases:

  • Strength
  • Flexibility
  • Helps with pain management
  • Improves posture
  • Maintains spinal alignment

Belly dancing can help with injury recovery, as well as overall health. For most the trouble with exercising regularly is that it becomes routine and boring. Individuals want to live healthily, but it can be a challenge to maintain interest and motivation. An alternative form of physical activity that qualifies as exercise could be the answer.

Dancing has grown in popularity because of its fitness, flexibility, and spinal benefits. This form of belly dancing exercise does not require any special outfit or plenty of space. This utilizes the movements as a form of stretching and keeping the body moving in an aerobic fashion. They can be done at home with video instruction or an online class. Although the majority are women, men can and do belly dance.

 

Belly Dance

Information on the history of belly dancing. The dance has gone through various transformations since its inception. It was once considered burlesque entertainment, is now recognized as an important cultural expression, and today has been found to be a respected form of dance exercise.  

 

Exercise

Belly dancing as physical exercise involves:

Isometric exercises are contract specific muscles or groups of muscles. These types of exercise help with strength and stability enhancement. Both are vital for individuals recovering from back injuries or back pain management.

 

Posture

Dance posture is different than normal standing or sitting posture. Dance posture refers to the way an individual prepares/maintains their body to perform specific movements so that the motions are fluid, graceful, and with no presentation of pain. Belly dance posture maintains proper spinal alignment, which encourages reduced stress/pressure on the joints. This is beneficial for individuals managing back problems. The keys to spinal success are:

11860 Vista Del Sol, Ste. 128 Belly Dancing Can Help Ease and Reduce Back Pain
 

When the abdominal and back muscles maintain/support a straight spine, this alleviates stress on the low back. Lower back issues have shown a positive response to a belly dance exercise therapy program. A study looked at the effects of belly dancing on pain and function in women with chronic lower back pain. The study found that belly dancing made movements of the trunk and pelvis that are known to influence low back pain much easier.

A belly dance program in conjunction with a chiropractic or physical therapy treatment plan can help alleviate pain and improve function. A 45-minute belly dance routine/session promotes aerobic benefits, improves flexibility and core strength.

 

Core Strength

These are movements that train the muscles in the:

  • Pelvis
  • Abdomen
  • Hips
  • Low back

They help build strength, generate stability, protect against back pain, poor posture, and muscle injuries. Having core strength is crucial for individuals with back issues, as it increases the stabilization of the spine. Core strengthening is highly recommended and often prescribed for individuals recovering from lumbar issues.  

11860 Vista Del Sol, Ste. 128 Belly Dancing Can Help Ease and Reduce Back Pain
 

Depression/Anxiety Improvement

Individuals with back pain also tend to experience psychological issues like depression and anxiety. Back pain can affect:

  • Mood
  • Tiredness
  • Sleep problems
  • Self-esteem problems

Belly dancing as part of a treatment/therapy program can help an individual experience benefits that improve mental health and well-being. These include:

  • Regaining mobility
  • Having a positive body image
  • Social interaction is enhanced

 

For All Ages

Belly dancing is a fantastic creative outlet and a great way to exercise. Anyone that is able can participate. Children, seniors, and everyone in between can get into belly dancing. It enhances health and strengthens the body and mind. When the body is in the proper position/posture there are no joint issues or pain. In-person classes, at home with online instruction, DVDs, or video meeting apps can benefit the body and especially the spine.


Life-Changing 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*

Sciatica or Aneurysm, A Deadly Mistake!

11860 Vista Del Sol, Ste. 128 Sciatica or Aneurysm, A Deadly Mistake!
Sciatica or Aneurysm? Knowing how a missed diagnosis could be potentially fatal if not diagnosed accurately could be a deadly mistake! Doctors must not fall for a sciatica diagnosis when a possibly fatal iliac artery aneurysm lies looming and progressing.  
11860 Vista Del Sol, Ste. 128 Sciatica or Aneurysm, A Deadly Mistake!
 

Sciatica or Aneurysm

An example is a patient who visited an emergency clinic after a few weeks for a non-painful pulsing mass on the buttock. There was no:
  • Trauma
  • Injury
  • Back pain
  • Leg pain
  • Prior presentations of pain or sciatica issues
A physical examination found a small pulsing mass on the right buttock. Palpation around the site found no issues with the sensory and motor nerves.  
 
An ultrasound scan of the affected area revealed a developing aneurysm. This was followed by a CT scan of the abdomen along with the pelvis using a contrast dye found the aneurysm developing from the left internal iliac artery. If the mass was not present a doctor could easily diagnose sciatica or persistent sciatic artery. If the iliac artery presents with pulsating lesions is a tip-off that a vascular issue could be impinging on the sciatic nerve. Vascular surgery was discussed with the patient. Surgery was necessary, and the patient underwent sciatic aneurysm repair. The patient was discharged without any complications.  

Persistent Sciatic Artery

This is a very rare congenital vascular condition. The sciatic artery runs along the sciatic nerve and functions as the major blood supply to the lower extremities. During human embryo development, the femoral artery begins to form while the sciatic arteries start to return to a less developed state. The process continues until the femoral artery takes over as the major blood supply, with only bits of the sciatic artery left. Persistent sciatic artery can happen either from the sciatic artery not returning to its original size or during normal development the femoral artery developing properly. Most cases of persistent sciatic artery go unknown and are usually detected from another examination for another ailment. Aneurysms often develop based on the arteries/vessel’s tendency for minor trauma/injury when sitting or some form of pressure is applied on the site. Complications include: A vascular surgeon should be consulted. Treatment options include:
  • Surgical exclusion of the aneurysm
  • Surgical excision of the aneurysm
  • Endovascular stenting
  • Endovascular coiling
11860 Vista Del Sol, Ste. 128 Sciatica or Aneurysm, A Deadly Mistake!
 

Vascular Conditions In The Leg/s That Can Present As Sciatica

The legs’ blood vessels can get infected, bulged, ruptured, or blocked. This can cause sciatica symptoms, like leg pain, weakness, tingling, and numbness. Severe cases could require medical emergency surgery to save the affected limb.

Acute Limb Ischemia

This condition occurs from a decrease or loss of blood supply to the legs. If there is leg pain, it could feel similar to sciatica pain. However, symptoms can progress rapidly and become severe. That’s when it is not sciatica. Acute limb ischemia present one or more of the following symptoms:
  • Pain and/or numbness in the leg while walking and when resting
  • Severe pain at night
  • Sleep problems
  • Pain relief when sitting on a chair with the feet hanging down
  • Feet and ankles become swollen
  • A pale color and lowered skin temperature over the toes and feet when compared to the legs
Acute limb ischemia can develop from an aneurysm, blood clot, or from the thickening of the vessel walls. Treatment should be prompt in order to preserve leg function. Differentiation diagnosis between vascular and other causes like spinal problems that can cause leg pain. A doctor may perform an Ankle/Brachial Index which is a comparison of blood flow in the arms versus the legs. This can be critical in determining if there is vascular insufficiency.  
11860 Vista Del Sol, Ste. 128 Sciatica or Aneurysm, A Deadly Mistake!
 

Acute Compartment Syndrome

This places increased pressure in the muscle tissues of the leg. It can lead to loss of blood supply in and around the affected area. The sciatic nerve can also get compressed from the increased pressure in the buttock, thigh, or leg. The condition can cause pain, numbness, and weakness in the buttock, thigh, and leg. Individuals have also reported an unusual/altered sensation in the web of the great toe. This is similar to sciatica, as well as one or both legs can be affected. Differentiating symptoms include:
  • Leg becomes swollen
  • Pain and tenderness present when touching the leg
  • A pale color and lowered skin temperature over the leg
 
Acute compartment syndrome is a serious condition that is considered a medical emergency. It is possible for the condition to cause complete dysfunction of the limb if not addressed in time. There are risk factors that increase the chances of developing limb ischemia or compartment syndrome. These are:
  • Diabetes
  • Heart conditions
  • High cholesterol
  • Smoking
  • History of having the condition can also cause a recurrence. This can be from an injury or poor health.
Kidney stones, renal failure, or cysts in the kidney can also cause back and leg pain. Other symptoms can include blood in the urine or difficulty urinating. Any sign of distressing symptoms that present with sciatica can indicate the need for medical attention. This is to check for the possibility of a serious underlying condition or medical emergency. Medical emergencies that are treated in time can help preserve the tissue/s, restore function, and save an individual’s life. It is essential for a chiropractor or physical therapist to be familiar with diagnosing in a way that will help identify sciatica or aneurysm in individuals presenting with musculoskeletal issues/problems. Knowledge of these risk factors, understanding how to screen for non-musculoskeletal symptoms, basic competence in palpation, and how to interpret findings will help discover sciatica or aneurysm if it is there and begin timely treatment. And if it is not there then a sciatica treatment plan can be developed before it worsens.

Severe Sciatica Pain Relief

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
  1. Javdanfar A, Celentano C. Sciatic artery aneurysm. West J Emerg Med. 2010;11(5):516-517.

Underlying Causes Of Abdominal Aortic Aneurysm and Sciatica Risks

11860 Vista Del Sol, Ste. 128 Underlying Causes Of Abdominal Aortic Aneurysm and Sciatica Risks
side view of senior man suffering from strong back pain
Underlying causes for an abdominal aortic aneurysm can be challenging to diagnose and identify. Combined with sciatica symptoms, doctors could misdiagnose the ailment and prescribe the wrong treatment protocol. Then an individual has to deal with two conditions that were not properly diagnosed, continue to develop, and worsen. This is why finding the right sciatica specialist that can also identify an abdominal aneurysm is so crucial to developing the right treatment plan. There can be a variety of factors that can lead to the development of an abdominal aneurysm. They include:
11860 Vista Del Sol, Ste. 128 Underlying Causes Of Abdominal Aortic Aneurysm and Sciatica Risks
 

Abdominal Aneurysm Contributing Health Conditions

Health conditions associated with an increased risk for an abdominal aneurysm include:

Atherosclerosis

This condition occurs when there is a buildup of fats, cholesterol, and other substances that create plaque buildup in the bloodstream. This causes vessels to harden and narrow. Atherosclerosis can develop during the young adult stage and becomes an issue later in life.  
 

High Cholesterol

Cholesterol is a waxy, fat-type substance that is found in all the cells in the body. The body needs some cholesterol for the production of hormones, vitamin D, and substances to help digest foods. The body makes all the cholesterol it needs. Too much can build up in the blood vessels, which narrows the bloodstream and hardens the arterial walls.  
11860 Vista Del Sol, Ste. 128 Underlying Causes Of Abdominal Aortic Aneurysm and Sciatica Risks
 

High Blood Pressure

High blood pressure or hypertension refers to a sustained increased force of blood moving through the aorta that can weaken artery walls. It is a common condition that is widespread among individuals that are older, those that smoke, and those that are overweight. There is an estimated 60-70% of individuals over 60 that are diagnosed with high blood pressure.  
 

Inflamed Arteries

When the arteries become inflamed, it can cause blood flow constriction and cause the arterial walls to weaken. This increases the risk of an aneurysm. Arteries can get inflamed through:
  • Genetics
  • High cholesterol
  • Trauma/injury to the abdomen
  • Arterial Disease/s like:
  1. Abdominal Aortic Aneurysm
  2. Thoracic Aortic Aneurysm
  3. Peripheral Arterial Disease
  4. Thoracic Outlet Syndrome
  5. Vasculitis
11860 Vista Del Sol, Ste. 128 Underlying Causes Of Abdominal Aortic Aneurysm and Sciatica Risks
 

Connective Tissue Disorders

There are hereditary conditions that can weaken the body’s connective tissues. This can lead to degeneration of the aortic walls and raise an individual’s risk for an aneurysm. Two of the most common connective tissue disorders are Ehlers-Danlos syndrome, which affects collagen production, and Marfan Syndrome. This condition increases the production of fibrillin, which is a protein that helps to build the elastic fibers in connective tissue.  
 

Other Risk Factors

Additional health factors can strain the cardiovascular system. This increases the risk of weakening or damaging blood vessels. This significantly raises the chances of developing an abdominal aortic aneurysm. Risk factors include:

Smoking and Tobacco

All types of tobacco use can contribute to diminished cardiovascular health. Individuals that smoke or use some tobacco product pose a significantly higher risk of developing an abdominal aneurysm.

Age

Aneurysms occur most often in older adults. This is because they are more likely to have cardiovascular issues and are more likely to have higher levels of plaque buildup.

Genetics and Family History

Immediate relatives of an individual with an abdominal aneurysm often have a 12-19% chance of developing the condition.

Lack of Physical Activity

Not getting adequate physical activity puts an individual at a higher risk for heart and cardiovascular disease. Aerobic activity done on a regular basis increases the heart rate and blood flow through the body. This keeps the tissues and blood vessels strong and flowing properly.

Gender

Both men and women can develop an abdominal aortic aneurysm. However, the majority of those that do develop the condition are men. This is because men are more likely to go through heart and cardiovascular issues.  

Diagnosis

Underlying conditions that can cause sciatic pain can vary or be a combination of several conditions. The most important action to take is to consult a doctor or chiropractic sciatica specialist for a clinical diagnosis. While rare, sciatica-type pain could be caused by medical conditions like:
  • Spinal tumor
  • Spinal infection
  • Cauda equina syndrome
These factors can contribute to an increased chance of developing an abdominal aortic aneurysm. However, individuals can have unknown risk factors and still develop the condition. Treatments may range from regular monitoring, lifestyle changes, and physical therapy/chiropractic to urgent or emergency surgery. If you feel symptoms of pain in the buttocks, leg, numbness, tingling, or other neurological symptoms in the back and/or leg, it is very important to see a doctor or chiropractor for clinical diagnosis that identifies the cause of the symptoms.

Sciatica Nerve 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*

Sciatica Chiropractic Diagnosis Specialist and Abdominal Aortic Aneurysm

11860 Vista Del Sol, Ste. 128 Sciatica Chiropractic Diagnosis Specialist and Abdominal Aortic Aneurysm
Finding the right sciatica chiropractic specialist to diagnose the cause especially, when it is an abdominal aortic aneurysm can be a challenge. There can cause diagnostic confusion with the root cause never being discovered or identified. Fortunately, Dr. Jimenez is a sciatica specialist with over 30 years of experience in differential sciatica diagnosis, and treatment.

Sciatica Chiropractic Specialist Diagnosis

 

Diagnostic Tools

Abdominal aneurysms are usually discovered for another ailment like a hernia or for routine tests like an ultrasound of the heart or stomach. Diagnosis of an abdominal aneurysm depends on the condition, medical and family history, and the physical examination. If a doctor or sciatica chiropractic specialist suspects an aortic aneurysm, then specialized tests will help with a confirmation.  
 
11860 Vista Del Sol, Ste. 128 Sciatica Chiropractic Diagnosis Specialist and Abdominal Aortic Aneurysm
 

Ultrasonography

The simplest and most used diagnostic test is ultrasonography. It utilizes sound waves for diagnostic purposes that send the recorded images to a monitor. It gives an accurate assessment of the size and location of the aneurysm. The patient will lie on a table while a technician moves a wand around the abdomen.  
 

Computed tomography CT scan

This test is often used in conjunction with ultrasonography if more data/info is needed. Usually, this is to determine the exact location of the aneurysm in relation to the visceral or renal arteries. It provides cross-sectional detail with clear images of the aorta and can detect the size and shape. The patient lies on a table inside a machine. A contrast dye could be injected into the blood vessels to make the arteries more visible on the images known as CT angiography.  
 

Magnetic Resonance Imaging

Magnetic resonance imaging or MRI uses a magnetic field and radio wave energy pulses to record images of the body. The patient lies on a table that slides into the imaging compartment. Contrast dye can also be injected into the blood vessels to make the images more visible known as magnetic resonance angiography.  
11860 Vista Del Sol, Ste. 128 Sciatica Chiropractic Diagnosis Specialist and Abdominal Aortic Aneurysm
 

Emergency Symptoms

Certain symptoms can indicate an emergency. The conditions are rare, but it is very important to seek medical attention should any of these symptoms present with back pain:
  • Severe abdominal pain
  • Fever out of nowhere
  • Bowel and/or bladder incontinence
  • Loss of or an unusual sensation in the groin, as well as the legs and possibly into the foot
  • If back pain presents after an injury medical care is recommended to check for damage/injury to the spine.

Abdominal Aneurysm Symptoms

Abdominal aneurysms often don’t present any symptoms, which is why individuals go through their days unaware, and when back pain does present a doctor may only focus on the back pain symptoms and not the cause, leaving the aneurysm to continue to develop and worsen. Aneurysms do occur in women but are more common in men and those ages 65 and older. The main cause is atherosclerosis which is a hardening of the arteries. But injury and infection can also cause an aneurysm. Those with symptoms can include:
  • Throbbing pain around the back or side
  • Deep pain in the back or side
  • Pain in the buttocks, groin, or legs
  • Sciatica symptoms

The Sciatic Connection

A diagnosis of the root cause of the sciatica is crucial for developing an effective treatment plan to alleviate the sciatic pain. If an aneurysm is present then referring the individual to the proper aortic aneurysm repair specialist is a top priority. If sciatica is suspected, a doctor or chiropractor will review medical history and perform a physical examination. Medical imaging tests and diagnostic nerve blocks could be used if necessary. Sciatica pain usually follows the dermatome or areas of the skin that is supplied by the sciatic nerve. The pain can also include deeper tissues called dynatomes.  
11860 Vista Del Sol, Ste. 128 Sciatica Chiropractic Diagnosis Specialist and Abdominal Aortic Aneurysm
 
 

Physical examination

During a physical examination, the sciatica chiropractic specialist will look for various responses when:
  • Straightening the leg with movements that elongate the nerve
  • Gently pressing the toes or calf area
  • Seeing if there is any type of pain associated with these movements in the low back, buttock, thigh, leg, and foot

Sciatica Clinical Tests

Two examples of clinical tests for sciatica include:

Straight leg raise – SLR

The patient lies on their back and the chiropractor lifts one leg at a time with the other leg remaining flat or bent at the knee. If pain presents while lifting the affected leg this is usually an indication of sciatica.  
 

Slump

The patient sits upright with their hands behind their back. The patient then bends/slumps forward at the hips. The neck bends down with the chin touching the chest and one knee is extended as far as possible. If pain occurs in this position, sciatica could be present.  
 
These tests could possibly be positive only when the nerve is mechanically compressed. Other causes like inflammation or chemical irritation of the nerve might not cause pain when performing these tests. This test could also help reveal a possible abdominal aneurysm as abdominal pain could present.  

Chiropractic Sciatica Treatment

Manual manipulation improves the alignment of the spine. This technique helps address the underlying condition/s that can cause sciatic nerve pain, like herniated discs or spinal stenosis. Manual manipulation also creates an optimal healing environment. An aortic aneurysm specialist could work with a sciatica chiropractic specialist to help with spinal realignment if the aneurysm caused any kind of shifting or slipping of the discs along with releasing the sciatic nerve if it is compressed.  

Massage Therapy

Massage therapy like deep tissue massage can also have benefits. Massage:
  • Improves blood circulation, which also creates an optimal healing response in the body
  • Releases toxins in the low back muscles that spasmed or knotted up
  • Relaxes tight muscles that could be contributing to the pain
  • Releases endorphins or the hormones that function as the body’s natural pain relievers

 

Sciatica Pain 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*

Treatment For An Abdominal Aortic Aneurysm

11860 Vista Del Sol, Ste. 128 Treatment For An Abdominal Aortic Aneurysm
Senior man showing stomach ache pain to doctor in clinic
An abdominal aortic aneurysm refers to an enlargement of the abdominal aorta. If the blood vessel is enlarged and starts to leak blood or rupture, it will cause severe abdominal and lower back pain. This is a serious medical emergency that necessitates emergency surgery. Unfortunately, there is no way to reverse the damage. A prominent symptom from a rupture is severe, persistent low back pain, and pain in and around the abdomen. Treatment for an abdominal aortic aneurysm depends on the possible complications that could develop. Approaches for treatment:
  • Nonsurgical treatments like anti-biotics calcium channel blockers and exercise along with monitoring are used for individuals that have a low risk of rupture.
  • If an aneurysm is not found until it becomes an emergency, then surgery to repair the ruptured artery is absolutely necessary. If ruptured or there is a high risk of rupturing is considered an emergency.
  • If a rupturing aneurysm has been diagnosed, some treatment/management will be implemented to prevent severe/fatal bleeding.
11860 Vista Del Sol, Ste. 128 Treatment For An Abdominal Aortic Aneurysm
 

Cardiac

For low-risk cases, lifestyle changes and possible medication/s may be recommended to slow the development. Small aneurysms are monitored using ultrasound. This can be every 6 to 12 months depending on the size and growth rate of the artery. Medications for lowering blood pressure and cholesterol could be prescribed. This is to limit the amount of plaque buildup in the aorta and reduce any pressure on the arterial walls. Quitting smoking and removing tobacco altogether whether dip, chew, vape is a significant action an individual can do to minimize the risk of aortic rupture. Other lifestyle changes involve maintaining a healthy diet and regular exercise will help lower blood pressure and cholesterol levels decreasing the chance of rupture.

Surgery

Surgical treatment when necessary is to stop a rupture if leaking blood or to prevent a rupture. Surgery requires replacing the damaged portion of the aorta with a stent-graft. This is an artificial artery made from a high-tech mesh/fabric. There are two standard surgical treatments:

Open Repair

Open repair is the most common surgical treatment. It takes the enlarged portion of the aorta removes it and replaces it with a stent-graft. Open surgery repair consists of the following:
  • The incision is made in the abdomen at the site of the aneurysm.
  • The aorta gets clamped with the blood temporarily blocked from flowing through the damaged portion.
  • The damaged part is removed.
  • A tube graft is placed where the damaged portion was.
If the damage was not severe and does not require the removal and complete replacement, then less invasive options will be offered.  
11860 Vista Del Sol, Ste. 128 Treatment For An Abdominal Aortic Aneurysm
 

Endovascular Aortic Aneurysm Repair

EVAR endovascular aneurysm repair surgery is a minimally invasive procedure. There is no need for a large abdominal incision or removal of the damaged portion of the artery. This procedure does not require blood flow stoppage, which places less stress on the heart. Endovascular surgery involves:
  • A fluoroscopy or live X-ray is used. This is so the surgeon can look at the repair, and guide the stent into place.
  • 2 small incisions are made in the groin.
  • A catheter is inserted into the femoral artery in the groin and guided to the abdominal aorta.
  • Through the catheter, the stent is guided to the aneurysm.
  • Once it reaches the aneurysm, it is compressed and closed.
  • The stent is placed in position, and the wireframe is expanded to fit the artery.
  • The stent is sewn/secured into place at both ends.
  • Once in place, the blood gets redirected from the enlarged area and flows only through the stent-graft. This takes the pressure off the artery’s walls and allows for size reduction over time, and decreases the risk of rupture.
The procedure is not an option for individuals with an aorta that cannot be accessed safely through the femoral arteries. Or if the artery is severely damaged that the aneurysm portion needs to be replaced. And if the aneurysm is too big or complex where an open repair is a more favorable option.

Follow Up

Follow-up monitoring is necessary after any aortic aneurysm surgical procedure. This is to ensure the stent works and the aorta is functioning without a high risk of rupture. Individuals will be advised to maintain a healthier heart and cardiovascular system. A surgeon/doctor will suggest:
  • Diet adjustments
  • Regular exercise
  • Quitting smoking/tobacco intake
  • Taking cholesterol and blood pressure medication
  • Chiropractic/Physical therapy for any spinal misalignment, herniation, sciatic nerve compression back pain relief.

Lower Back Pain Relief

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Abdominal Aneurysm Can Present With Sciatica and Low Back Pain

11860 Vista Del Sol, Ste. 128 Abdominal Aneurysm Can Present With Sciatica and Low Back Pain
Man having chiropractic back adjustment. Physioterapy, osteopathy, alternative medicine pain relief rehabilitation
An abdominal aortic aneurysm is an enlarging of the lower portion of the aortic artery that resides in the abdomen. The aorta is the body’s main artery that supplies blood to the body and stretches from the heart down into and through the abdomen. The abdominal aorta is the part that sits within the abdomen. It is below the kidneys and in close proximity to the front of the spine. Because of this closeness sudden intense pain can be felt in the lower back along with sciatica symptoms.  
11860 Vista Del Sol, Ste. 128 Abdominal Aneurysm Can Present With Sciatica and Low Back Pain
 

Abdominal Aorta Function

Its function is to deliver blood from the heart throughout the body. It circulates blood down through the chest and abdomen. Smaller arteries branch off the artery to the different organs and systems of the body.

Enlargement/Weakening

If it becomes weak or expands in size, the condition is known as an aortic aneurysm. This condition can cause severe abdominal pain, back pain, sciatica and can lead to artery leakage or rupture. This is when it becomes an emergency. Being the largest blood vessel in the body means that a rupture can cause life-threatening bleeding. Aneurysms can develop anywhere on the artery, but most occur in the abdomen portion. Depending on the size and growth rate, treatment/therapies can vary from observation to emergency surgery. Abdominal aneurysms usually progress slowly without symptoms, making them difficult to detect. However, some abdominal aneurysms never rupture. They can start small and remain the same size while others can expand over time, and others faster.

Rupture

A weakened aorta can develop a leak known as a rupture. Blood can also begin to accumulate and pool up between layers in the arterial walls can also lead to rupture known as a dissection. Internal bleeding is the primary complication of an abdominal aneurysm. Loss of blood is considered a potentially fatal medical emergency. Mortality rates increase when the artery leaks. The risk for rupture depends on the:

Size

Aneurysms that are smaller than 5 cm in diameter are considered a low risk for rupture. Aneurysms larger than 5 cm are considered high risk. The size is often the best predictor for predicting the chance of rupture.

Growth Rate

Expansion of more than half a centimeter over 6 months is considered accelerated growth and is a high risk. A faster growth rate has been seen in individuals that smoke or have high blood pressure. Abdominal pain, lower back pain, sciatica, or other symptoms usually do not present until the artery has ruptured. However, a significantly expanded aneurysm, symptoms similar to a rupture can occur.  
11860 Vista Del Sol, Ste. 128 Abdominal Aneurysm Can Present With Sciatica and Low Back Pain
 

Symptoms

In most cases, the aneurysm develops slowly with no symptoms or minor symptoms like a nagging/gnawing or throbbing sensation in or around the abdomen. This type of aneurysm can be detected from a standard physical exam or from the monitoring of another condition. Symptoms depend on the location and can include some combination of the following:
  • Deep, constant pain in the abdomen or on the side. It could also be a stabbing pain deep inside that is felt between the sternum and the belly button. The pain can be continuous with no relief from rest or adjusting positions. Severe pain can cause individuals to bend over and down.
  • Difficulty standing or the ability to straighten the upper body.
  • Low back pain caused by the abdominal pain radiating/spreading out into the lower spine from the aorta’s closeness to the spine. The pain can also spread to the groin, pelvis, and legs.
  • Sciatica symptoms typically come from low back pain.
  • A pulse near or around the bellybutton. Tenderness, along with a pulsing sensation can be felt. The pulse can be felt through the skin and could be sensitive to touch or pressure.
  • Blood loss will result in low blood pressure, known as hypotension. This causes lightheadedness, dizziness, nausea/vomiting, blurred vision, and confusion. Symptoms are exacerbated when standing generating the feeling for the need to sit or lie down.
  • Shock symptoms from the internal bleeding. This includes:
  1. Sudden and rapid heartbeat
  2. Shallow breathing
  3. Clammy skin
  4. Cold sweats
  5. General weakness
  6. Confusion
  7. Agitation
  8. Anxiety
  9. Loss of consciousness
 

Causes

Various causes can be involved in developing an abdominal aneurysm, including:
  • Hardening of the arteries known as atherosclerosis. It happens when fat along with other substances build up on the lining of blood vessel/s.
  • High blood pressure can damage and weaken the walls of the aorta.
  • Blood vessel diseases can cause blood vessel inflammation.
  • Aortic infection is rare but a bacterial or fungal infection could cause an abdominal aneurysm.
  • Trauma like being in an automobile accident can cause an aneurysm.

Risk Factors

The pathology principally stays asymptomatic until a rupture occurs. This pathology affects mostly men with quite a few risk factors. Risk factors include:
  • Men develop abdominal aneurysms more often than women.
  • Smoking is the strongest risk factor. It weakens the aortic walls and increases the risk of developing an aneurysm, and rupture. The longer an individual smokes or chews tobacco, the higher the chances.
  • Individuals aged 65 and older are the most targeted group for this condition.
  • A family history of abdominal aneurysms increases the risk.
  • Aneurysm in another blood vessel, like the artery behind the knee or the chest aortic region, could increase the risk.

Sciatic Nerve Compression

Sciatica is usually caused by compression on the nerve. Spinal and non-spinal disorders are known to cause pain include:
  • Low back misaligned vertebral body/s
  • Herniated/bulging/slipped discs
  • Pregnancy/childbirth
  • Spinal tumors
  • Diabetes
  • Constipation
  • Sitting too long
Sciatic nerve compression can cause a loss of feeling known as sensory loss, paralysis of a limb, or group of muscles known as monoplegia, and insomnia.

Proper Diagnosis Is Essential

Because of the many disorders that can cause sciatica, a doctor’s first step is to determine the cause. This involves forming a diagnosis based on a thorough review of an individual’s medical history, a physical and neurological examination. The sciatic nerve has several smaller nerves that branch off. These smaller nerves enable movement motor function and feeling sensory functions in the thighs, knees, calves, ankles, feet, and toes. If a chiropractor determines the patient’s disorder requires treatment by another specialist, then the individual will be referred to the proper doctor. In some cases, the chiropractor could be called upon to continue spinal therapy and help manage the individual’s treatment plan with the other specialist/s.

Sciatica 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*

Axial Neck Pain

11860 Vista Del Sol, Ste. 128 Axial, Uncomplicated, Whiplash, Neck Pain
Physiotherapist stretching neck of a female patient in the clinic

Axial neck pain is also known as uncomplicated neck pain, whiplash, and cervical/neck strain. They refer to pain and discomfort running along the back or posterior of the neck. Axial is defined as forming or around an axis. This type of pain stays around the neck and immediate surrounding structures. It does not spread/radiate out to the arms, hands, fingers, and other areas of the body. Axial neck pain differs from two other neck conditions. They are:

Cervical radiculopathy describes irritation or compression/pinching of the nerve as it exits the spinal cord. The nerves of the cervical spine are known as the peripheral nerves. They are responsible for relaying signals to and from the brain to specific areas of the arms and hands. The signals that are sent from the brain are for muscle movement, while signals going to the brain are for sensation.  

CervicalMusculatureDiagram ChiropractorElPaso
 
11860 Vista Del Sol, Ste. 128 Axial, Uncomplicated, Whiplash, Neck Pain
 

When one of these nerve/s gets irritated, inflamed, or injured it can result in:

  • Muscle pain
  • Weakness
  • Numbness
  • Tingling sensation
  • Burning pain
  • Other types of abnormal sensations in the arms, hands, or fingers.

Cervical myelopathy describes compression of the spinal cord itself. The spinal cord is the information highway/pipeline to all parts of the body. There is a range of symptoms that can include:

  • Same symptoms as cervical radiculopathy
  • Balance problems
  • Coordination problems
  • Loss of fine motor skills
  • Bowel and bladder incontinence

Axial neck pain

Axial neck pain is a quite common type of neck pain. It affects around 10% of the population. However, the majority of these cases do not involve severe symptoms that limit daily activity.

Symptoms

Pain in the back of the neck is the primary and most common symptom. Sometimes the pain travels to the base of the skull, shoulder, or shoulder blade. Other symptoms include:

  • Neck stiffness
  • Headaches
  • Localized muscle pain
  • Warmth
  • Tingling
11860 Vista Del Sol, Ste. 128 Axial, Uncomplicated, Whiplash, Neck Pain
 

Developmental Risk factors

Poor posture, lack of ergonomics, and muscle weakness increase the chances of developing axial neck pain. Risk factors for development include:

  • Age
  • Trauma – Auto accident, sports, personal, work injury
  • Headaches
  • Depression
  • Chronic neck pain
  • Sleep problems

Diagnosis

Based on symptoms and physical exam findings are how a diagnosis is usually achieved. A doctor will typically order an x-ray, CT, or MRI of the cervical spine. There could be severe symptoms that could indicate something more dangerous causing pain like infection, cancer, or fracture. This calls for an immediate visit to a hospital/clinic for evaluation. These symptoms include:

  • Prior trauma/injury from a fall, automobile accident, sports, work injury
  • Fever
  • Weight loss
  • Night sweats
  • Constant night pain

Rheumatic conditions/diseases that cause neck pain can include morning stiffness and immobility which gets better as the day progresses. If symptoms continue for more than 6 weeks, imaging of the spine could be recommended. Especially, for individuals that have had previous neck or spine surgery or if it could be cervical radiculopathy or myelopathy.

Treatment

There is a wide range of treatment options. Surgery is rarely required except for severe cases. Returning to normal activities almost right away is one of the most important things to do to prevent the pain from becoming chronic. First-line treatments typically begin with:

  • Physical therapy
  • Chiropractic
  • Stretching routine
  • Strengthening exercises
  • Acetaminophen
  • Anti-inflammatory medication/s
  • Muscle relaxants are sometimes prescribed

If a cervical spine fracture has been diagnosed, a neck brace could be recommended for short-term use. A soft collar could be utilized if the pain is severe but a doctor will usually discontinue use after 3 days. Other non-invasive treatment options include:

  • TENS – transcutaneous electrical nerve stimulation
  • Electromagnetic therapy
  • Qigong
  • Acupuncture
  • Low-level laser therapy
  • Cognitive-behavioral therapy

Invasive treatments like injections, nerve ablation, and surgery are rarely required. But if necessary it can be beneficial for those cases.  

el paso, tx doctor

Causes

A variety of the neck’s anatomical structures can contribute to the pain. Common causes include:

  • Poor posture
  • Age
  • Degeneration
  • Ergonomics
  • Injury to muscles or ligaments
  • Arthritis

All of these can affect vertebral bodies, discs, and facet joints. Shoulder arthritis or a rotator cuff tear can imitate axial neck pain. Dysfunction of the temporomandibular jaw joint or the blood vessels of the neck can cause axial pain but it is rare.

Prognosis

Symptoms are usually alleviated within 4-6 weeks from when the pain started. Pain that continues beyond this should encourage a visit to a chiropractic physician.

Prevention

  • Keep neck muscles strong with exercise.
  • Stretch the neck regularly.
  • A healthy diet specifically for bone support.
  • Proper sleep posture for example sleeping on the back or side with a pillow that supports the natural curve of the neck.
  • If on a computer for a long period align the eyes with the top third of the screen.
  • Avoid looking down when on the phone, reading, etc for a long time by keeping the arms supported on an armrest.
  • Glasses should be pushed up on the bridge of the nose, if they slide down there is a tendency for the head to follow.
  • Don’t forget to look up frequently.

Optimizing posture, ergonomics, and muscle strengthening can help in the prevention of the onset of pain and help alleviate the symptoms.


Whiplash Neck Pain Chiropractic Treatment


 

Driving Tips to Help Reduce Back Pain

11860 Vista Del Sol, Ste. 128 Driving Tips to Help Reduce Back Pain
Side view of a girl driving a car with her girls friend beside her
Driving with back pain can make trips a nightmare. Here are some driving tips to save your back when on the move. There is nothing like the freedom of hitting the open road. Family, friends, or solo, the destination along with new sights breezing by, refreshes the mind. With the COVID pandemic, many have turned to trucks, cars, SUVs, and RVs for a comfortable, safe mode of transportation.  
11860 Vista Del Sol, Ste. 128 Driving Tips to Help Reduce Back Pain
  Back pain from driving can become a serious issue. Studies have shown how low back pain, and spending a significant amount of time driving are interconnected. And other studies have also shown living a sedentary lifestyle like sitting for a long time will lead to some form of back pain that can become exacerbated by elongated driving. Road trips and regular commuting can both impact an individual’s spine. It depends on the length of time drivers are behind the wheel as well as any present spinal conditions. Long commutes and road trips can take a toll on the body that can continue to increase in its severity. Individuals live most of their lives in a flexed/flexing posture. Meaning that there is the ability to shift positions and move around. This could be like Sleeping curled up, then on the back, sitting at a desk/workstation, then standing, stretching out, twisting, and bending. Driving creates a whole different type of spinal stress because of the physical mechanics involved. Automobiles generate different types of forces on the back. Factors such as accelerating, decelerating, swaying side to side, and vibrations all can contribute to back pain. To elaborate the feet and legs control the vehicle, and so are not able to help stabilize the spine, and vibration from uneven/loose gravel roads can cause issues with the spinal discs. Discomfort and pain can occur for the driver and passenger/s. Individuals with diagnosed back condition/s can experience a worsening of symptoms and an increase in pain. This could be a postural imbalance, sciatica, or arthritis. Here are some driving tips to show how to prevent back pain before, during, and after the trip.  
 

Before Driving

Prevention is the best way to decrease back pain when driving. The following precautions are recommended:
  • Think about getting helpful sitting aids/lumbar support cushions, like memory foam and air-filled seat cushions.
  • If specifically dealing with tailbone pain, a support with a tailbone cutout is recommended.
  • Optimize the seat by placing the back a little beyond fully upright. From 100 to 105-110 degrees, so the individual maintains proper posture. Inclining more can lead to a forward-head posture that can cause neck pain.
  • Driving ergonomics need to be incorporated.
  • The seat should be close enough to the steering wheel to provide a relaxed upper body posture. However, make sure that the legs are not to close to the steering wheel and there is room to maneuver. The seat should be level around 5 degrees upward to provide support to the legs.
  • If unable to provide lumbar support rolling up a towel/thick sweater etc can be placed in the small of the back providing a quick fix.

The Drive

Eyes on the road and hands at 10 and 2 but don’t take the focus off the spine.
  • If driving for more than 20 minutes, it is recommended to make adjustments/changes in the seated position. Just a slight tweak can reduce the driving forces on the spine.
  • Driving for longer than an hour then short breaks are necessary. Pit stops are spine savers. Just like work breaks that involve standing, walking around, and stretching out, bending forward and leaning backward will keep the spine flexible, uncompressed with optimal blood flow.
  • Heated seats can help soothe tight back muscles. It acts as a heating pad.
  • Remove items from pockets, especially wallets or similar objects in the back pocket. This can lead to an asymmetrical position that leads to shifting weight/stress loads to one side creating an added strain on the spine and awkward postures.
11860 Vista Del Sol, Ste. 128 Driving Tips to Help Reduce Back Pain
 

Stopping

After driving for an extended period, resting is vital to spine health. Utilize time out of the vehicle to continue prevention.
  • Sitting right after driving is not recommended.
  • Right after driving the body needs to move after being in the static driving/passenger position for some time.
  • Standing, walking, and doing some gentle stretches are recommended. Back extensions and side bending are examples.
  • Core exercises can help and should also be incorporated into a regular physical exercise regimen.
  • However, exercises after long or strenuous drives when the body is fatigued are not recommended, as intense exercise can lead to injury or worsening of back pain.

Pain Continues After

If there was a small/low amount of pain or if it was a pain-free experience then perhaps the driving tips helped. If the pain continues and there was no help with these driving tips, it might be time to see a doctor or chiropractor. Minor aches and pains can be expected, but if there is pain lasting longer than a few days or limits function, then seeking out medical advice is recommended.

Car Accident Chiropractic Treatment


 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Enjoy the Hobbies You Love Without Back and Neck Pain

11860 Vista Del Sol, Ste. 128 Enjoying the Hobbies You Love Without Back and Neck Pain
Beautiful woman making ceramic pottery on wheel, hands close-up. Concept for woman in freelance, business, hobby
We all have our hobbies that we are passionate about, love doing, and could see turning into a second career. However, certain hobbies can generate stress on the spine. This often leads to a decrease in being able to participate in these activities, which can lead to various health issues. Maintaining the body’s physical fitness and keeping the spine healthy is key to being able to continue without neck or back pain. Hobbies are an important part of life. Individuals need to enjoy what they love from sports activities to music to arts and craft projects. Having activities/hobbies help:
  • Boost mental health
  • Relieve stress
  • Lower blood pressure
  • Promotes weight loss
  • Meditative qualities
Here’s how to make sure the hobbies/activities are fun and safe.  
11860 Vista Del Sol, Ste. 128 Enjoying the Hobbies You Love Without Back and Neck Pain
 

Protecting the Neck

Poor posture is one of the leading causes of neck and back pain. Looking down or being in a standing/sitting hunched position regularly increases the load/stress on the neck increasing the chances for strain, injury, headaches, and chronic pain. In the neutral position, the skull weighs around 10-12 pounds. When leaning the head forward weight increases from let’s say 27 pounds at a 15-degree angle to 60 pounds at a 60-degree angle. The strain on the cervical vertebrae, joints, and muscles can be immense. A good example is text-neck. This has become a normal thing when using a smartphone, gaming, or other similar activities. Studies suggest that the average individual spends three to five hours a day on a smartphone or tablet. This means three to five hours of extra weight on the cervical spine. Engaging in a hobby that requires an individual to look down constantly in a similar fashion can lead to serious and chronic neck pain along with other cervical issues.  
 
Individuals are spending more time at home and getting more serious about their hobbies. This is fantastic, however, these individuals need to take time to stretch out, and get some physical activity into their hobby routine. Just like taking frequent walk-around, stretch out at work breaks, so to do hobbyists need to step back from their projects to keep a healthy balance. The position of the neck and the way it is held for activities like:
  • Sewing
  • Carpentry
  • Gardening
  • Painting
  • Pottery
  • Knitting
  • Music
Hobbies like this can increase the risk of neck pain, so the key is prevention, paying attention to head posture every now and again, and taking stretching breaks.

Proper Posture Makes a Difference

11860 Vista Del Sol, Ste. 128 Enjoying the Hobbies You Love Without Back and Neck Pain
 
Many individuals stand and sit when working on their hobbies. This is quite common and is encouraged when doing these absorbing activities. But being immersed in these activities, most forget to check their posture when doing so. This is what leads to problems that at first are shrugged off as just soreness. Eventually, the individual begins to engage in bad/awkward posture habits that avoid the pain and think this will help. This worsens the problems and promotes further strain/injury. Leaning, bending, reaching, and twisting curves the spine increasing the load and stress. Performing these actions over and over for extended periods means:
  • Strain
  • Low back pain
  • Muscle spasms
  • Sciatica
  • Leg pain
  • Foot pain
Slouching is another posture problem that increases the likelihood of lower back pain. Slouching causes gaps between the lower back vertebrae. This stresses the facet joints or the connections between the vertebrae. The soft tissues elongate/stretch and lengthen like muscles and connective tissue. What elongation does is:
  • Cause the tissues to attempt to snap back to the original shape. This can cause painful spasms.
  • Muscles that are constantly elongated become weaker with time.
The longer an individual sits, stands, and slouches impacts the body’s health negatively, leading to a chain of health problems. Maintaining proper posture and keeping the spine straight minimizes the strain on muscles and the vertebrae. Prevent pain and discomfort.  
 

Ergonomics at the House

Ergonomic stressors include:
  • The force/s required to perform and complete a physical chore/task.
  • Adopted static and awkward working postures to complete task/s
  • The repetitiveness of the task/s
Any of these factors or combination places a higher risk for discomfort, pain, and injury. The immediate surroundings like the bench, work area, craft room, etc. and how the individual moves or does not move, and interacts in these areas is the focus of ergonomics. Proper ergonomics will help protect the spine, as well as the rest of the body. Improper ergonomics can cause damage like muscle strain, repetitive movements, and incorrect posture. Taking a look at the hobby workspace the ergonomics, and making any necessary adjustments can help prevent strain/injury.

Proper seating

Make sure the right type of chair, stool, bench, etc is being utilized. Adjustable types that have neck and lower back support are the way to go. Make sure the base is stable, the seat is comfortable and adjustable. Backrests and armrests can help maintain proper posture.

Correct table/desk/workstation height

Various drafting tables and lap desks have adjustable surfaces to adjust the height for working with a proper ergonomic posture. If the work surface is not adjustable adjust the chair or make adjustments as needed. The hips should be higher than the knees to take the strain off the sacrum and lower back. The upper back should be straight, with the shoulder blades together creating a supportive platform for the neck and head.

Tools

Using the best tools for working and organization will help avoid injuries and constant awkward positions like leaning/reaching over and around the workspace. Look for tools that can be adjusted to different heights, resistance levels, etc. depending on what is needed and what will reduce any strain.

Vision

If an individual needs to lean in to get a closer look then vision could be the problem. If an individual wears glasses it could be time for a check-up. Or if an individual does not wear glasses, it could be time to see an optometrist. Non-prescription magnifiers could be the answer.  
mobility flexibility el paso tx.
 

Stretching Regularly

Working too long in one position can be detrimental to overall health. It is very understandable when individuals get into the zone, working on something creative, and not wanting to stop the flow. However, frequent breaks are vital. Stretching regularly and getting up to move around is key to staying healthy.

Neck Stretch

  • Stretch the neck by turning the head from side to side in a gentle fashion.
  • Tip the head to each side so the ear almost touches the shoulder.
  • Lower the head so that the chin almost touches the chest.
  • Turn the to look diagonally down at the armpit. This stretches the trapezius and levator scapulae muscles.
  • Hold the stretches for 10-15 seconds.
  • Always perform slowly and gently.

Lower Back Stretch

15 minutes a day of stretches will maintain the health of the spine. If pain or discomfort becomes frequent or unmanageable, seek professional help. Physical therapists and chiropractors are trained in orthopedic issues and ergonomics without prescription. Call a doctor or physical therapist to find out if treatment is necessary. Following these guidelines can help keep hobbies fun and without pain.

Lower Back Pain Skate Boarding Injury Treatment

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Superfoods Can Help Achieve Optimal Health

11860 Vista Del Sol, Ste. 128 Superfoods Can Help Achieve Optimal Health
Slim Asian Woman In Fitwear Cooking Fresh Vegetable Salad For Dinner Standing In Kitchen Dieting At Home On Weekend. Detox Diet And Nutrition For Weight Loss, Healthy Food Recipes Concept
Superfoods are nutrient-rich foods that can be incorporated into an individual’s diet to achieve optimal health. We look at which foods contain the most nutrients, and how to create meals with the best variety of foods to improve overall health and support strong body composition. Superfoods have a high-levels of antioxidants, along with many vast amounts of essential vitamins and minerals. These are fresh, colorful foods that are packed with nutrients. The more vibrant the color, the more antioxidant power. What to look for in different foods to optimize health and improve your body composition is the objective.  
11860 Vista Del Sol, Ste. 128 Superfoods Can Help Achieve Optimal Health
 

Superfoods

Superfoods can be defined as food that is rich in compounds that are highly beneficial for health. Foods like phytochemicals, fiber, and Omega-3 fatty acids. National nutritional guidelines consider these foods as powerhouse fruits and vegetables. Research shows that a diet rich in fruits and vegetables is associated with a reduced risk of chronic disease. Antioxidants like polyphenols have anti-inflammatory properties. Inflammation can be caused by infection, injury, and disease. A diet rich in antioxidants helps lead to faster recovery time from injury, illness, as well as, exercise-induced stress.
  • Antioxidants reduce free radicals, prevent and repair damage caused by oxidative stress. Oxidative stress happens when free radicals start to accumulate in the body. It can play a significant role in chronic and degenerative illnesses like cancer, arthritis, and cardiovascular disease.
  • Anthocyanins are a type of polyphenol that acts as antioxidants that can help reduce the chance of chronic disease. Pigments are found in plants, which give certain fruits and vegetables their vibrant colors. These include:
  1. Berries
  2. Cherries
  3. Peaches
  4. Pomegranates
  5. Black beans
  6. Eggplant
  7. Purple sweet potatoes

Evidence suggests that a diet rich in anthocyanins helps:

  • Reduce oxidative stress and inflammation
  • Prevent cardiovascular disease
  • Control of diabetes
  • Prevent diabetes

Superfoods can help individuals with:

  • Weight loss
  • Improved muscular function
  • Body composition improvement
  • Boosting the immune system

Key Nutrients

Antioxidant properties are found in many superfoods along with nutrients to be aware of. The nutrients listed can be beneficial in optimizing health. Remember to consult a doctor before making or supplementing dietary changes.
  • Vitamin B
  • Vitamin C
  • Omega-3 Fatty Acids
  • Magnesium
  • Zinc

Omega-3’s

Omega-3 fatty acids promote many health benefits, which include reduced risk of obesity, heart disease, and other chronic illnesses. Omega-3’s contain anti-inflammatory properties and help enhance recovery after exercise. A standard diet usually contains a higher ratio of Omega-6 fatty acids compared to Omega-3’s. This unbalance increases inflammation and reduces immune system response. Omega-6 acids include vegetable oils that do offer health benefits. However, it is important to keep a healthy balance between the two. Top sources of Omega-3’s include:
  • Fatty fish
  • Fish oils – salmon, mackerel, and cod liver
  • Oysters
  • Chia seeds
  • Flaxseeds

Magnesium

Magnesium supports the health of the immune system. It supports and maintains healthy bone structure, muscle function, and insulin levels. It assists the body with energy, metabolism, and acts as a calcium blocker. This reduces cramping and aids in muscle relaxation after working out. Magnesium is essential for over 300 biochemical reactions in the body. A deficiency can increase the risk of cardiovascular disease. Research shows that magnesium deficiency can lead to a higher risk of insulin resistance. Magnesium-rich foods like dark leafy greens, nuts, legumes, and whole grains are also high in fiber. Individuals that have a diet rich in magnesium have a higher intake of dietary fiber, as well. Fiber helps with digestion, control weight, reduce cholesterol, and stabilize blood sugar. The best sources of Magnesium include:
  • Green vegetables such as spinach, swiss chard, and turnip greens
  • Nuts such as almonds and cashews
  • Seeds
  • Legumes
  • Cocoa

Zinc

Zinc is an essential nutrient for overall immune function support. It is an antioxidant that helps with anti-inflammatory and oxidative stress responses. Chemical reactions within the body require zinc. Zinc is a necessary element for muscle protein synthesis and hormone regulation. Zinc deficiency is common in seniors and can be connected with degenerative diseases like rheumatoid arthritis, atherosclerosis, and age-related macular degeneration. Deficiency can also cause weight loss, delayed growth, and muscle atrophy. Zinc supplements are not recommended for healthy individuals as they can interfere with other essential vitamins and micronutrient interactions. Top sources of Zinc include:
  • Chicken
  • Red meat
  • Legumes
  • Nuts
  • Oysters

Vitamin C

Vitamin C is one of the immune systems supporting vitamins. It is an antioxidant that helps reduce free radicals and protects macromolecules from oxidative damage that could contribute to chronic diseases. Vitamin C deficiency has shown an increased risk of developing cardiovascular diseases, which include coronary heart disease, ischemic stroke, and hypertension. Vitamin C has a significant role in collagen synthesis and provides support in vascular function, which helps reduce inflammation and inflammatory diseases like atherosclerosis. Vitamin C has been found to play a role in possibly lowering blood pressure. Evidence suggests that vitamin C can help prevent obesity and obesity-related illnesses. Top sources of Vitamin C include:
  • Broccoli
  • Tomatoes
  • Citrus fruit
  • Strawberries
  • Cherries
  • Peppers

Vitamin B

Eight vitamins that make up the B vitamin complex all have various responsibilities for energy production and DNA synthesis. An increased intake of vitamin B is associated with improved metabolic pathways like glucose metabolism and reduces obesity risk. Consuming enough of the vitamins is essential. Having a deficiency in just one vitamin can lead to decreased energy, poor cognition, and muscle weakness.

The eight vitamins in the B complex are:

  • B1 – Thiamine
  • B2 – Riboflavin
  • B3 – Niacin
  • B5 – Pantothenic acid
  • B6 – Pyridoxine
  • B7 – Biotin
  • B9 – Folic acid
  • B12

The best sources for B vitamins include:

  • Asparagus
  • Avocado
  • Bananas
  • Beef /liver
  • Eggs
  • Lentils
  • Nuts
  • Spinach

Eating Superfoods

  • Leafy greens that are rich in vitamin A, C, and K, iron, and more
  • Salmon is a great source of Omega-3s
  • Cherries are rich in vitamin C and polyphenols
  • Berries are rich in Vitamin C and high in antioxidants
  • Nuts are packed with essential vitamins, minerals, and healthy fats
  • Garlic is a great source of Vitamin C and B-Complex
  • Turmeric contains potent anti-inflammatory and antioxidants
  • Cacao is packed with nutrients, and contain magnesium, zinc, iron, potassium, and more
  • Manuka Honey is packed with antioxidants and anti-inflammatory properties
  • Tea/s are filled with antioxidant properties and polyphenolic compounds

These superfoods have been shown to:

  • Improve body composition
  • Reduce the risk of chronic illnesses
  • Provide immune support
  • Antioxidant properties
  • Reduce inflammation, oxidative stress, and free radicals

Leafy Greens

Leafy greens like spinach, kale, turnip greens, and collard greens have been shown to reduce the risk for type II diabetes and cancer, which includes breast cancer, and they help protect against depression symptoms. Leafy greens contain many nutrients, which makes them a superfood staple. Leafy greens contain vitamins A, C, and K, iron, folate, zinc, and magnesium. They are a great source of fiber, carotenoids, and antioxidants that help to protect the cells.  
 

Salmon

Salmon is a perfect source of Omega-3s. These help in improving the immune system’s response, neuromuscular functioning, and enhanced cognition. Eating plenty of salmon, and other fatty fish helps reduce blood pressure and symptoms associated with coronary heart disease. Consuming whole-food proteins like salmon help with workout/exercise muscle protein synthesis better than a protein supplement. Omega-3’s can improve body composition because the fatty acids counteract muscle atrophy and promote recovery from muscles not being used brought on by surgery and inactivity.  
 

Cherries

Cherries contain a high source of vitamin C and polyphenols. Both contain antioxidant and anti-inflammatory properties that help reduce oxidative stress. Oxidative stress contributes to inflammation and atherosclerosis, which can contribute to cardiovascular disease. Cherries promote health, provide cardioprotective support, help to reduce blood pressure and LDL cholesterol.  
 

Berries

Berries are known for containing antioxidant properties. Berries like:
  • Blueberries
  • Strawberries
  • Lingonberries
  • Blackberries
All contain flavonoids and anthocyanins. Both of these help in reducing oxidative stress. Eating berries has been shown to improve cardiovascular health. Moderate consumption of berries helps improve blood platelet function and HDL cholesterol, as well as helps reduce blood pressure. Anthocyanins, flavonoids, and phytochemicals are believed to reduce the risk of cancer, primarily of the GI tract and breast. Berries can also provide neuroprotective support, that can help prevent a decrease in cognitive functions and dementia.  
11860 Vista Del Sol, Ste. 128 Superfoods Can Help Achieve Optimal Health
 

Nuts

Nuts are considered a nutritious superfood. They contain essential vitamins, minerals, and healthy fats. However, nuts are recommended in limited amounts because of their high-fat content. Also, nuts that are salted or flavored, lower health benefits. Individuals that eat a handful of nuts as part of a healthy diet have shown to be able to maintain and improve body composition. Healthy lifestyle diets like the DASH Diet and the Mediterranean Diet recommend moderate consumption of nuts. They help lower blood pressure, improve heart function, and reduce contributing factors to coronary heart disease and diabetes. Nuts include a variety of nutrients like vitamins:
  • B3
  • B6
  • B9
  • E
All help in the reduced risk of metabolic syndrome and related illnesses. Nuts also provide antioxidants which include phytochemicals:
  • Carotenoids
  • Polyphenols
  • Tocopherols
These compounds contain anti-inflammatory properties. And nuts have the potential to reduce the risk of cardiovascular disease, diabetes, and types of cancer.  
 

Garlic

Garlic is an antioxidant and has been shown to improve immune function along with the cardiovascular system. It is a good source of vitamin C and B-complex vitamins. Both enhance the effectiveness of immune system protection. Eating garlic has been shown to help lower cholesterol, blood pressure, delays the progression of atherosclerosis, and improves circulation. Studies have shown that garlic is highly effective in preventing yeast infections, as well as, treating ear infections. There is a compound known as allicin and helps shield the stomach from the spread of Helicobacter pylori, a bacterium related to gastrointestinal cancer.
 

Turmeric

Turmeric is another antioxidant. It helps manage inflammatory conditions like metabolic syndrome and arthritis. The polyphenol antioxidant is curcumin. It has been shown to help reduce inflammation, pain, and benefits the kidneys. Curcumin has been shown to reduce symptoms resulting from metabolic syndrome. Curcumin has been shown to:
  • Improve insulin sensitivity
  • Reduce the accumulation of fat storage that can lead to obesity
  • Lower blood pressure
  • Lower oxidative stress
 

Cacao

Cacao is chocolate in the purest form. It is packed with nutrients and contains:
  • Magnesium
  • Zinc
  • Iron
  • Potassium
  • Calcium
  • Copper
  • Manganese
Cocoa is the processed form that generally contains sugars and dairy products. The beans contain antioxidants and phytochemicals like polyphenols and flavonoids that protect cells against free radicals along with oxidative stress. There is a flavanol called epicatechin and is linked to improved cognition and a better mood. Dark chocolate helps reduce metabolic syndrome risk factors, including:
  • Reduced blood pressure
  • Improved insulin sensitivity
  • Stabilized glucose levels
Heart function is improved by reducing platelet reactivity and inhibiting oxidant production.  
 

Manuka Honey

Honey has antioxidant properties and provides anti-inflammatory and anti-cancer benefits. It is made up of:
  • Sugars
  • Flavonoids
  • Phenolic acids
  • Enzymes
  • Amino acids
  • Proteins
  • Other compounds have anti-tumor and anti-leukemic properties
Manuka honey also has antibacterial properties and is very beneficial in healing wounds. Store-bought honey should not be used to treat cuts and wounds. Manuka honey is darker, and thicker that comes specifically from the manuka plant. It has more microbial properties than other types of honey. All honey has antioxidants, but Manuka has high levels of organic compounds that correlate with increased antibacterial activity. It is among the most powerful antioxidants that benefit athletes. Honey can easily be incorporated into a daily diet as a sweetener for tea, or as a topping for yogurt or oatmeal. However, it is not recommended for infants under one year of age. This is because babies have a higher risk of contracting botulism.  
11860 Vista Del Sol, Ste. 128 Superfoods Can Help Achieve Optimal Health
 

Tea

Tea contains antioxidant properties and polyphenolic compounds. Studies show the polyphenols, specifically in green tea have anti-inflammatory properties. This is a common treatment for preventing osteoarthritis. The catechins are a type of phenol that helps reduce free radicals and the presence of oxidative stress. It has also been shown to effectively improve body composition. Drinking 3-4 cups of tea a day can significantly reduce weight gain and risks associated with metabolic syndrome. However, drinking 3-4 cups a day might not be the answer for everybody, it can be something to consider.  
11860 Vista Del Sol, Ste. 128 Superfoods Can Help Achieve Optimal Health
 

Incorporation

The objective is achieving optimal health, along with improved body composition. Choosing a diet that is nutrient-packed and includes a variety of fresh, whole foods is the primary focus. There is no miracle food or effective cure for cancer, but when nutrient and antioxidant-rich superfoods are part of an individual’s diet overall health will improve. These are known as lifestyle diets and are meant to change habits and are not just for losing weight. These lifestyle diets include:

Dash Diet

The DASH diet stands for Dietary Approaches to Stop Hypertension. This diet is non-restrictive and promotes the consumption of fresh, whole foods while focusing on serving and portion sizes. The National Institute of Health developed this as a means to reduce blood pressure and improve cardiovascular health.

Mediterranean Diet

This diet is based on the eating habits of those living in countries that surround the Mediterranean. Studies determined individuals living in this region were among the healthiest with the lowest chances of cardiovascular-related conditions/diseases, obesity, and improved mental wellbeing. It emphasizes physical activity and consistent consumption of fresh, whole foods, including heart-healthy foods like fish and various seafood.

Flexitarian Diet

The flexitarian is a semi-vegetarian diet that is primarily vegetarian with occasional meat or fish. It focuses on sustainability and recognizes the vitally important protein, vitamins, and other nutrients that meat contains. However, meat is not eaten every day. Individuals that switch from mostly meat diets to flexitarian have shown to improve body composition reduce the risk of developing metabolic syndrome along with diabetes, and cancer. Making adjustments do not have to be huge changes. Small changes will go a long way. Adding these essential superfood nutrients can promote significant benefits for overall health and well-being.

Detox Diet


 

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*

Chiari Malformation Brain Tissue and The Spinal Canal

11860 Vista Del Sol, Ste. 128 Chiari Malformation Brain Tissue and The Spinal Canal
Manual therapist massaging neck of female patient

Chiari malformation is a condition that causes brain tissue to extend out and settle into the spinal canal. It protrudes out where the skull and neck meet. It occurs because part of the skull is too small or shaped in a unique way that allows part of the brain to settle into the foramen magnum. The foramen magnum is a large opening at the bottom of the skull. The brain’s nerves go through into the spinal canal and join the spinal cord. However, only the nerves should be present. The brain should not be able to push/press/leak through. When it does this is Chiari malformation.  

11860 Vista Del Sol, Ste. 128 Chiari Malformation Brain Tissue and The Spinal Canal
 

Causes

Chiari malformation can be caused by structural problem/s with the:

Structural conditions/issues can be present at birth, which are congenital defects. This is also called primary Chiari malformation and is not caused by any other condition. Secondary Chiari malformations are caused by something else, most often through surgery. This is extremely rare, but it is possible to develop after having surgery to remove a tumor in the skull or neck region. A surgeon could have removed too much bone while removing the tumor. This allowed the brain to settle into the open space.

 

Types

There are 4 types and are categorized by how much brain tissue protrudes into the spinal canal.

 

Type I

This is the adult version and is also the most common.

It is usually first noticed and discovered from an examination for something else. Most individuals don’t realize that they have Chiari malformation unless the symptoms are severe. With Type I a part of the brain, specifically the cerebellar tonsils settle into the foramen magnum.

 

Type II

Type II is also known as Arnold-Chiari malformation. This is the pediatric version. Symptoms are more severe with Type II because more brain tissue comes through. With this type, the cerebellar tonsils and some of the brainstem protrude. With Type II myelomeningocele, which is a form of spina bifida is a concern. What happens is the vertebrae and spinal canal do not close correctly before birth, so the spinal cord has no protection.

 

Type III

This type also affects children and is more severe than types 1 or 2. Here a significant portion of the brain, including the cerebellum and the brainstem protrude all the way through the foramen into the spinal canal.

 

Type IV

Type IV is the most severe form. With this type, the brain does not develop properly.

 

Symptoms

The symptoms vary based on the type and severity. The most common symptom is a headache. Individuals with a Chiari malformation usually have headaches in the occipital region of the brain. This is the back of the head, right where the skull joins the cervical spine/neck. The headaches can be aggravated being in certain positions and actions, tilting the head back, and coughing. Typical symptoms include:

  • Balance problems
  • Dizziness
  • Difficulty with fine motor skills
  • Trouble swallowing
  • Vision problems
  • Weakness

However, Chiari malformation can interrupt the flow of cerebrospinal fluid. Cerebrospinal fluid is necessary to protect the brain and spinal cord. If the normal flow is disrupted it becomes more difficult for the brain and spinal cord to send/receive nerve messages. The pressure built up can also cause nerve issues/problems. For some individuals, symptoms can come and go. This depends on how much cerebrospinal fluid has built up. Individuals with Type I sometimes don’t have any symptoms. It all depends on the severity.  

11860 Vista Del Sol, Ste. 128 Chiari Malformation Brain Tissue and The Spinal Canal
 

Diagnosis

Diagnosis is done with a magnetic resonance imaging test or MRI. The MRI will show the various parts of the brain, skull, spinal cord, and spinal canal. They will be able to see abnormalities that could point to Chiari malformation.

 

Treatment

The recommended treatment depends on the severity. If pain is presenting a doctor could recommend pain medications to help manage the pain. Non-steroidal anti-inflammatory meds could also be recommended to reduce inflammation. Analgesics or pain killers can be recommended. Often both non-steroidal anti-inflammatories and analgesics are available in over-the-counter and prescription. The doctor will figure out the best medication treatment plan.

Surgery can be used to relieve symptoms and is the only way to relieve the pressure on the spinal cord and nerves. The goal is to stop the malformation from worsening. Surgeons use a posterior fossa decompression procedure. The surgeon removes part of the skull to make more room for the brain to sit in. This takes the pressure off the brain and spinal cord, and should reduce the neurological symptoms and problems. The surgeon may increase the size of the dura or the sac around the brain.

Laminectomies at C1 and C2, which are the first and second levels of the neck and are utilized to make more room for the brain. The surgeon will place a patch that is made from animal or synthetic tissue that will grow into the dura. The patch makes the dura bigger, which allows more room for the brain. Not all surgeries involve the dural patch.


 

Neck Pain Chiropractic Care

 


 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Sarcopenia Muscle Mass Loss With Chronic Back Pain

11860 Vista Del Sol, Ste. 128 Sarcopenia Muscle Mass Loss With Chronic Back Pain
Sarcopenia means the loss of muscle tissue/mass from the natural aging process. Something that all of us are going through. However, when chronic back pain is involved it can speed up the natural process, which can lead to various health issues. Keeping the body fit and the spine healthy is the objective with approaches that can be utilized and employed to help maintain muscle mass. By the time an individual turns 30, the muscles are large and strong. But going into the 30s, individuals begin to lose muscle mass and function. Individuals that are physically inactive can lose up to 5% of muscle mass every ten years after 30. Even those who are regularly active, still lose some muscle. Sarcopenia typically kicks-in around age 75-80. However, it could speed up as early as 65. It becomes a factor in bone frailty and increases the risk of falls and fractures in older adults.  
11860 Vista Del Sol, Ste. 128 Sarcopenia Muscle Mass Loss With Chronic Back Pain
 

Muscle Tissue Changes and Back Pain

Loss of muscle mass causes individuals to have a lesser degree of strength and function. As the decline continues, mobility lessens, and disability increases. With less muscle strength individuals become perfect candidates for falls/injury/s and become more prone to weight pain. Body composition shifts can play a major role in issues like spinal stenosis and degenerative disc disease. Bone density also decreases with age increasing the risk of mobility issues. This means less activity which can make back pain worse and keeps the degenerative cycle going. The back pain intensifies, physical function is very limited, and low bone mineral density brings down an individual’s quality of life.

Symptoms and Causes

Symptoms include:
  • Weakness
  • Loss of stamina
With reduced activity muscle mass becomes further shrunk. Sarcopenia is seen more often in individuals that are inactive. However, it is also seen in individuals that are physically active on a regular basis. This suggests that there are other factors involved. Researchers think these could be:
  • The ability to turn protein into energy is decreased
  • There are not enough calories/protein per day to maintain muscle mass
  • A reduction in the nerve cells that are responsible for sending signals from the brain to the muscles when moving, contracting, extending, etc
  • Low concentration of certain hormones, including:
  1. Growth hormone
  2. Testosterone
  3. Insulin-like growth factor

Prevention

Because it can affect younger individuals as well, specifically those who are leading sedentary lifestyles and are overweight, prevention is the key. It is a domino effect that:
  • Starts with reduced activity
  • That leads to weight gain
  • Causing even less activity
When the body’s muscles are not being used they begin to atrophy. Fortunately, the loss can be reversible to a certain degree. Helping to build the muscle mass back up and help prevent sarcopenia is the goal.

 
11860 Vista Del Sol, Ste. 128 Sarcopenia Muscle Mass Loss With Chronic Back Pain
 

Strength training

Muscles need a degree of stress to grow, which is then followed by recovery. Low-impact training programs/exercises performed at least two to three days per week can help keep the muscles healthy and in top form.

General physical activity

Exercise does not have to only be a regimented training form. Being active means keeping the body moving and mobile on a regular basis. This can be gardening, vacuuming, taking a walk around the neighborhood, parking far away when shopping to walk more, taking the stairs instead of the elevator. Anything that involves moving the body regularly and keeps the muscles active will help in the prevention process.

Protein

There is a wasting syndrome known as Cachexia. There is a connection between protein consumption and muscle mass. Older adults are at risk of low protein intake because they do not synthesize amino acids as effectively as they used to. Whey protein is recommended specifically because it creates and maintains high concentrations of amino acids in the blood. Other protein choices include:
  • Greek yogurt
  • Peanut butter
  • Eggs
  • Nuts
  • Seeds
  • Beans
  • Lean animal proteins

Resistance Training

Sarcopenia prevention will promote better back/general health for every age group. However, it is crucial for those who are experiencing accelerated muscle loss like individuals over 50 and especially after 60. Resistance/strength training or some form of physical activity done on a regular basis can significantly slow the decline. But heavy-weights are not necessary. Older individuals might believe weight training means they have to lift heavy with fewer reps and more weight. It is actually the opposite, with more reps and lighter weight. An example could be doing 20 reps with a 5-pound weight instead of 5 reps with a 20-pound weight. The total amount of weight being lifted is the same in both cases. This approach benefits the individual because of the less load/strain on the bones and joints. It also allows older individuals to do more sessions per week, keeping the active overall. Those experiencing sarcopenia, and with lumbar stenosis, to do exercises that challenge the muscles without adding additional pressure on the joints. This could be:
  • Walking in a swimming pool
  • Cycling
  • Pilates
  • Yoga
Bodyweight/calisthenic exercises like pushups, squats, and wall slides can also be beneficial. The focus should be on regular activity that can progress slowly, and promotes tone without risk of injury. Muscle tone is maintained by activity and is essential for everyone. Get a routine, keep moving and the body will benefit greatly.
 

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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*