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Sacroiliac Joint Stretches and Exercises for Pain Relief

11860 Vista Del Sol Ste. 128 Sacroiliac Joint Stretches and Exercises for Pain Relief
Young smiling girl in sportswear sitting on splits and looking away isolated on grey background
A doctor, chiropractor, or physical therapist could recommend therapeutic stretches along with exercises as part of a sacroiliitis or sacroiliac joint pain treatment plan. Sacroiliitis refers to inflammation in one or both of the sacroiliac joints. This could be caused by:
  • Pregnancy
  • Injury
  • Infection
  • Arthritis
  • Ankylosing spondylitis
Sacroiliac joint pain is a symptom related to sacroiliac joint dysfunction. The symptoms of sacroiliitis and sacroiliac joint pain can be felt in the lower back, buttocks, hips, and legs. These symptoms can be similar to sciatica and can mimic other lower back disorders.  
 
Blog Image  Treating Sacroiliac Diagram
 
Some of the stretches and exercises included are common for treatment plans for various low back conditions/problems. Talk with a chiropractor or doctor to get their recommendation prior to starting any exercise or stretching program.

Stretches

Piriformis stretch

The piriformis muscle extends over the hip and can aggravate the sacroiliac joint when it becomes tight. To help stretch the muscle:
  • Lie on back with knees bent
  • Feet flat on the floor
  • Slowly raise the right leg
  • Bring the right knee toward chest
  • Gently pull the leg in until there is a comfortable stretch in the buttock
  • Exhale during the stretch movement
  • Hold the stretch for 30 seconds
  • Lower leg
  • Repeat on the left leg
  • Repeat each side 3 times daily, as needed
The stretch helps the muscle fibers to lengthen/elongate and relax.  
 

Trunk rotation

Trunk rotation increases flexibility in the low back and hips. This can help relieve pressure on the sacroiliac joints. To do this stretch:
  • Lie on back with knees bent
  • Feet flat on the floor
  • With knees together
  • Slowly rotate to one side
  • Feet, hips, and back should stay on the floor
  • Hold 3-5 seconds
  • Move knees to the opposite side
  • Repeat 5-10 times on each side
 

Bridge

This is a stretch that strengthens the muscles in the lower back, buttocks, and hips.
  • Lie on back with arms at side
  • Knees should be bent, and feet flat on the floor
  • Slowly raise hips while squeezing buttocks and hamstrings
  • Hold raised position for 5 seconds
  • Repeat 10 times
11860 Vista Del Sol Ste. 128 Sacroiliac Joint Stretches and Exercises for Pain Relief
 

Water Therapy and Yoga Exercises

Aquatics and yoga are a gentle and natural form of exercise that is recommended for staying active. Talk to a doctor before starting any exercise program. Aquatic therapy, known now as hydrotherapy/water therapy, is one of the gentlest forms of exercise and is highly effective. Exercising in water creates an almost weightless environment without gravity. Hydrotherapy uses the resistance from the water to improve strength and flexibility without straining the muscles. Regular exercise can cause pain by placing added pressure on the sacroiliac joints. Water therapy conditions the spine and hip muscles without generating muscle stress. Another option for individuals with back pain is yoga. The following poses are recommended and beneficial for the sacroiliac joints:

Child’s pose

This pose stretches the hips and thighs and is a great yoga pose for beginners.  
11860 Vista Del Sol Ste. 128 Sacroiliac Joint Stretches and Exercises for Pain Relief
 

Cobra

Cobra pose can help strengthen and stabilize the sacroiliac joints.
  • Lie flat on the stomach
  • Hands beneath the shoulders
  • Slowly push up as far as the arms extend
  • Bring upper body off the ground
  • Keep the pelvis and legs on the floor
  • When extended, be sure low back and buttocks are relaxed
  • Hold for 15 to 30 seconds
  • Gently lower to the floor
 

Triangle pose

Triangle pose helps to strengthen the sacroiliac joints and makes them less susceptible to pain. However, this pose involves twisting, so make sure to do this pose only when the joints are stable and pain-free.  
 

Before stretching and exercise

Before starting any stretching or exercise program, check with a doctor or chiropractor, if the joints are able then the stretching/exercise could begin right away. However, in most cases, a doctor will refer the patient to a physical therapist or chiropractor to create a customized exercise and stretching plan. The therapist will show exactly what activities will strengthen the joints and how to do them properly and safely. These movements can help condition the spinal and abdominal muscles. This can help prevent future episodes of back pain. If an individual just had surgery for sacroiliac joint pain, the surgeon more than likely prescribed a customized rehabilitation stretching/exercise program. Follow instructions, and get the surgeon’s approval before engaging in anything outside of the plan.

Staying fit safely

When dealing with sacroiliac joint dysfunction or sacroiliitis, physical activity may need to be redefined after treatment. As regular exercise could mean strenuous activity and could do more damage. Exercises like heavy weightlifting, contact sports, and intense biking could place excessive pressure on the joints. A doctor or chiropractor will offer the best stretching and exercises for every individual. Physical activity combined with gentle stretching and conditioning exercises can effectively reduce low back and hip pain. Talk to a doctor, chiropractor, or physical therapist about incorporating healthy exercise into a daily regimen. For some, the workout might not feel like there’s anything going on, but the effects on the pain will be.

Labrum Tear Hip & Physical Therapy Rehabilitation

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Spinal Stenosis Causes and Prevention

11860 Vista Del Sol, Ste. 128 Spinal Stenosis Causes and Prevention
Senior woman having back pain in bedroom at home
Understanding the cause of spinal stenosis is important for accurate diagnosis and in creating a customized optimal treatment plan. The cause of spinal stenosis is categorized as either primary or acquired. Primary means the stenosis could be congenital or since birth. Some individuals are born with a spinal canal that is narrower than normal. This is a rare occurrence. Signs or symptoms of primary spinal stenosis do not present until adulthood usually around mid-life. Acquired spinal stenosis can develop as a result of:
  • Bone overgrowth brought on from wear and tear from osteoarthritis on the spinal bones can form bone spurs, that can grow into the spinal canal.
  • Paget’s disease is a bone disease that affects adults, and can also cause bone overgrowth in the spine.
  • Herniated discs – The discs can begin to dry out with age and form cracks or tears letting out the soft inner material creating pressure on the spinal cord or nerves.
  • The ligaments are tough cords that hold the bones of the spine together. They can become stiff and thickened with age and time. The thick ligaments can then bulge into the spinal canal.
  • Tumors or abnormal growths can develop inside the spinal cord, in the membranes that cover the spinal cord or inside the space between the cord and vertebrae.
  • Spinal trauma/injury like automobile accidents, sports, and other trauma can cause dislocations or fractures of the vertebrae. Pieces of bone from a spinal fracture can fall into and damage the spinal canal.
  • Back surgery swelling of tissue immediately after can put pressure on the spinal cord or nerves.
11860 Vista Del Sol, Ste. 128 Spinal Stenosis Causes and Prevention
 

Acquired Spinal Stenosis

The leading cause is wear and tear on the spine due to aging. The most common direct cause is osteoarthritis, where the cartilage that cushions the joints begins to degenerate with age. The cartilage is smooth when brand new. As the body ages, the cartilage can become rough and can wear through completely. This allows the bones to rub against each other. The rubbing produces small bone growths called bone spurs. Individuals with these symptoms try to limit movement and limit pain from the bones rubbing together. However, individuals can’t stop moving entirely, and less movement reduces the quality of life. The bone spurs can create other types of pain. Inside the spine, the spurs can narrow the spinal canal, which can compress the spinal cord or nerve roots.  
 
Risk factors for osteoarthritis and disc problems include:
  • Aging
  • Improper body mechanics
  • Poor posture
  • Sports
  • Weight
  • Lifting heavy objects without using proper lifting techniques.
This can damage a disc or move the vertebrae out of proper alignment.

Prevention

Spinal stenosis prevention is about practicing lifestyle habits to improve and maintain spinal health. For those with stenosis, regular exercise combined with proper body mechanics will help reduce the risk of the spinal stenosis becoming worse.

Exercise

Exercise, done properly, strengthens and protects the spine from the everyday wear and tear and helps maintain body weight. Being at the proper weight puts less pressure on the spine. Gradually build up the workout sessions until comfortable. General exercise guidelines are to go for 30 minutes a day. This in combination with aerobic activities like walking or swimming and resistance training like yoga or weight lifting. Stretching out regularly is highly recommended as an effective way to lengthen, loosen, and warm up the spinal muscles. Here are some basic back stretches and exercises for spinal stenosis.  
11860 Vista Del Sol, Ste. 128 Spinal Stenosis Causes and Prevention
 

Body Mechanics

Proper posture along with proper body mechanics are some of the best ways to prevent stenosis from developing/progressing and ensures the health of the spine. They should be practiced all the time:
  • Sitting
  • Standing
  • Lifting heavy objects
  • Sleeping
Proper mechanics and posture keep the spine operating at the top level even when doing regular/normal activities. Even though aging is the primary cause of spinal stenosis, does not mean to not be proactive about spinal and general health. Exercise and proper mechanics give the back and neck a strong defense system against cervical or lumbar stenosis that will serve for years.
 

Chiropractic Care For Auto Accident Injuries

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Whiplash Surgery: When it’s Necessary

11860 Vista Del Sol, Ste. 128 Whiplash Surgery: When it's Necessary
Physiotherapist examining neck of patient in the clinic
Whiplash injuries very rarely call for surgery. But with those rare occurrences, that are severe cases, surgery is considered appropriate when neck or shoulder pain worsens. Doctors recommend patients go through 4 to 6 weeks of non-surgical treatment. If there is no improvement or the condition is worsening then a doctor could recommend whiplash surgery as the best option. A spine surgeon will recommend the best procedure for the specific injury. Ask all the questions you have to fully understand the exact process, the outcome, and the recovery time. Surgery is an individual’s decision. The surgeon can recommend it, but the patient has the final say. The procedure depends on what area/s the cervical spine is injured/damaged.  
11860 Vista Del Sol, Ste. 128 Whiplash Surgery: When it's Necessary
 

Disc Herniation

Depending on the type of trauma individuals can rupture or herniate the intervertebral disc/s, located between the vertebrae. This can generate constant pain, numbness, and weakness. With cases like this sometimes removal of the disc is necessary.  
 
A surgeon will remove all or portion of the damaged disc through a process called a discectomy. After the discectomy, a doctor may have to permanently stabilize the area. This is because the spine becomes unstable and can move in abnormal ways. This increases the risk of a serious neurological injury. Therefore a discectomy is usually followed with a re-stabilization of the spine. Spinal stabilization techniques used:

Artificial Disc Replacement

Cervical artificial disc replacement also known as ADR could be performed instead of standard discectomy combined with spinal fusion. An artificial disc is implanted into the empty space following the procedure. Artificial disc replacement preserves or restores movement of the neck.

Fusion and Spinal Instrumentation

This form of spine stabilization can be done on its own or in combination with decompression surgery. The bones in the spine fuse together over time usually several months or longer depending on how the surgeon set up the fusion process. The surgeon will use a bone graft or a biological chemical that stimulates bone growth. A surgeon could use spinal instrumentation. These are:
  • Interbody device/s
  • Screws
  • Rods
  • Plates
These all are used to increase stability and help fuse the bones properly. The fusion prohibits movement between the vertebrae for long-term stability.

Stenosis

Whiplash surgery could also be necessary if the injury caused the spinal canal in the neck to narrow. Here a cervical corpectomy could be performed to remove part of the vertebra and intervertebral disc/s. This reduces the added pressure on the spinal cord and nerves. A surgeon could also do a laminectomy or a laminoplasty. Both focus on the lamina, which is the bony plate at the back of each vertebra. The lamina protects the spinal cord and canal. The lamina could also present added pressure on the spinal cord. This is where the surgeon will create extra space for the cord by removing all or part of the lamina. This is a laminectomy.  
11860 Vista Del Sol, Ste. 128 Whiplash Surgery: When it's Necessary
 
A laminoplasty re-shapes the lamina to create more room for the spinal cord. If there is a narrowing of the space where the nerve exits the canal, a cervical foraminotomy could be utilized. The foramen is the area where the nerve roots exit the spinal canal. This is removed to allow for more space for the nerves to move through. A larger pathway is less likely to pinch/compress the nerve.

Complications

A doctor will discuss all the potential risks before being asked to sign a surgical consent form. Complications can include:
  • Injury to the spinal cord, nerves, esophagus, carotid artery, vocal cords
  • The bone fusion does not heal known as pseudoarthrosis
  • Improvement does not occur
  • Instrumentation breaks or gets damaged
  • Infection
  • Bone graft site pain
  • Pain and swelling in the leg veins known as phlebitis
  • Blood clots in the lung
  • Urination problems
Complications could lead to more surgery, so make sure there is a complete understanding of the surgery and the risks before proceeding. The final decision is up to the individual.

Whiplash Surgery Recovery

After surgery, things might not be great right away. More than likely individuals are out of bed within 24 hours, and on pain meds for 2 to 4 weeks. Individuals will receive instructions on how to sitting down, and standing up. The body needs time to heal, so the doctor will recommend restricting certain activities that involve moving the neck too much. Avoid sports, twisting, or heavy lifting during recovery. And report any problems like fever increased pain, or infection right away.
 

Whiplash Massage Therapy

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Moving During Pregnancy Safely and Easily

11860 Vista Del Sol, Ste. 128 Moving During Pregnancy Safely and Easily
Happy pregnant woman showing a key of their new house
Moving during pregnancy is not the way things are usually planned out, but it does happen. It is possible and can be done safely and with ease by:
  • Creating an optimal moving plan
  • Paying attention to the new house/apartment surroundings
  • Proper posture
  • Body mechanics
  • Getting plenty of help
Moderate physical activity for most expectant moms is encouraged for a healthy pregnancy. The CDC warns that bending too much while pregnant could lead to complications. However, moving boxes is not all there is to do. There are plenty of things like cleaning, organizing, packing, showing where to put the boxes, getting food and refreshments, etc.

Moving during pregnancy

Moving is exciting and stressful at the same time. Questions start to come up like bending, lifting, and wearing a back brace. Here are some tips during your move.  
11860 Vista Del Sol, Ste. 128 Moving During Pregnancy Safely and Easily
 

Talk to a doctor

Your doctor or chiropractor should know about the upcoming move giving them an opportunity to help and provide safety tips. If it is during the first trimester it could be stressful for the pregnancy if not careful. Moving during the first three months could cause preterm labor with other possible complications. This does not mean to not move just to make a plan with your doctor for keeping the stress low and avoiding the risk for potential issues.

Questions to ask:

  • What can I lift while pregnant?
  • Is there a specific bending technique?
  • Is lifting during the first trimester safe?
  • How long should I be on my feet during the move?
  • Is it safe to go up and down stairs consistently?

Brain fog and planning ahead

This is also known as baby brain or pregnancy brain and is the cognitive slowdown and memory issues that many pregnant women report. If there are issues with general cognitive functioning, fatigue, or other brain fog symptoms, careful planning can help.

Help for pregnancy brain fog:

  • Create detailed lists and save them to your phone or location where they won’t get lost.
  • Sleep a lot more as being tired will worsen symptoms.
  • During the move take frequent breaks.
  • Eat foods with Omega-3, these benefit brain function, and the baby’s development.

Packing fun

Packing the right way can mean all the difference between a smooth move and a chaotic one. It is recommended to allow for a week longer than anticipated for packing. Declutter a month before packing. Then donate, sell, and give away whatever is not needed to lighten the load. Create a moving day kit with a change of clothes, snacks, water, vitamins, a cooling pack, and anything else that a pregnant woman will need. Having fun during the packing process can be accomplished by turning the tasks into a game or some type of fun activity. Working/dancing with fun music can ease the monotony, keeps the joints loose, proper blood circulation is achieved and the stress is worked out. Light aerobic dancing has shown to decrease the risk of disorders while pregnant, and the recovery time after giving birth.  
 

Get plenty of help

Nobody wants to help family, friends move. Therefore throw a party or some event where everyone will be of the mindset that it was worth helping out. More help is needed during pregnancy because of the added rest times and minimal heavy lifting. If there is not enough help, an investment in professional movers could be necessary. Prices vary depending on where someone lives and the companies available. However, with some research, it can be money well spent while pregnant.

Safety checklist

Create a safety checklist that includes:
  • Regular water breaks – hydration is extremely important while pregnant, especially if prone to morning sickness. Dehydration symptoms can include:
  • Precautions when walking up and down the stairs.
  • Frequent work breaks every half hour.
  • Stress relief methods/techniques
  • First aid kit
  • Moving can create more sweating than normal, therefore keep ice and electrolyte drinks close by.
  • Leave the packing of products with harmful chemicals like cleaning products, paint thinners, or ammonia to a helper.
11860 Vista Del Sol, Ste. 128 Moving During Pregnancy Safely and Easily
 

Lifting and bending

It is highly recommended to not lift furniture or other heavy items while pregnant. Lifting a heavy object can contribute to: Doctors generally recommend twenty-five pounds as the threshold during pregnancy. However, it depends on the trimester and what the individual is already used to lifting. An example is a woman lifting something heavy in the third trimester is different than when they were only five weeks. Proper lifting techniques need to be implemented like bending the knees not the back, keep the back straight while doing so, and avoid quick jerking movements.

Proper moving attire

On moving day, wear lightweight, breathable, stretchy clothing, so discomfort and malfunction won’t pop up. Cotton stays cool and free of sweat or itchiness. When pregnant the center of balance shifts, therefore, the right shoes are a must. Here are some shoes that can help during pregnancy.

Don’t rush the nursery

Getting the nursery finished for the baby, creates added pressure. Pretty much all newborns sleep in the same room with their parents, and the American Academy of Pediatrics recommends this for the first months. So cut yourself some slack when it comes to the perfect baby nursery. The baby is not going to hold it against you and there is time after the move to settle in.

Proper rest

This is a stressful time that requires a lot of energy. But just like proper hydration is important, so is plenty of sleep and embrace the positive aspects rather than focus on the complications. Talk to your doctor, enlist plenty of help, drink lots of water, and leave the heavy lifting to those that are not pregnant. At the end of the day, it will all be worth it.

Back Pain During Pregnancy 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*

Bicycling and Back Pain: What to Know

11860 Vista Del Sol, Ste. 128 Bicycling and Back Pain: What to Know
Cropped image of man sitting on bicycle and ready to ride

Indoors or out, bicycling can be great for an individual’s back with proper preparation. With everything that is going on, many individuals are getting creative with their workouts. Many are turning to home or outdoor exercise. Bicycling is considered a safe activity. According to the NPD Group, bicycle sales have tripled in sales since March.

However, back pain could be affected by a biking routine. Whether a newfound hobby or regular activity, individuals need to prepare and plan ahead before getting out on the trails or on a stationary exercise bike and avoid developing or aggravating back pain. Here are a few essential tips to create a safe and back-healthy bicycling experience.  

11860 Vista Del Sol, Ste. 128 Bicycling and Back Pain: What to Know
 

Understanding back pain

Bicycling is a type of aerobic exercise that can help with overall health. Done regularly it can improve the heart and lungs’ performance. Other areas of the body like the spine along with the musculoskeletal system, also benefit. For some, it is an even better form of exercise than jogging or aerobics, as it can be less jolting on the body and spine.

Back pain during cycling is rare except when individuals try to push the intensity level beyond their normal workout. If there is back pain from an unknown cause it should be looked into by a doctor, physical therapist, or chiropractor before beginning a regular bicycling regimen.

There are certain spinal conditions where bicycling can benefit. Individuals that bike ride with conditions like degenerative disc disease and lumbar spinal stenosis can experience relief in the back and legs, as it’s an exercise in which flexes the back. But there are spinal instability conditions like spondylolisthesis, that create forward flexion and can worsen back and leg pain. Therefore it is essential to attain a diagnosis before committing to regular bicycling.

 

Talk to a Doctor

Before starting any exercise program, talk with your doctor to find out if you are healthy enough for this type of therapeutic workout. Those with present back pain issues also need to be cleared by their doctors. But more than likely if they are already following a treatment plan, their doctor would have them doing some form of stretching/exercise as part of their plan, and they just need to find out if riding a bicycle is OK. Once cleared, even with chronic mild back pain an individual can initiate bicycling into their regimen.  

cyclists benefit with chiropractic el paso, tx.
 

Reasonable workout

In addition to safety basics individuals need to:

  • Wear a helmet
  • Wear highly-visible clothing
  • Get their bike serviced for optimal performance
  • Add reflectors
  • Add lighting
  • Have a workout/training plan

As with any exercise, there should be a training plan that will be sustainable and help to avoid injury. Set small goals, especially when beginning. Go for an achievable distance or workout time. Then gradually build up and don’t rush. Allow yourself to go through the experience, learning as much as you can.

Both indoor and outdoor biking require a thorough warm-up and stretching of the body. This definitely includes the spine, that needs some time to loosen up, properly. A healthy comfortable bike seat or saddle with the proper height for body type and inseam is vital. Being uncomfortable while trying to perform therapeutic exercises plus the added possibility of worsening the injury or creating a new one from a stock seat is not worth the risk. At the end of the ride, cooling down is strongly advised.

 

Pay attention to form/mechanics

When it comes to biking technique, there is no particular form that is ideal or the best.  Always try to be in a position where the spine is comfortable. This type of bicycling is low-impact and should be fluid in motion. Poor posture, jerking motions of the spine, neck, or not using the proper equipment can cause poor mechanics and increase the risk of injury.  

11860 Vista Del Sol, Ste. 128 Bicycling and Back Pain: What to Know
 

Indoor bicycling

Cycling indoors could be safer for individuals that do not have access to safe bicycling areas or are older. Options include spin class or stationary bike. Both are set in a controlled environment with accidents being a rare occurrence. Outdoor biking happens on the road, bike path, sidewalk, or terrain where there is potential for an accident. With the machine or class, individuals can:

  • Choose the workout type
  • Fitness level
  • Intensity
  • Workout duration
  • Heart rate
  • Resistance

Spin classes also follow the pattern with a warmup, a specific workout, and a cool down. However, there are the mental health benefits of being outdoors. Whatever is best for the individual, it is up to them to ride the bike outdoors, indoors, or a combination of both. It is an excellent form of exercise, as it:

  • Promotes cardiorespiratory health
  • Is low impact
  • Promotes blood flow
  • Strengthens the body’s core
  • Increases range of motion to the joints
  • Improves spinal health

 

Chiropractic Maintenance 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*

Workers’ Compensation for Back Injuries Overview

11860 Vista Del Sol, Ste. 128 Workers’ Compensation for Back Injuries Overview
Young woman is doing exercises. Lady in the clinic. The patient uses the physical therapy equipment.
Getting workers’ compensation for a back/spinal injury can be a daunting and overwhelming task. There are plenty of questions, and we have answers from both medical and legal professionals. Anyone can be affected by back pain at work.
  • Truck drivers
  • Manual laborers
  • Construction workers
  • Hairstylists
  • Automotive technicians
  • Teachers
  • Healthcare workers
  • Foodservice workers
  • Hospitality workers
  • Office workers
Work-related back injuries can be prevented by paying attention to posture, taking standing/moving breaks, stretching out, and lifting properly. However, if back pain at work stems from a work injury individuals could be entitled to workers’ compensation benefits.  
11860 Vista Del Sol, Ste. 128 Workers’ Compensation for Back Injuries Overview
 

Workers’ Compensation

Workers’ compensation is an insurance program that helps with and provides benefits and medical care for workers that have been injured or fallen ill resulting directly from their job. This means if an individual is injured at work, employers have negotiated to free themselves of a majority of the liability by paying for the treatment and recovery. Companies that employ five-hundred or more are able to manage their own workers’ compensation program. However, most workers’ compensation programs are managed by state governments. Every state has its own workers’ compensation program that employers pay into. The federal government handles the federal workers’ compensation program for federal employees. The program is funded by the employer with the cost not affecting an individual’s paycheck.

Workers’ Compensation Coverage

Compensation programs are different throughout the country. Typically workers’ compensation pays for:
  • Initial emergency department
  • Urgent care visit
  • Diagnostic testing recommended by the emergency department
  • Follow-up physician
  • Surgical intervention
  • Rehabilitation
Under workers’ comp back injury treatment/s are completely covered, meaning an individual does not have to meet a deductible or pay premiums, copayments, or coinsurance. Individuals continue to receive regular health insurance benefits from the employer. This could require a deductible, premiums, copays, and coinsurance. This is for the treatment of other health issues while receiving workers’ compensation care. If an individual is unable to work because of a workers’ comp back injury, a worker can expect to be paid a base salary after taxes while being treated. Those whose salary is dependent on overtime creates a disadvantage. Workers’ compensation can mean a pay cut for these individuals. Workers’ comp pay depends on the state. Usually, there is a wage rate set by the state.

High Risk for Back Injury on the Job

Employees that are involved in physical labor like construction, factory work, and healthcare work have a higher risk of getting a back injury on the job. These injuries are often the result of:
  • Improper lifting techniques
  • Repetitively turning
  • Twisting while lifting
  • Holding something heavy
  • Lifting heavy objects above the head
  • Using the back muscles instead of the hips and legs when lifting bending of the knees and bringing heavy objects close to the core
Truck drivers also have a higher risk of back injuries. Sitting for long periods and reduced physical activity contributes to the back muscles losing their strength, endurance, and cardiovascular ability. Then when unloading the cargo the stress on the spine is doubled.  
11860 Vista Del Sol, Ste. 128 Workers’ Compensation for Back Injuries Overview
 

Injury Report

A back injury should be reported to the supervisor or the company’s human resources department. Depending on the state, there is a statute of limitations to file an injury claim. For example, an individual has one year from the date of injury to file a workers’ compensation claim with the supervisor or human resources department. However, it is best to report the injury and seek medical attention as soon as possible after being injured at work. The longer the wait, the more the employer could dispute the legal validity of a workers’ compensation claim.

Injury Qualification

If injured at work, assume the injury will be covered by workers’ compensation. However, it is not always completely clear. An individual could be injured at a work-related cookout or working from home and trip down the stairs. These are gray areas and are very new as more people working from home. These kinds of workers’ comp claims are now starting to be seen. Whatever the event, report injury/s to the employer. If the situation is untraditional, there could be some back and forth with the employer.

Spine Specialist Referal

To receive work comp treatment patients with back injuries will be referred to an occupational therapy clinic. An occupational therapist or clinic will set up the treatment. This could include:
  • Chiropractic
  • Medication
  • Physical therapy
  • Hydrotherapy
  • MRI
  • CT scan
  • X-rays
For many that could be enough to get them back to work. If the initial treatments fail an individual could be referred to a spine specialist to set up an optimal treatment plan. A spine specialist could recommend additional therapy, medication, diagnostic imaging, spinal injections, or surgery. Occupational therapy usually goes on for four to six weeks before the individual is referred to a spine specialist. This all depends on the situation. Individuals can be referred immediately for specific spinal treatment or be told to wait for a specific time. It all depends on the medical situation.

Employer and the Spine Specialist

In most states, employers will request a copy of the treatment plan and spine surgeon’s clinical notes written about the case during office or telemedicine appointments. Doctors have to provide clinic notes and treatment plans to the human resources departments along with the workers’ compensation insurance carrier. Consistent, active communication goes on between the primary doctor, the company’s human resources department, and the insurance carrier. Note that workers’ compensation is exempt from HIPAA privacy regulations. Employers and the workers’ compensation insurance carrier have access to medical records related to the back injury. But medical information unrelated to the injury is restricted.

Obtaining Workers’ Compensation From a Doctor

Generally, no. Obtaining Workers’ comp is between the individual and their employer, not the doctor. Sometimes doctors are asked to determine if an individual’s injury/s are work-related. This involves going through medical records but these requests are rare.  
 

Benefits Duration

It depends on the case and where an individual lives. Every state is its own system. In some states, treatment can be ongoing for as long as treatment is needed and is consistent. What is highly recommended is meeting with a workers’ compensation attorney in your state when beginning the process to learn your rights and the process. This can help in preventing issues from popping up like an employer pressuring a worker to come back before a doctor has cleared them to return.

Making Most of Workers’ Comp

Keep appointments and be compliant with the doctor’s treatment plan and recommendations. Be transparent with the doctor. Not telling them exactly what is happening will not help in their recovery. If there is an improvement from the treatment/s fantastic, but if there are minimal to no improvements be as descriptive as possible about what is happening and what does work. The goal is to work with a clinical team that can get an individual better back to work and normal activities.

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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*

Not All Foods Are Beneficial For Bone Health and Osteoporosis Prevention

11860 Vista Del Sol, Ste. 128 Not All Foods Are Beneficial For Bone Health and Osteoporosis Prevention
Father and daughter preparing smoothie in kitchen at home
There are certain foods that although healthy, for individuals trying to prevent osteoporosis, they could stunt healthy bone growth. There are ways to prevent osteoporosis, and eating a diet rich in calcium and vitamin D is one of them. However, not all foods are beneficial for bone health. Some nutrients can actually damage bones when consumed in high doses. These foods do not have to be completely removed from an individual’s diet. These foods and nutrients are still important so it would not be healthy to just stop. Individuals with or trying to prevent osteoporosis just need to make adjustments and consume them in moderation.  
11860 Vista Del Sol, Ste. 128 Not All Foods Are Beneficial For Bone Health and Osteoporosis Prevention
 

Caffeine

Too much caffeine more than four cups of coffee a day decreases calcium absorption, that increases risk for fractures. Coffee and tea contain caffeine naturally, but sodas create even larger concerns. Experts believe that the caffeine content in sodas is not the only danger. It is the substitution of milk and other calcium-based drinks.

Protein

Protein is essential for a balanced diet. This is because it helps build healthy muscle mass. A diet too high in animal protein (beef/pork) as opposed to protein from nuts and grains could contribute to calcium loss. Animal protein/s contain sulfur, that forms acid in the body. Acidic balance is necessary and so the body will release calcium from the bones to neutralize the acid and achieve balance.

What is considered too much protein?

No general amount has been determined. Therefore just an individual’s daily requirement, determined by body weight is what is recommended. Finding out how much protein is needed, take your weight in pounds, and multiply by .37. (Weight/lbs x .37 =) This will tell an individual how many grams they should be consuming every day. There are more specific techniques to get an exact number if need be.

Spinach

Green vegetables are considered some of the best foods to eat when the aim is to strengthen the bones. But spinach can prevent the body from absorbing calcium properly. This is because it contains oxalate. Oxalate interferes with the body’s ability to absorb calcium. Fortunately, spinach can still be included but may need to be adjusted/altered as to how it is prepared. In this case, spinach is best eaten cooked, as the chemical is destroyed through the process.
11860 Vista Del Sol, Ste. 128 Not All Foods Are Beneficial For Bone Health and Osteoporosis Prevention
 

Salt

Too much salt makes it difficult for the body to keep the calcium, which can cause bone loss. Many processed foods are extremely high in sodium. Therefore, try to eat fresh foods and try sea, Himalayan, or healthy form of salt when seasoning meals.

Pure Wheat Bran

Pure wheat bran is the only food that can lower the absorption of calcium in other foods when eaten together. If taking a calcium supplement the effects of this process can be lessened by taking the supplement a few hours before or after eating foods with pure wheat bran. These foods don’t have to be eliminated from your diet but should be consumed in moderation. The focus should be on a balanced diet. Building strong bones and maintaining them can be a delicious endeavor. Osteoporosis prevention is not the only benefit of healthy eating habits. A proper diet will promote and generate the optimal function of the body.

Learning About Food Substitutions

 
 

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*

Swimming Non-Impact Exercise for Back Pain, Injury, and Rehabilitation

11860 Vista Del Sol, Ste. 128 Swimming Non-Impact Exercise for Back Pain, Injury, and Rehabilitation
Female swimmers group, aqua aerobics, training with dumbbells in the pool. Women in the water, sport swimming fitness workout
Studies reveal that swimming and aquatic exercises can help in relieving back pain. Done properly it is a highly recognized form of cardio exercise as well as injury recovery and rehabilitation, especially when dealing with back pain. Other types of cardiovascular exercise/s are great and are recommended for individuals with back pain that is already being managed. This could be light walking and mild aerobics. However, those in severe pain and more than likely not in the best shape, cardio can be hard on the body. Swimming is great for all body types, those with weight issues that contribute to their back pain, those that have trouble moving, the young, elderly plus it burns calories, builds muscle, and is very refreshing.
11860 Vista Del Sol, Ste. 128 Swimming Non-Impact Exercise for Back Pain, Injury, and Rehabilitation
 
Swimming has been utilized as a non-impact form of exercise and is recommended for individuals in injury recovery, surgery, and for those where performing high-impact exercise/s like running would be painful and dangerous. The buoyancy or upthrust of the water counters gravity decreasing the compression on the spine. Aqua or hydrotherapy allows cardio activity without increasing or worsening pain, which is very therapeutic. Regular cardiovascular exercises/activities are beneficial for pain reduction. Figuring out and determining the right exercise/stroke for the patient’s specific ailment and length of time those exercises should be done without causing fatigue or increased pain is the objective. Strengthening the paraspinal muscles is essential to help with spinal support and reducing back pain. Utilizing the up-thrust of the water, enables patients to exercise these muscle groups more efficiently and effectively.  
 

Preparation

Wherever the swimming therapy will take place, it is vital that the individual feels comfortable at the location, in the water, knows how to swim as this puts an individual at ease, not worrying about their surroundings and able to focus completely on their therapy/rehab. If an individual is not a confident swimmer, the therapy can be done in shallow water or a rehabilitation pool and if cleared with a doctor taking swimming lessons with back pain in mind could be part of a therapy program. Once confident in the water warm-up in the shallow end or do some walking/cycling before actual swimming.

Therapeutic Strokes

Strokes for the therapeutic workout will be determined by the doctor, specialist, chiropractor, therapist, etc. These strokes are recommended to protect the spine while keeping pain at bay. Although individual cases are completely unique, and a doctor/therapist could recommend other strokes, the safest strokes found for back pain are the freestyle and the backstroke. Strokes like the butterfly or breaststroke cause a natural extension/arch in the low back, which can be quite painful. So a patient does not have to lift their heads, which could cause them to arch their backs as well, could benefit using a center snorkel.  

Regimen Frequency, Length

Like all forms of exercise, especially when dealing with back pain moderation is the way to go avoiding repetitive/overuse injuries. Soreness after the workout that goes away within a few hours is normal. But if the soreness lasts to the next day, this could the body warning the patient they are doing too much. For swimming, therapists usually recommend three days a week 20 to 30-minute workout. With activity response being used as a guide to progress or decrease the intensity or volume of the exercise. A gradual increase in activity until the patient reaches a workout regimen that fits:
  • Age
  • Condition level
  • Physical ability

Considerations

When swimming or performing any exercise/s the benefits are completely dependent on the individual and back condition. It is difficult to determine how well therapeutic swimming will work, as every individual and the condition/s they are dealing with are different. Individuals with arthritis or spinal stenosis have been shown to do well using hydrotherapy because of decreased spinal compression. Each patient might have to make certain adjustments based on their condition and the doctor’s, chiropractor, specialist’s treatment plan. For example, someone with cervical spine arthritis or stenosis could have a difficult time lifting their head to breathe. In this case, they could be instructed to swim using only the backstroke or using a customized stroke so they don’t have to lift the head. Every patient needs to try and see what works for their specific condition. What works for one patient, may not work for another. Find out if swimming could be a treatment option for your back condition. With this in mind, finding a form of aqua/swimming exercise that suits you can be achieved.  
11860 Vista Del Sol, Ste. 128 Swimming Non-Impact Exercise for Back Pain, Injury, and Rehabilitation

 

Lower Back Pain Skating 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*

Treatment Options for Spinal Compression Fractures

11860 Vista Del Sol, Ste. 128 Treatment Options for Spinal Compression Fractures
Physiotherapist explaining spine model to patient in clinic
Minimally invasive surgical procedures can be used to treat spinal compression fractures. These procedures are utilized to reduce severe pain, stabilize the fracture itself, and restore lost height or shape of the broken vertebral body. These procedures are known as:
  • Balloon kyphoplasty
  • Vertebroplasty
  • Vertebral body augmentation
A vertebral compression fracture is a type of spinal fracture that can be caused by osteoporosis. This is a metabolic disease that weakens bone density and increases the risk of fracture/s in the spine, wrist, and hip. Osteopenia and osteoporosis affect millions, according to the National Osteoporosis Foundation. If left untreated, it can progress without an individual knowing and painlessly until the bone/s fracture. A vertebral compression fracture is more frequent than hip fractures and can lead to extended disability.  
Vertebral Fracture Diagnosis Imaging Studies | El Paso, TX Chiropractor
 

Vertebroplasty

Vertebroplasty is a minimally invasive treatment done through the skin for painful vertebral compression fractures. It also helps with strengthening the surrounding vertebral bodies also at risk of fracturing. Orthopedic bone cement is injected into the fractured vertebral body.

How is it performed?

Under general anesthesia, a specialized needle for bone is slowly inserted through the soft tissues of the back towards the vertebral compression fracture. The surgeon sees the position of the needle at all times through a real-time x-ray. Once reached a small amount of orthopedic bone cement, called polymethylmethacrylate, is injected into the vertebral body. Polymethylmethacrylate is a medical-grade bone cement that’ss been used for years for various orthopedic procedures. The cement can sometimes be combined with an antibiotic to reduce the risk of infection along with a powder that has barium or tantalum. This allows it to be seen on the x-ray. The cement is a thick paste that hardens quickly. The fractured body is injected on the right and left sides, the midline of the back. After a few hours, the patient is up and moving. Most go home on the same day.  
11860 Vista Del Sol, Ste. 128 Treatment Options for Spinal Compression Fractures
 

Balloon kyphoplasty

Balloon Kyphoplasty is another newer minimally invasive surgery for vertebral compression fractures that can be associated with osteoporosis. Kyphoplasty utilizes a balloon that expands the compressed bone to help restore lost vertebral height while creating a space where bone cement is injected. Kyphoplasty stabilizes fractures, restores lost vertebral height, and reduces deformities.

How it is performed?

Balloon kyphoplasty is performed under local or general anesthesia. Using real-time x-ray two small incisions are made, and a probe is inserted into the vertebral body space. The bone is drilled and balloon/s, called a bone tamp is a pump that is inserted on each side.  
11860 Vista Del Sol, Ste. 128 Treatment Options for Spinal Compression Fractures
 
These balloons are inflated with contrast medium so the surgeon can see on the real-time x-ray until each balloon expands to the correct height, and then are taken out. The balloon is used to create a space for the bone cement and helps expand the compressed vertebral body bone. The cement binds and stabilizes the fracture. The cement provides:
  • Strength
  • Stability
  • Hardens rapidly
  • Restores height
  • Relieves pain

Vertebral augmentation implant

A vertebral augmentation implant is different from vertebroplasty and kyphoplasty. This minimally invasive procedure for middle and lower back spinal compression fractures utilizes a flexible loop spring style spinal implant. It is performed under local or general anesthesia. A real-time x-ray is used to visualize the spinal anatomy and guide the placement of the device. The implant is delivered through a small incision. Once the implant is in place, the bone cement is injected, and the implant is removed.  
 

Potential benefits include:

  • Reduction of new fractures above or below the existing fracture
  • Improves the spine’s angle
  • Reduced spinal deformity
  • Reduces bone cement leakage
  • Reduces the amount of bone cement

Benefits of all

Vertebral compression fractures and the limited abilities of traditional surgical options led to the refinement of these surgical systems. Each procedure provides options, as to how the treatment helps relieve pain, reduce and stabilize fractures, reduce spinal deformity, and stop the progressive worsening of untreated osteoporosis.

Added benefits:

  • Surgical time is minimal
  • Local or general anesthesia is all that is needed
  • Hospital stay is a day or only a few hours
  • Patients can quickly return to normal activities
  • No bracing required
A spine surgeon will explain the purpose and aims of the recommended procedure, including the benefits and risks to help make an informed decision.

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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*

Osteoporosis Prevention Plan

11860 Vista Del Sol, Ste. 128 Osteoporosis Prevention Plan
Senior woman jogging in beautiful nature, rocks in background
Osteoporosis prevention can be accomplished, even with an osteoporosis diagnosis. There are steps along with your doctor’s treatment plan and recommendations to help control the disease from progressing. A plan can be generated to improve general health and reduce the chances of a fracture in the spine or other bones.  
11860 Vista Del Sol, Ste. 128 Osteoporosis Prevention Plan
 

Doctor Discussion

Make an appointment with a specialist to talk about osteoporosis risk factors. If you are 40 years of age or older, take some time to review the list of potential risk factors to discuss. An individual’s response can help prepare for this healthcare discussion.

Risk Factors

  • The individual has had a bone fracture as an adult – wrist, hip, spine, etc.
  • History of osteoporosis in family – mother, sister, father.
  • Body Type – small, medium, large frame.
  • Body Shape – Thin, frail, overweight, obese.
  • No regular exercise.
  • Tobacco use – smoke, vaping, chewing, etc.
  • Alcohol consumption – Drinks 3 or more times a week, sometimes binge drinks.
  • Diet does not include calcium – milk, yogurt, or vitamin D – cheese, eggs.
  • Occasional crash diet.
  • Eating disorders – anorexia, purging, bulimia.
  • Corticosteroid/s use and/or anti-convulsant medication/s use.
  • Less stability on feet.
  • Experiences occasional falls.
  • Women – 45 or younger, beginning of menopause, 50 or older, post-menopause.
  • Men – Diagnosed with low testosterone levels.
 

Learn Your T-score

A bone mineral density test is the most dependable way to predict and detect osteoporosis. It is a painless test and can take around ten to thirty minutes to complete. The T-score is a number that lets an individual know where their bone density it and if it is good or not so good.

Build Bone Mass

Bone mass can be built up by including weight-bearing and resistance exercise into a regular workout. The difference between weight-bearing and resistance exercises is that weight-bearing uses the bone/s and muscle/s to work against gravity. Walking, jogging, and dancing, are examples of weight-bearing exercises. Weight lifting or free weights are examples of resistance exercise. Here the body’s muscular strength is being utilized. This helps build bone mass and strengthen muscles.

Calcium/Vitamin D Rich Diet

Taking the time to nourish the body properly will help with osteoporosis prevention and achieve optimal health. Calcium and vitamin D won’t completely prevent or cure osteoporosis, but it is essential to include these minerals and vitamins in your diet daily. If an individual is lactose intolerant, there are fortified food products like orange juice and cereal/s to help meet daily mineral/vitamin requirements. Check out the best and worst foods for bones. Supplements are another option to help boost calcium and vitamin D. Your doctor will know how much calcium and vitamin D you need. Taking too much is not being health-wise. Taking too much of a supplement can make an individual sick. Registered Dietitians and Health coaches can educate on making wise food and supplement choices. A doctor can aid in finding either in your area.  
11860 Vista Del Sol, Ste. 128 Osteoporosis Prevention Plan
 

Stop Smoking

Smoking increases the risk of osteoporosis. Smoking affects pretty much every organ in the body. Smoking interferes with the body’s ability to absorb calcium and lowers the hormones the body needs to build and keep the bone mass. Quitting will decrease the risk of cancer, heart, lung disease, and osteoporosis.

Reduce Alcohol

Too much alcohol consumption causes poor nutrition. Poor nutrition causes bone density to decline, which leads to osteoporosis. And alcohol increases the risk of falling. Falls are one of the leading causes of spinal/other bone fractures. So contact your doctor or chiropractor and discuss an osteoporosis prevention plan.

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*

Thoracic Spine – Middle Back Basics

11860 Vista Del Sol, Ste. 128 Thoracic Spine - Middle Back Basics
Shirtless male patient holding artificial spine while female therapist examining back at hospital ward
The thoracic spine known as the middle back starts below the cervical or neck spine at around the level of the shoulders. It continues down to the first level of the low back or lumbar spine. There are twelve vertebrae, numbered T1-T12 top to bottom, and it is these vertebrae that make up the thoracic spine. When seen from the side, a normal forward curve can be seen.  
11860 Vista Del Sol, Ste. 128 Thoracic Spine - Middle Back Basics
 
The ribs are attached to the thoracic spine’s vertebrae making this region of the spine strong and stable. However, this area has less range-of-motion than the neck region. Because of its location, the thoracic spine deals less with injury/s than other areas of the spine. But it is the most common area for fractures from osteoporosis. Scoliosis and abnormal kyphosis are also thoracic spine disorders.  
 
Getting to know the body’s spine and how it functions can help individuals have a better and thorough understanding of possible causes to upper and middle back pain, a doctor’s diagnosis, and the reasons for how simple lifestyle changes/choices can keep the middle back, as well as, the rest of the spine healthy.

Thoracic Support

The thoracic spine gives support to the torso, chest and provides an attachment point for each of the rib bones, minus the two at the bottom. The vertebral bodies are rounded with bony arches that project from the back of each and form a hollow protective space for the spinal cord. Facet joints are paired at the back of each and allow for limited movement.  
spinal arthritis el paso tx.

Intervertebral Discs

There is a fibrous pad called an intervertebral disc that is held in place by the endplates between each level’s upper and lower vertebral bodies. Each disc acts like a spacer creating disc height/space between the upper and lower vertebrae. This space opens nerve passageways called a foramen or neural foramina at both sides. Nerve roots branch off the spinal cord and exit the canal through the neural foramina.

Soft Support Structures Limited Movement/s

The entire spinal column consists of:
  • Ligaments
  • Tendons
  • Muscles
These soft tissues attach to the bones, the discs, and work together to stabilize the midback when resting and when in motion. Ligaments are the strong bands of tissue that connect/protect the vertebrae, discs, provide stability, and help with excessive movement. Muscles hold the body upright and allow spinal flexion which is bending forward, extension bending backward, and rotation twisting from side to side. And the tendons are fibrous tissues that attach the muscle/s to the bone.

Nerves Role

The twelve pairs of nerve rootlets that branch off the cord through the neural foramen are to supply and generate sensation/feeling along with function/movement to the body. These nerves provide nutrients to the midback and chest area and relay signals between the brain and major organs, including:
  • Lungs
  • Heart
  • Liver
  • Small intestine

Spinal Disorders

  • Osteoporosis raises the chances of a thoracic fracture. A vertebral compression fracture can cause one or more bodies of bone to flatten or become wedge-shaped creating spinal cord/nerve compression. Sudden and severe back pain can be associated with vertebral compression fractures.
  • Scoliosis is an abnormal side to side curvature of the spine and is well known to develop in the thoracic spine causing deformity.
  • Abnormal kyphosis means the forward curvature has become extreme. The appearance of a kyphotic deformity can be seen as a hump.
11860 Vista Del Sol, Ste. 128 Thoracic Spine - Middle Back Basics
 

Types of kyphosis:

  • Congenital or appearing at birth
  • Posture related
  • Scheuermann’s disease
  • Metastatic cancer where it travels from the chest, or lung causing spinal tumor/s that can develop and potentially lead to structural deterioration
  • Thoracic disc herniations are not common because of the middle back’s strength and stability created by the ribcage.

Spine Maintenance

Talk with your doctor, chiropractor, spine specialist about stretches and exercises that will work for your specific situation to strengthen the core, and middle back musculature. This will help significantly with injury prevention during flexion, extension, and rotation.
  • Pay attention to posture
  • Learn to use proper body mechanics
  • Quit smoking/vaping
  • Healthy diet
  • Learn about the risks for osteoporosis and talk with your doctor about a preventive bone maintenance plan.

Best Back 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*

Self-Massage Techniques

11860 Vista Del Sol, Ste. 128 Self-Massage Techniques
Female Athlete Massaging Shoulders with Foam Roller
Dealing with chronic back pain along with the COVID-19 pandemic can make it difficult to find relief on a regular basis. When regular massage sessions are not available these self-massage techniques can relieve pain and loosen tense muscles. Massage therapy has been shown to reduce low back pain, specifically for short-term purposes. There are massage therapist/s that are open with precautions in place. But there’s a good chance the massage therapist will not be able to see an individual right away when the pain presents. Back pain will not wait so here are a few tips on self-massage that individuals can do at the house.  
11860 Vista Del Sol, Ste. 128 Self-Massage Techniques
 

Safety First

Consult your spine pain specialist, chiropractor, or doctor to determine the cause of the pain and if massage will be beneficial. Before starting a self-massage regimen, be sure pain levels are not severe and you are able to perform the massage techniques. Any muscle region, spine included, can benefit from massage both professionally and self. If at any time during the massaging different pain presents other than the massage soreness, stop and evaluate what could be happening. These self-massage tips are aimed at reasonably healthy individuals. Be mindful of herniated discs, any type of impingement, or spinal compression. If an individual has this type of injury acquire medical instruction on how to perform self-massage techniques specifically for these conditions from a physician, chiropractor, or physical therapist.  
 

Self-massage

Massage therapy helps in relieving back and neck pain in different ways.
  • Relaxes muscles
  • Improves range of motion
  • Reduces injury
  • Maximizes healing
  • Better sleep
If working from home and too much sitting has your back tight, in knots, with muscle tension, and stress, self-massage is an answer that works. It is a great alternative until the massage therapy appointment.

Applied Pressure

One way to give yourself a massage is to locate the painful area/s and gently apply pressure with the thumb/s, moving the muscle/s statically by just rotating the arm/hand together with the thumb pressing on the area. If possible get into a comfortable stretching position and massage the area while the muscle, joint, ligament is stretched out and find the painful area and work it if not with the thumb technique then use a foam roller, massage tool, tennis ball, massage ball, etc, also done in slow circular motions. When applying pressure, don’t push it to the limit like working out. That is not the goal. The objective is to work out the pain/soreness and loosen up the area. Therefore it’s best to start gently and gradually build up to stronger pressure as long as it feels correct and the pain does reduce. Gradually increase the intensity of the pressure, heat, sessions, etc. But do not overdo it, as that could worsen or cause further injury.

Stretch

Although not directly massaging an area, stretching is a form of self-care that keeps the body loose and limber. Stretching out is recommended at the beginning of the day and before exercising. An example is runner’s lunge pose and a yoga pose called pigeon. These are excellent stretches for releasing the psoas muscle, located in the lower lumbar region.  
 
Yoga can help by stretching and releasing the hips, glutes, and back muscles. As with massage don’t overdo the moves, overstretch, or hold the poses for too long. Consult with a doctor for any medical concerns where yoga could be dangerous and impair health. Additionally, a family member, spouse, partner, or friend can be very helpful when stretching. Assisted stretches help and reduce the effort required to stretch oneself. Some assisted stretches include the supine twist and hamstring stretches. If you are the one assisting and want to guide the pain-relieving stretches, start gently, slowly, and pay attention to verbal and non-verbal cues, like a wincing face, and short breathing.

Utilize Massage Tools/Devices

Utilize self-massage tools and devices that can help deliver pain relief. Foam rollers and tennis balls can help with trigger points, areas of muscle pain and can help with the hard to reach areas. Massage balls can also help to apply balanced pressure and even circular massage motion. These tools are typically sandwiched between the wall or floor and the individual who rolls drags or creates friction to effectively work the muscle/s tightness, and knot/s out. Motorized massagers can help with muscle tension in the lower side of the back, hips, and glutes.  
11860 Vista Del Sol, Ste. 128 Self-Massage Techniques
 

Partner

Sometimes however there are areas difficult to reach and even if reachable massaging the area isn’t the same because of the awkward position. When this happens if possible use a spouse, family, friend, or partner to massage out those points. This could be the middle back and hamstrings to get a thorough massage. Just like a professional massage therapist having someone else can be a great help in applying heat or ice to areas that can be troublesome. But if not then make do with what you’re able. Self-massage can be very helpful and beneficial until you are able to see your massage therapist, chiropractor, or physical therapist.

Whiplash Massage Therapy

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Benefits of Kinesio Taping For Everyone

11860 Vista Del Sol, Ste. 128 Benefits of Kinesio Taping For Everyone, Not Just Athletes
Kinesiology taping treatment with beige and black tape on female injured hand on a yellow background, copy space. Top view. Process of application tape step by step. Sports injury kinesio treatment.
Kinesio taping is common for injuries, but can also be effective for non-sports related injuries/ailments. Kinesio taping is a rehabilitative therapeutic taping method that facilitates the body’s ability to heal naturally. The tape provides support, and stability for muscles, and joints without restricting motion. Plus there is added soft tissue support prolonging the tape’s effectiveness. The technique can have added benefits when combined with chiropractic. This technique is the norm among athletes nowadays but can benefit everybody. As a chiropractic physician, I use the technique for:
  • Sports injuries
  • Sprains
  • Strains
  • Injury Prevention
  • Pregnancy
The taping involves applying the tape over and around muscles stimulating them to send neuromuscular signals that optimize performance and helps injuries heal naturally. This is a versatile treatment that can benefit everyone.  
11860 Vista Del Sol, Ste. 128 Benefits of Kinesio Taping For Everyone, Not Just Athletes
 

Pain Relief

We all get strained, overused muscles that can cause tension and soreness. Millions suffer from neck, upper, mid, and low back pain from poor posture or sitting all day. It reduces pain by relieving the pressure on the strained or injured area. According to a study, stroke patients with shoulder pain experienced relief and reduction in shoulder pain after three weeks of Kinesio Taping intervention. Another study published in the Journal of Back and Musculoskeletal Rehabilitation had similar results for reduced pain in patients with tennis elbow. Kinesio tape therapy can improve pain symptoms while continuing to heal the specific muscle/s.

Reduce Inflammation

It also reduces pressure on the lymphatic system, which removes fluid from the tissues. Reduced pressure allows the body to drain fluids like lactic acid that can build up in an injured area. This benefit goes beyond just healing injuries. It helps reduce inflammation and swelling after surgery and with inflammatory conditions like lymphedema. Kinesio could be beneficial for individuals with chronic inflammatory conditions.  
pediatric kinesiology tape
 

Overused Muscle Recovery

Taping improves blood flow, the delivery of oxygen, and nutrients to the affected area, which helps overused muscles heal quickly. This added benefit is one of the reasons taping is now used in everyday practice to treat:
  • Carpal tunnel syndrome
  • Rotator cuff impingement
  • Bursitis
  • Low back pain
  • Shin splints
  • Posture
  • Knee pain

Function

Taping helps improve overall function. This is a key factor for optimal healing. A study found elderly patients with degenerative knee arthritis tried the therapy and experienced reduced pain, stiffness, improved knee joint function, and increased overall motion. For improved function Kinesio is commonly used on the:
  • Ankles
  • Back
  • Feet
  • Knees
  • Neck
  • Shoulders
11860 Vista Del Sol, Ste. 128 Benefits of Kinesio Taping For Everyone, Not Just Athletes
 

Overall Benefits

  • One of the most important benefits, it comes without side effects from prescription meds.
  • It provides support without restricting the muscle’s range of motion
  • Individuals can continue to be active and not worry about overstretching the injured muscle/s, as the tape will let them know.
  • The tape can be worn 24-hours a day for several days per application.
This Kinesio taping technique is currently used by thousands of:
  • Physical therapists
  • Occupational therapists
  • Chiropractors
  • Medical doctors
  • Certified athletic trainers
  • Massage therapists

Get Rid of Low Back Pain with Custom Foot Orthotics

 
 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

Spinal Tumors

11860 Vista Del Sol, Ste. 128 Spinal Tumors
Doctor explaining anatomical spine to patient in medical office
A spinal tumor is an abnormal mass of tissue either inside the spine or outside. It is also called a neoplasm meaning a new abnormal growth. They can develop in the bone, spread to other parts of the spine, or outside the spine, like the lungs and chest. Tumor cells can multiply slowly or very rapidly. Tumors are either cancerous or non-cancerous. They can develop anywhere in the spine:
  • Cervical – neck
  • Thoracic – mid-back
  • Lumbar – low-back
  • Sacral – sacrum
It is not uncommon for spinal tumors to develop out of a tumor from the individual’s breast, lung, kidney, prostate, or another area of the body that has spread out.  
11860 Vista Del Sol, Ste. 128 Spinal Tumors
 

Symptoms

Whether cancerous or not, spinal tumors can cause a variety of symptoms, including:
  • Pain not related to an injury or physical activity.
  • Pain in the back or neck that presents suddenly, quickly worsens, especially at night. This can be an indicator of a spinal tumor.
  • Pain that radiates to other parts of the body, like the arms, hands, legs, and feet.
  • The pain continues even when resting.
  • Muscle weakness or loss of sensation, especially in the legs, arms, or chest.
  • Difficulty walking
  • Abnormal curvature of the spine not from poor posture
  • Paralysis
  • Loss of bladder or bowel control
  • Lowered sensitivity to heat and cold
An individual could have a dominating symptom/s or a combination.

Causes

As previously mentioned these tumors can originally develop in another part of the body and then metastasize to the spine. These types of tumors are secondary tumors. Research scientists are still trying to figure out what exactly causes primary tumors that originate in the spine. One theory believes genetics plays a role.  
 

Early diagnosis

The most common symptom of a spinal tumor is pain. Examinations and diagnostic tests will be conducted both physical and neurological. A doctor or specialist needs to see and evaluate the spine. This is essential in diagnosing a potential tumor. A doctor could also order:
  • CT scan
  • MRI
  • PET scan – Positron Emission Tomography
  • Myelogram if there are symptoms of spinal cord compression
If the imaging reveals a tumor, a biopsy could be performed. A sample of tissue will be examined under a microscope to see if the tumor is cancerous or not. If the tumor is cancerous, the biopsy will show the type of cancer and determine the stage of the disease. Depending on the tumor type and location, other tests/procedures could be recommended.

Treatment

There are many factors that go into creating an optimal treatment plan. This includes whether the tumor is cancerous or not, size, location, and symptoms. Types of treatment:
  • Observe and wait as small non-cancerous tumors that are not growing or impinging/pinching other spinal structures could only need to be monitored for changes.
  • Surgery
  • Radiation treatment
  • Stereotactic radiosurgery works by delivering a high dose of radiation specifically targeted at the tumor
  • Chemotherapy

Chiropractor Personal Injury Attorney Recommended

 
 

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 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; 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*

Self-Care Practice When Back Pain Flares Up

11860 Vista Del Sol, Ste. 128 Self-Care Practice When Back Pain Flares Up
Self-care practice when back pain flares up is a way for individuals to give themselves self-therapy attention in the midst of crazy schedules. It’s never been more important than now to be able to take care of oneself when back or any type of pain presents. For a few minutes, daily physical and mental health activities can make a difference. Self-care is the ability to self-manage pain and take care of our constantly changing needs daily. Regular self-care is essential to our families, and friends well being. Pain is emotionally and physically taxing on the body. It brings and encourages mental/emotional and physical balance, which helps, especially when there is a condition that causes pain. There is a connection between self-care and chronic pain that is being studied currently. Studies are finding that individuals practicing self-care in addition to regular medical care have significant reductions in pain and reduction in disability. So, alleviate back pain with a few self-care tips.  
11860 Vista Del Sol, Ste. 128 Self-Care Practice When Back Pain Flares Up
 

Hot Bath

Hydrotherapy better known as a hot bath can provide pain relief. Adding Epsom salt for these baths contains magnesium which can help relax muscles and the body.

Self-Massage

Self-massage is a great way to care for oneself. Applying gentle pressure to painful spots or use massage devices like foam rollers and tennis balls to massage the pain away.

Music Therapy

Music can be an effective way to ease back pain. Research has shown that music can be a complementary treatment when addressing chronic pain. It helps especially when an individual is experiencing back pain along with a low/negative mood.

More Sleep

Poor sleep has been proven to increased back pain. Getting the proper amount of sleep is essential in addressing pain. Healthy sleep hygiene and bedtime routines will significantly help with the body’s recovery, healing, and general health.  
 

Yoga

Yoga stretching is highly effective in relieving and avoiding/preventing back pain completely. Poses like the cat, cow, triangle, and child’s pose will generate relief along with improving balance.

Healthy Diet

Diet and lifestyle changes have been proven to reduce inflammation, which can cause chronic pain. Go with whole foods that are minimally processed. This will help reduce inflammation. Healthy weight along with healthy body mass keeps the spine healthy and free of the added stress from the weight. Therefore a sensible diet is the single most important factor in weight loss.

Connection

Isolation can exacerbate pain. Loneliness can be a significant risk factor in the development of pain, and with time, depression, and fatigue. Simply reaching out and connecting with loved ones, friends, co-workers, etc, could help in soothing the pain away.

Mindfulness

Mind-body therapy as a method to treat pain has been proven in various studies. Individuals taking part have reported significantly lower pain than those who only received traditional medical care. What happens is you are training your mind senses to be present and focused on what you are doing, the surroundings, etc, and not focusing, and getting lost in the pain. However, sitting down and meditating is not for everybody.

Drink the Proper Amount of Water

Hypohydration, which is not enough water can increase pain. Therefore, drink up.  
 

Stretching

Stretching will definitely decrease pain and allow for practicing mindfulness. It doesn’t matter when the stretching happens so long as, the individual sticks with it and continues development to further their ability and flexibility. Core abdominal exercises are very helpful for back pain and strengthening.

Go Outside

Many of us know that getting out in nature feels good mentally and physically, and it can actually relieve pain, too. Nature therapy or ecotherapy has shown to improve the psychological and physiological symptoms associated with chronic pain. Connecting to nature can have tremendous benefits for optimal health.

Heat Therapy

Heat, whether from a topical agent or heating pad can soothe the mind and spine. Check with a doctor before trying any type of heat treatment.

Frequent Breaks

Taking breaks is essential for the mind in keeping stress levels balanced. This can lessen back pain. Just a few minutes to stop whatever and take a few minutes for yourself and your health. Taking proper physical and mental rests throughout the day to stretch out, move around, and do something else. This will help keep things open and fresh, as opposed to going through the same thing over and over with less than optimal results. The mind needs to reflect.  
11860 Vista Del Sol, Ste. 128 Self-Care Practice When Back Pain Flares Up
 

Go Easy

Go easy on yourself, this is probably the most important form of self-care. If the pain is too intense, do not force yourself to work through it. Use the various techniques mentioned and go slowly, with the fundamentals of combating pain and chronic pain. Slow down whenever you feel the need.

Lower Back Pain Skating 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*