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Non-Binary Gender Identity

By
Dr. Alex Jimenez
-
LGBT pride month concept or LGBTQ+ or LGBTQIA+ with rainbow colorful heart shape for Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual, Agender, Non Binary, Two Spirit, Pansexual

Gender identity is a wide spectrum. Can learning the language used to describe various gender identities and non-binary pronouns help explain the difference between gender expression and help in inclusivity?

Non-Binary Gender Identity

Non-Binary

Non-binary is a term used that describes individuals who do not identify exclusively as male or female. The term addresses various gender identities and expressions that are outside of the traditional gender binary system, which categorizes individuals as either male or female.

Definition

  • Non-binary individuals are those whose gender identity and/or expression fall outside of the traditional binary categories of a man or woman. (Human Rights Campaign. (n.d.))
  • Some non-binary individuals identify as a blend of male and female; others identify as a gender different from male or female; some do not identify with any gender.
  • The term “non-binary” can also be “enby”/phonetic pronunciation of the letters NB for non-binary, although not every non-binary individual uses this term.
  • Non-binary individuals may use various terms to describe themselves, including: (Outright International. 2023)

Genderqueer

  • An individual who does not follow conventional gender norms.

Agender

  • An individual who does not identify with any gender.

Genderfluid

  • An individual whose gender identity is not fixed and can change over time.

Demigender

  • An individual who feels a partial connection to a particular gender.

Intergender

  • An individual who identifies as both male and female or a combination.

Pangender

  • An individual who identifies as many genders.

Androgynous

  • An individual whose gender expression is a mix of masculine and feminine traits or…
  • Who identifies as having a gender that is neither male nor female.

Gender Nonconforming

  • An individual who does not conform to societal expectations or norms of gender expression or identity.

Transgender/Trans

  • An individual whose gender identity differs from the gender assigned at birth.

Non-Binary Pronouns

A pronoun is a word used to replace a noun.

  • In gender context, pronouns refer to an individual without using their name, like “he” – masculine or “she” – feminine.
  • Non-binary individuals may use pronouns that do not fit the pronoun associated with the gender assigned at birth.
  • Instead, they will use pronouns that more accurately reflect their gender identity.
  • “They/them” are gender-neutral pronouns that refer to someone without assuming their gender identity.
  • Some non-binary individuals use “they/them” pronouns, but not all.
  • Some may use “he/him” or “she/her” or a combination.
  • Others may refrain from using pronouns and instead ask you to use their name.
  • Some nonbinary individuals use newer gender-neutral pronouns known as neopronouns, like ze/zir/zirs. (Human Rights Campaign. 2022)
  • Gender pronouns and neopronouns include: (NYC Department of Social Services. 2010)
  • He/him/his – masculine
  • She/her/hers – feminine
  • They/them/theirs – neutral
  • Ze/Zir/Zirs – neutral
  • Ze/Hir/Hirs – neutral
  • Fae/fae/faers

Are Transgender Individuals Non-Binary?

Transgender individuals and non-binary individuals are two distinct groups that are related.

  • There are some transgender/trans individuals who are non-binary, however, most transgender individuals identify as either male or female. (National Center for Transgender Equality. 2023)
  • To understand the difference, it can help to know the meanings of transgender, cisgender, and nonbinary: (GLAAD. 2023)

Transgender

  • An individual who identifies with a gender different from the one assigned at birth.
  • For example, someone assigned male at birth/AMAB, but identifies as a female is a transgender woman.

Cisgender

  • An individual whose gender identity follows the one they were assigned at birth.
  • For example, someone assigned female at birth/AFAB and identifies as a woman.

Non-binary

  • An individual who identifies with a gender outside the traditional binary of male and female.
  • This can include individuals who identify as genderqueer, agender, or genderfluid and others.

Using Pronouns

Using non-binary pronouns is a way to show respect and validation for an individual’s gender identity. Here are some recommendations on how to use pronouns: (National Center for Transgender Equality. 2023)

Ask for the individual’s pronouns

  • It’s recommended to avoid assuming an individual’s pronouns based on appearance or stereotype.
  • If unsure of someone’s pronouns, ask respectfully.
  • “What pronouns do you use?”
  • “Can you share your pronouns with me?”

Practice using the pronouns

  • Once you know an individual’s pronouns, practice using them.
  • This can be accomplished by using their pronouns when referring to them in conversation, emails, written forms, and/or other types of communication.
  • If you make a mistake, apologize and make the correction.

Gender-neutral language

  • If unsure of an individual’s pronouns, or if someone uses gender-neutral pronouns like they/them, use gender-neutral language instead of gendered language.
  • For example, instead of saying he or she, you can say they or their name.

Continue Learning

  • Learn as much as possible about identities and pronouns to better understand and support the LGBTQ+ community.

Injury Medical Chiropractic and Functional Medicine Clinic wants to help create a more inclusive and affirming environment for everyone.

Is Motion Key to Healing?

References

Human Rights Campaign. Transgender and nonbinary people FAQ.

Outright International. Terminology surrounding gender identity and expression.

Human Rights Campaign. Understanding neopronouns.

NYC Department of Social Services. Gender pronouns.

National Center for Transgender Equality. Understanding nonbinary people: How to be respectful and supportive.

GLAAD. Glossary of terms: transgender.

Reducing Somatosensory Pain With Spinal Decompression

By
Dr. Alex Jimenez
-

How does spinal decompression help reduce somatosensory pain associated with individuals dealing with back and leg pain?

Introduction

As we all know, the human body is a complex system that works together to perform various actions without feeling pain or discomfort. With muscles, organs, tissues, ligaments, bones, and nerve roots, each component has its job and interacts with other body parts. For instance, the spine collaborates with the central nervous system to instruct the muscles and organs to function correctly. Meanwhile, the nerve roots and muscles work together to provide mobility, stability, and flexibility to the upper and lower body extremities. However, as time passes, the body ages naturally, and this can lead to unwanted issues. Normal and traumatic factors can interfere with the neuron signals from the brain and cause somatosensory pain in the upper and lower extremities. This pain-like sensation can affect each body section, making the individual miserable. Luckily, there are ways to reduce somatosensory pain and provide relief to the body. Today’s article explores how somatosensory pain can impact the lower extremities, particularly the legs and back, and how non-surgical treatments like spinal decompression can alleviate somatosensory pain in the lower extremities. At the same time, we work hand-in-hand with certified medical providers who use our patient’s information to treat and mitigate somatosensory pain affecting the legs and back. We also inform them that non-surgical treatments like spinal decompression can help alleviate residual pain-like symptoms from the lower extremities. We encourage our patients to ask essential and important questions while seeking education from our associated medical providers about their pain. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer

 

How Does Somatosensory Pain Affect The Legs & Back?

Are you experiencing numbness or tingling in your legs or back that disappears after a few minutes? Do you feel questionable pain in your lumbar spine after work? Or do you feel a warm sensation in the back of your legs that turns into sharp shooting pain? These issues may be related to the somatosensory system within the central nervous system, which provides voluntary reflexes to muscle groups. When normal movements or traumatic forces cause problems to the somatosensory system over time, it can lead to pain that affects the body’s extremities. (Finnerup, Kuner, & Jensen, 2021) This pain may be accompanied by burning, pricking, or squeezing sensations that affect the lumbar region. Many factors can be associated with somatosensory pain, which is part of the central nervous system and works with the spinal cord. When the spinal cord becomes compressed or aggravated due to injury or normal factors, it can lead to low back and leg pain. For example, a herniated disc in the lumbosacral area can cause nerve roots to send pain signals to the brain and cause abnormalities in the back and legs. (Aminoff & Goodin, 1988)

 

 

When people are dealing with back and leg pain from somatosensory pain, it can cause them to be miserable by reducing their quality of life and leading to a life of disability. (Rosenberger et al., 2020) At the same time, individuals dealing with somatosensory pain will also begin to feel inflammatory effects from the affected muscle area in the legs and back. Since inflammation is a body’s natural response when dealing with pain, the inflammatory cytokines can cause a cascading effect from the brain through the spinal cord, causing leg and back pain. (Matsuda, Huh, & Ji, 2019) To that point, somatosensory pain is associated with inflammation caused by normal or traumatic factors that can cause overlapping risk factors contributing to leg and back pain. Luckily, numerous treatments can reduce these overlapping risk factors caused by somatosensory pain and help restore the lower body extremities’ function.

 

Move Better, Live Better- Video

Move Better, Live Better *Chiropractic Care* | El Paso, Tx (2023)

When the body is dealing with somatosensory pain, it can cause many individuals to think they are only dealing with one source of pain from one muscle area. Still, it can lead to multifactorial issues that affect different body locations. This is known as referred pain, where one body section deals with pain but is in a different area. Referred pain can also be combined with somato-visceral/visceral-somatic pain, where the affected muscle or organ affects one or the other, causing more pain-like issues. However, numerous treatments can reduce somatosensory pain from causing more leg and back problems. Non-surgical therapies like chiropractic care and spinal decompression can help mitigate the effects of somatosensory pain affecting the lower body extremities causing leg and back pain. These treatments allow the pain specialist to incorporate various therapeutic techniques to stretch the affected muscles and realign the spine to its original position. Many individuals can see an improvement in their mobility and daily activities as the pain-like symptoms associated with somatosensory pain are reduced. (Gose, Naguszewski, & Naguszewski, 1998) When individuals dealing with somatosensory pain start thinking about their health and wellness to ease the pain they are experiencing, they can look into non-surgical treatments as they are cost-effective, safe, and provide a positive outcome. Additionally, non-surgical treatments can be personalized to the individual’s pain and begin to see improvement after a few treatment sessions. (Saal & Saal, 1989) Check out the video above to learn more about how non-surgical treatments can be combined with other therapies to improve a person’s well-being.

Spinal Decompression Reduces Somatosenosory Pain

Now spinal decompression is a non-surgical treatment that can help reduce somatosensory pain affecting the legs and back. Since somatosensory pain correlates with the spinal cord, it can affect the lumbosacral spine and lead to back and leg pain. With spinal decompression, it utilizes gentle traction to gently pull the spine, which then can reduce the symptoms associated with somatosensory pain. Spinal decompression can help improve the somatosensory system by reducing pain and alleviating aggravated nerve root compression to relieve the legs and back. (Daniel, 2007)

 

 

 

Additionally, spinal decompression can be combined with other non-surgical treatments, like chiropractic, as it can help with reducing the effects of nerve entrapment and help restore the joint’s ROM (range of motion). (Kirkaldy-Willis & Cassidy, 1985) Spinal decompression can create a positive experience for many individuals dealing with leg and back pain associated with somatosensory pain while getting back their health and wellness.

References

Aminoff, M. J., & Goodin, D. S. (1988). Dermatomal somatosensory evoked potentials in lumbosacral root compression. J Neurol Neurosurg Psychiatry, 51(5), 740-742. doi.org/10.1136/jnnp.51.5.740-a

 

Daniel, D. M. (2007). Non-surgical spinal decompression therapy: does the scientific literature support efficacy claims made in the advertising media? Chiropr Osteopat, 15, 7. doi.org/10.1186/1746-1340-15-7

 

Finnerup, N. B., Kuner, R., & Jensen, T. S. (2021). Neuropathic Pain: From Mechanisms to Treatment. Physiol Rev, 101(1), 259-301. doi.org/10.1152/physrev.00045.2019

 

Gose, E. E., Naguszewski, W. K., & Naguszewski, R. K. (1998). Vertebral axial decompression therapy for pain associated with herniated or degenerated discs or facet syndrome: an outcome study. Neurol Res, 20(3), 186-190. doi.org/10.1080/01616412.1998.11740504

 

Kirkaldy-Willis, W. H., & Cassidy, J. D. (1985). Spinal manipulation in the treatment of low-back pain. Can Fam Physician, 31, 535-540. www.ncbi.nlm.nih.gov/pubmed/21274223

www.ncbi.nlm.nih.gov/pmc/articles/PMC2327983/pdf/canfamphys00205-0107.pdf

 

Matsuda, M., Huh, Y., & Ji, R. R. (2019). Roles of inflammation, neurogenic inflammation, and neuroinflammation in pain. J Anesth, 33(1), 131-139. doi.org/10.1007/s00540-018-2579-4

 

Rosenberger, D. C., Blechschmidt, V., Timmerman, H., Wolff, A., & Treede, R. D. (2020). Challenges of neuropathic pain: focus on diabetic neuropathy. J Neural Transm (Vienna), 127(4), 589-624. doi.org/10.1007/s00702-020-02145-7

 

Saal, J. A., & Saal, J. S. (1989). Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy. An outcome study. Spine (Phila Pa 1976), 14(4), 431-437. doi.org/10.1097/00007632-198904000-00018

 

Disclaimer

Terms For Nerve Pain: Radiculopathy, Radiculitis, Neuritis

By
Dr. Alex Jimenez
-
Professional doctor showing elderly patient through therapeutic exercises on a medicine ball.

 Are treatments more successful when patients know key terms that describe their back pain and associated conditions?

Terms For Nerve Pain: Radiculopathy, Radiculitis, Neuritis

Nerve Pain Types

When individuals need to better understand their spine diagnosis, being able to distinguish between key terms can make a significant difference in understanding the development of a personalized treatment plan. Terms that describe back pain and various associated conditions can include:

  • Sciatica
  • Radiating and Referred pain
  • Radiculopathy
  • Radiculitis
  • Neuropathy
  • Neuritis

Causes of Back Pain

Back pain symptoms are most commonly caused by the continued practice of unhealthy/poor posture and overcompensated and weakened muscles. Even for individuals that exercise regularly, the movement choices that are made throughout the day can disrupt the way the muscles, tendons, ligaments, and fascia function to maintain proper body alignment.

  • Injuries to, and conditions of, the structures of the spinal column like the bones, discs, and nerves, are generally more serious than posture problems and soft tissue-related pain.
  • Depending on the diagnosis, structural problems can cause symptoms related to nerve compression, irritation, and/or inflammation. (Michigan Medicine, 2022)

Spine and Nervous System

  • The peripheral nerves extend out to the extremities with sensation and movement capabilities.
  • Nerve roots exit the spinal canal which is part of the peripheral nervous system.
  • The spinal nerve root then exits the spinal column through the foramen. (American Academy of Neurological Surgeons, 2023)
  • The branching of nerves from the spinal cord and exit out of the foramina occurs at every level of the spine.

Terms

There are different medical terms when getting a spine diagnosis or going through the treatment process.

Radiculopathy

  • Radiculopathy is an umbrella term, describing any disease process that affects a spinal nerve root and is something that’s happening to the body.
  • When a healthcare provider informs you that your pain is due to radiculopathy, a number of more specific diagnoses, clinical signs, and symptoms may be included as part of the description.
  • Common causes of radiculopathy include herniated disc/s and spinal stenosis.
  • Less common causes can include a synovial cyst or tumor that presses on the nerve root. (Johns Hopkins Medicine, 2023)
  • Radiculopathy can occur in the neck, low back, or in the thoracic area.
  • Often, radiculopathy is brought on by some form of compression of the nerve root.
  • For example, extruded material from a herniated disc can land on a nerve root, causing pressure to build.
  • This can cause symptoms associated with radiculopathy, including numbness, weakness, pain, or electrical sensations. (Johns Hopkins Medicine, 2023)

Even though there’s a spinal nerve root on either side of the spinal column, injury, trauma, or issues stemming from degeneration affect the nerves in an asymmetric fashion. Degenerative changes, known as normal wear and tear, typically occur in this fashion. Using the previous herniated disc example, the material that leaks from the disc structure tends to travel in one direction. When this is the case, the symptoms tend to be experienced on the side where the nerve root makes contact with the disc material, but not the other side. (American Association of Neurological Surgeons, 2023)

Radiculitis

  • Radiculitis is a form of radiculopathy but it is about inflammation and not compression. (Johns Hopkins Medicine, 2023)
  • Radicu– refers to the spinal nerve root.
  • The suffix  – itis refers to inflammation.
  • The word refers to a spinal nerve root that is inflamed and/or irritated rather than compressed.
  • In disc herniations, it is the gel substance that contains various chemicals that is inflammatory.
  • When the gel substance makes contact with nerve roots, an inflammatory response is triggered. (Rothman SM, Winkelstein BA 2007)

Radiating or Referred Pain

  • Radiating pain follows the path of one of the peripheral nerves that transmit sensory information like heat, cold, pins and needles, and pain.
  • The most common cause of radiating pain is impingement/compression of a spinal nerve root. (American Academy of Orthopaedic Surgeons. OrthoInfo)
  • Referred pain is experienced in a different area of the body that is away from the pain source which tends to be an organ. (Murray GM., 2009)
  • It can be brought on by myofascial trigger points or visceral activity.
  • An example of referred pain is symptoms in the jaw or arm when an individual is having a heart attack. (Murray GM., 2009)

Radicular

  • The terms radicular pain and radiculopathy tend to get confused.
  • Radicular pain is a symptom of radiculopathy.
  • Radicular pain radiates from the spinal nerve root to either part or all the way down the limb/extremity.
  • However, radicular pain does not represent the complete symptoms of radiculopathy.
  • Radiculopathy symptoms also include numbness, weakness, or electrical sensations like pins and needles, burning, or shock that travels down the extremity. (Johns Hopkins Medicine, 2023)

Neuropathy

  • Neuropathy is another umbrella term that refers to any dysfunction or disease that affects the nerves.
  • It’s usually classified according to the cause, like diabetic neuropathy, or the location.
  • Neuropathy can occur anywhere in the body – including the peripheral nerves, the autonomic nerves/organ nerves, or nerves that are located inside the skull and innervate the eyes, ears, nose, etc.
  • An example of peripheral neuropathy is carpal tunnel syndrome. (American Academy of Orthopaedic Surgeons. OrthoInfo. 2023)
  • One spinal condition that is known to cause peripheral neuropathy is spinal stenosis. (Bostelmann R, Zella S, Steiger HJ, et al., 2016)
  • In this condition, changes in the foramina have a narrowing effect on the space that begins to compress the nerves as they exit.
  • Neuropathy can affect just one nerve or many nerves simultaneously.
  • When multiple nerves are involved it is known as polyneuropathy.
  • When it’s just one, it’s known as mononeuropathy. (Cleveland Clinic. 2023)

Neuritis

Sciatica

  • Sciatica describes symptoms that include radiating pain and sensations that travel into the hip, buttock, leg, and foot.
  • One of the most common causes of sciatica is radiculopathy.
  • Another is spinal stenosis. (Cleveland Clinic. 2023)
  • Piriformis syndrome is where a tight buttock/piriformis muscle constricts the sciatic nerve, which runs underneath. (Cass SP. 2015)

Chiropractic

Chiropractic adjustments, non-surgical decompression, MET, and various massage therapies can relieve symptoms, release stuck or trapped nerves and restore function. Through the treatments, the chiropractor and therapists will explain what is happening and why they are using a specific technique. Knowing a little about how the neuromusculoskeletal system operates can help the healthcare provider and the patient in developing and adjusting effective treatment strategies.

Sciatica During Pregnancy

References

Michigan Medicine. Upper and Middle Back Pain.

American Academy of Neurological Surgeons. Anatomy of the Spine and Peripheral Nervous System.

Johns Hopkins Medicine. Health Conditions. Radiculopathy.

American Association of Neurological Surgeons. Herniated Disc.

American Academy of Orthopaedic Surgeons. OrthoInfo. Cervical Radiculopathy (Pinched Nerve).

Rothman, S. M., & Winkelstein, B. A. (2007). Chemical and mechanical nerve root insults induce differential behavioral sensitivity and glial activation that are enhanced in combination. Brain Research, 1181, 30–43. doi.org/10.1016/j.brainres.2007.08.064

Murray G. M. (2009). Guest Editorial: referred pain. Journal of applied oral science: Revista FOB, 17(6), i. doi.org/10.1590/s1678-77572009000600001

American Academy of Orthopaedic Surgeons. OrthoInfo. Carpal Tunnel Syndrome.

Bostelmann, R., Zella, S., Steiger, H. J., & Petridis, A. K. (2016). Could Spinal Canal Compression be a Cause of Polyneuropathy? Clinics and practice, 6(1), 816. doi.org/10.4081/cp.2016.816

Cleveland Clinic. Mononeuropathy.

American Association of Neurological Surgeons. Glossary of Neurosurgical Terminology.

National Institutes of Health. U.S. National Library of Medicine. Medline Plus. Peripheral Nerve Disorders.

Cleveland Clinic. Spinal Stenosis.

Cass S. P. (2015). Piriformis syndrome: a cause of non-discogenic sciatica. Current sports medicine reports 14(1), 41–44. doi.org/10.1249/JSR.0000000000000110

An Innovated Approach For Gender Minority Healthcare

By
Dr. Alex Jimenez
-

How can healthcare professionals provide a positive and safe approach for gender minority healthcare for the LGBTQ+ community?

Introduction

In an ever-changing world, it can be challenging to find available treatments for body pain disorders that can impact a person’s daily routine. These body pain disorders can range from acute to chronic, depending on the location and severity. For many individuals, this can cause unnecessary stress when going in for a routine check-up with their primary doctors. However, individuals in the LGBTQ+ community are often thrown under by not being seen and heard when treated for their pain and discomfort. This, in turn, causes many problems for both the individual and the medical professional themselves when getting a routine check-up. However, there are numerous positive ways for LGBTQ+ community individuals to seek inclusive gender minority healthcare for their ailments. Today’s article will explore gender minorities and the protocols for creating an inclusive gender minority healthcare environment safely and positively for all individuals. Additionally, we communicate with certified medical providers who incorporate our patients’ information to reduce any general pain and disorders a person may have. We also encourage our patients to ask amazing educational questions for our associated medical providers about their referred pain correlating with any diseases they may have while providing an inclusive gender minority healthcare environment. Dr. Jimenez, D.C., incorporates this information as an educational service. Disclaimer

 

What Is Gender Minority?

 

Are you or your loved ones dealing with muscle aches and strains after an excruciatingly long day at work? Have you been dealing with constant stress that stiffens your neck and shoulders? Or do you feel like your ailments are affecting your daily routine? Often, many individuals in the LGBTQ+ community are researching and looking for the right care for their ailments that best suits their wants and needs when seeking treatment. Gender minority healthcare is one of the important aspects of the LGBTQ+ community for individuals seeking the treatment they deserve. When it comes to creating an inclusive, safe, and positive healthcare environment, it is highly important to understand what “gender” and “minority are being defined as. Gender, as we all know, is how the world and society view a person’s sex, like male and female. A minority is defined as a person being different from the rest of the community or the group that they are in. A gender minority is defined as a person whose identity is other than the conventional gender normality many people associate with. For LGBTQ+ individuals who identify as a gender minority, it can be stressful and aggravating when seeking treatment for any ailments or for just a general check-up. This can cause many LGBTQ+ individuals to experience a high rate of discrimination in the healthcare setting that often correlates to poor health outcomes and delays when seeking care treatment. (Sherman et al., 2021) This can create a negative environment in the healthcare setting as many LGBTQ+ individuals deal with unnecessary stress and barriers to accessing inclusive healthcare. Here at the Injury Medical Chiropractic and Functional Medicine clinic, we are dedicated to creating a safe, inclusive, and positive space that offers dedicated care for the LGBTQ+ community by using gender-neutral terms, asking important questions, and building a trusting relationship in every visit.

 

Enhancing Health Together-Video

Enhancing Health Together: Embracing Multidisciplinary Evaluation and Treatment | El Paso, Tx (2023)

The Protocols Of An Inclusive Gender Minority Healthcare

When assessing inclusive gender minority healthcare for many individuals, building a trusting relationship with any patient who enters through the door is important. This allows many people within the LGBTQ+ community to be treated with dignity and respect and ensure they receive medical care like everyone else. By making these efforts, many healthcare systems can ensure the LGBTQ+ community their rights to adequate and affirming healthcare services that are provided for them. (“Health disparities affecting LGBTQ+ populations,” 2022) Below are protocols that are implemented for inclusive gender minority healthcare.

 

Creating A Safe Space

Creating a safe space for every patient for treatment or general check-up visits is important. Without it, it can cause health disparities between the patient and healthcare professional. Healthcare providers must be prepared to identify and address their biases so that it does not contribute to healthcare disparities that many LGBTQ+ individuals have experienced. (Morris et al., 2019) It’s already stressful enough for LGBTQ+ individuals to get the treatment they deserve. Creating a safe space in a clinical practice gives individuals a setting of respect and trust as they fill out their intake forms that include different gender identities.

Educate Yourself & Staff

Healthcare professionals must be non-judgmental, open, and ally to their patients. By educating staff members, many healthcare providers can undergo developmental training to increase their cultural humility and improve healthcare outcomes for the LGBTQ+ community. (Kitzie et al., 2023) At the same time, many healthcare providers can use gender-neutral language and ask what the patient’s preferred name is while validating and utilizing appropriate mental and health screenings. (Bhatt, Cannella, & Gentile, 2022) To this point, many healthcare providers can significantly and positively impact the individual’s experience, health outcomes, and quality of life. Reducing the structural, interpersonal, and individual stigma that many LGBTQ+ people experience can become a way to demonstrate respect not only to the individual but also to the doctors and staff members who receive it. (McCave et al., 2019)

 

Basic Primary Care Principles

The first thing that many healthcare providers should do is to honor the individual’s gender identity and consider what kind of information or examination for the individual to receive the care they deserve. The attainable standard of health is one of the fundamental rights of every human being. Being an ally can create a trusting relationship with the individual and provide them with a customizable treatment plan they can receive. This offers a safe environment for the individual and is cost-effective while getting the necessary treatment they deserve.

References

Bhatt, N., Cannella, J., & Gentile, J. P. (2022). Gender-affirming Care for Transgender Patients. Innov Clin Neurosci, 19(4-6), 23-32. www.ncbi.nlm.nih.gov/pubmed/35958971

www.ncbi.nlm.nih.gov/pmc/articles/PMC9341318/pdf/icns_19_4-6_23.pdf

 

Health disparities affecting LGBTQ+ populations. (2022). Commun Med (Lond), 2, 66. doi.org/10.1038/s43856-022-00128-1

 

Kitzie, V., Smithwick, J., Blanco, C., Green, M. G., & Covington-Kolb, S. (2023). Co-creation of a training for community health workers to enhance skills in serving LGBTQIA+ communities. Front Public Health, 11, 1046563. doi.org/10.3389/fpubh.2023.1046563

 

McCave, E. L., Aptaker, D., Hartmann, K. D., & Zucconi, R. (2019). Promoting Affirmative Transgender Health Care Practice Within Hospitals: An IPE Standardized Patient Simulation for Graduate Health Care Learners. MedEdPORTAL, 15, 10861. doi.org/10.15766/mep_2374-8265.10861

 

Morris, M., Cooper, R. L., Ramesh, A., Tabatabai, M., Arcury, T. A., Shinn, M., Im, W., Juarez, P., & Matthews-Juarez, P. (2019). Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review. BMC Med Educ, 19(1), 325. doi.org/10.1186/s12909-019-1727-3

 

Sherman, A. D. F., Cimino, A. N., Clark, K. D., Smith, K., Klepper, M., & Bower, K. M. (2021). LGBTQ+ health education for nurses: An innovative approach to improving nursing curricula. Nurse Educ Today, 97, 104698. doi.org/10.1016/j.nedt.2020.104698

Disclaimer

Intervertebral Disc Stress Relieved By Decompression

By
Dr. Alex Jimenez
-

Can decompression relieve intervertebral disc stress from individuals dealing with lumbar issues, restoring spinal mobility?

Introduction

The spine’s intervertebral disc acts like a shock absorber to the spine when axial overload is placed on the spine. This allows many individuals to carry, lift, and transport heavy objects without feeling discomfort or pain throughout the day. It is crucial that the spine not only stays functional but also provides stability and mobility for the intervertebral discs to allow these motions. However, as the body ages naturally, so do the intervertebral discs, as they lose water retention and begin to crack under pressure. To this point, the intervertebral discs start not to be functional as normal or traumatic actions cause pain-like issues to the spine and can lead to a life of disability. When repetitive motions cause unwanted pressures, the intervertebral discs become compressed and, over time, can lead to pain-like spinal issues. At the same time, the surrounding muscles, tissues, ligaments, and joints start to get affected in the lumbar region, which then leads to low back pain conditions associated with the lower extremities. Today’s article looks at intervertebral disc stress, how it affects spinal mobility, and how treatments like spinal decompression can restore spinal mobility while reducing intervertebral disc stress. At the same time, we work hand-in-hand with certified medical providers who use our patient’s information to treat and mitigate pain-like symptoms associated with intervertebral disc stress. We also inform them that non-surgical treatments like decompression can help mitigate pressure on the spinal discs. We also explain to them how decompression can help restore spinal mobility to the body and how the treatment can be added to their routine. We encourage our patients to ask essential and important questions while seeking education from our associated medical providers about their pain. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer

 

Intervertebral Disc Stress

 

Have you been experiencing radiating pain shooting down to your legs that is making it difficult to walk? Do you often feel muscle aches and strains from holding heavy objects that you have to lean your back a bit to relieve the pain? Or do you feel pain in one location in your body that travels to a different location? Many of these pain-like scenarios are correlated with intervertebral disc stress on the spine. In a normal healthy body, the intervertebral disc has to take on the spinal load when the body is in an abnormal position without pain or discomfort. However, as the body ages naturally, the intervertebral discs degenerate over time, and the intradiscal pressure within the spinal disc cavity decreases. (Sato, Kikuchi, & Yonezawa, 1999) To that point, the body and intervertebral discs begin to become stiff over time, causing the surrounding muscles, ligaments, and tissues to be overstretched and ache when unwanted pressure starts to cause musculoskeletal issues to develop over time. At the same time, degeneration and aging have a causal relationship, which causes dramatic changes to the composition and structure of the spinal disc. (Acaroglu et al., 1995) These changes cause stress on the intervertebral disc, which then causes the spine to be less mobile.

 

How Does It Affect Spinal Mobility

When the intervertebral disc is dealing with mechanical stress from unwanted pressure, as stated earlier, it can develop into dramatic changes to its composition and structure. When people are dealing with spinal mobility issues, it causes segmental instability, which then causes influence the entire lumbar motion of the spine and causes the intervertebral disc to be highly stressed and cause disability. (Okawa et al., 1998) When high ‘stress’ is concentrated within the intervertebral discs, over time, it can cause musculoskeletal pain to the lumbar spine, leading to further disruption to the lower extremities. (Adams, McNally, & Dolan, 1996) When there is degeneration within the intervertebral disc associated with mechanical stress, it can affect the spine’s mobility function. For working individuals, it can have a huge impact on them. When dealing with stress correlated with the intervertebral discs, individuals will develop low back pain problems that can cause a huge burden when they are getting treated. Low back pain associated with intervertebral disc stress can cause a socioeconomic risk factor for lumbar pain and disability. (Katz, 2006) When dealing with low back problems, people will find temporary remedies to continue working while dealing with the pain until they have to be admitted for treatment. This causes an unnecessary stress factor for the individual because they would have to take time off work to feel better. However, it is important to get treated for intervertebral disc stress early on before more issues begin to occur, as there are non-surgical treatments that are cost-effective and safe to restore spinal mobility.

 

Why Choose Chiropractic-Video

Why Choose Chiropractic? | El Paso, Tx (2023)

When it comes to treating low back pain associated with intervertebral disc stress, many individuals try out many home remedies and treatments to alleviate the pain. However, those at-home treatments provide temporary relief. Individuals who are experiencing spinal mobility issues can find the relief they are looking for by incorporating non-surgical therapies into their daily routines. Non-surgical treatments are cost-effective and can provide a positive outcome to many individuals as their health and wellness plans can be personalized. (Boos, 2009) This allows the individual to finally find the relief they seek and create a positive relationship with their primary doctor. Non-surgical treatments can also be combined with other therapies to relieve the individual’s pain further and reduce the chances of the problem returning. Treatments like chiropractic care, massage therapy, and spinal decompression are some non-surgical treatments that can help mitigate intervertebral stress and restore spinal mobility. The video above explains how these treatments can find the root cause of the problem and address the issues in a safe and positive environment.

How Decompression Relieves Intervertebral Disc Stress

 

Non-surgical treatments like spinal decompression can help with reducing the intervertebral disc stress that is causing low back pain issues in the lumbar region. Spinal decompression uses gentle traction on the spine to reduce the stress on the intervertebral disc. Spinal decompression allows many people to reduce their chances of going to surgery for their pain and, after a few sessions, have the pain intensity decreased significantly. (Ljunggren, Weber, & Larsen, 1984) Additionally, spinal decompression can create negative intradiscal pressure in the spinal column by allowing the nutrients and fluids to rehydrate the affected disc while promoting the body’s natural healing process. (Sherry, Kitchener, & Smart, 2001)

 

Decompression Restoring Spinal Mobility

Spinal decompression can also help restore spinal mobility to the lumbar region. When pain specialists incorporate spinal decompression into their practices, they can help by using various techniques to restore joint mobility. When pain specialists start to use these different techniques on the individual’s body, they can help stretch out the surrounding muscles, ligaments, and tissues that were affected around the spine and help restore mobility to the joint. (Gudavalli & Cox, 2014) Combined with spinal decompression, these techniques allow the individual to be more mindful of their bodies and alleviate the pain they have been dealing with for a while. By incorporating decompression as part of their routine, many individuals can return to their activities pain-free without worrying.

 

References

Acaroglu, E. R., Iatridis, J. C., Setton, L. A., Foster, R. J., Mow, V. C., & Weidenbaum, M. (1995). Degeneration and aging affect the tensile behavior of human lumbar anulus fibrosus. Spine (Phila Pa 1976), 20(24), 2690-2701. doi.org/10.1097/00007632-199512150-00010

 

Adams, M. A., McNally, D. S., & Dolan, P. (1996). ‘Stress’ distributions inside intervertebral discs. The effects of age and degeneration. J Bone Joint Surg Br, 78(6), 965-972. doi.org/10.1302/0301-620x78b6.1287

 

Boos, N. (2009). The impact of economic evaluation on quality management in spine surgery. Eur Spine J, 18 Suppl 3(Suppl 3), 338-347. doi.org/10.1007/s00586-009-0939-3

 

Gudavalli, M. R., & Cox, J. M. (2014). Real-time force feedback during flexion-distraction procedure for low back pain: A pilot study. J Can Chiropr Assoc, 58(2), 193-200. www.ncbi.nlm.nih.gov/pubmed/24932023

www.ncbi.nlm.nih.gov/pmc/articles/PMC4025089/pdf/jcca_v58_2k_p193-gudavalli.pdf

 

Katz, J. N. (2006). Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am, 88 Suppl 2, 21-24. doi.org/10.2106/JBJS.E.01273

 

Ljunggren, A. E., Weber, H., & Larsen, S. (1984). Autotraction versus manual traction in patients with prolapsed lumbar intervertebral discs. Scand J Rehabil Med, 16(3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835

 

Okawa, A., Shinomiya, K., Komori, H., Muneta, T., Arai, Y., & Nakai, O. (1998). Dynamic motion study of the whole lumbar spine by videofluoroscopy. Spine (Phila Pa 1976), 23(16), 1743-1749. doi.org/10.1097/00007632-199808150-00007

 

Sato, K., Kikuchi, S., & Yonezawa, T. (1999). In vivo intradiscal pressure measurement in healthy individuals and in patients with ongoing back problems. Spine (Phila Pa 1976), 24(23), 2468-2474. doi.org/10.1097/00007632-199912010-00008

 

Sherry, E., Kitchener, P., & Smart, R. (2001). A prospective randomized controlled study of VAX-D and TENS for the treatment of chronic low back pain. Neurol Res, 23(7), 780-784. doi.org/10.1179/016164101101199180

Disclaimer

Head Pressure

By
Dr. Alex Jimenez
-
Headache, stress and anxiety with a business woman holding her head in pain while feeling pressure

Can chiropractic treatment protocols diagnose what’s causing head pressure in individuals, and provide effective treatment?

Head Pressure

Head Pressure

Head pressure can have various causes and symptoms that affect different areas depending on whether the cause is a headache, allergies, injury, illness, or disease. The location of the pressure or pain can help a doctor of chiropractic determine the cause.

  • The underlying factor is usually not life-threatening, but the pressure that has built can be the result of serious conditions like a head injury or brain tumor.
  • Chiropractic ​care, which includes a combination of spinal manipulation, active and passive exercises, and massage, is often used for headache management and prevention. (Moore Craig, et al., 2018)
  • Chiropractic therapy is often sought out for tension and cervicogenic headaches, migraines, and each responds differently to the treatment.

The Head

  • The head is made up of a complex system of lobes, sinuses/channels, blood vessels, nerves, and ventricles. (Thau L, et al., 2022)
  • The pressure of these systems is regulated and any disruption to this balance can be noticeable.
  • Diagnosis can be difficult to figure out what is causing discomfort or head pressure.
  • Pain, pressure, irritability, and nausea are all symptoms that can occur with headaches. (Rizzoli P, Mullally W. 2017)

Location

  • Head pressure in more than one spot is possible with a migraine or a severe cold. (American Migraine Foundation 2023)
  • Pain can present in more than one area if there has been a head injury.
  • If the pressure is more specific in a certain region, it can help provide clues about the cause of the symptoms.
  • Medical issues can cause pressure in different areas. (Rizzoli P, Mullally W. 2017)
  • An example is a sinus infection which can cause pressure under the eyes and around the nose.
  • A migraine or tension headache can present as: (MedlinePlus. Migraine 2021)
  • A tight band around the head.
  • Pain or pressure behind the eyes.
  • Stiffness and pressure in the back of the head and/or neck.

Causes of Pressure

The root cause of the problem is not always clear. There can be a number of potential causes.

Tension Headache

Tension headaches are the most common that feels like pressure squeezing the head. They usually develop because of tightening scalp muscles caused by:

  • Stress
  • Depression
  • Anxiety
  • Head injuries
  • Unusual positioning of the head or illness can cause tension headaches.

Other than muscle tension, tension headaches can develop from: (MedlinePlus. Tension headache.)

  • Physical stress
  • Emotional stress
  • Eye strain
  • Fatigue
  • Overexertion
  • Overuse of caffeine
  • Caffeine withdrawal
  • Over alcohol use
  • Sinus infections
  • A cold or flu
  • Smoking
  • Tension headaches can also run in families. (MedlinePlus. Tension headache.)

Sinus Headache

  • A sinus headache – rhinosinusitis – is caused by a viral or bacterial infection in the sinus cavities. (American Migraine Foundation 2023)
  • There are sinus cavities on each side of the nose, between the eyes, in the cheeks, and on the forehead.
  • The location of where these headaches cause pressure varies, depending on which sinuses are infected. (Cedars Sinai. Sinus Conditions and Treatments)
  • Sinus infection headaches are obvious from the discolored nasal drainage.
  • Individuals can have facial pain and pressure, lose their sense of smell, or have a fever. (American Migraine Foundation 2023)

Ear Conditions

  • The ears help the body sense movement and balance.
  • A problem in the inner ear that helps control balance can cause a type of migraine known as a vestibular migraine. (American Speech-Language-Hearing Association)
  • This type of migraine doesn’t always present with pain symptoms.
  • Problems with balance and feelings of vertigo/sense of spinning are common with these types of migraines. (American Migraine Foundation)
  • An ear infection can also cause feelings of head pressure and/or pain.
  • Infections can cause pressure to build on the delicate structures of the middle and inner ear.
  • These infections are usually caused by viral illness or bacteria. (FamilyDoctor.org)

Neurological Causes

  • Neurological diseases and conditions can lead to increased pressure in the head.
  • The pain symptoms depend on the specific cause.
  • For example, a stroke can affect the whole head, while decreased brain fluid levels may affect just the base of the skull.
  • The latter condition is known as intracranial hypertension which means increased pressure in the brain. (Schizodimos, T et al., 2020)
  • For some individuals, there is no clear cause, this is known as idiopathic intracranial hypertension. (Wall, Michael. 2017) (National Health Service 2023)

Other causes of increased intracranial pressure include:

Other

  • Head pressure can also occur only at times when standing up, bending down to pick up an object, or otherwise changing posture in some way that blood pressure is affected.

Chiropractic Treatment

The Injury Medical team will develop a personalized treatment plan to help relieve pressure symptoms through a multidisciplinary approach that can include. (Moore Craig, et al., 2018)

  • Spinal manipulation
  • Low-load craniocervical mobilization
  • Joint mobilization
  • Decompression
  • Deep neck flexion exercises
  • Neuromuscular massage
  • Physical therapy exercises
  • Relaxation techniques
  • Stress management
  • Nutritional recommendations

Multidisciplinary Evaluation and Treatment

References

Moore, C., Leaver, A., Sibbritt, D., & Adams, J. (2018). The management of common recurrent headaches by chiropractors: a descriptive analysis of a nationally representative survey. BMC neurology, 18(1), 171. doi.org/10.1186/s12883-018-1173-6

Thau, L., Reddy, V., & Singh, P. (2022). Anatomy, Central Nervous System. In StatPearls. StatPearls Publishing.

Rizzoli, P., & Mullally, W. J. (2018). Headache. The American journal of medicine, 131(1), 17–24. doi.org/10.1016/j.amjmed.2017.09.005

American Migraine Foundation. Is it a migraine or a sinus headache?

MedlinePlus. Migraine.

MedlinePlus. Tension headache.

Cedars Sinai. Sinus conditions and treatments.

American Speech-Language-Hearing Association. Dizziness and balance.

American Migraine Foundation. What to know about vestibular migraine.

FamilyDoctor.org. Ear infection.

Schizodimos, T., Soulountsi, V., Iasonidou, C., & Kapravelos, N. (2020). An overview of the management of intracranial hypertension in the intensive care unit. Journal of Anesthesia, 34(5), 741–757. doi.org/10.1007/s00540-020-02795-7

Wall M. (2017). Update on Idiopathic Intracranial Hypertension. Neurologic Clinics, 35(1), 45–57. doi.org/10.1016/j.ncl.2016.08.004

National Health Service. Intracranial hypertension.

National Institute of Neurological Disorders and Stroke. Hydrocephalus. www.ninds.nih.gov/health-information/disorders/hydrocephalus

The Efficacy Of Spinal Decompression For Low Back Pain

By
Dr. Alex Jimenez
-

How efficient is spinal decompression to alleviate pain-like symptoms in many individuals with low back pain?

Introduction

Low back pain is a common condition that affects many people worldwide. It can cause discomfort and prevent individuals from returning to their normal routines. The pain can be specific or non-specific, depending on the severity of the symptoms. It can also be associated with other musculoskeletal conditions, such as sciatica, DDD, and osteoarthritis, affecting the spine’s mobility and stability. Fortunately, treatments are available to reduce the pain and associated symptoms while relieving the lumbar spinal region. At the same time, working with certified medical providers who use our patients’ information to treat individuals experiencing pain-like symptoms associated with low back pain. We inform them that non-surgical treatments like decompression can help reduce the progression of low back pain and its associated pain-like symptoms. At the same time, we also explain to them how adding decompression to their routine can alleviate the pain-like symptoms. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer

 

The Burden Of Low Back Pain

Do you often experience muscle stiffness and aches from excessive sitting at your desk job? Do you feel excruciating pain in your hips and low back after a long day of moving heavy objects? Or do you feel constant pain after moving from one location to another, only to find relief when resting? Many of these scenarios are a normal routine associated with low back pain for many working people. Since low back pain is common worldwide, it can greatly impact many individuals trying to alleviate it. For many individuals dealing with low back pain, it can be an economic burden, and it causes unnecessary stress to the working individual. (Maetzel & Li, 2002) When a person is dealing with low back pain and is working, it can lead to work disability which then cascades to frequent doctor visits to missing time off work to eventually short-term disability. At the same time, low back pain has many potential, either normal or traumatic factors affecting the region of the lower back, hips, and buttocks. Many individuals with low back pain noticed the corresponding relationship between the genetic and environmental factors that often correspond to where the pain is localized. (Manek & MacGregor, 2005)

 

 

Low back pain can often develop at an early age and be associated with serious pathologies (Jones & Macfarlane, 2005) that can correlate with environmental factors that lead to spinal misalignment or subluxation. Low back pain covers a huge spectrum of pain-like conditions that are frequently overlapped and can be prone to different stressors that can impact the body while becoming a challenge to diagnose when getting treated. (Knezevic et al., 2021) However, many individuals with low back pain can find relief from not only the economic burden of low back pain but also find the right therapies to alleviate pain-like symptoms associated with low back pain from their bodies.

 

Body In Balance- Video

Body In Balance *CHIROPRACTIC + FITNESS + NUTRITION* El Paso, Tx (2023)

When it comes to treating low back pain, many individuals will go to their primary doctors for a physical examination to determine where the pain radiates in the lumbar region. (Chou, Qaseem, et al., 2007) At the same time, the individual’s primary doctor should assess what factors are the causes for the development of low back pain and come up with a customized treatment plan to reduce the pain from the lumbar region while also working with other medical professionals to kick start the person’s health and wellness journey. Numerous non-surgical treatments are cost-effective, safe, and non-pharmacological when alleviating low back pain. They can provide positive, beneficial results after a few sessions of treatments to reduce low back pain. Non-surgical treatments like chiropractic care, massage therapy, spinal decompression, and physical therapy can help relieve many individuals with low back pain. The video above explains how these treatments, combined with the right tools, can help bring balance back into the body.

The Efficacy Of Spinal Decompression

When reducing the effects of low back pain, non-surgical treatments are cost-effective and safe for many individuals with low back pain. Many non-surgical therapies are efficient for chronic or acute low back pain and can be combined with numerous therapies to reduce the chances of low back pain from returning in the future. (Chou, Huffman, et al., 2007) Non-surgical treatments like spinal decompression are efficient for low back pain as it helps stretch the tight, shortened muscles in the lumbar region and reduce any pain-like symptoms associated with low back pain.

 

How Spinal Decompression Alleviates Low Back Pain

Now how would spinal decompression alleviate low back pain? Well, since low back pain has many factors that can contribute to its development, one of these factors that can contribute to low back pain is compressed intervertebral discs. When the spinal discs are compressed, they can become herniated under pressure and aggravate the spinal nerve root, leading to low back pain symptoms. With spinal decompression, individuals will be strapped to a traction machine and have their bodies gently pulled to reduce pressure off the aggravated nerve and pull the disc back into its original position. To that point, spinal decompression allows mobility back to the lower extremities and improves stability in the lumbar region. (Meszaros et al., 2000) Additionally, decompression can help reduce the effects of low back pain, whether done manually or through a traction machine that allows negative pressure into the spine while allowing the body to heal itself and rehydrate the spinal discs naturally. (Macario et al., 2008) With spinal decompression combined with other therapies, many people can return to work pain-free while being more mindful of how they listen to their bodies.

 

References

Chou, R., Huffman, L. H., American Pain, S., & American College of, P. (2007). Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med, 147(7), 492-504. doi.org/10.7326/0003-4819-147-7-200710020-00007

 

Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Jr., Shekelle, P., Owens, D. K., Clinical Efficacy Assessment Subcommittee of the American College of, P., American College of, P., & American Pain Society Low Back Pain Guidelines, P. (2007). Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med, 147(7), 478-491. doi.org/10.7326/0003-4819-147-7-200710020-00006

 

Jones, G. T., & Macfarlane, G. J. (2005). Epidemiology of low back pain in children and adolescents. Arch Dis Child, 90(3), 312-316. doi.org/10.1136/adc.2004.056812

 

Knezevic, N. N., Candido, K. D., Vlaeyen, J. W. S., Van Zundert, J., & Cohen, S. P. (2021). Low back pain. The Lancet, 398(10294), 78-92. doi.org/10.1016/s0140-6736(21)00733-9

 

Macario, A., Richmond, C., Auster, M., & Pergolizzi, J. V. (2008). Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000: A Retrospective Chart Review. Pain Practice, 8(1), 11-17. doi.org/10.1111/j.1533-2500.2007.00167.x

 

Maetzel, A., & Li, L. (2002). The economic burden of low back pain: a review of studies published between 1996 and 2001. Best Pract Res Clin Rheumatol, 16(1), 23-30. doi.org/10.1053/berh.2001.0204

 

Manek, N. J., & MacGregor, A. J. (2005). Epidemiology of back disorders: prevalence, risk factors, and prognosis. Curr Opin Rheumatol, 17(2), 134-140. doi.org/10.1097/01.bor.0000154215.08986.06

 

Meszaros, T. F., Olson, R., Kulig, K., Creighton, D., & Czarnecki, E. (2000). Effect of 10%, 30%, and 60% body weight traction on the straight leg raise test of symptomatic patients with low back pain. J Orthop Sports Phys Ther, 30(10), 595-601. doi.org/10.2519/jospt.2000.30.10.595

 

Disclaimer

Black Pepper Health Benefits

By
Dr. Alex Jimenez
-
Black pepper corns and powder on white stone background, top view

Should individuals increase their intake of black pepper to help with various health issues like fighting inflammation, strengthening the immune system, and improving digestion?

Black Pepper Health Benefits

Black Pepper

One of the most popular spices, black pepper offers anti-inflammatory and pain-reducing effects. Piperine is the compound that gives black pepper its flavor, helps prevent inflammation, (Gorgani Leila, et al., 2016), and helps to increase the absorption of selenium, vitamin B12, and turmeric. (Dudhatra GB, et al., 2012) Piperine has been found to be almost as effective as prednisolone – a common medication for arthritis – in reducing symptoms.

  • Black pepper has been used in ancient Ayurvedic medicine for thousands of years because of its concentration of beneficial plant compounds. (Johns Hopkins Medicine, 2023)
  • Pepper is made by grinding peppercorns, which are dried berries from the vine Piper nigrum.
  • The plant is a tall woody plant with small flowers that bloom a yellowish-red color.
  • It has a sharp and mildly spicy flavor that goes with all kinds of dishes.

Nutrition

The following nutrition is for 1 tablespoon of black pepper. (USDA, FoodData Central)

  • Calories – 17
  • Fat – 0.2g
  • Carbohydrates – 4.4g
  • Sodium – 1.38mg
  • Fiber – 1.8g
  • Sugars – 0g
  • Protein – 0.7g
  • Magnesium – 11.8mg
  • Vitamin K – 11.3mg
  • Calcium – 30.6mg
  • Iron – 0.7mg
  • Potassium – 91.7mg
  • Black pepper provides vitamin K, necessary for blood clotting, bone metabolism, and regulating blood calcium levels.
  • Additional vitamins include C, E, A, and B vitamins, calcium, and potassium. (Platel K, Srinivasan K., et al., 2016)

Benefits

Decrease Inflammation

Inflammation is the immune system’s response to injury, illness, or any mental or physical stressor, that triggers the body’s healing and repair process. However, long-term inflammation can lead to various health problems and, in individuals that begin to develop arthritis, joint degeneration. Damage to the body’s pain processors can exacerbate pain and other uncomfortable symptoms.

  • The main active component piperine, has been shown to decrease inflammation. (Kunnumakkara AB, et al., 2018)
  • Chronic inflammation can be a cause of diabetes, arthritis, asthma, and heart disease.
  • While the anti-inflammatory effects have not been extensively studied in humans, there are several mouse studies that show promising results.
  • In one study, treatment for arthritis with piperine resulted in less joint swelling and decreased inflammation markers. (Bang JS, Oh DH, Choi HM, et al., 2009)

Antioxidants

  • The active compound, piperine is rich in antioxidants, which prevent or delay the free radical damaging effects from exposure to pollution, smoke, and the sun.
  • Free radicals are associated with diseases like heart disease and cancer. (Lobo V., et al., 2010)
  • In one study, rats with a diet of concentrated black pepper had less free radical damage than a group that did not ingest concentrated black pepper. (Vijayakumar RS, Surya D, Nalini N. 2004)

Brain Function Improvement

  • Piperine has been shown to decrease symptoms associated with Parkinson’s and Alzheimer’s and improve brain function. (Ramaswamy Kannappan, et al., 2011)
    Studies show piperine increased memory as well as the ability to decrease the production of amyloid plaques, which are damaging proteins associated with Alzheimer’s disease.

Blood Sugar Control Improvement

  • Studies suggest that piperine can improve blood sugar and improve insulin sensitivity.
  • In one study, individuals with insulin resistance took a piperine supplement for 8 weeks.
  • After 8 weeks, improvements were seen in the response to the insulin hormone to remove glucose from the blood (Rondanelli M, et al., 2013)

Improved Nutrient Absorption

  • Black pepper is considered to have the ability to bind and activate with other foods for improved positive health effects.
  • It increases the absorption of certain nutrients such as calcium, turmeric, selenium, and green tea.
  • It is often recommended to consume calcium or selenium with a source of black pepper and to ensure any turmeric supplement you take contains black pepper. (Shoba G, et al., 1998)

Storage

  • Whole peppercorns sealed in a container and stored in a cool, dry place can last up to a year.
  • Over time ground black pepper loses its flavor, therefore it is recommended to use within 4 to 6 months.

Allergic Reactions

  • If you believe you are allergic to black pepper, see a healthcare professional who can perform testing to determine the root cause of symptoms.
  • Allergies can present as tingling or itching in the mouth, hives, abdominal pain, and possible nausea and vomiting.
  • Symptoms can also include wheezing, congestion, and/or swelling of the lips, tongue, mouth, and throat.
  • Black pepper can be substituted with spices like chili powder, cayenne pepper, and allspice.

The Healing Diet

References

Gorgani, L., Mohammadi, M., Najafpour, G. D., & Nikzad, M. (2017). Piperine-The Bioactive Compound of Black Pepper: From Isolation to Medicinal Formulations. Comprehensive reviews in food science and food safety, 16(1), 124–140. doi.org/10.1111/1541-4337.12246

Dudhatra, G. B., Mody, S. K., Awale, M. M., Patel, H. B., Modi, C. M., Kumar, A., Kamani, D. R., & Chauhan, B. N. (2012). A comprehensive review on pharmacotherapeutics of herbal bio-enhancers. TheScientificWorldJournal, 2012, 637953. doi.org/10.1100/2012/637953

Johns Hopkins Medicine. Ayurveda, 2023. www.hopkinsmedicine.org/health/wellness-and-prevention/ayurveda

USDA, FoodData Central. Spices, pepper, black.

Platel, K., & Srinivasan, K. (2016). Bioavailability of Micronutrients from Plant Foods: An Update. Critical reviews in food science and nutrition, 56(10), 1608–1619. doi.org/10.1080/10408398.2013.781011

Kunnumakkara, A. B., Sailo, B. L., Banik, K., Harsha, C., Prasad, S., Gupta, S. C., Bharti, A. C., & Aggarwal, B. B. (2018). Chronic diseases, inflammation, and spices: how are they linked? Journal of translational medicine, 16(1), 14. doi.org/10.1186/s12967-018-1381-2

Bang, J. S., Oh, D. H., Choi, H. M., Sur, B. J., Lim, S. J., Kim, J. Y., Yang, H. I., Yoo, M. C., Hahm, D. H., & Kim, K. S. (2009). Anti-inflammatory and antiarthritic effects of piperine in human interleukin 1beta-stimulated fibroblast-like synoviocytes and in rat arthritis models. Arthritis research & therapy, 11(2), R49. doi.org/10.1186/ar2662

Lobo, V., Patil, A., Phatak, A., & Chandra, N. (2010). Free radicals, antioxidants, and functional foods: Impact on human health. Pharmacognosy reviews, 4(8), 118–126. doi.org/10.4103/0973-7847.70902

Vijayakumar, R. S., Surya, D., & Nalini, N. (2004). Antioxidant efficacy of black pepper (Piper nigrum L.) and piperine in rats with high-fat diet-induced oxidative stress. Redox report: communications in free radical research, 9(2), 105–110. doi.org/10.1179/135100004225004742

Kannappan, R., Gupta, S. C., Kim, J. H., Reuter, S., & Aggarwal, B. B. (2011). Neuroprotection by spice-derived nutraceuticals: you are what you eat! Molecular neurobiology, 44(2), 142–159. doi.org/10.1007/s12035-011-8168-2

Rondanelli, M., Opizzi, A., Perna, S., Faliva, M., Solerte, S. B., Fioravanti, M., Klersy, C., Cava, E., Paolini, M., Scavone, L., Ceccarelli, P., Castellaneta, E., Savina, C., & Donini, L. M. (2013). Improvement in insulin resistance and favorable changes in plasma inflammatory adipokines after weight loss associated with two months’ consumption of a combination of bioactive food ingredients in overweight subjects. Endocrine, 44(2), 391–401. doi.org/10.1007/s12020-012-9863-0

Shoba, G., Joy, D., Joseph, T., Majeed, M., Rajendran, R., & Srinivas, P. S. (1998). Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteers. Planta medica, 64(4), 353–356. doi.org/10.1055/s-2006-957450

Lumbar Disc Degeneration Relieved With Decompression

By
Dr. Alex Jimenez
-

How does decompression alleviate sciatic nerve pain in many working individuals with lumbar disc degeneration?

Introduction

The discs between the spinal vertebrae act as a cushion when pressure is added to the body. These discs get compressed when the body is in motion. Our bodies and spines also age as we age, which causes the spinal intervertebral disc to degenerate over time. The outer part of the spinal disc may crack under pressure, causing the inner part to protrude and irritate the spinal nerve roots. This can cause sciatic nerve pain, which may result in radiating pain in the legs, buttocks, and lower back. This can cause mobility issues and disability, making it difficult for working individuals to perform their jobs. Non-surgical treatments, such as safe and gentle traction, can help alleviate sciatic nerve pain by reducing pressure on the spine and maintaining disc height. By slowing down the progression of lumbar disc degeneration, individuals can reduce the frequency of visits to their primary care doctors and avoid disability. Today’s article provides an overview of lumbar disc degeneration, its association with sciatic nerve pain, and the benefits of decompression in restoring disc height and reducing pain. As we work with certified medical providers who use our patients’ information to treat individuals experiencing sciatic nerve pain associated with lumbar disc degeneration. We inform them that non-surgical treatments like decompression can help reduce the progression of lumbar disc degeneration and reduce sciatic nerve pain. At the same time, we also explain to them how adding decompression to their routine can alleviate the pain-like symptoms. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer

 

Lumbar Disc Degeneration Overview

Have you begun to notice how your legs, buttocks, and feet are constantly experiencing tingling sensations that it makes it difficult to do everyday actions? Do you feel excruciating pain in your legs while standing, only to find relief from resting? Or do you notice that you are getting aches and muscle strains from normal motion like bending, twisting, and turning after waking up in the morning? Many individuals, especially older working adults, are experiencing these issues due to lumbar disc degeneration. Now lumbar disc degeneration usually occurs naturally as the body ages, which then causes the intervertebral disc to wear and tear constantly under pressure, then cracks and causes the disc to herniate. Since the intervertebral disc provides structural support and shock absorption against mechanical loads to the lumbar region, when normal or traumatic factors cause changes, it can cause dysfunction and instability in the lumbar spine. (Mohd Isa et al., 2022)

 

 

When the intervertebral discs begin to crack under pressure, it can cause pain-like symptoms affecting the upper and lower extremities. Additionally, lumbar disc degeneration can cause spinal flexibility to decrease and reduce the spine’s ROM (range of motion), which causes more stress on the surrounding muscles, ligaments, and tissues. Lumbar disc degeneration can cascade events from disc bulging to nerve root irritation. (Liyew, 2020) This means that when there are advanced degenerative changes to the lumbar facet joints and the surrounding soft tissues, it can cause the spinal canal to narrow and compress the adjacent nerve root. To that point, it can lead to reduce disc height and lead to sciatic nerve pain.

 

Lumbar Disc Degeneration Associated With Sciatica

Now how would lumbar disc degeneration be associated with sciatic nerve pain? When the intervertebral disc is being compressed under unwanted pressure, it can crack over time and herniate out of its original position, which then can press on the nerve root causing radiating pain to travel to the affected muscle area. Since the sciatic nerve is positioned in the lumbosacral region, it runs from the top of the gluteus muscles and down to the back of the hamstrings and calves. When unwanted pressure causes the intervertebral disc to herniate and start to affect the sciatic nerve, it causes a frequent symptom known as lumbar sciatica, where the herniated disc is compressing the sciatic nerve. (Zitouna et al., 2019) To that point, it can cause radiating, shooting pain down to the leg, making it difficult for individuals with demanding jobs to find relief. Since the lumbar intervertebral discs have a corresponding relationship with the central nervous system, the nerve roots that surround the spinal discs help with providing neuron signals to the adjacent muscles, which allows the arms, hands, legs, and feet to move. (Bogduk, Tynan, & Wilson, 1981) However, when the intervertebral discs are herniated, it can disrupt the neuron signaling to the muscles and cause referred pain to the lower or upper extremities. When this happens, many individuals opt to seek treatment.

 

Sciatica Secrets Revealed- Video

Sciatica Secrets Revealed! | El Paso, Tx (2023)

Many individuals dealing with sciatic nerve pain associated with lumbar disc degeneration will often find temporary relief to continue their work despite constant pain. This is due to the unwanted pressure that is causing an overload on the spinal disc to cause them to degenerate and invoke pain in the lower regions. At the same time, age and degenerative structural changes have a close relationship that can cause a greater effect on stress distribution to the lower back. (Adams, McNally, & Dolan, 1996) This leads to overlapping risk profiles contributing to sciatic nerve pain associated with lumbar disc degeneration due to normal and traumatic factors. However, many individuals don’t have to suffer from pain-like symptoms related to lumbar disc degeneration as there are numerous treatments to restore disc height and reduce sciatic nerve pain. Non-surgical treatments are great for many individuals looking for cost-efficiency and can be personalized to the person’s pain. (Louis-Sidney et al., 2022) Non-surgical treatments like chiropractic care, massage and physical therapy, and spinal decompression can help many individuals with lumbar disc degeneration associated with sciatic nerve pain. These treatments incorporate mechanical and manual manipulation of the spine to realign the body out of subluxation while incorporating various techniques to stretch out the soft tissues and muscles to strengthen their length and reduce nerve entrapment. The video above explains a bit more about how these treatments can restore mobility to the body, reduce inflammation, and relieve muscle tension caused by lumbar disc degeneration associated with sciatic nerve pain.

Spinal Decompression Restores Disc Height

Now non-surgical treatments like spinal decompression can help reduce the progress of lumbar disc degeneration by restoring disc height. Spinal decompression uses gentle traction on the spine to allow the necessary nutrients, fluids, and blood to be reabsorbed back into the spine. It will enable the herniated disc to return to its original position and rehydrate it. (Yu et al., 2022) Since the spine and body age naturally, spinal decompression can restore disc height by creating negative pressure to regain mobility and stretch out the affected muscles surrounding the spine.

 

Spinal Decompression Reduces Sciatic Nerve Pain

Additionally, decompression can help reduce sciatic nerve pain as it can help the herniated disc alleviate the pressure on the sciatic nerve and can restore mobility to the body. Spinal decompression can become a positive outcome for many working individuals as it allows individuals to be more mindful of their habits that were the cause of the pain they were experiencing. (Brogger et al., 2018) With non-surgical treatments like spinal decompression, many individuals can become efficient with work while being more conscious about what factors contribute to the pain. This, in turn, allows them to focus on their well-being and strengthen their weak points with a personalized plan that will enable them to make small changes in their day-to-day lives and become pain-free after a few consecutive treatments.

 

References

Adams, M. A., McNally, D. S., & Dolan, P. (1996). ‘Stress’ distributions inside intervertebral discs. The effects of age and degeneration. J Bone Joint Surg Br, 78(6), 965-972. doi.org/10.1302/0301-620x78b6.1287

 

Bogduk, N., Tynan, W., & Wilson, A. S. (1981). The nerve supply to the human lumbar intervertebral discs. J Anat, 132(Pt 1), 39-56. www.ncbi.nlm.nih.gov/pubmed/7275791

www.ncbi.nlm.nih.gov/pmc/articles/PMC1233394/pdf/janat00225-0045.pdf

 

Brogger, H. A., Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Comparative effectiveness and prognostic factors for outcome of surgical and non-surgical management of lumbar spinal stenosis in an elderly population: protocol for an observational study. BMJ Open, 8(12), e024949. doi.org/10.1136/bmjopen-2018-024949

 

Liyew, W. A. (2020). Clinical Presentations of Lumbar Disc Degeneration and Lumbosacral Nerve Lesions. Int J Rheumatol, 2020, 2919625. doi.org/10.1155/2020/2919625

 

Louis-Sidney, F., Duby, J. F., Signate, A., Arfi, S., De Bandt, M., Suzon, B., & Cabre, P. (2022). Lumbar Spinal Stenosis Treatment: Is Surgery Better than Non-Surgical Treatments in Afro-Descendant Populations? Biomedicines, 10(12). doi.org/10.3390/biomedicines10123144

 

Mohd Isa, I. L., Teoh, S. L., Mohd Nor, N. H., & Mokhtar, S. A. (2022). Discogenic Low Back Pain: Anatomy, Pathophysiology and Treatments of Intervertebral Disc Degeneration. Int J Mol Sci, 24(1). doi.org/10.3390/ijms24010208

 

Yu, P., Mao, F., Chen, J., Ma, X., Dai, Y., Liu, G., Dai, F., & Liu, J. (2022). Characteristics and mechanisms of resorption in lumbar disc herniation. Arthritis Res Ther, 24(1), 205. doi.org/10.1186/s13075-022-02894-8

 

Zitouna, K., Selmene, M. A., Derbel, B., Rekik, S., Drissi, G., & Barsaoui, M. (2019). An unexpected etiology of lumbosciatica. Tunis Med, 97(12), 1415-1418. www.ncbi.nlm.nih.gov/pubmed/32173813

Disclaimer

Gender Expression: LGBTQ+ Inclusive Healthcare

By
Dr. Alex Jimenez
-
Physiotherapy, rehabilitation and healthcare with a man and woman in discussion about treatment in .

Gender is a concept with many facets. Everyone has a gender expression. Can learning about gender expression help healthcare professionals provide better and more effective treatment plans for the LGBTQ+ community?

Gender Expression: LGBTQ+ Inclusive Healthcare

Gender Expression

Gender expression refers to the ways that individuals present their gender identity and themselves. This can be clothing, haircuts, behaviors, etc. For many, there can be confusion between what society expects from their gender and how these individuals choose to present themselves. Gender expression is constructed from the culture that surrounds it, meaning that there may be a shared social expectation about gender. It can also mean that the same feminine hair or clothing style in one setting could be seen as masculine in another.

  • Society tries to regulate expression by making women wear certain kinds of clothes, and men other kinds, in order to participate in school, work, and when in public.
  • When cultures enforce gender norms it is known as gender policing, which can range from dress codes to physical and emotional punishment.
  • Creating a safe space for all genders requires awareness of these explicit or implicit gender norms so policing can be prevented. (José A Bauermeister, et al., 2017)
  • Research has shown that there are increased rates of discrimination against transgender and gender-nonconforming individuals compared with bias against those who are LGBTQ. (Elizabeth Kiebel, et al., 2020)

Health Care

  • Gender expression can and does affect access to and quality of health care.
  • Individuals with a gender expression that is different from what is expected for their assigned sex at birth may experience increased bias and harassment from providers. (Human Rights Watch. 2018)
  • A significant percentage of patients feared health workers would treat them differently because of their expression. (Cemile Hurrem Balik Ayhan et al., 2020)
  • Minority stress has been shown to play an important role in health imbalances. (I H Meyer. 1995)
  • Research suggests that gender expression is a part of the minority stress described by cisgender sexual minorities and gender minorities. (Puckett JA, et al., 2016)

Better Training

  • The effects of gender expression are different depending on a person’s sex, gender identity, and their setting.
  • However, doctors do need to know a person’s sex that was assigned at birth to be able to do proper screening tests, like screening for prostate or cervical cancer.
  • One way to be more affirming is for the doctor to introduce themselves first, using their own pronouns.
  • Health workers should ask everyone what name they prefer to be called and what pronouns they use.
  • This simple act invites the patient to share without creating awkward uneasiness.

Each person chooses how to present themselves to the world, and we respect all. We at Injury Medical Chiropractic and Functional Medicine Clinic will work to address the effects of minority stress on health disparities and raise awareness of the ways to continually improve positive experiences for LGTBQ+ individuals seeking inclusive health care for neuromusculoskeletal injuries, conditions, fitness, nutritional, and functional health.

Revolutionizing Healthcare

References

Bauermeister, J. A., Connochie, D., Jadwin-Cakmak, L., & Meanley, S. (2017). Gender Policing During Childhood and the Psychological Well-Being of Young Adult Sexual Minority Men in the United States. American journal of men’s health, 11(3), 693–701. doi.org/10.1177/1557988316680938

Kiebel, E., Bosson, J. K., & Caswell, T. A. (2020). Essentialist Beliefs and Sexual Prejudice Toward Feminine Gay Men. Journal of homosexuality, 67(8), 1097–1117. doi.org/10.1080/00918369.2019.1603492

Human Rights Watch. “You Don’t Want Second Best”—Anti-LGBT Discrimination in US Health Care.

Ayhan, C. H. B., Bilgin, H., Uluman, O. T., Sukut, O., Yilmaz, S., & Buzlu, S. (2020). A Systematic Review of the Discrimination Against Sexual and Gender Minority in Health Care Settings. International journal of health services: planning, administration, evaluation, 50(1), 44–61. doi.org/10.1177/0020731419885093

Meyer I. H. (1995). Minority stress and mental health in gay men. Journal of health and social behavior, 36(1), 38–56.

Puckett, J. A., Maroney, M. R., Levitt, H. M., & Horne, S. G. (2016). Relations between gender expression, minority stress, and mental health in cisgender sexual minority women and men. Psychology of Sexual Orientation and Gender Diversity, 3(4), 489–498. doi.org/10.1037/sgd0000201

Golfing Wrist Injuries

By
Dr. Alex Jimenez
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Beautiful young woman is holding a golf club, looking at camera and smiling while standing on golf course

Golfing wrist injuries are common with treatment requiring 1-3 months of rest and immobilization and if tears are present surgery. Can chiropractic treatment help avoid surgery, expedite recovery, and rehabilitation?

Golfing Wrist Injuries

Golfing Wrist Injuries

Golfing Wrist Injuries: According to a study, there are over 30,000 golf-related injuries treated in American emergency rooms every year. (Walsh, B. A. et al, 2017) Nearly a third are related to a strain, sprain, or stress fracture.

  • One of the most common causes of wrist pain is overuse. (Moon, H. W. et al, 2023)
  • Repeated swinging generates added stress on the tendons and muscles, leading to inflammation and pain.
  • Improper swing techniques can cause the wrists to twist uncomfortably, resulting in inflammation, soreness, and injuries.
  • Golfers who grip the club too tightly can add unnecessary strain on their wrists, leading to pain and weakened grip.

Wrist Tendonitis

  • The most common wrist injury is an inflammation of the tendons. (Ray, G. et al, 2023)
  • This condition is often caused by overuse or repetitive motion.
  • It usually develops in the leading hand from bending the wrist forward on the backswing and then extends backward at the finish.

Wrist Sprains

  • These can occur when the golf club hits an object, like a tree root, and makes the wrist bend and/or twist awkwardly. (Zouzias et al., 2018)

Hamate Bone Fractures

  • When the club hits the ground abnormally it can compress the handle against the bony hooks at the end of the smaller hamate/carpal bones.

Ulnar Tunnel Syndrome

  • This can cause inflammation, and numbness, and is usually caused by an improper or loose grip.
  • It causes nerve damage to the wrist from repeated bumping of the golf club handle against the palm.

de Quervain’s Tenosynovitis

  • This is a repetitive motion injury below the thumb at the wrist. (Tan, H. K. et al, 2014)
  • This causes pain and inflammation and is usually accompanied by a grinding sensation when moving the thumb and wrist.

Chiropractic Treatment

Given the nature of these injuries, medical attention should be sought out for image scans to look at any damage and properly immobilize the wrist. Once a fracture has been ruled out or healed, golfing wrist injuries can benefit from chiropractic and physical therapy. (Hulbert, J. R. et al, 2005) A typical treatment may involve a multifaceted approach involving various therapies including:

  • Active release therapy, myofascial release, athletic taping, corrective exercise, and stretching. 
  • A chiropractor will examine the wrist and its functioning to determine the nature of the injury.
  • A chiropractor may recommend using a splint to immobilize the wrist, particularly in cases of overuse.
  • They will relieve pain and swelling first, then focus on strengthening the joint.
  • They may recommend a regimen of icing the hand.
  • Adjustments and manipulations will relieve pressure on the nerves to reduce swelling and restore mobility.

Peripheral Neuropathy Successful Recovery

References

Walsh, B. A., Chounthirath, T., Friedenberg, L., & Smith, G. A. (2017). Golf-related injuries treated in United States emergency departments. The American journal of emergency medicine, 35(11), 1666–1671. doi.org/10.1016/j.ajem.2017.05.035

Moon, H. W., & Kim, J. S. (2023). Golf-related sports injuries of the musculoskeletal system. Journal of exercise rehabilitation, 19(2), 134–138. doi.org/10.12965/jer.2346128.064

Ray, G., Sandean, D. P., & Tall, M. A. (2023). Tenosynovitis. In StatPearls. StatPearls Publishing.

Zouzias, I. C., Hendra, J., Stodelle, J., & Limpisvasti, O. (2018). Golf Injuries: Epidemiology, Pathophysiology, and Treatment. The Journal of the American Academy of Orthopaedic Surgeons, 26(4), 116–123. doi.org/10.5435/JAAOS-D-15-00433

Tan, H. K., Chew, N., Chew, K. T., & Peh, W. C. (2014). Clinics in diagnostic imaging (156). Golf-induced hamate hook fracture. Singapore medical journal, 55(10), 517–521. doi.org/10.11622/smedj.2014133

Hulbert, J. R., Printon, R., Osterbauer, P., Davis, P. T., & Lamaack, R. (2005). Chiropractic treatment of hand and wrist pain in older people: systematic protocol development. Part 1: informant interviews. Journal of chiropractic medicine, 4(3), 144–151. doi.org/10.1016/S0899-3467(07)60123-2

A Cost-Effective Treatment For Lumbosacral Pain

By
Dr. Alex Jimenez
-

In individuals with lumbosacral pain, how do cost-effective treatments compare to traditional care treatments affect muscle strain?

Introduction

The human spine is divided into three sections, which form an S-curve shape that supports the upper and lower body parts, maintaining good posture during movement. The spinal discs or intervertebral discs act as shock absorbers within each section of the spinal column. They help reduce axial overload and protect the spinal cord. The cervical, thoracic, and lumbar sections have specific roles in the upper and lower body parts, ensuring comfort and pain-free movement. However, many people engage in normal activities such as lifting improperly, sitting excessively, or carrying an unreasonable weight, leading to pain and disability over time without proper care. The lumbosacral region of the spine is the most commonly injured and is linked to low back pain. Lumbosacral pain can result from normal or traumatic factors, making individuals miss work or daily activities, leading to financial burdens when visiting a doctor. Symptoms associated with lumbosacral pain can cause referred pain to other parts of the body, leading individuals to think that the primary pain location is elsewhere. Fortunately, various cost-effective treatments can reduce the effects of lumbosacral pain and alleviate muscle strain in the lower back region. This article focuses on the many factors associated with lumbosacral pain, cost-effective treatments to reduce it, and the difference between traction and spinal decompression, which can alleviate muscle strain in the lumbosacral spinal region. As we work with certified medical providers who use our patients’ information to treat individuals experiencing lumbosacral pain and explain how combining non-surgical decompression as part of their routine can alleviate the pain-like symptoms affecting the lumbosacral region. We inform them about non-surgical treatments to ease lumbosacral pain while reducing muscle strain. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer

 

Lumbosacral Pain Associated Factors

How many times a day have you been experiencing low back pain associated with lifting heavy objects? Do you feel muscle aches or strains in your lower back from excessing sitting from your job? Or do you feel pain in your lower back after a long day of work that feels better after sitting down? Many individuals don’t often realize that the pain they are feeling in their lumbosacral region could be due to the normal factors that are causing repetitive motions that are causing the spinal discs in the lumbosacral area to be compressed, damaged, or herniated. To that point, lumbosacral pain may correlate with low back pain. Since low back pain is mostly a non-specific issue, many working individuals with a sedentary desk job or an active job requiring physical exertion can be a clue to the causes of low back pain associated with lumbosacral pain. (See Tan & Kumar, 2021) Additionally, lumbosacral pain can cause the individual to have unwanted stress while undergoing treatment. The cost of treating lumbosacral pain associated with the low back can increase drastically.

 

 

The working individual would have to worry about the cost of traditional medical care and how to compensate for the lost wages to pay for the treatment. (Snook, 1988) This leads many individuals to continue working even when in excruciating pain by incorporating home treatments to reduce the pain temporarily. When the lumbosacral spine is dealing with pain, the nerve roots that surround the lumbosacral region will begin to go haywire, causing somato-visceral pain where the sensory signals cause symptoms of tingling and numbness to travel down to the legs, glutes, low back, and thighs. (Vaitkus & Sipylaite, 2021) Luckily, many individuals can be at ease in numerous ways. There are cost-effective treatments to reduce the pain-like issues associated with the lumbosacral region and alleviate the muscle strain caused by lumbosacral pain.

Can Core Exercises Erase Back Pain?-Video

YouTube player

Many individuals will look for home remedies to reduce the pain in the affected muscle area when treating lumbosacral pain associated with low back pain. Many people will opt for exercises, ice/hot packs, or massages to ease low back pain related to lumbosacral pain. (“Simple treatments best for acute low-back problems, say federal guidelines,” 1995) All these treatments are cost-effective and can be combined with non-surgical treatments to stretch the tight muscles, realign the spine, and help rehydrate the spinal discs back to the spine. The video above asks if core exercises can help ease back pain. The video details how weak core muscles correlate with lower back lumbosacral pain. Engaging the core during exercise can help stabilize the lumbosacral region while improving overall wellness.

Cost-Effective Treatments Relieve Lumbosacral Pain

When relieving lumbosacral pain, cost-effective non-surgical treatments can help many individuals find the relief they need. The effects of non-surgical treatments for the lumbosacral vertebrae apply various techniques to the spine by widening the spinal disc height, reducing muscle strain and spasms, and separating the vertebrae. (Colachis & Strohm, 1969) Many individuals have opted for these treatments because they are safe, cost-effective, and gentle on the spine. Since the spinal discs can be compressed due to unwanted axial load, spinal manipulation done by a chiropractor can realign the spine out of subluxation. (Cyriax, 1950) This allows the individual to feel instant relief and reduce the aggravated nerve roots from the lumbosacral spine. Other cost-effective treatments like traction therapy and spinal decompression can also alleviate lumbosacral pain that is causing the issue to many individuals.

 

Traction vs. Spinal Decompression

The difference between traction therapy and spinal decompression therapy varies within the individual and what their personalized treatment plan requires. Traction therapy incorporates half of the person’s body weight with additional weight to reduce nerve root compression and can be combined with other treatments like hot/cold therapies and electro-stimulation; combined with an exercise program can strengthen the weak muscles and reduce muscle strain. (Alrwaily, Almutiri, & Schneider, 2018)
With spinal decompression, many individuals will be strapped into a mechanical machine and feel a gentle pull on their spine. This creates negative pressure between the spine and allows the disc to lay off the aggravating nerve root and promote healing properties back to the disc. (Choi et al., 2022) Spinal decompression causes a direct distraction within the spinal segments with minimal discomfort to the individual. Both cost-effective treatments are suitable for individuals with lumbosacral pain along their spine as they can help relieve pain and reduce muscle strain along the lumbar region after a few sessions. Non-surgical treatments are beneficial for many individuals who are looking to take back their health and wellness without being in pain.

References

Alrwaily, M., Almutiri, M., & Schneider, M. (2018). Assessment of variability in traction interventions for patients with low back pain: a systematic review. Chiropr Man Therap, 26, 35. doi.org/10.1186/s12998-018-0205-z

 

Choi, E., Gil, H. Y., Ju, J., Han, W. K., Nahm, F. S., & Lee, P.-B. (2022). Effect of Nonsurgical Spinal Decompression on Intensity of Pain and Herniated Disc Volume in Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 6343837. doi.org/10.1155/2022/6343837

 

Colachis, S. C., Jr., & Strohm, B. R. (1969). Effects of intermittent traction on separation of lumbar vertebrae. Archives of Physical Medicine and Rehabilitation, 50(5), 251-258. www.ncbi.nlm.nih.gov/pubmed/5769845

 

Cyriax, J. (1950). The treatment of lumbar disk lesions. Br Med J, 2(4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434

 

See, Q. Y., Tan, J. B., & Kumar, D. S. (2021). Acute low back pain: diagnosis and management. Singapore Med J, 62(6), 271-275. doi.org/10.11622/smedj.2021086

 

Simple treatments best for acute low-back problems, say federal guidelines. (1995). Am J Health Syst Pharm, 52(5), 457. doi.org/10.1093/ajhp/52.5.457a

 

Snook, S. H. (1988). The costs of back pain in industry. Occup Med, 3(1), 1-5. www.ncbi.nlm.nih.gov/pubmed/2963383

 

Vaitkus, A., & Sipylaite, J. (2021). Sensory Perception in Lumbosacral Radiculopathy with Radicular Pain: Feasibility Study of Multimodal Bedside-Suitable Somatosensory Testing. Acta Med Litu, 28(1), 97-111. doi.org/10.15388/Amed.2021.28.1.18

Disclaimer

Creating El Paso’s Inclusive Health Care For LGTBQ+

By
Dr. Alex Jimenez
-

How can physicians create a positive experience for LGTBQ+ individuals seeking inclusive health care for muscle pain?

Introduction

Finding proper treatment for many body pain conditions should not be challenging when numerous factors and conditions can impact a person’s lifestyle. When it comes to these factors can range from their home environment to their medical conditions, which then harms their well-being and not being heard when informed about their situation. This can cause barriers to be built up and causes the individual not to be seen or heard when seeking treatment for their pain. However, many individuals within the LGBTQ+ community can seek numerous personalized solutions to improve their general well-being and have a positive experience that suits their needs. This article explores how inclusive health care can positively impact the LGBTQ+ community and how non-surgical treatments like chiropractic care can be incorporated into a person’s personalized inclusive health care plan. Additionally, we communicate with certified medical providers who integrate our patient’s information to reduce general pain through inclusive healthcare treatment. We also inform them that non-surgical treatments can be a positive experience for them to minimize general body pain. We encourage our patients to ask amazing questions while seeking education from our associated medical providers about their pain conditions in a safe and positive environment. Dr. Jimenez, D.C., incorporates this information as an educational service. Disclaimer

 

What Is Inclusive Health Care?

Have you been dealing with constant stress that is causing pain in your body? Do you feel like there are barriers that are preventing you from getting the relief you need from your pain? Or are many environmental factors preventing you from getting back your health and wellness? Many individuals seeking treatment for general pain or conditions affecting their health and wellness will often research which care treatment suits their wants and needs in a positive and safe manner while being inclusive. Healthcare treatments like inclusive health care can provide a positive and safe outcome for members of the LGBTQ+ community. Inclusive health care can help many healthcare professionals establish an inclusive code of conduct within the LGBTQ+ community to improve health-specific outcomes. (Moran, 2021) Now inclusive health care is defined as removing barriers to health care services that should be equally accessible and affordable to many individuals regardless of age, sexual orientation, and gender identity. For many people within the LGBTQ+ community, many individuals identify as gender minorities. A gender minority is an individual who identifies as gender non-conforming and whose gender identity or expression differs from the conventional gender binary. Inclusive health care is an important aspect for the LGBTQ+ community as it can benefit people in getting the treatment they deserve.

 

How Does Inclusive Health Care Benefits The LGTBQ+ Community?

Regarding inclusive health care, many healthcare providers must respect their patients and their needs when coming in for a general check-up. Since many individuals in the LGBTQ+ community are already dealing with enough stress, especially young people, it is important to have a calm, safe, and non-judgmental environment promoting safety and inclusion. (Diana & Esposito, 2022) There are many ways that inclusive health care can provide beneficial results to the individual and health care provider. Some may include:

  • What pronouns the individual preferred
  • What the individual wants to be identified
  • Being respectful of the patient’s needs
  • Building a trusted relationship with the individual

When individuals in the LGBTQ+ community have inclusive health care in a positive environment, it can create a positive experience for them as it can improve mental health and general well-being and make a huge impact that can be life-saving. (Carroll & Bishop, 2022) The Injury Medical Chiropractic and Functional Medicine Team is committed to building a positive and safe space for individuals in the LGBTQ+ community that need inclusive health care to reduce pain-like symptoms through personalized treatment plans.

How Can Chiropractic Care Transform Pain To Relief-Video

How can Chiropractic Care transform pain into relief | El Paso, Tx (2023)

With many individuals looking for the right kind of treatment for general pain and discomfort, many people will look into non-surgical therapies. Non-surgical treatments can be beneficial for many individuals in the LGBTQ+ community as it is safe and can provide individuals with an understanding of what is impacting their bodies. Non-surgical treatments like chiropractic care, spinal decompression, and MET therapy can alleviate pain-like symptoms associated with musculoskeletal disorders through a personalized treatment plan catered to the person. Many health professionals who are respectful and provide a supportive environment for LGBTQ+ individuals seeking inclusive health has been reported an increase in their confidence, and a decrease in their anxiety, which can potentially decrease uncertainty for future visits. (McCave et al., 2019) Creating a safe, positive environment for individuals seeking inclusive health care can help them reduce the pain they have been experiencing while easing their minds. The video explains how non-surgical treatments like chiropractic care can help reduce musculoskeletal pain associated with stress and help realign the body out of subluxation. Additionally, these small changes in creating a safe and inclusive environment when receiving health care can make a lasting and positive impact on many individuals. (Bhatt, Cannella, & Gentile, 2022)

Utilizing Beneficial Treatments For Inclusive Health Care

When it comes to non-surgical treatments being part of inclusive treatment, it is critical to reduce the health disparities and to ensure that many LGBTQ+ individuals receive the needed medical they deserve. (Cooper et al., 2023) Since many individuals face unique health challenges, from body and gender dysmorphia to common muscle strains associated with musculoskeletal disorders, many individuals can seek non-surgical treatments like chiropractic care. Chiropractic care can help meet the individual’s needs by supporting their musculoskeletal health and general well-being. (Maiers, Foshee, & Henson Dunlap, 2017) Chiropractic care can reduce musculoskeletal conditions that many LGBTQ+ individuals have and can be aware of what factors are affecting their bodies in a safe and positive environment. Non-surgical treatments can be combined with other therapies in inclusive health care for LGBTQ+ individuals. They can provide a safe environment in the clinic and improve their care quality by being cost-effective. (Johnson & Green, 2012) Inclusive health care can help make LGBTQ+ individuals a safe and positive space to make them get the treatment they deserve without negativity.

 

References

Bhatt, N., Cannella, J., & Gentile, J. P. (2022). Gender-affirming Care for Transgender Patients. Innov Clin Neurosci, 19(4-6), 23-32. www.ncbi.nlm.nih.gov/pubmed/35958971

www.ncbi.nlm.nih.gov/pmc/articles/PMC9341318/pdf/icns_19_4-6_23.pdf

 

Carroll, R., & Bisshop, F. (2022). What you need to know about gender-affirming healthcare. Emerg Med Australas, 34(3), 438-441. doi.org/10.1111/1742-6723.13990

 

Cooper, R. L., Ramesh, A., Radix, A. E., Reuben, J. S., Juarez, P. D., Holder, C. L., Belton, A. S., Brown, K. Y., Mena, L. A., & Matthews-Juarez, P. (2023). Affirming and Inclusive Care Training for Medical Students and Residents to Reduce Health Disparities Experienced by Sexual and Gender Minorities: A Systematic Review. Transgend Health, 8(4), 307-327. doi.org/10.1089/trgh.2021.0148

 

Diana, P., & Esposito, S. (2022). LGBTQ+ Youth Health: An Unmet Need in Pediatrics. Children (Basel), 9(7). doi.org/10.3390/children9071027

 

Johnson, C. D., & Green, B. N. (2012). Diversity in the chiropractic profession: preparing for 2050. J Chiropr Educ, 26(1), 1-13. doi.org/10.7899/1042-5055-26.1.1

 

Maiers, M. J., Foshee, W. K., & Henson Dunlap, H. (2017). Culturally Sensitive Chiropractic Care of the Transgender Community: A Narrative Review of the Literature. J Chiropr Humanit, 24(1), 24-30. doi.org/10.1016/j.echu.2017.05.001

 

McCave, E. L., Aptaker, D., Hartmann, K. D., & Zucconi, R. (2019). Promoting Affirmative Transgender Health Care Practice Within Hospitals: An IPE Standardized Patient Simulation for Graduate Health Care Learners. MedEdPORTAL, 15, 10861. doi.org/10.15766/mep_2374-8265.10861

 

Moran, C. I. (2021). LGBTQ population health policy advocacy. Educ Health (Abingdon), 34(1), 19-21. doi.org/10.4103/efh.EfH_243_18

Disclaimer

Cranberry Juice Health Benefits

By
Dr. Alex Jimenez
-
Cold Refreshing Organic Cranberry Juice Cocktail with Ice

Individuals dealing with health problems, UTIs, and skin issues can become chronic, what are the effects and benefits of drinking cranberry juice?

Cranberry Juice Health Benefits

Cranberry Juice

Cranberries are a healthy source of nutrients and antioxidants. Cranberry juice is a recommended source of vitamin C, with the added benefits of promoting digestive, heart, immune, and skin health. Most individuals can safely drink cranberry juice to their diet with no issues, but women who are pregnant or individuals that take blood thinners, or medications should discuss adding cranberry intake with a doctor or specialist first.

  • One cup of unsweetened cranberry juice provides 23.5 milligrams or 26% of the daily value for vitamin C. (USDA 2018)
  • To avoid excess consumption of added sugars and maximize the benefits, it is recommended to drink unsweetened cranberry juice.

Digestive Health

  • Cranberries contain antioxidant compounds/polyphenols that have been shown to help with digestive health.
  • A study found that drinking cranberry juice was associated with increased beneficial gut bacteria and decreased constipation.
  • Improvements in inflammatory markers were also observed.(Chicas MC, et al.,2022)

Heart Health

  • Research funded by a cranberry juice company found participants who consumed cranberry juice twice daily had lower levels of several risk factors for heart disease, stroke, and diabetes than those who received a placebo. (USDA 2016)
  • A systematic review and meta-analysis found that cranberry supplementation may improve body weight and blood pressure levels.
  • Cranberries may also help improve high-density lipoprotein (HDL) cholesterol—considered “good” cholesterol—in younger adults.
  • Further studies are needed to confirm these findings. (Pourmasoumi M, et al.,  2019)

Immune Health

  • Cranberry juice contains vitamin C, which is important for immune system function.
  • Research suggests that inadequate vitamin C consumption can lead to decreased immunity and an increased risk of infections. (Carr A, Maggini S, 2017)

Skin Health

  • Thanks to its high antioxidant content, cranberry juice may help protect your skin against damage caused by free radicals that contributes to premature aging.
  • The vitamin C in cranberry juice is also needed for collagen production.
  • Collagen is a type of protein that provides strength, elasticity, and structural support to the skin, helping to keep it firm and smooth.(Pullar JM, et al., 2017)

Infection Prevention

  • A study found that cranberry components known as proanthocyanidins, can promote oral health.
  • Cranberries activate antibacterial processes that can prevent bacteria from binding together, reducing periodontitis/gum disease and the formation of dental plaque. (Chen H, et al., 2022)

Urinary Tract Infection Prevention

  • Cranberries have gone through many studies for home treatment of UTIs.
  • It is believed the chemical compounds/proanthocyanidins can help prevent certain bacteria from sticking to the lining of the urinary tract, thus reducing the risk of UTIs. (Das S. 2020)
  • A study found cranberry products in the form of juice or tablets may lower the risk of UTIs in at-risk groups by approximately 30%.
  • At-risk groups include those with recurrent UTIs, pregnant women, older adults, and individuals with chronic indwelling catheters (devices used for short-term bladder drainage) and neurogenic bladder (conditions in which people lack bladder control due to problems in the brain, spine, or spinal cord). (Xia J Yue, et al., 2021)

Daily Amount

There is no official recommendation on the optimal amount of juice an individual should consume for health benefits. Most studies examining the benefits have used amounts ranging from 8 to 16 ounces, or around 1 to 2 cups per day. (The Cranberry Institute) However, cranberry juice with large amounts of added sugar can contribute to increased calories, leading to weight gain and other health concerns. Therefore, it is important to read the product label and look for pure, 100% cranberry juice.

  • If the pure juice is too tart, dilute it with some ice or water.
  • Avoid cranberry cocktails that are often mixed with other juices, like grape or apple juice, and contain added sugars that can decrease the benefits.
  • Examples of common added sugars include: (Centers for Disease Control and Prevention 2022)
  • Fruit nectar
  • Honey
  • Molasses
  • Brown sugar
  • Cane sugar
  • Raw sugar
  • Cane juice
  • Corn syrup
  • High-fructose corn syrup
  • Maple syrup
  • Malt syrup
  • Dextrose, fructose, glucose, maltose, sucrose, lactose

Smart Choices Better Health

References

Carr A, Maggini S. Vitamin C, and immune function. Nutrients. 2017;9(11):1211. doi:10.3390/nu9111211

Centers for Disease Control and Prevention. Know your limit for added sugars.

Chicas MC, Talcott S, Talcott S, Sirven M. Effect of cranberry juice supplementation on the gut microbiome and inflammatory markers: a randomized, double-blind, placebo-controlled study in overweight individuals. Curr Dev Nutr. 2022;6(Suppl 1):272. doi:10.1093/cdn/nzac053.013

Chen H, Wang W, Yu S, Wang H, Tian Z, Zhu S. Procyanidins and their therapeutic potential against oral diseases. Molecules. 2022;27(9):2932. doi:10.3390/molecules27092932

The Cranberry Institute. How much cranberry juice should I drink in a day?

Das S. Natural therapeutics for urinary tract infections-a review. Futur J Pharm Sci. 2020;6(1):64. doi:10.1186/s43094-020-00086-2

Pham-Huy, L. A., He, H., & Pham-Huy, C. (2008). Free radicals, antioxidants in disease and health. International journal of biomedical science: IJBS, 4(2), 89–96.

Pourmasoumi M, Hadi A, Najafgholizadeh A, Joukar F, Mansour-Ghanaei F. The effects of cranberry on cardiovascular metabolic risk factors: A systematic review and meta-analysis. Clinical Nutrition. 2020;39(3):774-788. doi:10.1016/j.clnu.2019.04.003

Pullar JM, Carr AC, Vissers MCM. The roles of vitamin C in skin health. Nutrients. 2017;9(8):866. doi:10.3390/nu9080866

USDA. Cranberry juice, unsweetened.

USDA. Cranberry juice can boost heart health.

Xia J Yue, Yang C, Xu D Feng, Xia H, Yang L Gang, Sun G ju. Consumption of cranberry as adjuvant therapy for urinary tract infections in susceptible populations: A systematic review and meta-analysis with trial sequential analysis. PLoS One. 2021;16(9):e0256992. doi:10.1371/journal.pone.0256992

Joint Manipulation Health Benefits

By
Dr. Alex Jimenez
-
Helpful female doctor assisting senior patient with getting up from the chair

Individuals at work, school, etc, perform all kinds of repetitive physical tasks that put their bodies through a great deal of musculoskeletal stress, what are the effects and benefits of joint manipulation therapy for pain relief?

Joint Manipulation Health Benefits

Joint Manipulation Health Benefits

Joint manipulation is a form of manual therapy that involves applying force to the spinal or peripheral joints to:

  • Relieve pain symptoms.
  • Realign the joints to their proper position.
  • Restore flexibility.
  • Improve mobility.
  • Increase range of motion.

Chiropractors, massage, and physical therapists use various manipulation techniques to help move and feel better after an injury or illness that causes loss of functional mobility. Here we explain joint manipulation, its applications, and if the technique is safe for you and your condition.

Joint Popping

  • The joints in the body are places where two or more bones come together to allow movement.
  • On the ends of a bone is a lining of hyaline cartilage.
  • The cartilage allows the joint surfaces to glide/slide smoothly.
  • If the cartilage is injured or damaged, pain and limited motion can present.
  • When a joint doesn’t move properly, the muscles surrounding that joint don’t contract properly.
  • If a joint is dysfunctional for some time, significant muscle wasting and atrophy can occur around the joint, leading to difficulty with mobility like standing, walking, or reaching. (Hurley MV.1997)

The body is made up of cells that breathe by converting energy and releasing waste materials. One type of waste material from cell respiration is carbon dioxide. The gas is transported through the blood and delivered out of the body while breathing. Small pockets of gas can get trapped in the joints that expand and contract as pressure around the joint changes during movement, known as cavitation. When the gas is released through joint manipulation, there can be a popping or snapping sound as the joint is moved. Once the gas is released, joint pressure is decreased and mobility is increased. (Kawchuk, et al., 2015)

Causes

Non-medical

There are non-medical and medical causes of joint dysfunction and derangement that include:

  • Overuse and repetitive strain.
  • Unhealthy sitting and/or standing posture.
  • Lack of physical activity.
  • Over-stretching or stretching incorrectly.

In these situations, the joints can be temporarily placed in a dysfunctional/compromised position. When moving to the correct position, a popping sound can present as built-up pressure is released.

Medical

Joint problems can occur from medical conditions that can include:

  • Herniated cervical or lumbar discs.
  • Spinal arthritis.
  • Rheumatoid arthritis.
  • Osteoarthritis.
  • Joint contracture after being immobilized for some time.

In these cases, a medical problem can be causing a limitation in the joint’s position and movement. (Gessl, et al., 20220)

Benefits

If a chiropractic practitioner determines there is joint dysfunction then manipulation may be a treatment option. The benefits include:

Pain Relief

  • When a chiropractor or therapist gets an injured joint moving properly, the receptors in and around the area get reset allowing for pain relief.

Improved Muscle Activation

  • As a chiropractor manipulates a joint into its correct anatomical position, the surrounding muscles can flex and contract properly.

Improved Range of Motion

  • The joint is repositioned for proper movement.
  • This improves the range of motion and relieves tightness and stiffness.

Improved Functional Mobility

  • Once a joint is manipulated, the improved range of motion and muscle activation around the joint can lead to improved overall functional mobility. (Puentedura, et al., 2012)

Candidates

Joint manipulation is a safe manual therapy technique for certain individuals. (Puentedura, et al., 2016) This includes:

  • Individuals with acute neck, back, or peripheral joint pain.
  • Adults aged 25 to 65 with no serious medical conditions.
  • Athletes who have been injured from their sport.
  • Individuals who have been immobilized after injury or surgery.

Joint manipulation is not recommended for everyone and can be dangerous or lead to injury in individuals with certain conditions. (Puentedura, et al., 2016) These include individuals with:

Osteoporosis

  • Weakened bones may fracture if a high-velocity force is applied to a joint via manipulation

Joint fractures

  • Individuals with a joint fracture, should not have that specific joint manipulated.

Post Spinal Fusion Surgery

  • Individuals that have had spinal fusion in the neck or lower back should avoid spinal joint manipulations or adjustments for at least one year after the procedure.
  • The bones need time to heal thoroughly.
  • Manipulation can cause a failure of the fusion.

Individuals with Arterial Insufficiency In Their Neck

  • A rare but dangerous side effect of a neck adjustment is the risk of tearing an artery in the neck known as the vertebrobasilar artery. (Moser, et al., 2019)

If there is pain, loss of movement, or decreased mobility after an injury or surgery, a chiropractic adjustment with joint manipulation can be beneficial to help regain movement. Manual techniques can help improve joint mobility, alleviate pain, and increase strength and stability around the joints. Joint manipulation isn’t for everyone and is recommended to consult with a healthcare professional to see if it is safe for your specific condition.

Arthritis Explained

References

BASTOW J. (1948). Indications for joint manipulation. Proceedings of the Royal Society of Medicine, 41(9), 615.

Gessl, I., Popescu, M., Schimpl, V., Supp, G., Deimel, T., Durechova, M., Hucke, M., Loiskandl, M., Studenic, P., Zauner, M., Smolen, J. S., Aletaha, D., & Mandl, P. (2021). Role of joint damage, malalignment, and inflammation in articular tenderness in rheumatoid arthritis, psoriatic arthritis, and osteoarthritis. Annals of the rheumatic diseases, 80(7), 884–890. doi.org/10.1136/annrheumdis-2020-218744

Hurley M. V. (1997). The effects of joint damage on muscle function, proprioception, and rehabilitation. Manual therapy, 2(1), 11–17. doi.org/10.1054/math.1997.0281

Kawchuk, G. N., Fryer, J., Jaremko, J. L., Zeng, H., Rowe, L., & Thompson, R. (2015). Real-time visualization of joint cavitation. PloS one, 10(4), e0119470. doi.org/10.1371/journal.pone.0119470

Moser, N., Mior, S., Noseworthy, M., Côté, P., Wells, G., Behr, M., & Triano, J. (2019). Effect of cervical manipulation on the vertebral artery and cerebral hemodynamics in patients with chronic neck pain: a crossover randomized controlled trial. BMJ open, 9(5), e025219. doi.org/10.1136/bmjopen-2018-025219

Puentedura, E. J., Cleland, J. A., Landers, M. R., Mintken, P. E., Louw, A., & Fernández-de-Las-Peñas, C. (2012). Development of a clinical prediction rule to identify patients with neck pain likely to benefit from thrust joint manipulation to the cervical spine. The Journal of orthopedic and sports physical therapy, 42(7), 577–592. doi.org/10.2519/jospt.2012.4243

Puentedura, E. J., Slaughter, R., Reilly, S., Ventura, E., & Young, D. (2017). Thrust joint manipulation utilization by U.S. physical therapists. The Journal of manual & manipulative therapy, 25(2), 74–82. doi.org/10.1080/10669817.2016.1187902

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