Home Blog Page 43

Knee Neuropathy: Sciatica Clinic

physiotherapist treating the patient's knee

Individuals dealing with aching knees is one of the most common health problems and affects people of all ages. The knee is the largest joint in the body, comprised of muscles, tendons, ligaments, cartilage, and bones. The knees support walking, standing, running, and even sitting. Constant use makes them highly susceptible to injuries and conditions. The knees are also surrounded by a complex network of nerves that transmit messages to and from the brain. Damage to the nerves from an injury or disease can create various symptoms of discomfort in and around the knee joint.

Knee Neuropathy: EP's Chiropractic Team

Knee Neuropathy

Causes

Knee discomfort symptoms can be brought on by injury, degenerative disorders, arthritis, infection, and other causes, including:

Rheumatoid arthritis

  • This is a chronic inflammatory disorder that causes the knees to swell and causes damage to the cartilage.

Osteoarthritis

  • This type of arthritis causes the cartilage to steadily wear away, causing damage to the joints and various symptoms.

Cartilage Issues

  • Overuse, muscle weakness, injury, and misalignments can cause compensating postures and movements that can wear down and soften the cartilage, generating symptoms.

Several factors can increase the risk of developing knee neuropathy, including:

  • Previous knee injury
  • Undiagnosed and untreated knee injury
  • Unhealthy Weight
  • Gout
  • Compromised leg muscle strength and/or flexibility

Symptoms

Symptoms associated with a knee injury or disorder can vary, depending on the severity and damage. Symptoms can include:

  • Joint stiffness
  • Swelling in the joint.
  • Reduced movement/flexibility in the joint.
  • Increased instability/feeling of weakness in the knee.
  • Changes in skin color around the knee joint, like increased redness or pale discoloration.
  • Numbness, coldness, or tingling in and/or around the joint.
  • Pain symptoms could be a dull ache or throbbing felt throughout the knee.
  • Sharp, stabbing discomfort in a specific area.

If left untreated, knee neuropathy could permanently affect the ability to walk and lead to partial or total loss of knee function and mobility. Doctors recommend taking note of the following:

  • What activity/s generates symptoms?
  • Where are the symptoms located?
  • What the pain feels like?

Treatments available for knee pain

Chiropractic treatment offers various approaches to addressing the pain caused by nerve damage. Standard treatment includes chiropractic adjustments, therapeutic massage, non-surgical decompression, stretching, posture and movement training, and nutritional anti-inflammatory plans. Our medical team specializes in non-surgical treatments that decrease symptoms and increase strength, flexibility, mobility, and restore function.


Knee Injuries Adjustment


References

Edmonds, Michael, et al. “The current burden of diabetic foot disease.” Journal of clinical orthopedics and trauma vol. 17 88-93. 8 Feb. 2021, doi:10.1016/j.jcot.2021.01.017

Hawk, Cheryl, et al. “Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181

Hunter, David J et al. “Effectiveness of a new model of primary care management on knee pain and function in patients with knee osteoarthritis: Protocol for THE PARTNER STUDY.” BMC musculoskeletal disorders vol. 19,1 132. 30 Apr. 2018, doi:10.1186/s12891-018-2048-0

Kidd, Vasco Deon, et al. “Genicular Nerve Radiofrequency Ablation for Painful Knee Arthritis: The Why and the How.” JBJS essential surgical techniques vol. 9,1 e10. 13 Mar. 2019, doi:10.2106/JBJS.ST.18.00016

Krishnan, Yamini, and Alan J Grodzinsky. “Cartilage diseases.” Matrix biology: journal of the International Society for Matrix Biology vol. 71-72 (2018): 51-69. doi:10.1016/j.matbio.2018.05.005

Speelziek, Scott J A, et al. “Clinical spectrum of neuropathy after primary total knee arthroplasty: A series of 54 cases.” Muscle & nerve vol. 59,6 (2019): 679-682. doi:10.1002/mus.26473

Dr. Alex Jimenez Presents: A Look At Dyslipidemia Risk Factors

Dyslipidemia risk factors *MUST WATCH* | El Paso, Tx (2023)

Introduction

Dr. Jimenez, D.C., presents how dyslipidemia can increase the chances of various issues associated with multiple risk factors that can cause muscle and joint pain. By understanding where these issues affect the body, many specialists associated with dyslipidemia can come up with a solution to reduce dyslipidemia symptoms and other pre-existing symptoms that correlate with high cholesterol. We acknowledge patients to certified providers that provide treatment options for dyslipidemia that can restore body functionality and improve a person’s health. We assess each individual and their symptoms by entrusting them to our associated medical providers based on their diagnosis results for a better understanding. We recognize that education is a tremendous way to ask our providers questions that apply to the patient’s knowledge and symptoms. Dr. Jimenez, D.C., implements this information as an educational service. Disclaimer

The Risk Factors Of Dyslipidemia

Dr. Alex Jimenez, D.C., presents: Today we will look at the guidelines and the risk factors of dyslipidemia. When specialists utilize these guidelines that involve lipid production in the patient’s body, they use these guidelines to emphasize lifestyle therapies that can encourage more patient involvement and decision-making regarding their health. When an issue involves an increase or decrease in lipid production in the body, it can be due to lifestyle choices that can affect anyone and correlate to metabolic syndrome. In functional medicine, it is important to look, follow, and know these guidelines to understand better what is going on with the patients and come up with a treatment plan that can help reduce the risk factors of dyslipidemia and treat the symptoms associated with these risk factors.

 

Regarding these guidelines, doctors work with associated medical specialists that look into lipid production and develop a personalized list for the patients that shows the risk-enhancing factors causing dyslipidemia associated with cardiovascular diseases causing metabolic syndrome. Dyslipidemia is when an imbalance of lipid production in the body causes an increase in high cholesterol due to various factors that can lead to cardiovascular diseases. To that point, when a patient is dealing with high cholesterol due to a sedentary lifestyle or being constantly stressed, it can lead to an imbalance of lipid production and cause doctors to not just look at the standard lipid panels but also figure out how to come up with a treatment plan for their patients to regulate their lipid production. 

 

How To Look For The Risk Factors Of Dyslipidemia?

Dr. Alex Jimenez, D.C., presents: So when it comes to looking at the risk factors that are developing dyslipidemia, functional medicine allows doctors to look at advanced lipid tests and evaluate the risk factors causing dyslipidemia. The evaluations of these tests find various risk factors that conventional medicine would not see, and it shows patients the importance of these results and gets their attention. To that point, many risk factors can enhance the progress of dyslipidemia. Risk factors include:

  • Having a family history of premature atherosclerotic cardiovascular diseases (ASCVD).
  • High levels of lipoprotein and triglycerides.
  • Excessive sedentary lifestyle.
  • Lack of physical activity.
  • Having pre-existing chronic inflammatory disorders that can cause hypersensitivity to the body.

All these risk factors can cause dyslipidemia to develop and can even overlap risk factors related to metabolic syndrome that can cause muscle and joint pain. Now how is metabolic syndrome associated with dyslipidemia?

 

Metabolic Syndrome & Dyslipidemia

Dr. Alex Jimenez, D.C., presents: Metabolic syndrome is a cluster of disorders that could be associated with dyslipidemia, as it can cause a person to feel miserable and affect their quality of life. When individuals have high cholesterol due to physical inactivity, not consuming lots of healthy fruits, vegetables, protein, and whole grains, smoking, or being in constant stress, it can affect the body both inside and out as it can cause a person to have imbalances of lipid and hormone function. When these imbalances affect the body, they can affect the individual’s mentality, bring down their energy to feel sluggish, and cause inflammatory issues in their joints and muscles that can lead to various injuries and diseases.

 

 

 

An example would be an individual who comes in dealing with back pain associated with obesity and has been dealing with high blood pressure and high cholesterol. When that person is being examined by their doctor, their results show an imbalance of how much their body produces lipids. To that point, many individuals are unaware that they have dyslipidemia unless they have a routine blood test and if it has gone severe. Other symptoms that dyslipidemia can cause in the body include:

  • Leg pain
  • Chest pain and tightness
  • Pain in the neck, jaw, shoulders, and back
  • Heart palpitations
  • Sleep problems
  • Leg swelling

If it is not treated right away, it can lead to more issues that can cause pain to the body and leave them feeling hopeless. When these unwanted symptoms and pathogens start to affect the body, it can cause the vital organs that monitor lipid production to be dysfunctional and cause chronic symptoms to rise over time. 

 

Treatments & Guidelines For Dyslipidemia

Dr. Alex Jimenez, D.C., presents: By looking at the guidelines, we can assess the situation that the patient is dealing with, come up with an evaluation of how to reduce these risk factors that are causing dysfunction in the patient’s body, and come up with a personalized treatment plan that encourages the patient to participate in and work with other associated medical providers to ensure health and wellness to the person. All is not lost, as there are ways to reduce dyslipidemia associated with metabolic syndrome.

 

Treatments like chiropractic care can help restore the body’s systems through spinal manipulation in the cervical, thoracic, and lumbar regions to reduce stiffness and restore mobility to the person. An anti-inflammatory diet and exercise can help lower inflammatory effects and lower the high cholesterol the person is dealing with. And finally, exercise can help reduce stress and improve the range of motion of the body’s joints and muscles. All these treatments work together regarding a person’s health and wellness, as the body is a complex machine. The combination of functional medicine and chiropractic care can allow individuals to start making small changes in their lives to restore their health and become pain-free from metabolic syndrome associated with dyslipidemia. Remembering that it takes time for these treatments to show results of feeling good can make the journey to a healthier version of yourself worth it.

 

Disclaimer

Idiopathic Scoliosis: Sciatica Clinic

Frowning handsome aged doctor in eyeglasses holding x-ray image against light while explaining spinal problems to senior female patient

Idiopathic scoliosis means that no cause congenital or neuromuscular that created the spinal deformation has been identified. However, idiopathic scoliosis is the most common type, affecting 2% to 3% of individuals. Individuals diagnosed with an idiopathic disease or condition can be frustrated with more questions than answers, but it can still be treated in adults and kids.

Idiopathic Scoliosis

Idiopathic Scoliosis: EP's Chiropractic Team

Congenital Scoliosis

  • Congenital scoliosis is an abnormal curvature of the spine related to which the patient was born.
  • Usually, a failure of formation or segmentation during normal development leads to the spinal condition.

Neuromuscular Scoliosis

  • Individuals with neuromuscular scoliosis are usually born with neurological disorders that contribute to muscular unevenness, often resulting in the development of the condition.
  • For example, individuals with cerebral palsy are born with muscular unevenness that can contribute to scoliosis development.

Who Is Affected

Anyone can develop scoliosis, but children and adults are divided into separate categories.

Children

  • Children with this condition are divided into three subcategories:
  • Infantile idiopathic scoliosis
  • Juvenile idiopathic scoliosis
  • Adolescent idiopathic scoliosis

These classifications are based on age and skeletal maturity.

  • Infantile is zero to 3 years old.
  • A juvenile is 3 to 10 years old.
  • Adolescents are from 11 onward or when starting puberty, to the point where the skeleton fully matures.

Adults

  • Idiopathic scoliosis in adults results from undiagnosed or untreated scoliosis in childhood that gradually progressed.

Causes

Research has found a genetic predisposition to developing scoliosis, as it has been found to run in families. Genetic testing has been designed to help determine the risk of developing progressive scoliosis. Theories have been presented about abnormalities that affect the nervous system. These include:

  • Dysfunctions of the brain stem or equilibrium have been frequently identified in individuals with idiopathic scoliosis.
  • Other theories suggest skeletal growth abnormalities or hormonal/metabolic dysfunction may contribute to the condition.
  • However, determining its exact cause remains unknown.

Signs and Symptoms

Here are some things to look out for.

  • The body leans to one side.
  • There is an unevenness of the ribcage or hips.
  • Uneven shoulders.
  • Shoulder blades may protrude or stick out.
  • The head is not positioned directly above the pelvis.

Diagnosis

Idiopathic scoliosis curves tend to follow predictable patterns.

  • Right thoracic or middle back scoliosis
  • Left thoracolumbar or mid and low-back scoliosis
  • Relative thoracic hyper or hypo kyphosis

Magnetic resonance images/MRIs of the spine can show evidence of any significant abnormalities. If no other related condition is present to suggest different causes, then the idiopathic scoliosis diagnosis can be made.

Treatment

Treatment depends on the individual’s age and the degree of curvature in the spine.

  • In many cases, adolescent or juvenile idiopathic scoliosis patients that have a mild curve can be treated with a brace.
  • Adults could need surgical intervention, such as a fusion surgery where rods and screws are added to realign the spine and relieve the pressure on the nerves.

Chiropractor


References

Burnei, G et al. “Congenital scoliosis: an up-to-date.” Journal of medicine and life vol. 8,3 (2015): 388-97.

Clément, Jean-Luc, et al. “Relationship between thoracic hypokyphosis, lumbar lordosis and sagittal pelvic parameters in adolescent idiopathic scoliosis.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 22,11 (2013): 2414-20. doi:10.1007/s00586-013-2852-z

Giampietro, Philip F et al. “Congenital and idiopathic scoliosis: clinical and genetic aspects.” Clinical medicine & research vol. 1,2 (2003): 125-36. doi:10.3121/cmr.1.2.125

“Scoliosis – Symptoms, Diagnosis and Treatment.” www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Scoliosis

“Thoracic Hyperkyphosis.” Physiopedia, 2009, www.physio-pedia.com/Thoracic_Hyperkyphosis

Pinched Nerves and Muscle Spasms: Sciatica Clinic

Physiotherapist massaging and kneading a female patient's leg provides medical care for sprained ligaments. Woman in rehabilitation clinic

Pinched Nerves and Muscle Spasms: A pinched or compressed nerve can occur in various body regions, from the wrist to the foot. When a nerve is compressed, a pins and needles feeling can present until the pressure is relieved, or there can be no sensation symptoms, but other symptoms like muscle spasms, especially in the arm or leg, can appear. Individuals will feel a repetitive fluttering or twitching when the arm or leg is not in motion. A pinched nerve could be the cause of spasms in the back or extremities. Injury Medical Chiropractic and Functional Medicine Clinic can help if symptoms are not stopping or worsening.

Pinched Nerves and Muscle Spasms: EPs Chiropractic Team

Pinched Nerves and Muscle Spasms

When multiple symptoms appear, individuals may not realize they are connected. Individuals may think aches, pains, and spasms are normal aging processes. Pinched nerves occur when there is an impingement on any one of the numerous nerves of the spine. Impingements can be caused by:

  • Repetitive motion injuries
  • Disc degeneration
  • Herniated/ruptured discs
  • Bone spurs
  • Arthritis
  • Trauma injury

The pain symptoms from the spasm can be quick, sharp, or pulsating and throbbing. The muscles respond by tightening or spasming as the nerve sends interrupted/incomplete signals. In addition to muscle spasms, a pinched nerve can contribute to other symptoms, including the following.

  • Tingling
  • Numbness
  • Pins and needles sensation
  • Reduced range of motion
  • Muscle weakness

Signs a Pinched Nerve Might Be Causing Spasms

  • Sudden shooting pain that radiates down the leg or arm.
  • Weak muscles
  • Muscle atrophy – shrinking or deteriorating.
  • Chronic tingling in the extremities.
  • A burning sensation in a specific area; this could but is not necessarily the source of the pinched nerve.
  • Electrical shock-type pain accompanies the spasms.

If a pinched nerve is left untreated and continues to generate symptoms, it can affect daily life and lead to uncomfortable long-term issues. Severe nerve compression combined with inflammation can cause damage to nearby soft tissues and muscles, leading to chronic conditions. When the nerves are damaged, it can be harder to control the muscles making certain motions uncomfortable or difficult to move certain body parts.

Chiropractic Care

Chiropractic care, massage, and decompression therapy will relieve pinched nerves and muscle spasms and restore neuromusculoskeletal system function. The body will be realigned, and patients will be trained on stretching exercises, muscle strengthening, posture training, and nutritional support to optimize the body’s natural healing abilities to repair the damaged nerves.


Low Back Pain


References

Bustamante, S, and P G Houlton. “Swelling of the leg, deep venous thrombosis, and the piriformis syndrome.” Pain research & management vol. 6,4 (2001): 200-3. doi:10.1155/2001/104091

Chu, Eric Chun-Pu, and Robert J Trager. “Thoracic Schwannoma as an Unusual Cause of Sciatic Pain in the Chiropractic Office: A Case Report.” The American journal of case reports vol. 23 e938448. 16 Nov. 2022, doi:10.12659/AJCR.938448

Coletti, Roger H. “The ischemic model of chronic muscle spasm and pain.” European journal of translational myology vol. 32,1 10323. 18 Jan. 2022, doi:10.4081/ejtm.2022.10323

Hirayama, Jiro, et al. “Relationship between low-back pain, muscle spasm and pressure pain thresholds in patients with lumbar disc herniation.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 15,1 (2006): 41-7. doi:10.1007/s00586-004-0813-2

Kennedy, John G, and Donald E Baxter. “Nerve disorders in dancers.” Clinics in sports medicine vol. 27,2 (2008): 329-34. doi:10.1016/j.csm.2008.01.001

Waddell, Roger K. “Chiropractic care for a patient with spasmodic dysphonia associated with cervical spine trauma.” Journal of chiropractic medicine vol. 4,1 (2005): 19-24. doi:10.1016/S0899-3467(07)60108-6

Dr. Alex Jimenez Presents: Hormonal Imbalances In Men & Chiropractic Care

Signs of Hormonal Imbalances In Men *THIS IS WHY* | El Paso, Tx 2022

Introduction

Dr. Alex Jimenez, D.C., presents how to look for signs of hormonal imbalances in men and how different treatment strategies, like chiropractic care, can help regulate hormonal functionality in the body. We direct patients to certified providers that provide functional hormonal replacement treatments that can restore body functionality. We acknowledge each patient and their symptoms by referring them to our associated medical providers based on their diagnosis to understand better what they are dealing with. We understand that education is a tremendous way to ask our providers various questions that apply to the patient’s knowledge. Dr. Jimenez, D.C., applies this information as an educational service. Disclaimer

 

Hormone Imbalances

Dr. Alex Jimenez, D.C., presents: Today, we will be looking at how to look for the signs of hormonal imbalances in men and how chiropractic care can help with the symptoms associated with hormonal imbalances. We need to understand the subtypes of hormonal deficiency to enable appropriate treatment strategies like chiropractic care. So when it comes to hormones in the body, it is important to know how hormones function in the body and what happens when comorbidities are associated with hormonal imbalances. The hormonal imbalances in the male body could cause physiologic effects of low testosterone correlating with disruptive factors. 

Now hormones in both male and female bodies provide various actions that make the body functional. This includes:

  • Regulating body temperature
  • Sexual function
  • Work with other hormones (insulin, DHEA, cortisol)
  • Support the major body systems

When it comes to the male body, the two main hormones, androgen and testosterone, can help with cognitive function. However, when the body begins to age naturally, the hormonal process begins to decrease in the male body and causes chronic illnesses to start to cause problems in the body. When this happens, it can cause the individual to be in pain and disrupt daily activities. 

 

Environmental Disruptors & Low Testosterone Levels

Dr. Alex Jimenez, D.C., presents: Since many environmental disruptors can affect the body and cause hormonal imbalances, they can cause various symptoms in many test results when patients are being examined by their primary doctors. Signs of chronic fatigue, brain fog, depression, increased muscle mass, and low libido correlates with testosterone deficiency and can make the body dysfunctional. And if there is chronic hormonal dysfunction in the body, it can also lead to inflammation associated with hormonal deficiency. When inflammation starts to affect the muscles and joints of the male body, it can lead to issues affecting the back, hips, legs, shoulders, and neck that can cause limited mobility, muscle fatigue, increased body fat, and a decrease in bone mineral density.

 

 

Low testosterone levels in the body can overlap with pre-existing conditions that correlate with metabolic syndrome associated with hypogonadism. Hypogonadism is when the body’s reproductive organs produce little to no hormones for sexual function. Hypogonadism can affect about 30% of all males between the ages of 40-79. To that point, it causes the male body to produce more leptin hormones and can negatively affect the brain when it comes to releasing these hormones to the body. At the hypothalamic level of gonadotropin-releasing hormones, we have increased sensitivity at the hypothalamus to negative feedback from androgens. This can be many factors that can contribute to low male testosterone levels:

  • Diet
  • Stress
  • Toxin exposure
  • Osteoporosis
  • Decreased hair density
  • Erectile dysfunction
  • Andropause

When the reproductive organs produce little to no hormones, they can develop andropause and cause testosterone levels to diminish. Andropause is the male version of menopause for females, which can contribute to other conditions like dementia, Alzheimer’s, diabetes, and metabolic syndrome. How is metabolic syndrome associated with andropause when it comes to hormone imbalances? Well, low levels of testosterone in the body can increase insulin levels, causing insulin resistance, which then leads to an increase in BMI in the body. To that point, disorders like chronic stress can lower DHEA and testosterone hormone levels, which can then increase insulin levels and cause more pain-like issues in the body. 

 

Chiropractic Care & Hormones

Dr. Alex Jimenez, D.C., presents: Now all is not lost, as there are ways to improve hormone production in the body. Many individuals can exercise regularly to lower cortisol and insulin levels while boosting testosterone levels. Another way to improve hormone dysfunction is by going to various therapies like chiropractic care to help reduce some of the symptoms associated with hormonal imbalances. Now how would chiropractic care be correlated with hormonal imbalances? Isn’t just manual manipulation to the back?

 

Surprisingly chiropractic care is more than just manipulating the spine when it is in subluxation. As stated earlier, hormonal imbalances can lead to chronic muscle and joint stress that can become inflamed and lead to chronic issues. When hormonal imbalances in the body cause low testosterone production, it can cause stress on the muscle groups and affect the joints. To that point, the body will be in constant pain or succumb to various injuries. So, incorporating chiropractic care as part of treatment can help improve the body’s musculoskeletal structure and how to deal with stress, allowing the nervous system, where hormones are being sent to different areas in the body, to function properly and operate normally. Chiropractic care enables the musculoskeletal structure to be pain-free from musculoskeletal dysfunction associated with hormone imbalances and can be combined with other treatments. 

 

Conclusion

Utilizing and incorporating chiropractic care and hormone therapy can allow the body to function with normal hormone levels and reduce the pain-like symptoms that may affect the body’s muscles and joints. Chiropractic care combined with a nutritional diet that helps with hormone regulation and physical therapy can help the body’s hormone levels to be normal. To that point, this combination of treatments can improve muscle growth and reduce the symptoms associated with hormone imbalances that can cause muscle and joint pain associated with other pre-existing conditions related to hormone balance.

Disclaimer

Healthy Posture Guidelines: Sciatica Clinic

Waist up portrait of smiling young nurse talking to mature patient standing in hall of modern clinic, copy space

Healthy Posture Guidelines: Posture is how an individual holds their body. Healthy posture is when minimal stress is applied to the joints. Maintaining and holding your body correctly can prevent pain, injuries, and other health problems. Faulty postures and musculoskeletal imbalances often precipitate painful conditions in the spine and extremities. However, unhealthy postures do not always present with discomfort and pain symptoms that can go unnoticed for years. This leads to chronic stress and advanced wear of the joints. Injury Medical Chiropractic and Functional Medicine Clinic can realign the spine, relieve symptoms, and restore flexibility, mobility, and function.

Healthy Posture Guidelines: EPs Chiropractic TeamHealthy Posture Guidelines

There are two types of posture:

Dynamic Posture

  • This posture is when the body moves, like walking, running, or bending to pick up something.

Static Posture

  • This posture is when the body is not moving, like sitting, standing, or sleeping.

Both are important, and the key is the spine’s position. The spine has three natural curves: neck, mid, and low back. Correct posture maintains the curves with the head above the shoulders, and the top of the shoulder should be over the hips.

Unhealthy Positioning

Postural faults include:

  • Forward head positioning
  • Rounded shoulders
  • Loss of the normal lordosis curve in the lower back.

Early warning signs of postural problems may include:

  • The inability to sit or stand for a prolonged period.
  • Stiffness when getting up from a chair after sitting.
  • Feeling of physical exhaustion at the end of the day.
  • Muscle imbalances.
  • Loss of normal flexibility.
  • Symptoms of discomfort.

Affected Health

Unhealthy posture can affect overall health and includes:

  • Misaligned musculoskeletal system.
  • Decreased flexibility.
  • Neck, shoulder, and back pain.
  • The advanced wearing down of the spine making it more fragile and susceptible to injury.
  • Affected joint movement.
  • Affected balance.
  • Increased risk of falling.
  • Digestion problems.
  • Potential breathing problems.

Improvements

Be mindful of your posture during everyday activities, like walking, watching tv, washing dishes, etc.

Maintain Physical Activity

  • Certain exercises like yoga, tai chi, and other classes focusing on body awareness can help develop healthy posture habits.
  • Exercises that strengthen the core muscles around the back, abdomen, and pelvis.

Maintain Healthy Weight

  • Extra weight can weaken the abdominal muscles, cause problems for the pelvis and spine, and contribute to back pain.

Wear Comfortable Shoes

  • High heels, for example, can throw off the body’s balance and force unhealthy walking movements.
  • This puts added stress on the muscles and affects posture.

Proper Height

  • Make sure workstations are at a comfortable height, whether sitting in front of a computer, making dinner, or eating.

Chiropractic Care

Chiropractors and physical massage therapists specialize in evaluating and treating musculoskeletal dysfunction and identifying and screening for postural dysfunction. Healthy posture can have an immediate effect on health that include:

  • Proper alignment of bones and joints.
  • Reduced wear on the muscles and joints.
  • Reduced stress on ligaments.
  • Decreased risk of back injury.
  • Increased energy.
  • Improved digestion.

A chiropractic team will massage and relax the muscles reducing tension, adjust and realign the spine, increase joint movement, and ease the individual into a healthy posture. The team will also provide careful rehabilitation exercises and nutritional recommendations to maintain a healthy posture.


Custom Foot Orthotics


References

Carini, Francesco, et al. “posture and posturology, anatomical and physiological profiles: overview and current state of the art.”Acta bio-medica : Atenei Parmensis vol. 88,1 11-16. 28 Apr. 2017, doi:10.23750/abm.v88i1.5309

Creze, Maud, et al. “posture-related stiffness mapping of paraspinal muscles.”Journal of anatomy vol. 234,6 (2019): 787-799. doi:10.1111/joa.12978

Korakakis, Vasileios, et al. “physiotherapist perceptions of optimal sitting and standing posture.”Musculoskeletal science & practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004

newsinhealth.nih.gov/2017/08/getting-it-straight

Dr. Alex Jimenez Presents: The Effects Of Metabolic Syndrome

*METABOLIC SYNDROME* Causes & Effects | El Paso, Tx (2023)

Introduction

Dr. Alex Jimenez, D.C., presents the effects of metabolic syndrome that can disrupt the body’s functionality. Metabolic syndrome is a common disorder that can range from insulin resistance to inflammation and muscle pain. Considering how every person is different, we look at how metabolic syndrome is associated with insulin dysfunction and correlated with inflammation. We direct patients to certified providers that provide functional medicine treatments related to metabolic syndrome to restore body functionality. We acknowledge each patient and their symptoms by referring them to our associated medical providers based on their diagnosis for a better understanding of what they are dealing with. We understand that education is a tremendous way to ask our providers various questions that apply to the patient’s knowledge. Dr. Jimenez, D.C., applies this information as an educational service. Disclaimer

 

The Effects Of Metabolic Syndrome

Dr. Alex Jimenez, D.C., presents: Metabolic syndrome is a cluster of disorders that can affect the body and cause other issues to vital organs and muscle and joint functionality. Metabolic syndrome can also correlate with other conditions like diabetes and insulin resistance, which can cause referred pain in different body locations. For example, back pain associated with metabolic syndrome could overlap with obesity. So in the last article, we looked at how to recognize the causes of metabolic syndrome. In trying to understand how many people are prone to develop metabolic syndrome, we need to look at what they are eating, what kind of lifestyle they have, and if they have any pre-existing conditions. All these matters when they undergo an examination with their primary doctor.

 

Another thing to look into when diagnosing patients for metabolic syndrome is by looking at their genes. Whether it is a person’s lifestyle or environment, looking at a person’s genes, you will get a certain phenotype in the DNA sequence. To that point, if someone has an inflammatory lifestyle combined with a unique genetic code, functional medicine doctors can identify a bunch of comorbidities affecting the individual. With this information, doctors can inform their patients that if they don’t make small lifestyle changes, they could be at risk of developing overlapping conditions that can affect their bodies and invoke pain in the muscles, organs, and joints. 

 

Functional Medicine & Metabolic Syndrome

Dr. Alex Jimenez, D.C., presents: That’s what the functional medicine conversation is about because we are trying to catch the issue before microvascular and macrovascular complications even set in the body. Since metabolic syndrome is a cluster of disorders, can it potentially correlate with other problems like insulin dysfunction?

 

 

Well, it can. When the body doesn’t produce enough insulin to provide energy to the body, it can lead to chronic inflammation. So whether it’s a poor lifestyle, microbiome dysfunction, visceral adiposity, or constant stress, inflammation associated with insulin dysfunction can drive the HPA axis into overdrive. Sometimes it could be not inflammation based. It could be related to mitochondrial dysfunction. So by looking at the analysis of the person dealing with metabolic syndrome, you look at their timeline, lifestyle, and the clinical imbalances driving the inflammatory markers to affect the body. The data can also look for signs of mitochondrial insults and comorbidities that could create insulin dysfunction that can lead to the development of the metabolic syndrome. This information will give functional medicine doctors a sense of what they are genetically predisposed to in their bodies.

 

Everyone is different, and catering to unique treatment plans for them can provide lasting results in the future. So when it comes to the functional and conventional approaches to metabolic syndrome associated with other various disorders, it is important to compare and contrast both methods to determine what the patient should consider doing to regain their health and wellness. This could be from the treatments that can work for the individual, what kind of foods can reduce the inflammatory markers and regulate hormone production, or their physical activity level. To that point, we will treat the cause through various techniques beyond pharmaceuticals and surgery as much as possible and, simultaneously, meet the patients where they are because sometimes people do well with lifestyle intervention. In contrast, others with more risks need more screening time and diagnostic tests.

 

Insulin Dysfunction Associated With Inflammation

Dr. Alex Jimenez, D.C., presents: Our main goal is to detect insulin dysfunction associated with inflammation that correlates with early metabolic syndrome. The lab results from our associated medical providers can tell us a story of what the patient is going through and determine whether we need to either put in nutrients that the body needs to correct or take out toxins, let’s say, that are interfering with the ability of the body to self-correct insulin dysfunction. Because preventing these comorbidities associated with metabolic syndrome can help many individuals regain their health and wellness. 

 

Since we all have different microbiomes, the beautiful thing about functional medicine is that it brings awareness that needs to be addressed when our bodies are dealing with inflammation and insulin dysfunction that causes us to respond and use that response as an understanding of our microbiome. It allows us to reduce the effects of many issues and symptoms associated with metabolic syndrome that we may not even know about if we left it untreated. By being aware of what is causing problems in our bodies, we can make small changes in our daily life to better ourselves and our health.

 

Conclusion

Dr. Alex Jimenez, D.C., presents: With that being said, as stated earlier, metabolic syndrome can be a cluster of conditions that includes inflammation, insulin resistance, obesity, and hormonal dysfunction that can develop into somato-visceral or visceral-somatic issues that affect the organs and muscle groups. When all these issues begin to affect the body, they can lead to pre-existing conditions that can lead to joint and muscle pain. Regarding health and wellness, treating the effects of metabolic syndrome can do wonders for the body, mind, and soul. Making small changes to a lifestyle can provide numerous positive results and can restore functionality to the body. 

 

Disclaimer

Hip Labral Tear Tests: EPs Sciatica Clinic

Athletic woman in pigeon pose stretching her leg while exercising int he living room.

The hip joint is a ball-and-socket joint composed of the femur head and a socket, which is part of the pelvis. The labrum is a cartilage ring on the socket part of the hip joint that helps keep joint fluid inside to ensure frictionless hip motion and alignment during movement. A labral tear of the hip is an injury to the labrum. The extent of the damage can vary. Sometimes, the hip labrum can have mini tears or fray at the edges, usually caused by gradual wear and tear. In other cases, a section of the labrum can separate or get torn away from the socket bone. These types of injuries are usually due to trauma. There are conservative hip labral tear tests to determine the type of injury. The Injury Medical Chiropractic and Functional Medicine Clinic team can help. 

Hip Labral Tear Tests: EPs Chiropractic Team

Symptoms

Symptoms are similar regardless of the type of tear, but where they are felt depends on whether the tear is in the front or the back. Common symptoms include:

  • Hip stiffness
  • Limited range of motion
  • A clicking or locking sensation in the hip joint when moving.
  • Pain in the hip, groin, or buttocks, especially when walking or running.
  • Night discomfort and pain symptoms when sleeping.
  • Some tears can cause no symptoms and can go unnoticed for years.

Hip Labral Tear Tests

A hip labral tear can occur anywhere along the labrum. They can be described as anterior or posterior, depending on which part of the joint is affected:

  • Anterior hip labral tears: The most common type of hip labral tear. These tears occur on the front of the hip joint.
  • Posterior hip labral tears: This type appears on the back of the hip joint.

Tests

The most common hip labral tear tests include:

  • The Hip Impingement Test
  • The Straight Leg Raise Test
  • The FABER Test – stands for Flexion, Abduction, and External Rotation.
  • The THIRD Test –  stands for the Hip Internal Rotation with Distraction.

Hip Impingement Tests

There are two types of hip impingement tests.

Anterior Hip Impingement

  • This test involves the patient lying on their back with their knee bent at 90 degrees and then rotated inward towards the body.
  • If there is pain, the test is considered positive.

Posterior Hip Impingement

  • This test involves the patient lying on their back with their hip extended and their knee flexed and bent at 90 degrees.
  • The leg is then rotated outward away from the body.
  • If it results in pain or apprehension, it is considered positive.

Straight Leg Raise Test

This test is used on various medical conditions that involve back pain.

  • The test begins with the patient sitting or lying down.
  • On the unaffected side, the range of motion is examined.
  • Then the hip is flexed while the knee is straight on both legs.
  • The patient may be asked to flex the neck or extend the foot to stretch nerves.

The FABER Test

It stands for Flexion, Abduction, and External Rotation.

  • The test begins with the patient lying on their back with their legs straight.
  • The affected leg is placed in a figure four position.
  • The physician will then apply incremental downward pressure to the bent knee.
  • If there is hip or groin pain, the test is positive.

The THIRD Test

This stands for – the Hip Internal Rotation with Distraction

  • The test begins with the patient lying on their back.
  • The patient then flexes their knee to 90 degrees and turns it inward around 10 degrees.
  • The hip is then rotated inward with downward pressure on the hip joint.
  • The maneuver is repeated with the joint slightly distracted/pulled apart.
  • It is considered positive if the pain is present when the hip is rotated and diminished pain when distracted and rotated.

Chiropractic Treatment

Chiropractic treatment involves hip adjustments to realign the bones around the hip and up through the spine, soft tissue massage therapy to relax the muscles around the pelvis and thigh, targeted flexibility exercises to restore range of motion, motor control exercises, and strengthening exercises to correct muscular imbalances.


Treatment and Therapy


References

Chamberlain, Rachel. “Hip Pain in Adults: Evaluation and Differential Diagnosis.” American family physician vol. 103,2 (2021): 81-89.

Groh, M.M., Herrera, J. A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med 2, 105–117 (2009). doi.org/10.1007/s12178-009-9052-9

Karen M. Myrick, Carl W. Nissen, THIRD Test: Diagnosing Hip Labral Tears With a New Physical Examination Technique, The Journal for Nurse Practitioners, Volume 9, Issue 8, 2013, Pages 501-505, ISSN 1555-4155, doi.org/10.1016/j.nurpra.2013.06.008. (www.sciencedirect.com/science/article/pii/S155541551300367X)

Roanna M. Burgess, Alison Rushton, Chris Wright, Cathryn Daborn, The validity and accuracy of clinical diagnostic tests used to detect labral pathology of the hip: A systematic review, Manual Therapy, Volume 16, Issue 4, 2011, Pages 318-326, ISSN 1356-689X, doi.org/10.1016/j.math.2011.01.002 (www.sciencedirect.com/science/article/pii/S1356689X11000038)

Su, Tiao, et al. “Diagnosis and treatment of labral tear.” Chinese medical journal vol. 132,2 (2019): 211-219. doi:10.1097/CM9.0000000000000020

Wilson, John J, and Masaru Furukawa. “Evaluation of the patient with hip pain.” American family physician vol. 89,1 (2014): 27-34.

Dr. Alex Jimenez Presents: Recognizing The Causes Of Metabolic Syndrome

*METABOLIC SYNDROME* Causes & Effects | El Paso, Tx (2023)

Introduction

Dr. Alex Jimenez, D.C., presents how many people can recognize the cause of metabolic syndrome. Metabolic syndrome is a cluster of conditions ranging from insulin resistance to muscle and joint pain. Considering how every person is different, we look at how metabolic syndrome is associated with cardiovascular disorders. We refer patients to certified providers that provide cardiovascular treatments associated with metabolic syndrome to relieve issues affecting the body while ensuring optimal wellness for the patient through various treatments. We acknowledge each patient by referring them to our associated medical providers based on their diagnosis to understand better what they are dealing with appropriately. We understand that education is an excellent way to ask our providers various intricated questions to the patient’s knowledge. Dr. Jimenez, D.C., utilizes this information as an educational service. Disclaimer

 

What Is Metabolic Syndrome?

Dr. Alex Jimenez, D.C., presents: Today, we are going to start widening the lens on metabolic syndrome. From a functional medicine perspective, many didn’t always call it metabolic syndrome. Other terms used to describe the diagnosis were: 

  • Dysmetabolic syndrome
  • Hypertriglyceridemic waist
  • Insulin resistance syndrome
  • Obesity syndrome
  • Syndrome X

Metabolic syndrome is a cluster of disorders that can affect an individual’s daily life and cause various issues that can cause the body to be dysfunctional. So in 2005, the ATP three guidelines told us that patients must meet three out of five criteria to get the diagnosis of metabolic syndrome. So these are around waist circumference, which is about visceral adiposity, blood pressure, blood glucose, triglycerides, and HDL. And then you see the cutoffs there. So in the International Diabetes Federation diagnosis criteria, notice that it’s required to have central obesity, but per ethnicity-specific cutoffs for waist circumference. So instead of three out of five, you have to have one, and then the other two out of four must be met. So you see the other ones the same as before, but they’re just compartmentalized differently in this diagnosis scheme. Now let’s talk about these ethnicity-specific cutoffs.

 

So if you are a standard corn-fed American, your waist circumference cutoff is 40 inches as a male and 35 inches as a female. Now, if you were from different parts of the world, the numbers for waist circumference are different whether the ethnicity is Asian, Hispanic, African, European, or Middle Eastern. By looking at the diagnosis of metabolic syndrome by looking more into the ethnicity-specific cutoffs, you can see that more people would start to meet the criteria for metabolic syndrome if doctors use the stringent ethnicity-specific standards to diagnose their patients for metabolic syndrome. Other diagnoses would also notice where the visceral adiposity is at during the cutoff and see additional hints of insulin resistance. Other factors besides insulin resistance can cause the body’s systems to be dysfunctional, which will drive the common risk factors to cause the pain associated with metabolic syndrome to affect the muscles and muscle groups. When the body becomes dysfunctional due to metabolic syndrome, it can also affect vital organ systems like the cardiovascular system. Now how does metabolic syndrome correlate with the cardiovascular system?

 

How Does Metabolic Syndrome Associated With Cardiovascular System?

Dr. Alex Jimenez, D.C., presents: If you look at how a person’s lifestyle habits affect their body, you can see that the data shows how metabolic factors contribute to total cardiometabolic risk. This information lets the doctors and patients know about their LDL cholesterol, BMIs, family history, and blood pressure. Suppose a person has pre-existing cardiovascular issues associated with metabolic syndrome. In that case, it is important to know if their glucose levels have elevated or dropped and to see how to control those risk factors associated with cardiometabolic syndrome. These are important risk factors that have to be brought up in a metabolic dysfunction conversation to have a better understanding.

 

Now there are ways to reduce the effects of metabolic syndrome associated with cardiovascular diseases. By expanding the data from the patient’s test results, we can look beyond the cardiometabolic risk; we can determine the causes that are the progression of these issues affecting the body. This can be numerous issues like how much exercise the person is doing, how they deal with stress and inflammation, and what foods they eat. 

 

 

By recognizing these results, we can identify things beyond metabolic syndrome and figure out what other disorders are contributing to metabolic syndrome. Many doctors will inform their patients about how their insulin levels can become elevated, which can cause them to develop insulin resistance and lose their beta cells. When insulin resistance corresponds with metabolic syndrome, many people need to realize that their genes can also play into effect. Some people have genes that drive them with the same kind of lifestyle dysfunction, inflammation, dysfunction, and insulin resistance. Their genes will also equal blood pressure issues or crazy lipid disturbances. When cardiometabolic risk factors are contributing to underlying problems affecting the body, it is really important to have functional medicine be the main focus to figure out where the issues are causing dysfunction in the body.

 

Insulin Resistance & Metabolic Syndrome

Dr. Alex Jimenez, D.C., presents: So when it comes to insulin resistance, it is important to take note of the abnormal beta cell function in the body if the pancreas can’t produce enough insulin to be turned into glucose. When this happens, people will begin to have elevated glucose levels, and if it continues to rise at a certain point, they will already be prone to having type 2 diabetes. To that point, the body will have this relative insulin deficiency, causing the body’s receptors not to be as sticky and functional. 

 

When enough insulin is circulating the body and doing its job, the blood glucose levels don’t hit the threshold to become diabetes. Now, suppose the body maintains normal beta cell function. In that case, however, the insulin receptors are not working, which allows the pancreas to start pumping out insulin to be able to keep up with this resistance, causing the individual to be at a compensatory high insulin state. By stabilizing insulin levels, many individuals can control how much glucose is in their bodies. However, suppose a person is prone to becoming diabetic. In that case, all that insulin is being pumped out is a massive system biology dysfunction signaling many other nondiabetic downstream diseases.

 

Conclusion

So insulin dysfunction can be associated with cardiovascular disease due to poor lifestyle choices, dietary habits, and physical activity. When dealing with metabolic syndrome associated with these risk factors, it can cause the body to be dysfunctional and cause pain in the organs, muscles, and joints. This can lead to obesity and diabetes if it is not handled properly. Getting a routine started can help lower insulin resistance by eating properly, getting adequate sleep, practicing mindfulness, and exercising can help improve the body and mind. 

 

Disclaimer

Non-Radiographic Axial Spondyloarthritis: Sciatica Clinic

Shot of a young man experiencing back pain while working out in nature.

Non-radiographic axial spondyloarthritis or nr-axSpA and non-radiographic ankylosing spondylitis/AS are related. However, non-radiographic axial spondyloarthritis can present AS symptoms with active inflammation of the spine and sacroiliac/SI joints, causing back and hip pain but does not reveal joint damage on X-rays or MRIs. Injury Medical Chiropractic and Functional Medicine Clinic can explain what it means to have non-radiographic axial spondyloarthritis, how it can be managed, and what to do to prevent it from turning into ankylosing spondylitis.Non-Radiographic Axial Spondyloarthritis: EPs Chiropractic Team

Non-Radiographic Axial Spondyloarthritis

Non-radiographic axial spondyloarthritis means there are early AS symptoms but have not developed enough joint inflammation or damage to show up on an X-ray or other form of imaging. Early evidence of joint inflammation includes blurring of the joint edges and localized regions of joint erosion. It can be difficult for physicians to see these subtle changes on an x-ray.

Ankylosing Spondylitis

  • Ankylosing spondylitis, or AS, is a form of inflammatory arthritis that affects joints in the spine and elsewhere.
  • It is a chronic, inflammatory, autoimmune disease.
  • Medical research is still ongoing to determine the exact cause, but a genetic component is believed to be contributing factor.
  • Around 85% of individuals with ankylosing spondylitis have inherited the HLA-B27 gene, which is associated with multiple autoimmune conditions.
  • In the early stages, individuals will present lower back pain around the sacroiliac joints or the joints that connect the spine to the pelvis.
  • Later stages have more obvious X-ray findings, like the fusing of the sacroiliac joints and the lower spine that takes place over time.
  • Joint inflammation can progress, causing permanent joint damage and spine rigidity.
  • Most individuals with the condition can manage their symptoms with NSAIDs, chiropractic care, physical and massage therapy, and range of motion exercises.

Stage 1

  • There is no evidence of spinal inflammation on x-rays.
  • MRI provides more detailed images of bones and may reveal bone marrow edema or accumulation of fluid in the structures of the spinal bones and joints.
  • Individuals with non-radiographic axial spondyloarthritis, you are here.

Stage 2

  • There is visible inflammation of the spinal joints on the x-ray.
  • The sacroiliac joints between the spine and the pelvis are the most affected.

Stage 3

  • Chronic inflammation of the joints has caused bone loss and permanent joint damage, resulting in spine rigidity.

Symptoms of Non-Radiographic Axial Spondyloarthritis

There are differences between back pain associated with muscle strain and arthritis. Back pain symptoms include:

  • Starts to present before age 40.
  • It has a gradual onset and can go unnoticed for years.
  • Improves with movement or activity.
  • Eases up throughout the day.
  • Starts up in the evening when resting.

Other symptoms include:

  • Joint stiffness
  • Swollen fingers
  • Heel pain
  • Bilateral buttock discomfort and pain

Slowing Progression

Progression from non-radiographic axial spondyloarthritis to ankylosing spondylitis occurs in 10% – 20% of individuals over a two-year period. Progression factors include genetics, gender, degree of joint damage, and level of inflammatory markers at the time of diagnosis.

  • Early diagnosis and treatment can slow the progression before significant joint damage with anti-inflammatory therapy, rheumatological therapy, and targeted exercise.
  • Work with a specialist like an orthopedic spine specialist and rheumatologist that understands the disorder and is up to date on the most recent treatment modalities.
  • A rheumatologist will perform diagnostic tests, including spine X-rays, genetic blood work, and serum inflammatory markers.
  • Individuals with non-radiographic axial spondyloarthritis should expect to have serial X-rays to gauge the progression of the disease.
  • Staying healthy and active is recommended to slow the progression of nr-AxSpA and AS.
  • Recent medical advances and lifestyle adjustments can slow the progression in most cases.

axSpA


References

Six tips for living well with ankylosing spondylitis. Available at www.mayoclinic.org/diseases-conditions/ankylosing-spondylitis/in-depth/6-tips-for-living-well-with-ankylosing-spondylitis/art-20478753. Accessed 11/07/2022.

Ankylosing spondylitis. Mayo Clinic. Available at www.mayoclinic.org/diseases-conditions/ankylosing-spondylitis/symptoms-causes/syc-20354808. Accessed 11/05/2022.

D. J. Pradeep, A. Keat, K. Gaffney, Predicting outcome in ankylosing spondylitis, Rheumatology, Volume 47, Issue 7, July 2008, Pages 942–945, doi.org/10.1093/rheumatology/ken195

Kucybała, Iwona, et al. “Radiologic approach to axial spondyloarthritis: where are we now and where are we heading?.” Rheumatology international vol. 38,10 (2018): 1753-1762. doi:10.1007/s00296-018-4130-1

Michelena, Xabier, López-Medina, Clementina, and Helena Marzo-Ortega. “Non-radiographic versus radiographic axSpA: what’s in a name?”.” National Center for Biotechnology Information. October 14, 2020. doi.org/10.1093/rheumatology/keaa422

Swift D. Ankylosing spondylitis: disease progression varies widely. Medpage Today. Accessed 11/05/2022.Available at www.medpagetoday.com/rheumatology/arthritis/49096

Dr. Alex Jimenez Presents: The Cause & Effects Of Cardiometabolic Risk

Cardiometabolic Risk *Causes & Effects* | El Paso, Tx (2022)

Introduction

Dr. Alex Jimenez, D.C., presents how the cause and effects of cardiometabolic risk can affect a person’s health and wellness. Cardiometabolic syndrome can affect any person through lifestyle factors and cause pain-like symptoms that can affect their well-being. We refer patients to certified providers that provide cardiovascular treatments associated with metabolic syndrome to relieve issues affecting the body while ensuring optimal wellness for the patient through various treatments. We acknowledge each patient by referring them to our associated medical providers based on their diagnosis to understand better what they are dealing with appropriately. We understand that education is an excellent way to ask our providers various intricated questions to the patient’s knowledge. Dr. Jimenez, D.C., utilizes this information as an educational service. Disclaimer

 

The Cause & Effects Of Cardiometabolic Risk

Dr. Alex Jimenez, D.C., presents: Now, as we enter this new era, many individuals are trying to find ways of managing cardiometabolic risk. So in this presentation, we will look at the number one killer in many modern countries; cardiovascular disease is defined as a cluster of conditions that affect the heart. Many factors are associated with cardiovascular disease that overlaps with metabolic syndrome. The word cardiometabolic hints that we will discuss something broader than cardiovascular risk.

 

The goal is to gain perspective on the old conversation about the cardiovascular risk associated with the circulatory system. We all know that the body’s circulatory, respiratory, and skeletal systems have different compartments that have different jobs to make the body functional. The problem is that the body operates in various systems independent of each other. They come together and interconnect like a web.

 

The Circulatory System

Dr. Alex Jimenez, D.C., presents: So the circulatory system helps transport blood vessels and allows the lymphatic vessels to carry cells and other items like hormones from one place to another. An example would be your insulin receptors moving information throughout your body and your glucose receptors being utilized for energy. And obviously, all other types of communicators govern how transportation happens in the body. Now the body is not a closed fixed circuit connected through the outside. Many factors can influence the body inside and outside that can affect the arterial wall and cause overlapping issues affecting the cardiovascular system. Now, what is happening to the arterial wall causing overlapping matters in the body?

 

When factors start to affect the arterial wall inside, it can cause plaque to form in the arterial walls and even affect the integrity of the outer walls of the arteries. When this happens, LDL or low-density lipoprotein could grow in size and cause a spike in cholesterol levels. To that point, when the body is dealing with poor lifestyle habits, it can influence the body to be at high cardiovascular risk. When the body is dealing will cardiovascular diseases at high risk, it can cause correlate to high blood pressure, diabetes, or metabolic syndrome. This causes the body to have muscular and joint pain in the back, neck, hips, and chest, to name a few, and can cause the individual to deal with inflammation in the gut, joints, and muscles.  

 

Factors Associated With Cardiometabolic Risk Factors

Dr. Alex Jimenez, D.C., presents: But, interestingly, it’s not until recently that institutions that govern our standard of care are taking this seriously, saying it needs to be a part of the guidelines because the data is so evident that how a person’s lifestyle matters when it comes to their health. The data can range from the correlation of how certain diets, like the Mediterranean diet, can change a person’s nutritional habits. To how stress is associated with cardiometabolic disorders. Or how much exercise or sleep you are getting. These environmental factors correlate to how cardiometabolic risk factors affect the body. By informing patients what is going on with their bodies, they can finally make small changes to their lifestyle habits. Now let’s look at how nutrition can impact a person with cardiometabolic risk profiles.

 

By having a conversation about nutrition, many people can see the impact of the standard American diet and how it can lead to a caloric increase in central adiposity. When conversing about nutrition, it is best to note what the person is eating, causing cardiometabolic risk issues in their bodies. Doctors work with nutritionists to devise a solution to implement the right amount of protein the individual needs, how much vegetables and fruits they can consume, and what food allergies or sensitivities to avoid. To that point, informing patients about eating healthy, organic, and nutritional food will allow them to understand what they put in their bodies and how to reverse the effects. Now each person is different as certain diets are for some people while others don’t, and it is also important that by advising patients about what they are taking in and consuming but also about timing. Some people do fasting to cleanse their bodies of toxins and allow the body’s cells to find different ways to consume energy.

 

How Nutrition Plays A Role In Cardiometabolic Syndrome

Dr. Alex Jimenez, D.C., presents: But did you know the quality of calories in the standard American diet can damage our intestinal lining, making it vulnerable to permeability, creating this very common scenario called metabolic endotoxemia that triggers inflammation? The quality and quantity of foods can disrupt our microbiome, leading to dysbiosis as a different mechanism of inflammation. And so you get this immune activation and dysregulation that makes a constant bath in which your genes are bathing. Inflammation can be good or bad depending on the severity of what is happening in the body. If the body suffers from an injury or deals with minor issues, inflammation can help heal. Or if the inflammation is severe, it can cause the intestinal wall lining to become inflamed and leak out toxins and other microbes into the rest of the body. This is known as a leaky gut, potentially leading to muscle and joint pain associated with obesity. So we want to broaden that conversation around nutrition because obesity impacts poor nutrition. It’s commonly said that we are overfed and undernourished as a human population. So we want to be able to mitigate the trends of obesity responsibly. And we want to bring in this larger conversation about social determinants of health. As the years go by, many people are more aware of how their environment and lifestyle play a role in developing cardiovascular or cardiometabolic conditions.

 

We must recognize that the human body lives in this social ecosystem that determines the health potential. We want to engage the patient to bring awareness to the most potent anti-inflammatory signal into their lives and their lifestyle choice. And we are not discussing fads like putting on spandex and going to the gym once a month; we’re talking about daily movement and how to reduce sedentary behavior associated with the cardiometabolic syndrome. We discussed how even the impact of stress could promote atherosclerosis, arrhythmias, and metabolic dysfunction in the body and cause various issues that can affect a person’s well-being.

 

Stress & Inflammation’s Role In The Body

Dr. Alex Jimenez, D.C., presents: Stress, like inflammation, can be good or bad, depending on the scenario. So stress can impact a person’s ability to function in the world as we dive into the systems biology dysfunctions that occur from acute and chronic stress and how we can help our patients. We must understand that we should put ourselves in our patient’s shoes by figuring out how to lower chronic stress to reduce cardiometabolic risk factors and improve quality of life.

 

So by not being so fixated on trying everything at once to reduce cardiometabolic risk factors, taking everything that we learn and incorporating it slowly into our daily lives can make a huge impact on how we look, feel, and what we eat can improve our well-being. Dr. David Jones stated, “If all we do is talk about this and all we do is know this stuff, it doesn’t do the full service we have as an intention for our patients.”

 

We must get ourselves from the knowing stage into the doing stage because that’s when results will occur. So by looking at the bigger picture, we can take back our health from cardiometabolic syndrome by focusing on where the problem is happening in our bodies and going to various specialists that can develop a treatment plan to lower the stress and inflammation in our bodies that can reduce the effects of cardiometabolic syndrome.

 

Conclusion

Dr. Alex Jimenez, D.C., presents: So if many people are dealing with cardiometabolic risks, they have these very common systems, biology dysfunctions, whether it’s related to inflammation, oxidative stress, or insulin dysfunction, are all happening under the surface. . In functional medicine, we want to go upstream in this new era of cardiometabolic health. We want to leverage the environment and lifestyle to manipulate the system’s biology so it can be in a favorable setting to allow the epigenetic potential of the patient to be at its highest expression of health. 

 

By providing the right tools for the patients, many functional medicine doctors can educate their patients on how to take back their health a little bit each time. For example, a person is dealing with chronic stress, causing stiffness in their necks and backs, making them unable to move around. Their doctors can devise a plan to incorporate meditation or take a yoga class to ease the stress out of their bodies and become mindful. So by gathering important clinical information about how a person is suffering from cardiometabolic, many doctors can work with their associated medical providers to devise a treatment plan to cater to each suffering from symptoms associated with cardiometabolic.

 

Nutrition Support For Adrenal Fatigue: Sciatica Wellness Clinic

Traditional mexican food. Chili con carne, minced meat with vegetables on dark stone table.

The adrenal glands are small and sit above the kidneys. The glands help the body burn fat and protein and regulate sugar, blood pressure, and stress response. They create, release, and regulate hormones like cortisol and adrenaline. Conditions like chronic fatigue, brain fog, and burnout cause individuals to be exhausted during the day and unable to fall asleep at night. Symptoms can also include hair loss, weight fluctuation, increased cravings, and difficulty recovering from illness. Nutrition support plays a major role in healing adrenal fatigue.Nutrition Support For Adrenal Fatigue: EP Functional Chiropractic

Nutrition Support

Adrenal fatigue nutrition support is a food-based approach to optimize adrenal gland function. The objective is to increase energy levels naturally, so the body doesn’t burn stored nutrients. Adrenal gland optimization involves learning ways to reduce and manage stress, getting healthy sleep, and making lifestyle adjustments.

Adrenal Fatigue

When stress activates, the adrenal glands release cortisol. Researchers theorize that when the body experiences high levels of chronic stress, the adrenal glands may not be able to produce enough cortisol to maintain healthy function, which can lead to adrenal fatigue.

  • Adrenal fatigue should not be confused with adrenal insufficiency, a verified medical condition where the adrenal glands cannot produce enough hormones.

Fatigue Symptoms

Symptoms of adrenal fatigue include:

  • Chronic low energy levels
  • Difficulty waking up
  • Difficulty falling asleep
  • Increased cravings for salt or sugar
  • Dependence on stimulants like caffeine

Other health conditions could also cause symptoms.

Foods to Avoid

Decreasing foods and drinks high in refined and processed sugar and unhealthy fats are recommended. Some foods to limit include:

  • Processed food
  • Fried food
  • Granulated sugar
  • All-purpose flour
  • Soda
  • Artificial sweeteners

It’s also recommended to time meals to help manage blood sugar levels. Skipping meals forces the body to burn stored nutrients that can reduce energy levels. Maintaining breakfast and lunch and regular balanced snacks can help maintain energy levels throughout the day. Maintaining hydration is also important, as dehydration can influence stress levels and cause the adrenal glands to produce cortisol.

Recommended Foods

Doctors and nutritionists recommend balancing nutrient-dense sources of protein, healthy fats, and carbohydrates. Nutrition support foods include:

  • Lean meats
  • Fatty fish – Salmon and sardines are great protein sources as they are loaded with healthy omega-3 fatty acids, which can reduce inflammation and promote improved brain health.
  • Eggs
  • Dairy
  • Nuts
  • Legumes
  • Leafy greens – These vegetables contain magnesium, like spinach, kale, and Swiss chard. The body needs magnesium to carry out various functions, which also helps the body relax and manage stress more effectively. When there is trouble falling asleep, it could be a deficiency in this mineral.
  • Colorful vegetables
  • Whole grains
  • Fruits low-sugar
  • Sea salt – Individuals with adrenal fatigue experience electrolyte imbalances. This is caused by a deficiency in the steroid hormone aldosterone. Adding sea salt will help balance electrolytes and minimize symptoms, specifically those related to blood pressure.
  • Olive oil
  • Avocado – The body needs a good amount of healthy fat to help the body heal. A low-fat diet is not ideal for dealing with hormonal issues like adrenal fatigue, as the body needs fat and cholesterol to produce hormones. Avocados contain high monounsaturated fats and fiber that help the body detox and digest food more efficiently.

Healing

A nutrition plan addressing adrenal fatigue can increase energy levels, regulate blood pressure, and promote healthier eating habits. Talking with your doctor and a nutritionist is recommended for optimal results, as they can develop a personalized health plan that addresses the following:

  • Lifestyle adjustments
  • Healthy sleep schedule
  • Managing stress
  • Physical activity

We are here for you at Injury Medical Chiropractic and Functional Wellness Clinic to learn more about adrenal fatigue and how to manage it. Contact us for more information on our services or to schedule an appointment for a consultation.


Adrenal Dysfunction Patterns


References

ABDULLA, Jehan, and B. DJ Torpy. “Chronic Fatigue Syndrome.” Endotext, edited by Kenneth R Feingold et al., MDText.com, Inc., 20 April 2017.

Allen, Loyd V Jr. “Adrenal fatigue.” International journal of pharmaceutical compounding vol. 17,1 (2013): 39-44.

Galland, Leo. “The gut microbiome and the brain.” Journal of medicinal food vol. 17,12 (2014): 1261-72. doi:10.1089/jmf.2014.7000

www.niddk.nih.gov/health-information/endocrine-diseases/adrenal-insufficiency-addisons-disease/eating-diet-nutrition

Dr. Alex Jimenez Presents: Treatments For Adrenal Insufficiency

Treatments of Adrenal Insufficiency | *Must Watch* El Paso, Tx (2022)

Introduction

Dr. Alex Jimenez, D.C., presents how various treatments can help with adrenal insufficiency and can help regulate hormone levels in the body in this 2-part series. Since hormones play a vital role in the body by controlling how the body functions, it is important to know what the trigger is that is causing overlapping issues in the body. In Part 1, we looked at how adrenal insufficiencies affect different hormones and their symptoms. We refer patients to certified providers that include hormone treatments that relieve adrenal insufficiencies affecting the body while ensuring optimal health and wellness for the patient through various therapies. We appreciate each patient by referring them to associated medical providers based on their diagnosis when it’s appropriate to understand better what they are feeling. We understand that education is an excellent and inquisitive way to ask our providers various intricated questions at the patient’s request and knowledge. Dr. Jimenez, D.C., utilizes this information as an educational service. Disclaimer

Treatments For Adrenal Insufficiencies

Dr. Alex Jimenez, D.C., presents: When it comes to adrenal insufficiencies, the body has various symptoms that can cause the person to feel low on energy and pain in different areas. Since hormones are produced in the adrenal glands, they help maintain how vital organs and muscles work to keep the body functional. When various factors affect the body, disrupting the adrenal glands, it can cause hormone production to over or underproduce. To that point, it can correlate to numerous symptoms that cause the body to be dysfunctional. Fortunately, there are various treatments that many people can incorporate into their daily lives to promote hormone regulation. 

 

Now everyone has different ways to lower their stress, which is fine as there are various treatments that a person may like to try, and if they are in a treatment plan that their doctor developed for them, they can find ways to get their health and wellness back. Many individuals sometimes participate in meditation and yoga to practice mindfulness. Now meditation and yoga have amazing benefits in lowering oxidative stress and cortisol levels associated with chronic stress. By looking at how adrenal insufficiencies can cause an increase in insulin, cortisol, and DHEA dysfunction in the HPA axis, many doctors would devise a treatment plan for their patients that can help lower the oxidative stress markers and regulate hormonal production. So if one of the treatments is meditation or yoga, many individuals who practice yoga and meditation will begin to notice how they are feeling after taking a few deep breaths and begin to feel mindful of their surroundings. This causes many people to improve their quality of life associated with decreased cortisol levels.

 

How Mindfulness Can Lower Stress

Dr. Alex Jimenez, D.C., presents: Another available treatment that can help with adrenal insufficiencies is an 8-week mindfulness treatment that can help lower cortisol levels from escalating in the body to cause more issues than a person is dealing with. Depending on what stage the HPA axis dysfunction is affecting the body, taking the time for yourself can benefit you in the long run. An example would be taking a hike on a nature walk path. The change in the environment can help a person relax and be at ease. This allows the body to let go of unnecessary pent-up stress affecting a person’s mood, functionality, and mental health when a change of scenery can help them relax and recharge. To that point, it allows the HPA axis to relax as well.

 

Another example of how mindfulness can help treat adrenal insufficiencies associated with hormonal dysfunction is by providing neurofeedback to those with chronic PTSD. Individuals with traumatic experiences have PTSD, which can hinder their ability to function in the world. When they go through a PTSD episode, their bodies will begin to lock up and tense, causing their cortisol levels to rise. To that point, this causes an overlap of symptoms associated with muscle and joint pain. Now how does mindfulness plays its part when it comes to treatment? Well, many doctors specializing in treating PTSD will do an EMDR test. EMDR stands for eye, movement, desensitization, and reprogramming. This allows PTSD patients to have their HPA axis rewired and reduce the neuron signals in their brains and help lower any cortisol levels causing adrenal insufficiencies in their bodies. Incorporating EMDR testing into PTSD patients allows them to find the issue causing the trauma through brain spotting, where the brain replays the traumatic memories and helps rewire the brain to release the trauma out of the body and start the healing process.

Vitamins & Supplements

Dr. Alex Jimenez, D.C., presents: Another technique many individuals can begin if they want to regulate their hormones is by taking supplements and neutraceuticals to help replenish hormonal function and the body. Choosing the right vitamins and supplements is not difficult if you don’t want to consume them in pill form. Many vitamins and supplements can be found in nutritious whole foods with specific nutrients that can improve hormone production and make a person feel full. Some of the vitamins and supplements that can help with hormone balance include:

  • Magnesium
  • B vitamins
  • Probiotics
  • Vitamin C
  • Alpha-lipoic acid
  • Omega-3 Fatty Acid
  • Vitamin D

These vitamins and supplements can help communicate with the other hormones the body produces and help balance hormonal production. Now, these treatments can help many people with hormonal imbalances in their bodies, and there are times when the process can be tough. Just remember that making these small changes can have a huge effect in the long run regarding your health and wellness. By sticking with the treatment plan that your doctor has come up with you, you will feel better over time and take back your health as well.

 

Disclaimer

Pulled Back Muscles: Sciatica Functional Wellness Clinic

beautiful woman carrying carpet and having pain in back at home

Back discomfort sensations and symptoms could indicate pulled-back muscles. Unless you’ve experienced the condition before, determining the cause can be difficult. A pulled-back muscle can start as a sudden, sharp sting when bending, reaching, or twisting. Or it can present gradually, worsening over a few days. It is a common injury, but if left untreated could take several weeks, and in severe cases, a few months, to heal correctly. Injury Medical Chiropractic and Functional Medicine Clinic can help diagnose the problem and develop a customized treatment plan to restore optimal function and health.

Pulled Back Muscles: EP's Chiropractic Team

Pulled Back Muscles

A pulled muscle describes a strained muscle.

  • A strain is a muscle or tendon injury that happens when the tissue overstretches or tears.
  • When a ligament stretches or tears, it’s called a sprain.
  • Most cases can be managed and treated at home.
  • But if the symptoms are not improving or make it difficult to move, see a doctor or chiropractor.

Symptoms

Common signs and symptoms of a pulled-back muscle include:

  • Swelling
  • Tenderness
  • Soreness – Sore muscles that feel tight and achy usually indicate a condition that is likely to improve in a few days. More severe soreness could indicate a more significant injury.
  • Spasms – A sudden convulsive spasm in the muscle can also indicate a pull. This can feel like a sudden tightening that does not release. The muscle can continue to spasm and lead to other symptoms.
  • Cramping – A muscle can cramp can lead to increased tightness whenever trying to use the muscle.
  • Pain – Can be characterized as a constant dullness and/or soreness in most situations or, in severe cases, sharp and shooting.
  • Discomfort when moving around. If pain flares up when trying to move or use the back muscles is usually an indication that something is wrong.
  • Relief during inactivity and rest. When lying down to rest or taking a temporary break, and the symptoms disappear could also be an indication of a pulled-back muscle or another injury.

Causes

The most common causes are:

A Strained Muscle

  • This causes some damage to a region of muscle tissue, usually the result of being over-used or torn from another injury.

Sprained Ligaments

  • Involves damage to the ligaments in a joint, usually those in the spinal vertebrae.

A Herniated Disc

  • This involves damage to the discs that can leak out, irritating the surrounding tissues and nerves and can cause shifting and misalignment of the spine.

These conditions are distinct, but the symptoms can be similar.

Therapies

It is important to consult a medical professional before treating an injury because symptoms of other injuries, such as disc problems or a broken bone, can resemble strains and sprains. Most treatments will utilize:

Ice and Heat

  • Ice helps reduce inflammation.
  • The faster ice can be applied to a pulled-back muscle, the quicker pain and swelling are reduced, and the healing process can begin.
  • Apply a cold pack for 15-20 minutes as soon as the injury occurs.
  • Take a 20-minute break between each cold application.
  • After the first days, alternate cold therapy with heat to increase circulation.
  • Try a 20-20-20 rule: 20 minutes of an ice pack followed by a 20-minute break, then 20 minutes of heat.
  • Repeat as necessary, allowing 20 minutes between heat or ice therapy.

Limited Rest

  • Right after a muscle strain, limiting physical activity levels and avoiding movements are recommended for a short period.
  • After the initial pain subsides, partial activity levels are recommended to help prevent the muscles from weakening.

Compression

Stretching

  • Returning to activities, gentle stretching exercises can improve tissue healing by increasing blood circulation to the injured area.
  • Applying heat to the area before stretching can also help.

Strength Training

  • Ask a doctor or chiropractor about the right strength exercises for your condition.
  • Strength training will develop the muscles to prevent future injuries.

Pain Medication

  • Pain levels are an important indicator during the recovery process.
  • Pain medications relieve symptoms but do not assist with healing and should only be used short-term to provide relief.
  • If you need pain medication, consult your physician to determine the appropriate type and dosage for your situation.

Massage

  • Blood circulation to the injured tissues is increased with massage therapy.

Chiropractic

  • A chiropractor can diagnose back pain from a muscle or disc injury and develop an individualized treatment plan.

Chiropractic Therapy


References

www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Low-Back-Strain-and-Sprain

Allen, Laura. “Case Study: The Use of Massage Therapy to Relieve Chronic Low-Back Pain.” International journal of therapeutic massage & bodywork vol. 9,3 27-30. 9 Sep. 2016, doi:10.3822/ijtmb.v9i3.267

Kumar, Saravana et al. “The effectiveness of massage therapy for the treatment of nonspecific low back pain: a systematic review of systematic reviews.” International journal of general medicine vol. 6 733-41. 4 Sep. 2013, doi:10.2147/IJGM.S50243

www.merckmanuals.com/professional/injuries-poisoning/sprains-and-other-soft-tissue-injuries/overview-of-sprains-and-other-soft-tissue-injuries

www.spine-health.com/conditions/lower-back-pain/exercises-lower-back-muscle-strain

Dr. Alex Jimenez Presents: The Symptoms Of Adrenal Insufficiencies

Adrenal Insufficiency *Symptoms, Diagnosis and Treatments* Part 1 | El Paso, Tx (2022)

Introduction

Dr. Alex Jimenez, D.C., presents how adrenal insufficiencies can affect the hormone levels in the body. Hormones play a vital part in regulating body temperature and help function the vital organs and muscles. This 2-part series will examine how adrenal insufficiencies affect the body and its symptoms. In part 2, we will look at the treatment for adrenal insufficiencies and how many people can incorporate these treatments into their health and wellness. We refer patients to certified providers that include hormone treatments that relieve various issues affecting the body while ensuring optimal health and wellness for the patient. We appreciate each patient by referring them to associated medical providers based on their diagnosis when it’s appropriate to understand better what they are feeling. We understand that education is an excellent and inquisitive way to ask our providers various intricated questions at the patient’s request and knowledge. Dr. Alex Jimenez, D.C., utilizes this information as an educational service. Disclaimer

 

What Are Adrenal Insufficiencies?

Dr. Alex Jimenez, D.C., presents: Many factors can affect the body, whether eating habits, mental health, or lifestyle habits all play a role in maintaining hormone function in the body. Today, we will apply these common dysfunctional cortisol patterns that patients present when they go in for a daily examination. Most patients often come in and explain to their doctors that they are suffering from adrenal dysfunction because different symptoms are associated with various stages of adrenal dysfunction or HPA dysfunction. Now adrenal dysfunction or hypothalamic pituitary adrenal (HPA) dysfunction is when the adrenal glands are not producing enough hormone to regulate the body. This causes the body to go through different stages of adrenal dysfunction if it is not treated right this way, causing the body to deal with muscle and joint pain that a person hasn’t dealt with throughout their life. 

 

Many doctors and healthcare providers use a systematic approach that can help many people address whether or not they have adrenal dysfunction in their bodies. Today, we will discuss the relationship between female hormones and mood disorders associated with adrenal dysfunction. When it comes to adrenal dysfunction associated with hormones, many people will often get medicated for mental illnesses like bipolar disease or depression when their hormones are imbalanced. When hormonal imbalances begin to affect women in their early fifties due to premenopause, the mental disorder would often worsens and cause many other overlapping issues that can affect their hormones and their bodies. 

 

Adrenal Dysfunction Affect The Body

Dr. Alex Jimenez, D.C., presents: Many women would have healthy diets, take yoga, be involved in spiritual practices, and hang out with their friends; however, when their hormone levels are imbalanced, they are dealing with other issues associated with HPA imbalances or adrenal dysfunction. By looking at the 24-hour corticotropic activity and determining how the circadian rhythm controls it, many doctors can look at the data presented to the patient. The way the data is being presented to the patient on how their hormone levels fluctuate in the body in the morning and how they rise or decrease throughout the entire day until they go to sleep.

 

With this information, many doctors can diagnose why this individual is having trouble going to sleep, constantly waking up early in the night, or not getting enough rest, making them exhausted throughout the day. So how is adrenal dysfunction associated with 24-hour corticotropic activity? Many factors can cause adrenal dysfunction in the body and affect hormone levels. When the body begins to over or underproduces hormones from the adrenal glands or the thyroids, it can cause cortisol and insulin levels to lose control in the body and cause various issues that result in muscle and joint pain. Sometimes hormonal dysfunction can cause somato-visceral or visceral-somatic pain by affecting the vital organs like the gut and the brain and start to cause issues to the surrounding muscles and joints. When the surrounding muscles and joints are causing pain in the body, they could be causing overlapping issues that can affect a person’s mobility and make them miserable.

 

 

How To Diagnose Adrenal Insufficiencies?

Dr. Alex Jimenez, D.C., presents: When doctors diagnose a patient suffering from adrenal dysfunction will begin to look at the patient’s medical history. Many patients will start filling out a long, extensive questionnaire, and doctors will begin to look at the anthropometrics, biomarkers, and clinical indicators found in physical exams. Doctors must obtain the patient’s history to look for the signs and symptoms of HPA dysfunction and adrenal dysfunction to determine the issue affecting the individual. After the examination, doctors would use functional medicine to look at where the dysfunction lies in the body and how the symptoms are connected. The numerous factors causing adrenal dysfunction in the body could be how a person’s eating habits are causing these issues, how much exercise they are incorporating in their daily lives, or how stress impacts them. 

  

Functional medicine provides a holistic approach that considers lifestyle components causing issues in the person’s body. By connecting the dots on what the patient is saying and how these factors are causing adrenal insufficiencies, it is important to get the whole story from the patient to devise a treatment plan catered to the individual. They would appreciate that someone finally understands what they are going through and will begin to restore their health and wellness. By looking for the root causes, triggers, and mediators causing adrenal dysfunction, we can look at the expanded history that the patient is telling us, whether it be their family history, their hobbies, or what they like to do for fun. All these things are important to consider to try and connect the dots of the underlying cause of adrenal insufficiencies in the body affecting a person’s hormone levels.

 

Adrenal Insufficiencies Affect Cortisol

Dr. Alex Jimenez, D.C., presents: Now, do adrenal insufficiencies correlate with increased DHEA and cortisol hormone levels? Well, DHEA is a hormone that is produced by the adrenal glands naturally. DHEA’s main function is to make other hormones like estrogen and testosterone to regulate the male and female body. Cortisol is a stress hormone that increases the glucose levels in the bloodstream. Cortisol’s main function is to allow the brain to use glucose in the body while repairing the affected muscle tissues. When the body begins to over or underproduces hormones from the adrenal glands, it can raise the cortisol levels to cause resilience to the body, and the HPA axis begins to decrease. When this happens, the body starts to feel sluggish, which can cause you to feel exhausted throughout the entire day, even though you may have gotten a good night’s sleep.

 

Adrenal Insufficiency Symptoms

Dr. Alex Jimenez, D.C., presents: This is known as adrenal fatigue and can be associated with various symptoms that affect the hormone balance in the body. This can include non-specific symptoms like sleep disturbances, digestive issues, fatigue, and body aches can affect the hormone levels inside the body. This causes many individuals to feel miserable due to feeling low energy. Adrenal fatigue can also be associated with the different stages of HPA axis dysfunction. These can include:

  • Trauma
  • Food allergies and sensitivities
  • Dysbiosis
  • Changes in the gut microbiota
  • Toxins
  • Stress
  • Insulin resistance
  • Metabolic syndrome

 

All these issues can affect a person’s hormone levels and cause elevated cortisol to overlap many factors that cause somato-visceral problems. An example would be someone having gut issues associated with chronic stress who can start to feel pain in their joints from the knees, back, and hips which cause their hormone levels can fluctuate.

 

Disclaimer