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Say Goodbye to Shoulder Pain with Electroacupuncture

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Can individuals with shoulder pain, find pain relief from electroacupuncture therapy to reduce stiffness associated with the neck?

Introduction

When many individuals are dealing with pain-like symptoms that are caused by environmental factors, it can affect their daily performance or their routines. Some of the most common pain areas that people usually get are from the neck, shoulder, or back. Since the musculoskeletal system has various upper and lower quadrant muscles, they have an outstanding relationship with the nerve roots that spread out to the muscles to provide sensory-motor functions. When environmental factors or traumatic injuries start to affect the musculoskeletal system, it can lead to a life of disability, pain, and discomfort. So, when individuals are dealing with shoulder pain that is causing issues with their neck, it can lead to various pain-like symptoms in the upper quadrants and searching for treatments to reduce their pain. Treatments like electroacupuncture can provide a positive outlook on reducing shoulder pain associated with the neck. Today’s article focuses on how shoulder pain correlates with the neck, how electroacupuncture positively reduces shoulder pain, and how it can reduce neck and shoulder stiffness. We talk with certified medical providers who consolidate our patients’ information to assess how shoulder pain is correlated with neck issues. We also inform and guide patients on how non-surgical treatments like electroacupuncture can help reduce shoulder pain and relieve the neck. We encourage our patients to ask their associated medical providers intricate and important questions about how their neck and shoulder pain affects their daily routine. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

 

How Does Shoulder Pain Correlate With The Neck?

Have you been dealing with stiffness in your neck or shoulders that is causing your hands to feel numb? Do you feel muscle strain from the sides of your neck that rotating your shoulders causes temporary relief? Or do you feel muscle soreness in your shoulders after laying on one side for too long? Many of these pain-like issues are correlated with shoulder pain, which can become a frequent musculoskeletal condition that can evolve into chronic problems over time. (Suzuki et al., 2022) This can cause the upper body extremities that work with the shoulders to deal with muscular issues that cause the shoulder and neck muscles to become hypersensitive. Since shoulder pain can often correlate with neck issues or the cervical spine, various environmental and traumatic factors can cause musculoskeletal conditions like muscular tightness in the neck, disc degeneration, or even cervical spondylosis, which can cause referred pain to the shoulders.

 

 

Additionally, many working individuals at a desk job can experience shoulder pain associated with the neck as they are in a forward hunched position that causes significant stress on the soft tissues surrounding and supporting the cervical spine, which can risk the development of neck and shoulder pain. (Moon & Kim, 2023) This is due to the numerous nerve roots that run through the neck and shoulder region, causing the pain signals to invoke referred pain in the soft muscle tissues. At the same time, when people dealing with shoulder pain correlating with the neck are doing repetitive motions, compression, or staying in a fixed position for an extended period, it can become overlapping risk profiles, thus increasing the spread of neck and shoulder pain. (Elsiddig et al., 2022) To that point, when people are dealing with neck problems, it can influence the shoulders, leading to discomfort, reduced mobility, pain, stiffness, and decreased quality of life that can impact a person. (Onda et al., 2022) However, when the shoulder pain associated with the neck becomes too much, many people will seek treatment to reduce the pain.

 

The Science Of Motion- Video

The Science of Motion "Chiropractic Care" | El Paso, Tx (2024)

The Positive Effects Of Electroacupuncture Reducing Shoulder Pain

 

When many people are looking for alternative and complementary non-surgical therapies, electroacupuncture is the answer for individuals suffering from shoulder pain correlating with the neck. Like traditional acupuncture, electroacupuncture involves electric stimulation and needle insertion into specific points or acupoints on the body by highly trained professionals to enhance therapeutic effects on the affected muscle area. For shoulder pain, electroacupuncture controls pain by activating the central nervous system and inducing the body’s natural biochemicals to promote healing. (Heo et al., 2022) While shoulder pain associated with the neck can arise from a variety of causes, electroacupuncture can target these issues by:

  • Reducing inflammation
  • Interrupting the pain signals
  • Enhancing muscle healing
  • Increasing range of motion

 

Electroacupuncture Reducing Neck & Shoulder Stiffness

Additionally, electroacupuncture can be combined with physical therapy to reduce neck and shoulder stiffness. When people incorporate exercises that target the neck and shoulders while combining electroacupuncture, they can see a long-term positive effect on pain reduction. (Duenas et al., 2021) The neck and shoulders will have improved flexibility and mobility from the exercises. At the same time, blood flow can help speed up the healing process, and the pain signals are blocked by electroacupuncture. For many individuals dealing with shoulder pain correlating with the neck, electroacupuncture can be an effective treatment to promote healing on the affected muscles and reduce pain.

 

References

Duenas, L., Aguilar-Rodriguez, M., Voogt, L., Lluch, E., Struyf, F., Mertens, M., Meulemeester, K., & Meeus, M. (2021). Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review. J Clin Med, 10(24). https://doi.org/10.3390/jcm10245946

Elsiddig, A. I., Altalhi, I. A., Althobaiti, M. E., Alwethainani, M. T., & Alzahrani, A. M. (2022). Prevalence of neck and shoulder pain among Saudi universities’ students who are using smartphones and computers. J Family Med Prim Care, 11(1), 194-200. https://doi.org/10.4103/jfmpc.jfmpc_1138_21

Heo, J. W., Jo, J. H., Lee, J. J., Kang, H., Choi, T. Y., Lee, M. S., & Kim, J. I. (2022). Electroacupuncture for the treatment of frozen shoulder: A systematic review and meta-analysis. Front Med (Lausanne), 9, 928823. https://doi.org/10.3389/fmed.2022.928823

Moon, S. E., & Kim, Y. K. (2023). Neck and Shoulder Pain with Scapular Dyskinesis in Computer Office Workers. Medicina (Kaunas, Lithuania), 59(12). https://doi.org/10.3390/medicina59122159

Onda, A., Onozato, K., & Kimura, M. (2022). Clinical features of neck and shoulder pain (Katakori) in Japanese hospital workers. Fukushima J Med Sci, 68(2), 79-87. https://doi.org/10.5387/fms.2022-02

Suzuki, H., Tahara, S., Mitsuda, M., Izumi, H., Ikeda, S., Seki, K., Nishida, N., Funaba, M., Imajo, Y., Yukata, K., & Sakai, T. (2022). Current Concept of Quantitative Sensory Testing and Pressure Pain Threshold in Neck/Shoulder and Low Back Pain. Healthcare (Basel), 10(8). https://doi.org/10.3390/healthcare10081485

Disclaimer

Understanding Multifidus: Injury Prevention & Treatment Plans

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Male traumatologist massaging athletic woman spine with massage gun, reducing tension in lower back and accelerating blood flow in body, professional sportsman treatment

“For individuals experiencing lower back pain, can understanding the anatomy and function of the multifidus muscle help in injury prevention and in the development of a highly effective treatment plan?”

Understanding Multifidus: Injury Prevention & Treatment Plans

Multifidus Muscle

The multifidus muscles are long and narrow on either side of the spinal column, which helps stabilize the lower region of the spine or lumbar spine. (Maryse Fortin, Luciana Gazzi Macedo 2013) Sitting too much, practicing unhealthy postures, and lack of movement can progress to the multifidus muscle weakening or atrophy, which can lead to spinal instability, vertebral compression, and back pain. (Paul W. Hodges, Lieven Danneels 2019)

Anatomy

Known as the deep layer, it is the innermost layer of the three muscle layers of the back and controls the movement of the spine. The other two layers, known as the intrinsic and superficial, are responsible for the thoracic cage/rib cage and shoulder movement. (Anouk Agten et al., 2020) The multifidus has attachment points at:

  • The thoracic spine of the middle back.
  • The lumbar spine of the lower back.
  • The iliac spine – the base of the wing-shaped iliac bone of the pelvis.
  • Sacrum – series of bones at the base of the spine connected to the tailbone.
  • When standing or moving, the multifidus muscle works with the transversus abdominus and pelvic floor muscles to stabilize the lumbar spine. (Christine Lynders 2019)

Muscle Function

The main function is to stabilize the lower back, but it also helps extend the lower spine whenever reaching or stretching. (Jennifer Padwal et al., 2020) Because the muscle has numerous attachment points and is serviced by a specific branch of nerves known as the posterior rami, it allows each vertebra to work individually and more efficiently.

  • This protects against spinal deterioration and the development of arthritis. (Jeffrey J Hebert et al., 2015)
  • The multifidus muscle works with two other deep muscle groups to stabilize and move the spine. (Jeffrey J Hebert et al., 2015)
  • The rotatores muscle enables unilateral rotation, turning from side to side, and bilateral extension or bending backward and forward.
  • The semispinalis muscle above the multifidus allows extension and rotation of the head, neck, and upper back.
  • The multifidus muscle ensures spinal strength because it has more attachment points to the spine than the other layers, which reduces spinal flexibility and rotation but increases strength and stability. (Anouk Agten et al., 2020)

Lower Back Pain

A weak multifidus muscle destabilizes the spine and provides less support to the vertebra. This adds pressure on muscles and connective tissues between and adjacent to the spinal column, increasing the risk of lower back pain symptoms. (Paul W. Hodges, Lieven Danneels 2019) The loss of muscle strength and stability can cause atrophy or wasting away. This can cause compression and other back problems. (Paul W. Hodges et al., 2015) Back problems associated with multifidus muscle deterioration include (Paul W. Hodges, Lieven Danneels 2019)

  • Herniated discs – also bulging or slipped discs.
  • Nerve entrapment or compression pinched nerve.
  • Sciatica
  • Referred pain – nerve pain originating from the spine felt in other areas.
  • Osteoarthritis – wear-and-tear arthritis
  • Spinal osteophytes – bone spurs
  • Weak abdominal or pelvic floor muscles can compromise the core, increasing the risk of chronic lower back pain and injury.

Individuals are recommended to consult a physical therapist and chiropractor who can help develop the appropriate treatment, rehabilitation, and strengthening plan based on age, injury, underlying conditions, and physical abilities.

Can Core Exercises Help with Back Pain?

References

Fortin, M., & Macedo, L. G. (2013). Multifidus and paraspinal muscle group cross-sectional areas of patients with low back pain and control patients: a systematic review with a focus on blinding. Physical therapy, 93(7), 873–888. https://doi.org/10.2522/ptj.20120457

Hodges, P. W., & Danneels, L. (2019). Changes in Structure and Function of the Back Muscles in Low Back Pain: Different Time Points, Observations, and Mechanisms. The Journal of orthopaedic and sports physical therapy, 49(6), 464–476. https://doi.org/10.2519/jospt.2019.8827

Agten, A., Stevens, S., Verbrugghe, J., Eijnde, B. O., Timmermans, A., & Vandenabeele, F. (2020). The lumbar multifidus is characterised by larger type I muscle fibres compared to the erector spinae. Anatomy & cell biology, 53(2), 143–150. https://doi.org/10.5115/acb.20.009

Lynders C. (2019). The Critical Role of Development of the Transversus Abdominis in the Prevention and Treatment of Low Back Pain. HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 15(3), 214–220. https://doi.org/10.1007/s11420-019-09717-8

Padwal, J., Berry, D. B., Hubbard, J. C., Zlomislic, V., Allen, R. T., Garfin, S. R., Ward, S. R., & Shahidi, B. (2020). Regional differences between superficial and deep lumbar multifidus in patients with chronic lumbar spine pathology. BMC musculoskeletal disorders, 21(1), 764. https://doi.org/10.1186/s12891-020-03791-4

Hebert, J. J., Koppenhaver, S. L., Teyhen, D. S., Walker, B. F., & Fritz, J. M. (2015). The evaluation of lumbar multifidus muscle function via palpation: reliability and validity of a new clinical test. The spine journal : official journal of the North American Spine Society, 15(6), 1196–1202. https://doi.org/10.1016/j.spinee.2013.08.056

Hodges, P. W., James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Multifidus Muscle Changes After Back Injury Are Characterized by Structural Remodeling of Muscle, Adipose and Connective Tissue, but Not Muscle Atrophy: Molecular and Morphological Evidence. Spine, 40(14), 1057–1071. https://doi.org/10.1097/BRS.0000000000000972

Ease Osteoarthritis Pain with Electroacupuncture

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Can individuals with osteoarthritis find the relief they deserve through electroacupuncture to restore knee and hip mobility?

Introduction

The lower extremities provide movement and stability to the body, allowing people to be in motion. The hips, lower back, knees, and feet each have a function to do, and when traumatic issues start to affect the spinal structures, it can cause numerous symptoms to pop up and cause pain-like symptoms. Additionally, degenerative factors are natural to the joints of the lower extremities as many people make repetitive motions to their bodies that lead to the degenerative process. One of the most common degenerative issues that affect the lower extremities is osteoarthritis, which can make many people feel miserable. Today’s article looks at how osteoarthritis affects the lower extremities and how treatments like electroacupuncture reduce inflammation associated with osteoarthritis and restore knee and hip mobility. We talk with certified medical providers who consolidate our patients’ information to understand better how osteoarthritis affects their lower extremities. We also inform and guide patients on how electroacupuncture therapy can help reduce the inflammatory effects of osteoarthritis affecting the hips and knees. We encourage our patients to ask their associated medical providers intricate and important questions about reducing the progression of osteoarthritis through non-surgical treatments. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

Osteoarthritis Affecting The Lower Extremities

Have you been dealing with stiffness in your knees, hips, and lower back in the mornings? Do you feel like you are wobbling a bit too much when walking? Or do you think radiating heat and swelling in your knees? When people experience these inflammatory pain issues in their joints, it is due to osteoarthritis, a degenerative joint disorder affecting the cartilage between the bones and the tissue components surrounding the joint. Osteoarthritis is multifactorial, meaning it can be idiopathic or secondary while influenced by heredity factors. (Bliddal, 2020) The most common places where people experience osteoarthritis are the lower back, hand, hips, and, most commonly, the knees. Some of the major environmental factors that contribute to the development of osteoarthritis include:

  • Obesity
  • Age
  • Repetitive motions
  • Family history
  • Injuries

When people are dealing with osteoarthritis, environmental factors can lead to weight overloading on the joints, which results in compression and inflammation. (Nedunchezhiyan et al., 2022) 

 

 

When inflammation is associated with osteoarthritis, it can cause the joints and surrounding muscle tissues to swell and feel hot to the touch. At the same time, osteoarthritis is one of the leading causes of disability that can become a socio-economic issue for many people. (Yao et al., 2023) This is because many individuals with osteoarthritis have comorbidities that are associated with the effects of inflammatory cytokines, which can cause them to be physically inactive and miserable. (Katz et al., 2021) However, there are various ways to reduce the progression of osteoarthritis and reduce the inflammatory effects on the joints. 

 

Electroacupuncture Reducing Inflammation Associated With Osteoarthritis

When it comes to inflammation reduction associated with osteoarthritis, many people seek out surgical and non-surgical treatments that can help decrease the progression of this degenerative joint disease. Many people will do aqua therapy to relieve pressure off the joints and improve their mobility. At the same time, others use spinal decompression to create negative pressure on the joint space. However, many people have found that electroacupuncture can help reduce the inflammatory effects of osteoarthritis. Electroacupuncture combines electrical nerve stimulation and acupuncture by highly trained professionals that can help decrease the pain intensity in the joints and provide functionality. (Wu et al., 2020) Additionally, since osteoarthritis is associated with inflammation, electroacupuncture can promote blood circulation and adjustment of muscle tension on the joints, and improve mobility. (Zhang et al., 2023)

 

Electroacupuncture Restoring Knee & Hip Mobility

Electroacupuncture can help with hip and knee mobility as this non-surgical treatment helps promote pain limitations and muscular atrophy from biomechanical overloading, thus improving cartilage viscoelasticity. (Shi et al., 2020) This allows the joints to retain mobility in the hips, knees, and lower back. When people go through consecutive treatment for osteoporosis, they can recover their muscle strength over time to restore their mobility and reduce the progression of osteoarthritis. (Xu et al., 2020) By doing so, many people can find the relief they are looking for with electroacupuncture, which can enable them to make small changes in their daily routine to ensure they can function throughout the day. 

Chiropractic Care For Leg Instability- Video

Chiropractic Care for Leg Instability | El Paso, Tx (2023)

References

Bliddal, H. (2020). [Definition, pathology and pathogenesis of osteoarthritis]. Ugeskr Laeger, 182(42). https://www.ncbi.nlm.nih.gov/pubmed/33046193

Katz, J. N., Arant, K. R., & Loeser, R. F. (2021). Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review. JAMA, 325(6), 568-578. https://doi.org/10.1001/jama.2020.22171

Nedunchezhiyan, U., Varughese, I., Sun, A. R., Wu, X., Crawford, R., & Prasadam, I. (2022). Obesity, Inflammation, and Immune System in Osteoarthritis. Front Immunol, 13, 907750. https://doi.org/10.3389/fimmu.2022.907750

Shi, X., Yu, W., Wang, T., Battulga, O., Wang, C., Shu, Q., Yang, X., Liu, C., & Guo, C. (2020). Electroacupuncture alleviates cartilage degradation: Improvement in cartilage biomechanics via pain relief and potentiation of muscle function in a rabbit model of knee osteoarthritis. Biomed Pharmacother, 123, 109724. https://doi.org/10.1016/j.biopha.2019.109724

Wu, S. Y., Lin, C. H., Chang, N. J., Hu, W. L., Hung, Y. C., Tsao, Y., & Kuo, C. A. (2020). Combined effect of laser acupuncture and electroacupuncture in knee osteoarthritis patients: A protocol for a randomized controlled trial. Medicine (Baltimore), 99(12), e19541. https://doi.org/10.1097/MD.0000000000019541

Xu, H., Kang, B., Li, Y., Xie, J., Sun, S., Zhong, S., Gao, C., Xu, X., Zhao, C., Qiu, G., & Xiao, L. (2020). Using electroacupuncture to recover muscle strength in patients with knee osteoarthritis after total knee arthroplasty: a study protocol for a double-blinded, randomized, and placebo-controlled trial. Trials, 21(1), 705. https://doi.org/10.1186/s13063-020-04601-x

Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). Osteoarthritis: pathogenic signaling pathways and therapeutic targets. Signal Transduct Target Ther, 8(1), 56. https://doi.org/10.1038/s41392-023-01330-w

Zhang, W., Zhang, L., Yang, S., Wen, B., Chen, J., & Chang, J. (2023). Electroacupuncture ameliorates knee osteoarthritis in rats via inhibiting NLRP3 inflammasome and reducing pyroptosis. Mol Pain, 19, 17448069221147792. https://doi.org/10.1177/17448069221147792

Disclaimer

Everything You Need to Know About Electroacupuncture for Osteoarthritis

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Can individuals with osteoarthritis find the relief they deserve through electroacupuncture to restore knee and hip mobility?

Introduction

The lower extremities provide movement and stability to the body, allowing people to be in motion. The hips, lower back, knees, and feet each have a function to do, and when traumatic issues start to affect the spinal structures, it can cause numerous symptoms to pop up and cause pain-like symptoms. Additionally, degenerative factors are natural to the joints of the lower extremities as many people make repetitive motions to their bodies that lead to the degenerative process. One of the most common degenerative issues that affect the lower extremities is osteoarthritis, which can make many people feel miserable. Today’s article looks at how osteoarthritis affects the lower extremities and how treatments like electroacupuncture reduce inflammation associated with osteoarthritis and restore knee and hip mobility. We talk with certified medical providers who consolidate our patients’ information to understand better how osteoarthritis affects their lower extremities. We also inform and guide patients on how electroacupuncture therapy can help reduce the inflammatory effects of osteoarthritis affecting the hips and knees. We encourage our patients to ask their associated medical providers intricate and important questions about reducing the progression of osteoarthritis through non-surgical treatments. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

Osteoarthritis Affecting The Lower Extremities

Have you been dealing with stiffness in your knees, hips, and lower back in the mornings? Do you feel like you are wobbling a bit too much when walking? Or do you think radiating heat and swelling in your knees? When people experience these inflammatory pain issues in their joints, it is due to osteoarthritis, a degenerative joint disorder affecting the cartilage between the bones and the tissue components surrounding the joint. Osteoarthritis is multifactorial, meaning it can be idiopathic or secondary while influenced by heredity factors. (Bliddal, 2020) The most common places where people experience osteoarthritis are the lower back, hand, hips, and, most commonly, the knees. Some of the major environmental factors that contribute to the development of osteoarthritis include:

  • Obesity
  • Age
  • Repetitive motions
  • Family history
  • Injuries

When people are dealing with osteoarthritis, environmental factors can lead to weight overloading on the joints, which results in compression and inflammation. (Nedunchezhiyan et al., 2022) 

 

 

When inflammation is associated with osteoarthritis, it can cause the joints and surrounding muscle tissues to swell and feel hot to the touch. At the same time, osteoarthritis is one of the leading causes of disability that can become a socio-economic issue for many people. (Yao et al., 2023) This is because many individuals with osteoarthritis have comorbidities that are associated with the effects of inflammatory cytokines, which can cause them to be physically inactive and miserable. (Katz et al., 2021) However, there are various ways to reduce the progression of osteoarthritis and reduce the inflammatory effects on the joints. 

 

Electroacupuncture Reducing Inflammation Associated With Osteoarthritis

When it comes to inflammation reduction associated with osteoarthritis, many people seek out surgical and non-surgical treatments that can help decrease the progression of this degenerative joint disease. Many people will do aqua therapy to relieve pressure off the joints and improve their mobility. At the same time, others use spinal decompression to create negative pressure on the joint space. However, many people have found that electroacupuncture can help reduce the inflammatory effects of osteoarthritis. Electroacupuncture combines electrical nerve stimulation and acupuncture by highly trained professionals that can help decrease the pain intensity in the joints and provide functionality. (Wu et al., 2020) Additionally, since osteoarthritis is associated with inflammation, electroacupuncture can promote blood circulation and adjustment of muscle tension on the joints, and improve mobility. (Zhang et al., 2023)

 

Electroacupuncture Restoring Knee & Hip Mobility

Electroacupuncture can help with hip and knee mobility as this non-surgical treatment helps promote pain limitations and muscular atrophy from biomechanical overloading, thus improving cartilage viscoelasticity. (Shi et al., 2020) This allows the joints to retain mobility in the hips, knees, and lower back. When people go through consecutive treatment for osteoporosis, they can recover their muscle strength over time to restore their mobility and reduce the progression of osteoarthritis. (Xu et al., 2020) By doing so, many people can find the relief they are looking for with electroacupuncture, which can enable them to make small changes in their daily routine to ensure they can function throughout the day. 

Chiropractic Care For Leg Instability- Video

Chiropractic Care for Leg Instability | El Paso, Tx (2023)

References

Bliddal, H. (2020). [Definition, pathology and pathogenesis of osteoarthritis]. Ugeskr Laeger, 182(42). https://www.ncbi.nlm.nih.gov/pubmed/33046193

Katz, J. N., Arant, K. R., & Loeser, R. F. (2021). Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review. JAMA, 325(6), 568-578. https://doi.org/10.1001/jama.2020.22171

Nedunchezhiyan, U., Varughese, I., Sun, A. R., Wu, X., Crawford, R., & Prasadam, I. (2022). Obesity, Inflammation, and Immune System in Osteoarthritis. Front Immunol, 13, 907750. https://doi.org/10.3389/fimmu.2022.907750

Shi, X., Yu, W., Wang, T., Battulga, O., Wang, C., Shu, Q., Yang, X., Liu, C., & Guo, C. (2020). Electroacupuncture alleviates cartilage degradation: Improvement in cartilage biomechanics via pain relief and potentiation of muscle function in a rabbit model of knee osteoarthritis. Biomed Pharmacother, 123, 109724. https://doi.org/10.1016/j.biopha.2019.109724

Wu, S. Y., Lin, C. H., Chang, N. J., Hu, W. L., Hung, Y. C., Tsao, Y., & Kuo, C. A. (2020). Combined effect of laser acupuncture and electroacupuncture in knee osteoarthritis patients: A protocol for a randomized controlled trial. Medicine (Baltimore), 99(12), e19541. https://doi.org/10.1097/MD.0000000000019541

Xu, H., Kang, B., Li, Y., Xie, J., Sun, S., Zhong, S., Gao, C., Xu, X., Zhao, C., Qiu, G., & Xiao, L. (2020). Using electroacupuncture to recover muscle strength in patients with knee osteoarthritis after total knee arthroplasty: a study protocol for a double-blinded, randomized, and placebo-controlled trial. Trials, 21(1), 705. https://doi.org/10.1186/s13063-020-04601-x

Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). Osteoarthritis: pathogenic signaling pathways and therapeutic targets. Signal Transduct Target Ther, 8(1), 56. https://doi.org/10.1038/s41392-023-01330-w

Zhang, W., Zhang, L., Yang, S., Wen, B., Chen, J., & Chang, J. (2023). Electroacupuncture ameliorates knee osteoarthritis in rats via inhibiting NLRP3 inflammasome and reducing pyroptosis. Mol Pain, 19, 17448069221147792. https://doi.org/10.1177/17448069221147792

Disclaimer

How Electroacupuncture Can Help with Neck Pain Relief

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Can individuals dealing with neck pain find relief with electroacupuncture therapy while reducing pain symptoms to restore neck function?

Introduction

The cervical region of the body consists of the neck region, which allows the head to be mobile and stabilized from discomfort or pain. The neck has numerous muscles, ligaments, and tendons surrounding the cervical facet joints and spinal discs. However, when the neck muscles are overstretched or ached from environmental factors or traumatic injuries that cause the head and the neck muscles to whip back and forth rapidly, it can force individuals to deal with not only pain and discomfort from the neck but also the head and shoulders are affected as well. When this happens, many individuals try to find various relief methods to reduce the pain and its associated symptoms. Today’s articles look at how the pain symptoms are associated with the neck, how there are non-surgical treatments for neck pain, and how electroacupuncture can help restore neck function. We talk with certified medical providers who consolidate our patients’ information to understand better why they are experiencing neck pain. We also inform and guide patients on how non-surgical treatments like electroacupuncture can help restore neck function to the body. We encourage our patients to ask their associated medical providers intricate and important questions about reducing the impact of neck pain while trying to incorporate various therapeutic reliefs into their bodies. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

How Are Pain Symptoms Associated with the Neck?

Do you experience stiffness or pain on your neck’s left or right side? Do you constantly get headaches that you have to lie in a dark room to reduce the pain? Or do you experience numbness or tingling sensations on your shoulders and arms? Many of these pain-like scenarios are associated with neck pain. Now similar to back pain, neck pain is a multifactorial musculoskeletal condition that can lead to a socio-economic burden that causes many people to have reduced productivity and job-related problems that can be an issue. (Kazeminasab et al., 2022) Neck pain can be in acute or chronic stages as multiple factors can play the developmental part of neck pain. Some of the environmental factors and traumatic injuries associated with neck pain include:

  • Poor posture
  • Whiplash
  • Degenerative issues
  • Slouching/hunching position
  • Sprains or strains
  • Spinal fractures

When these environmental and traumatic injury factors start to cause issues in the neck region of the body, they can cause pain-like symptoms.

 

 

So, how is pain associated with the neck? Well, many individuals dealing with neck pain can either have specific or non-specific neck pain with various symptoms depending on the severity of the pain. While specific neck pain deals with the cervical spine, non-specific neck pain deals with the surrounding muscles and ligaments. To that point, many individuals who are dealing with neck pain are also experiencing somatic referred pain and radicular pain that is associated with neurological signs that make a diagnosis difficult to classify. (Misailidou et al., 2010) This can cause many individuals to experience referred pain in their shoulders and arms or have neurological issues like headaches and tension within their upper body regions, which then causes personal discomfort, disability, and impaired quality of life. (Ben Ayed et al., 2019) But all is not lost, as many individuals seek treatment to reduce the effects of neck pain. 

 

Movement As Medicine- Video

Movement as Medicine | El Paso, Tx (2023)

Non-Surgical Treatments For Neck Pain

When it comes to reducing neck pain from environmental factors or traumatic injuries, many people will seek treatments that are affordable and effective in not only decreasing neck pain but also its associated pain-like symptoms. Non-surgical treatments are an excellent way to reduce the effects of neck pain, and they can be combined with other therapies. Some of the non-surgical treatments that are suitable for neck pain include:

  • Chiropractic care
  • Acupuncture
  • Electroacupuncture
  • Spinal decompression
  • Massage therapy
  • Physical therapy

Many individuals dealing with acute neck pain can incorporate non-surgical treatments since they are not only effective through consecutive treatment but are affordable as well. (Chou et al., 2020) This allows many individuals to be more mindful of what factors affect the neck and make small changes to prevent them from returning.

 

Electroacupuncture Restoring Neck Function

One of the oldest forms of non-surgical treatment is through acupuncture, which originates from China and is performed by highly trained professionals. Depending on how severe the pain is in the neck, many individuals seek out acupuncture therapy or electroacupuncture to reduce the pain. The difference between the two is that acupuncture incorporates thin, solid needles to the specific acupoints in the body that involve the central nervous system. In contrast, electroacupuncture incorporates electric stimulation to become a transformation of energy to block the pain signals that are causing pain in the neck region. (Liu et al., 2022)

Additionally, when the cervical area of the spine has been affected by traumatic forces, it can cause the neck to lose functionality. So, when people incorporate electroacupuncture to restore neck functionality, it has analgesic and anti-inflammatory properties that regulate the endocannabinoid system. (Wang et al., 2021) This means that the pain receptors from the nerve roots are blocked, and relief forms in the neck. Depending on the severity, many people with neck pain can utilize electroacupuncture consecutively to regain neck mobility and reduce the pain-like effects that are causing them to be miserable. When people think about their health and wellness, they can make small changes to reduce their environmental factors and start living life to the fullest extent possible. 

 

References

Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kassis, M., & Damak, J. (2019). Prevalence, Risk Factors and Outcomes of Neck, Shoulders and Low-Back Pain in Secondary-School Children. J Res Health Sci, 19(1), e00440. https://www.ncbi.nlm.nih.gov/pubmed/31133629

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6941626/pdf/jrhs-19-e00440.pdf

Chou, R., Wagner, J., Ahmed, A. Y., Blazina, I., Brodt, E., Buckley, D. I., Cheney, T. P., Choo, E., Dana, T., Gordon, D., Khandelwal, S., Kantner, S., McDonagh, M. S., Sedgley, C., & Skelly, A. C. (2020). In Treatments for Acute Pain: A Systematic Review. https://www.ncbi.nlm.nih.gov/pubmed/33411426

Kazeminasab, S., Nejadghaderi, S. A., Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, M. J. M., Kolahi, A. A., & Safiri, S. (2022). Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord, 23(1), 26. https://doi.org/10.1186/s12891-021-04957-4

Liu, R., Li, S., Liu, Y., He, M., Cao, J., Sun, M., Duan, C., & Li, T. (2022). Acupuncture Analgesia in Patients with Postoperative Neck Pain: A Protocol for Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med, 2022, 1226702. https://doi.org/10.1155/2022/1226702

Misailidou, V., Malliou, P., Beneka, A., Karagiannidis, A., & Godolias, G. (2010). Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools. J Chiropr Med, 9(2), 49-59. https://doi.org/10.1016/j.jcm.2010.03.002

Wang, J., Zhang, J., Gao, Y., Chen, Y., Duanmu, C., & Liu, J. (2021). Electroacupuncture Alleviates Hyperalgesia by Regulating CB1 Receptor of Spinal Cord in Incisional Neck Pain Rats. Evid Based Complement Alternat Med, 2021, 5880690. https://doi.org/10.1155/2021/5880690

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Using Electroacupuncture to Treat Low Back Pain

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Can individuals with low back pain use electroacupuncture therapy to reduce pain and restore mobility back to their bodies?

Introduction

Many people worldwide have dealt with low back pain from numerous factors and traumatic injuries that can cause pain-like symptoms around the spinal discs, muscles, ligaments, and nerve roots. This is because the body goes through repetitive motions that cause the surrounding muscles and ligaments to be overstretched and tight, aggravating the nerve roots and causing referred pain. Or it can be traumatic injuries that affect the spinal discs in the lumbar region that can become herniated or degenerate to aggravate the nerve roots and lead to low extremity pain. Regardless of the outcome, low back pain is a common musculoskeletal problem, and many people will often seek treatment to reduce its pain-like effects and help many people have their mobility restored. Today’s article examines why low back pain is a global issue, how electroacupuncture can help reduce it, and how it can regain mobility. We talk with certified medical providers who consolidate our patients’ information to understand better why low back pain is an issue in their bodies. We also inform and guide patients on how electroacupuncture therapy can help reduce low back pain and even help with restoring body mobility. We encourage our patients to ask their associated medical providers intricate and important questions about reducing the impact of low back pain and find various therapies to incorporate. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

Why Low Back Pain Is A Global Issue?

Do you feel stiffness in your lower back after carrying or lifting a heavy object? Do you feel radiating pain traveling down to your legs? Or do you feel muscle aches in your lower back from being hunched for an extended period? Many of these pain-like issues are correlated with environmental factors that can cause the body to develop low back pain. When it comes to low back pain, it is a socio-economic issue that globally impacts many individuals, especially working individuals. When many people do various motions or perform tasks, these motions can gradually loosen the ligaments in the lower back. This causes the body to sense that something is wrong with the lower back and the vital structures of the spine, thus adopting other methods to maintain the spine’s stability. (Hauser et al., 2022) 

 

 

Additionally, most low back pain symptoms are nonspecific, and motions of heavy lifting, bending, twisting, and whole-body vibrations are occupational risk factors that lead to the development of low back pain. (Becker & Childress, 2019) This causes many people with low back pain to deal with the burden of missing work or putting a hold on their daily routine. When this happens, many individuals begin to seek treatment to reduce the symptoms caused by low back pain.

Unlocking Pain Relief- Video

Unlocking Pain Relief: How We Assess Motion to Alleviate Pain | El Paso, Tx (2023)

Electroacupuncture For Low Back Pain

When it comes to reducing low back pain, many individuals will go to various treatments to relieve the pain in their lower back and their associated symptoms. Hence, this is why non-surgical treatments like electroacupuncture can help alleviate lower back pain and help the lower extremities regain mobility. Electroacupuncture is another form of acupuncture that uses electric stimulation on the body’s acupoints to block pain signals. Electroacupuncture has been widely used for musculoskeletal disorders, including low back pain, as they have been used as a therapeutic option to reduce medication usage while being an effective option when combined with other therapies. (Sung et al., 2021)

 

 

Additionally, electroacupuncture is performed by highly trained professionals and, when being used to treat low back pain, allows stimulation on large areas of the body that are around the acupoint to allow parameters that include the intensity, duration, and frequency to enable the pain to the location to be identified by health care professionals. (Francescato Torres et al., 2019) Electroacupuncture can help reduce the pain in the lower back and support many individuals through various techniques to restore mobility. (Kong, 2020)

 

Electroacupuncture Restoring Mobility

When restoring body mobility from low back pain, electroacupuncture can provide therapeutic effects by blocking the pain signals, causing the body to be immobile, and allowing the muscles to relax. (Sheng et al., 2021) Electroacupuncture combined with other therapies like physical therapy can help stretch and strengthen the surrounding back muscles and ligaments to reduce the aggravating pain affecting mobility and make many people more mindful of what motions are causing low back pain. When people start making small or big changes to their health and wellness, they will begin to notice how they carry themselves while preventing the same repetitive motions that are causing their lower back issues and living healthier lives. 

 

References

Becker, B. A., & Childress, M. A. (2019). Nonspecific Low Back Pain and Return To Work. American Family Physician, 100(11), 697-703. https://www.ncbi.nlm.nih.gov/pubmed/31790184

https://www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf

Francescato Torres, S., Brandt de Macedo, A. C., Dias Antunes, M., Merllin Batista de Souza, I., Dimitre Rodrigo Pereira Santos, F., de Sousa do Espirito Santo, A., Ribeiro Jacob, F., Torres Cruz, A., de Oliveira Januario, P., & Pasqual Marques, A. (2019). Effects of electroacupuncture frequencies on chronic low back pain in older adults: triple-blind, 12-months protocol for a randomized controlled trial. Trials, 20(1), 762. https://doi.org/10.1186/s13063-019-3813-6

Hauser, R. A., Matias, D., Woznica, D., Rawlings, B., & Woldin, B. A. (2022). Lumbar instability as an etiology of low back pain and its treatment by prolotherapy: A review. J Back Musculoskelet Rehabil, 35(4), 701-712. https://doi.org/10.3233/BMR-210097

Kong, J. T. (2020). Electroacupuncture for Treating Chronic Low-Back Pain: Preliminary Research Results. Med Acupunct, 32(6), 396-397. https://doi.org/10.1089/acu.2020.1495

Sheng, X., Yue, H., Zhang, Q., Chen, D., Qiu, W., Tang, J., Fan, T., Gu, J., Jiang, B., Qiu, M., & Chen, L. (2021). Efficacy of electroacupuncture in patients with failed back surgery syndrome: study protocol for a randomized controlled trial. Trials, 22(1), 702. https://doi.org/10.1186/s13063-021-05652-4

Sung, W. S., Park, J. R., Park, K., Youn, I., Yeum, H. W., Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, E. J., & Nam, D. (2021). The effectiveness and safety of electroacupuncture for nonspecific chronic low back pain: A protocol for systematic review and/or meta-analysis. Medicine (Baltimore), 100(4), e24281. https://doi.org/10.1097/MD.0000000000024281

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Elevate Your Musculoskeletal Health with Electroacupuncture

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Can individuals dealing with various musculoskeletal pain incorporate the positive benefits of electroacupuncture to restore function?

Introduction

As the world changes and more people try to make small changes to their health and well-being, they won’t experience pain or discomfort. Numerous treatments help many people dealing with various musculoskeletal pain that are associated with environmental factors. The human body has multiple muscle groups in the upper and lower body portions that protect the spinal structure and vital organs. When environmental factors correlate with pain and discomfort, it can significantly impact a person’s daily routine. At the same time, musculoskeletal pain can lead to referred pain-like symptoms that many individuals are experiencing pain in two different body locations. However, when the pain becomes unbearable, many will seek various treatment options to not only reduce the pain but also restore body functionality. Today’s article looks at the multiple factors of musculoskeletal pain, treatments like electroacupuncture that reduce musculoskeletal pain, and the benefits of electroacupuncture. We talk with certified medical providers who consolidate our patients’ information to assess how various factors can contribute to musculoskeletal pain in the body. We also inform and guide patients on how electroacupuncture therapy can help reduce the pain effects of musculoskeletal pain and help improve body functionality. We encourage our patients to ask their associated medical providers intricate and important questions about how to reduce the impact of musculoskeletal pain. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

The Various Factors That Correlate With Musculoskeletal Pain

Have you been dealing with areas of complaints within your neck, shoulders, or back after a long day? Do you feel numb or tingling in your upper and lower extremities? Or have you experienced muscle and joint pain that makes it difficult to do your daily routine? When it comes to many individuals experiencing musculoskeletal pain in their bodies can dampen their day due to how much pain they are in. Musculoskeletal pain is a multifactorial condition involving various environmental factors that many people in society have experienced. (Caneiro et al., 2021) Musculoskeletal pain can be chronic or acute depending on the ecological factors or traumatic injuries that the body occurs from and can affect not only the muscles but also the bones, ligaments, tendons, and nerve roots that provide sensory-motor functions that make the body mobile. 

 

 

Some environmental factors that contribute to the development of musculoskeletal pain include:

  • Excessive sitting/standing
  • Fractures
  • Poor posture
  • Joint dislocation
  • Stress
  • Obesity
  • Repetitive movements

Additionally, many individuals dealing with musculoskeletal pain can be problematic when pain and chronic diseases could be predisposed, causing many people to deal with comorbidities, thus increasing their chances of being an issue. (Dzakpasu et al., 2021) Plus, when people are dealing with musculoskeletal pain, it can vary from person to person and can have a huge negative effect on their mental health. (Welsh et al., 2020) This is because many people are dealing with referred pain and their associated pain-like symptoms that they will try home remedies to reduce the musculoskeletal pain temporarily before making the repetitive motions again and being in more pain. To that point, many individuals will often seek various treatments to relieve musculoskeletal pain and restore their body function.

 

Optimize Your Wellness- Video

Optimizing Your Wellness | El Paso, Tx (2023)

The Benefits of Electroacupuncture

When it comes to reducing and treating musculoskeletal pain, many individuals seek out non-surgical treatments to relieve the pain-like symptoms. Non-surgical treatments are excellent for musculoskeletal pain as they can be personalized to the person’s pain and can be cost-effective. Non-surgical treatments range from chiropractic care to acupuncture. One of the various forms of non-surgical treatments is electroacupuncture therapy. Electroacupuncture therapy incorporates the application of electric and acupuncture stimulation to relieve acute or chronic musculoskeletal pain. (Lee et al., 2020) This therapy can activate the bioactive chemicals and block the pain signals from affecting the body.

Additionally, electroacupuncture can be effective and benefit the body by reducing neuropathic pain associated with musculoskeletal. Electroacupuncture provides additional benefits by stimulating the neurotransmitters from the central nervous system to minimize nociceptive pain caused by musculoskeletal pain. (Xue et al., 2020)

Electroacupuncture Therapy Reduces Musculoskeletal Pain

So, regarding musculoskeletal pain, electroacupuncture could be the answer to reducing its comorbidities. When a person is experiencing musculoskeletal pain, the affected areas where the pain is located can be inflamed. So when highly trained acupuncturists find the acupoints of the body and utilize electroacupuncture, the stimulation intensity varies from person to person. High-intensity stimulation activates the sympathetic nervous system, while low-intensity stimulation activates the parasympathetic nervous system. (Ulloa, 2021) Electroacupuncture can even help improve muscle function in the musculoskeletal extremities by relieving pain and adjusting the biomechanical properties to improve abnormal joint loading. (Shi et al., 2020) When people think about their health, they can consider electroacupuncture as part of their health and wellness routine to improve body functionality and live pain-free lives.

References

Caneiro, J. P., Bunzli, S., & O’Sullivan, P. (2021). Beliefs about the body and pain: the critical role in musculoskeletal pain management. Braz J Phys Ther, 25(1), 17-29. https://doi.org/10.1016/j.bjpt.2020.06.003

Dzakpasu, F. Q. S., Carver, A., Brakenridge, C. J., Cicuttini, F., Urquhart, D. M., Owen, N., & Dunstan, D. W. (2021). Musculoskeletal pain and sedentary behaviour in occupational and non-occupational settings: a systematic review with meta-analysis. Int J Behav Nutr Phys Act, 18(1), 159. https://doi.org/10.1186/s12966-021-01191-y

Lee, Y. J., Han, C. H., Jeon, J. H., Kim, E., Kim, J. Y., Park, K. H., Kim, A. R., Lee, E. J., & Kim, Y. I. (2020). Effectiveness and safety of polydioxanone thread-embedding acupuncture (TEA) and electroacupuncture (EA) treatment for knee osteoarthritis (KOA) patients with postoperative pain: An assessor-blinded, randomized, controlled pilot trial. Medicine (Baltimore), 99(30), e21184. https://doi.org/10.1097/MD.0000000000021184

Shi, X., Yu, W., Wang, T., Battulga, O., Wang, C., Shu, Q., Yang, X., Liu, C., & Guo, C. (2020). Electroacupuncture alleviates cartilage degradation: Improvement in cartilage biomechanics via pain relief and potentiation of muscle function in a rabbit model of knee osteoarthritis. Biomed Pharmacother, 123, 109724. https://doi.org/10.1016/j.biopha.2019.109724

Ulloa, L. (2021). Electroacupuncture activates neurons to switch off inflammation. Nature, 598(7882), 573-574. https://doi.org/10.1038/d41586-021-02714-0

Welsh, T. P., Yang, A. E., & Makris, U. E. (2020). Musculoskeletal Pain in Older Adults: A Clinical Review. Med Clin North Am, 104(5), 855-872. https://doi.org/10.1016/j.mcna.2020.05.002

Xue, M., Sun, Y. L., Xia, Y. Y., Huang, Z. H., Huang, C., & Xing, G. G. (2020). Electroacupuncture Modulates Spinal BDNF/TrkappaB Signaling Pathway and Ameliorates the Sensitization of Dorsal Horn WDR Neurons in Spared Nerve Injury Rats. Int J Mol Sci, 21(18). https://doi.org/10.3390/ijms21186524

Disclaimer

How Motor Units Control Your Body Movements

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Fit young people lifting barbells looking focused, working out in a gym

“For individuals starting to lift weights, motor units are important for muscle movement. Can building more motor units help build strength and maintain muscle mass?”

How Motor Units Control Your Body Movements

Motor Units

Motor units control the skeletal muscles and are the force behind every body movement. (C J. Heckman, Roger M. Enoka 2012)
This includes voluntary movements like lifting weights and involuntary movements like breathing. When lifting objects and weights, the body adapts to motor unit needs, meaning that individuals must consistently increase the weight to progress.

  • Lifting weights regularly trains the body to generate more motor units and force.
  • General guidelines recommend lifting weights for all muscle groups two to three non-consecutive days a week.
  • Consistency helps maintain muscle mass.
  • Regular progression increases the risk of plateauing.

What They Are

Exercise increases the body’s muscle strength, while sedentariness and inactivity weaken them. A motor unit is a single nerve cell/neuron that supplies the nerves to innervate a group of skeletal muscles. The neuron receives signals from the brain that stimulate all the muscle fibers in that particular motor unit to generate movement.

  • Muscles comprise different fiber types.
  • They are attached to the bones with connective tissue, which is stronger than the muscle.
  • Multiple motor units are dispersed throughout the muscle.
  • The motor units help ensure muscle contraction force is evenly spread throughout the muscle.
  • Motor units are different sizes and operate differently depending on where and what they do.
  • Small motor units might only innervate five or ten fibers. For example, to blink or sniff.
  • Large motor units can comprise hundreds of muscle fibers for swinging or jumping movements.

How They Work

The number of units activated depends on the task. Stronger muscle contractions require more. However, fewer units are needed to accomplish the movement for individuals expending less effort.

Contraction

  • Once a unit receives a signal from the brain, the muscle fibers contract simultaneously.
  • The force generated depends on how many units are required to accomplish the task. (Purves D. et al., 2001)
  • For example, picking up small objects like a pen and paper requires only a few units to generate the force needed.
  • If picking up a heavy barbell, the body needs more units because more force is needed to lift the heavier load.
  • The body can generate more force with stronger muscles.
  • This happens when lifting weights on a regular basis and overloading the muscles with more weight than they can handle.
  • This process is known as adaptation.

Adaptation

The purpose of lifting weights is to challenge the muscles so they adapt to the new challenge and grow in strength and mass. Motor units are a major part of the adaptation process. (Dr. Erin Nitschke. American Council on Exercise. 2017)

  • When first starting weight training, the brain recruits more units every time a muscle is contracted. (Pete McCall. American Council on Exercise. 2015)
  • As individuals continue working out, their ability to generate more force increases and units activate more rapidly.
  • This makes movements more efficient.
  • Individuals can increase unit recruitment by consistently increasing the weight challenge to their muscles.
  • The development creates movement memory.
  • A relationship between the brain, muscles, and motor units is established even if the individual stops working out. The pathways are still there no matter how long the individual takes off.
  • When returning to training, the body will remember how to ride a bike, do a bicep curl, or squat.
  • However, the muscles will not have the same strength as the strength needs to be built back along with endurance that may have been lost.
  • It is the movement memory that remains.

Military Training and Chiropractic Care: Maximizing Performance

References

Heckman, C. J., & Enoka, R. M. (2012). Motor unit. Comprehensive Physiology, 2(4), 2629–2682. https://doi.org/10.1002/cphy.c100087

Purves D, Augustine GJ, Fitzpatrick D, et al., editors. (2001). Neuroscience. 2nd edition. Sunderland (MA): Sinauer Associates; 2001. The Motor Unit. Available from: https://www.ncbi.nlm.nih.gov/books/NBK10874/

Dr. Erin Nitschke. American Council on Exercise. (2017). How Muscle Grows (Exercise Science, Issue. https://www.acefitness.org/resources/everyone/blog/6538/how-muscle-grows/

Pete McCall. American Council on Exercise. (2015). 10 Things to Know About Muscle Fibers (Exercise Science, Issue. https://www.acefitness.org/resources/pros/expert-articles/5411/10-things-to-know-about-muscle-fibers/

Acupuncture for Gut Health: The Benefits Explained

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Can individuals dealing with gut inflammation find relief from acupuncture therapy to reduce associated pain symptoms like back pain?

Introduction

When many start thinking about their health and well-being, they will notice the various factors negatively affecting their daily routine. Environmental factors or traumatic injuries can cause an impact on the person’s body, which then causes musculoskeletal issues as well as organ issues. One of the pain-like issues that many people seem to deal with is gut inflammation, and it can cause a cascading effect on the body and lead to referred pain in the upper and lower body portions. This can affect a person’s daily routine and cause overlapping risk profiles, leading to musculoskeletal conditions like back pain. At the same time, gut inflammation can be in acute or chronic stages and become an issue for people with pre-existing conditions. Luckily, numerous treatments reduce gut inflammation associated with back pain and provide a positive impact on individuals. Today’s article looks at the effect of gut inflammation on the body, how gut inflammation correlates with back pain, and how acupuncture therapy can help reduce gut inflammation. We talk with certified medical providers who consolidate our patients’ information to assess how gut inflammation is impacting their bodies and how it correlates with back pain. We also inform and guide patients on how acupuncture therapy can help reduce the inflammatory effects that are causing gut and back issues. We encourage our patients to ask their associated medical providers intricate and important questions about how their pain is causing issues to their bodies. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

 

The Effects Of Gut Inflammation On The Body

Do you feel extremely tired in the morning, even after a full night? Have you experienced any soreness or tenderness in your gut or different back portions? Or do you experience any muscle aches or joint stiffness throughout your lower back? When people are experiencing these inflammatory issues, it could be due to their gut system feeling these pain-like issues. The gut system is in a relationship with the central nervous system as it is part of the gut-brain axis and helps the autonomic system actively influence the immune system. This allows the musculoskeletal system to promote normal body function. When environmental factors or traumatic injuries start to negatively affect the gut-brain axis and cause the immune system to mass produce inflammatory cytokines and cortisol to cause musculoskeletal and gut issues. The inflammatory effects of the gut system cause impairments within the intestinal barrier function and the translocation of the gut microbes and even promote the hyper-activation of the mucosal immune system to produce pro-inflammatory cytokines that fuel gut inflammation. (Amoroso et al., 2020) When that happens, it can have a major impact on the immune system, and where the gut microbiota can be triggered by environmental factors like metabolic syndrome, obesity, and type-2 diabetes, which has detrimental consequences for the human body. (Scheithauer et al., 2020) What this does to the body is that gut inflammation can affect the immune system, vital organs, and the musculoskeletal system. 

 

Gut Inflammation Correlates With Back Pain

 

So, back pain usually follows when many individuals have gut issues associated with environmental factors. When the intestinal permeability in the gut starts to deal with inflammation, all the bacteria and the cytokines from the immune system will rapidly produce and travel their way to the various muscles, tissues, and ligaments that start to be affected. Since back pain is a common musculoskeletal condition many people endure, gut inflammation can also be present. Since the bacterial microbes and inflammatory cytokines are reaching the spine’s back muscles and skeletal structures, they can start causing degenerative issues, leading to back pain. The skeletal structure of the spine has facet joints, spinal discs, and bones that protect the spinal cord and can also be affected by gut inflammation. The blood-disc barrier within the spine protects the spinal disc from inflammatory effects that may invoke musculoskeletal issues. However, when the bacterial microbes from the gut start to attach and break down the blood-disc barrier, they can rapidly multiply since the immune system surveillance is unavailable, causing low oxygen levels to degenerate the spinal discs and causing back pain issues. (Ratna et al., 2023) At the same time, environmental factors also play an issue in the development of back pain associated with gut inflammation. Luckily, numerous treatments can help not only reduce gut inflammation but also provide pain relief to back pain.

Fighting Inflammation Naturally- Video

Fighting Inflammation Naturally | El Paso, Tx (2023)

Have you been dealing with various mood changes affecting your daily routine? Do you feel constantly sluggish or tired throughout the day? Or do you feel aches and pains in your mid-section and lower back? Many people experiencing these pain-like issues in their bodies are dealing with gut inflammation that is affecting their backs. When environmental factors start to cause an overproduction of bacterial microbes in the intestinal permeability, the inflammatory cytokines begin to induce inflammation in the musculoskeletal system. This can lead to the development of back pain and cause issues to the body when it is not treated right away. This is where various treatments help reduce the inflammatory effects of the gut system and help reduce numerous issues it has caused. Many treatments are non-surgical and customizable to individuals dealing with gut inflammation associated with back pain. The video above shows how non-surgical treatments can help reduce inflammation naturally and benefit many people dealing with gut inflammation.

Acupuncture Reducing Gut Inflammation

 

Various non-surgical treatments can range from traction therapy to chiropractic care, depending on the pain severity and environmental factors causing the issue. For gut inflammation, many individuals might try acupuncture, one of the oldest forms of non-surgical treatment that can help reduce inflammatory cytokines. Acupuncture originates from China and is used by highly trained medical professionals who use fine, solid, thin needles to be placed on various body acupoints to restore body energy. Acupuncture can also serve as a multifaceted regulatory therapy that involves multiple therapeutic mechanisms to regulate the HPA axis and reduce pro-inflammatory cytokines levels. (Landgraaf et al., 2023) At the same time, acupuncture can help recover gastrointestinal dysfunction from various gut disorders by blocking the brain’s neuron signals that are causing inflammatory responses to the gut and musculoskeletal system. (Jang et al., 2020). Acupuncture can also be combined with other non-surgical therapies to help improve body functionality, as acupuncturists find the acupoints within the body to regulate the intestinal microbiota and inflammation, thus regulating the central nervous system function to enhance a person’s quality of life. (Bao et al., 2022) By incorporating acupuncture as part of a person’s health and well-being, many people can make small changes in their daily routine to reduce gut inflammation from overproducing and prevent their associated comorbidities from returning.

 

References

Amoroso, C., Perillo, F., Strati, F., Fantini, M. C., Caprioli, F., & Facciotti, F. (2020). The Role of Gut Microbiota Biomodulators on Mucosal Immunity and Intestinal Inflammation. Cells, 9(5). https://doi.org/10.3390/cells9051234

Bao, C., Wu, L., Wang, D., Chen, L., Jin, X., Shi, Y., Li, G., Zhang, J., Zeng, X., Chen, J., Liu, H., & Wu, H. (2022). Acupuncture improves the symptoms, intestinal microbiota, and inflammation of patients with mild to moderate Crohn’s disease: A randomized controlled trial. EClinicalMedicine, 45, 101300. https://doi.org/10.1016/j.eclinm.2022.101300

Jang, J. H., Yeom, M. J., Ahn, S., Oh, J. Y., Ji, S., Kim, T. H., & Park, H. J. (2020). Acupuncture inhibits neuroinflammation and gut microbial dysbiosis in a mouse model of Parkinson’s disease. Brain Behav Immun, 89, 641-655. https://doi.org/10.1016/j.bbi.2020.08.015

Landgraaf, R. G., Bloem, M. N., Fumagalli, M., Benninga, M. A., de Lorijn, F., & Nieuwdorp, M. (2023). Acupuncture as multi-targeted therapy for the multifactorial disease obesity: a complex neuro-endocrine-immune interplay. Front Endocrinol (Lausanne), 14, 1236370. https://doi.org/10.3389/fendo.2023.1236370

Ratna, H. V. K., Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Is Dysbiotic Gut the Cause of Low Back Pain? Cureus, 15(7), e42496. https://doi.org/10.7759/cureus.42496

Scheithauer, T. P. M., Rampanelli, E., Nieuwdorp, M., Vallance, B. A., Verchere, C. B., van Raalte, D. H., & Herrema, H. (2020). Gut Microbiota as a Trigger for Metabolic Inflammation in Obesity and Type 2 Diabetes. Front Immunol, 11, 571731. https://doi.org/10.3389/fimmu.2020.571731

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Chiropractic Techniques & Terminology for Spinal Alignment

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Portrait of male doctor physiotherapist in her workplace at hospital

“For individuals suffering from back pain, can knowing basic chiropractic terminology help in understanding diagnosis and treatment plan development?”

Chiropractic Techniques & Terminology for Spinal Alignment

Chiropractic Terminology

The chiropractic principle is that a properly aligned spine positively affects an individual’s overall health. One of the main aspects of chiropractic care is applying calculated force to the spinal joints to restore correct spinal alignment. Chiropractic terminology describes specific types of techniques and care.

General Subluxation

A subluxation can mean different things for various doctors. In general, a subluxation is a significant structural displacement or an incomplete or partial dislocation of a joint or organ.

  • To medical doctors, a subluxation refers to a partial dislocation of ​a vertebrae.
  • This is a serious condition, usually brought on by trauma, that can result in a spinal cord injury, paralysis, and/or death.
  • X-rays show a conventional subluxation as an obvious disconnect between the vertebrae.

Chiropractic Subluxation

  • The chiropractic interpretation is more subtle and refers to the misalignment of adjacent spinal vertebrae.
  • Subluxations are the main pathology treated by chiropractors. (Charles N.R. Henderson 2012)
  • Subluxation in this context refers to position changes in the joints and soft tissues of the spine.
  • Vertebral misalignment is believed to lead to pain and abnormal intervertebral joint motion.
  • This difference between the serious subluxation medical condition and the chiropractic version may cause individuals to dismiss seeking back pain treatments.

Motion Segment

  • Chiropractors and surgeons use it as a technical term.
  • Motion segment refers to two adjacent vertebrae and the intervertebral disc between them.
  • This is the area chiropractors assess and adjust.

Adjustment

  • The chiropractor performs a spinal manual adjustment to realign joint subluxations.
  • Adjustments involve applying force to motion segments to bring them back into a centered alignment.
  • The goal for adjustments and realigning the vertebrae includes:
  • Nerves can transmit signals without interruption.
  • Positively affects overall health. (Marc-André Blanchette et al., 2016)

Manipulation

Spinal manipulation is a technique used by chiropractors to provide relief for musculoskeletal pain related to the back and neck. Manipulation provides mild to moderate relief and works as well as some conventional treatments like pain-relieving medications. (Sidney M. Rubinstein et al., 2012)

  • Spinal manipulation is divided into grades of mobilization.
  • Depending on their training, practitioners of various medical disciplines may be licensed to perform grade 1 to grade 4 mobilizations.
  • Only physical therapists, osteopathic physicians, and chiropractors are licensed to perform grade 5 mobilizations, which are high-velocity thrust techniques.​
  • Most massage therapists, athletic trainers, and personal trainers are not licensed to perform spinal manipulations.

Based on a systematic review, the effectiveness of these treatments found that there is quality evidence that manipulation and mobilization can help reduce pain and improve function for individuals with chronic low back pain, with manipulation appearing to produce a more profound effect than mobilization. Both therapies are safe, with multimodal treatments potentially being an effective option. (Ian D. Coulter et al., 2018)

As with any treatment, results vary from person to person and with different chiropractors. There are also potential risks with spinal manipulation. Though rare, cervical, carotid, and vertebral artery dissections have occurred with cervical/neck manipulation. (Kelly A. Kennell et al., 2017) Individuals with osteoporosis may be advised to avoid chiropractic adjustments or manipulation because of the increased risk of injury. (James M. Whedon et al., 2015)

Many individuals choose chiropractic treatment for a variety of conditions. Understanding chiropractic terminology and reasoning allows individuals to ask questions as they discuss their symptoms to develop a personalized treatment plan and restore function and wellness.

What Causes Disc Herniation?

References

Henderson C. N. (2012). The basis for spinal manipulation: chiropractic perspective of indications and theory. Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 22(5), 632–642. https://doi.org/10.1016/j.jelekin.2012.03.008

Blanchette, M. A., Stochkendahl, M. J., Borges Da Silva, R., Boruff, J., Harrison, P., & Bussières, A. (2016). Effectiveness and Economic Evaluation of Chiropractic Care for the Treatment of Low Back Pain: A Systematic Review of Pragmatic Studies. PloS one, 11(8), e0160037. https://doi.org/10.1371/journal.pone.0160037

Rubinstein, S. M., Terwee, C. B., Assendelft, W. J., de Boer, M. R., & van Tulder, M. W. (2012). Spinal manipulative therapy for acute low-back pain. The Cochrane database of systematic reviews, 2012(9), CD008880. https://doi.org/10.1002/14651858.CD008880.pub2

Coulter, I. D., Crawford, C., Hurwitz, E. L., Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, P. M. (2018). Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. The spine journal : official journal of the North American Spine Society, 18(5), 866–879. https://doi.org/10.1016/j.spinee.2018.01.013

Kennell, K. A., Daghfal, M. M., Patel, S. G., DeSanto, J. R., Waterman, G. S., & Bertino, R. E. (2017). Cervical artery dissection related to chiropractic manipulation: One institution’s experience. The Journal of family practice, 66(9), 556–562.

Whedon, J. M., Mackenzie, T. A., Phillips, R. B., & Lurie, J. D. (2015). Risk of traumatic injury associated with chiropractic spinal manipulation in Medicare Part B beneficiaries aged 66 to 99 years. Spine, 40(4), 264–270. https://doi.org/10.1097/BRS.0000000000000725

Get the Most from Different Types of Salts for Cooking and Health

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Assorted speciality salt, himalayan pink salt, italian black truffle salt, india black kala namak salt, hawaiian black lava sea salt, hickory smoked sea salt

“For individuals looking to improve their diet, can knowing the different salt types help in food preparation and health?”

Get the Most from Different Types of Salts for Cooking and Health

Salt Types

Salt brings out the natural flavor of foods and can be used as a preservative. Salt types come in various colors and textures for cooking, flavor, and health. Some are considered healthier compared to regular table salt, like pink Himalayan salt and different sea salts. Some individuals prefer them because most go through less processing and can have more trace minerals like magnesium and potassium. However, all salts are healthy in moderation, as sodium is a necessary part of a balanced diet. Although essential for the body, sodium can be harmful when too much is consumed. A study examining consumer-grade pink Himalayan sea salts available in Australia determined that to receive the additional health benefits of the minerals from this type of salt, individuals must consume so much that it elevates the amount of sodium in the body to dangerous levels. (Flavia Fayet-Moore et al., 2020)

Salt

Salt is a mineral made from the combined elements:

  • Sodium – Na
  • Chlorine  -Cl
  • Together, they form crystallized sodium chloride NaCl.

The majority of salt production comes from evaporated seawater and salt mines. Many salts used in food preparation are iodized. Iodine is added to various refined salt products to help meet nutritional requirements. Iodine intake levels that fall below the recommended values could result in a deficiency and develop goiter. Goiter is associated with hypothyroidism. (Angela M. Leung et al., 2021) Lack of iodine can also have adverse effects on growth and development. (National Institutes of Health Office of Dietary Supplements. 2023)

Essential for Health

Salt sustains life and optimal bodily function. Sodium and chlorine are important elements that maintain:

  • Cellular balance
  • Circulation
  • Blood sugar levels

Sodium is a mineral and an electrolyte. Common electrolytes include potassium, calcium, and bicarbonate. Without adequate sodium levels, the brain cannot send the necessary impulses to the rest of the body to function properly. However, consuming too much salt can cause health issues.

  • Higher salt intake in individuals who are sensitive to salt can increase blood pressure.
  • Doctors usually recommend that individuals with hypertension reduce sodium intake or follow a low-sodium diet.
  • Elevated sodium levels also cause water retention – considered a protective response as the body works to regulate serum sodium levels concentration in the blood to maintain balance.
  • If levels are too high, a condition known as hypernatremia can develop, which can cause:
  • Excessive thirst
  • Vomiting
  • Infrequent urination
  • Diarrhea
  • Sodium levels that are too low can lead to hyponatremia, which can cause:
  • Fatigue
  • Weakness
  • Confusion

A blood test will determine whether serum sodium concentration is high, low, or normal. (U.S. National Library of Medicine. MedlinePlus. 2022)

Types

The average sodium intake by adults is around 3,393mg per day, ranging between 2,000–5,000mg. Guidelines recommend a maximum intake of 2,300mg per day. (U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2020) Whether from unhealthy dietary choices like processed foods or incorrect knowledge of sodium content when cooking, an American Heart Association survey showed that more than half of respondents inaccurately stated that sea salt had a lower sodium content than table salt. (American Heart Association. 2024)

Refined – Table Salt

Refined/iodized salt is finely granulated and commonly used in cooking. This type is highly refined to remove impurities and eliminate trace minerals often found in specialty salts. Because the salt is finely ground, anti-caking agents are added to ensure the salt doesn’t clump. Some table salts also have added sugar and other additives.

  • Refined table salt is about 97–99% sodium chloride (NaCl).
  • Iodine is added to prevent iodine deficiency.
  • Individuals trying to reduce sodium intake but meet iodine levels can do so with foods like eggs, dairy products, and fish.

Kosher

Kosher salt is coarse and flakey and can add a crunchy texture to dishes and drinks. Pure kosher salt does not contain additives like anti-caking agents and iodine. The size of the salt crystals is ideal for drawing out moisture.

  • Per teaspoon, kosher salt generally has less sodium than 1 teaspoon of table salt.
  • Because it has a coarser grain, less salt fits in the measuring spoon.

Sea Salt

Sea salt is produced from evaporated seawater and comes as fine grains or large crystals. Examples include:

  • Black Sea
  • Celtic
  • French – fleur de sel
  • Hawaiian sea salt

Sea salt can have trace amounts of minerals like iron, potassium, and zinc, which can produce different flavors in cooking but no additional health benefits with normal consumption. Some sea salts may also contain trace amounts of microplastics. However, research indicates these amounts are too low to warrant public health concerns. (Ali Karami et al., 2017)

Himalayan Pink Salt

Himalayan pink salt is mined in the red salt range in Pakistan, the second-largest salt mine in the world, and in the Andes mountains of Peru. Trace amounts of iron oxide make the salt pink. It is typically used at the end of cooking to add flavor and a crunch. Himalayan salt is popular for its health benefits and mineral properties. However, using Himalayan salt over other types has no known health advantages. Researchers concluded that the potential health benefits provided by the higher nutrient content would be counteracted by the large amount of sodium that would need to be consumed. (Flavia Fayet-Moore et al., 2020)

Substitutes

Salt substitutes contain some or all sodium and potassium, magnesium, or other minerals. Substitutes can be half sodium chloride and half potassium chloride. Monosodium glutamate/MSG can also be used as an alternative. A study found that substituting salt with MSG is safe and comparable to salt flavor. (Jeremia Halim et al., 2020) Individuals often use substitutes on a sodium-restricted diet but should check with their doctor before using these products, especially if they have kidney conditions.

Body In Balance – Chiropractic+Fitness+Nutrition

References

Fayet-Moore, F., Wibisono, C., Carr, P., Duve, E., Petocz, P., Lancaster, G., McMillan, J., Marshall, S., & Blumfield, M. (2020). An Analysis of the Mineral Composition of Pink Salt Available in Australia. Foods (Basel, Switzerland), 9(10), 1490. https://doi.org/10.3390/foods9101490

Leung, A. M., Braverman, L. E., & Pearce, E. N. (2012). History of U.S. iodine fortification and supplementation. Nutrients, 4(11), 1740–1746. https://doi.org/10.3390/nu4111740

National Institutes of Health Office of Dietary Supplements. (2023). Iodine: Fact Sheet for Professionals. Retrieved from https://ods.od.nih.gov/factsheets/Iodine-HealthProfessional/

U.S. National Library of Medicine. MedlinePlus. (2022). Sodium blood test. Retrieved from https://medlineplus.gov/lab-tests/sodium-blood-test/

U.S. Department of Agriculture. FoodData Central. (2020). Salt. Retrieved from https://fdc.nal.usda.gov/fdc-app.html#/food-details/1112305/nutrients

U.S. Department of Health and Human Services and U.S. Department of Agriculture. (2020). 2020–2025 Dietary Guidelines for Americans. Retrieved from https://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf

American Heart Association. (2024). Sea Salt vs. Table Salt (Healthy Living, Issue. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/sea-salt-vs-table-salt

Karami, A., Golieskardi, A., Keong Choo, C., Larat, V., Galloway, T. S., & Salamatinia, B. (2017). The presence of microplastics in commercial salts from different countries. Scientific reports, 7, 46173. https://doi.org/10.1038/srep46173

Halim, J., Bouzari, A., Felder, D., & Guinard, J. X. (2020). The Salt Flip: Sensory mitigation of salt (and sodium) reduction with monosodium glutamate (MSG) in “Better-for-You” foods. Journal of food science, 85(9), 2902–2914. https://doi.org/10.1111/1750-3841.15354

Tackling Jaw Pain Using Acupuncture

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Can individuals with jaw pain find relief in acupuncture therapy to reduce pain and improve jaw mobility in the upper body portions?

Introduction

The head is part of the upper musculoskeletal body quadrant supported by the neck area, which consists of the skull, various muscles, and vital organs that provide stability, mobility, and functionality. Around the head, the different facial features include the mouth, nose, eyes, and jaw to allow the host to eat, speak, smell, and see. While the head provides sensory and motor function, the neck includes motor stability to ensure no injuries or trauma affect the head. Located below the eyes is the jaw, which allows motor function with various muscles and joints to hyperextend without pain or discomfort. However, multiple factors can affect the jaw muscles and joints to invoke pain and discomfort, which can cause radiating referred pain down to the neck muscles. Today’s article looks at how jaw pain can affect the upper body, how non-surgical treatments can help with jaw pain, and how treatments like acupuncture can help restore jaw mobility. We talk with certified medical providers who consolidate our patients’ information to provide treatments to reduce jaw pain affecting their jaw and neck area. We also inform and guide patients on how acupuncture and non-surgical treatments can benefit many individuals with pain correlating with the jaw. We encourage our patients to ask their associated medical providers intricate and important questions about how their pain affects their quality of life and reduces jaw pain. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

 

Jaw Pain Affecting The Upper Body

Do you feel muscle soreness in your jaw and neck muscles throughout the day? Have you constantly rubbed or massaged your jaw muscles to reduce tension? Or have you been dealing with headaches or neck pain continually that affects your daily routine? Many individuals experiencing these pain-like symptoms are dealing with jaw pain or TMJ (temporomandibular joint syndrome). The jaw consists of mastication muscles on each side that help provide various functions like chewing, swallowing, or talking. When multiple traumatic or ordinary factors start to affect the jaw, it can disrupt the sensory-motor function of the upper body. For individuals, jaw pain is common worldwide, and with TMJ, it can become an issue as the pain seems to affect the jaw’s motor control while being accompanied by restricted mouth opening and impaired max bite force. (Al Sayegh et al., 2019) Additionally, TMJ affects not only the mastication muscles but also the temporomandibular joint, the joint that connects the jaw to the skull, which becomes inflamed and causes more issues.

 

 

So, how would TMJ affect the upper body? Well, when TMJ affects the mastication muscles and the temporomandibular joint, many individuals will experience various symptoms like:

  • Difficulty moving mouth when chewing
  • Popping/cracking sensation when opening or closing the jaw
  • Headaches/Migraines
  • Ear pain
  • Tooth pain
  • Neck and shoulder pain

This causes myofascial and intraarticular disorders that affect the muscles and joints of the jaw, which are linked to the skull. (Maini & Dua, 2024) To that point, many individuals will be experiencing referred pain, thinking they are dealing with a toothache when it is due to trigger points in the mastication muscles. This is when TMJ is accompanied by muscle-joint pain in the neck or upper back or if teeth issues accompany TMJ, but it depends on the individual and situation they are under. However, numerous treatments can reduce jaw pain and its associated symptoms that affect the jaw and the neck.

 

The Non-Surgical Approach To Wellness- Video

The Non-Surgical Approach to Wellness with Chiropractic Care | El Paso, Tx (2024)

Non-Surgical Treatments For Jaw Pain

When reducing jaw pain, many individuals seek treatment to minimize the pain-like effects and regain mobility back to their jaws. It can be challenging and complex when people are dealing with jaw pain. It is a multifactorial issue that can affect the neck and back areas. So, when people speak with their primary doctors about their jaw pain, they will get an evaluation of where their pain is located and if they have any complaints correlating with the jaw pain. Afterward, many doctors will refer to musculoskeletal specialists to relieve the jaws’ pain. Treatments and techniques used by chiropractors, massage therapists, and physiotherapists can help ease the inflamed and tense mastication muscles. Techniques like soft tissue mobilization can help relax the masticatory muscles by lengthening them to the extent of releasing the trigger points in the muscles. (Kuc et al., 2020) At the same time, physiotherapy can help the jaw muscle through various relaxing techniques to increase the range of motion while strengthening the jaw to reduce pain and stress. (Byra et al., 2020) Many of these treatments are non-surgical, which means they are non-invasive and effective for the person’s pain while affordable. 

 

Acupuncture To Restore Jaw Mobility

 

When it comes to non-surgical treatments, one of the oldest forms is acupuncture, which can help reduce the pain-like effects of jaw pain and restore mobility. Acupuncture originates from China, and highly trained medical professionals use thin, solid needles to be placed in acupoints on the body to disrupt the pain signal and provide relief. For jaw pain, acupuncturists will put needles on the acupoints of the jaw or the surrounding muscles to reduce mechanical hypersensitivity of the nerve cells that are causing pain while improving the sensory-motor function with a positive response. (Teja & Nareswari, 2021) Additionally, when dealing with ear pain associated with TMJ affecting the neck muscles, acupuncture can help enhance the neck’s range of motion by placing the needles on the trigger points of the cervical muscles. (Sajadi et al., 2019) When acupuncture treatment helps many individuals with jaw pain affecting their necks and heads, they can provide beneficial, positive results through consecutive treatment and improve jaw mobility function. 

 

References

Al Sayegh, S., Borgwardt, A., Svensson, K. G., Kumar, A., Grigoriadis, A., & Christidis, N. (2019). Effects of Chronic and Experimental Acute Masseter Pain on Precision Biting Behavior in Humans. Front Physiol, 10, 1369. https://doi.org/10.3389/fphys.2019.01369

Byra, J., Kulesa-Mrowiecka, M., & Pihut, M. (2020). Physiotherapy in hypomobility of temporomandibular joints. Folia Med Cracov, 60(2), 123-134. https://www.ncbi.nlm.nih.gov/pubmed/33252600

Kuc, J., Szarejko, K. D., & Golebiewska, M. (2020). Evaluation of Soft Tissue Mobilization in Patients with Temporomandibular Disorder-Myofascial Pain with Referral. Int J Environ Res Public Health, 17(24). https://doi.org/10.3390/ijerph17249576

Maini, K., & Dua, A. (2024). Temporomandibular Syndrome. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/31869076

Sajadi, S., Forogh, B., & ZoghAli, M. (2019). Cervical Trigger Point Acupuncture for Treatment of Somatic Tinnitus. J Acupunct Meridian Stud, 12(6), 197-200. https://doi.org/10.1016/j.jams.2019.07.004

Teja, Y., & Nareswari, I. (2021). Acupuncture Therapies for Addressing Post Odontectomy Neuropathy. Med Acupunct, 33(5), 358-363. https://doi.org/10.1089/acu.2020.1472

Disclaimer

Understanding Quadriceps Tightness for Pain Relief

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Professional chiropractor or physiotherapist helps to heal a young woman's back. Doctor fixes the patient lying on a couch of a modern rehabilitation clinic Concept of physical rehabilitation. High quality photo

“For individuals with lower back pain, it could be quadricep muscle tightness causing the symptoms and posture problems. Can knowing the signs of quadricep tightness help prevent pain and avoid injury?”

Understanding Quadriceps Tightness for Pain Relief

Quadriceps Tightness

Quadriceps muscles are in the front of the thigh. Forces that could be creating chronic pain and posture problems could be happening at the same time are:

  • Quadricep tightness causes lower back pain as the pelvis gets pulled down.
  • Tight quadriceps lead to weakened hamstring muscles.
  • These are the opposing muscles behind the thigh.
  • Stress and pressure on the hamstrings can cause back pain and problems.
  • Pelvic alignment becomes affected, causing posture problems and increased pain symptoms. (Sai Kripa, Harmanpreet Kaur, 2021)

Quadriceps Tightness Pulls the Pelvis Down

One of the four muscles in the quadriceps group:

  • The rectus femoris attaches to the pelvis at the anterior superior iliac spine, which is the front part of the hip bone.
  • The rectus femoris is the only muscle in the group that crosses over the hip joint, which also affects movement.
  • When the quadriceps, especially the rectus femoris, become tight, they pull down on the hips.
  • The pelvis tilts downward or forward, technically referred to as the anterior tilt of the pelvis. (Anita Król et al., 2017)
  • The spine is between the pelvis, and if the pelvis tilts forward, the lumbar spine compensates by arching.
  • A larger arch in the lower back is referred to as excessive lordosis and often causes tightness and pain in the back muscles. (Sean G. Sadler et al., 2017)

Hamstring Compensation

  • When the quadriceps tighten and the pelvis gets pulled down, the back has an abnormal lift. This puts the hamstring on a consistent stretch that can cause pain symptoms.
  • Healthy posture and hamstring muscle tone help maintain correct pelvic positioning in the back.
  • This is correct because it helps maintain a comfortable position.
  • Quadricep tightness can set off a reaction as the pelvis tilts down in front and up in the back while overly stretching the hamstrings.
  • Pain and soreness are the usual result
  • Lack of hamstring strength and quadriceps stretching can cause the hamstrings to lose their ability to support correct pelvic and spinal positions. (American Council on Exercise. 2015)

Knowing When Quads Are Tightening

  • Individuals often don’t realize their quadriceps are tight, especially those who spend most of the day sitting.
  • The more time spent in a chair can cause the quadriceps and lower back muscles to tighten steadily.

Individuals can try a few tests at home:

Standing Up

  • Push the hips forward.
  • Push from the sitting bones so you’re at the correct level.
  • How far forward do the hips go?
  • What is felt?
  • Pain could indicate tight quadriceps.

In A Lunge Position

  • With one leg forward and bent in front of the other.
  • The back leg is straight.
  • How far forward does the leg go?
  • What is felt?
  • How does the front of the hip on the back leg feel?

Standing Bent Leg

  • Stand with the front leg bent and the back leg straight.
  • Discomfort in the back leg could mean tight quadriceps.

In A Kneeling Position

  • Arch the back
  • Grab the ankles
  • Modify the position to adjust for any pain or joint issues.
  • If you have to prop yourself up or modify the pose to reduce pain, it could be tight quadriceps.
  1. Helping to understand the condition can help in communication with a healthcare provider.
  2. A healthcare provider and/or physical therapist can conduct a posture evaluation examination to test the quadriceps.

Understanding Academic Low Back Pain: Impact and Chiropractic Solutions

References

Kripa, S., Kaur, H. (2021). Identifying relations between posture and pain in lower back pain patients: a narrative review. Bulletin of Faculty of Physical Therapy, 26(34). https://doi.org/doi: 10.1186/s43161-021-00052-w

Król, A., Polak, M., Szczygieł, E., Wójcik, P., & Gleb, K. (2017). Relationship between mechanical factors and pelvic tilt in adults with and without low back pain. Journal of back and musculoskeletal rehabilitation, 30(4), 699–705. https://doi.org/10.3233/BMR-140177

Sadler, S. G., Spink, M. J., Ho, A., De Jonge, X. J., & Chuter, V. H. (2017). Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: a systematic review of prospective cohort studies. BMC musculoskeletal disorders, 18(1), 179. https://doi.org/10.1186/s12891-017-1534-0

American Council on Exercise. (2015). 3 Stretches for Opening Up Tight Hips (Fitness, Issue. https://www.acefitness.org/resources/everyone/blog/5681/3-stretches-for-opening-up-tight-hips/

How Acupuncture Makes Headaches A Thing of the Past

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-

Can individuals dealing with headaches find the relief they are looking for from acupuncture to reduce pain-like symptoms?

Introduction

As part of the musculoskeletal system, the neck is part of the upper body portions and allows the head to be mobile through full rotations without pain and discomfort. The surrounding muscles, ligaments, and tendons help protect the cervical spinal region and have a fantastic relationship with the shoulders. However, the neck area can succumb to injuries, leading to pain-like symptoms that can cause pain and discomfort in the upper regions. One of the pain-like symptoms that correlates with neck pain is headaches. Headaches can vary in acute to chronic stages as they affect many individuals and the various factors that correlate with them. When headaches start to form, many individuals will look at multiple treatments to reduce the pain-like symptoms that correlate with headaches and have the relief they deserve. Today’s article looks at the various factors that correlate with headaches, how headaches cause overlapping risk profiles with neck pain, and how treatments like acupuncture can reduce headaches. We talk with certified medical providers who consolidate our patients’ information to provide treatments like acupuncture to minimize headaches. We also inform and guide patients on how acupuncture can benefit many individuals dealing with neck pain associated with headaches. We encourage our patients to ask their associated medical providers intricated and important questions about their pain-like symptoms that correlate with headaches and neck pain. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

 

The Various Factors Correlating Headaches

 

Have you been experiencing tension around the back of your neck after a long day? Do you feel a dull ache after staring at the computer or phone screen? Or do you feel a pounding sensation that you must lie down for a few minutes? Many of these pain-like scenarios are associated with headaches that affect many individuals from time to time. Headaches are correlated with various biochemical and metabolic risk profiles or changes that cause central sensitization and neuronal dysfunction. (Walling, 2020) This causes many individuals to develop acute or chronic pain-like symptoms that affect their heads and various locations around the face and the neck area. Some of the multiple factors that can lead to the development of headaches include:

  • Stress
  • Allergies
  • Tension
  • Inability to sleep
  • Lack of water and food
  • Traumatic injuries
  • Bright strobing lights

Additionally, other factors like obesity can become a strong risk factor for secondary headaches like migraines to have symptoms of intracranial hypertension impact the body. (Fortini & Felsenfeld Junior, 2022) This could lead to the development of neck pain caused by headaches.

 

Headaches & Neck Pain

When it comes to headaches associated with neck pain, many individuals will experience tension and pain in the surrounding muscles and the ongoing symptoms. Neck pain can cause overlapping risk profiles to muscles, ligaments, facet joints, and visceral structures of the neck that can trigger the development of a headache or become a symptom that co-exists with a neck disorder. (Vicente et al., 2023) Additionally, neck pain and headaches are strongly associated as muscular pain plays a role in headache development as they provide negative consequences within their social lives. Headaches can hinder a person’s ability to concentrate, while neck pain causes limited mobility and stiffness. (Rodriguez-Almagro et al., 2020) 

 

Tension Headaches Overview- Video

Tension Headaches? | El Paso, Tx (2024)

Acupuncture Reducing Headaches

When individuals are dealing with headaches, many will incorporate home remedies to reduce the tension they are experiencing from the various factors. This can provide temporary relief to mitigate the effects of the pain-like symptoms associated with headaches. However, when the pain from headaches becomes unbearable with neck pain in the mix, that is where non-surgical treatments could be the answer. Non-surgical treatments are effective on pain caused by headaches and customized to the person’s pain. For example, acupuncture could help with headaches and neck pain. Acupuncture is one of the oldest forms of non-surgical treatments; highly trained professionals use solid thin needles to be placed in various acupoints in the body to restore energy flow and reducing pain associated with headaches. (Turkistani et al., 2021)

 

 

Acupuncture can even help reduce the frequency and duration of headaches while disrupting the pain signals and help provide insight into the positive effects of pain reduction. (Li et al., 2020) When people start incorporating acupuncture as part of their health and wellness treatment plan, they will feel their headaches reduced and their neck mobility back to normal. Through consecutive treatment, they will feel much better and become more aware of the various factors pertaining to headache production while making small changes to reduce their chances of returning. 

 

References

Fortini, I., & Felsenfeld Junior, B. D. (2022). Headaches and obesity. Arq Neuropsiquiatr, 80(5 Suppl 1), 204-213. https://doi.org/10.1590/0004-282X-ANP-2022-S106

Li, Y. X., Xiao, X. L., Zhong, D. L., Luo, L. J., Yang, H., Zhou, J., He, M. X., Shi, L. H., Li, J., Zheng, H., & Jin, R. J. (2020). Effectiveness and Safety of Acupuncture for Migraine: An Overview of Systematic Reviews. Pain Res Manag, 2020, 3825617. https://doi.org/10.1155/2020/3825617

Rodriguez-Almagro, D., Achalandabaso-Ochoa, A., Molina-Ortega, F. J., Obrero-Gaitan, E., Ibanez-Vera, A. J., & Lomas-Vega, R. (2020). Neck Pain- and Unsteadiness-Inducing Activities and their Relationship to the Presence, Intensity, Frequency, and Disability of Headaches. Brain Sci, 10(7). https://doi.org/10.3390/brainsci10070425

Turkistani, A., Shah, A., Jose, A. M., Melo, J. P., Luenam, K., Ananias, P., Yaqub, S., & Mohammed, L. (2021). Effectiveness of Manual Therapy and Acupuncture in Tension-Type Headache: A Systematic Review. Cureus, 13(8), e17601. https://doi.org/10.7759/cureus.17601

Vicente, B. N., Oliveira, R., Martins, I. P., & Gil-Gouveia, R. (2023). Cranial Autonomic Symptoms and Neck Pain in Differential Diagnosis of Migraine. Diagnostics (Basel), 13(4). https://doi.org/10.3390/diagnostics13040590

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https://www.aafp.org/pubs/afp/issues/2020/0401/p419.pdf

Disclaimer

Improve Athletic Performance with Acupuncture: The Natural Way

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
A doctor putting acupuncture needles in the back of a woman on the laying table

“For fitness and sports enthusiasts, weekend warriors, and athletes looking to improve physical performance, can incorporating acupuncture for sports performance be effective?”

Improve Athletic Performance with Acupuncture: The Natural Way

Acupuncture For Sports Performance

Acupuncture for sports performance follows the same needle insertion for specific points to treat pain symptoms, alleviate inflammation and fatigue, and enhance blood circulation to improve physical and athletic performance. Acupuncture is based on traditional Chinese medicine principles that focus on restoring the balance of the nervous system and body to activate natural healing and increase energy circulation. (Johns Hopkins Medicine. 2024).

  • Acupuncture has become a popular alternative treatment for sports injuries as it has shown positive outcomes and recovery from injuries. (George G. A. Pujalte et al., 2023)
  • The body’s blood and energy pathways, known as meridians, become blocked by inflammation because of illness, injury, or overuse, resulting in pain, stress, and various symptoms. The acupuncture needles stimulate the pathways to clear the blockages, allowing optimal circulation of energy and blood to reduce inflammation and restore balance. (Jiajie Zhu et al., 2021)
  • Sports acupuncture works by maintaining optimal circulation of blood and energy through meridians through the arteries, tendons, muscles, and organs for enhanced productivity and ability. (Liang Kang et al., 2021)
  • Electroacupuncture involves connecting electrical stimulation from a tens machine to specific points over an area to enhance the needle treatment. (Keitaro Kubo et al., 2020)

Acupuncture Can Help

Ways that acupuncture can help include:

Increase Range of Motion

  • Acupuncture can help loosen tight muscles, tendons, and ligaments overused during training or games.(Chi-Tsai Tang, 2023)
  • This allows athletes to perform at peak levels without risking worsening or causing further injury.

Increase Flexibility

  • Acupuncture helps increase elasticity in joints by releasing adhesions within connective tissue for increased mobility.

Improve Reflexes

  • Targeting key points stimulates nerve activity, which can improve quicker reflexes and improve coordination.(Chi-Tsai Tang, Bo Song. 2022)

Increase Circulation

  • Acupuncture increases blood circulation to areas lacking oxygen.
  • This expedites muscle recovery after intense physical exertion.(Keitaro Kubo et al., 2020)

Improve Mental Focus

  • Acupuncture releases endorphins, which reduce pain and also provide an overall sense of calmness and relaxation.
  • This enables athletes to stay focused and motivated throughout training and games. (Chi-Tsai Tang, 2023)

Reduce Fatigue

  • Regular acupuncture for sports performance can help maintain energy levels to help prevent burnout and maintain optimal performance during practice and games. (George G. A. Pujalte et al., 2023)

Relieve Muscle Tension

  • Acupuncture treatment can help relax tense muscles caused by repetitive use as well as from stress tension that could be caused by anxiety before a game or tournament.
  • This helps athletes remain flexible and explosive. (Chi-Tsai Tang, Bo Song. 2022)

For individuals who want to improve their physical performance, sports acupuncture can provide a natural, non-invasive alternative that can help improve athletic performance mentally and physically.

Lumbar Spine Injuries in Sports: Chiropractic Healing

References

Johns Hopkins Medicine. (2024). Acupuncture (Health, Issue. https://www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture

Zhu, J., Li, J., Yang, L., & Liu, S. (2021). Acupuncture, from the ancient to the current. Anatomical record (Hoboken, N.J. : 2007), 304(11), 2365–2371. https://doi.org/10.1002/ar.24625

Kang, L., Liu, P., Peng, A., Sun, B., He, Y., Huang, Z., Wang, M., Hu, Y., & He, B. (2021). Application of traditional Chinese therapy in sports medicine. Sports medicine and health science, 3(1), 11–20. https://doi.org/10.1016/j.smhs.2021.02.006

Tang, C. T., & Song, B. (2022). Acupuncture and Dry Needling for Sports Performance and Recovery. Current sports medicine reports, 21(6), 213–218. https://doi.org/10.1249/JSR.0000000000000968

Kubo, K., Iizuka, Y., Yajima, H., Takayama, M., & Takakura, N. (2020). Changes in Blood Circulation of the Tendons and Heart Rate Variability During and After Acupuncture. Medical acupuncture, 32(2), 99–107. https://doi.org/10.1089/acu.2019.1397

Tang C. T. (2023). Practicing Outside the Lines: Using Acupuncture in the Athletic Training Room and on the Field. Medical acupuncture, 35(5), 266–269. https://doi.org/10.1089/acu.2023.0043

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