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Garlic Tea Health Benefits

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Detail of table with items for immunity

“Garlic tea is an herbal tonic made from garlic, lemon, and honey. What medicinal uses and benefits can garlic provide that is supported by scientific research?”

Garlic Tea Health Benefits

Garlic Tea

Garlic tea:

  • Garlic – Allium sativum – is a perennial plant from Central Asia.
  • The plant produces a bulb that is used in cooking and in health remedies all over the world.
  • Garlic powder, oil, and supplements are available.
  • Supplements can be made from garlic oil or from fresh, dried, or aged garlic.
  • Each form may have a different effect on the body. (National Center for Complementary and Integrative Health. 2020)
  • The tea is commonly made with garlic, lemon, and honey, but can be made with a variety of different ingredients.
  • It is used for cold symptoms like congestion and cough.

Health Benefits

Some, but not all benefits are supported by scientific evidence. It is important to keep in mind that these studies are analyzing garlic, and not necessarily garlic tea. The dose of garlic in tea may not be the same as a more concentrated dose that is used in the studies. Also, cooking or boiling garlic can change its therapeutic effects.

Potential Benefits

However, some of these are not backed up by research: (Leyla Bayan, Peir Hossain Koulivand, Ali Gorji. 2014)

  • Improves immune health
  • Prevents and treats cancer
  • Helps with Weight loss
  • Helps fight infections
  • Helps reduce cholesterol
  • Helps to disinfect wounds
  • Helps treat vaginal yeast infections
  • Relief from mouth ulcers
  • Improves exercise performance
  • Treatment for atherosclerosis
  • Helps to ward off mosquitos

Research-Backed Benefits of Garlic

  • The scientific evidence about garlic’s benefits. Garlic is a healthy source of organosulfur compounds, including alliinase, which is released when it is crushed or chopped. (Leyla Bayan, Peir Hossain Koulivand, Ali Gorji. 2014)
  • Organosulfur compounds are believed to provide health benefits.
  • An overview of garlic studies found that there are promising health benefits, however, the researchers caution that larger studies are needed to confirm the results and verify the right dosage to get the results. (Johura Ansary, et al., 2020)

The current studies show the following possible benefits:

Honey and Lemon

Honey and lemon provide their own health benefits.

  • Lemon is a healthy source of vitamin C.
  • Research has found that lemons may help reduce blood pressure when combined with walking. (Yoji Kato, et al., 2014)
  • Honey can help soothe cold and flu symptoms, including cough and congestion.
  • It is also an antioxidant, anti-inflammatory, and antimicrobial. (Saeed Samarghandian, et al., 2017)

Side Effects

According to the NIH, garlic is safe for most individuals in moderate amounts. ((National Center for Complementary and Integrative Health. 2020)

  • Common side effects of garlic consumption include bad breath, upset stomach, and body odor.
  • Garlic can also cause bloating, gas, and heartburn for some.
  • There are allergies to garlic and individuals with an allergy can experience more severe symptoms.
  • The NIH also advises that taking garlic may increase your risk of bleeding.
  • Individuals taking a blood thinner like warfarin or about to undergo surgery should discuss taking supplements or drinking garlic tea with their healthcare provider.
  • Garlic has been found to interfere with the effectiveness of some drugs that are used to treat HIV infection.
  • Lemon can cause tooth erosion so it is recommended to rinse teeth after drinking.
  • Honey has sugar content so it is recommended to use it in small quantities.

Healthy Diet and Chiropractic

References

National Center for Complementary and Integrative Health. Garlic.

Bayan, L., Koulivand, P. H., & Gorji, A. (2014). Garlic: A review of potential therapeutic effects. Avicenna journal of phytomedicine, 4(1), 1–14.

Ansary, J., Forbes-Hernández, T. Y., Gil, E., Cianciosi, D., Zhang, J., Elexpuru-Zabaleta, M., Simal-Gandara, J., Giampieri, F., & Battino, M. (2020). Potential Health Benefit of Garlic Based on Human Intervention Studies: A Brief Overview. Antioxidants (Basel, Switzerland), 9(7), 619. https://doi.org/10.3390/antiox9070619

Zhang, S., Liu, M., Wang, Y., Zhang, Q., Liu, L., Meng, G., Yao, Z., Wu, H., Xia, Y., Bao, X., Gu, Y., Wang, H., Shi, H., Sun, S., Wang, X., Zhou, M., Jia, Q., Song, K., & Niu, K. (2020). Raw garlic consumption is inversely associated with prehypertension in a large-scale adult population. Journal of human hypertension, 34(1), 59–67. https://doi.org/10.1038/s41371-019-0257-0

Zhou, X., Qian, H., Zhang, D., & Zeng, L. (2020). Garlic intake and the risk of colorectal cancer: A meta-analysis. Medicine, 99(1), e18575. https://doi.org/10.1097/MD.0000000000018575

Avci, A., Atli, T., Ergüder, I. B., Varli, M., Devrim, E., Aras, S., & Durak, I. (2008). Effects of garlic consumption on plasma and erythrocyte antioxidant parameters in elderly subjects. Gerontology, 54(3), 173–176. https://doi.org/10.1159/000130426

Burian, J. P., Sacramento, L. V. S., & Carlos, I. Z. (2017). Fungal infection control by garlic extracts (Allium sativum L.) and modulation of peritoneal macrophage activity in a murine model of sporotrichosis. Brazilian journal of biology = Revista brasleira de biologia, 77(4), 848–855. https://doi.org/10.1590/1519-6984.03716

Kato, Y., Domoto, T., Hiramitsu, M., Katagiri, T., Sato, K., Miyake, Y., Aoi, S., Ishihara, K., Ikeda, H., Umei, N., Takigawa, A., & Harada, T. (2014). Effect on blood pressure of daily lemon ingestion and walking. Journal of nutrition and metabolism, 2014, 912684. https://doi.org/10.1155/2014/912684

Samarghandian, S., Farkhondeh, T., & Samini, F. (2017). Honey and Health: A Review of Recent Clinical Research. Pharmacognosy Research, 9(2), 121–127. https://doi.org/10.4103/0974-8490.204647

A Focus On Non-Surgical Therapeutic Options For Low Back Pain

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

Can non-surgical options be beneficial for many working individuals with low back pain than surgical therapeutic options?

Introduction

Many working individuals will experience pain in their lower backs due to their demanding workloads that are causing unwanted pressure load on the lumbar region of the spine. With the spine’s main job to support the body’s upper and lower quadrants, many individuals with demanding jobs are either constantly sitting down at their desks or carrying heavy objects to different locations. With low back pain being a normal problem for everyone at some point, many individuals find temporary solutions to relieve the pain, only to repeat the factors. To that point, this leads to chronic musculoskeletal disorders that can cause referred pain to the lower and upper extremities and can be pricey when going into treatment. However, there are numerous options for working individuals that are cost-effective and safe on their lower backs. Today’s article examines how low back pain affects the working individual and how non-surgical treatment options vary with surgical possibilities when dealing with low back pain. Coincidentally, we communicate with certified medical providers who incorporate our patients’ information to ease low back pain associated with musculoskeletal disorders. We also inform them that there are non-surgical options to reduce the effects of low back pain and restore their quality of life. We encourage our patients to ask amazing educational questions to our associated medical providers about their musculoskeletal symptoms correlating with low back pain. Dr. Alex Jimenez, D.C., incorporates this information as an academic service. Disclaimer

 

How Does Low Back Pain Affect The Working Individual?

Have you been dealing with constant radiating pain in your lower back, legs, or feet after a long workday? Do you feel pain when moving around, only to find relief when resting? Or do you and your loved ones feel muscle aches and strains when stretching in the morning? Many individuals, especially working individuals, deal with low back pain daily when dealing with these musculoskeletal issues. Low back pain is extremely common for working individuals as it can affect their job performance and be an economic burden when treated. Low back pain is a multifactorial problem that has an increased rate of affecting individuals and contributes to the growth of numerous health problems. Low back pain can cause many individuals to miss work due to the lack of clarity on the causes, treatments, and factors contributing to this musculoskeletal disorder. (Pai & Sundaram, 2004)

 

 

So, how would low back pain affect the working individual? Since many people have demanding jobs, it can cause the surrounding muscles, ligaments, and tissues in the lumbar region to be overworked, and the spinal discs degenerate over time. When there are unrelenting changes within the spine, it can be associated with affecting the lumbar structures of the spine to degenerate over time. This, in turn, causes the lumbar spine to go through biochemical changes that can generate pain-like symptoms in the lumbar region and cause structural changes to the spine, leading to lower back pain. (Benoist, 2003)

 

Additionally, there are many causes and factors that many working individuals will do that lead to low back pain. Normal factors like improper lifting, stepping wrong, or sitting down excessively can contribute to lower back pain. At the same time, traumatic factors like accidents, injuries, or playing sports can also lead to lower back pain. When musculoskeletal conditions like low back pain become an issue, it can become a major burden to health and social care systems for many individuals, with indirect costs that can be pricey when treated. (Woolf & Pfleger, 2003)

 

Chiropractic Care After Accidents & Injuries-Video

Chiropractic Care After Accidents and Injuries | El Paso, Tx (2023)

Now, with low back pain being a nuisance to many, individuals will seek out treatment to reduce the pain they are experiencing in their lower back and mitigate the residual symptoms they have been dealing with in the other body extremities. Sadly, low back pain, especially in its chronic state, can become a diagnosis of convenience for many people, affecting their socioeconomic, work, and psychosocial lifestyles. (Andersson, 1999) Many individuals will seek out numerous treatment opportunities to reduce low back pain. Surgical treatments for low back pain are great for individuals when regular home therapies don’t work but can be pricey. Many will opt for non-surgical therapies when it comes to finding cost-effective treatments for treating low back pain. Non-surgical treatments, including chiropractic care and spinal decompression, are excellent for treating low back pain. Pain specialists like chiropractors and massage therapists utilize various techniques (mechanical and manual) to realign the body and stretch out the affected muscles that are affected by low back pain. The video explains how these treatments can reduce low back pain associated with accidents and injuries.

Non-Surgical Options For Low Back Pain

 

As stated earlier, non-surgical treatments can help reduce low back pain and can be combined with other therapies to manage the pain. Non-surgical treatments can be personalized to the person’s pain and can provide pain relief to the body. When individuals undergo a non-surgical treatment, pain specialists incorporate mechanical and manual manipulation to restore joint and spinal motion to the lower back. (Park et al., 2023) Additionally, individuals with low back pain include an exercise regime to effectively increase the person’s range of motion while increasing the person’s chances to return to normal daily activities and work. (van Tulder et al., 2000)

 

Non-Surgical Options Vs. Surgical Options

There is a vast difference between non-surgical and surgical options for treating low back pain. Anyone can personalized non-surgical options to provide more effective improvement in reducing pain, restoring lumbar range of motion, and improving back muscle endurance within a few sessions. (Amjad et al., 2022) Now, when home remedies and non-surgical options do not reduce pain, surgical options are only effective for low back pain. This is due to the psychological component that causes individuals to have persistent back pain that is not causing the relief that the person needs. (Corp et al., 2021) But both options are excellent when reducing low back pain as many doctors tell their patients to be more mindful about how they are using the muscles in their bodies and make small changes to reduce the chances of the pain from returning. When many working individuals start to think more about their pain and how to minimize its chances of returning, they can continue to live life to the fullest pain-free.

 

References

Amjad, F., Mohseni-Bandpei, M. A., Gilani, S. A., Ahmad, A., & Hanif, A. (2022). Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; a randomized controlled trial. BMC Musculoskelet Disord, 23(1), 255. https://doi.org/10.1186/s12891-022-05196-x

 

Andersson, G. B. (1999). Epidemiological features of chronic low-back pain. Lancet, 354(9178), 581-585. https://doi.org/10.1016/S0140-6736(99)01312-4

 

Benoist, M. (2003). Natural history of the aging spine. Eur Spine J, 12 Suppl 2(Suppl 2), S86-89. https://doi.org/10.1007/s00586-003-0593-0

 

Corp, N., Mansell, G., Stynes, S., Wynne-Jones, G., Morso, L., Hill, J. C., & van der Windt, D. A. (2021). Evidence-based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines. Eur J Pain, 25(2), 275-295. https://doi.org/10.1002/ejp.1679

 

Pai, S., & Sundaram, L. J. (2004). Low back pain: an economic assessment in the United States. Orthop Clin North Am, 35(1), 1-5. https://doi.org/10.1016/S0030-5898(03)00101-9

 

Park, S. C., Kang, M. S., Yang, J. H., & Kim, T. H. (2023). Assessment and nonsurgical management of low back pain: a narrative review. Korean J Intern Med, 38(1), 16-26. https://doi.org/10.3904/kjim.2022.250

 

van Tulder, M., Malmivaara, A., Esmail, R., & Koes, B. (2000). Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine (Phila Pa 1976), 25(21), 2784-2796. https://doi.org/10.1097/00007632-200011010-00011

 

Woolf, A. D., & Pfleger, B. (2003). Burden of major musculoskeletal conditions. Bull World Health Organ, 81(9), 646-656. https://www.ncbi.nlm.nih.gov/pubmed/14710506

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

 

Disclaimer

Reducing Low Back Inflammation With Traction

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Can traction therapy help many individuals dealing with low back pain reduce inflammation and improve quality of life?

Introduction

When many individuals do everyday activities, if they are not careful, they can cause pain-like issues such as muscle strain, stiffness, and aches in different locations in the upper and lower portions of their bodies. When this happens, it can lead to the body’s natural defense, known as inflammation. Inflammation is the immune system’s natural defense to heal the affected area in the body naturally. However, depending on the severity of the issue causing the person to be in pain, inflammation can be beneficial or harmful. When many individuals start to make repetitive motions to their bodies, it can cause the muscle and tissue fibers to be overstretched and ache. To that point, these repetitive motions to the body could potentially lead to low back pain. Have you or your loved ones experienced inflammatory effects that lead to low back pain? When this happens, many individuals seek non-surgical treatments to reduce inflammation in the lower back, which can help restore their quality of life. Today’s article post looks at the correlation between inflammation and low back pain and how non-surgical treatments like traction therapy can reduce inflammation and restore a person’s quality of life. Coincidentally, we communicate with certified medical providers who incorporate our patients’ information to ease low back pain associated with inflammation that leads to the development of musculoskeletal disorders. We also inform them that non-surgical treatments like traction therapy can help reduce the chronic inflammatory effects in the body. We encourage our patients to ask amazing educational questions to our associated medical providers about their symptoms correlating with low back pain. Dr. Jimenez, D.C., incorporates this information as an academic service. Disclaimer

 

Inflammation Correlating With Low Back Pain

 

Do you often experience muscle aches in your lower back after a long, hard workday? Do you feel your skin is so hot to the touch that it is causing your muscles to ache constantly? Or did you injure your back due to improper lifting, so the pain is unbearable? Many individuals don’t often realize that the scenarios they are doing in their daily lives correspond to the development of low back pain. Low back pain is a multifactorial musculoskeletal disorder with many symptoms that are often correlated with inflammation. Inflammation is the body’s immune defense that starts to heal the affected area where the body has succumbed to injuries. Inflammation can be beneficial and harmful in its acute and chronic form while correlating with low back pain. When it comes to low back pain, its factors can lead to lumbar disc herniation, which then can be highly associated with inflammation. (Cunha et al., 2018) This is due to the surrounding nerve roots being entrapped, and the adverse symptoms of the lower back start to stimulate the nerve fibers to evoke inflammation, leading to pain-like issues in the lower extremities. When the lower extremities are associated with lower back pain, the lumbar components will start to degenerate over time, activating the inflammatory cytokine pathways that can directly damage the nerves and lower nociceptors, causing pain to the legs and lower back. (Li et al., 2021) When inflammation correlates with low back pain, it is a recurrent condition that many individuals seek treatment from their primary doctors. (Von Korff & Saunders, 1996) When this happens, many individuals incorporate these treatments to reduce inflammation and restore their quality of life.

 

Fighting Inflammation Naturally-Video

Fighting Inflammation Naturally *Chiropractic Care* | El Paso, Tx (2023)

When inflammation is correlated with low back pain, many individuals will seek affordable treatment that works with their hectic schedules. Non-surgical treatments can work around a person’s schedule and are cost-effective. Treatments like traction therapy, massage therapy, chiropractic care, physical therapy, and spinal decompression are all non-surgical treatments that utilize manual and mechanical manipulation to relieve people suffering from low back pain and reduce the effects of inflammation affecting the lower extremities. These non-surgical treatments can relieve many individuals after a few consecutive sessions and slowly reduce the inflammatory effects. The video above shows how non-surgical treatment can help restore the body while naturally reducing inflammatory outcomes in a personalized treatment plan.

How Traction Reduces Inflammation

When it comes to treating low back pain correlating with inflammation, traction therapy, a form of non-surgical treatment, can be beneficial in reducing these pain-like issues. The pain specialist first assesses individuals with inflammation correlating with low back pain as they note where the pain affects them in their bodies. Afterward, they will be strapped into a traction machine, gently pulling their spines to reduce pain involving the aggravated nerves and muscles. The intervertebral discs will also be increased during traction to improve the spinal disc height. (Andersson, Schultz, & Nachemson, 1983) This allows the affected nerve roots to stop pain signals from affecting the lower extremities and promote healing. Traction therapy can even decompress the nucleus pulposus, one of the effects of low back pain, by pulling it back to its original position. (Ramos & Martin, 1994) This, in turn, reduces the inflammatory effects and allows the body to heal itself naturally.

 

Traction Therapy Restoring Quality Of Life

When many individuals incorporate traction therapy, it can restore their quality of life. Traction therapy can help reduce the symptoms of inflammation and pain by minimizing the chances of needing surgery. (Wang et al., 2022) Traction therapy can also be combined with manual therapy to stretch and strengthen the surrounding weak muscles and help restore the joint’s mobility. (Kuligowski, Skrzek, & Cieslik, 2021) To that point, many individuals dealing with inflammation correlating with low back pain can notice their pain being diminished and be more mindful of what habits are the root causes of their pain and how to reduce them from causing the pain to return.

 

References

Andersson, G. B., Schultz, A. B., & Nachemson, A. L. (1983). Intervertebral disc pressures during traction. Scand J Rehabil Med Suppl, 9, 88-91. https://www.ncbi.nlm.nih.gov/pubmed/6585945

 

Cunha, C., Silva, A. J., Pereira, P., Vaz, R., Goncalves, R. M., & Barbosa, M. A. (2018). The inflammatory response in the regression of lumbar disc herniation. Arthritis Res Ther, 20(1), 251. https://doi.org/10.1186/s13075-018-1743-4

 

Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Manual Therapy in Cervical and Lumbar Radiculopathy: A Systematic Review of the Literature. Int J Environ Res Public Health, 18(11). https://doi.org/10.3390/ijerph18116176

 

Li, W., Gong, Y., Liu, J., Guo, Y., Tang, H., Qin, S., Zhao, Y., Wang, S., Xu, Z., & Chen, B. (2021). Peripheral and Central Pathological Mechanisms of Chronic Low Back Pain: A Narrative Review. J Pain Res, 14, 1483-1494. https://doi.org/10.2147/JPR.S306280

 

Ramos, G., & Martin, W. (1994). Effects of vertebral axial decompression on intradiscal pressure. J Neurosurg, 81(3), 350-353. https://doi.org/10.3171/jns.1994.81.3.0350

 

Von Korff, M., & Saunders, K. (1996). The course of back pain in primary care. Spine (Phila Pa 1976), 21(24), 2833-2837; discussion 2838-2839. https://doi.org/10.1097/00007632-199612150-00004

 

Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Clinical Efficacy of Mechanical Traction as Physical Therapy for Lumbar Disc Herniation: A Meta-Analysis. Comput Math Methods Med, 2022, 5670303. https://doi.org/10.1155/2022/5670303

Disclaimer

Cervical Acceleration – Deceleration – CAD

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Medical staff helping asian patient with neck brace removing cervical neck collar after injury accident during consultation.. Injured young adult healing fracture and trauma in hospital waiting area

“Individuals who have suffered cervical acceleration-deceleration/CAD more commonly known as whiplash, can experience headaches, and other symptoms like neck stiffness, pain, fatigue, and shoulder/neck/back discomfort. Can non-surgical and conservative treatments help alleviate the symptoms?”

Cervical Acceleration - Deceleration - CAD

Cervical Acceleration – Deceleration or CAD

Cervical acceleration-deceleration is the mechanism of a neck injury caused by a forceful back-and-forth neck motion. It happens most commonly in rear-end vehicle collisions when the head and neck whip forward and backward with intense acceleration and/or deceleration causing the neck to flex and/or extend rapidly, more than normally, straining and possibly tearing muscle tissues and nerves, ligaments, dislocation of spinal discs and herniations, and cervical bone fractures.

  • For symptoms that do not improve or worsen after 2 to 3 weeks, see a healthcare provider or chiropractor for further evaluation and treatment.
  • Whiplash injuries strain or sprain the neck muscles and/or ligaments, but can also affect the vertebrae/bones, disc cushions between the vertebrae, and/or the nerves.
  • For individuals who experience a headache that starts at the base of the skull following a motor vehicle accident is more than likely a whiplash headache. (National Institute of Neurological Disorders and Stroke. 2023)

Symptoms

Whiplash symptoms can present right away, or after several hours to a few days after the incident, and tend to worsen in the days after the injury. Symptoms can last a few weeks to a few months, and can severely limit activity and range of motion. Symptoms can include: (National Institute of Neurological Disorders and Stroke. 2023)

  • Pain that extends into the shoulders and back.
  • Neck stiffness
  • Limited neck motion
  • Muscle spasms
  • Numbness and tingling sensations – paresthesias or pins and needles in the fingers, hands, or arms.
  • Sleep problems
  • Fatigue
  • Irritability
  • Cognitive impairment – memory and/or concentrating difficulties.
  • Ringing in the ears – tinnitus
  • Dizziness
  • Blurred vision
  • Depression
  • Headaches – A whiplash headache usually starts at the base of the skull and can vary in intensity. Most individuals experience pain on one side of the head and toward the back, though some can experience symptoms all over their head, and a small number experience headaches on the forehead or behind the eyes. (Monica Drottning. 2003)
  • The headaches can become aggravated by moving the neck around, especially when looking up.
  • Headaches are often associated with shoulder pain along with sensitive neck and shoulder muscles that when touched can increase pain levels.
  • Whiplash headaches can lead to chronic neck-related headaches known as cervicogenic headaches. (Phil Page. 2011)

Causes

The most common cause of whiplash is rear-end automobile accidents and collisions. (National Institute of Neurological Disorders and Stroke. 2023)
However, cervical acceleration-deceleration injuries can also occur from:

  • Playing sports – hockey, martial arts, boxing, tackle football, gymnastics, basketball, volleyball, soccer, and baseball.
  • A slip and fall that causes the head to suddenly jolt forward and back.
  • Physical assault – getting punched or shaken.
  • Being struck on the head by a heavy or solid object.

Treatment

  1. Symptoms usually resolve within 2 to 3 weeks.
  2. Icing the neck for 10 minutes several times a day can help reduce pain and inflammation. (National Institute of Neurological Disorders and Stroke. 2023)
  3. It is also important to rest your neck area following the injury.
  4. A cervical collar can be utilized temporarily to stabilize the neck, but for long-term recovery, it is recommended to keep the area mobile.
  5. Physical activity reduction until the individual can look over both shoulders, and tilt their head all the way forward, all the way back, and from side to side without pain or stiffness.

Additional Treatments

  • Traction and decompression therapies.
  • Chiropractic adjustments
  • Therapeutic various massage techniques.
  • Electronic nerve stimulation
  • Posture retraining
  • Stretching
  • Sleep position adjustments.
  • Non-steroidal anti-inflammatories – NSAIDs – Ibuprofen or Naproxen.
  • Muscle relaxers

If symptoms do not improve, a healthcare provider may recommend physical therapy and/or stronger pain medications. For whiplash headaches that last for several months, acupuncture, or spinal injections may be recommended.

Neck Injuries

References

National Institute of Neurological Disorders and Stroke. Whiplash Information Page.

Drottning M. (2003). Cervicogenic headache after a whiplash injury. Current pain and headache reports, 7(5), 384–386. https://doi.org/10.1007/s11916-003-0038-9

Page P. (2011). Cervicogenic headaches: an evidence-led approach to clinical management. International journal of sports physical therapy, 6(3), 254–266.

Trunk Muscle Response To Lumbar Traction Therapy

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

Can lumbar traction therapy alleviate an individual’s lower back pain by restoring weak trunk muscles over time?

Introduction

The trunk muscles are the body’s main stabilizers that support upper body weight and stabilize the lower body weight. These muscles work with the lumbar back muscles so the individual can maintain good posture and be mobile when in motion without pain. However, when traumatic or normal forces start to affect the trunk muscles, it can lead to unwanted musculoskeletal pain that can lead to a life of disability and affect their performance in their routine. Weak truck muscles can lead to low back pain issues while causing referred pain to the lower extremities. However, many individuals are finding ways to strengthen their trunk muscles by slowly integrating core exercises and going to non-surgical treatments to reduce the pain they have been experiencing. Today’s article looks at how weak truck muscles correlate with low back pain and how non-surgical treatments like lumbar traction can reduce pain associated with weak trunk muscles. Additionally, we communicate with certified medical providers who incorporate our patients’ information to ease low back pain associated with weak trunk muscles, causing many musculoskeletal issues in the lower body. We also inform them that non-surgical treatments can help re-strengthen the truck muscles. We encourage our patients to ask amazing educational questions for our associated medical providers about their symptoms correlating with weak trunk muscles. Dr. Jimenez, D.C., incorporates this information as an academic service. Disclaimer

 

Weak Trunk Muscles Correlate With Low Back Pain

Do you often experience low back pain after carrying a heavy object from one location to another at work? Do you slouch more than usual when you are relaxing at home? Or have you noticed that you can’t hold a plank for less than 30 seconds during a workout? Many individuals dealing with these issues in these scenarios could be dealing with weak core muscles that can lead to low back pain. Since low back pain is a common problem that many people have, some of the correlating factors could be weak trunk muscles. Weak trunk muscles in the body can be due to the body naturally degenerating, causing the intervertebral disc to deteriorate. When the water content and spinal disc height begin to go through mechanical changes from unwanted pressure loads, it can cause the intervertebral discs to bulge out of the spine more and cause the surrounding ligaments and muscles to deal with more stress and become weak over time. (Adams et al., 1990) When the trunk muscles weaken, the lower extremities will start to develop musculoskeletal conditions that can lead to pain. Spinal disorders develop over time when normal or traumatic forces begin to affect the quality and quantity of the trunk muscle functions for its range of motion, strength, and endurance when a person is doing normal activities. (Allen, 1988)

 

 

So how would weak trunk muscles and low back pain have this relationship to affect a person’s spine? When muscle activity begins to be reduced within the trunk region, symptoms like stiffness and pain can cause postural shrinkage to the spinal disc in the lumbar region. (Cholewicki, 2004) Additionally, when dealing with low back pain, their trunk muscles undergo structural changes that can affect their stability. These changes can lead to reduced movement speed and range of motion, which then causes many of the accessory muscles to compensate for the pain that the person is experiencing. (Van Dieën, Cholewicki, & Radebold, 2003) However, numerous individuals will opt for a treatment plan to reduce low back pain and also help strengthen weak core muscles.

 

Can Core Exercises Help With Back Pain?-Video

Can Core Exercises Help with Back Pain? | El Paso, Tx (2023)

When it comes to strengthening and restoring weak muscles to reduce low back pain, many individuals will try exercising to lessen the pain they are experiencing in their lumbar spine and strengthen their weakened core muscles. The video above indicates that including core strengthening workouts in a workout routine can be essential to pain management. Exercising alone can be challenging without the right motivation, but it can be included in a personalized treatment plan that can be effective and customizable to manage lumbar impairment. (Li & Bombardier, 2001) Many individuals opt for non-surgical treatments due to their cost-effectiveness and how safe it is on the spine to reduce muscle weakness within the trunk muscles.

Lumbar Traction Restoring Weak Trunk Muscles

When dealing with weak trunk muscles correlating with low back pain, incorporating non-surgical treatment could be the answer to reducing the pain they have been experiencing. Non-surgical treatments like lumbar traction, spinal decompression, massage therapy, physical therapy, and chiropractic care utilize mechanical and manual techniques to reduce pain in the upper and lower body portions, help stretch out shortened and tight muscles, and kick-start the body’s natural healing process. Since lumbar traction is a non-surgical treatment, it can help restore muscle strength within the trunk region. Lumbar traction can be used manually or mechanically to increase intervertebral disc space, decrease mechanical stress, and reduce muscle spasms. (Wegner et al., 2013) When many individuals feel relief from their pain and strengthen their trunk muscles gradually, they will notice a difference in their routine and continue to be pain-free after a few session treatments.

 

References

Adams, M. A., Dolan, P., Hutton, W. C., & Porter, R. W. (1990). Diurnal changes in spinal mechanics and their clinical significance. J Bone Joint Surg Br, 72(2), 266-270. https://doi.org/10.1302/0301-620X.72B2.2138156

 

Allen, M. E. (1988). Clinical kinesiology: measurement techniques for spinal disorders. Orthop Rev, 17(11), 1097-1104. https://www.ncbi.nlm.nih.gov/pubmed/3205587

 

Cholewicki, J. (2004). The effects of lumbosacral orthoses on spine stability: what changes in EMG can be expected? J Orthop Res, 22(5), 1150-1155. https://doi.org/10.1016/j.orthres.2004.01.009

 

Li, L. C., & Bombardier, C. (2001). Physical therapy management of low back pain: an exploratory survey of therapist approaches. Phys Ther, 81(4), 1018-1028. https://www.ncbi.nlm.nih.gov/pubmed/11276184

 

Van Dieën, J. H., Cholewicki, J., & Radebold, A. (2003). Trunk Muscle Recruitment Patterns in Patients With Low Back Pain Enhance the Stability of the Lumbar Spine. Spine, 28(8), 834-841. https://doi.org/10.1097/01.brs.0000058939.51147.55

 

Wegner, I., Widyahening, I. S., van Tulder, M. W., Blomberg, S. E., de Vet, H. C., Bronfort, G., Bouter, L. M., & van der Heijden, G. J. (2013). Traction for low-back pain with or without sciatica. Cochrane Database Syst Rev, 2013(8), CD003010. https://doi.org/10.1002/14651858.CD003010.pub5

Disclaimer

Peanut Butter Sandwich Alternatives

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Various kind of bread, such as wholegrain, rice crakers, crispbreads and different nut butter, such as peanut, crunchy cashew and almond butter

For individuals with peanut allergies, can finding a peanut alternative be as satisfying as a real creamy or crunchy peanut butter sandwich?

Peanut Butter Sandwich Alternatives

Peanut Butter Sandwich Alternatives

For individuals who are unable to have a peanut butter sandwich due to an allergy, there are healthy satisfying alternatives. Tree nut butter, seed butter, and deli meats can all satisfy sandwich cravings and provide nutrition. Here are a few healthy, nutritious alternatives to try out:

Sunflower Seed Butter and Jam, Jelly, or Preserves

Ham and Cheese, Grainy Mustard on Rye Bread

  • Getting ham and cheese from the deli can potentially have cross-contamination with allergens during slicing and packaging.
  • Prepackaged and sliced ham and cheese is a safer bet in terms of allergens.
  • It is recommended to read the ingredient label for potential allergens, as processing in facilities can have cross-contamination issues. (William J. Sheehan, et al., 2018)

Turkey, Tomato, Lettuce, and Hummus on Whole Grain Bread

  • The same is true for turkey and is recommended to buy prepackaged and sliced.
  • Check the ingredients for possible allergens.
  • Hummus is made from chickpeas/garbanzo beans and tahini/ground sesame seeds.
  • Hummus comes in a variety of flavors that can be used as a dip or spread.
  • Although chick peas’ are a member of the legume family, hummus can be tolerated with peanut allergies. (Mathias Cousin, et al., 2017)
  • Check with a healthcare provider if unsure.

Pita Pocket with Salad and Hummus

  • Pita pockets are great with hummus stuffed with vegetables.
  • This is a delicious crunchy pocket sandwich loaded with protein, fiber vitamins, and minerals.

Soy Butter and Banana Slices on Whole Wheat Bread

  • Soy butter is a popular alternative to peanut butter. (Kalyani Gorrepati, et al., 2014)
  • Made from soybeans, the butter is full of fiber, protein, and healthy fats.
  • The butter can be spread on whole wheat bread and topped with banana slices for breakfast or lunch.

Tahini Sesame Seed Butter On A Roll with Shredded Broccoli and Carrots

  • Tahini is made from sesame seeds.
  • It can be spread on a roll with shredded broccoli and carrots for a healthy crunchy, fiber-rich, protein-filled sandwich.

Almond Butter and Sliced Apples

  • Try a non-sandwich option for lunch or as a snack.
  • This butter is made from almonds, which are tree nuts.
  • Almond butter is rich in fiber, vitamin E, and healthy fats.
  • Almonds contain the most nutrients per calorie of tree nuts. (Almond Board of California. 2015)

Cashew Butter on an English Muffin with Raisins

  • This butter is made from cashews, a tree nut, so it is safe for individuals with peanut allergies but not for individuals with nut allergies. (American Academy of Allergy, Asthma and Immunology. 2020)
  • Cashew butter on a hot English muffin with raisins on top for a boost of iron is reminiscent of a cinnamon roll.

Pumpkin Seed Butter and Honey Sandwich

  • Pumpkin butter is made from the orange flesh of the pumpkin.
  • Pumpkin seed butter is made by roasting pumpkin seeds and grinding them to a butter consistency.
  • The seed butter can be spread on bread and drizzled with some honey on top for a nutritious and delicious snack.

There are tasty healthy peanut butter alternatives that can be mixed, matched, and reinvented into various satisfying sandwiches. Individuals are recommended to consult their healthcare provider or a dietician or nutritionist to find what works for them.

Smart Choices, Better Health

References

Lavine, E., & Ben-Shoshan, M. (2015). Allergy to sunflower seed and sunflower butter as a proposed vehicle for sensitization. Allergy, asthma, and clinical immunology: Official Journal of the Canadian Society of Allergy and Clinical Immunology, 11(1), 2. https://doi.org/10.1186/s13223-014-0065-6

U.S. Department of Agriculture: FoodData Central. Seeds, sunflower seed butter, with salt added (Includes foods for USDA’s Food Distribution Program).

Sheehan, W. J., Taylor, S. L., Phipatanakul, W., & Brough, H. A. (2018). Environmental Food Exposure: What Is the Risk of Clinical Reactivity From Cross-Contact and What Is the Risk of Sensitization. The journal of allergy and clinical immunology. In practice, 6(6), 1825–1832. https://doi.org/10.1016/j.jaip.2018.08.001

Gorrepati, K., Balasubramanian, S., & Chandra, P. (2015). Plant-based butters. Journal of food science and technology, 52(7), 3965–3976. https://doi.org/10.1007/s13197-014-1572-7

Cousin, M., Verdun, S., Seynave, M., Vilain, A. C., Lansiaux, A., Decoster, A., & Sauvage, C. (2017). Phenotypical characterization of peanut-allergic children with differences in cross-allergy to tree nuts and other legumes. Pediatric allergy and immunology: Official publication of the European Society of Pediatric Allergy and Immunology, 28(3), 245–250. https://doi.org/10.1111/pai.12698

Almond Board of California. Nutrient comparison chart for tree nuts.

American Academy of Allergy, Asthma and Immunology. Everything you need to know about a tree nut allergy.

Innovated Non-Surgical Treatment For Cervical Spinal Pain

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

How does innovated non-surgical treatment help assist individuals with cervical spinal pain to reduce headaches?

Introduction

Do you or your loved ones often experience headaches that don’t disappear? Do you often feel your shoulder and neck muscles ache after looking down at your cell phone? Or do you feel aches after being slouched for an extended period? Many of these scenarios correlate with referred pain in the cervical spinal region, which can develop into neck pain. The neck region is located in the upper body portion and provides mobility for the head without pain and discomfort. The neck region also has surrounding muscles and ligaments that support the spine and protects the thyroid and spinal cord. However, just like the back region, it is susceptible to pain as many individuals can overstretch the neck muscles, and it can cause referred pain to the shoulders and head, leading to pain-like symptoms that can lead to a life of disability. However, non-surgical treatments can minimize the pain and help strengthen the surrounding muscles in the neck region. Today’s article focuses on how cervical spinal pain connects with headaches and how decompression can reduce headaches while relieving neck pain. Additionally, we communicate with certified medical providers who incorporate our patients’ information to reduce cervical spinal pain associated with headaches, causing many musculoskeletal issues in the upper body portion. We also inform them that non-surgical treatments can help relieve headaches and provide relief to the neck region. We encourage our patients to ask amazing educational questions for our associated medical providers about their symptoms correlating with cervical spinal pain. Dr. Jimenez, D.C., incorporates this information as an academic service. Disclaimer

 

Cervical Spinal Pain & Headache Connection

Throughout the world, neck pain (cervical spinal pain) is the second most common problem that can affect many individuals throughout their lives. It can lead to a life of disability and pain if not treated immediately. Many individuals often experience non-specific neck pain, as it can be through a postural or mechanical basis that can cause muscle strain in the surrounding muscles or compress the spinal canal to cause headaches that can last throughout the entire day. (Binder, 2008) Additionally, neck pain, like back pain, is a multifactorial disease with common risk factors like lack of physical activity, duration of computer usage, and perceived stress. (Kazeminasab et al., 2022) Many of these risk factors are normal as they can also affect the surrounding muscles in the lower back region and shoulder region, as many people often do repetitive motions that can naturally be overstretched and cause pain-like issues to the neck region. With neck pain connected with headaches, it can cause overlapping risk profiles and be costly. Neck pain associated with headaches can be a frequent and expensive occupational health problem as symptoms of pain, disability, reduced life quality, and, for adults, time lost for work. (Ben Ayed et al., 2019)

 

 

The correlation between headaches and neck pain is that the spinal canal is compressed from traumatic forces that can lead to cervicogenic headaches. Cervicogenic headaches usually aggravate neck mobility, thus reducing the ROM of the neck. (Verma, Tripathi, & Chandra, 2021) This can lead to many individuals suffering from migraine-like headaches and muscle stiffness in the upper regions of the body. When many individuals are dealing with headaches associated with cervical spinal pain, many will find treatments to mitigate the pain-like symptoms affecting the upper body region.

 

The Benefits Of Stretching-Video

The Benefits of Stretching | El Paso, Tx (2023)

When it comes to neck pain, it can be either acute or chronic depending the factors that cause it or the severity of the pain. Many individuals sought treatment that can alleviate the pain in the upper regions that are non-surgical and beneficial to their health and well-being. Non-surgical treatments can help stretch the tight and short muscles in the neck region and can reduce headaches affecting the person. Additionally, having the neck muscles professionally stretched by a massage therapist can relieve the neck and reduce headaches. The video above explains the benefits of stretching and describes how many people don’t stretch their bodies often to prevent pain-like issues from reoccurring in the future.

Spinal Decompression For Cervical Pain

 

Non-surgical treatments are excellent when it comes to reducing neck pain. When relieving neck pain, healthcare professionals must use the best available evidence to enhance clinical decision-making and improve the quality of care for people with neck pain. (Misailidou et al., 2010) Spinal decompression can help many people with neck pain by reducing the issues through gentle spinal traction. What spinal decompression does for the cervical spine is that it can realign the disc that is aggravating the neck region and causing headaches by stretching the surrounding muscles. This causes muscle improvement for the neck as it can change the patient’s pain outcome. (Youssef et al., 2019) Additionally, spinal decompression is safe, cost-effective, and gentle on the spine as it can be combined with other therapies to mitigate any residual pain that can relieve the neck and back. (Flynn, 2020) Many people who incorporate spinal decompression as part of their routine can benefit from their outcome as they return to their routine.

 

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

 

Binder, A. I. (2008). Neck pain. BMJ Clin Evid, 2008. https://www.ncbi.nlm.nih.gov/pubmed/19445809

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907992/pdf/2008-1103.pdf

 

Flynn, D. M. (2020). Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments. American Family Physician, 102(8), 465-477. https://www.ncbi.nlm.nih.gov/pubmed/33064421

https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2020/1015/p465.pdf

 

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

 

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

 

Verma, S., Tripathi, M., & Chandra, P. S. (2021). Cervicogenic Headache: Current Perspectives. Neurol India, 69(Supplement), S194-S198. https://doi.org/10.4103/0028-3886.315992

 

Youssef, J. A., Heiner, A. D., Montgomery, J. R., Tender, G. C., Lorio, M. P., Morreale, J. M., & Phillips, F. M. (2019). Outcomes of posterior cervical fusion and decompression: a systematic review and meta-analysis. Spine J, 19(10), 1714-1729. https://doi.org/10.1016/j.spinee.2019.04.019

 

Disclaimer

Q/Quadriceps Angle Knee Injuries In Women Athletes

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Electromagnetic therapy of the knee joints, physiotherapist doctor uses medical equipment for highly effective pain treatment and inflammation, the magnetic field, rehabilitation.

The Q or quadriceps angle is a measurement of pelvic width that is believed to contribute to the risk of sports injuries in women athletes. Can non-surgical therapies and exercises help rehabilitate injuries?

Q/Quadriceps Angle Knee Injuries In Women Athletes

Quadriceps Q – Angle Injuries

The Q angle is the angle where the femur/upper leg bone meets the tibia/lower leg bone. It is measured by two intersecting lines:

  • One from the center of the patella/kneecap to the anterior superior iliac spine of the pelvis.
  • The other is from the patella to the tibial tubercle.
  • On average the angle is three degrees higher in women than men.
  • Average 17 degrees for women and 14 degrees for men. (Ramada R Khasawneh, et al., 2019)
  • Sports medicine experts have linked a wider pelvis to a larger Q-angle. (Ramada R Khasawneh, et al., 2019)

Women have biomechanical differences that include a wider pelvis, making it easier to give birth. However, this difference can contribute to knee injuries when playing sports, as an increased Q angle generates more stress on the knee joint, as well as leading to increased foot pronation.

Injuries

Various factors can increase the risk of injury, but a wider Q angle has been linked to the following conditions.

Patellofemoral Pain Syndrome

  • An increased Q angle can cause the quadriceps to pull on the kneecap, shifting it out of place and causing dysfunctional patellar tracking.
  • With time, this can cause knee pain (under and around the kneecap), and muscle imbalance.
  • Foot orthotics and arch supports could be recommended.
  • Some researchers have found a link, while others have not found the same association. (Wolf Petersen, et al., 2014)

Chondromalacia of the Knee

  • This is the wearing down of the cartilage on the underside of the kneecap.
  • This leads to degeneration of the articular surfaces of the knee. (Enrico Vaienti, et al., 2017)
  • The common symptom is pain under and around the kneecap.

ACL Injuries

  • Women have higher rates of ACL injuries than men. (Yasuhiro Mitani. 2017)
  • An increased Q angle can be a factor that increases stress and causes the knee to lose its stability.
  • However, this remains controversial, as some studies have found no association between the Q angle and knee injuries.

Chiropractic Treatment

Strengthening Exercises

  • ACL injury prevention programs designed for women have resulted in reduced injuries. (Trent Nessler, et al., 2017)
  • The vastus medialis obliquus or VMO is a teardrop-shaped muscle that helps move the knee joint and stabilize the kneecap.
  • Strengthening the muscle can increase the stability of the knee joint.
  • Strengthening may require a specific focus on muscle contraction timing.
  • Closed-chain exercises like wall squats are recommended.
  • Glute strengthening will improve stability.

Stretching Exercises

  • Stretching tight muscles will help relax the injured area, increase circulation, and restore range of motion and function.
  • Muscles commonly found to be tight include the quadriceps, hamstrings, iliotibial band, and gastrocnemius.

Foot Orthotics

  • Custom-made, flexible orthotics decrease the Q angle and reduce pronation, relieving the added stress on the knee.
  • A custom orthotic ensures that the foot and leg dynamics are accounted for and corrected.
  • Motion-control shoes can also help correct overpronation.

Knee Rehabilitation

References

Khasawneh, R. R., Allouh, M. Z., & Abu-El-Rub, E. (2019). Measurement of the quadriceps (Q) angle with respect to various body parameters in young Arab population. PloS one, 14(6), e0218387. https://doi.org/10.1371/journal.pone.0218387

Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, I. V., Brüggemann, G. P., & Liebau, C. (2014). Patellofemoral pain syndrome. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 22(10), 2264–2274. https://doi.org/10.1007/s00167-013-2759-6

Vaienti, E., Scita, G., Ceccarelli, F., & Pogliacomi, F. (2017). Understanding the human knee and its relationship to total knee replacement. Acta bio-medica : Atenei Parmensis, 88(2S), 6–16. https://doi.org/10.23750/abm.v88i2-S.6507

Mitani Y. (2017). Gender-related differences in lower limb alignment, range of joint motion, and the incidence of sports injuries in Japanese university athletes. Journal of Physical Therapy Science, 29(1), 12–15. https://doi.org/10.1589/jpts.29.12

Nessler, T., Denney, L., & Sampley, J. (2017). ACL Injury Prevention: What Does Research Tell Us? Current reviews in musculoskeletal medicine, 10(3), 281–288. https://doi.org/10.1007/s12178-017-9416-5

What Not To Do With Temporomandibular Joint Disorder

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Sensitive Teeth. Young arab woman drinking water with ice and touching her cheek, sick middle eastern female frowning and rubbing inflamed area, suffering dental pain, emotionally reacting to cold

Temporomandibular joint disorder causes pain and jaw locking that can be worsened with certain activities. How individuals can manage and prevent flare-ups by learning what not to do to worsen the condition?

What Not To Do With Temporomandibular Joint Disorder

What Not To Do Temporomandibular Joint Disorder

Tenderness, aching, pain, and jaw locking are symptoms of temporomandibular joint disorder or TMJ. The temporomandibular joint connects the jaw to the skull. It is used daily for eating, drinking, and talking. It is a small disc in the joint that allows the jaw bones to slip and slide correctly. With TMJ, the disc shifts out of place, leading to clicking, snapping, and limited jaw movement. It can also cause pain in the jaw and face, neck pain, and headaches, and the muscles around the jaw and neck can become sore and/or go into spasm. Any type of activity that stresses or overworks the joint can trigger a flare-up and worsen TMJ symptoms. (Schiffman E, et al. 2014) This article looks at avoiding activities that make TMJ worse and what not to do to help keep TMJ symptoms in check.

Chewing Gum

  • Gum chewing is not recommended for individuals with TMJ.
  • The jaw is one of the most used joints in the body.
  • Limiting excessive use alleviates pressure allowing the joints and muscles to rest.
  • Resting sore muscles and joints is the first step in injury recovery.

Eating Chewy and Hard Foods

  • Chewy and hard foods make the jaw have to work overtime.
  • Avoid eating hard foods like chewy candies, hard and chewy breads, and vegetables like corn on the cob, and fruits like apples.
  • These foods can place excessive stress on the jaw,  and prevent the joint from properly resting and healing.

Chewing Only On One Side

  • Many individuals chew their food on only one side of the mouth.
  • This can stress out one side of the temporomandibular joint and surrounding muscles, leading to pain and dysfunction. (Urbano Santana-Mora, et al., 2013)
  • Stay aware of chewing habits and make sure to utilize both sides of the mouth.
  • Individuals with dental issues or tooth pain are recommended to see a dentist.

Non-Functional Jaw Activities

  • Going through each day, individuals tend to do things unconsciously or out of habit.
  • For example, individuals:
  • Reading or writing might chew on a pen or pencil.
  • Bite their nails or chew on the inside of their mouth while watching TV or internet browsing.
  • These activities can place stress on the joint, worsen the condition, and extend the healing process.

Resting on The Chin

  • Individuals will rest their jaw in their hands while studying, on social media, or watching TV.
  • This position can be comfortable, but it can affect the jaw.
  • This position can build pressure against the side of the jaw and push against the joint, causing the disc to shift out of place affecting how the jaw opens and closes.
  • Breaking the chin resting habit can allow the joint to relax and heal correctly.

Teeth Clenching

  • Bruxism is the medical term for clenching the teeth.
  • This can occur during the day or during sleep.
  • Teeth clenching is often brought on by stress and can place incredible pressure on the jaw’s muscles and worsen TMJ.
  • A dentist can prescribe a mouth guard to be worn while sleeping to protect the teeth from excessive clenching. (Miriam Garrigós-Pedrón, et al., 2019)

Slouching

  • The function of the jaw is closely related to body posture.
  • The jaw operates optimally when the head is above the cervical spine and the posture is upright.
  • Slouching can change how the jaw muscles work and the way the jaw opens and closes.
  • Part of physical therapy for TMJ is working on posture adjustments and training.
  • This can involve strengthening the back and shoulder muscles and setting up posture reminders.
  • Sitting and standing correctly can keep the jaw operating properly.

Postponing Treatment

  • Many with musculoskeletal issues and symptoms wait for the pain to go away.
  • Individuals having problems with their jaw should not wait to get treatment.
  • TMJ has a positive rate of recovery with conservative treatment, which is all the more reason to seek treatment. (G Dimitroulis. 2018)
  • A dentist or healthcare provider can provide an accurate diagnosis if TMJ is suspected.
  • Individuals can benefit from visiting a physical therapist to learn exercises and strategies to self-treat the condition. (Yasser Khaled, et al., 2017)

Treatment

Treatment can involve:

  • Initial treatment focuses on pain relief and jaw function opens and closes improvement.
  • Exercises to get the jaw moving normally.
  • Joint mobilizations.
  • Treatments to maintain proper muscle function. (Amira Mokhtar Abouelhuda, et al., 2018)
  • A guard can help with night teeth grinding/bruxism.
  • Anti-inflammatory treatments.
  • In severe cases, surgery may be recommended to correct the problem, as a last resort. (Meghan K Murphy, et al., 2013)
  • Follow recommendations on what not to do and avoid certain activities.

Quick Patient Initiation

References

Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J. P., List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti, A., Brooks, S. L., Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, L. J., Haythornthwaite, J. A., Hollender, L., Jensen, R., … Orofacial Pain Special Interest Group, International Association for the Study of Pain (2014). Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. Journal of oral & facial pain and headache, 28(1), 6–27. https://doi.org/10.11607/jop.1151

Santana-Mora, U., López-Cedrún, J., Mora, M. J., Otero, X. L., & Santana-Penín, U. (2013). Temporomandibular disorders: the habitual chewing side syndrome. PloS one, 8(4), e59980. https://doi.org/10.1371/journal.pone.0059980

Garrigós-Pedrón, M., Elizagaray-García, I., Domínguez-Gordillo, A. A., Del-Castillo-Pardo-de-Vera, J. L., & Gil-Martínez, A. (2019). Temporomandibular disorders: improving outcomes using a multidisciplinary approach. Journal of multidisciplinary healthcare, 12, 733–747. https://doi.org/10.2147/JMDH.S178507

Dimitroulis G. (2018). Management of temporomandibular joint disorders: A surgeon’s perspective. Australian Dental Journal, 63 Suppl 1, S79–S90. https://doi.org/10.1111/adj.12593

Khaled Y, Quach JK, Brennan MT, NapeÑas JJ. Outcomes after physical therapy for the treatment of temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol, 2017;124(3: e190. doi:10.1016/j.oooo.2017.05.477

Abouelhuda, A. M., Khalifa, A. K., Kim, Y. K., & Hegazy, S. A. (2018). Non-invasive different modalities of treatment for temporomandibular disorders: a review of the literature. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 44(2), 43–51. https://doi.org/10.5125/jkaoms.2018.44.2.43

Murphy, M. K., MacBarb, R. F., Wong, M. E., & Athanasiou, K. A. (2013). Temporomandibular disorders: a review of etiology, clinical management, and tissue engineering strategies. The International journal of oral & maxillofacial implants, 28(6), e393–e414. https://doi.org/10.11607/jomi.te20

Non-Surgical Mechanical Reduction & Repair For Herniated Discs

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

In individuals with herniated discs, how does non-surgical decompression compare to traditional surgery repair the spine?

Introduction

When many individuals begin to add unnecessary pressure on their backs, it can lead to damaging results to their spine. The spine is the backbone of the body, allowing the upper and lower sections to be mobile and stabilizing the axial weight overload without the person feeling pain or discomfort. The spinal structure is surrounded by muscles, soft tissues, ligaments, nerve roots, and joints that support the spine. In between the spinal facet joints and structure are flat discs that absorb the shock and pressure from the axial overload. However, when unwanted stress starts to compress the disc, it can lead to the development of herniation. Depending on the location, it can cause pain-like symptoms like lower back and neck pain or sciatica. Other times, herniated discs can be due to natural degeneration, where the spinal disc height decreases, and it can crack under pressure, leading to disc dehydration, which, to this point, causes spinal issues to many individuals, thinking they are experiencing referred pain in different body locations. Coincidentally, many people can find the relief they seek through non-surgical treatments to restore the disc height and repair herniated discs. Today’s article focuses on the casing effects of herniated discs and how spinal decompression, a form of non-surgical treatment, can help reduce pain-like symptoms associated with herniated discs. Additionally, we communicate with certified medical providers who incorporate our patients’ information to reduce herniated disc pain, causing many musculoskeletal issues. We also inform them that non-surgical treatments can help mitigate the referred pain-like symptoms related to herniated discs and restore disc height in their spines. We encourage our patients to ask amazing educational questions for our associated medical providers about their referred pain correlating with herniated discs. Dr. Jimenez, D.C., incorporates this information as an educational service. Disclaimer

 

The Changing Effects Of Herniated Discs

Have you experienced unwanted pain in your upper and lower extremities after a long work day? What about experiencing pain within your spines that are causing symptoms of numbness or tingling sensations in your hands, feet, or legs? Or are you dealing with excruciating lower back pain that is affecting your ability to work? Many individuals don’t realize that the pain-like symptoms they are experiencing are not low back, neck, or shoulder pain, but they correlate to herniated discs in their spines. Herniated discs are when the nucleus pulposus (inner disc portion) starts to protrude out of its original position from the intervertebral space. (Dydyk, Ngnitewe Massa, & Mesfin, 2023) Herniated discs are one of the common causes of lower back pain, and often, many individuals will remember what caused the herniation in their spine.

 

 

Some of the effects that lead to disc herniation are that many people will carry heavy objects constantly from one location to another, and the shifting weight can cause the disc to be continuously compressed and thus lead to herniation. Additionally, when the intervertebral disc starts showing signs of stiffness, it can result in abnormal spinal motion. (Haughton, Lim, & An, 1999) This causes morphologic changes within the intervertebral disc and causes it to be dehydrated. The chondroitin sulfation of the proteoglycan in the disc goes through changes in the disc itself, and when degeneration is associated with herniated discs, it can lead to musculoskeletal disorders. (Hutton et al., 1997)

 

The Root Cause Of Pain- Video

The Root Causes of Pain | El Paso, Tx (2023)

When degenerative changes start to affect the intervertebral discs, it can lead to intervertebral height loss, abnormal pain signaling, and nerve root entrapment associated with disc disruption. (Milette et al., 1999) This causes a cascading effect as the outer annulus of the spinal disc is cracked or ruptured, causing pain to the spine. When the outer annulus of the spinal disc starts to have nerve ingrowth in the affected discs, which then leads to individuals dealing with musculoskeletal disorders associated with pain. (Freemont et al., 1997) Many people will seek non-surgical therapies when finding treatment to alleviate the pain caused by herniated discs due to their cost-effectiveness and how it’s safe for their spine. Chiropractic care, massage therapy, spinal decompression, and traction therapy are available treatments that can be used in a personalized, inclusive treatment care plan to mitigate any pain the person is dealing with. The video explains how these treatments can use functional wellness principles to identify where the pain is located and treat any health issues with any potential underlying causes.

Spinal Decompression Reducing Herniated Disc

Regarding non-surgical treatments reducing herniated discs, spinal decompression can help mitigate the pain affecting the spine’s mobility. Spinal decompression utilizes mechanical traction to gently stretch the spine and allow the herniated disc to return to its original position. Spinal decompression incorporates negative pressure, which helps the nutrients increase the disc’s regenerative factors. (Choi et al., 2022) This allows the facet joints and aggravated nerves to have reduced pressure and increased disc space height. At the same time, spinal decompression can be combined with physical therapy to reduce the pain-like symptoms associated with herniated discs and provide beneficial results. (Amjad et al., 2022) Some of the beneficial factors related to spinal decompression include:

  • Pain improvement in the upper and lower extremities
  • Spinal range of motion
  • Muscle endurance restored
  • Joint ROM restored

When many individuals become more mindful of how different factors are causing spinal issues, they can make small routine changes in their daily lives, and that can reduce the chances of pain from returning. This allows them to enjoy life fully and continue their health and wellness journey.

References

Amjad, F., Mohseni-Bandpei, M. A., Gilani, S. A., Ahmad, A., & Hanif, A. (2022). Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; a randomized controlled trial. BMC Musculoskelet Disord, 23(1), 255. https://doi.org/10.1186/s12891-022-05196-x

 

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

 

Dydyk, A. M., Ngnitewe Massa, R., & Mesfin, F. B. (2023). Disc Herniation. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/28722852

 

Freemont, A. J., Peacock, T. E., Goupille, P., Hoyland, J. A., O’Brien, J., & Jayson, M. I. (1997). Nerve ingrowth into diseased intervertebral disc in chronic back pain. Lancet, 350(9072), 178-181. https://doi.org/10.1016/s0140-6736(97)02135-1

 

Haughton, V. M., Lim, T. H., & An, H. (1999). Intervertebral disk appearance correlated with stiffness of lumbar spinal motion segments. AJNR Am J Neuroradiol, 20(6), 1161-1165. https://www.ncbi.nlm.nih.gov/pubmed/10445464

https://www.ajnr.org/content/ajnr/20/6/1161.full.pdf

 

Hutton, W. C., Elmer, W. A., Boden, S. D., Horton, W. C., & Carr, K. (1997). Analysis of chondroitin sulfate in lumbar intervertebral discs at two different stages of degeneration as assessed by discogram. Journal of Spinal Disorders, 10(1), 47-54. https://www.ncbi.nlm.nih.gov/pubmed/9041496

 

Milette, P. C., Fontaine, S., Lepanto, L., Cardinal, E., & Breton, G. (1999). Differentiating lumbar disc protrusions, disc bulges, and discs with normal contour but abnormal signal intensity. Magnetic resonance imaging with discographic correlations. Spine (Phila Pa 1976), 24(1), 44-53. https://doi.org/10.1097/00007632-199901010-00011

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MET Treatment Strategies To Reduce Pelvic Pain

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

For individuals with pelvic pain, how does MET treatment strategies reduce muscle weakness in the hips region?

Introduction

The pelvis’s main job is to ensure that the person’s body weight is distributed evenly for everyday movement within the upper and lower body. At the same time, the core muscles, ligaments, and joints surround the skeletal structure of the pelvis, which provides normal function while protecting the vital organ systems within the pelvic region. When normal or traumatic factors start to affect the body’s pelvic area, many individuals will often mistake the pain for low back pain, and the core muscles surrounding the pelvic bone can become weak and lead to pelvic pain. At the same time, normal factors like improper posture can cause anterior pelvic tilt and develop into other musculoskeletal disorders with overlapping risk profiles. When pelvic pain affects the lower extremities, it can also lead to reproductive issues that can cause even more stress to the individual. Luckily, many people opt for non-surgical treatments to reduce pelvic pain and its associated musculoskeletal condition by strengthening the weakened core muscles and reducing muscle weakness. Today’s article examines how referred pain symptoms affect the pelvis and how non-surgical treatments like MET therapy can reduce muscle weakness correlating with pelvic pain. Additionally, we communicate with certified medical providers who incorporate our patient’s information to reduce muscle weakness associated with pelvic pain. We also inform them that MET therapy can help mitigate the referred pain-like symptoms related to pelvic pain. We encourage our patients to ask amazing educational questions for our associated medical providers about their pelvic pain. Dr. Jimenez, D.C., incorporates this information as an educational service. Disclaimer

 

Referred Pain Symptoms Affecting The Pelvis

Have you noticed that you are taking more frequent trips to the bathroom and that your bladder still feels full? Do you experience muscle stiffness within your lower back or pelvic region from excessive sitting at your desk during work? Or do you notice that you are experiencing weak core muscles affecting your workout routine? These scenarios are associated with pelvic pain and can cause issues within the lower body extremities, affecting the person’s performance when doing normal activities. Pelvic pain is a multifactorial musculoskeletal disorder that can affect the corresponding body systems to induce referred pain. (Grinberg, Sela, & Nissanholtz-Gannot, 2020) Pelvic pain can cause referred pain to the gastrointestinal, pelvic musculoskeletal, and nervous systems, which then causes anatomic malfunction to the pelvic floor muscles. Pelvic pain can easily be mistaken for low back pain since the lumbar spine creates stressors for the muscles surrounding the pelvis.

 

 

When the pelvis is affected by mechanical stressors associated with the lumbar spine, it can cause pelvic dysfunction and causes the individual to be unbalanced when in motion. At the same time, the pelvic muscle structures will be overworked, leading to hip and joint destabilization, causing them to be weak. (Lee et al., 2016) When the pelvic muscle structures begin to destabilize, it can lead to sciatic nerve entrapment to the lower extremities, which leads to overlapping risk profiles for musculoskeletal disorders. When the surrounding pelvic muscles begin to entrap the pelvic nerve roots causing radiating pain down the legs. (Kale et al., 2021) However, there are ways to reduce referred pain affecting the pelvic region and restore muscle strength.

 

Sciatica, Causes, Symptoms, & Tips- Video

Sciatica, Causes, Symptoms and tips| El Paso, Tx (2023)

Since pelvic pain is a multifactorial musculoskeletal disorder that can lead to the development of referred pain to the lower body extremities, many individuals often think it is low back pain or sciatica. Referred pain is when pain affects a body location instead of where the source originated. Not treated immediately causes nerve entrapment, muscle weakness, and chronic pain within the reproductive and urinary organs. Many individuals seek non-surgical treatments to alleviate the pain and restore muscle strength to the body’s pelvic region. Non-surgical treatments like MET(muscle energy techniques) can help restore muscle strength to the pelvis through soft tissue stretching. Pain specialists specializing in MET therapy, like chiropractors and massage therapists, use hands-on maneuvers to relax, elongate, stretch, and massage the affected tight muscles and reduce any tender points that may have developed over time. (Grinberg et al., 2019) MET therapy can help stretch the pelvic stabilizing muscles. It can be combined with physical therapy and chiropractic care to realign the body and reduce nerve entrapment caused by pelvic pain. Check out the video above to learn more about the causes of sciatica and how non-surgical treatments may be the answer to alleviate pain.

MET Treatment Strategies For Pelvic Pain

MET therapy can reduce the effects of pelvic pain by including soft tissue manipulation methods to use controlled isometric and isotonic contraction to improve the normal physiologic function of the surrounding pelvic muscles and decrease pain and help stabilize the alternating structures within the pelvic region. (Sarkar, Goyal, & Samuel, 2021) MET therapy can also encourage self-regulating influences to reduce pain within the pelvic area, resulting in a greater range of motion. (Chaitow, 2009)

 

MET Treatment Reducing Muscle Weakness

MET therapy can also be part of a personalized health plan that can help restore muscle strength in the core and stabilize muscle within the pelvis. The positive effects of the combination of MET therapy and exercise, it can be more effective in reducing pain while improving physical function. (Hu et al., 2020) This allows the pelvis to realign itself and help stretch the shortened muscles. MET therapy can help restore low extremity function and improve a person’s quality of life. (Danazumi et al., 2021) MET therapy is an excellent way to stretch out tired muscles and restore pelvic function, as it can make individuals more mindful of their bodies while reducing the chances of pelvic pain associated with musculoskeletal disorders reoccurring again in the lower extremities.

 

References

Chaitow, L. (2009). Ligaments and positional release techniques? J Bodyw Mov Ther, 13(2), 115-116. https://doi.org/10.1016/j.jbmt.2009.01.001

 

Danazumi, M. S., Yakasai, A. M., Ibrahim, A. A., Shehu, U. T., & Ibrahim, S. U. (2021). Effect of integrated neuromuscular inhibition technique compared with positional release technique in the management of piriformis syndrome. J Osteopath Med, 121(8), 693-703. https://doi.org/10.1515/jom-2020-0327

 

Grinberg, K., Sela, Y., & Nissanholtz-Gannot, R. (2020). New Insights about Chronic Pelvic Pain Syndrome (CPPS). Int J Environ Res Public Health, 17(9). https://doi.org/10.3390/ijerph17093005

 

Grinberg, K., Weissman-Fogel, I., Lowenstein, L., Abramov, L., & Granot, M. (2019). How Does Myofascial Physical Therapy Attenuate Pain in Chronic Pelvic Pain Syndrome? Pain Res Manag, 2019, 6091257. https://doi.org/10.1155/2019/6091257

 

Hu, X., Ma, M., Zhao, X., Sun, W., Liu, Y., Zheng, Z., & Xu, L. (2020). Effects of exercise therapy for pregnancy-related low back pain and pelvic pain: A protocol for systematic review and meta-analysis. Medicine (Baltimore), 99(3), e17318. https://doi.org/10.1097/MD.0000000000017318

 

Kale, A., Basol, G., Topcu, A. C., Gundogdu, E. C., Usta, T., & Demirhan, R. (2021). Intrapelvic Nerve Entrapment Syndrome Caused by a Variation of the Intrapelvic Piriformis Muscle and Abnormal Varicose Vessels: A Case Report. Int Neurourol J, 25(2), 177-180. https://doi.org/10.5213/inj.2040232.116

 

Lee, D. W., Lim, C. H., Han, J. Y., & Kim, W. M. (2016). Chronic pelvic pain arising from dysfunctional stabilizing muscles of the hip joint and pelvis. The Korean Journal of Pain, 29(4), 274-276. https://doi.org/10.3344/kjp.2016.29.4.274

 

Sarkar, M., Goyal, M., & Samuel, A. J. (2021). Comparing the Effectiveness of the Muscle Energy Technique and Kinesiotaping in Mechanical Sacroiliac Joint Dysfunction: A Non-blinded, Two-Group, Pretest-Posttest Randomized Clinical Trial Protocol. Asian Spine Journal, 15(1), 54-63. https://doi.org/10.31616/asj.2019.0300

Disclaimer

Bananas and Stomach Pain

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

Should individuals with existing gastrointestinal problems eat bananas?

Bananas and Stomach Pain

Bananas

  • Bananas can be easy to digest and are often recommended for nausea and diarrhea, however, not everyone can tolerate them. (MedlinePlus. 2021)
  • Bananas are high in fructose, sorbitol, and soluble fiber, which makes them a common trigger for gastrointestinal problems.
  • Additionally, individuals not used to eating a high-fiber diet may find it helpful to gradually increase fiber and drink more water to alleviate unpleasant symptoms.
  • If there is a suspicion of intolerance, IBS, or malabsorption, it is recommended to speak with a healthcare provider for an evaluation.
  • Bananas can make the stomach hurt due to:
  • Irritable bowel syndrome (IBS)
  • Cramping
  • Gas
  • Bloating
  • Other gastrointestinal (GI) problems.
  • Individuals can experience stomach discomfort if there is a fructose intolerance or a rare banana allergy.

Stomach Pain

  • Bananas are used to replenish potassium and other essential nutrients lost from vomiting or diarrhea.
  • Some individuals can experience bloating and gas after eating them.
  • One reason is because of their soluble fiber content.
  • Soluble fiber dissolves in water and is more readily fermented in the colon than insoluble fiber.
  • This can lead to gas and bloating. (Jackson Siegelbaum Gastroenterology. 2018)
  • Bananas also contain sorbitol – a naturally occurring sugar that acts as a laxative and can cause gas, bloating, and diarrhea when consumed in large amounts. (U.S. Food and Drug Administration. 2023)

Irritable Bowel Syndrome – IBS

  • Bananas can be a common trigger food for individuals with IBS.
  • This is because as bananas break down in the stomach, they can generate excess gas. (Bernadette Capili, et al., 2016)
  • Bananas are also high in fructose/simple sugar especially when they have overripened.
  • Individuals who have IBS are advised to avoid bananas because they can trigger many of the same side effects as undigested lactose/sugar in milk. (Johns Hopkins Medicine. 2023)
  • Ripe bananas are considered to be high in FODMAPS – fermentable oligosaccharides, disaccharides, monosaccharides, and polyols.
  • Individuals following a low FODMAP diet to manage IBS may want to avoid or limit consumption.
  • Unripe bananas are considered to be low-FODMAP food. (Monash University. 2019)

Allergy

  • Banana allergies are rare and affect less than 1.2% of the global population.
  • Many individuals with a banana allergy are also allergic to pollen or latex because of similar protein structures. (Dayıoğlu A, et al., 2020)
  • An individual with a banana allergy may experience wheezing, narrowing of the throat, or hives within minutes of eating.
  • They can also experience nausea, abdominal pain, vomiting, and diarrhea. (Family Medicine Austin. 2021)

Fructose Intolerance

  • An individual with fructose intolerance has difficulty digesting fructose.
  • Individuals with this intolerance should restrict or limit fructose. (UW School of Medicine and Public Health. 2019)
  • Fructose malabsorption is when the body cannot digest or absorb fructose correctly. This causes bloating gas and abdominal discomfort.
  • Hereditary fructose intolerance is very rare. It happens when the liver cannot assist in the breakdown of fructose.
  • This condition often causes more severe symptoms and requires additional treatment besides removing fructose from an individual’s diet. (UW School of Medicine and Public Health. 2019)
  • Most can tolerate small amounts of fructose found in fruits like bananas.
  • There is often more difficulty tolerating large fructose amounts found in honey and high fructose corn syrup. (UW School of Medicine and Public Health. 2019)

Prevent GI Symptoms

  • If experiencing gas, bloating, or abdominal discomfort after eating bananas, consider limiting the portion size.
  • For example, instead of eating one or more bananas a day, try eating half of a banana to see if symptoms resolve.
  • Alternatively, if there is a belief that there is fructose malabsorption, try temporarily removing all high-fructose foods.
  • If the body begins to feel better, slowly add foods that contain fructose.
  • This can help you pinpoint the foods that are causing the problem. (UW School of Medicine and Public Health. 2019)
  • If you’re eating bananas that are too green or unripe, you may also experience stomach discomfort.
  • Unripened bananas contain high amounts of resistant starch. In large quantities, this can cause mild symptoms like gas and bloating. (Jennifer M Erickson, et al., 2018)
  • Resistant starch ferments slowly, so it usually does not cause as much gas as other fiber types. (The Johns Hopkins Guide to Diabetes. 2020)
  • Ripe or cooked bananas have less starch and more simple sugars, making them easier to digest. (University of Hawaii. 2006)
  • Drinking more water and gradually increasing fiber intake can also reduce GI side effects. (The Johns Hopkins Guide to Diabetes. 2020)

Gut Dysfunction

References

MedlinePlus. Bananas and nausea.

Jackson Siegelbaum Gastroenterology. Colon gas and flatus prevention.

U.S. Food and Drug Administration. Sorbitol.

Capili, B., Anastasi, J. K., & Chang, M. (2016). Addressing the Role of Food in Irritable Bowel Syndrome Symptom Management. The journal for nurse practitioners: JNP, 12(5), 324–329. https://doi.org/10.1016/j.nurpra.2015.12.007

Johns Hopkins Medicine. 5 foods to avoid if you have IBS.

Monash University. Bananas re-tested.

Dayıoğlu A, Akgiray S, Nacaroğlu HT, Bahçeci Erdem S. The clinical spectrum of reactions due to banana allergy. BMB. 2020;5(2):60-63. doi: 10.4274/BMB.galenos.2020.04.013

Family Medicine Austin. Banana allergy.

UW School of Medicine and Public Health. Fructose-restricted diet.

Erickson, J. M., Carlson, J. L., Stewart, M. L., & Slavin, J. L. (2018). The Fermentability of Novel Type-4 Resistant Starches in In Vitro System. Foods (Basel, Switzerland), 7(2), 18. https://doi.org/10.3390/foods7020018

The Johns Hopkins Guide to Diabetes. What is resistant starch?

The University of Hawaii. Cooking banana.

Incorporating Decompression To Alleviate Discogenic Low Back Pain

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

In individuals with discogenic low back pain, how does incorporating decompression reduce muscle strain in the back?

Introduction

When it comes to low back pain, many people often complain that the surrounding muscles will ache constantly, and there is no relief from their primary doctors. Muscle strain associated with low back pain is one of the pain-like symptoms that many individuals experience when normal or traumatic factors start to cause issues in the lower back region of the body. When people begin to make constant repetitive motions correlating with normal daily activities like heavy lifting objects, poor posture, or stepping wrong, it can cause micro-tears to the surrounding muscles and the spinal discs in the lumbar region. When the spinal discs degenerate over time and have been under constant pressure, it can aggravate the surrounding nerve roots causing pain-like problems to the surrounding muscles, ligaments, and tissues, leading to musculoskeletal disorders corresponding with discogenic low back pain. Pain affecting the lower back can lead to a life of disability and make a person feel miserable. To that point, many individuals will seek non-surgical treatment to reduce discogenic pain associated with the low back and can find the relief they have sought. Today’s article examines how discogenic low back pain causes low back pain and how non-surgical treatments like decompression reduce discogenic low back pain and restore muscle strength. Additionally, we communicate with certified medical providers who incorporate our patient’s information to reduce muscle strain correlating with discogenic low back pain. We also inform them that decompression can help mitigate the pain-like symptoms associated with degenerated discs affecting the lower back region. We encourage our patients to ask amazing questions while looking for education from our associated medical providers about their low back issues. Dr. Jimenez, D.C., incorporates this information as an educational service. Disclaimer

 

Discogenic Low Back Pain Causing Muscle Strain

 

 

Do you often experience a pinched nerve or muscle strain in your lower back that hurts when standing? Do you feel symptoms of muscle spasms in your lower back or behind your legs? Or do you and your loved ones feel numbness or tingling sensations in your back, legs, and feet after sitting down excessively? These pain-like issues are associated with discogenic low back pain, which can lead to the development of disability in many people. Discogenic low back pain is developed when the intervertebral (spinal) disc degenerates over time and can contribute to disability. (Mohd Isa et al., 2022) When there are structural changes to the spinal disc that causes the degeneration to progress, it can lead to dysfunction and instability in the lumbar spine. The spinal discs in the spine have the primary job of absorbing the unwanted pressure load that the body is experiencing. Over time though, the spinal disc can degenerate and crack under pressure, leading to discogenic low back pain. Discogenic low back pain can lead to increased pain in the lower back region’s paraspinal muscles and muscle atrophy, inflammation, and muscle strain in the lower back muscles and lumbar spinal discs. (Huang et al., 2022) When the spinal disc is under constant pressure, the inflammatory cytokines can induce nerve ingrowth, structural and biomechanical changes, and a release of pain factors to contribute to the effects of discogenic low back pain. (Lyu et al., 2021) When people are dealing with discogenic low back pain associated with muscle strain, it can make them miss out on their daily activities.

 

From Injury To Recovery With Chiropractic-Video

 

From Injury to Recovery (with Chiropractic Care) | El Paso, Tx (2023)

When many individuals are experiencing discogenic low back pain, it can be difficult for pain specialists and doctors to identify the underlying source of pain since it is a multifactorial musculoskeletal disorder. (Fujii et al., 2019) However, numerous ways exist to reduce the pain and allow the individual to return to their daily routines. Non-surgical treatments are an excellent way to minimize the pain-like symptoms associated with discogenic low back pain. Treatments like decompression therapy and chiropractic care can create a happy experience for many individuals dealing with discogenic low back pain as it is safe, cost-effective, and gentle on the spine. Decompression can help reduce the pain in the posterior segment of the lumbar spine while relaxing the surrounding muscles and ligaments and pulling the affected disc back to its original position. (Choi et al., 2022) This creates negative pressure on the spinal column and increases disc height on the spine, which allows the fluids and nutrients to flood back into the spine and rehydrate the disc. Decompression therapy can also be combined with chiropractic care, as the spine can be manipulated mechanically or manually to allow the body to realign itself. This, in turn, promotes the body’s natural healing properties to work its magic and provide relief. The video explains how these treatments can positively impact many suffering individuals and help them regain their health.

Decompression Reducing Discogenic Low Back Pain

Decompression therapy allows the individuals to be strapped into a traction machine in a supine position and gently pulls the spine to enable the affected disc to return to the spine and lay off the pressure on the aggravating nerve root that is causing muscle strain. This causes the intervertebral disc space to change through negative pressure, which allows the height to increase in the intervertebral height without stimulating the surrounding fibers around the disc. (Oh et al., 2019) This allows the facet joints in the spine to be realigned, allowing them to be in their moveable location back to the spine to alleviate pain, thus restoring normal posture and activating body functions. When individuals incorporate decompression therapy consecutively, it can minimize the pain caused by discogenic low back pain and allows the individual to have a personalized plan to ensure the pain doesn’t return. (Macario et al., 2008)

 

Restoring Muscle Strength In The Low Back

Decompression therapy allows the affected muscle to be stretched gently, which can be strengthened through other treatments like physical therapy. This can effectively reduce discogenic low back pain associated with the affected discs and positively influence spinal mobility and muscle strength. (Wang et al., 2022) Even though degeneration in the spinal disc is a natural process, it is important to be mindful of the body to prevent pain-like symptoms from occurring and causing issues to the back. Decompression therapy can positively influence many individuals looking to regain their health and reduce the pain they are experiencing from discogenic low back pain so they can return to their daily activities.

 

References

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

 

Fujii, K., Yamazaki, M., Kang, J. D., Risbud, M. V., Cho, S. K., Qureshi, S. A., Hecht, A. C., & Iatridis, J. C. (2019). Discogenic Back Pain: Literature Review of Definition, Diagnosis, and Treatment. JBMR Plus, 3(5), e10180. https://doi.org/10.1002/jbm4.10180

 

Huang, Y., Wang, L., Luo, B., Yang, K., Zeng, X., Chen, J., Zhang, Z., Li, Y., Cheng, X., & He, B. (2022). Associations of Lumber Disc Degeneration With Paraspinal Muscles Myosteatosis in Discogenic Low Back Pain. Front Endocrinol (Lausanne), 13, 891088. https://doi.org/10.3389/fendo.2022.891088

 

Lyu, F. J., Cui, H., Pan, H., Mc Cheung, K., Cao, X., Iatridis, J. C., & Zheng, Z. (2021). Painful intervertebral disc degeneration and inflammation: from laboratory evidence to clinical interventions. Bone Res, 9(1), 7. https://doi.org/10.1038/s41413-020-00125-x

 

Macario, A., Richmond, C., Auster, M., & Pergolizzi, J. V. (2008). Treatment of 94 outpatients with chronic discogenic low back pain with the DRX9000: a retrospective chart review. Pain Pract, 8(1), 11-17. https://doi.org/10.1111/j.1533-2500.2007.00167.x

 

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

 

Oh, H., Choi, S., Lee, S., Choi, J., & Lee, K. (2019). Effects of the flexion-distraction technique and drop technique on straight leg raising angle and intervertebral disc height of patients with an intervertebral disc herniation. Journal of Physical Therapy Science, 31(8), 666-669. https://doi.org/10.1589/jpts.31.666

 

Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Clinical Efficacy of Mechanical Traction as Physical Therapy for Lumbar Disc Herniation: A Meta-Analysis. Comput Math Methods Med, 2022, 5670303. https://doi.org/10.1155/2022/5670303

 

Disclaimer

Throwing Sports Strength Training

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
javelin throwing in competition male athlete

Can weight and strength training increase speed and power in athletes that participate in throwing sports?

Throwing Sports Strength Training

Throwing Sports

Top-throwing athletes have amazing arm speed. To succeed in throwing sports athletes need to be able to generate quick explosive power. This means the ability to propel the arm forward with substantial velocity for maximum object delivery like a baseball, javelin, hammer throw, shot put, discus, etc. Combined with sports technique training, throwing strength and power can be increased by training with weights. Here is a three-phase training plan to improve throwing performance.

Full Body

  • The arm provides only one part of the delivery process.
  • The legs, core, shoulders, and general flexibility need to work cooperatively to exert maximum thrust and achieve maximum object speed.
  • The natural ability to throw fast with power is largely determined by an individual’s muscle type, joint structure, and biomechanics. (Alexander E Weber, et al., 2014)

Preparation

  • Preparation should provide all-around muscle and strength conditioning for early pre-season conditioning.
  • Athletes will be doing throwing training as well, so fieldwork will need to be able to fit in.
  • It is recommended not to do weight training prior to throwing practice.
  • Do the session on a separate day if possible.

Frequency

  • 2 to 3 sessions per week

Type

Exercises

  • Warm-up
  • Squat or leg press
  • Bench-press or chest press
  • Deadlift
  • Crunch
  • Seated cable row
  • Triceps pushdown
  • Lat pulldown
  • 3 sets of 12
  • Cool-down

Rest

  • Between sets 60 to 90 seconds.

Weight Training

  • This stage will focus more on the development of strength and power. (Nikolaos Zaras, et al., 2013)
  • This leads to the start of competition and tournament play.

Frequency

  • 2 to 3 sessions per week

Type

  • Strength and power – 60% to 70% for one-rep max/1RM
  • The one-repetition maximum test, known as a one-rep max or 1RM, is used to find out the heaviest weight you can lift once.
  • When designing a resistance training program, individuals use different percentages of their 1RM, depending on whether they’re lifting to improve muscular strength, endurance, hypertrophy, or power. (Dong-Il Seo, et al., 2012)

Exercises

  • 5 sets of 6
  • Romanian deadlift
  • Incline bench press (Akihiro Sakamoto, et al., 2018)
  • Hang clean press
  • Single-leg squats
  • Back squat
  • Lat pulldown
  • Pull-ups
  • Combo crunches

Rest

  • Between sets 2 to 3 minutes

Competition

  • This stage focuses on maintaining strength and power. (Nikolaos Zaras, et al., 2013)
  • Throwing practice and competition are the priorities.
  • Before competition begins, take a 7- to 10-day break from heavyweight sessions while maintaining throwing workouts.
  • Weight training during competition should provide maintenance.

Frequency

  • 1 to 2 sessions per week

Type

  • Power – lighter loads and faster execution than in the preparation stage.

Exercises

  • 3 sets of 10
  • Rapid movement, 40% to 60% of 1RM.
  • Squats
  • Power hang clean and press
  • Romanian deadlift
  • Lat pulldown
  • Incline bench press
  • Crunches

Rest

  • Between sets 1 to 2 minutes.

Training Tips

  • Athletes have individual needs, so a general program like this needs modification based on age, sex, goals, skills, competitions, etc.
  • A certified strength and conditioning coach or trainer could help develop a fitness plan that can be adjusted as the athlete progresses.
  • Be sure to warm up prior to weight training and cool down afterward.
  • Don’t try to train through injuries or try to progress too fast – it is recommended not to throw or do weights when treating or recovering from an injury. (Terrance A Sgroi, John M Zajac. 2018)
  • Focus on the fundamentals and practice proper form.
  • Take a few weeks off at the end of the season to recover after hard training and competition.

Body Transformation

References

Weber, A. E., Kontaxis, A., O’Brien, S. J., & Bedi, A. (2014). The biomechanics of throwing: simplified and cogent. Sports medicine and arthroscopy review, 22(2), 72–79. https://doi.org/10.1097/JSA.0000000000000019

American College of Sports Medicine (2009). American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Medicine and science in sports and exercise, 41(3), 687–708. https://doi.org/10.1249/MSS.0b013e3181915670

Zaras, N., Spengos, K., Methenitis, S., Papadopoulos, C., Karampatsos, G., Georgiadis, G., Stasinaki, A., Manta, P., & Terzis, G. (2013). Effects of Strength vs. Ballistic-Power Training on Throwing Performance. Journal of sports science & medicine, 12(1), 130–137.

Seo, D. I., Kim, E., Fahs, C. A., Rossow, L., Young, K., Ferguson, S. L., Thiebaud, R., Sherk, V. D., Loenneke, J. P., Kim, D., Lee, M. K., Choi, K. H., Bemben, D. A., Bemben, M. G., & So, W. Y. (2012). Reliability of the one-repetition maximum test based on muscle group and gender. Journal of sports science & medicine, 11(2), 221–225.

Sakamoto, A., Kuroda, A., Sinclair, P. J., Naito, H., & Sakuma, K. (2018). The effectiveness of bench press training with or without throws on strength and shot put distance of competitive university athletes. European journal of applied physiology, 118(9), 1821–1830. https://doi.org/10.1007/s00421-018-3917-9

Sgroi, T. A., & Zajac, J. M. (2018). Return to Throwing after Shoulder or Elbow Injury. Current reviews in musculoskeletal medicine, 11(1), 12–18. https://doi.org/10.1007/s12178-018-9454-7

Cisgender: What It Means

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Wood block, transgender and sex equality backgrounds of male, female and lgbtq identity sign, choic.

Cisgender has nothing to do with an individual’s sexual orientation. Therefore how do sex and gender differ and where does cisgender fall within the spectrum of gender identities?

Cisgender: What It Means

Cisgender

Cisgender is a segment of the larger spectrum of gender identities. Also referred to as “cis,” it describes an individual whose gender identity corresponds to the sex they were assigned at birth. Therefore if an individual assigned sex at birth is female and identifies as a girl or a woman they are a cisgender woman.

  • The term describes how a person sees themselves and helps others communicate more accurately and respectfully.
  • Although many individuals may identify as cisgender, a cisgender person is not typical nor has qualities or characteristics that inherently differentiate them from a person of other gender identities.
  • Cisgender women commonly use the pronouns she and her.
  • A common mistake is using the term cis-gendered.
  • The proper usage of the term is cisgender.

Sex and Gender Differences

  • The terms sex and gender are often used interchangeably, however, they are not the same.
  • Sex is a biological and physiological designation based on an individual’s sex chromosomes and sexual organs.
  • It refers to an individual’s sex chromosomes and the characteristics assigned by those chromosomes. (Janine Austin Clayton, Cara Tannenbaum. 2016)
  • This includes an individual’s genitals and sex organs.
  • It also encompasses secondary characteristics – like body size, bone structure, breast size, and facial hair – that are regarded as female or male.

Differences

Gender is a social construct that refers to roles and behaviors that society assigns as being masculine or feminine. The construct infers behaviors that are accepted or appropriate based on how an individual behaves, speaks, dresses, sits, etc.

  • Gender titles include sir, ma’am, mister, or miss.
  • Pronouns include him, she, he, and her.
  • Roles include actress, actor, prince, and princess.
  • Many of these suggest a power hierarchy of who has it and who does not.
  • Cisgender women often fall victim to these dynamics.

Sex

  • Refers to an individual’s chromosomes and the way that their genes are expressed.
  • Typically described in terms of male and female characteristics or the sex assigned at birth.

Gender

  • A social construct.
  • Refers to the social roles, behaviors, and expectations considered and/or deemed appropriate for men and women.
  • Historically defined as masculine and feminine, however, definitions can change as society changes.

Gender Identities Glossary

Today, gender is viewed as a spectrum where an individual might identify as one gender, more than one gender, or no gender. The definitions are often subtle and can often overlap, co-exist, and/or change. Gender identities include:

Cisgender

  • An individual whose gender identity matches their assigned sex at birth.

Transgender

  • An individual whose gender identity does not align with their assigned sex at birth.

Non-binary

  • An individual who feels their gender identity cannot be defined.

Demigender

  • An individual who experiences a partial, but not full/complete connection to a particular gender.

Agender

  • An individual who feels neither male nor female.

Genderqueer

  • Similar to non-binary but infers refusal of societal expectations.

Gender-neutral

  • Non-binary similarities but focuses on abandoning gender labels.

Gender fluid

  • An individual who experiences multiple genders or shifts between genders.

Polygender

  • An individual who experiences or expresses more than one gender.

Pangender

  • An individual who identifies with all genders.

Third gender

  • Third gender is a concept in which individuals are categorized, either by themselves or by society, as neither male nor female, not transitioning.
  • They are a different gender altogether.

Twin gender

  • A Native American term describing someone who is male and female or of two spirits simultaneously.

Cis Woman Identity

The terms cis woman or cis female are used to describe individuals who were assigned female at birth and identify as a woman or female. For cisgender woman, this means their gender identity aligns with their primary sex organs and secondary sex traits that include:

  • Higher pitch voice.
  • Wider pelvis.
  • Broadening of hips.
  • Breast development

It can also involve cisnormativity – a concept that everyone identifies as the gender they were assigned at birth. This could inform how a cis woman is expected to dress and act. An even more extreme concept is gender essentialism – this is the belief that gender differences are rooted purely in biology and cannot be changed. However, even cisnormativity beauty standards can influence the perceptions of transgender women that end up reinforcing gender stereotypes. (Monteiro D, Poulakis M. 2019)

Cisgender Privilege

Cisgender privilege is the concept that individuals who are cisgender receive added benefits compared to individuals who don’t conform to the gender binary norm. This includes cisgender women and men. Privilege happens when a cisgender individual assumes they are the norm and consciously or unconsciously takes action against those who are outside the definition of masculine and feminine. Examples of cisgender privilege include:

  • Not being denied work and social opportunities because of not fitting into the boy’s or girl’s club.
  • Not having to have sexual orientation questioned.
  • Not being denied healthcare due to provider discomfort.
  • Not fearing that civil rights or legal protections will be taken.
  • Not worrying about being bullied.
  • Not having to worry about attracting questioning looks in public.
  • Not being challenged or questioned about the clothes being worn.
  • Not being demeaned or mocked because of pronoun use.

Gender Identity and Sexual Orientation

  • Gender identity and sexual orientation are not the same. (Carla Moleiro, Nuno Pinto. 2015)
  • Gender identity and sexual orientation are not the same.
  • A cisgender individual can be heterosexual, homosexual, bisexual, or asexual and so can a transgender individual.
  • Being cisgender has no correlation to an individual’s sexual orientation.

Chiropractic Care After Accidents and Injuries

References

Clayton, J. A., & Tannenbaum, C. (2016). Reporting Sex, Gender, or Both in Clinical Research? JAMA, 316(18), 1863–1864. https://doi.org/10.1001/jama.2016.16405

Monteiro, Delmira and Poulakis, Mixalis (2019) “Effects of Cisnormative Beauty Standards on Transgender Women’s Perceptions and Expressions of Beauty,” Midwest Social Sciences Journal: Vol. 22: Iss. 1, Article 10. DOI: https://doi.org/10.22543/2766-0796.1009 Available at: https://scholar.valpo.edu/mssj/vol22/iss1/10

Moleiro, C., & Pinto, N. (2015). Sexual orientation and gender identity: review of concepts, controversies and their relation to psychopathology classification systems. Frontiers in Psychology, 6, 1511. https://doi.org/10.3389/fpsyg.2015.01511

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