How To Manage Inflammatory & Autoimmune Conditions In The Body

Table of Contents

Introduction

Everyone tries to make healthy life choices by boosting their immune system. Getting adequate sleep, eating plenty of fruits and vegetables, drinking plenty of water, and exercising all help increase the immune system. The immune system is known as the “protector” of the body as it eliminates foreign invaders that enter the body and causes chaos to the effective systems. The immune system releases cytokines to the alien invaders causing inflammation in the affected area. When environmental factors affect the body over time, the immune system mistakenly attacks its cells, thinking it’s a foreign invader causing autoimmunity. Today’s article looks at autoimmunity, its triggers, how inflammation plays its role in the body, and what is D.I.R.T. We refer patients to certified providers specializing in autoimmune therapies to help many individuals dealing with autoimmune diseases and inflammation. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Autoimmunity?

Have you been dealing with abdominal issues that affect you when you eat something? How about pain and swelling in your joints? How about unexplained skin problems? Some of these symptoms are signs that many individuals risk developing autoimmunity. Autoimmunity is defined as a self-directed inflammation of the body’s tissue, which results from a loss of tolerance by aberrant dendric cells and B & T cell responses. This causes the development of immune reactivity towards native antigens. When autoimmune diseases occur in the body, studies reveal that this is due to the immune system attacking self-molecules; many disorders are strongly associated with many predisposing factors.

Things That Trigger Autoimmunity

When it comes to the link between the triggering factors and the immune system, studies reveal that the cause and pathway of many autoimmune diseases affecting the body are unknown but that the many factors that trigger the progression of autoimmune diseases are associated with different chronic issues. The adaptive immune response consists of antibodies and activated T lymphocytes that play a predominant role in clinical conditions. The multiple pathways that autoimmune diseases do to the body are ongoing and multifactorial due to the initial trigger for systemic and organ-specific disorders that may predate clinical diseases by many years. Some of the factors that may trigger autoimmunity in the body include:

Gut
Endothelial
Brain
Stress
Toxins
Infections
Food
Biotoxins (innate)

What Is Inflammation?-Video

Have you been dealing with swelling around your joints and muscles? Do the foods seem to cause issues in your gut? What about feeling radiating pain traveling down your arms or legs? These are signs that your body is experiencing inflammation. The video above gives an excellent explanation of what inflammation is and its role in the body. Inflammation is the immune system’s natural defenses triggered by various factors that affect the body while it promotes healing to the affected area. Inflammation can be good or bad; it depends on the severity of the body’s injury and location. Inflammation has a casual relationship with the immune system in acute and chronic forms. In its acute form, inflammation can minimize the injury or infection to promote healing in the affected area with heat, redness, and swelling. However, in its chronic condition, where the damage is more profound, various pathogens affecting the body’s tissues may result in chronic issues associated with inflammation. Luckily, there are ways to manage autoimmunity-related inflammatory symptoms.

What Is D.I.R.T?

The body needs the immune system to protect itself from foreign invaders that enter the body. Studies reveal that the immune system does more than protect the body; it can flush out old, damaged cells in the body and replace them with new ones. The immune system also mobilizes responses to the invaders with its ability to distinguish self from non-self. As stated earlier, the immune system has a causal relationship to inflammation. It may succumb to triggering factors that could be involved with the muscles and joints associated with pain. The immune system uses the acronym D.I.R.T. to regulate and defend the body when needed.

D: Detect & Defensive

The immune system in the body has a mechanism that identifies potentially threatening molecular structures like:

Strange signals found in microbes, food, plants & fungi, chemicals
Danger signals (alarmins) that are found in tissues or secreted by stimulated leukocytes or epithelia

When these structures attack the body, the immune system begins to detect and becomes a defense mechanism that will mount the appropriate responses to the threat level. Once the threat is eliminated, the body can regenerate new, healthy cells.

I: Internally Regulated

The body has immune responses that are tightly controlled and actively resolved through multiple cellular, genomic, and enzymatic mechanisms. Some of the regulations that the immune system provides are:

T regulatory lymphocytes
Lipid-derived pro-resolution mediators
Redox balance: Nrf2-ARE activation

Even though it is difficult to manipulate the immune system, finding ways to regulate the immune system from going crazy and finding the right balance for a healthy immune system is essential for a healthy body.

R: Restorative

The immune system’s function is to repair any damages resulting from injury or negative encounters that the body has gone through. When the body becomes injured, the immune system sends inflammatory cytokines to the affected area and begins the healing process. Other cellular structures that help the immune system restore the body include:

Phagocytes
Fibroblasts
Stem cells
Endothelial cells

There are other ways to restore the body and improve the immune system. Eating healthy foods to boost the immune system, exercising, and even getting chiropractic care may help the immune system. But isn’t chiropractic care used for the back? Yes, chiropractic care focuses on the musculoskeletal system, but they also support many individuals in maintaining their health and wellness. The immune system will function to its total capacity when any spinal misalignments or subluxations are corrected through spinal manipulation.

T: Tolerant

The immune system helps the body build a tolerance to the pathogens that are affecting the body. For example, food allergens. With many common food allergens, like nuts, gluten, milk, fish, and eggs, the body will begin to build a tolerance to these allergens when it is introduced slowly. Other healthy boundaries that the immune system provides to the body include:

Self or fetal antigens
Innocuous environmental antigens
Microbes
Plants and fungi

By building a healthy tolerance to these pathogens, the body has a solid chance to build up immunity to the pathogen. It can help the immune system be stronger when reencountering these pathogens.

Conclusion

Overall the immune system is the primary protector of the body from foreign invaders. When harmful pathogens enter the body, the immune system sends out cytokines to where the invaders are and get rid of them. This causes inflammation in the affected area in the body, causing swelling and redness in the skin. When these pathogens infect the body over time, the immune system mistakenly attacks the body, especially the vital organs causing chronic inflammation associated with autoimmunity. Autoimmunity is a cluster of disorders that causes body dysfunction, which overlaps with inflammation causing the body to be dysfunctional. Luckily it is treatable with the right foods, exercises, and treatments that can help lower inflammation and help regulate the immune system back to its original self.

References

Chaplin, David D. “Overview of the Immune Response.” The Journal of Allergy and Clinical Immunology, U.S. National Library of Medicine, Feb. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2923430/.

Chen, Linlin, et al. “Inflammatory Responses and Inflammation-Associated Diseases in Organs.” Oncotarget, Impact Journals LLC, 14 Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5805548/.

Smith, D A, and D R Germolec. “Introduction to Immunology and Autoimmunity.” Environmental Health Perspectives, U.S. National Library of Medicine, Oct. 1999, www.ncbi.nlm.nih.gov/pmc/articles/PMC1566249/.

Vojdani, Aristo. “A Potential Link between Environmental Triggers and Autoimmunity.” Autoimmune Diseases, Hindawi Publishing Corporation, 12 Feb. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC3945069/.

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Wrestling Injuries Chiropractic Restoration

Dr. Alex Jimenez

Wrestling is a sport that requires speed, strength, and endurance that involves intense physical contact, pushing and pulling the muscles, tendons, ligaments, and joints to their limits. Wrestlers’ are constantly contorting their bodies. Pushing the body to its limits increases the risk of developing wrestling injuries that include:

Sprains
Bruising
Dislocations
Fractures
Concussions
Skin infections

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Wrestling Injuries

The most common injuries usually occur from forceful contact or twisting forces. And if a wrestler has been injured, there is an increase for re-injury. Wrestling tournaments typically take place over days, often with back-to-back matches, which significantly fatigues the body and increases injury risk. The most common wrestling injuries include:

Muscle strains of the lower extremities and/or the back.
Chronic problems can result from hours in the forward stance posture and repetitive motions.
Trigger points.
Neck injuries.
Ligament knee injuries – Meniscus and MCL tears.
Pre-patellar bursitis/Osgood Schlatter’s syndrome from consistently hitting the mat.
Ankle injuries.
Hand and finger dislocations and fractures.
Dislocations and sprains of the elbow or shoulder from take-downs.
Cauliflower ear – is a condition that can cause ear deformity and develops from friction or blunt trauma to the ears.
Skin infections occur from constant contact, sweating, bleeding, and rolling on the mats. Infections include herpes gladitorium, impetigo, folliculitis, abscesses, and tinea/ringworm.
Concussions are usually caused by hard falls/slams or violent collisions with the other wrestler.

Injuries can cause wrestlers to alter/change their technique, exacerbating the existing damage and potentially creating new injuries.

Chiropractic Rehabilitation and Strengthening

There can be a variety of pain generators/causes when it comes to wrestling injuries. Joints and muscles can get overstretched, muscles can spasm, and nerves can become compressed and/or irritated. For example, a neck muscle spasm could be caused by nerve irritation from a shifted vertebrae. To determine the specific cause or causes of the injury/pain, a detailed chiropractic examination will be performed that includes:

Range of motion testing
Ligament tests
Muscle palpation
Gait testing

Injuries often relate to the proper weight, neuromuscular control, core strength, proper technique, hygiene, and hydration management. Successful treatment depends on identifying the root cause of the wrestling injury. Chiropractic restores proper alignment through massage, specific manual adjustments, decompression, and traction therapies. Adjustments can include the back, neck, shoulder, hips, elbows, knees, and feet. Once correct body alignment is achieved, rehabilitative exercises and stretches are implemented to correct and strengthen muscle function. We work with a network of regional medical doctors specializing in referral situations and strive to return the athlete to their sport as soon as possible.

Wrestling Match

References

Boden, Barry P, and Christopher G Jarvis. “Spinal injuries in sports.” Neurologic clinics vol. 26,1 (2008): 63-78; viii. doi:10.1016/j.ncl.2007.12.005

Halloran, Laurel. “Wrestling injuries.” Orthopedic nursing vol. 27,3 (2008): 189-92; quiz 193-4. doi:10.1097/01.NOR.0000320548.20611.16

Hewett, Timothy E et al. “Wrestling injuries.” Medicine and sport science vol. 48 (2005): 152-178. doi:10.1159/000084288

Mentes, Janet C, and Phyllis M Gaspar. “Hydration Management.” Journal of gerontological nursing vol. 46,2 (2020): 19-30. doi:10.3928/00989134-20200108-03

Wilson, Eugene K et al. “Cutaneous infections in wrestlers.” Sports health vol. 5,5 (2013): 423-37. doi:10.1177/1941738113481179

An Overview Of Lyme Disease

Dr. Alex Jimenez

Table of Contents

Introduction

Many individuals plan fun outdoor activities when the weather is nice and warm during spring and summer. Hiking, swimming, or road trips are some of the activities many people do enjoy. Each activity provides new memories to enjoy and work with the body by incorporating the muscles, tissues, and ligaments through everyday movement. As fun as these outdoor activities are, the outdoors can be dangerous when you least expect it, as factors can cause damage to the body without even a person realizing it is happening. Today’s article looks at a bacteria called Borrelia burgdorferi, commonly known as Lyme disease, its symptoms, and available treatments for Lyme disease. We refer patients to certified providers specializing in therapies to help those with Lyme Disease. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Lyme Disease?

Have you noticed a rash that randomly appeared out of nowhere? How about feeling the effects of fatigue throughout the entire day? Or how about inflammatory issues affecting your joints? Some of these are signs and symptoms that you might be at risk of developing Lyme disease. The original description of how Lyme disease was manifested dates back to 1883 in Europe by the German physician Alfred Buchwald, who described it as now called ACA (acrodermatitis Chronica atrophicans), and research studies defined Lyme disease as a multi-organ animal-borne disease from ticks that affects the vital organs (skin, nerves, and heart) associated with the musculoskeletal system. Lyme disease is transmittable from either the tick itself or a tick-infested animal like a rodent or a deer. Lyme disease is quite difficult to diagnose since a tick can hide in tall, grassy, and woodsy areas that many individuals walk through and don’t recall ever getting a tick bite.

Symptoms Of Lyme Disease

Suppose an individual lives in a location where ticks are native and thrive. In that case, they may succumb to Lyme disease symptoms which vary depending on the severity and come in different stages: early, disseminated, and late.

Early Stages

When a tick has bitten a person, the skin develops an expanding red area that forms a bull’s eye circle rash known as erythema migrans. Some individuals don’t develop this type of rash, but it can be at more than one place on their bodies. Other symptoms that are potentially involved with erythema migrans in the early stages of Lyme disease include fatigue, headache, neck stiffness, and swollen lymph nodes are accompanied.

Disseminated Stages

Studies have shown that Lyme disease may manifest in the involvement of the musculoskeletal system. If a person hasn’t treated the tick bit within a couple of weeks, this disease goes to a disseminated stage where the vital organs and muscles begin to be affected. During this stage, Lyme disease can mimic other symptoms like joint inflammation associated with rheumatoid arthritis. When people suffer from a tick bite and have not been treated, it can affect the joints by mimicking inflammatory joint swelling, causing individuals to be at risk of developing arthritis. Lyme disease also may trigger fibromyalgia symptoms in the individual’s body, causing them to be in immense pain.

Later Stages

If Lyme disease hasn’t been treated for months, it can affect the surrounding nerve roots and joint structures. Lyme disease may trigger inflammatory markers in the blood-brain barrier that may overlap with neurological disorders like Bell’s palsy (temporary paralysis on one side of the face) and trigger sensory-motor dysfunction in the arms and legs. Studies reveal that the central and peripheral nervous systems affected by Lyme disease may be at risk of developing meningitis. This means that the spine al cord could potentially be involved with Lyme disease if not treated as soon as possible.

An Overview Lyme Disease-Video

Lyme Disease Introduction - Johns Hopkins - (1 of 5)

Have you been experiencing swelling around your joints? How about feeling a tingling sensation running down your arms and legs? Have you been waking up with neck stiffness? Some of these are signs that you could be at risk of developing Lyme disease. The video above gives an introduction to what Lyme disease is and how it affects the body. Lyme disease is a multi-systemic disease transmitted by an insect known as a tick. This insect thrives in tall, grassy, woodsy areas and can be mistaken for a poppy seed due to its small size. Many individuals don’t realize that they have Lyme disease from a tick until the symptoms have begun to affect the body. Luckily there are ways to treat Lyme disease and prevent it from creating havoc on the body.

Treatments Available For Lyme Disease

Lyme disease is treatable as many physicians prescribe antibiotics to individuals that have Lyme disease. The antibiotics will attach themselves to the bacteria from Lyme disease and eliminate it from the body in the early stages. Other treatments like chiropractic care may also help alleviate the associated symptoms of Lyme disease. How does chiropractic care correlate with Lyme disease? Well, chiropractic care is not just for the back; it can help improve the function of the central nervous system. As mentioned earlier, Lyme disease can mimic other symptoms like joint inflammation. When a person gets their spine adjusted, it can help relieve the stiffness from the surrounding muscles and reduce aches and pain in the body. Some of the ways to prevent Lyme disease include:

Wearing light, breathable clothing (long pants, long shirt, hat, gloves, etc.)
Use insect repellent
Avoid walking through long grass
Check clothing (They like to attach to anything)
Remove them with a tweezer (Grasp them gently near their head or mouth)

Conclusion

Enjoying the warmer weather is great for many individuals that want to do fun outdoor activities. However, it can be fatal when factors begin to damage the body without even the person realizing it. Lyme disease is a multi-organ disease transmitted by an insect known as a tick. This tiny insect can attach to any exposed skin and cause many symptoms that can affect the body. Many individuals who a tick has bitten are at risk of developing inflammatory symptoms that mimic other chronic issues. These untreated issues can overlap with chronic diseases but can be treatable if caught early. Available treatments like antibiotics and chiropractic care may help manage the symptoms. At the same time, the necessary precautions can prevent the tick from infecting the body so that you can enjoy the outdoors.

References

Biesiada, Grażyna, et al. “Lyme Disease: Review.” Archives of Medical Science : AMS, Termedia Publishing House, 20 Dec. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3542482/.

Dabiri, Iman, et al. “Atypical Presentation of Lyme Neuroborreliosis Related Meningitis and Radiculitis.” Neurology International, PAGEPress Publications, Pavia, Italy, 2 Dec. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6908959/.

Skar, Gwenn L, and Kari A Simonsen. “Lyme Disease – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 6 May 2022, www.ncbi.nlm.nih.gov/books/NBK431066/.

Steere, A C. “Musculoskeletal Manifestations of Lyme Disease.” The American Journal of Medicine, U.S. National Library of Medicine, 24 Apr. 1995, pubmed.ncbi.nlm.nih.gov/7726191/.

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The Impact Of Multiple Sclerosis On The Body

Dr. Alex Jimenez

Table of Contents

Introduction

Everyone knows that the brain is the command center of the body. This organ is part of the central nervous system that works with the spinal cord and the vital organ systems to send signals that provide motor-sensory functions to make the body do everyday movements. The signals from the brain have a casual relationship with the immune system. When environmental factors enter the body, the brain signals the immune system to send inflammatory cytokines to the area where it was affected and begin the body’s healing process. The immune system helps clean up the body’s cellular structure by replacing old, damaged cells with new, healthy cells. However, when the immune system starts to attack specific parts of the body mistakenly, it can damage the healthy cells causing autoimmune diseases to develop in the body. Today’s article looks at one of the rare autoimmune diseases known as multiple sclerosis, how it impacts the body, and how to manage multiple sclerosis. We refer patients to certified providers specializing in autoimmune therapies to help those with multiple sclerosis. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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How Would You Describe Multiple Sclerosis?

Have you been dealing with constant, shifting mood swings? Do certain muscle areas begin to feel stiff or spasm out? Or are you experiencing gut issues throughout the entire day? Some of these symptoms are associated with MS or multiple sclerosis. Multiple sclerosis is a rare autoimmune disease affecting the central nervous system. When the body’s immune system starts to see the brain or spinal cord as a foreign invader, it will begin to attack the protective layer known as myelin and cause damage to the nerve fibers. An example is when an electrical wire doesn’t have a protective coating, and all the cables are exposed. So when multiple sclerosis affects the brain or spinal cord, the communication signal will deteriorate, causing chronic pain and inflammation. Multiple sclerosis goes through a manifestation of relapses and remission that affects the sensory(feel), motor(move), and cognitive(think) functions of different parts of the body.

How Does It Impact The Body?

When an individual begins to suffer from MS (multiple sclerosis), like all autoimmune diseases, the causes are unknown. Still, genetic and environmental factors are linked to MS while associated with neuropathic pain. Neuropathic pain is due to damage or injury of the nerves in the central nervous system. It is a common symptom of MS. Both neuropathic pain and MS are associated with similar symptoms that correlate with different chronic issues that affect the body; however, the times and severity of these two are different. Some of the similar symptoms that MS and neuropathic pain share include:

Burning
Sharp, stabbing sensations
Muscle stiffness or spasms
Pain
Twitching
Numbness

When MS impacts the body, it could potentially involve other body parts while mimicking different chronic symptoms. Studies reveal that even though neuropathic pain and other pain syndromes occur in most people with MS, the manifestation of pain in different body parts is involved. When dealing with pain, it is associated with the central nervous system while overlapping various chronic issues in other areas of the body. This is known as somatovisceral pain, where the affected muscles and tissues are causing problems to the organs and vice versa. Some of the somatovisceral symptoms that are common in MS that are potentially involved with other issues include:

Instability
Electic sensations in the neck or back
Bladder, bowel, or sexual dysfunctions
Forgetfulness or mood swings
Slurred speech

An Overview Of Multiple Sclerosis-Video

Multiple sclerosis - causes, symptoms, diagnosis, treatment, pathology

Are you experiencing issues of fatigue? How about numbness or tingling sensations that are down your arms and legs? Do problems like constipation seem to be affecting your bladder function? Many of these issues are associated with MS or multiple sclerosis. The video above gives an overview of what MS is, its symptoms, and how to manage it. How multiple sclerosis affects the body depends on the various signs and symptoms damaging the nerves in different body areas. Some signs and symptoms are similar to chronic issues ranging from mild to severe. Multiple sclerosis in individuals goes through a relapse-remitted phase where a person will experience different symptoms over days or weeks and sometimes have a recovery period. Like all autoimmune diseases, the causes of MS are unknown, but the factors developed over time remain the same. Fortunately, there are ways to manage multiple sclerosis.

Ways To Manage Multiple Sclerosis

Like all autoimmune diseases, inflammation is one of the common symptoms that are associated with autoimmunity. For multiple sclerosis, inflammatory effects trigger the neuron signals causing communication issues to be delivered to the rest of the body. When this happens, it can become a wide range of symptoms associated with different chronic problems. All is not lost as autoimmune diseases are treatable, and there are ways to manage the symptoms associated with autoimmunity. Eating anti-inflammatory foods like fish, drinking green tea, and broccoli can dampen the inflammatory effects that are in the body. Exercising improves strength, flexibility, and mobility for individuals with MS. Incorporating an exercise regime for several weeks and a certain amount of time is beneficial in managing the associated symptoms and preventing complications and comorbidities. It may protect neuro-actions, as research shows. Even treatments like chiropractic care utilize spinal manipulation to increase the body’s natural healing factor while optimizing nerve circulation that can adequately communicate with the body without sending damaged signals to initiate pain.

Conclusion

The brain is the command center that has a casual relationship with the immune system to regulate a functioning body. The immune system’s primary function is to eliminate old, damaged cells, make way for new, healthy cells, and protect the body from foreign invaders. When factors affect the body over time, the immune system mistakenly attacks different body parts as a foreign invader. This is known as autoimmune disease and can range from mild to severe. MS or multiple sclerosis is a rare autoimmune disease associated with similar symptoms from different chronic issues. MS affects the neurons in the central nervous system and has identical signs to chronic problems during a relapse-remitted phase. Fortunately, MS is treatable by incorporating an exercise regime to strengthen the affected muscles, consuming anti-inflammatory food to lower inflammatory markers, and utilizing chiropractic care to optimize nerve circulation through spinal manipulation. These are some ways to manage MS and improve a person’s quality of life.

References

Ghasemi, Nazem, et al. “Multiple Sclerosis: Pathogenesis, Symptoms, Diagnoses and Cell-Based Therapy.” Cell Journal, Royan Institute, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5241505/.

Giesser, Barbara S. “Exercise in the Management of Persons with Multiple Sclerosis.” Therapeutic Advances in Neurological Disorders, SAGE Publications, May 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4409551/.

Racke, Michael K, et al. “Pain in Multiple Sclerosis: Understanding Pathophysiology, Diagnosis, and Management through Clinical Vignettes.” Frontiers in Neurology, Frontiers Media S.A., 13 Jan. 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8794582/.

Tafti, Dawood, et al. “Multiple Sclerosis – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 9 Apr. 2022, www.ncbi.nlm.nih.gov/books/NBK499849/.

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T-Bone Side Impact Collision Injuries Chiropractor

Dr. Alex Jimenez

damaged vehicle closeup after a heavy crash, traffic accident, i — damaged vehicle closeup after a heavy crash, car accident, insurance concept

T-bone accidents/collisions, also known as side-impact or broadside collisions where the front end of one car slams into the side of another, can result in severe injuries and tend to have a more devastating effect on the body. Side impact collisions account for 24% of driver or passenger deaths; even at 30 mph, side-impacts regularly cause injuries to the occupants of the struck car. Modern vehicles have many safety features, including safety belt features, airbags, and collision avoidance systems that protect drivers and passengers from front and rear collisions; however, when it comes to side-impact, occupants tend to remain unprotected.

Table of Contents

T-Bone Side Collision Causes

T-bone accidents usually happen at intersections. Usual Causes of T-bone accidents involve someone failing to yield the right of way. The most common causes include:

A driver makes a risky left turn at an intersection, believing the other car/s will stop.
A driver decides to run a red light crashing into a vehicle making a left turn.
A driver runs through a stop sign, slams into a vehicle, or gets slammed.
Distracted driving.
Defective automotive equipment like faulty brakes.

Injuries

T-bone collision-related injuries include the head, neck, arms, shoulders, chest, ribs, abdominals, pelvis, legs, and feet:

Abrasions
Bruising
Cuts
Gashes
Soft tissue strains
Whiplash
Nerve damage
Dislocations
Fractures
Internal damage to the organs
Concussions
Brain trauma
Partial or complete paralysis

Back injuries can damage the spinal cord causing herniated discs, sciatica, and chronic pain that can radiate to the rest of the body.

Treatment and Recovery

Individuals have different recovery times and depend on the severity of the injury and on any pre-existing conditions. Brain injuries and spinal issues can take months to recover fully. Fractures placed in a hard or soft cast to heal for weeks or months can lead to muscle atrophy. Chiropractic therapeutic massage and decompression strengthens muscle weakness, resets and realigns the spinal column, improves range of motion/movement, strengthens grip, and relieves pain.

Neurosurgeon Explains DRX9000

References

Gierczycka, Donata, and Duane Cronin. “Importance of impact boundary conditions and pre-crash arm position for the prediction of thoracic response to pendulum, side sled, and near side vehicle impacts.” Computer methods in biomechanics and biomedical engineering vol. 24,14 (2021): 1531-1544. doi:10.1080/10255842.2021.1900132

Hu, JunMei, et al. “Chronic widespread pain after motor vehicle collision typically occurs through immediate development and nonrecovery: results of an emergency department-based cohort study.” Pain vol. 157,2 (2016): 438-444. doi:10.1097/j.pain.0000000000000388

Lidbe, Abhay, et al. “Do NHTSA vehicle safety ratings affect side impact crash outcomes?.” Journal of safety research vol. 73 (2020): 1-7. doi:10.1016/j.jsr.2020.02.001

Mikhail, J N. “Side impact motor vehicular crashes: patterns of injury.” International journal of trauma nursing vol. 1,3 (1995): 64-9. doi:10.1016/s1075-4210(05)80041-0

Shaw, Greg et al. “Side impact PMHS thoracic response with a large-volume airbag.” Traffic injury prevention vol. 15,1 (2014): 40-7. doi:10.1080/15389588.2013.792109

The Impact On Osteoarthritis On The Hips

Dr. Alex Jimenez

Table of Contents

Introduction

The hips in the lower extremities of the body help stabilize the weight of the upper half while providing movement to the lower half. The hips also allow the body to twist, turn, and bend back and forth. The hip joints connect to the inside of the pelvic bone, while the pelvic bone is connected to the sacroiliac joint, which connects to the spine. When natural wear and tear affects the joints as the body ages, issues like hip pain and osteoarthritis associated with low back pain occur, causing various symptoms to arise in the body. Today’s article looks at osteoarthritis, how it impacts the hips, and how to manage hip osteoarthritis. We refer patients to certified providers specializing in musculoskeletal therapies to help those with hip pain and osteoarthritis. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Osteoarthritis?

Have you been experiencing pain in your hips or lower back? How about muscle stiffness near the groin? Do symptoms associated with sciatica seem to flare up near your hips and the back of your leg? Many of these symptoms are signs that you could be at risk of developing osteoarthritis near your hips. While arthritis refers to inflammation of the body’s joints, osteoarthritis is a type of arthritis that causes degeneration of the joint cartilage, triggering joint pain and functionality loss. Even though there are several hundred types of arthritis, osteoarthritis is one of the most common types that many people, especially older adults, are affected by. As the body becomes older naturally through age, the repairs from an injury begin to slow down, and the cartilage (the connective tissue that protects the bones from each other) will start to thin out, triggering bone rubbing together, causing inflammation to occur, bone spurs, and inevitable pain. Osteoarthritis is often associated with old age and is multifactorial as factors that can increase the risk of developing osteoarthritis include:

Sex
Age
Obesity
Joint injuries
Genetics
Bone deformities

How Does It Impact The Hips?

Since osteoarthritis affects the joints, how does it cause an impact on the hips? When health issues affect the body, it can cause painful symptoms to gradually worsen and become a risk of developing hip pain. Studies reveal that hip pain is common in all adults and activity levels in the anterior, lateral, or posterior regions near the hips.

Anterior hip pain: Causes referred pain (pain felt in one part of the body but is actually in a different location) associated with internal organ systems.
Lateral hip pain: Causes wear-and-tear pain on the soft muscle tissues on the sides of the hips.
Posterior hip pain: Causes referred pain associated with the lumbar spinal pathology like sciatic nerve entrapment correlating with a deep gluteal syndrome.

All these issues affecting the hips overlap with various issues associated with osteoarthritis. When hip pain originates from osteoarthritis, factors like minimal physical activity or slight movements while resting in bed can worsen due to the hip joints having limited or restricted movement. Studies reveal that hip pain is associated with simple movement impairments that make it difficult to diagnose due to referred pain from the spine, knees, or even the groin area.

How does hip osteoarthritis correlate with groin pain? Studies reveal that when a person is dealing with hip osteoarthritis, groin and buttock pain are slightly more common. The hip joint is behind the groin muscle, which is why groin pain overlaps with hip pain as the root. Hip and groin pain could also be involved with radiating pain down toward the knees in the body.

Exercises For Hip Osteoarthritis- Video

8 Great Exercises for Hip Osteoarthritis

Are you experiencing bladder issues? How about stiffness near or around your hips and groin area? Do issues like low back and sciatica pain? Experiencing these issues could be signs of hip osteoarthritis affecting your lower body. Studies reveal that hip osteoarthritis is a significant source of morbidity, pain, gait abnormalities, and functional impairments potentially involved with other issues. Fortunately, there are ways to manage hip osteoarthritis, as the video above shows eight great exercises for hip osteoarthritis. Certain exercise moves for individuals with hip osteoarthritis can help strengthen the surrounding muscles around the joints while increasing joint mobility to reduce pain and stiffness. Exercising can also be beneficial to the individual as it can provide:

Increase blood circulation
Maintain weight
Provides energy boost
Improves sleep
Promotes muscle endurance

Other available therapies help manage hip osteoarthritis while alleviating associated symptoms affecting the body.

Managing Hip Osteoarthritis Pain

Many individuals suffering from hip osteoarthritis try to find ways to relieve the pain. While they can’t do anything to prevent wear and tear on the joints completely, there are ways to slow down the process and manage hip osteoarthritis in the body. Small changes like incorporating food can dampen inflammatory effects on the joints while providing nutrients to the body. An exercise regime can help strengthen the weak muscles supporting the joints while increasing mobility and range of motion. Treatments like spinal traction and chiropractic care relieve pain and stiffness from joint disorders like osteoarthritis. Chiropractic care provides spinal manipulation on the back and joints to be adjusted. While spinal traction helps the compressed discs lay off the pressure on the surrounding nerves associated with hip pain. Incorporating any of these can help slow the progression of hip osteoarthritis and bring back mobility to the hips.

Conclusion

The hips provide stability to the upper and lower parts of the body. While supporting the weight of the upper half and movement to the lower half, the hips can succumb to wear and tear in the body. When the hip joints begin to wear and tear slowly, it can lead to the progression of hip osteoarthritis, where the cartilage of the joints begins to cause the bones to rub against each other, triggering inflammation. Hip osteoarthritis makes diagnosing difficult because the referred pain from the spine, knees, or groin area overlaps the symptoms. All is not lost, as there are available treatments to manage hip osteoarthritis that can help slow the progress of this disorder and bring back the mobility of the lower half of the body.

References

Ahuja, Vanita, et al. “Chronic Hip Pain in Adults: Current Knowledge and Future Prospective.” Journal of Anaesthesiology, Clinical Pharmacology, Wolters Kluwer – Medknow, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/.

Chamberlain, Rachel. “Hip Pain in Adults: Evaluation and Differential Diagnosis.” American Family Physician, 15 Jan. 2021, www.aafp.org/pubs/afp/issues/2021/0115/p81.html.

Khan, A M, et al. “Hip Osteoarthritis: Where Is the Pain?” Annals of the Royal College of Surgeons of England, U.S. National Library of Medicine, Mar. 2004, pubmed.ncbi.nlm.nih.gov/15005931/.

Kim, Chan, et al. “Association of Hip Pain with Radiographic Evidence of Hip Osteoarthritis: Diagnostic Test Study.” BMJ (Clinical Research Ed.), BMJ Publishing Group Ltd., 2 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4667842/.

Sen, Rouhin, and John A Hurley. “Osteoarthritis – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 1 May 2022, www.ncbi.nlm.nih.gov/books/NBK482326/.

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Function Restoration Chiropractor: Sciatica Clinic

Dr. Alex Jimenez

Physician helping old person with therapeutic exercise for legs — Senior man lying on back and bending his knees with physical therapist pushing them to patient belly

The sciatic nerve is the longest in the body and is the central nerve in the leg. A critical nerve that comes off the spine runs through the pelvis, into the buttocks, down the back of each thigh, and finally into the feet. It is a mixed nerve meaning it is made up of both motor/movement) and sensory/sensation fibers. The nerves merge with the spinal nerve roots before they enter the spinal cord, where the sensory information travels to and from the brain. If the nerve is inflamed, compressed, twisted, damaged, or injured, this can negatively affect the muscles’ function, leading to chronic pain conditions. Injury Medical Function Restoration Chiropractors will do precisely that for the sciatic nerve and the rest of the body.

Table of Contents

Nerve Roots and Branches

Different nerve roots make up the sciatic nerve, with two starting in the lower back and three at the bottom of the spine or sacrum. At the knees, the nerve splits into two branches:

The peroneal nerve runs from the knee’s outer part to the foot’s outer part and splits into two main branches below the knee.
The tibial nerve goes down the back of the calf, extending to the heel and sole.

There are smaller branches at the:

Hips
Inner thighs
Calves
Feet

Sciatic Nerve Function

The sciatic nerve’s purpose serves motor functions by assisting the muscles in the legs and feet to move, walk, run, and stand. And for the sensory function of feeling sensations in the legs and feet includes pain, numbness, burning, and electrical sensations.

Motor Functions

The nerve provides motor functions that power movement to the muscles that move the thighs, legs, and feet. Essential motor functions:

Hip adduction

Bringing the thighs together inward toward the body

Knee flexion

Bending the knee.

Inversion of the foot

Movement of the foot inward to the body.

Eversion of the foot

Movement of the foot away/outward from the body

Dorsiflexion of the foot

Pointing the foot up.

Plantarflexion

Pointing the foot down.

Flexion of toes

Pointing the toes down.

Extension of toes

Pointing the toes up.

Motor function signs of sciatic nerve problems include difficulty or inability to walk, bend the leg, and/or stand on tiptoe or the heel.

Sensory Functions

The nerve provides sensation to the different areas; when the nerve is injured, the corresponding area may feel unique/abnormal sensations with differing degrees of numbness, pins-and-needles, and pain. Commonly affected areas include:

Front, back, and outside the thigh.
Front, back, and outside the lower leg.
The top and outer side of the foot.
Bottom of the foot.
Between the toes.

Like motor function disruption, sensory impairment is determined by where the problems are occurring.

Function Restoration Chiropractor

Affected, reduced, and inhibited motor and sensory functions can lead to muscle weakness, chronic pain, and permanent nerve damage. Function restoration chiropractor and physical therapeutic massage can help manage nerve compression and irritation. Spinal manipulations restore misaligned vertebral discs taking the pressure off the nerve relieving the pain, and regaining nerve signal flow and mobility. Chiropractic will induce deep muscle relaxation to stop muscle spasms, release tension, soothe the nerve, release endorphins, and restore sciatic nerve function.

Spinal Decompression

References

Bouche, P. “Compression and entrapment neuropathies.” Handbook of clinical neurology vol. 115 (2013): 311-66. doi:10.1016/B978-0-444-52902-2.00019-9

Cook, Chad E et al. “Risk factors for first-time incidence sciatica: a systematic review.” Physiotherapy research international: the journal for researchers and clinicians in physical therapy vol. 19,2 (2014): 65-78. doi:10.1002/pri.1572

Giuffre BA, Jeanmonod R. Anatomy, Sciatic Nerve. [Updated 2021 Jul 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK482431/

An Overview On Systemic Lupus Erythematosus

Dr. Alex Jimenez

Table of Contents

Introduction

The body’s immune system is vital in protecting the body from foreign invaders that can wreak havoc. The immune system has a casual relationship with different body systems like the gut, endocrine, and central nervous systems that work together to keep the body functional. When environmental or genetic factors affect the body over time, the immune system will begin to attack normal, healthy cells causing issues and becoming a risk of developing autoimmune diseases. Autoimmune diseases are when the body starts to attack itself, and if it is not managed over time, it can lead to the development of chronic disorders. Today’s article looks at one of the most common autoimmune diseases, systemic lupus erythematosus or lupus, its symptoms and factors, and how to manage lupus with available treatments. We refer patients to certified providers specializing in autoimmune therapies to help those with systemic lupus and its associated symptoms. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Systemic Lupus Erythematosus?

Are you experiencing fatigue? How about sharp pain located in your chest? Have you been experiencing headaches that seem to pop up for no reason? Some of these symptoms are signs that you could be at risk of developing lupus. Lupus or systemic lupus erythematosus is a systemic autoimmune disease with a multisystem involvement that occurs when an individual’s immune system starts to attack their tissue and organs. Systemic refers to multiple affected organs, lupus refers to various skin diseases, and erythematosus refers to inflamed, reddened skin. Studies reveal that lupus is a chronic inflammatory autoimmune disease affecting multiple organ systems and potentially associated with different factors. Lupus is tricky to diagnose because it often mimics other ailments like fibromyalgia, rheumatoid arthritis, and other autoimmune diseases; it can cause inflammation in the different body systems.

The Symptoms and Factors

Even though lupus is difficult to diagnose, the signs and symptoms vary for individuals who might be at risk of developing lupus. Some signs may suddenly appear or evolve, ranging from mild to severe depending on the factors. Some of the factors that are associated with lupus include:

Sun exposure
Lifestyle habits (stress, smoking, diet, physical inactivity)
Toxins
Genetic (Family history)

Many of these factors contribute to the development of lupus and are closely associated with other autoimmune diseases like diabetes, RA (rheumatoid arthritis), and fibromyalgia. So how do these autoimmune diseases correlate with lupus? Since lupus can mimic other autoimmune disorders, some symptoms overlap, affecting the different body systems like the joints, skin, kidneys, blood cells, brain, heart, and lungs. For example, many autoimmune diseases are closely associated with inflammation, which could potentially be involved with the gut. Some of the symptoms that are associated with lupus include:

Fatigue
Joint and muscle pain
Headaches
Butterfly rash
Headaches
Skin legions
Stomach issues

Systemic Lupus Erythematosus Overview-Video

Systemic lupus erythematosus (SLE) - causes, symptoms, diagnosis & pathology

Have you been experiencing issues with your gut? How about joint stiffness and swelling? Or are you constantly feeling the effects of fatigue? Many of these symptoms are associated with lupus, and the video above explains what systemic lupus erythematosus is and how it affects the body. Lupus is an autoimmune disease that is difficult for physicians to diagnose since it mimics other issues that a person may be experiencing. An example would be fibromyalgia associated with lupus. Studies reveal that the presence of fibromyalgia could be a separate diagnosis or potentially be involved with lupus as a confounder. In fibromyalgia and lupus, somatic symptoms like fatigue, aching, and pain may overlap and affect the surrounding muscles and organs. This is known as somato-visceral pain. Fortunately, there are ways to manage autoimmune diseases like lupus.

Treatments To Manage Lupus

When a person is dealing with an autoimmune disease like lupus, it may feel like it is the end of the world to them. While there is no cure for lupus, there are ways to manage this autoimmune disease from progressing further to causing more damage to the body. Making small changes in food intake, adding more supplements to boost the immune system like vitamin D, exercising, and chiropractic care work together to manage autoimmunity in the body. So how do all these things work together? Well eating anti-inflammatory foods filled with antioxidants to dampen inflammatory effects. Supplements like vitamin D can help improve and maintain a healthy immune system. Chiropractic care not only focuses on the musculoskeletal system but can help the immune system to its total capacity by correcting any subluxations or spinal misalignments in the body.

Conclusion

The immune system helps the body by attacking foreign invaders that wreak havoc inside while having a casual relationship with different body systems. When environmental or genetic factors affect the body over time, the immune system mistakenly attacks normal, healthy cells thinking they are foreign invaders. This is known as autoimmune disease and, if not managed over time, can lead to the development of chronic disorders. Lupus is an autoimmune disease that can mimic other chronic conditions, making it tricky to diagnose. Some of the overlapping symptoms associated with lupus can vary in severity. While there is no cure for lupus, available treatments can help manage the symptoms and associated conditions. Combining healthy eating habits, exercise, vitamin intake, and chiropractic care can help improve a person’s health and wellness.

References

Justiz Vaillant, Angel A, et al. “Systemic Lupus Erythematosus – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 15 Mar. 2022, www.ncbi.nlm.nih.gov/books/NBK535405/.

Maidhof, William, and Olga Hilas. “Lupus: An Overview of the Disease and Management Options.” P & T : a Peer-Reviewed Journal for Formulary Management, MediMedia USA, Inc., Apr. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3351863/.

Wolfe, Frederick, et al. “Fibromyalgia, Systemic Lupus Erythematosus (SLE), and Evaluation of SLE Activity.” The Journal of Rheumatology, U.S. National Library of Medicine, Jan. 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2944223/.

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Cheerleading Conditioning Chiropractic

Dr. Alex Jimenez

Cheerleading and the physically intensive gymnastics and acrobatics put participants’ body’s/musculoskeletal systems at an increased risk of injury. A wrong move or falling at the wrong angle can cause permanent damage. Cheerleaders must follow a balanced diet and maintain physical fitness, strength, endurance, and flexibility to be successful cheerleaders. Cheerleading conditioning builds the musculature and spinal strength to decrease the risk and prevent injury.

Table of Contents

Cheerleading Conditioning

Cheerleaders must have a solid musculoskeletal system to ensure their safety and the safety of their squads. Workouts include cardio, strength training, and flexibility exercises.

Warming Up

Before any workout, the muscles need to be warmed up.
Spend five minutes jumping rope, running in place, jogging on a treadmill, or doing any mild activity to raise the heart rate.
After the muscles are warmed up, stretch all major muscle groups.

Cardio

Spend 30 minutes on cardiovascular exercise. This can include:
Run on a treadmill or elliptical machine, swim, do aerobics, do cardio kickboxing, and dance.
This prevents fatigue, overtraining, sprains, strains, and other injuries.
Working out with a goal of 50-75% of maximum heart rate is recommended.
Use a heart monitor app to keep track of heart rate throughout the workout.

Strength Training

Performing partner lifts, pyramids, and basket tosses calls for strong muscles.

Focus on the shoulders, arms, back, core, and legs.
Strength training workouts can be done with exercise equipment or body weight.
Bodyweight workouts include pushups, situps, partner leg lifts, squats, and lunges.
Perform 10 to 12 repetitions each, working up to 75 – 100 reps.

Flexibility

Cheerleading conditioning focuses on the hamstrings, quads, glutes, abdominals, chest, shoulders, back, and pectorals.
Yoga, Pilates, or regular stretching at home will increase flexibility.
Incorporate stretches that focus on the major muscle groups.
Stretch at the end of the workout.

Balance Training

Balance is essential.

This is where yoga can improve balance.
Try tree pose by standing on the right foot, and the left leg bent on the right knee.
The left thigh should be parallel to the ground.
Raise arms overhead and make a V motion keeping the abdominal muscles tight.
Balance for up to one minute.
Switch to the other foot.
Once balance is mastered on the ground, try balancing on a cushion to add instability.
Repeat three to five times on each foot.

Common Injuries

Common injuries include:

Hand and finger injuries.
Ligament sprains in the knees and ankles.
Muscle strains in the hip, low back, and legs.

Overuse injuries

Cheerleading is becoming a year-round sport.
Starting with tryouts during spring.
Teams may hold or go to organized summer cheerleading camps to learn new skills, improve skill sets, and create routines for competition.
Continuous training and competitions increase the chance of overuse injuries.
The wrists, elbows, knees, and ankles can be injured by repetitive stress.

More severe injuries are:

The repetitive tumbling places significant pressure on the spine and can cause stress fractures.
Dislocation of the shoulder or elbow.

Injury Causes

Lack of arm and shoulder, foot, and ankle strength.
Little to no core and abdominal strength.
Flexibility problems.
Improper conditioning.
Unhealthy diet.
Performing skills that are advanced for the cheerleader’s current level.

Chiropractic Enhancement

Chiropractic care can treat injuries and strengthen the body’s musculoskeletal system to prevent injuries. Chiropractic’s goal is optimal body performance by redistributing blood circulation, nerve energy flow, correct muscle positioning, and skeletal alignment. Many cheerleading teams are incorporating chiropractic. Injury Medical Chiropractic and Functional Medicine Clinic also specializes in sports medicine rehabilitation, strength training, nutrition, and health coaching.

Cheerleading Strength Training Workout

References

Boden, Barry P, and Christopher G Jarvis. “Spinal injuries in sports.” Neurologic clinics vol. 26,1 (2008): 63-78; viii. doi:10.1016/j.ncl.2007.12.005

Miners, Andrew L. “Chiropractic treatment and the enhancement of sport performance: a narrative literature review.” The Journal of the Canadian Chiropractic Association vol. 54,4 (2010): 210-21.

Mueller, Frederick O. “Cheerleading injuries and safety.” Journal of athletic training vol. 44,6 (2009): 565-6. doi:10.4085/1062-6050-44.6.565

Pang, Yanbin, et al. “Premature exhaustion of mesenchymal stromal cells from myelodysplastic syndrome patients.” American journal of translational research vol. 9,7 3462-3468. 15 Jul. 2017

Wan, Jing-Jing, et al. “Muscle fatigue: general understanding and treatment.” Experimental & molecular medicine vol. 49,10 e384. 6 Oct. 2017, doi:10.1038/emm.2017.194

The Impact of Fatigue & Rheumatoid Arthritis

Dr. Alex Jimenez

Table of Contents

Introduction

Many individuals have dealt with issues affecting their lives in some way or form. People with autoimmune diseases must learn to manage their immune system from constantly attacking their bodies to function normally. The immune system’s primary function in the body is to attack environmental factors that harm the cells, muscles, and organs. When a person has an autoimmune disease, either from their family history or environmental factors, their immune system will begin to attack the body’s normal cells because it thinks it is a foreign invader to the body. Some common autoimmune disorders that most people have include lupus, ankylosing spondylitis, and rheumatoid arthritis. Most of these common autoimmune disorders correlate to common symptoms that add to other issues that affect the body. Today’s article looks at rheumatoid arthritis, its symptoms, how it relates to fatigue, and how there are available treatments to manage rheumatoid arthritis as well as fatigue. We refer patients to certified providers specializing in musculoskeletal therapies to help those who suffer from rheumatoid arthritis and fatigue. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Rheumatoid Arthritis?

Have you been feeling stiffness and inflammation around your joints? have you experienced gut issues affecting your life? Or do problems of insomnia or fatigue seem to affect your quality of life? Many of these symptoms are associated with rheumatoid arthritis. Rheumatoid arthritis is an autoimmune disease that causes inflammation and swelling in the joints. The video above explains how to manage rheumatoid arthritis and its associated symptoms. Fatigue is one of the symptoms associated with rheumatoid arthritis as the inflammatory cytokines could be a co-morbidity in altering brain function that can lead to an overlap of pain and fatigue in the body, as studies reveal. While there hasn’t been a cure for rheumatoid arthritis, various treatment approaches can help people manage the symptoms of rheumatoid arthritis.

The Symptoms

Some of the most commonly rheumatoid arthritis symptoms do to the body include pain, swelling and inflammation of the joints, joint deformity, and stiffness. Unlike wear and tear damage from different types of common inflammatory issues, rheumatoid arthritis symptoms may come and go that can range from mild, moderate, or even severe. When this happens, rheumatoid arthritis may be the result of making it difficult to perform simple tasks and cause joint alterations. Research shows that rheumatoid arthritis associated with inflammation can damage different body parts like the gut. Gastrointestinal problems like leaky gut, IBS, or SIBO could trigger flare-ups in individuals who have rheumatoid arthritis. This is known as somato-visceral pain, where the muscles affect the vital organs, causing problems for the body.

How Does Fatigue Correlate To RA?

Individuals that have rheumatoid arthritis do suffer from various symptoms that are associated with inflammatory issues. When inflammation begins to affect the body, it can overlap the profiles of fatigue and poorer quality of life in the individual. So how does fatigue correlate to rheumatoid arthritis? Studies reveal that fatigue is considered one of the acute symptoms of rheumatoid arthritis that imposes a burden on individuals, thus being associated with reducing their health and wellness. Fatigue has many dimensions that do impact many individuals. Some people will explain to their primary physicians that they are constantly tired, overworked, and repeatedly stressed from everyday life or disorders affecting their bodies. For rheumatoid arthritis individuals, studies reveal that high inflammatory factors associated with fatigue may cause them to feel exhausted. This is related to individuals who have insomnia from other conditions.

Managing Rheumatoid Arthritis-Video

Managing Rheumatoid Arthritis and all aspects of health | Britt Ringstrom | TEDxUMN

Have you been feeling stiffness and inflammation around your joints? have you experienced gut issues affecting your life? Or do problems of insomnia or fatigue seem to affect your quality of life? Many of these symptoms are associated with rheumatoid arthritis. Rheumatoid arthritis is a chronic autoimmune disease that causes inflammation and swelling in the joints. The video above explains how to manage rheumatoid arthritis and its associated symptoms. Fatigue is one of the symptoms associated with rheumatoid arthritis as the inflammatory cytokines could be a co-morbidity in altering brain function that can lead to an overlap of pain and fatigue in the body, as studies reveal. While there hasn’t been a cure for rheumatoid arthritis, various treatment approaches can help people manage the symptoms of rheumatoid arthritis.

Treatments For RA & Fatigue

Even though there hasn’t been a cure for rheumatoid arthritis, there are ways to manage the associated symptoms of rheumatoid arthritis. Eating anti-inflammatory riched foods could potentially dampen the effect of inflammation on the joints. One way while exercising can help loosen up stiff joints and bring back muscle strength, thus restoring joint motion. Treatments like chiropractic care can also provide pain relief and management for individuals dealing with rheumatoid arthritis. Chiropractic care comprises passive and active treatment modalities for rheumatoid arthritis and fatigue. Chiropractors utilize spinal adjustments and manual manipulation to reduce misalignment or subluxation of the spine. Chiropractic care may also help with many symptoms like fatigue associated with rheumatoid arthritis without invasive treatments or medication. Chiropractic care could potentially improve the function of the bones, joints, and even the nervous system in the body.

Conclusion

Rheumatoid arthritis is a chronic inflammatory disease that causes joint stiffness and swelling. The causes of this autoimmune disease are unknown. Still, factors like stress, gut issues, and obesity are associated with symptoms like fatigue, leaky gut, muscle stiffness, and poorer quality of life could potentially be involved with rheumatoid arthritis. Treatments like eating anti-inflammatory foods, exercising, and chiropractic care could help manage inflammatory issues triggering rheumatoid arthritis and potentially reduce the effects of fatigue from the body, thus slowing down the progression and bringing back a person’s quality of life.

References

Chauhan, Krati, et al. “Rheumatoid Arthritis – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 30 Apr. 2022, www.ncbi.nlm.nih.gov/books/NBK441999/.

Korte, S Mechiel, and Rainer H Straub. “Fatigue in Inflammatory Rheumatic Disorders: Pathophysiological Mechanisms.” Rheumatology (Oxford, England), Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827268/.

Pope, Janet E. “Management of Fatigue in Rheumatoid Arthritis.” RMD Open, BMJ Publishing Group, May 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7299512/.

Santos, Eduardo J F, et al. “The Impact of Fatigue in Rheumatoid Arthritis and the Challenges of Its Assessment.” Rheumatology (Oxford, England), Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827262/.

Staff, Mayo Clinic. “Rheumatoid Arthritis.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 18 May 2021, www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648.

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Whey Protein Powder and Muscle Health

Dr. Alex Jimenez

Happy young woman in sports clothing preparing protein cocktail at home

The body needs protein which is essential in building muscle, repairing tissue, producing enzymes and hormones and is a source of energy. Whey is a complete protein source that provides all the essential amino acids, vitamins, minerals, and other nutrients that increase anabolism, also known as muscle growth. It is used for various reasons. Some individuals want to build muscle mass and gain strength, while others want to lose weight and achieve improved results from working out. Even individuals who don’t exercise can benefit from the supplement as it supports immune function, helps reduce blood pressure, and improves insulin response.

Table of Contents

Whey Protein

Whey protein is made from the liquid produced during the cheese-making process.

Milk comprises two forms of protein: casein (80%) and whey (20%).
It contains less than 0.5 g of fat and only 5 mg of cholesterol per serving.
Pure whey does not contain any gluten.
It is referred to as the most nutritious protein available.
It’s easy to digest.
Incorporating whey into a healthy diet can help lower the risk of diabetes.

Types

There are three primary types of whey protein in supplements.

Whey Protein Concentrate – WPC

The percentage of protein available in the concentrate can vary from 30 to 90 percent.
The concentrate generally contains low levels of carbohydrates and fat.

Whey Protein Isolate – WPI

Isolate contains more protein than concentrate.
They are almost always at least 90 percent protein.
This is because they’ve been further processed and thus have no fat or lactose.

Whey Protein Hydrolysate – WPH

Hydrolysate is a form that has already gone through partial hydrolysis, a process so the body can absorb protein.
It is considered pre-digested, so it gets absorbed quicker.

Concentration is the most popular and least expensive option that retains the most nutrients. However, some individuals can tolerate isolate and hydrolysate a lot better and are ideal for those trying to cut down on carbs and fats.

Benefits

Increased Strength and Muscle

Helps to increase protein consumption.
Most brands contain 80 to 90 percent without added carbs or fats.
Helps to build muscle and increase strength after physical activity/exercise recovery.

Can Help Burn Fat

A study found a group of adults that supplemented their diet with whey protein experienced a decrease in body fat and weight.
Combining whey protein and resistance training, participants found their weight and fat loss were even higher.

Can Help Stabilize Blood Sugar

Consuming whey protein with a high glycemic index before a meal can help stimulate insulin production while preventing spikes in blood sugar levels.
The protein naturally reduces blood sugar levels after meals when consumed before the meal.

Improves Heart Health

It can help reduce blood pressure and arterial stiffness.
It has been linked to improving individual lipid profiles.
Promotes heart health by building muscle and helping with weight loss.

Increased Immunity

It can help encourage glutathione synthesis, which increases immune system function.
It is also rich in vitamins and minerals that promote immune function.
It helps the body recover from oxidative stress and inflammation.

Improves Energy Levels

It helps to increase glycogen, a source of energy during exercise or other physical activities.
It also increases leptin which helps balance the body’s energy levels.
Whey is easily digested, which can be quickly converted to energy.

Factors to Consider When Choosing

Flavor

The flavor is crucial because nobody wants to drink a daily protein shake they cannot enjoy.
Options like chocolate and vanilla are usually safe.
If experimenting, get a small container to start.

Mixability

Not all supplements mix properly or thoroughly.
Find a brand that dissolves quickly and has little clumping.

Container Size

Most protein supplements are available in 1 lb, 2 lb, 5 lb, or 10 lb containers.
Larger sizes are more cost-effective.
One 5 lb package is cheaper than buying five 1 lb containers.

Everything You Need To Know

References

Ebaid, Hossam et al. “Whey protein enhances normal inflammatory responses during cutaneous wound healing in diabetic rats.” Lipids in health and disease vol. 10 235. 14 Dec. 2011, doi:10.1186/1476-511X-10-235

Hashemilar, Mazyar, et al. “Effect of Whey Protein Supplementation on Inflammatory and Antioxidant Markers, and Clinical Prognosis in Acute Ischemic Stroke (TNS Trial): A Randomized, Double-Blind, Controlled, Clinical Trial.” Advanced pharmaceutical bulletin vol. 10,1 (2020): 135-140. doi:10.15171/apb.2020.018

Kim, Jooyoung, et al. “Effect of timing of whey protein supplement on muscle damage markers after eccentric exercise.” Journal of exercise rehabilitation vol. 13,4 436-440. 29 Aug. 2017, doi:10.12965/jer.1735034.517

Marshall K. Therapeutic applications of whey protein. Alternative Medicine Review. 2004;9(2):136-156.

Pradhan, Geetali, et al. “Ghrelin: much more than a hunger hormone.” Current opinion in clinical nutrition and metabolic care vol. 16,6 (2013): 619-24. doi:10.1097/MCO.0b013e328365b9be

Volek, Jeff S et al. “Whey protein supplementation during resistance training augments lean body mass.” Journal of the American College of Nutrition vol. 32,2 (2013): 122-35. doi:10.1080/07315724.2013.793580

Dancing For Your Health & Wellness

Dr. Alex Jimenez

Table of Contents

Introduction

Everyone is trying to find what exercise works for them as they start looking for ways to improve their health and wellness. Many individuals who begin to work out would go with finding a personal trainer or a gym that helps incorporate muscle strength training and cardio training to improve their heart and lung capacity to make the body feel good while strengthening their muscles. One of the unique forms of exercise that involve both the heart and muscles is dancing. Dancing is a great way to not only improve musculoskeletal and cardiovascular health but can help reduce overlapping conditions that a person is dealing with in their bodies. Today’s article looks at how dancing helps with musculoskeletal health, affects the heart and brain, and how chiropractic care goes hand in hand with dancing. We refer patients to certified providers specializing in musculoskeletal and cardiovascular therapies to help those with heart and muscle issues. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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Dancing For Musculoskeletal Health

Have you ever noticed people take a cardio class with music playing in the background and see them happy afterward? How do athletes incorporate cardio into their exercise regime to improve their mobility and flexibility? Or how do particular video games make you get up and move around? All these scenarios imply that cardio exercises like dancing may help improve musculoskeletal function. Dancing is one of the many aerobic exercises that can help improve a person’s social skills and is something that can be taken up early while providing many beneficial qualities like:

Increase strength
Improve gait and balance
Reduce functional loss
Reducing the risk of falls
Rehabilitating musculoskeletal injuries
Stabilize core muscles

For the musculoskeletal system, dance would be considered an isometric exercise involving different muscle groups like the hips, shoulders, back, and abdominals without using the joints. When a person is dancing, each of the various movements is related to strengthening the core muscles by working thoroughly with the abdominals. Dance can even help improve posture by maintaining strength and enhancing stability in the body. Studies reveal that dance’s impact on individuals with chronic issues like Parkinson’s disease associated with motor and non-motor symptoms can increase their quality of life. So what does that mean? It means that dancing, even for just one song, can help with movement and foster balance, flexibility, and muscle endurance through repeated tasks while associating with accessible, social, and attractive aspects of a person’s physical abilities.

How Does Dancing Affect The Heart and Brain?

Dancing not only helps with musculoskeletal issues, but it can help improve brain and heart function in the body. Studies reveal that moderate-intensity dancing was inversely associated with a reduced risk for cardiovascular disease mortality. What dancing does to the heart is that it makes the body intake more oxygen to the lungs, which relates to the heart beating faster and circulating the blood to be transported throughout the entire body. But how does dancing correlate to brain health? Let’s look at dance fitness classes, like Zumba, and use it as an example. Studies show that dance fitness classes provide several health benefits that could reduce mood disorders like depression and anxiety while improving cognitive skills. This means that dance fitness classes like Zumba do repetitive movements to the beat of the music that engages the individual to repeat the steps while having fun. When the muscles begin to do repetitive movements, this motor function sends the signal to the brain, making the person remember the movements later, known as muscle memory. When an individual suffers from neurological disorders like dementia or Alzheimers, dancing could potentially be involved with music therapy, allowing the individual to reduce the risk of developing neurological disorders from progressing further.

How Does The Body React To Dancing?-Video

Have you felt terrific after listening to a good song? How about feeling like you just had a workout? Or have you noticed certain areas in your body like your abdominals, legs, and back looked more toned? All these are beneficial signs that you should add dancing to your regime. The video explains what happens to the body when people are dancing. Dancing could potentially be a mediator for many athletes that play sports.

What happens to the body when we dance? - SDC

An example would be football and ballet. How do football and ballet relate to each other? Football utilizes efficient and precise movements that benefit every position on the field, while ballet requires speed to make them flawless on stage. Combining the two, many football players will increase their speed and agility associated with ballet to avoid tackles, jump higher, catch passes and avoid injuries on the field. Dancing is an excellent way to get some cardio exercises in, and combined with other treatments can make a difference in a person.

Chiropractic Care & Dancing

Like all athletic individuals, professional dancers utilize various treatments to recover and improve their performance. Treatments like chiropractic care are safe, effective, and widely used by young and professional athletes that want to prevent injuries from progressing. Chiropractic care for professional athletes and the general population can help prevent and treat injuries like back and neck pain or aggravating conditions like sciatica through spinal manipulation. Chiropractic care also helps restore an individual’s original well-being while increasing their strength, flexibility, and mobility. By working with an experienced chiropractor, an individual can regain their stamina by adopting new ways to prevent injuries caused by spinal complications from reoccurring in the body.

Conclusion

Dancing for 30 minutes to an hour can be used as part of an exercise regime and could potentially reduce chronic issues that affect the body’s brain, heart, and muscles. Dancing could also enhance a sports athlete’s performance by increasing their agility, endurance, and performance. Combined with chiropractic care, individuals will begin to see improvements in their range of motion, flexibility, and even an increase in their brain function to dance longer and improve their health and wellness. So whether you are a professional or not, dancing is for everyone.

Reference

Barranco-Ruiz, Yaira, et al. “Dance Fitness Classes Improve the Health-Related Quality of Life in Sedentary Women.” International Journal of Environmental Research and Public Health, MDPI, 26 May 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7312518/.

Ferchak, Dawn. “Belly Dance Your Back Pain Away – Spineuniverse.” Spine Universe, 14 Oct. 2020, www.spineuniverse.com/wellness/exercise/belly-dance-back-pain.

Gyrling, Therese, et al. “The Impact of Dance Activities on the Health of Persons with Parkinson’s Disease in Sweden.” International Journal of Qualitative Studies on Health and Well-Being, Taylor & Francis, Dec. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8547839/.

Merom, Dafna, et al. “Dancing Participation and Cardiovascular Disease Mortality: A Pooled Analysis of 11 Population-Based British Cohorts.” American Journal of Preventive Medicine, U.S. National Library of Medicine, June 2016, pubmed.ncbi.nlm.nih.gov/26944521/.

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Fatigue Ankylosing Spondylitis: Chiropractic Care

Dr. Alex Jimenez

Female doctor examining man spine in office — Young topless man is standing in clinic while woman in uniform is doing check-up of his back

Fatigue Ankylosing Spondylitis: Fatigue is a significant complaint for individuals dealing with ankylosing spondylitis. Ankylosing spondylitis is a chronic inflammation of the spine’s joints that can cause them to become fused or locked up. The process can cause the spine to stiffen, limiting movement, reducing flexibility, and generating a severe hunched posture. Symptoms can include back pain, stiffness, and the inability to take a deep breath if the ribs are involved. Fatigue can have a variety of causes, but in ankylosing spondylitis, inflammation and cytokines play a significant role. The underlying cause of ankylosing spondylitis is still being researched, but it currently affects around 300,000 Americans.

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Fatigue Ankylosing Spondylitis

Most individuals with ankylosing spondylitis experience pain in the lower back but can also feel pain in their hips and neck, have abdominal pain, or experience problems with vision. Inflammatory back pain is usually strongest in the morning but can also come from inactivity.

Spinal Condition and Extreme Exhaustion

The inability to move along with a decreased spinal range of motion impacts body functionality, sleep quality, and respiratory function affecting energy levels and leading to mild to severe fatigue. Studies have shown that 50% – 85% of individuals with ankylosing spondylitis experience fatigue.

Fatigue is brought on by inflammation, as the body generates the same chemicals when fighting a cold or flu; an individual’s body constantly works to reduce inflammation, leaving them drained and unable to perform ordinary tasks. Inflammatory diseases take a significant toll on the whole body, leading to an increased risk of depression and increased fatigue levels.

Exercise, Massage, and Diet

Many individuals find that their symptoms flare up after long periods of inactivity, like sleeping. This can make wanting to fall and stay asleep complicated, exacerbating fatigue and vice versa, creating a vicious cycle. Even though it can be challenging to move, gentle exercise is recommended. Exercise can help slow the disease progression, build muscle, and improve sleep. It is recommended to speak with a spine specialist, doctor, chiropractor, physical therapist, or exercise trainer about a customized exercise treatment program.

Many individuals with ankylosing spondylitis find therapeutic massage helpful in temporarily relieving pain, and stiffness, reducing stress and improving flexibility from increased blood circulation. A combination of gentle chiropractic massage, exercise, ergonomic adjustments, and rheumatology treatment is recommended for many cases. An anti-inflammatory diet comprised of foods like fatty fish, fruits, nuts, and leafy green vegetables can fight inflammation and decrease fatigue.

AS Causes, Symptoms, Diagnosis, Treatment, and Pathology

References

Cornelson, Stacey M et al. “Chiropractic Care in the Management of Inactive Ankylosing Spondylitis: A Case Series.” Journal of chiropractic medicine vol. 16,4 (2017): 300-307. doi:10.1016/j.jcm.2017.10.002

Li, Ting, et al. “Fatigue in Ankylosing Spondylitis Is Associated With Psychological Factors and Brain Gray Matter.” Frontiers in medicine vol. 6 271. 21 Nov. 2019, doi:10.3389/fmed.2019.00271

Zhang, Jun-Ming, and Jianxiong An. “Cytokines, inflammation, and pain.” International anesthesiology clinics vol. 45,2 (2007): 27-37. doi:10.1097/AIA.0b013e318034194e

Sacroiliac Dysfunction Causes More Than Back Issues

Dr. Alex Jimenez

Table of Contents

Introduction

Maintaining healthy joints is crucial to preventing injuries from affecting the body. Incorporating physical activities, eating healthy foods, staying hydrated, and getting a routine check-up are ways to ensure that the body is functional, including the joints. The joints in the body act like shock absorbers that soften the impact of any injuries that the body has sustained. However, as the body ages, so do the joints, causing them to become hardened and cause problems in the body. In today’s article, we will look at sacroiliac dysfunction, what issues it affects besides back pain, and how chiropractic care manages sacroiliac dysfunction. We refer patients to certified providers specializing in musculoskeletal therapies to help those with sacroiliac dysfunction. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Sacroiliac Dysfunction?

Are you experiencing pain in the pelvis? Do your hips seem tighter than usual? Do you feel muscle stiffness when you twist from side to side? Some of these issues are signs that you might be experiencing sacroiliac dysfunction. Around the pelvic region lies the sacroiliac joint, a weight-bearing solid joint connecting the pelvis to the sacrum. It is surrounded by tough ligaments that support the body as it distributes the weight from the upper body to the lower body. However, like all the other joints in the body, any injury or condition can cause this joint to be unstable and succumb to the pain, causing sacroiliac dysfunction. Sacroiliac dysfunction or sacroiliac joint pain is defined as one of the potential causes of axial low back pain. When there are issues affecting the sacroiliac joints, it’s associated with about a quarter of most low back pain cases. This is due to the problems that overlap with pain associated with the low back. Studies reveal that dysfunction in the sacroiliac joint can relate to leg or back pain, making diagnosing the problem difficult. Back pain associated with sacroiliac dysfunction causes the pelvis to be hypermobile, causing the risk of developing radiating groin pain. Leg pain associated with sacroiliac dysfunction causes muscle tension and stiffness to the low back, legs, or buttock region, mimicking sciatica-like symptoms.

What Other Issues Does It Affect?

Many individuals may not realize that when they are experiencing sacroiliac dysfunction, symptoms show that they overlap with lumbar spine pathologies. However, sacroiliac dysfunction can also affect the pelvic region of the body. Studies reveal that when the muscles around the body’s pelvic area become inflamed or irritated, it can cause stiffness in the sacroiliac joints, thus developing the risk of pelvic pain. Pelvic pain is usually defined as non-menstrual pain that causes functional disability to the lower extremities. Around the pelvic region, the lower sacral nerves provide extensive neurologic connections to the structures throughout the pelvic area that maintain normal pelvic organ function. When issues like sacroiliac dysfunction become the risk of pelvic pain, it may potentially involve pelvic symptoms like constipation. Studies reveal that constipation is significantly associated with a high prevalence of pelvic organ prolapse and low urinary tract symptoms. Other issues that sacroiliac dysfunction correlates with are:

Ankylosing spondylitis
Rheumatoid arthritis
Inflammatory issues
Hip pain
Pelvic pain
Low back pain
Piriformis syndrome

An Overview Of Sacroiliac Joint Pain- Video

Are you experiencing radiating from your lower back down to your leg? How about stiffness in your hips? Are you feeling constipated or have a sense of fullness in your bladder? You may suffer from sacroiliac dysfunction in your pelvic region if you notice these symptoms. The video above explains how to understand sacroiliac joint pain. The sacroiliac joint connects the pelvis and sacrum, surrounded by tough ligaments and muscles that help support the body by distributing weight from the upper body to the lower body. When issues affect the sacroiliac joints can overlap other risk profiles like low back pain, leg pain, and pelvic pain. This can make diagnosing sacroiliac dysfunction difficult because the symptoms are similar to other issues. For example, hip pain is associated with piriformis syndrome while potentially being involved with sciatica. How would hip pain be correlated with piriformis syndrome? The piriformis muscle can become overused and injured and can entrap the sciatic nerve (which runs from the lumbar spine, through the hips, and down to the leg), causing radiating, throbbing pain. Other times referred pain in the low back can affect different areas in the body due to sacroiliac dysfunction. Luckily, there are treatments available to manage sacroiliac dysfunction.

How Chiropractic Care Manages Sacroiliac Dysfunction

When issues of sacroiliac dysfunction become associated with leg or back pain, physicians often misdiagnose it as a soft tissue issue rather than a joint issue. Many doctors might rule out various medical conditions before including sacroiliac dysfunction as part of the diagnosis. Some treatments like massage therapy can help loosen up the tight muscles surrounding the joints relieving the pain and discomfort. At the same time, chiropractic care utilizes spinal manipulation and mobilization to the affected spinal area. Since the sacroiliac joint is an essential part of the musculoskeletal system, chiropractors specialize in this area. Through practical, non-invasive methods, chiropractic care has proven to not only relieve pain in the spine but can also help rehabilitate the spine. Chiropractors are specially trained to guide the individual through several phases of care that help loosen the stiff muscles and strengthen the joints. Chiropractic care will help decrease the pain from returning to the body and let the individual return to their health and wellness journey.

Conclusion

Maintaining healthy joints is crucial to prevent injuries from affecting the body. The sacroiliac joints are part of the musculoskeletal system that connects the pelvic bone to the sacrum. This joint is surrounded by tough ligaments and muscles that support the upper and lower half of the body through weight distribution. When the sacroiliac joint becomes unstable, it can succumb to pain, thus becoming sacroiliac dysfunction. Sacroiliac dysfunction sometimes mimics low back and leg pain, making it difficult to diagnose. Co-morbidities like pelvic pain correlate to sacroiliac dysfunction, causing somato-visceral pain in different body areas. Treatments like chiropractic care can help strengthen the stiff muscles and joints in the body through spinal manipulation and mobilization in practical, non-invasive treatment. Chiropractic care can help rehabilitate the spine while decreasing the pain from returning to the body.

References

Jonely, Holly, et al. “Chronic Sacroiliac Joint and Pelvic Girdle Dysfunction in a 35-Year-Old Nulliparous Woman Successfully Managed with Multimodal and Multidisciplinary Approach.” The Journal of Manual & Manipulative Therapy, Maney Publishing, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4459139/.

Raj, Marc A, et al. “Sacroiliac Joint Pain.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 12 Feb. 2022, www.ncbi.nlm.nih.gov/books/NBK470299/.

Singh, Prashant, et al. “Pelvic Floor Symptom Related Distress in Chronic Constipation Correlates with a Diagnosis of Irritable Bowel Syndrome with Constipation and Constipation Severity but Not Pelvic Floor Dyssynergia.” Journal of Neurogastroenterology and Motility, Korean Society of Neurogastroenterology and Motility, 31 Jan. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6326213/.

Yeomans, Steven. “Sacroiliac Joint Dysfunction (SI Joint Pain).” Spine, Spine-Health, 7 Feb. 2018, www.spine-health.com/conditions/sacroiliac-joint-dysfunction/sacroiliac-joint-dysfunction-si-joint-pain.

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Hydrating Foods, Body Heat, and Health

Dr. Alex Jimenez

Different summer fruits and berries — Summer fruits and berries. Watermelon, strawberry, raspberry, cherry and apricots

Medical experts advise that maintaining body hydration is one of the most important things to do in extreme heat. Individuals out in the heat lose electrolytes like sodium, potassium, and chloride and need added electrolytes to prevent cramping and excessive sweating that can strain the body. Dehydration can be dangerous, leading to heat exhaustion and possible heat stroke. If gulping water all day seems like a lot, remember that not all hydration must come from drinking water; there are hydrating foods that contain enough water that can be incorporated.

Table of Contents

H2O

The body needs H20 to:

Deliver nutrients to the cells
Regulate body temperature
Prevent infection
Lubricate the joints
Maintain organ function
Help with mood
Help with Sleep
Help with Cognition

Electrolytes

Sweating is vital for maintaining body temperature, and electrolytes are essential in maintaining the body’s homeostasis. Electrolytes help coordinate muscle contractions, heart function, and the conductivity of electric signals transmitting to and from the nervous system. The kidneys regulate fluid absorption and excretion to maintain electrolyte balance, but an imbalance can occur when electrolyte levels spike or drop. An electrolyte imbalance is caused by a change in the number of electrolytes in the body. Sodium, potassium, and calcium are the common elements most likely to be affected by an electrolyte imbalance. Other reasons why electrolyte levels can change include:

Unhealthy diet
Medications
Kidney problems

It is recommended that instead of focusing on how many glasses of water have been drunk, concentrate on two biomarkers:

How often do you urinate?
What color is the urine?

When the body is thoroughly hydrated, an individual should go to the bathroom every two to three hours, and the urine should be a pale yellow. If it looks orange, it indicates that the body is trying to conserve water and needs further hydration.

Hydrating Foods

Consulting a doctor or nutritionist is recommended to help determine what foods are safe for the individual if there are underlying conditions or other health concerns. Here are a few hydrating foods that contain at least 80 percent water that can be eaten throughout the hot day to maintain body hydration.

Apples

Best known for their fiber content (up to 5 grams), they are also more than 80 percent water.
A quick crunchy snack with potassium, vitamin B6, C, and magnesium.

Watermelon

These can be up to 92 percent water.
Contain vitamin A, B6, and C, plus lycopene and antioxidants.
Watermelon can be cubed by itself or with feta cheese, olive oil, salt, pepper, and basil for a sweet-savory salad.

Peaches

These can contain up to 88 percent water, fiber, protein, and vitamin C.
Peaches can be added to salsas or incorporated into a salad.

Carrots

Carrots are around 90 percent water.
Rich in beta carotene, which the body uses to make vitamin A.
Vitamin A helps the eyes convert light into a signal sent to the brain, allowing for better sight in dim to dark light.
Vitamin K
Potassium
Fiber

Cucumbers

Cucumbers have more than 96 percent water.
They also contain potassium, phosphorus, magnesium, and some calcium.
They contain nutrients known as cucurbitacins, which can have an anti-diabetic effect.
Fisetin is an anti-inflammatory substance that helps brain health.

Potatoes

The waxy variety contains more water, as much as 80 percent.
They contain potassium, vitamin C, fiber, and minerals.
Have them baked or roasted with skins to keep as much potassium as possible.

Tomatoes

Tomatoes are almost 95 percent water.
They contain cancer-fighting carotenoid lycopene, vitamin A and C, and potassium.
Sliced onto sandwiches, sauteed into pasta, or blended into a gazpacho.

Cantaloupe

90 percent water.
Contains beta-carotene, fiber, and vitamin C.
It can be eaten by itself, chopped into salads or smoothies.

Plain yogurt

One cup of plain yogurt is around 88 percent water.
It contains protein, gut probiotics, calcium, zinc, magnesium, potassium, and phosphorus.
Top with some berries for extra hydration.

These are a few hydrating foods that can help with the intense heat. Others include zucchini, iceberg lettuce, strawberries, blueberries, celery, broccoli, and cauliflower. Healthy H2O levels benefits include:

Decreased appetite.
Improved physical performance during exercise.
Increased energy levels.
Optimal brain function.

What Are The Most Hydrating Foods?

References

Bergeron, Michael F. “Hydration and thermal strain during tennis in the heat.” British journal of sports medicine vol. 48 Suppl 1, Suppl 1 (2014): i12-7. doi:10.1136/bjsports-2013-093256

Gauer, Robert, and Bryce K Meyers. “Heat-Related Illnesses.” American family physician vol. 99,8 (2019): 482-489.

Karppanen, H et al. “Why and how to implement sodium, potassium, calcium, and magnesium changes in food items and diets?.” Journal of human hypertension vol. 19 Suppl 3 (2005): S10-9. doi:10.1038/sj.jhh.1001955

Schiefermeier-Mach, Natalia, et al. “Electrolyte Intake and Major Food Sources of Sodium, Potassium, Calcium, and Magnesium among a Population in Western Austria.” Nutrients vol. 12,7 1956. 30 Jun. 2020, doi:10.3390/nu12071956

Strimbu, Kyle, and Jorge A Tavel. “What are biomarkers?.” Current opinion in HIV and AIDS vol. 5,6 (2010): 463-6. doi:10.1097/COH.0b013e32833ed177