Athletic Referred Pain and Chiropractic Care

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Strong beautiful woman touching her shoulder being in pain — Cropped photo of a well-built muscly woman holding on to her shoulder feeling discomfort at the gym

Referred pain is the interpretation of feeling pain in a different location than the actual cause. For example, a pinched nerve in the spine/back causes pain not to show up not where it is pinching but further down in the buttock, leg, calf, or foot. Similarly, a pinched nerve in the neck could translate to shoulder or elbow pain. Referred pain is often caused by the muscles overcompensating weaker ones, like feeling pain outside the knee, with the actual injury stemming from hip joint dysfunction caused by weakened lateral hip muscles. The athletic referred pain could have been brought on by an acute sports injury, an overuse injury from the repetitive motion/s.

Table of Contents

Athletic Referred Pain

Somatic referred pain originates from the muscles, skin, and other soft tissues and is not to be confused with visceral pain, which refers to the internal organs/viscera. However, the pain presents in regions supplied by the same nerve roots. Damaged or injured body structures can cause referred pain. This includes the muscles, nerves, ligaments, and bones.

Common Sites

Individuals can experience referred pain almost anywhere. Athletic referred pain commonly occurs in these areas:

The neck and shoulder where pain can be felt in the elbow, arm, and hand or cause headaches.
The back where pain can be felt in the hips, buttocks, and thighs.
The hip/s area, where pain can be felt in and around the low back and abdominal regions.
The groin, where pain can be felt in and around the abdominal region.

Problems with the vertebral discs, nerve root compression, muscle spasms, osteoarthritic changes, spinal fracture, or tumor/s can affect the body’s ability to transport sensory information, which can cause strange sensations and weakness of muscle tissues, and sometimes problems with coordination and movement. Part of an accurate diagnosis is knowing the patterns of referred pain in all the muscles and internal organs.

Pain Activation

Many nerve endings come together and share the same nerve cell group in the spinal cord. When signals travel through the spinal cord to the brain, some signals follow the same path as the pain signals from a different body part. Pain awareness is felt in a deeper center of the brain known as the thalamus, but the sensory cortex determines the perception of where the pain is coming from and the location of the pain. The intensity and sensation of the athletic referred somatic pain vary for different structures and depend on the inflammation level. For example:

Nerve pain tends to be sharp or shooting.
Muscle pain tends to be a deep dull aching or a burning sensation.
However, muscles can give a sensation of tingling where referred pain is presenting, but tingling is more commonly associated with a nerve injury.

Diagnosing referred pain injuries can be complex as there are various areas where the pain can show up. The source of damage needs to be identified; otherwise, achieving lasting pain relief will not last. A biomechanical analysis can help to find movement/motion patterns that may be causing pain and help identify the source.

Treatment

Athletic performance and spinal health are interconnected. Chiropractic treatment involves whole-body wellness that involves the spine and nervous system. Routine chiropractic care relieves neck, shoulder, arm, back, leg, and foot conditions/injuries and helps prevent disorders of joints and muscles. It calms the mind, provides pain relief, and educates individuals on being more aware of the body. Chiropractic adjustments improve blood flow and nerve function to increase agility, reaction times, balance, strength, and expedited healing of the body.

DRX9000 Decompression

References

Kapitza, Camilla, et al. “Application and utility of a clinical framework for spinally referred neck-arm pain: A cross-sectional and longitudinal study protocol.” PloS one vol. 15,12 e0244137. 28 Dec. 2020, doi:10.1371/journal.pone.0244137

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

Weller, Jason L et al. “Myofascial Pain.” Seminars in neurology vol. 38,6 (2018): 640-643. doi:10.1055/s-0038-1673674

Wilke, Jan, et al. “What Is Evidence-Based About Myofascial Chains: A Systematic Review.” Archives of physical medicine and rehabilitation vol. 97,3 (2016): 454-61. doi:10.1016/j.apmr.2015.07.023

How Gut Disorders Affect The Sympathetic Nervous System

By

Dr. Alex Jimenez

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Table of Contents

Introduction

The body relies on the gut system to help regulate its homeostasis and metabolize the nutrients for the immune system. The beneficial gut bacteria help maintain the intestinal walls from developing chronic issues and affecting the entire body. The gut system also provides information to the central nervous system through the spinal cord to the brain. The neuron signals help transport the information to all the corresponding muscles, tissues, and organs that require the gut system to stay healthy and functional. When the gut develops issues, the related muscles, tissues, nerves, and surrounding organs begin to feel the effects, causing the body to be dysfunctional. When this happens, many individuals will start to suffer pain and go to their physicians to find relief. Today’s article focuses on the sympathetic nervous system, how it affects the body, and how gut disorders can disruptively affect the sympathetic nerves in the surrounded torso area. We refer patients to certified, skilled providers specializing in gastrointestinal and chiropractic treatments that help those suffering from gut disorders and bodily pain. 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 critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

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The Sympathetic Nervous System

Have you been feeling stressed throughout the entire day? Do symptoms of inflammation tend to flare around the abdominal area or the abdominal organs? Do your muscles seem to tense up more than they should, even in their relaxed state? All of these signs and symptoms that affect the abdominal region of the body are all connected to the sympathetic nervous system in the body. Research studies have defined the sympathetic nervous system as part of the autonomic nervous system, a central nervous system component. The best way to describe the sympathetic nervous system is that it activates the adrenal glands to produce the hormone adrenaline causing the body to be in a “fight or flight” mode. The sympathetic nerves also help regulate the alpha and beta receptor activity of the various corresponding organs that stimulate the blood vessels surrounding the body, causing a relationship of the organs to the muscles.

How Does It Affect The Body?

As part of the autonomic system, the sympathetic nervous and parasympathetic systems help the body achieve homeostasis by exerting influences over the organ systems. Research studies have shown that this causes the organ systems to upregulate and downregulate the various functions that each muscle needs. Some of the tasks that the sympathetic nervous system that activates these organs include:

An increased metabolism
Decreased GI motility
An increased heart rate
An increase in movement and strength
Suppression in the immune system
Constriction of the large arteries and veins
Increase glucose production

Additional studies have noticed that the neurons in the sympathetic nervous system help prepare the body for various physical activities that affect the organs. This causal relationship between the organs and muscles helps redirect the blood flow to different body parts. The sensory impulses of the somatic tissue will then correlate to the spinal cord’s thoracic and lumbar spinal regions. When these nerves become irritated, it can coincidently cause a direct overlap on the muscles and visceral organs surrounding the nerves, changing their functionality. This causes somatic dysfunction to create the impression of overlapping profiles affecting the internal organs.

An Overview Of The Sympathetic Nervous System-Video

Human Physiology - Somatic Nervous System

Have you experienced knee pain while having issues in the pelvic region? How about feeling pain in the lower abdomen that triggers spinal stiffness in the lumbar parts of the back? Or have you noticed any pain from the testicular area is relieved after a spinal manipulation? These symptoms are mediators of the sympathetic nervous system when internal organs are damaged. The video above explains the sympathetic nervous system and how it functions in the body. When the body suffers from traumatic forces or ordinary factors, it can cause an increased risk of other associated problems that can also affect it. The afferent fibers from the sympathetic nervous system can carry the pain signals from the somatic and visceral tissues that converge at the common synaptic site that is within the spinal cord. Research has stated that the somatic nociceptive signals can disrupt the gastrointestinal tract due to stress from various locations in the gut system. When this happens, it can cause an overlap of risk profiles in the entire body.

How Do Gut Disorders Affect The Sympathetic Nerves?

The way the gut system works is that it provides homeostasis to the body by regulating the immune system. When the sympathetic nerves are intertwined with the gut system and the spinal cord, research studies show that the sympathetic innervation to the GI tract helps regulate the motility, secretion, and blood flow by correlating to the nervous system’s activity and modulating GI inflammation. When the guts system begins to suffer from disorders affecting the entire body, it can trigger alarm points to the meridians that closely associate with one or more internal organs in the gut system. These alarm points are coincidentally represented as the first instances of visceral pain or tenderness to the somatic structures. When this happens, many physicians will notice that visceral pain involvement overlaps with referred pain, correlating with the individual’s history and other signs of dysfunction. This is a technique called nerve tracing, where physicians follow the line of tenderness from a painful region of the body to the spine, like how GI issues can cause musculoskeletal pain and disturb the visceral tone.

Conclusion

The body requires the gut to maintain homeostasis and help regulate the immune system. The gut system also provides information to the central nervous system by letting the neuron signals transport the sensory-motor functions through the sympathetic nervous system to make the body functional. The sympathetic nerves help provide organ activation to the body that can help prepare the body for various activities. When the sympathetic nerves become irritated, it can cause the muscles and organs to be triggered and change their functionality. This can make the surrounding organs and muscles have an increased risk associated with other disorders that affect the body and correlate to different symptoms. When individuals inform their primary physicians about these symptoms, it gives them a better understanding of these disorders’ causation.

References

Alshask, Mark N, and Joe M Das. “Neuroanatomy, Sympathetic Nervous System.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 14 May 2022, www.ncbi.nlm.nih.gov/books/NBK542195/.

Boezaart, Andre P, et al. “Visceral versus Somatic Pain: An Educational Review of Anatomy and Clinical Implications.” Regional Anesthesia and Pain Medicine, U.S. National Library of Medicine, July 2021, pubmed.ncbi.nlm.nih.gov/34145074/.

Cervi, Andrea L, et al. “Neural Regulation of Gastrointestinal Inflammation: Role of the Sympathetic Nervous System.” Autonomic Neuroscience: Basic & Clinical, U.S. National Library of Medicine, May 2014, pubmed.ncbi.nlm.nih.gov/24412637/.

LeBouef, Tyler, et al. “Physiology, Autonomic Nervous System.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 May 2022, www.ncbi.nlm.nih.gov/books/NBK538516/.

Waxenbaum, Joshua A, et al. “Anatomy, Autonomic Nervous System – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 29 June 2021, www.ncbi.nlm.nih.gov/books/NBK539845/.

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Causation of Visceral Pain

By

Dr. Alex Jimenez

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Senior man waiting for specialist at doctor's office

A viscerosomatic response or VSR is when the internal organs are going through some distress, illness, or injury, causing pain symptoms. An example is the right shoulder presenting with pain when the gall bladder is inflamed. The pain signals are transmitted through the spinal cord, and the muscles in the area could spasm, creating sensitivity or pain when touched. However, viscerosomatic pain is often not worsened or changed by bending, reaching, or twisting in different directions causing musculoskeletal/MSK pain. Without a thorough exam, it’s easy to confuse a VSR with an MSK or basic back ache. Individuals may sometimes feel visceral pain more through emotional symptoms like anger, anguish, or sadness than physical discomfort. Causation varies for everybody and can overlap with underlying conditions.

Table of Contents

Causation

The visceral organs’ pain receptors are not as tightly packed or evenly spread out, which makes finding the pain’s source challenging to pinpoint.‌ The most common causes include:

Inflammation

A process of the body’s white blood cells protecting the body from infections, bacteria, and viruses. In autoimmune diseases, the immune system reacts as if normal tissues are infected or have changed and attacks them causing damage. But in some conditions, like arthritis, the body’s immune system triggers inflammation despite no infections, bacteria, or viruses. When inflammation activates, chemicals from the body’s white blood cells enter the blood or tissues to protect the body raising the blood flow to the injured or infected area. Symptoms include:

Redness
Heat
Irritation
Chemicals can cause fluid to leak into the tissues.
Swelling
Pain

The symptoms depend on which organs are affected. Examples include:

Inflammation of the heart/myocarditis can cause shortness of breath and/or fluid buildup.
Inflammation of the tiny tubes in the respiratory system can cause shortness of breath.
Inflammation of the kidneys/nephritis can cause high blood pressure and/or kidney failure.

Circulatory Issues

Decreased blood circulation can strain areas of the body. The body pulls oxygen into the lungs that enter the blood. It travels throughout the body through blood vessels, veins, and arteries. If circulation becomes obstructed or gets stopped, a severe problem called ischemia can develop. This means areas of the body are not getting enough blood and enough oxygen. Ischemia usually originates from a buildup, blockage in the arteries, or a blood clot. Atherosclerosis is plaque, a hard, sticky substance made mostly of fat that collects in the arteries. It builds up slowly over time and can harden and narrow the arteries slowing down blood flow because the blood has less space to circulate.

Swelling/Stretching Organs

Swelling occurs when excess fluids are trapped in the body’s tissues, which can cause the affected organs to enlarge and stretch. Swelling can be internal or external. Internal swelling is usually caused by:

Fluid retention
Blockage of the bowels or urethra
Organ inflammation
Flatulence

Menstrual Cramps

Menstrual cramps are throbbing, aching cramps experienced in the lower stomach just before and during a woman’s monthly period. They can range from mild to severe but are common and can strike right before and/or during the menstrual cycle. Some women can experience dysmenorrhea. Symptoms include:

Aching in the stomach
Pressure in the stomach
Constipation
Pain in the hips, low back, and inner thighs.

Severe cramp symptoms can include:

Upset stomach
Loose stools
Vomiting

Cysts and Tumors

Cysts and/or tumors in the pelvic or abdomen region can cause distress, irritation, inflammation, swelling, and pain viscerosomatic and musculoskeletal.

Chiropractic Causation Diagnosis

There is a connection between the spinal nerves and internal organ function. Internal organs connect to the brain through the spinal cord and nerve ganglia plexuses. The organs cannot function properly if the transmitted signals are interrupted or blocked. A chiropractor uses manual and mechanized manipulation to realign the spine. Chiropractic treatment diagnoses causation, restores joint function, eliminates pain, and prevents further injury, preventing degeneration and slowing disease processes in bone, muscle, and organs.

Spinal Decompression

References

Bath M, Owens J. Physiology, Viscerosomatic Reflexes. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK559218/

Berrueta, Lisbeth, et al. “Stretching Impacts Inflammation Resolution in Connective Tissue.” Journal of cellular physiology vol. 231,7 (2016): 1621-7. doi:10.1002/jcp.25263

Carver AC, Foley KM. Types of Pain. In: Kufe DW, Pollock RE, Weichselbaum RR, et al., editors. Holland-Frei Cancer Medicine. 6th edition. Hamilton (ON): BC Decker; 2003. Available from: www.ncbi.nlm.nih.gov/books/NBK12991/

Sikandar, Shafaq, and Anthony H Dickenson. “Visceral pain: the ins and outs, the ups and downs.” Current opinion in supportive and palliative care vol. 6,1 (2012): 17-26. doi:10.1097/SPC.0b013e32834f6ec9

The Origin Between Gastrointestinal Issues & Visceral Hypersensitivity

By

Dr. Alex Jimenez

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Table of Contents

Introduction

The gastrointestinal or gut system helps modulate the body’s homeostasis and metabolize the immune system. With its connection to the brain, the gut can help transport the nutrients and additional information to the corresponding muscles, tissues, and organs to function. These muscles, tissues, and organs all have a job to do and help the body stay healthy from internal and external factors that can harm the gut system. When internal factors disrupt the gut system, it can lead to various symptoms affecting the gut and the internal organs and muscles surrounding the gut system. Today’s article looks at one of the gut disorders known as irritable bowel syndrome and its effect on the lumbar back, and how gut issues in the body cause visceral hypersensitivity. We refer patients to certified, skilled providers specializing in gastrointestinal and chiropractic treatments that help those suffering from gut issues like irritable bowel syndrome and back pain. 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 critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

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Irritable Bowel Syndrome Affecting The Body

Have you experienced chronic inflammation in your gut? Have you been feeling overly stressed and constantly affecting your gut? Has your favorite food been causing issues in your gut? Experiencing these symptoms are signs that you might have IBS or irritable bowel syndrome. Research studies have defined IBS as one of the most common diagnoses of gastrointestinal diseases. When a person starts to develop IBS in their gut system, many factors can come into play that can cause the development. IBS is usually formed when there are altercations in the intestinal walls. This causes the gut bacteria to leak out and causes the immune system to attack the intestinal wall linings. Other research studies have mentioned that inflammatory effects can cause visceral hypersensitivity to affect the body by increasing high concentrations of proinflammatory cytokines in the enteric nerves and having a high mast cell count.

Many factors like food sensitivities, bacterial overgrowth, visceral hypersensitivity, and intestinal inflammation are some of the various implications of the pathology of IBS. Research studies have found that when lifestyle changes alter the gut system, it can be associated with discomfort in the abdominal regions while affecting the biochemical integrity. Additional research studies have mentioned that when an individual suffers from IBS, the stressful impact can cause visceral pains to rise in extremities causing the surrounding organs in the gut system to become hypersensitive. IBS associated with visceral pain can also affect the pelvic region and the lower back, causing another set of issues that affect the body.

An Overview Of Abdominal Pain-Video

Abdominal Pain - Visceral, Parietal and Referred

Have you been feeling inflammation in your gut? Does your lower back or pelvic region begin to ache or make you feel uncomfortable? Have you been experiencing IBS or other gut issues? Many of these symptoms are common in individuals with IBS and abdominal pain. The video above gives an excellent explanation of the three different problems that can affect the abdominal region of the body. Research studies have mentioned that visceral pain is a highly complex disorder that can affect a person who either haves or hasn’t had any structural changes or biochemical abnormalities affecting their gut. When a person’s gut becomes hypersensitive to visceral pain, it can affect the different afferents to arise when the lumbosacral spinal cord aggravates.

Visceral Hypersensitivity Caused By Gut Issues

When the visceral reflexes become hypersensitive, research studies have found that visceral hypersensitivity has become a clinical marker for individuals that suffer from IBS. Some of the symptoms can include:

Frequent bowel movements
Bloating
Abdominal pain

Another indication of visceral hypersensitivity due to IBS is when it is nociceptive input from the colon that can lead the gut system to have hypersensitivity and this can increase the intestinal permeability that alters the gastrointestinal tissues. When this happens it can cause the blood microvessels to make the other targeted organs become hypersensitive as well. Additional research studies have found that when there is abdominal pain in the gut system it can cause other disorders like noncardiac chest pain and other conditions that can develop in the peripheral tissues in the body. When individuals begin to make small changes in their lifestyle habits, it can be beneficial to the other systems and the muscles that have been affected.

Conclusion

The gut or gastrointestinal system helps the body regulate its homeostasis and metabolize the immune system to keep the muscles and surrounding organs functional. When internal or external factors cause problems in the gut system, it can develop into IBS and be associated with visceral hypersensitivity to the corresponding organs and muscles, causing various issues that can make the body dysfunctional. The lumbosacral spinal cord and its nerves become aggravated and cause pelvic and low back pain in the lower half of the body. When this happens, a person will become miserable and affect their quality of life. By making small habit changes in relieving IBS from the gut, the rest of the body will begin to heal naturally.

References

Farmer, Adam D, and Qasim Aziz. “Gut Pain & Visceral Hypersensitivity.” British Journal of Pain, SAGE Publications, Feb. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4590155/.

Greenwood-Van Meerveld, Beverley, and Anthony C Johnson. “Stress-Induced Chronic Visceral Pain of Gastrointestinal Origin.” Frontiers in Systems Neuroscience, Frontiers Media S.A., 22 Nov. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5702626/.

Hadjivasilis, Alexandros, et al. “New Insights into Irritable Bowel Syndrome: From Pathophysiology to Treatment.” Annals of Gastroenterology, Hellenic Society of Gastroenterology, 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6826071/.

Mayer, E A, and G F Gebhart. “Basic and Clinical Aspects of Visceral Hyperalgesia.” Gastroenterology, U.S. National Library of Medicine, July 1994, pubmed.ncbi.nlm.nih.gov/8020671/.

Patel, Nicolas, and Karen Shackelford. “Irritable Bowel Syndrome.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 10 July 2021, www.ncbi.nlm.nih.gov/books/NBK534810/.

Saha, Lekha. “Irritable Bowel Syndrome: Pathogenesis, Diagnosis, Treatment, and Evidence-Based Medicine.” World Journal of Gastroenterology, Baishideng Publishing Group Inc, 14 June 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4051916/.

Zhou, QiQi, and G Nicholas Verne. “New Insights into Visceral Hypersensitivity–Clinical Implications in IBS.” Nature Reviews. Gastroenterology & Hepatology, U.S. National Library of Medicine, June 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC3437337/.

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An Understanding Of Mid-Upper Back Pain

By

Dr. Alex Jimenez

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Table of Contents

Introduction

The spine has three areas: cervical, thoracic, and lumbar in the back, encased with muscles, tissues, ligaments, and joints that help protect the spinal cord from injuries. With the spinal cord being part of the central nervous system, this long cord has many nerve roots that are spread all over the body and help function each section of the body. When the back muscles become damaged or injured in the thoracic region of the spine, it can cause painful symptoms and other issues that correspond with the thoracic spine. Today’s article will look at the thoracic spine, how back pain in the upper-mid section of the back, and how visceral referred pain affects the thoracic region in the body. We refer patients to certified, skilled providers specializing in osteopathic and chiropractic treatments that help those suffering from chest pains and thoracic back pain. 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 critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

Download

The Thoracic Spine

Have you been experiencing herniation in the upper-mid section of your back? Have you felt chest pain occur frequently? Do your back muscles feel stiff or constantly ache even after you stretch? All these symptoms are signs that affect the thoracic region of the spine. Research studies have defined the three spinal areas: the cervical, thoracic, and lumbar help keep the upper half of the body upright. The thoracic area of the spine has added support from the rib cage and allows the body to rotate and flex the upper body. The thoracic region of the spine is also the first curvature that is tight enough to protect the vital organs and loose enough to allow respiratory movement in the body. Additional research studies have also mentioned that the thoracic segments in the spine are susceptible to injuries that can affect the back entirely. The thoracic segments can succumb to structural alterations, disc herniation, and even trauma in the spine from environmental factors like lifting or carrying heavy objects, muscle strain, and forceful impact.

How Thoracic Pain Affect The Body

When the thoracic region of the spine begins to suffer from environmental factors or traumatic events, it can affect the body and aggravate the nerves that encase the spinal column. Research studies have found that when the thoracic spine has succumbed to injuries, it can affect the upper half of the body. Structural changes in the thoracic T 1 through 3 regions of the spine can cause the cervical area to develop neck pain. This causes restricted segmental mobility in the cervical and thoracic regions of the spine. Another research study has mentioned that individuals suffering from thoracic pain will often complain about paravertebral pain aggravated by prolonged standing, hyperextension, and even hyper rotation in the thoracic spinal column. When this happens, it can cause discomfort to the individual and limit their range of motion since their muscles are stiff. Thoracic pain can even affect the corresponding muscles connected to the body’s internal organs.

Referred Pain Affect The Thoracic Spine-Video

Screening for Visceral Referred Pain in the Thoracic Spine

Have you felt muscle stiffness in your upper-middle back? Have you been dealing with neck or chest pain? Have inflammatory issues affecting your esophagus? Many of these are signs and symptoms of visceral referred pain affecting the thoracic region of the spine. The video above explains how visceral referred pain can affect the thoracic spine and the corresponding muscle and organs in the area. Research studies have defined pain as damaged nociceptive sensory nerves that affect the peripheral tissues in the face. The broken nerve roots can affect one portion of the body but also a different section of the body. Additional research studies have also found that visceral pain affecting the thoracic regions of the spine can impact the cardiovascular system. This is due to hypertension caused by chronic stress from environmental factors.

Visceral Referred Pain Affecting The Thoracic Region

Research studies have noticed that thoracic spinal pain can become a common site for inflammation, degenerative discs, and other issues contributing to pain and disability in the spine. Visceral pain is a complex disorder that can cause the surrounding muscles and organs in the thoracic region to be compromised. When the body is suffering from visceral referred pain, the thoracic region of the spine will also begin to suffer. Additional research studies have found that visceral referred pain that affects the thoracic neurons will also affect the esophageal and cardiac input to the cardiovascular and gut systems. When the affected thoracic neurons begin to cause heart and esophageal problems, these two organs become hypersensitive due to noxious stimulation.

Conclusion

The spine has three areas: the cervical, thoracic, and lumbar, which help keep the body upright and is encased with muscles, tissues, and ligaments that protect the spinal cord from injuries. Injuries that affect the thoracic regions of the back can cause problems to the corresponding muscles and the internal organs, especially in the gut and cardiovascular systems. These organs become hyper-sensitive and can make the body develop hypertension and other issues that can make the body dysfunctional. When individuals realize that their upper-middle back pain in the thoracic region can affect their cardiovascular system, they can find ways to treat their back pain and prevent cardiovascular issues from forming.

References

Briggs, Andrew M, et al. “Thoracic Spine Pain in the General Population: Prevalence, Incidence and Associated Factors in Children, Adolescents and Adults. A Systematic Review.” BMC Musculoskeletal Disorders, BioMed Central, 29 June 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2720379/.

Brumovsky, P R, and G F Gebhart. “Visceral Organ Cross-Sensitization – an Integrated Perspective.” Autonomic Neuroscience: Basic & Clinical, U.S. National Library of Medicine, 16 Feb. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2818077/.

Gkasdaris, Grigorios, et al. “Clinical Anatomy and Significance of the Thoracic Intervertebral Foramen: A Cadaveric Study and Review of the Literature.” Journal of Craniovertebral Junction & Spine, Medknow Publications & Media Pvt Ltd, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5111324/.

Joshi, Shriya, et al. “Thoracic Posture and Mobility in Mechanical Neck Pain Population: A Review of the Literature.” Asian Spine Journal, Korean Society of Spine Surgery, 3 June 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6773982/.

Murray, Greg M. “Guest Editorial: Referred Pain.” Journal of Applied Oral Science : Revista FOB, Faculdade De Odontologia De Bauru Da Universidade De São Paulo, 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC4327510/.

van Kleef , Maarten, et al. “10. Thoracic Pain.” Pain Practice : the Official Journal of World Institute of Pain, U.S. National Library of Medicine, 2010, pubmed.ncbi.nlm.nih.gov/20492577/.

Ward, John, et al. “Immediate Effects of Upper Thoracic Spine Manipulation on Hypertensive Individuals.” The Journal of Manual & Manipulative Therapy, Maney Publishing, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4459143/.

Waxenbaum, Joshua A, et al. “Anatomy, Back, Thoracic Vertebrae – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 12 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK459153/.

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Viscerosomatic Reflex: Distressed Internal Organs Back Pain Sciatica

By

Dr. Alex Jimenez

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Germany, Munich, Doctor explaining patient human body, smiling

Low back and mid-back pain could be caused by abdominal or pelvic organ distress/irritation or infection that an individual doesn’t know about. This could be a viscerosomatic reflex. This can be the case when there is no back injury, muscle strain, or sprain that would coincide with back aching and soreness. Identifying the symptoms and diagnosing the underlying cause is the first step in getting ultimate pain relief.

Table of Contents

The Organs

Inflammation and other issues with any internal organs in the central, abdominal, or pelvic region can produce low back pain. These include the following:

Heart
Lungs
Stomach
Intestines
Liver
Gallbladder

Viscerosomatic reflex pain can also be felt in a completely different body part than where the organ is located. This can cause an individual to think something is wrong in that body region when there is not.

Kidneys

The kidneys help remove liquid waste from the body.
Urine that contains more chemical substances than what can be diluted can cause kidney stones to form and sharp pain in the side and the lower back.
Kidney stones can also cause difficulty urinating and blood to show up in the urine.
A kidney infection can result in mid-low back pain and fever.

Pancreas

The pancreas plays a vital role in digestion and blood sugar regulation.
Pancreatitis is inflammation that can cause severe and disabling pain that starts in the upper abdomen and radiates to the low back.

Appendix

The appendix is located in the lower-right abdomen.
Its function is to store healthy, beneficial bacteria.
It can become inflamed, causing severe pain in the lower abdomen and spreading to the lower back.
If it bursts, the leak can cause toxic effects on the body, which is why an inflamed appendix needs to be surgically removed.

Large Intestine

Inflammation of the large intestine/colon and/or ulcerative colitis can also cause:
Low back pain.
Abdominal cramps
Rectal pain.

Visceral Pain

Visceral pain is different as it can be harder to pinpoint a source and feels like a dull aching or tightening pressure.‌ The pain originates in the organs of the respiratory system, stomach, or pelvis that is often described as a dull ache but is also described as:

Colic
Gnawing
Twisting

Visceral pain has distinguishing characteristics:

The pain originates in the middle of the body but can be felt in other areas.
The pain can be scattered, and difficult to locate a definitive source.
The affected area or other body regions can become sensitive.
It can accompany other symptoms like nausea, vomiting, sweating, or heart palpitations.
Psychological symptoms like depression can begin to present.

Chiropractic Care

Chiropractic focuses on healing the musculoskeletal system of aches and pain, muscle stiffness, and/or chronic conditions that complement traditional medical care. Adjustments can correct the body’s alignment and how the body physically functions. A chiropractor will use manual or mechanical decompression techniques to realign the spine. This will release the muscle, tendon, ligament, and nerve tension, bringing pain relief, and improving nervous system function, and viscerosomatic reflex. Treatments include:

Adjustments

Will gently realign the joints to decrease pain and increase range of motion.

Soft-tissue therapy

Will relax tight muscles, relieve spasms, and release tension in the surrounding connective tissues.

Exercises and stretches

Will restore and maintain joint stability and mobility.

Joint bracing and Kinesio taping

Will support sprained joints or muscles as the healing process continues.

Integrative medicine expert referrals

Experts will guide individuals on diet and nutrition to reduce inflammation and promote healthy eating for overall health.

DRX9000 Low Back Pain, Sciatica, Herniated Disc

References

Bath M, Owens J. Physiology, Viscerosomatic Reflexes. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK559218/

Beal, M C. “Viscerosomatic reflexes: a review.” The Journal of the American Osteopathic Association vol. 85,12 (1985): 786-801.

Lefebvre R, Peterson D, Haas M. Evidence-Based Practice and Chiropractic Care. (www.ncbi.nlm.nih.gov/pmc/articles/PMC3716373/) J Evid Based Complementary Altern Med. 2012;18(1):75-79. Accessed 4/25/2022.

Sikandar, Shafaq, and Anthony H Dickenson. “Visceral pain: the ins and outs, the ups and downs.” Current opinion in supportive and palliative care vol. 6,1 (2012): 17-26. doi:10.1097/SPC.0b013e32834f6ec9

Zhou, QiQi, and G Nicholas Verne. “New insights into visceral hypersensitivity–clinical implications in IBS.” Nature reviews. Gastroenterology & hepatology vol. 8,6 (2011): 349-55. doi:10.1038/nrgastro.2011.83

Visceral Pain Might Be Associated With Cardiac Issues

By

Dr. Alex Jimenez

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Table of Contents

Introduction

In the body’s upper half, the cardiovascular system’s heart helps pump nutrient-riched oxygenated blood all around the body to the corresponding muscles, tissues, and organs to keep the body functional. The heart is protected by the ribcage and muscles surrounding the heart organ from any external factors that can cause harm to the body. When these factors do cause an effect on the body, it can lead to many issues like thoracic back pain, cardiovascular problems, gut disorders, and even chest pains. These issues affect a person, causing them to feel crummy and dampen their outlook. Today’s article will look at chest pains, how it affects the gut and heart in the body, and how viscerosomatic dysfunction is associated with chest pains. We refer patients to certified, skilled providers specializing in osteopathic and cardiovascular treatments that help those suffering from chest pains and cardiovascular disorders. 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 critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

Download

What Are Chest Pains?

Have you noticed your heart is beating irregularly? How about acid reflux that is affecting your chest constantly? Have you felt muscle stiffness or tenderness in the middle regions of your back? Or have you felt your chest harden and stiffen after something impacted you? Many of these symptoms are tell-tale signs of you experiencing chest pains in your upper body. Research studies have defined chest pains as a common type of visceral pain that is a dull, deep pressure that squeezes the chest. This results in the visceral afferent nerves aggravated as they cause shoulder pain, jaw pain, or thoracic back pain since the nerve root reaches the spinal cord. Additional research studies have found that chest pains can have a variety of cardiac disorders as they can cause dysfunction in the muscles and skeletal joints within the chest walls or the thoracic regions of the spine. When the thoracic region of the spine becomes affected due to chest pains, it can cause herniation on the spinal discs, thus resulting in unwanted pain and discomfort to the individual. Chest pain can even affect the gut system and the heart itself.

How Does It Affect The Gut & The Heart?

Research studies have mentioned that chest pains can affect the gut system and the heart organ itself due to environmental changes that can affect the gut system. The gut microbiota helps metabolize homeostasis in the body for the gut system. When the gut has been impaired, the harmful bacteria travel through the systemic circulation and heighten the inflammatory effects that cause the development of cardiovascular diseases in the heart. At the same time, additional research studies have mentioned that any symptoms accompanying angina pain are conceptualized as a warning to individuals developing coronary artery disease. When this happens, not all ischemic episodes in the heart are indistinguishable when it comes to chest pains and can result from abnormalities of the thoracic regions.

Viscerosomatic Reflexes Overview-Video

OMM/COMLEX Review Course - Viscerosomatic Reflexes & Autonomics

Have you experienced irregular chest pains that pop up randomly? How about discomfort in the thoracic regions of your back? Do you feel gastrointestinal inflammatory issues like acid reflux or IBS (irritable bowel syndrome) cause you pain? These symptoms are associated with chest pains in the body due to viscerosomatic dysfunction. Research studies have found that visceral pain is a complex disorder since it can affect one internal organ in the body. In contrast, the corresponding nerve or muscle gets involved as well. Visceral pain is also associated with GI disturbances and changes in the body’s temperature, blood pressure, and heart rate, which are considered autonomic signs that the body is dysfunctioning. The video above gives an insightful overview explanation of what the viscerosomatic reflexes and nerves do when they are not aggravated.

Viscerosomatic Dysfunction Associated With Chest Pains

Since visceral pain is complex and can affect the internal organs, research studies have found that viscerosomatic dysfunction in the thoracic-upper abdominal regions can cause the thoracic and esophagus to become hypersensitive to environmental factors that irritate the airways that connect the entrance of the gut to the esophageal tube. Additional research studies have even found that non-cardiac chest pains are another form of viscerosomatic dysfunction that causes the esophageal opening of the stomach to become dysmotility and hypersensitive causing gastroesophageal reflux disease. This causes many individuals to develop chest pains and can affect a person’s mortality. Adjusting certain habits affecting the chest, gut, or back can reduce the effects that viscerosomatic dysfunction is causing to the person’s body so that they can get their sense of purpose back.

Conclusion

The body’s upper half has the cardiovascular system, where the heart makes sure to pump blood and nutrients to every muscle, tissue, and organ required to keep the body functional. When environmental factors cause issues affecting the body, it can cause various problems in the gut, chest, and heart; this is known as visceral pain and is a complex disorder that can affect the upper abdominal-thoracic region of the body. Visceral pain can cause the gut system to develop gastroesophageal reflux disease, chest pains, and cardiovascular disorders that can make the thoracic region of the spine herniated and stiff if it is not taken care of. When individuals start to take care of themselves and reduce the visceral pain from the affected organ, their bodies will begin to heal naturally and make them continue their health and wellness journey.

References

Brumovsky, P R, and G F Gebhart. “Visceral Organ Cross-Sensitization – an Integrated Perspective.” Autonomic Neuroscience: Basic & Clinical, U.S. National Library of Medicine, 16 Feb. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2818077/.

Börjesson, M. “Visceral Chest Pain in Unstable Angina Pectoris and Effects of Transcutaneous Electrical Nerve Stimulation. (TENS). A Review.” Herz, U.S. National Library of Medicine, Apr. 1999, pubmed.ncbi.nlm.nih.gov/10372297/.

Johnson, Ken, and Sassan Ghassemzadeh. “Chest Pain – StatPearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 1 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK470557/.

Sikandar, Shafaq, and Anthony H Dickenson. “Visceral Pain: The Ins and Outs, the Ups and Downs.” Current Opinion in Supportive and Palliative Care, U.S. National Library of Medicine, Mar. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3272481/.

Stochkendahl, Mette J, et al. “Diagnosis and Treatment of Musculoskeletal Chest Pain: Design of a Multi-Purpose Trial.” BMC Musculoskeletal Disorders, BioMed Central, 31 Mar. 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2315652/.

Tang, W H Wilson, et al. “Gut Microbiota in Cardiovascular Health and Disease.” Circulation Research, U.S. National Library of Medicine, 31 Mar. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5390330/.

Disclaimer

An Insight Of Pelvic Pain Associated With The Gut

By

Dr. Alex Jimenez

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Table of Contents

Introduction

The body is held up by skeletal joints that keep the body upright and provide everyday movements for the body to go anywhere at any time. The musculoskeletal system provides the muscles, tissues, and ligaments that encase the skeletal joints protecting them from unknown factors that can cause harm to the body. The internal organs also have a purpose in the body as they help provide the nutrients and necessary hormones to the muscles and joints that need these nutrients to function. When environmental factors affect the body, either internal or external, it can cause the body to become dysfunctional and even cause unwanted symptoms that affect the internal organs that correspond to the muscles suffering. Today’s article looks at pelvic pain, how gut disorders are associated with pelvic pain, and how viscerosomatic pain affects the pelvis. We refer patients to certified, skilled providers specializing in osteopathic and gut treatments that help those with gut disorders and pelvic pain 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 critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

Download

What Is Pelvic Pain?

Have you been experiencing gut issues that are affecting your pelvic region? Has your gut been feeling inflammatory effects? Have you noticed that you need to go to the bathroom more frequently than usual? Many of these symptoms are some of the signs that are associated with pelvic pain. Research studies have defined pelvic pain as disabling, chronic, and persistent pain that commonly affects women. Pelvic pain can range from acute to chronic depending on how severe the pain affects the pelvic region of the body. Additional research studies have mentioned that pelvic pain in its chronic form can become a multifactorial disorder that can cause pain in the gastrointestinal, pelvic musculoskeletal, or nervous system, making the immune, neurological, and endocrine metabolism dysfunctional. When pelvic pain begins to affect the gastrointestinal system, it can lead to various gut disorders that can cause the pain to become worse if it is not treated.

How Do Gut Disorders Associate Pelvic Pain?

Research studies have mentioned that since pelvic pain is a multifactorial disorder, it can cause pain to arise in the internal organs in the gastrointestinal system. When pelvic pain starts to affect the gastrointestinal system, it can cause the development of gut disorders to affect the body further. When gut disorders co-exist with pelvic pain, it can cause an enhancement to the overall pain symptoms that are becoming the result of viscerosomatic dysfunction through the cross-organ sensitization mechanisms. Additional information studies have mentioned that gut disorders like IBS (irritable bowel syndrome) can cause changes in thermal/visceral pain sensitivity that overlap in the lower body’s pelvic region, further enhancing rectal/thermal pain. This can cause a person to become miserable and even affect their quality of life since they are suffering from so much pain.

Visceral Afferent Nerves Being Affected By Pelvic Pain-Video

Visceral Afferent Nerves From The Pelvis

Have you experienced gut issues like IBS (irritable bowel syndrome), inflammation, or IBD (inflammatory bowel disease)? Have you felt pain in your pelvic region constantly? Has the pain-affected certain areas in your body, not just your pelvis? If you have these symptoms, it might be due to your visceral nerves being involved. The video above explains what the visceral afferent nerves from the pelvic region are doing to keep the body functioning in the lower extremities. The visceral afferent nerves become aggravated by environmental factors affecting the body, including the gut system. Symptoms of inflammation and gut disorders from persistent aspects of many forms of stress or trauma can cause visceral pain to affect the body, thus causing pelvic pain, gut issues, lower back pain, and other body pains.

How Viscerosomatic Pain Affects The Pelvis

The body’s viscerosomatic pain can be complex since the organs also affect the corresponding muscles. The way the pain is described in the body from viscerosomatic pain ranges from dull to excruciating pain. Research studies have mentioned that the burden of viscerosomatic pain emanates from the internal thoracic, pelvic, and abdominal organs associated with the muscles. For visceral pain to affect the pelvic region, research studies have shown that the nociceptive pain from the pelvic area is usually visceral from the results from the pelvic organs that are poorly localized and can overlap with the somatic sensory tracts that are located in the spinal cord. When this happens, it can cause significant discomfort to the pelvic organs in the body and affect the individual with excruciating painful symptoms.

Conclusion

The body provides everyday movements held by the skeletal joints that help the body go anywhere. While the musculoskeletal system and the internal organs help give the muscles, tissues, ligaments, and nutrients the body needs to function. When environmental factors affect the body, it can lead to various issues that cause gut disorders and even pain in the pelvic region, known as visceral pain. Visceral pain is a complex disorder since the affected organs also affect the corresponding muscles. For visceral pain to affect the pelvic area, it can lead to dull excruciating pain in the pelvic organs and affect the individual. Visceral pain can also overlap the sensory somatic tracts in the spinal cord, causing unbearable painful symptoms to the body while inflammatory issues in the gut system are developing. When people realize that the pain is affecting them, they can start to find treatments from their specialized providers to help alleviate their pain.

References

Dydyk, Alexander M, and Nishant Gupta. “Chronic Pelvic Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Nov. 2021, www.ncbi.nlm.nih.gov/books/NBK554585/.

Grinberg, Keren, et al. “New Insights about Chronic Pelvic Pain Syndrome (CPPS).” International Journal of Environmental Research and Public Health, MDPI, 26 Apr. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7246747/.

Origoni, Massimo, et al. “Neurobiological Mechanisms of Pelvic Pain.” BioMed Research International, Hindawi Publishing Corporation, 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4119661.

Udoji, Mercy A, and Timothy J Ness. “New Directions in the Treatment of Pelvic Pain.” Pain Management, U.S. National Library of Medicine, Sept. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3979473/.

Verne, G Nicholas, et al. “Viscerosomatic Facilitation in a Subset of IBS Patients, an Effect Mediated by N-Methyl-D-Aspartate Receptors.” The Journal of Pain, U.S. National Library of Medicine, Sept. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3489925/.

Yuan, Tian, and Beverley Greenwood-Van Meerveld. “Abdominal and Pelvic Pain: Current Challenges and Future Opportunities.” Frontiers in Pain Research (Lausanne, Switzerland), Frontiers Media S.A., 4 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8915637/.

Disclaimer

Back Pain With No Reason

By

Dr. Alex Jimenez

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handsome doctor pointing with finger at spine model near patient in clinic

Back pain for no reason that is non-specific is also known as idiopathic, meaning there is no definitive cause like a herniated disc, vehicle accident/crash, falling accident, work, school, or sports injury. An aching sore back that came out of nowhere can be baffling. However, there are reasons for pain, including age, unhealthy posture, work occupation, muscle spasms, lifestyle habits, family medical history, and viscerosomatic reflexes.

Table of Contents

Back Pain No Reason

Individuals will trace back their steps and often find that there was no heavy lifting of packages, overdoing it working out, or bending, twisting awkwardly, but the pain is present.

Age

Age is a primary cause of back pain. After the age of 20, the discs in the spine begin to dehydrate, shrink, and compress/flatten out. This can cause everyday activities to generate back strain and pain as the discs begin to slip, slide, and rub against each other. This is known as degenerative disc disease and is a process that continues as the body gets older.

Back Muscle Spasms

Muscle spasms are a common manifestation of back pain and occur when the muscles involuntarily contract. Spasms often happen from bending, heavy lifting, or other physical activities.

Lifestyle Factors

Lifestyle factors can be a causation factor for back pain that comes out of nowhere.

Smoking increases the risk as nicotine increases the wear and tear on the discs as well as other organs.
The smoke/nicotine causes the discs to age faster because it breaks down the collagen, an essential part of the discs.
Individuals that are out of shape, overweight, and/or obese are more likely to have back pain from the added weight.

Unhealthy Posture/Mechanics

Practicing unhealthy postures will no doubt begin to cause back or some type of pain from the strain and awkward positioning placed on the muscles being used. Strains, twists, pulls, or tears can occur if repeating the same motion.

Viscerosomatic Reflex

Viscera means organ, and somatic refers to the body or musculoskeletal system. A viscerosomatic reaction happens when a pain signal from an organ is transmitted via the spinal cord, where neurons and motor structures like the muscles, blood vessels, and skin are interconnected. The body’s organs can become distressed or suffer an infection/disease that causes signals to be sent that there is something wrong. However, the signal could be pain that materializes in the spine/back muscles but is not a spinal injury or condition.

Diagnosis and Treatment

The first step to successfully treating back pain is scheduling an appointment with a spine specialist or chiropractor. A series of specific questions will be asked to gain insight into the underlying cause of the pain. These include:

Location of the pain
The intensity of the pain
Frequency of the pain
Medical history
Diet habits

A careful examination is necessary for the doctor to identify the reasons in any individual patient. Once the physician has learned about the symptoms and history, they can determine a possible cause and create a personalized treatment/rehabilitation plan to get the body back to optimal health.

Decompression Patient Testimonials

References

Koes, B W et al. “Diagnosis and treatment of low back pain.” BMJ (Clinical research ed.) vol. 332,7555 (2006): 1430-4. doi:10.1136/bmj.332.7555.1430

Lankhorst, G J et al. “The natural history of idiopathic low back pain. A three-year follow-up study of spinal motion, pain and functional capacity.” Scandinavian journal of rehabilitation medicine vol. 17,1 (1985): 1-4.

www.niams.nih.gov/health-topics/sports-injuries

Walker, Bruce F et al. “Combined chiropractic interventions for low-back pain.” The Cochrane database of systematic reviews vol. 2010,4 CD005427. 14 Apr. 2010, doi:10.1002/14651858.CD005427.pub2

An Integrated Look At Gut Issues & Visceral Pain

By

Dr. Alex Jimenez

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Table of Contents

Introduction

The body works by ensuring that the brain in the central nervous system and the gut in the gut system are metabolizing homeostasis and regulating the immune system for optimal functionality. With the gut-brain axis having a bi-directional partnership in relaying the information back and forth, the body can function normally without any disturbances that can harm the body. However, various factors can affect the brain, and the gut as disorders like inflammation, bacterial overgrowth, and food sensitivities can affect the intestinal walls. When gut disorders affect the body, the corresponding muscles and tissues also become affected through visceral pain. Today’s article looks at the gut microbiota’s role in the body, how visceral pain affects the gut microbiota, and how pelvic pain with abdominal bloating is associated with gut disorders. We refer patients to certified, skilled providers specializing in osteopathic and chiropractic treatments. 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 critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

Download

How The Gut Microbiome Helps The Body

Have you experienced inflammatory effects located in your gut? Have you felt muscle stiffness around the pelvic region of your body? Have you experienced bloating or other abdominal issues that are affecting your body? These could be signs that could be affecting your gut microbiota. Research studies have mentioned that the gut microbiota in the body plays a vital role in influencing beneficial bacteria in the intestines while supporting the body’s homeostasis and regulating metabolism. The gut system is sustainable from environmental factors that cause dysbiosis and numerous gut disorders affecting the host’s body structure. Additional research also mentioned that when various ecological factors do affect the gut system, it can alter the gut’s composition and threaten to impose on the gut’s integrity. When the gut system begins to be involved, the rest of the body starts to be dysfunctional. Corresponding muscles, tissues, and organs will experience pain and other disorders that can make people feel like something is off with their bodies. At the same time, their gut system is being affected.

Visceral Reflexes Overview- Video

Have you felt gut disorders affecting your joints or muscles? Have you been feeling dysfunctional in your urinary tract? Or what about cardiovascular issues that seem to cause problems in your arms or legs? Many of these symptoms are caused by visceral pain where the visceral reflexes are damaged and affect the corresponding muscles in the body. The video above explains how visceral reflexes work in the body and how they send information to the brain when changes affect the connected components in the body. Research shows that when gut issues impact visceral pain, it can affect the mechanics mediating visceral nociception. Whenever gut issues move the visceral reflexes, it can cause nerve termination to the spinal cord, and gastrointestinal factors like inflammation and oxidative stress will begin to rise in the body.

Visceral Pain & The Gut Microbiome

Whenever environmental factors affect the gut microbiota, it can cause the body to become dysfunctional and correspond with the affected muscles, tissues, joints, and organs suffering from gut disorders. Research studies have found that the gastrointestinal tract receives a dual innervation from the spinal neuron and the vagus nerve. When the gastrointestinal system becomes dysfunctional and starts promoting inflammatory markers that affect the viscerosomatic nerves, these nerves can become hypersensitive. Research studies have defined visceral pain as one of the most prevalent pains associated with gut disorders. When it comes to visceral pain and the gut impacting the body, many people experience the pain coming from their internal organs and hurting their quality of life. Additional research studies have noticed that hypersensitive visceral pain can cause functional and morphological alteration in the gut and nervous systems. This will cause other disorders that become affected by gut issues caused by visceral pain.

Pelvic Pain & Abdominal Bloating Associated With Gut Disorders

Research studies have mentioned that when the viscerosomatic nerves become hypersensitive due to gut disorders, it can affect the lower gastrointestinal organs and joints like the vagal, pelvic, and splanchnic afferents. When the gut system is experiencing issues like inflammation and stress, which causes the visceral nerves to be hypersensitive, many people will begin to experience pelvic pain and abdominal bloating associated with gut disorders. For pelvic pain, research studies found that pelvic pain occurs when there are peripheral somatic neuropathies start to mimic inner organs pathology. At the same time, the visceral pathology can change the peripheral somatic nerves to cause more pain in the pelvic region in the lower abdomen. As for abdominal bloating, research studies have concluded that alterations in the viscerosomatic reflexes cause abdominal wall protrusion. This causes the gut intestinal walls to be bloated and cause discomfort to the individual, and eventually causes pelvic pain as both are associated with gut disorders affecting the viscerosomatic nerves.

Conclusion

The gut system helps the body by regulating the body’s homeostasis and metabolizing the immune system. When environmental factors affect the gut system, they can also affect the corresponding muscles, tissues, joints, and organs. This is known as visceral pain, where the viscerosomatic nerves are damaged due to gut issues like stress or inflammation that are the products of gut disorders. When alternations in the viscerosomatic nerves or the intestinal walls, it can cause dysfunction in the body, like pelvic pain and abdominal bloating that can cause discomfort to the individual. By figuring out what is causing these issues affecting the gut, the body will begin to heal itself.

References

Azpiroz, Fernando, and Juan-R Malagelada. “Abdominal Bloating.” Gastroenterology, U.S. National Library of Medicine, Sept. 2005, pubmed.ncbi.nlm.nih.gov/16143143/.

Farmer, Adam D, and Qasim Aziz. “Gut Pain & Visceral Hypersensitivity.” British Journal of Pain, SAGE Publications, Feb. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4590155/.

Hills, Ronald D, et al. “Gut Microbiome: Profound Implications for Diet and Disease.” Nutrients, MDPI, 16 July 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6682904/.

Lucarini, Elena, et al. “Deepening the Mechanisms of Visceral Pain Persistence: An Evaluation of the Gut-Spinal Cord Relationship.” Cells, MDPI, 24 July 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7464824/.

Perry, C P. “Peripheral Neuropathies Causing Chronic Pelvic Pain.” The Journal of the American Association of Gynecologic Laparoscopists, U.S. National Library of Medicine, May 2000, pubmed.ncbi.nlm.nih.gov/10806280/.

Pusceddu, Matteo M, and Melanie G Gareau. “Visceral Pain: Gut Microbiota, a New Hope?” Journal of Biomedical Science, BioMed Central, 11 Oct. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6182804/.

Sikandar, Shafaq, and Anthony H Dickenson. “Visceral Pain: The Ins and Outs, the Ups and Downs.” Current Opinion in Supportive and Palliative Care, U.S. National Library of Medicine, Mar. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3272481/.

Thursby, Elizabeth, and Nathalie Juge. “Introduction to the Human Gut Microbiota.” The Biochemical Journal, Portland Press Ltd., 16 May 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5433529/.

Vermeulen, Wim, et al. “Neuroanatomy of Lower Gastrointestinal Pain Disorders.” World Journal of Gastroenterology, Baishideng Publishing Group Co., Limited, 28 Jan. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC3921524/.

Disclaimer

The Impact Of Viscerosomatic Pain On Spinal Issues

By

Dr. Alex Jimenez

-

Table of Contents

Introduction

The body has many nerve roots that are intertwined and coming out from the spinal cord, which is part of the nervous system. One of the main components of the nervous system is the vagus nerve, which is part of the parasympathetic nervous system as it helps inform the brain about the state of the inner organs in the body. The vagus nerve helps maintain the body’s metabolism and homeostasis from diseases and injuries that occur either inside or outside the body. Many inner organs, muscles, or tissues get affected when a person has suffered from an injury or developed infections in their body. They can cause many symptoms that can dysfunction the body. It can affect the spine, nerve roots, internal organs, and joints, making the individual feel a sense of hopelessness. Today’s article will look at the unique connection of viscerosomatic reflexes and how it affects the body, as well as how viscerosomatic pain can affect the spine causing the individual many spinal issues. We refer patients to certified, skilled providers specializing in osteopathic and chiropractic treatments. 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 critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

Download

What Are Viscerosomatic Reflexes?

Have you experienced pain in your arms, legs, or back? How about feeling dysfunctional in your urinary tract? Have you noticed that not only your chest has started to hurt but also your gut and lower back? Many of these are signs of you having pain due to your viscerosomatic reflexes in your body. Research studies have defined viscerosomatic as regular visceral activity in the body stimulated by the somatosensory nerves that can help recognize abnormal viscerosomatic reflexes. These nerves are connected to the central nervous system, which travels through the spinal cord and can affect the body. The best example is when a doctor is giving a reflex test and uses a rubber mallet to hit the knee to see if a person still has reflexes in their body. Since the vagus nerve is part of the parasympathetic nervous system, when it becomes damaged, it can cause numerous effects on the body research studies have found that any visceral disturbances that are affecting the human body can cause an increase in muscle tension and decrease the pain in the corresponding spinal ligament that can restrict the muscle mobility to the tissues and affecting either the motor or sympathetic nerve. This causes the body to experience pain affecting one part of the body to the corresponding affected nerve.

How Does It Affect The Body?

Since the body has so many connections like the gut-brain axis, which helps regulate the body’s metabolism and homeostasis, the endocrine system that allows the transport of hormones to the rest of the muscles, tissues, and organs through the nerve roots, and the nerve roots themselves are connected as they help with the sensory-motor function with the arms and legs, so the body can move around. When these connections are being damaged and start to affect the rest of the body, it can lead to other health problems that do affect the body. Research studies have found that when the body is suffering from visceral pain in the organs can affect different areas. A couple of examples include:

Bladder issues affecting the perineal area
Cardiovascular disorders causing arm and neck pain
GI disorders causing discomfort

Even though visceral pain’s effects are not life-threatening, it can dampen a person’s mood by causing a negative impact associated with distress, sleep, and work disturbances, and even causing sexual dysfunction in the body.

An Overview Of Viscerosomatic Reflexes-Video

Viscerosomatic Reflexes: Unlocking the Truth About Chronic Pain

Have you experienced cardiovascular issues that are causing arm and neck pain? Have you been feeling some discomfort in your gut or your pelvic area? Have you been experiencing pain that is negatively impacting your quality of life? This could be due to viscerosomatic pain affecting your body and causing these symptoms. The video above explains how the viscerosomatic reflexes are connected to their corresponding muscles and organs. When the body is suffering from issues that affect the related muscles, it is known as viscerosomatic pain. Research studies have shown that individuals suffering from viscerosomatic pain will have multifaceted problems in the viscerosomatic reflexes. This type of pain does affect the spinal neurons causing the visceral neurons to become overly sensitive in the body and the affected areas.

How Does Viscerosomatic Pain Affect The Spine?

Research studies have found that viscerosomatic can affect the spine by affecting the gut system. Many individuals that are suffering from IBS (irritable bowel syndrome) will often complain about being in pain in their torso areas. They don’t realize that processing the visceral and somatic stimuli can cause the gut to become hypersensitive and affect the spinal cord neurons to overlap. Another research study has mentioned that pelvic pain in an individual can cause more symptoms that involve many organ systems causing visceral symptoms combined with somatovisceral convergence. When viscerosomatic pain affects many body parts, it can be difficult for a diagnosis to be conducted.

Conclusion

The body has many nerve roots that connect the body by branching out of the spine and providing sensory-motor functions to the corresponding muscles and tissues. When the body becomes injured, it can cause nerve not only damage to the body but also affect the muscles and organs. This is known as viscerosomatic pain and can be challenging to diagnose due to its being multifaceted with multiple symptoms. This pain can cause the affected organs to become hypersensitive and impact a person’s quality of life. When the body starts healing from viscerosomatic pain, the effects will become less for the individual as they heal the affected organs.

References

Bath, Megan, and Justin Owens. “Physiology, Viscerosomatic Reflexes.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 May 2022, www.ncbi.nlm.nih.gov/books/NBK559218/.

Hoffman, Donna. “Understanding Multisymptom Presentations in Chronic Pelvic Pain: The Inter-Relationships between the Viscera and Myofascial Pelvic Floor Dysfunction.” Current Pain and Headache Reports, U.S. National Library of Medicine, Oct. 2011, pubmed.ncbi.nlm.nih.gov/21739128/.

Sengupta, Jyoti N. “Visceral Pain: The Neurophysiological Mechanism.” Handbook of Experimental Pharmacology, U.S. National Library of Medicine, 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC3156094/.

Sikandar, Shafaq, and Anthony H Dickenson. “Visceral Pain: The Ins and Outs, the Ups and Downs.” Current Opinion in Supportive and Palliative Care, U.S. National Library of Medicine, Mar. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3272481/.

Silva, Andréia Cristina de Oliveira, et al. “Effect of Osteopathic Visceral Manipulation on Pain, Cervical Range of Motion, and Upper Trapezius Muscle Activity in Patients with Chronic Nonspecific Neck Pain and Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled Pilot Study.” Evidence-Based Complementary and Alternative Medicine : ECAM, Hindawi, 11 Nov. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6252226/.

Verne, G Nicholas, et al. “Viscerosomatic Facilitation in a Subset of IBS Patients, an Effect Mediated by N-Methyl-D-Aspartate Receptors.” The Journal of Pain, U.S. National Library of Medicine, Sept. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3489925/.

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The Connection Of Inflammatory Markers & The Gut-Brain Axis

By

Dr. Alex Jimenez

-

Table of Contents

Introduction

One of the unique features of the body is when the gut and nervous systems have this communication partnership where information is transported back and forth throughout the entire body. The data transmitted to the brain and the gut travels through the nerve roots spread throughout the muscles, tissues, and ligaments that control the motor-sensory functions of the body. When the nerve roots become damaged or when there are gut issues affecting the organs in the gut system or even neurological disorders can cause the body to become dysfunctional and result in other matters affecting the muscles in the legs, arms, back, and neck. Today’s article looks at the functionality of the gut-brain axis, how this connection helps the body, and how disorders like inflammation and gut dysbiosis cause problems to the body and the gut-brain axis. Refer patients to certified, skilled providers specializing in gut treatments for individuals that suffer from gut dysbiosis and chronic inflammation. We guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

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The Functionality Of The Gut-Brain Axis

Have you been experiencing inflammation in your gut? How about feeling tired constantly throughout the entire day? Do any of your joints or muscles ache or feel stiff? Many of these are signs that the gut-brain axis is affected by common factors that the body has encountered. There is evidence that the bi-directional signaling between the gastrointestinal tract and the brain is connected with the vagus nerve. Research studies have mentioned that the vagus nerve is the modulator of the gut-brain axis and is considered the primary component in the parasympathetic nervous system that is vital for maintaining homeostasis in the body. The vagus nerve helps the body by overseeing every bodily function like heart rate, digestion responses, immune responses, and sending the brain information about the state of the inner organs. The vagus nerve is also involved in the etiology of several metabolic and mental dysfunctions/disorders that the body encounters that affect the muscles and internal organs. Additional research studies have shown that the vagus nerve has anti-inflammatory properties that are activated from the HPA axis and release the hormone cortisol in the body. The macrophages in the spleen make tumor necrosis factor (TNF) a potent inflammation-producing molecule when the vagus nerve is stimulating the TNF production in the spleen, causing it to decrease. At the same time, the survival portion increases in the body.

How Does The Gut-Brain Axis Help The Body?

With the bi-directional that the gut and brain have on the body, it is evident that environmental factors like oxidative stress, inflammation, and mood disorders cause changes in the glutamatergic pathways and neurotrophins in the body. Research studies have mentioned that the gut-brain axis helps influence the autonomic nervous system by activating the immune system. When the immune system is activated, the body can generally function like muscle endurance, provide microbiota-derived SCFAs to the blood-brain barrier, and regulate the body’s homeostasis. When the gut-brain axis starts to become dysfunctional, the immune system will begin to increase its production of cortisol which can cause muscle stiffness and spasms to affect the body. When there is inflammation in the gut system, it can cause the muscles in the body to become weak, and it can affect the spine causing low back pain issues to develop over time. Whenever the gut-brain axis is affected by environmental factors, the body will begin to start causing trouble with these symptoms and making the individual miserable.

The Microbiome Being Affected By Inflammation-Video

5/17/2019 It's a Gut Feeling: The Microbiome in Inflammatory Disease

Are you experiencing muscle stiffness or weakness in your lower back, neck, or other body parts? Have you experienced mood swings or felt anxious constantly? Many of these symptoms you are experiencing are dysfunctional gut-brain axis affecting your body. The video above explained what happens when the gut microbiome is affected by inflammatory factors causing gut dysbiosis and neurological disorders. Research studies have mentioned that the composition between the gut and the brain as they communicate helps shape the body. When a person starts changing their dietary habits and lifestyle, their gut composition will not only be affected, but their nervous system begins to change too. Unwanted factors can cause many disturbances in the body and, if not treated right away, can develop into chronic issues that affect the joints, muscles, and tissues.

Inflammation And Gut-Brain Dysbiosis

When the gut-brain system is affected by unwanted factors, various symptoms will begin to rise in the body and start wreaking havoc on specific organs, tissues, muscles, and joints that need the gut-brain axis to keep the body functioning. Not only can inflammation cause these unwanted factors, but gut dysbiosis can also affect the T-cells in the immune system. Research studies have mentioned that when inflammatory markers start to translocate harmful bacteria across the gut-epithelial barrier to the blood-brain barrier, it can contribute to multiple sclerosis on the spine. Additional research studies have found that a stroke-induced gut dysfunction in the body allows the commensal bacteria to infect the peripheral tissue, causing infections like pneumonia and urinary tract infections. When individuals start to figure out what is causing their gut-brain axis to become dysfunctional, they can begin to heal their bodies.

Conclusion

The gut and nervous systems have a special bi-directional connection known as the gut-brain axis. The gut-brain axis helps the body function by metabolizing the immune system and regulating homeostasis with the vagus nerve. The vagus nerve is part of the parasympathetic nervous system that allows every bodily function like heart rate, digestion, and immune response while sending information about the state of the inner organs to the brain. The vagus nerve also makes sure that the inner organs are functioning correctly. When unwanted environmental factors like inflammation or gut dysbiosis start to affect the gut-brain axis, it can wreak havoc on the internal organs and cause the body to become dysfunctional. When people notice that their body becomes dysfunctional, they will find treatments available to relieve these issues in their bodies and continue on their health and wellness journey.

References

Appleton, Jeremy. “The Gut-Brain Axis: Influence of Microbiota on Mood and Mental Health.” Integrative Medicine (Encinitas, Calif.), InnoVision Health Media Inc., Aug. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6469458/.

Bonaz, Bruno, et al. “Vagus Nerve Stimulation at the Interface of Brain-Gut Interactions.” Cold Spring Harbor Perspectives in Medicine, Cold Spring Harbor Laboratory Press, 1 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6671930/.

Breit, Sigrid, et al. “Vagus Nerve as Modulator of the Brain-Gut Axis in Psychiatric and Inflammatory Disorders.” Frontiers in Psychiatry, Frontiers Media S.A., 13 Mar. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5859128/.

Gwak, Min-Gyu, and Sun-Young Chang. “Gut-Brain Connection: Microbiome, Gut Barrier, and Environmental Sensors.” Immune Network, The Korean Association of Immunologists, 16 June 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8263213/.

Günther, Claudia, et al. “The Gut-Brain Axis in Inflammatory Bowel Disease-Current and Future Perspectives.” International Journal of Molecular Sciences, MDPI, 18 Aug. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8396333/.

Stopińska, Katarzyna, et al. “The Microbiota-Gut-Brain Axis as a Key to Neuropsychiatric Disorders: A Mini Review.” Journal of Clinical Medicine, MDPI, 10 Oct. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8539144/.

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Neuropathy Summer Tips and Preparation

By

Dr. Alex Jimenez

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hispanic family with mother, father and son sitting in truck looking outside

Even though it is not officially summer, the heat says otherwise. Individuals with neuropathy can experience flare-ups when out in the heat for extended periods. Avoiding discomfort and having fun with family and friends can be stressful. This could be graduations, park festivals, family gatherings, weddings, etc. Here are some neuropathy summer tips/recommendations to maintain a healthy, fun, and pain-free season.

Table of Contents

Neuropathy

Neuropathy results from damaged or destroyed nerve cells and is often a side effect associated with diabetes, autoimmune diseases, infections, tumors, and/or hereditary conditions. Also known as peripheral neuropathy, symptoms range from tingling sensations, burning pain, muscle spasms, difficulty moving the arms or legs, feelings of light headiness, and sometimes atrophy. The symptoms depend on the damaged nerves, ranging from autonomic, motor, and sensory nerves. As neuropathy progresses, individuals may begin to feel a loss of balance.

Neuropathy Summer Tips

Research and Prepare

Preparation and planning are highly recommended to prevent a flare-up. For long outdoor ceremonies:

Wear sunscreen
Stay fully hydrated
Dress in cool clothes
Make sure footwear has proper arch/sole support and breathing room.
Wear a hat and sunglasses
Stand periodically to ensure proper circulation if sitting for a while.
Shift weight back and forth during the event to pump circulation throughout the body.
Bring snacks like fruits, veggies, or gluten-free bars.
Know where cool resting areas are located.

If cooling down accommodations are not available, get there early to find a place in the shade, or in the case of bleachers, bring a more comfortable chair, umbrella, and misting fan.

Listen to the body

Listen to the body when engaged in activities, don’t try to push through where you don’t feel comfortable.
Take breaks
The goal is to ensure comfort during the activity, as being uncomfortable can exacerbate symptoms.

Self-care

The body needs thorough rest after a long day in the sun. It is recommended to ice any areas where pain presents to decrease inflammation and neuroplasticity and help with any symptoms of itching, pressure, numbness, or pins and needles.

Start with icing for three minutes, take the ice off and see how it feels.
If the area feels better, continue icing for a full ten minutes.
Remove the ice if irritation occurs or do not feel a difference.

Foods

Watching what you eat can be difficult at summer events. Specific foods like bread, gluten, and high-sugar products can cause symptoms.

If it causes an upset stomach or swelling, it is recommended to avoid it.
Go with fresh seasonal fruits and vegetables.
A little planning can ensure you eat the food that’s best for you.
Call ahead to let friends/family know of any food sensitivities.
Gluten apps allow the ability to scan an item to see if it contains gluten.
Consult a nutritionist to set up an enjoyable diet.

Chiropractic Care and Prevention

Chiropractic care for neuropathy focuses on the underlying conditions causing nerve pain and inflammation.

Treating the inflammation alleviates the pain in the joints and extremities.
Each treatment plan is personalized to meet the needs of every patient.
Treatment will focus on massage, adjustments, decompression, exercises, therapies, and nutrition that expedite healing throughout the body.

Spinal Decompression Non-Surgical

References

Campbell, James N, and Richard A Meyer. “Mechanisms of neuropathic pain.” Neuron vol. 52,1 (2006): 77-92. doi:10.1016/j.neuron.2006.09.021

Peripheral Neuropathy Fact Sheet www.ninds.nih.gov/health-information/patient-caregiver-education/fact-sheets/peripheral-neuropathy-fact-sheet

Non-Surgical Decompression Therapy For Auto Accident Injuries

By

Dr. Alex Jimenez

-

Table of Contents

Introduction

Everybody is always moving in their vehicles as they go from one place to another in less time. Sometimes accidents happen as vehicles collide with each other and cause excruciating pain to the body as it lunges forward, causing back and neck pain to the individual. These are physical effects on the body, but the emotional impact also takes a toll on the individual. It can cause a person to become miserable and affect their quality of life. Today’s article discusses the effects of an auto accident are cause the back and body, as well as how non-surgical decompression therapy can help alleviate the pain in the back from an auto accident. Patients are referred to qualified, skilled providers specializing in spinal decompression and non-surgical treatments. We go hand in hand with our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is valuable for asking critical questions to our providers. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

Download

The Effects Of Auto Accidents On The Back

Have you suffered from back pain after a vehicle collision? What about experiencing whiplash or neck pain? Or has your lower back been feeling stiff and aches more? Many of these symptoms are signs that the spine, back, and neck all have suffered from the effects of an auto accident. Research has shown that the impact of a person in an auto accident causes the body to rapidly lunge forward and back after a complete stop, causing damage to the body, especially on the spine. After the auto accident has occurred, many individuals don’t feel the effects of the injuries that are caused by auto accidents sometimes until the day after the accident. This is due to the adrenaline in the body, which is both a neurotransmitter and a hormone and is fully turned on to the max. Additional information has stated that many individuals suffer from low back pain after a motor vehicle collision. Even if the accident was non-lethal, the impact can cause strain on the lower back muscles and compress the spinal nerves, making them irritated.

How The Body Is Affected

Research studies have shown that the impact of an auto accident may cause the body to have non-fatal physical injuries but also cause psychological trauma that can affect a person’s psyche. Many people that have experienced an auto accident will have various emotions that leave them in shock. During that process, emotions like distress, helplessness, anger, shock, and frustration are presented as the individual who was in the accident experience these negative emotions. Additional research also found that many individuals can experience low back pain episodes reoccurring along with the emotional presence that they are feeling. Fortunately, there are ways to alleviate low back pain caused by auto accidents and can help restore the spine to its functionality.

Spinal Decompression Therapy Alleviates Auto Accident Injuries- Video

Spinal Decompression Therapy After an Auto-Accident

Have you experienced low back pain after a car accident? How about feeling the effects of muscle stiffness on the neck and low back the day after? Do emotions like stress, frustration, and shock affect your quality of life? These are signs and symptoms of what a person is going through after being involved in an auto accident and dealing with neck and back pain. There are ways to treat neck and back pain through decompression, and the video above explains the impressive effects of what decompression does to the individual. Decompression is a non-surgical treatment that allows gentle traction to alleviate the flattened spinal disc and take the pressure off the aggravated nerves surrounding the spine. The gentle traction also pumps the nutrients back to the dehydrated discs while increasing their heights. This link will explain what decompression offers and the impressive results for many individuals who suffer from back or neck pain due to an auto accident.

How Spinal Decompression Helps Relieve The Spine After Auto Accidents

After a person suffers from an auto accident, they experience pain in their spine and back the day before or after. Many individuals who suffer from low back pain, neck pain, and whiplash from auto accidents tend to find ways to alleviate the pain in their spine. One of these treatments is spinal decompression. Spinal decompression allows the individual to sit on a traction table in a supine position and be strapped in. Research studies have mentioned that spinal decompression is a non-surgical treatment for many individuals suffering from low back pain. In contrast, the traction machine slowly but gently pulls the spine to relieve the pain caused by a spinal injury due to an accident. This will provide effective recovery for many individuals suffering from low back pain. Additional information also mentioned that the effectiveness of decompression could reduce the inflammatory markers induced by the aggravated nerve roots through negative pressure, thus causing relief to the back.

Conclusion

Overall, suffering low back pain or neck pain after an auto accident is nerve-wracking for many individuals. The emotional and physical trauma caused by a motor vehicle collision can dampen a person’s mood, and the residual pain afterward can affect their quality of life. Utilizing decompression for non-surgical treatments can provide beneficial results in restoring functionality back in the spine and alleviating the pain the person is in. When people use decompression, they can get back to their activities and become pain-free from their lower back.

References

Daniel, Dwain M. “Non-Surgical Spinal Decompression Therapy: Does the Scientific Literature Support Efficacy Claims Made in the Advertising Media?” Chiropractic & Osteopathy, BioMed Central, 18 May 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC1887522/.

Kang, Jeong-Il, et al. “Effect of Spinal Decompression on the Lumbar Muscle Activity and Disk Height in Patients with Herniated Intervertebral Disk.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Nov. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5140813/.

Nolet, Paul S, et al. “Exposure to a Motor Vehicle Collision and the Risk of Future Back Pain: A Systematic Review and Meta-Analysis.” Accident; Analysis and Prevention, U.S. National Library of Medicine, July 2020, pubmed.ncbi.nlm.nih.gov/32438092/.

Nolet, Paul S, et al. “The Association between a Lifetime History of Low Back Injury in a Motor Vehicle Collision and Future Low Back Pain: A Population-Based Cohort Study.” European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, U.S. National Library of Medicine, Jan. 2018, pubmed.ncbi.nlm.nih.gov/28391385/.

Salam, Mahmoud M. “Motor Vehicle Accidents: The Physical versus the Psychological Trauma.” Journal of Emergencies, Trauma, and Shock, Medknow Publications & Media Pvt Ltd, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5357873/.

Toney-Butler, Tammy J, and Matthew Varacallo. “Motor Vehicle Collisions – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 5 Sept. 2021, www.ncbi.nlm.nih.gov/books/NBK441955/.

Disclaimer

Asthma Coughing Spinal Pain

By

Dr. Alex Jimenez

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Male doctor checking breath of female patient — Breathing System Check Up Concept. Male general practitioner examining coughing female patient in modern clinic, using stethoscope, listening lungs from the back. Medicine And Healthcare

Asthma, coughing, and heavy breathing can contribute to back muscle strain, soreness, and pain. An asthma attack can cause the body to heave during intense gasping, leaving the back muscles physically exhausted. Chiropractic adjustments and decompression can bring back pain relief, strengthen and stretch the spine and spinal muscles, and prevent it from returning, along with asthma management.

Table of Contents

Asthma

The bronchial tubes divide into smaller passages called bronchi and then into bronchioles. The bronchioles have tiny air sacs called alveoli, where inhaled oxygen is delivered to the blood. After absorbing the oxygen, the blood leaves the lungs and travels to the heart. Asthma is a lung condition that can affect anyone at any age. Asthma narrows the lungs’ airways causing inflammation in response to respiratory triggers, making it harder for air to travel out of the airways when exhaling. Symptoms include:

Wheezing
Difficulty breathing
Gasping to get air
Coughing
Tightness in the chest

Triggers can include:

Hot and/or humid weather
Exercise
Cold air
Pollen
Pets
Viral infections
Respiratory infections

Asthma Coughing and Back Strain

Asthma symptoms can take a toll on the back muscles and spine. Asthma attacks that cause gasping and heavy breathing cause the primary muscle (diaphragm) that supports breathing to weaken and strain. The diaphragm helps the spine but cannot do so effectively when under constant strain.

Constant Coughing and Spinal Health

Coughing is the body’s way of expelling unwanted foreign bodies. Chronic coughing stresses, strains, and overexerts the spinal support muscles and impacts posture. Individuals unconsciously take on a tense, forward-leaning posture/position that can cause:

Neck and shoulder stiffness, upper/lower back tightness, disc herniation, and pain.
Vertebrae subluxations/spinal misalignments can interfere with circulation and nerve function.
For short-term back pain following an asthma attack or coughing episode, it is recommended to rest, apply heat or ice, and take over-the-counter pain medication.
Massage therapy and myofascial release can stretch and relax the muscles.
Chiropractic manipulation relieves the stress on the nerves and muscles and stimulates the spinal cord and nerves to regain proper functioning.

Breathing Exercises and Yoga

Strengthened and conditioned core muscles can help to breathe more efficiently. When breathing normally it is usually a shallow inhale/exhale that does not fill the lungs to the total capacity. Diaphragmatic breathing is a technique to fully engage the diaphragm and abdominal muscles to fill the lungs with air more efficiently. Using the diaphragm correctly will:

Strengthen the diaphragm.
Use less energy to breathe.
Slow down the breathing rate.
Decrease the work of breathing hard.
Decrease the demand for continuous oxygen.

Yoga is another core-strengthening technique that encourages focused breathing that can help improve asthma control.

Decompression Neurosurgeon

References

American Lung Association. Breathing Exercises. (www.lung.org/lung-health-diseases/wellness/breathing-exercises) Accessed 3/29/2022.

Cleveland Clinic. (n.d.) “Diaphragmatic breathing.” my.clevelandclinic.org/health/articles/9445-diaphragmatic-breathing

Lunardi, Adriana Claudia, et al. “Musculoskeletal dysfunction and pain in adults with asthma.” The Journal of asthma: Official Journal of the Association for the Care of Asthma vol. 48,1 (2011): 105-10. doi:10.3109/02770903.2010.520229

Rasmussen-Barr, E. et al. “Are respiratory disorders risk factors for troublesome low-back pain? A study of a general population cohort in Sweden.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 28,11 (2019): 2502-2509. doi:10.1007/s00586-019-06071-5

Solakoğlu, Özge, et al. “The effects of forward head posture on expiratory muscle strength in chronic neck pain patients: A cross-sectional study.” Turkish Journal of physical medicine and rehabilitation vol. 66,2 161-168. 18 May. 2020, doi:10.5606/tftrd.2020.3153