Spinal Stenosis Walking Issues: EP’s Sciatica Clinic

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

Senior active woman on a walk in the park injured her back, pensioner on a jog on a summer day

Spinal Stenosis Walking Issues: Stenosis means a narrowing. Spinal stenosis can happen in any spine region, but the neck and lower back are the most common locations. The spinal canal becomes narrower and can cause the nerves to become compressed, pinched, and irritated and can extend from the lumbar spine through the hips, buttocks, legs, and feet. Individuals with lumbar spinal stenosis may have difficulty walking caused by sensations of discomfort like numbness, electrical shocks, and pain, requiring the need to lean forward to relieve pressure and symptoms. Additionally, symptoms are likely to worsen the longer the walk. Chiropractic treatment can treat spinal stenosis because it corrects and re-aligns the spine, thus reducing pressure on the spinal cord, joints, and nerve roots.

Table of Contents

Spinal Stenosis Walking Issues

The spine is made up of interlocking vertebrae. The regions are cervical, thoracic, lumbar, and sacral bones with a foramen opening. These openings form the protective tunnel/spinal canal surrounding the spinal cord. The spinal cord is a group of nerves that run through the tunnel. The narrowing suffocates the nerves supplying the lower extremities that can influence walking activity.

Symptoms

There may be no symptoms with early lumbar spinal stenosis. Most individuals develop symptoms gradually and may begin to notice them while walking or standing. These can include:

Lower back pressure sensations when standing upright or walking.
Leg numbness, tingling, weakness, burning, and/or cramping.
Muscle weakness.
Persistent pain in the back, hips, buttocks, or legs while walking.
Difficulty lifting the top part of the foot – known as drop foot.
Loss of sensation in the feet.
A weak foot that drops/slaps down when walking.
Loss of sexual ability.
In more serious cases, severe numbness, bladder problems, and inability to stand.

Individuals begin to lean forward when symptoms start, bringing relief by reducing the pressure on the nerves. However, constantly leaning forward leads to other posture and health problems.

Diagnosis

A doctor or chiropractor will ask questions about symptoms and medical history and perform a complete physical examination to diagnose lumbar spinal stenosis. During the physical examination, a healthcare provider will look for signs, such as loss of sensation, weakness, and abnormal reflexes.

Tests:

X-rays of the lumbar spine may show bone growths called spurs that push on spinal nerves and/or narrowing of the spinal canal.
Imaging tests – A CT or MRI scan can provide a detailed look at the spinal canal and nerve structures.
Other studies include – bone scans, myelogram, which is a CT scan that uses a color dye, and EMG, which is an electrical test of muscle activity.

Chiropractic Treatment

Chiropractic care combined with physical therapy is a tried-and-true treatment for spinal stenosis. A chiropractic treatment plan can include targeted and passive exercise programs. Targeted exercises involve strengthening the core and back muscles. Passive treatments include hot and cold therapy, massage, decompression, and electrical stimulation. The objective of chiropractic therapy is to:

Strengthen muscles in the core and legs
Correct posture and body mechanics.
Improve mobility.
Maintain ability to perform day-to-day activities.
Recommend stretches.
Educate on how to keep the spine and back muscles safe.
Train on using devices like a back brace, cane, or walker properly.
Advise about shoe inserts and splints.
Suggest work and home environment modifications, such as ergonomics and cushions.

Chiropractic Relief

References

Conway, Justin, et al. “Walking assessment in people with lumbar spinal stenosis: capacity, performance, and self-report measures.” The spine journal: official North American Spine Society journal vol. 11,9 (2011): 816-23. doi:10.1016/j.spinee.2010.10.019

Lurie, Jon, and Christy Tomkins-Lane. “Management of lumbar spinal stenosis.” BMJ (Clinical research ed.) vol. 352 h6234. 4 Jan. 2016, doi:10.1136/bmj.h6234

Macedo, Luciana Gazzi, et al. “Physical therapy interventions for degenerative lumbar spinal stenosis: a systematic review.” Physical therapy vol. 93,12 (2013): 1646-60. doi:10.2522/ptj.20120379

Tomkins-Lane, Christy C et al. “Predictors of walking performance and walking capacity in people with lumbar spinal stenosis, low back pain, and asymptomatic controls.” Archives of physical medicine and rehabilitation vol. 93,4 (2012): 647-53. doi:10.1016/j.apmr.2011.09.023

The Silent Threat: Hyperhomocysteinemia and its Impact on Your Health | El Paso, Tx (2023)

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

In this video, we delve into the topic of hyperhomocysteinemia – a condition that occurs when there are abnormally high levels of homocysteine in the blood. We explore the causes and symptoms of this condition, as well as its potential health implications, including an increased risk of heart disease, stroke, and dementia. Whether you’re dealing with hyperhomocysteinemia yourself or simply interested in learning more about this condition, this video provides a comprehensive overview of its causes, symptoms, and treatments. Join us as we explore this fascinating and important topic in depth.

Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual’s illness.

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

Functional & Integrative Health Live Events *

✅ Stress Hormones & Health
✅ Gut Health, Inflammation & Auto-Immunity*
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation
✅ Diabetes & Autoimmunity*
✅ Weight Loss
✅ Body Composition Analysis
✅ Thyroid Dysfunction*
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility
✅ Injury Recovery Programs
✅ Complex Lower Back Pain Recovery Plans
✅ Severe Sciatica Syndromes
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice)

We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: [email protected] phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez’s research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system’s care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

The Transformative Benefits of Intermittent Fasting for Your Health | El Paso, Tx (2023)

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

In this video, we explore the practice of fasting and its potential benefits for our health and well-being. From weight loss and improved digestion to increased mental clarity and longevity, fasting has been touted as a powerful tool for optimizing our physical and mental performance. Whether you’re new to fasting or a seasoned pro, this video will provide you with valuable insights and tips for incorporating this ancient practice into your daily routine. Join us on this journey of discovery and learn how fasting can help you achieve your health goals.

Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual’s illness.

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

Functional & Integrative Health Live Events *

✅ Stress Hormones & Health
✅ Gut Health, Inflammation & Auto-Immunity*
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation
✅ Diabetes & Autoimmunity*
✅ Weight Loss
✅ Body Composition Analysis
✅ Thyroid Dysfunction*
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility
✅ Injury Recovery Programs
✅ Complex Lower Back Pain Recovery Plans
✅ Severe Sciatica Syndromes
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice)

We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: [email protected] phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

Our presentations are designed to share knowledge and information from Dr. Jimenez’s research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system’s care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

Keeping The Nervous System Strong: Functional Health Clinic

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

Doctor explain about back bone issue to fat woman patient. Health care and healthy lifestyle concept...

The nervous system is a network of roads that feed into highways that connect to an interstate system. The roads are the nerves that innervate the muscles and the extremities; the interstate is the spinal cord. When the system works optimally, the nerves consistently transmit signals/messages to and from the brain without any problems. The signals travel back and forth, and the traffic flows smoothly. When the activities of these nerves and cells get disrupted, the central nervous system fails to perform basic functions that can cause musculoskeletal issues, conditions, and CNS diseases. Keeping the nervous system strong can be done by adopting ways to maintain health and function.

Table of Contents

The Nervous System

The system regulates and coordinates body activities and is made up of two major divisions, these include the following:

Central nervous system – consists of the brain and spinal cord.
Peripheral nervous system – consists of all other neural elements, including the peripheral and autonomic nerves.

The principal organs of the nervous system include:

Brain
Spinal cord
Eyes
Ears
Sensory taste organs
Sensory smell organs
Sensory receptors are located in the muscles, joints, skin, and other areas throughout the body.

A complex network of nerves, the nervous system reacts to internal and external stimuli through several physical actions to maintain vital bodily functions. These include:

Heartbeat
Breathing
Digestion
Body temperature
Pain responses
Emotions
Support body posture.
Strengthening the body to deal with day-to-day pressure and maintain quality of life.

Disorders

Various disorders can affect the system and can be damaged by the following:

Blood circulation disruption
Trauma
Infections
Structural Disorders like carpal tunnel syndrome and peripheral neuropathy.
Functional Disorders could be headaches, neuralgia, and dizziness.
Vascular Disorders
Tumors
Degeneration
Autoimmune disorders

Symptoms

The most common signs and symptoms may be experienced differently and can include:

Back pain radiates to the feet, toes, or other body areas.
Muscle rigidity/tension.
Weakness or loss of muscle strength.
Muscle atrophy.
Tingling.
Loss of feeling.
Persistent headaches.
Sudden onset headaches.
Headaches that change symptoms.
Memory loss.
Lack of coordination.
Impaired mental ability.
Double vision or loss of sight.
Tremors and seizures.
Slurred speech.

The symptoms of a nervous system disorder may present like other medical conditions or problems. Always see a professional healthcare provider for proper diagnosis.

Keeping the Nervous System Strong

Nutrition To Transmit Signals

Nerves need minerals, proteins, and vitamins to send electrical impulses. Foods that contain these nutrients include:

Calcium — regulates the generated and transmitted electrical impulses. Milk, leafy greens and eggs are rich sources of calcium.
Potassium – bananas, oranges, pomegranates, and prunes, are good sources of potassium.
Dark chocolate contains tryptophan, an amino acid that produces and maintains neurotransmitters.
Vitamin B — Vitamins B1, B2, and B6 assist the nerves in sending impulses from the brain to the body.

B Vitamins Provide Nerve Protection

A myelin sheath covers the nerves for protection and provides insulation for transmitting. Worn-out or damaged myelin sheaths have been associated with illnesses like Alzheimer’s. Vitamin B12 helps repair damaged nerves and regenerate fibers. It is found in beef, poultry, eggs, and seafood.

Folate or vitamin B9 promotes Schwann cell proliferation, migration, and production of nerve growth factor. This vitamin is found in spinach, pomegranates, and beets.

Stretching and Breathing

Stress produces the hormone cortisol. Constant production of cortisol affects the nervous system, which can affect reflexes, concentration, and memory. Stretching the body and learning breathing exercises and relaxation techniques activates the part of the nervous system responsible for breathing and heart rate, decreasing cortisol levels.

Chiropractic Care and Functional Medicine

The spinal cord has multiple functions in restoring, rejuvenating, and keeping the nervous system strong. Chiropractic care has a highly responsive therapeutic effect on the nervous system because of its focus on the spine. Spinal decompression, traction, soft tissue manipulation, and other treatments help regulate and restore the function of the nervous system. Chiropractic benefits:

Reduces or eliminates pain.
Regulates respiration.
Lowers heart rate.
Improves the quality of sleep.
Increases energy.
Improves digestive function.
Improves cognition and clarity.
Improves balance and coordination.
Increases flexibility and mobility.
Reduces or eliminates headaches and migraines.

Hyperhomocysteinemia

References

Archibald, Lennox K., and Ronald G. Quisling. “Central Nervous System Infections.” Textbook of Neurointensive Care 427–517. 7 May. 2013, doi:10.1007/978-1-4471-5226-2_22

Bhagavati, Satyakam. “Autoimmune Disorders of the Nervous System: Pathophysiology, Clinical Features, and Therapy.” Frontiers in neurology vol. 12 664664. 14 Apr. 2021, doi:10.3389/fneur.2021.664664

Gyer, Giles, et al. “Spinal manipulation therapy: Is it all about the brain? A current review of the neurophysiological effects of manipulation.” Journal of integrative medicine vol. 17,5 (2019): 328-337. doi:10.1016/j.joim.2019.05.004

Jessen, Kristján R et al. “Schwann Cells: Development and Role in Nerve Repair.” Cold Spring Harbor perspectives in biology vol. 7,7 a020487. 8 May. 2015, doi:10.1101/cshperspect.a020487

Powers, Scott K et al. “Disease-Induced Skeletal Muscle Atrophy and Fatigue.” Medicine and science in sports and exercise vol. 48,11 (2016): 2307-2319. doi:10.1249/MSS.0000000000000975

To Stretch Or Strengthen Connective Tissues Using The MET Technique

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

Table of Contents

Introduction

The human body has numerous musculoskeletal muscles that allow the host to do various movements without pain or discomfort. Each muscle group has tendons, muscles, ligaments, and connective tissues surrounding the skeletal joint and protecting the skeletal structure. Each muscle group in the body allows different functions, from turning the neck from side to side to enabling the legs to provide motion when walking. Now naturally, the body ages over time, which can lead to muscle weakness in the muscle groups and affect the connective tissues, or various disruptors can develop in a healthy body that can also affect the muscles and connective tissues. Fortunately, the multiple muscle groups and connective tissues are affected by overlapping risk profiles. In that case, there are many treatments and techniques that many pain specialists utilize to restore the body and relieve pain-like symptoms associated with musculoskeletal disorders. Today’s article examines connective tissues, how conditions can affect the connective tissues, and how the MET technique stretches or strengthens the body’s connective tissue. We provide information about our patients to certified medical providers that offer available therapy techniques like MET (muscle energy techniques) for individuals dealing with chronic conditions associated with disorders affecting the body’s connective tissues that can correlate and develop with overlapping pain profiles. We encourage each patient appropriately by referring them to our associated medical providers based on their diagnosis results. We accept that education is a spectacular way when asking our providers the most crucial questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., assesses this information as an educational service. Disclaimer

What Are Connective Tissues?

The human body is a multiplex machine that is composed of many tissues that surround the skeletal joints and vital organs with the basic functions that the body produces. Research studies reveal that, as the name has implied, connective tissues in the body refer to the several different body tissues that connect and support the other tissues by binding them to the body. Now there are three different categories that connective tissue can be broken down into:

Loose connective tissue
Dense connective tissue
Specialized connective tissues

These three different connective tissue categories have functions that allow the body to perform properly and provide support to the rest of the musculoskeletal system. The dense connective tissues make up the body’s tendons and ligaments that move the hands and feet while having a higher collagen fiber density. The loose connective tissues help keep the vital organs in place. And finally, the specialized connective tissues are composed of adipose tissues, cartilage, lymphoid tissues, etc. When the body begins to age naturally or is dealing with issues affecting the connective tissues, it can develop musculoskeletal disorders associated with the connective tissue.

Disorders Affecting The Connective Tissues

Have you been experiencing muscle pain or weakness in your body? Do your hands or feet feel tired? Or do you feel stiffness and pain in your joints? Many pain-like symptoms are associated with musculoskeletal disorders affecting the body’s connective tissues. As stated earlier, when the body begins to age naturally, the various muscles in the body can develop into musculoskeletal disorders associated with the connective tissues. Aging can affect connective tissue function as the cartilage from the specialized connective tissues has less elasticity and changes the proteoglycan both quantitatively and qualitatively, according to the book, “Clinical Applications of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T. Additional research studies have revealed that environmental factors associated with the body’s immune system can affect the connective tissues. This is known as connective tissue disorder, and it can be comprised of numerous conditions that can affect the immune system and cause overlapping symptoms in the musculoskeletal system. This includes some of the following:

Inflammation in the joints causes them to lock up
Muscle weakness where myofascial entrapment affects the muscle fibers
Fatigue
Vitamin deficiency

An Introduction To MET- Video

AN INTRODUCTION TO MET : MUSCLE ENERGY TECHNIQUE.

Have you been feeling stiffness in your muscles or joints? Does it hurt when you are bending over and lifting heavy objects? Or are you feeling tired constantly? When the body deals with these issues, it can affect more than the muscles and connective tissues. This can lead to symptoms of stiffness and aches in the joints while restricting the range of motion to the muscles. When this happens to the body, many pain specialists utilize MET (muscle energy technique) and relieve those symptoms. Studies reveal that MET is a manual treatment for soft tissue, helping mobilize the joints and stretch tight muscles and fascia to improve circulation to the connective tissues and drain the lymphatic system. The video above introduces how MET is used on the body.

The MET Technique On Connective Tissues

Research studies reveal that since the muscles and joints are being held together by connective tissues, using the MET technique allows pain specialists to stretch the muscles and joints to release tension and other symptoms associated with pain. When pain specialists use the MET technique on the body, it can help strengthen the weaker muscles while paying attention to how short the muscles are affecting the body. While the MET technique can help support the muscles with combined physical therapy, it can help stretch the tight muscles and overworked connective tissues. This allows the body to be restored and get back to normal. Many pain specialists like chiropractic care allow the MET technique to stretch the trapped connective tissues and free the body’s structures to correct postural imbalances.

Conclusion

The body’s connective tissues support each muscle, organ, and skeletal structure. When issues affect the body, the various muscle groups, and connective tissues start to develop overlapping symptoms associated with pain. When pain-like symptoms affect the body, many people will go to a pain specialist and be treated using the MET technique to restore the muscles and body and return to normal.

References

Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.

Kamrani, Payvand, et al. “Anatomy, Connective Tissue.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 24 Jan. 2022, https://www.ncbi.nlm.nih.gov/books/NBK538534/.

Page, Phil. “Current Concepts in Muscle Stretching for Exercise and Rehabilitation.” International Journal of Sports Physical Therapy, U.S. National Library of Medicine, Feb. 2012, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3273886/.

Rao, Vijay, and Simon Bowman. “Latest Advances in Connective Tissue Disorders.” Therapeutic Advances in Musculoskeletal Disease, U.S. National Library of Medicine, Aug. 2013, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3728978/.

Thomas, Ewan, et al. “The Efficacy of Muscle Energy Techniques in Symptomatic and Asymptomatic Subjects: A Systematic Review.” Chiropractic & Manual Therapies, U.S. National Library of Medicine, 27 Aug. 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710873/.

Disclaimer

Wobble Cushions: EP’s Sciatica Clinic

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

Woman Using Fitness Ball at Workplace Side View — Side view portrait of black young woman sitting on fitness ball at workplace and smiling, sports activity in office

Wobble cushions are small round inflatable support pillows made of a flexible material that can be used to stand and sit on. The cushion creates instability, hence wobble, to engage the lower back, hips, and core muscles. They promote core stability, strengthen muscle tone, and improve balance and body posture. A flexible body helps in injury prevention. At Injury Medical Chiropractic and Functional Medicine Clinic, we utilize innovative techniques and therapies to reduce stress, assist in healing musculoskeletal damage from injuries, disease, or conditions, and keep the spine and whole body healthy.

Table of Contents

Wobble Cushions

A common reason for back aches and pains is sitting for long periods. Individuals unintentionally slouch or hunch over as they go through their day, causing strain to the back muscles, gluteal muscles, core muscles, hips, and spine. This causes the lower half of the body to weaken and causes the top muscles to take up the slack to support the torso and lower body.

Muscle Spasms

Muscle spasms can be the acute type that is forceful and involuntary, and chronic sustained stiffness, tightness, cramping, and pain. Lower back discomfort and/or sciatica symptoms vary depending on the cause, location, and severity of the strain or injury. Signs could be dull, burning, or sharp at a single point or over a broad region that could spread into one or both legs. Types of low back discomfort:

Acute symptoms last less than three months. Most individuals with acute episodes will have at least one recurrence.
Recurrent means the acute symptoms return.
Chronic symptoms last longer than three months.

Cushion Benefits

Encouraging active sitting improves posture allowing individuals to sit and stay focused for longer as their body awareness improves, reducing hunching, slumping, slouching, and fidgeting. Other wobble cushion benefits include:

Decreased muscle stress and strain on the joints and ligaments, which improves proprioceptive sense or body awareness.
Increases blood circulation and oxygenation throughout the body.
Helps rehydrate the discs and circulate spinal fluid. Spinal discs do not have a direct blood supply; therefore, movement is required to pump and circulate healthy fluids.
Allows more flexibility in the spine, hips, and core muscles.
Improves overall posture.

The purpose of wobble cushions is not to provide comfort. They are supposed to be uncomfortable and unstable to make the individual sit up straight. The cushion can be placed on a chair or the floor to effectively practice balancing without putting pressure on the back, knees, or feet. They can also be used for practicing standing balance. Various factors to consider when looking for a cushion include:

Stability
Comfort
Resilience
Alignment
All play a role in determining the best option.

Discussing options with a doctor or chiropractor is recommended to ensure that the cushion meets your needs and preferences.

Spinal Hygiene

References

Alrwaily, Muhammad, et al. “Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial.” Brazilian journal of physical therapy vol. 23,6 (2019): 506-515. doi:10.1016/j.bjpt.2018.10.003

Haksever, Bunyamin et al. “The Dynamic Innovative Balance System Improves Balance Ability: A Single-Blind, Randomized Controlled Study.” International journal of sports physical therapy vol. 16,4 1025-1032. 1 Aug. 2021, doi:10.26603/001c.25756

Honert, Eric C, and Karl E Zelik. “Foot and shoe responsible for the majority of soft tissue work in the early stance of walking.” Human movement science vol. 64 (2019): 191-202. doi:10.1016/j.humov.2019.01.008

Ostelo, Raymond Wjg. “Physiotherapy management of sciatica.” Journal of physiotherapy vol. 66,2 (2020): 83-88. doi:10.1016/j.jphys.2020.03.005

Shahvarpour, A et al. “Active-passive biodynamics of the human trunk when seated on a wobble chair.” Journal of biomechanics vol. 49,6 (2016): 939-945. doi:10.1016/j.jbiomech.2016.01.042

Mushroom Health Benefits: EP Functional Health Clinic

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

Pizza with tomatoes, spices and mushrooms. On black rustic background

Nutrition is integral to optimal health and can help treat and manage diseases that threaten the body. Mushrooms come in various shapes, sizes, and colors and have been used for their unique ability to add flavor and taste without sodium or fat. They are also healthy and tasty and contain various vitamins and minerals. Different mushrooms can provide distinct health benefits that can be increased brain function, help with hormonal balance, and as an antioxidant.

Table of Contents

Mushroom

Research continues to uncover how mushrooms can improve everyday health and help mitigate the risk of developing health conditions like Alzheimer’s, heart disease, cancer, and diabetes. Mushrooms are recommended because they are:

Fat-free
Low in sodium
Low-calorie
Cholesterol-free
Packed with fiber

Nutritional benefits vary depending on the type of mushroom.

B vitamins

Mushrooms are rich in B vitamins: riboflavin, niacin, and pantothenic acid, which help maintain heart health. Riboflavin supports red blood cells. Niacin assists the digestive system and helps keep healthy skin. Pantothenic acid supports nervous system function and helps the body make necessary hormones.

Minerals

They are a great source of minerals – Selenium, Copper, Thiamin, Magnesium, and Phosphorus. Copper helps the body create red blood cells to deliver oxygen and maintain healthy bones and nerves. Potassium supports heart, muscle, and nerve function.

Antioxidants

Antioxidants help protect the body from damaging free radicals that can cause heart disease and cancer. They also protect against damage from aging and increase immune system function.

Beta-glucan

Beta-glucan is a soluble dietary fiber linked to improved cholesterol levels and supports heart health. It helps the body regulate blood sugar, which helps reduce the risk of type 2 diabetes.

Cordyceps

Cordyceps increases energy levels by utilizing oxygen more efficiently and enhancing circulation. This can be especially helpful for athletes or individuals who regularly work out and has been shown to improve exercise and athletic performance and speed up muscle recovery.

Shiitake

This mushroom has benefits that are particularly good for the heart, as they contain phytonutrients, which aid in:

Preventing plaque buildup
Maintaining blood pressure
Maintaining circulation
Lowering cholesterol

Chaga

Chaga mushrooms are full of antioxidants, making them excellent for fighting free radicals and inflammation. This mushroom combats oxidative stress, inflammation, and aging. And it can help prevent or slow cancer growth and has been found to help lower low-density lipoprotein – LDL cholesterol.

Mushroom Preparation

Mushrooms are almost always available in the produce section of any grocery or health food store. Make sure to wash them thoroughly first. Example: Cremini mushrooms can be:

Eaten raw or cooked, sliced or unsliced.
Simmered in water for 5 minutes until soft
Sauteed – cook the mushrooms in a pan with olive oil on medium heat for eight minutes, frequently stirring until they brown at the edges.
Sprinkled raw over meals to add more texture and flavor.

Ways to add mushrooms to a nutrition plan:

With eggs in the morning.
Mix into cooked beef, chicken, or turkey.
Cook mushrooms with garlic and butter for a side dish.
Add to a stir-fry with other vegetables.
Add to homemade pizza.
As an ingredient in pasta sauce.
Add to salads.
Make cream of mushroom soup.

Always talk to a doctor, nutritionist, or dietician before to confirm whether adding mushrooms is safe, especially if pregnant or using medications, as certain mushrooms can cause side effects like an upset stomach or allergies.

Food as Medicine

References

Fukushima, M et al. “Cholesterol-lowering effects of maitake (Grifola frondosa) fiber, shiitake (Lentinus edodes) fiber, and enokitake (Flammulina velutipes) fiber in rats.” Experimental biology and medicine (Maywood, N.J.) vol. 226,8 (2001): 758-65. doi:10.1177/153537020222600808

Kabir, Y et al. “Effect of shiitake (Lentinus edodes) and maitake (Grifola frondosa) mushrooms on blood pressure and plasma lipids of spontaneously hypertensive rats.” Journal of nutritional science and vitaminology vol. 33,5 (1987): 341-6. doi:10.3177/jnsv.33.341

Kolotushkina, E V et al. “The influence of Hericium erinaceus extract on myelination process in vitro.” Fiziolohichnyi zhurnal (Kiev, Ukraine : 1994) vol. 49,1 (2003): 38-45.

Ma, Gaoxing, et al. “Health benefits of edible mushroom polysaccharides and associated gut microbiota regulation.” Critical reviews in food science and nutrition vol. 62,24 (2022): 6646-6663. doi:10.1080/10408398.2021.1903385

Rop, Otakar, et al. “Beta-glucans in higher fungi and their health effects.” Nutrition reviews vol. 67,11 (2009): 624-31. doi:10.1111/j.1753-4887.2009.00230.x

Tuli, Hardeep S et al. “Pharmacological and therapeutic potential of Cordyceps with special reference to Cordycepin.” 3 Biotech vol. 4,1 (2014): 1-12. doi:10.1007/s13205-013-0121-9

Venturella, Giuseppe, et al. “Medicinal Mushrooms: Bioactive Compounds, Use, and Clinical Trials.” International journal of molecular sciences vol. 22,2 634. 10 Jan. 2021, doi:10.3390/ijms22020634

Sports Injury Prevention: EP Functional Health and Wellness Clinic

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

Female high jumper training at the stadium in sunny day — Professional female high jumper training at the stadium in sunny day. Fit female model practicing in high jumps outdoors. Concept of sport, activity, healthy lifestyle, action, movement, motion.

Any form of physical sports activity puts the body at risk for injury. Chiropractic care can prevent injury for all athletes, weekend warriors, and fitness enthusiasts. Regular massaging, stretching, adjusting, and decompressing enhances strength and stability, maintaining the body’s readiness for physical activity. A chiropractor assists in sports injury prevention through analysis of the body’s musculoskeletal system addressing any abnormalities from the natural frame and adjusts the body back into proper alignment. Injury Medical Chiropractic and Functional Medicine Clinic provides various sports injury prevention therapies and treatment plans personalized to the athlete’s needs and requirements.

Table of Contents

Sports Injury Prevention

Individuals involved in sports activities push themselves through rigorous training and play sessions to new levels. Pushing the body will cause musculoskeletal wear and tear despite meticulous care and training. Chiropractic addresses potential injuries by proactively correcting the problematic areas within the musculoskeletal system to improve body functionality. It ensures that all system structures, spine, joints, muscles, tendons, and nerves are working correctly and at their healthiest, most natural state.

Performance

When muscles are restricted from moving how they are designed to, other areas over-compensate and over-stretch to make the movement possible, increasing the risk of injury as they overwork. This is how the vicious cycle starts. Regular professional chiropractic:

Regularly assesses the alignment of the body.
Keeps the muscles, tendons, and ligaments loose.
Spots any imbalances and weaknesses.
Treats and strengthens the imbalances and deficiencies.
Advises on maintaining alignment.

Treatment Schedule

Consecutive treatments are recommended to allow the musculoskeletal system to adapt to regular treatments. This allows the therapists to get used to how the body looks, feels, and is aligned. The chiropractic team gets used to the body’s strengths and weaknesses and learns the areas that need attention during each treatment. Initial treatment could be every week or two, allowing the chiropractor to spot any discrepancies in movement patterns and giving the body a chance to acclimate to the therapy. Then regular treatment every four to five weeks depending on the sport, training, games, recovery schedule, etc., helps maintain a relaxed, balanced, and symmetrically aligned body.

Pre-Workouts

References

Hemenway, David, et al. “Injury prevention and control research and training in accredited schools of public health: a CDC/ASPH assessment.” Public health reports (Washington, D.C.: 1974) vol. 121,3 (2006): 349-51. doi:10.1177/003335490612100321

Nguyen, Jie C et al. “Sports and the Growing Musculoskeletal System: Sports Imaging Series.” Radiology vol. 284,1 (2017): 25-42. doi:10.1148/radiol.2017161175

Van Mechelen, W et al. “Incidence, severity, etiology and prevention of sports injuries. A review of concepts.” Sports medicine (Auckland, N.Z.) vol. 14,2 (1992): 82-99. doi:10.2165/00007256-199214020-00002

Weerapong, Pornratshanee et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004

Wojtys, Edward M. “Sports Injury Prevention.” Sports health vol. 9,2 (2017): 106-107. doi:10.1177/1941738117692555

Woods, Krista et al. “Warm-up and stretching in the prevention of muscular injury.” Sports medicine (Auckland, N.Z.) vol. 37,12 (2007): 1089-99. doi:10.2165/00007256-200737120-00006

Tips On Maintaining Good Posture Using The MET Technique

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

Table of Contents

Introduction

Every day, the body is in constant rest or active motion when needed, from working to exercising and getting adequate rest to repeat the cycle. However, as the body is in this dynamic/rest motion, unintentionally, many individuals will be hunched forward, causing their posture to be slouched for long periods. To that point, it can cause the surrounding neck, shoulder, and back muscles to be pulled and overly stretched, causing pain when the individual gets out of the reclined position. When a person is constantly being hunched over, the action alone could lead to poor posture, which can cause misalignment to the spine and be associated with many chronic conditions that affect their way of life. Fortunately, various treatments can help alleviate poor posture and its associated symptoms. Today’s article examines what defines good posture, the influences that can affect body posture, and how treatment techniques like MET (muscle energy technique) can help improve posture. We mention our patients to certified medical providers that provide available therapy treatments like MET (muscle energy techniques) for individuals suffering from chronic conditions associated with poor posture that can correlate with overlapping risk profiles. We encourage each patient when it is appropriate by referring them to associated medical providers based on their diagnosis or needs. We understand and accept that education is a marvelous way when asking our providers crucial questions at the patient’s request and acknowledgment. Dr. Alex Jimenez, D.C., uses this information as an educational service. Disclaimer

What Defines Good Posture?

Have you been experiencing referred pain in your neck, shoulders, or lower back? Do you feel pain when stretching after being hunched over throughout the day? Or have you noticed that your neck is slanted, which causes your head to poke in front of your shoulders? Many of these issues are correlated with poor posture. Many of us have heard the saying from our parents, “Stand up straight!” And this is a reminder that having good posture correlates with good spinal health. The book, “Clinical Applications of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O, and Judith Walker DeLany, L.M.T, mentions that posture is used to describe the static state of the spine. There are two different types of posture: static and dynamic. Static posture is when the body is in motion, while dynamic posture is when the body is resting. So good posture allows the spine to naturally curve with minimal pain affecting the cervical, thoracic, and lumbar regions.

Influences That Affect Body Posture

As stated early, many of us unintentionally hunch our bodies over time. This is one of the issues as we constantly look down on our phones, and as we get older, it can affect our ability to balance ourselves. Research studies reveal that improper posture can affect static and dynamic balance as we age. This means that when we are constantly hunched over as older adults, we are more prone to the risk of falling and causing long-term disability to our bodies. Additional research studies also mentioned that chronic conditions like forward head posture (which correlates to constantly looking down at the phone) could cause a persistent and abnormal contraction of the neck and shoulder muscles to become dysfunctional. To that point, it can cause pressure on the muscles, fascia, and nerves in the cervical-thoracic regions of the body. When bad posture affects the body over time, it can develop into musculoskeletal disorders if not treated immediately.

5 Way To Improve Posture- Video

5 Best Ways to Improve Your Posture - Ask Doctor Jo

Have you felt muscle strain on your neck, shoulders, and back? Have you felt relief when you stretch after being hunched over? Do you feel unstable when walking? These issues could be correlated with your posture if you have been experiencing these issues. When it comes to the body, it is important to make sure that maintaining good posture is not just to please your parents but to have a healthy spine. When we are constantly hunched over, it can cause the muscles and connective tissues to have gravitational strain and shorten the length of the muscles. However, realizing that you have poor posture early on can be treated. The video above shows the five best ways to improve your posture and how to strengthen the back, neck, and shoulder muscles from developing chronic conditions. Exercise alone can not be the only solution; combining it with chiropractic therapy allows the body to be fully restored with various techniques to reduce pain-like symptoms.

How The Met Technique Helps Improve Posture

So how would chiropractic care help with improving posture? Many chiropractors use techniques like MET (muscle energy technique) and spinal manipulation to help restore the body to realignment. Studies reveal that the combinations of MET and stretching can help lengthen the short muscles and restore range of motion to the body. Chiropractors use their hands and various tools to help realign the spine from subluxation and return the body to normal while freeing the tense muscles. Chiropractic care decreases the body’s risk of back injuries while reducing wear and tear on the muscles and joints, contributing to poor posture.

Conclusion

Overall, it is important to maintain good posture to prevent unwanted chronic issues from causing pain-like symptoms to the body. Recognizing the problems contributing to poor posture, treatment, and exercise can help stretch and strengthen the back muscles from hunching over. Maintaining good posture allows the body to be pain-free and prevents many unwanted symptoms from developing.

References

Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.

Cohen, Rajal G, et al. “Lighten up! Postural Instructions Affect Static and Dynamic Balance in Healthy Older Adults.” Innovation in Aging, U.S. National Library of Medicine, 24 Mar. 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7092748/.

Lee, Joon-Hee. “Effects of Forward Head Posture on Static and Dynamic Balance Control.” Journal of Physical Therapy Science, U.S. National Library of Medicine, Jan. 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756019/.

Phadke, Apoorva, et al. “Effect of Muscle Energy Technique and Static Stretching on Pain and Functional Disability in Patients with Mechanical Neck Pain: A Randomized Controlled Trial.” Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao, U.S. National Library of Medicine, 14 Apr. 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385145/.

Disclaimer

Postural Dysfunction: EP Functional Health and Wellness Clinic

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

The pilates instructor gives indications on how to have the correct posture to avoid injuries

Postural dysfunction happens when unhealthy postures are practiced and maintained for prolonged periods. This can occur in any sitting, standing, or lying down position and is a major factor in musculoskeletal injuries. Injuries related to poor posture are normally caused by overuse that builds up over time. When the body starts to go out of alignment, the muscles must work harder to compensate, which further strains the body. This stress can lead to soft tissue injury and excess joint wear and tear. These injuries start as minor aches and pains in the short term. However, if left untreated, they can lead to chronic conditions. Injury Medical Chiropractic and Functional Medicine Clinic can rehabilitate the body to optimal function and provide postural training.

Table of Contents

Postural Dysfunction

Posture is how the skeleton and muscles hold the body in a healthy position while standing or sitting, affecting breathing, muscle growth, and mobility. Practicing healthy posture means:

The bones are properly aligned.
The muscles, joints, and ligaments function correctly.
The organs, like the stomach, kidneys, and GI tract, are in the right position and can work efficiently.
The nervous system can operate at its full potential.
This allows the body to have:
More energy.
More room for the lungs to expand.
Experience less stress.
Alleviate muscle fatigue.
Achieve physical fitness.

Imbalance Causes

Unhealthy body positioning causes imbalances in muscle strength that pull the body out of alignment. This leads to muscles becoming tight/shortened and others becoming weak/lengthened, and it can also cause internal organ problems. For example, individuals that slump excessively cause the abdomen to compress, crowding the stomach and intestines, which leads to digestive issues. Postural dysfunction can be caused by the following:

Stress and strain from day-to-day activities.
Job responsibilities that involve sitting/standing for long periods and/or repetitive tasks like bending, lifting, reaching, twisting, etc.
Unhealthy driving position.
Non-supportive footwear.
Joint stiffness usually of the neck, upper and lower back, and hips.
Sedentary habits.
Lack of physical activity and exercise.
Muscle tightness.
Muscle weakness.
Weakened core stability.
Inadequate or failed post-surgical recovery.

Effects

Decreased blood circulation resulting in fatigue.
Overuse Injuries.
Breathing difficulties.
Balance issues.
Knee pain.
Joint misalignment.
Increased strain on the spine.
Compression of discs and joints.
Neck pain.
Lower back pain.
Less space for nerves to move due to compression.
Nerve problems.
Piriformis syndrome.
Shoulder impingement.

Chiropractic Rehabilitation

Chiropractic treatment for postural dysfunction provides adjustments, massage and decompression therapy, targeted stretching and exercises, retraining movement patterns, and nutritional and health coaching. Personalized treatment plans can include the following:

Assessment and diagnosis of postural habits.
Soft tissue massage.
Joint mobilization.
Spinal mobilization.
Biomechanical correction
Postural Taping.
Postural bracing.
Postural re-education and retraining.
The use of lumbar support for sitting.
Activity modification recommendations.
Recommendations regarding ergonomic workstations.
Targeted stretches and exercises to maintain posture correction.

Fix Posture

References

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

Lee, Yongwoo, and Ki Bum Jung. “Effect of Physiotherapy to Correct Rounded Shoulder Posture in 30 Patients During the COVID-19 Pandemic in South Korea Using a Telerehabilitation Exercise Program to Improve Posture, Physical Function, and Reduced Pain, with Evaluation of Patient Satisfaction.” Medical science monitor: international medical journal of experimental and clinical research vol. 28 e938926. 27 Dec. 2022, doi:10.12659/MSM.938926

Shih, Hsu-Sheng, et al. “Effects of Kinesio taping and exercise on forward head posture.” Journal of back and musculoskeletal rehabilitation vol. 30,4 (2017): 725-733. doi:10.3233/BMR-150346

Snodgrass, Suzanne J et al. “Relationship between Posture and Non-Contact Lower Limb Injury in Young Male Amateur Football Players: A Prospective Cohort Study.” International journal of environmental research and public health vol. 18,12 6424. 14 Jun. 2021, doi:10.3390/ijerph18126424

Zhao, Mingming, et al. “Driver posture monitoring in highly automated vehicles using pressure measurement.” Traffic injury prevention vol. 22,4 (2021): 278-283. doi:10.1080/15389588.2021.1892087

The Truth About Pre-workouts: Do They Really Work? | El Paso, Tx (2023)

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

In this video, I dive deep into the world of preworkout supplements and explore whether they actually work or not. Join me as I take a closer look at the ingredients, review scientific studies, and share my personal experience to uncover the truth about preworkouts. Don’t miss out on this informative and eye-opening discussion!

–

Thanks for watching! We are excited you are taking positive steps to learn about health challenges affecting you and your family. There is the power in making educated decisions about your health by gaining high-level science-based truth and knowledge. We work to uncover the root causes of health issues. Our unique health approach uses functional wellness principles to identify and treat health issues’ potential underlying causes.

Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual’s illness.

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

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We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

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Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

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Join us in improving your health.

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Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

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MET Techniques On Trigger Point Formation

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

Table of Contents

Introduction

Environmental factors can affect the body and lead to chronic conditions involving the musculoskeletal system. When issues like stress, physical inactivity, and traumatic events affect the muscle groups in the upper and lower extremities, it causes the various muscles to tense up and be succumbed to multiple injuries that could potentially develop trigger points. Now trigger points can cause overlapping risk profiles and pain-like issues that can affect a person’s mobility and stability. However, many ways can alleviate the pain-like symptoms associated with trigger points affecting the musculoskeletal system. Many pain specialists use techniques to stretch the tense muscle and release the trigger point nodule in the muscle fibers. Today we will look at how myofascial trigger point formation affects the body, how MET (muscle energy techniques) are used to relieve trigger point formation, and how chiropractic care uses the MET technique on trigger points. We mention our patients to certified medical providers that provide available therapy treatments like MET (muscle energy techniques) for individuals suffering from chronic conditions associated with trigger point formation on the musculoskeletal system. We encourage each patient when it is appropriate by referring them to associated medical providers based on their diagnosis or needs. We understand and accept that education is a marvelous way when asking our providers crucial questions at the patient’s request and acknowledgment. Dr. Alex Jimenez, D.C., uses this information as an educational service. Disclaimer

Myofascial Trigger Points Affecting The Body

Have you been dealing with pain in different locations in your body? Do you feel that your muscles feel tight or tensed constantly? Or do you feel muscle strain when lifting or carrying heavy objects? Many of these pain-like issues correlate with myofascial trigger points affecting the body. According to research studies, myofascial pain syndrome or trigger points are hard palpable nodules discrete along the taut skeletal muscle band that can be painful when active or compressed. Now trigger points can cause the affected muscles to be hypersensitive, which to that point, can spread pain when being touched, known as referred pain. A great example would be if tense shoulder muscles have a cluster of trigger points and, when touched, send pain to the neck.

Trigger points in the musculoskeletal system can be present in soft tissues that can cause dysfunction and promote pain in the affected muscle area. Trigger points are developed in any scenario, from trauma like an auto accident to repetitive motions for extended periods. Two features can cause trigger point formation that can create these nodules: active and latent trigger points. Active trigger points, according to “Clinical Applications of Neuromuscular Techniques,” written by Leon Chaitow, N.D, D.O, and Judith Walker DeLany, L.M.T, mentioned that when pressure is applied to active trigger points it can cause referred pain associated with symptoms of painful sensations to the affected muscle. While latent trigger points, when pressure is applied to them, can cause referred pain that a person experienced in the past and occurs recently. Latent trigger points can also develop into active trigger points correlating to overlapping risk profiles. The book also stated that when the fascia and connective muscle tissues have been overused or strained, it can lead to trigger point formation development.

MET Trigger Point Therapy-Video

Trigger Point Therapy - Muscle Energy Techniques

Have you been dealing with referred pain in different areas of your body? Do you feel that your muscles are tense and aching? Or do you feel muscle strain when lifting or carrying heavy objects? If you have been dealing with these issues, they are correlated to trigger point formation in your musculoskeletal system. Why not try MET or muscle energy technique therapy? Studies reveal that muscle energy techniques were developed originally to treat soft tissue, stretch tight muscles and fascia, and mobilize joints while improving blood circulation and draining the lymphatic system. So how do trigger point formation can be treated with MET techniques? Well, since trigger points can cause tight, hypersensitive spots that can be located in various taut muscle bands, MET techniques from pain specialists can help stretch and break up the tight nodules in the muscles to achieve muscle restoration at full resting length. The video above demonstrates how MET is used as trigger point therapy.

MET Techniques On Trigger Point Formation

So how do MET techniques work on trigger point formation in the musculoskeletal system? According to research studies, MET techniques utilize soft tissue manipulation to improve the myofascial system’s and joints’ functional parameters. Many pain specialists, like chiropractors, use this technique and other tools to help restore the body’s natural range of motion in the joints while providing a pain-reducing effect to the numerous musculoskeletal disorders. Additional research studies also mentioned that MET/NET (neuro-emotional) techniques could help relieve pain sensitivity from the affected muscle area.

How Chiropractic Care Uses MET Techniques On Trigger Points

So how would chiropractic care utilize MET techniques on an individual with trigger points? Due to its effectiveness and drug-free approach, chiropractic care can help smooth out the muscle and fascia by applying pressure with their hands or special tools to relieve trigger point pain. With MET techniques, chiropractors can help release muscle stiffness, tightness, and shortness to restore the body and re-align the spine. With continued chiropractic treatment, the body can reduce the future formation of trigger points in the muscle fibers while preventing further issues from developing.

Conclusion

Trigger point formation can occur in different muscle areas in the body, leading to overlapping risk profiles associated with pain. When the body is dealing with referred pain caused by trigger points, it can cause numerous issues affecting a person’s daily activity. Luckily, pain specialists like chiropractic care can incorporate techniques like MET and spinal manipulation to re-align the body, stretch out the stiff muscles, and promote a restored range of motion back to the musculoskeletal system. By going through daily treatments, the body can begin to heal naturally and prevent future injuries.

References

Bablis, Peter, et al. “Neuro Emotional Technique for the Treatment of Trigger Point Sensitivity in Chronic Neck Pain Sufferers: A Controlled Clinical Trial.” Chiropractic & Osteopathy, U.S. National Library of Medicine, 21 May 2008, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2427032/.

Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.

Shah, Jay P, et al. “Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective.” PM & R : the Journal of Injury, Function, and Rehabilitation, U.S. National Library of Medicine, July 2015, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508225/.

Wendt, Michał, and Małgorzata Waszak. “Evaluation of the Combination of Muscle Energy Technique and Trigger Point Therapy in Asymptomatic Individuals with a Latent Trigger Point.” International Journal of Environmental Research and Public Health, U.S. National Library of Medicine, 14 Nov. 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696776/.

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Prolonged Standing Back Discomfort: EP Sciatica Clinic

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

senior elderly engineer worker back pain muscle cramp from hard working prolonged standing at work

Prolonged standing can cause the pelvis to push backward, increasing the curve of the lower back/lumbar region. This increased pressure on the soft tissues surrounding the spine causes the lower back muscles to tighten and/or spasm, resulting in discomfort in the joints and nerves. Weakened core muscles and unhealthy posture/postural syndrome are the most common causes, but injury, aging, congenital malformations, or a disease/condition can also contribute to the symptoms. Injury Medical Chiropractic and Functional Medicine Clinic has a top team of professional therapists to evaluate the problem, diagnose the cause/s accurately, and develop a customized treatment and rehabilitation plan.

Table of Contents

Prolonged Standing Back Discomfort

Back Structure

The lower back is one of the most used areas of the spine, moving around and bending during a normal day. When the body stands, the spine naturally curves both in and outwards.

The inward curve, called lordosis, curves towards the front of the body at the lower back and neck regions.
The outward curve, called kyphosis, curves towards the back of the body at the chest.
When bending over while standing, the five lumbar vertebrae of the lower back change position and shift from lordosis to kyphosis when bent completely.
When standing up from bending, the lumbar vertebrae change position again and return to the lordosis position.

Causes

The facet joints allow movement between each spine level. The standing spinal curvature can increase contact between the facet joints. As the body ages, the facet joints and discs begin to wear out, which can cause the discs and facet joints to become inflamed. Prolonged standing during normal daily activity combined with inflammation in these joints can aggravate the inflammation and cause symptoms. Regular routines and habits may contribute to low back discomfort during prolonged standing. These include:

Sleeping on a sinking or unsupportive mattress.
Practicing unhealthy postures that cause imbalances with proper weight distribution.
Not wearing proper footwear and/or supportive orthotics forces the lower spine into increased curvature and can compress the facet joints.
Not getting enough physical activity that strengthens the core.
Improperly lifting and carrying objects.
Excess weight makes the body heavier.

Standing Recommendations

Some recommendations may help:

Stand for shorter periods.
When symptoms start to present, it is recommended to change position.
A sitting-to-standing workstation or desk that adjusts could help.
Move around and stretch out to improve circulation and decrease muscle fatigue.
Try placing one foot on a step while standing, limiting excessive spine curvature.
Try back and spine support footwear.

Chiropractic

Chiropractors are experts on the musculoskeletal system. They will:

Listen to the patient about symptoms, medical history, and occupation.
A physical examination of muscle tone, strength, and range of motion.
Therapeutic massage, electric muscle stimulation, and ultrasound therapy can help reduce muscle inflammation and increase circulation to injured soft tissues.
Chiropractic adjustments will reset joints, removing pressure from the surrounding muscles and nerves.
Targeted therapeutic strength training is recommended for core and leg muscles to improve hip flexibility.
Non-surgical decompression or traction, either with a machine or suspension, can reverse the pressure in spinal discs.

Standing Lower Back Relief Exercises

References

Hasegawa, Tetsuya, et al. “Association of low back load with low back pain during static standing.” PloS one vol. 13,12 e0208877. 18 Dec. 2018, doi:10.1371/journal.pone.0208877

Jo, Hoon, et al. “Negative Impacts of Prolonged Standing at Work on Musculoskeletal Symptoms and Physical Fatigue: The Fifth Korean Working Conditions Survey.” Yonsei medical journal vol. 62,6 (2021): 510-519. doi:10.3349/ymj.2021.62.6.510

Ognibene GT, Torres W, von Eyben R, Horst KC. Impact of a sit-stand workstation on chronic low back pain: randomized trial results. J Occup Environ Med. 2016;58(3):287-293. Abstract. https://www.ncbi.nlm.nih.gov/pubmed/26735316. Accessed March 2, 2017.

Parry, Sharon P et al. “Workplace interventions for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers.” The Cochrane database of systematic reviews vol. 2019,11 CD012487. November 17, 2019, doi:10.1002/14651858.CD012487.pub2

Rodríguez-Romero, Beatriz, et al. “Thirty Minutes Identified as the Threshold for Development of Pain in Low Back and Feet Regions, and Predictors of Pain Intensity During 1-h Laboratory-Based Standing in Office Workers.” International journal of environmental research and public health vol. 19,4 2221. February 16, 2022, doi:10.3390/ijerph19042221

Smith, Michelle D et al. “The Influence of Using a Footstool during a Prolonged Standing Task on Low Back Pain in Office Workers.” International journal of environmental research and public health vol. 16,8 1405. April 18. 2019, doi:10.3390/ijerph16081405

“Cracking the Low Thyroid Code: A Comprehensive Assessment Guide” | El Paso, Tx (2023)

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

In this video, we uncover the mystery behind low thyroid function and provide a comprehensive guide to assessing the condition. We explore the common signs and symptoms of low thyroid function, and outline the steps for a thorough assessment, including patient histories, physical examination, and laboratory evaluations.

Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual’s illness.

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

Functional & Integrative Health Live Events *

✅ Stress Hormones & Health
✅ Gut Health, Inflammation & Auto-Immunity*
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation
✅ Diabetes & Autoimmunity*
✅ Weight Loss
✅ Body Composition Analysis
✅ Thyroid Dysfunction*
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility
✅ Injury Recovery Programs
✅ Complex Lower Back Pain Recovery Plans
✅ Severe Sciatica Syndromes
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice)

We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: [email protected] phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez’s research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system’s care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

“Finding Hormonal Harmony: Restoring Balance to the HPA Axis” | El Paso, Tx (2023)

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

Thanks for watching! We are excited you are taking positive steps to learn about health challenges affecting you and your family. There is the power in making educated decisions about your health by gaining high-level science-based truth and knowledge. We work to uncover the root causes of health issues. Our unique health approach uses functional wellness principles to identify and treat health issues’ potential underlying causes.

Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual’s illness.

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

Functional & Integrative Health Live Events *

✅ Stress Hormones & Health
✅ Gut Health, Inflammation & Auto-Immunity*
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation
✅ Diabetes & Autoimmunity*
✅ Weight Loss
✅ Body Composition Analysis
✅ Thyroid Dysfunction*
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility
✅ Injury Recovery Programs
✅ Complex Lower Back Pain Recovery Plans
✅ Severe Sciatica Syndromes
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice)

We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: [email protected] phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez’s research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system’s care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

Spinal Stenosis Walking Issues

Symptoms

Diagnosis

Tests:

Chiropractic Treatment

Chiropractic Relief

References

The Nervous System

Disorders

Symptoms

Keeping the Nervous System Strong

Nutrition To Transmit Signals

B Vitamins Provide Nerve Protection

Stretching and Breathing

Chiropractic Care and Functional Medicine

Hyperhomocysteinemia

References

Introduction

What Are Connective Tissues?

Disorders Affecting The Connective Tissues

An Introduction To MET- Video

The MET Technique On Connective Tissues

Conclusion

References

Disclaimer

Wobble Cushions

Muscle Spasms

Cushion Benefits

Spinal Hygiene

References

Mushroom

B vitamins

Minerals

Antioxidants

Beta-glucan

Cordyceps

Shiitake

Chaga

Mushroom Preparation

Food as Medicine

References

Sports Injury Prevention

Performance

Treatment Schedule

Pre-Workouts

References

Introduction

What Defines Good Posture?

Influences That Affect Body Posture

5 Way To Improve Posture- Video

How The Met Technique Helps Improve Posture

Conclusion

References

Disclaimer

Postural Dysfunction

Imbalance Causes

Effects

Chiropractic Rehabilitation

Fix Posture

References

Introduction

Myofascial Trigger Points Affecting The Body

MET Trigger Point Therapy-Video

MET Techniques On Trigger Point Formation

How Chiropractic Care Uses MET Techniques On Trigger Points

Conclusion

References

Disclaimer

Prolonged Standing Back Discomfort

Back Structure

Causes

Standing Recommendations

Chiropractic

Standing Lower Back Relief Exercises

References

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