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Vehicle Collision Injuries – Decompression Benefits

By
Dr. Alex Jimenez
-
doctor talking with patient in neck brace

Any vehicle crash, collision, or accident can cause various injuries, with back pain issues as a primary injury or a side effect from other injuries. Usually, injury symptoms begin right after the collision, but in other cases, individuals may not start experiencing symptoms until hours, days, or even weeks later. This is from the adrenaline that rushes throughout the body during the collision/fight or flight response delaying the injury symptoms. There are reports of individuals who walk away from an accident unscathed but require urgent medical treatment a short while later. Chiropractic care can provide manual and spinal motorized decompression benefits.

Vehicle Collision Injuries - Decompression Benefits

Head Injuries

  • Head injuries occur when drivers and/or passengers hit their heads on the steering wheel, windows, dashboard, metal frame, and sometimes each other.
  • A head injury is considered a severe condition that can cause concussions, skull fractures, comas, hearing loss, cognitive and memory issues, and vision problems.
  • A significant head injury can cause extensive and costly medical treatment with the possibility of long-term medical care.

Neck Injuries

  • Neck injuries are common in vehicle collisions.
  • The most common is whiplash, with the head and neck-snapping from indirect blunt force, like being rear-ended.
  • Whiplash can cause significant damage to the ligaments and muscles, like swelling and neck pain, and temporary paralysis of the vocal cords.
  • Injury patterns of whiplash can differ depending on the speed, force, and overall health of the individual involved.

Back Injuries

  • Back injuries can range in severity from sprains to significant damage involving the nerves and/or the spinal cord.
  • If the damage is severe, it can lead to loss of sensation in the body, loss of limb control, or permanent paralysis.
  • Disc herniation/s can lead to disability, muscle weakness, tingling and numbness in the limbs, and radiating body pain.

Chest and Torso Injuries

  • Vehicle collision forces can result in severe chest injuries that include broken ribs.
  • Broken ribs might not sound dangerous by themselves; they can puncture the lungs leading to other injuries and internal bleeding.
  • Traumatic cardiac arrest can occur from the force of the impact.
  • Other injuries include:
  • Abdominal injuries to internal organs.
  • Damage to the pelvis.

Broken Bones

  • The legs, feet, arms, and hands are frequently injured, broken, and sometimes dislocated.
  • Motorcyclists are also at a higher risk for significant injury that includes:
  • Multiple fractures, internal injury, head injuries, and severe ligament damage.
  • Pedestrians struck by a vehicle have an increased risk for a combination of all injuries at once.

Non-Surgical Decompression Benefits

  • Chiropractors are trained to identify and treat injuries from vehicle collisions.
  • Non-surgical spinal decompression gently stretches the spine using a motorized traction device to help reposition the spine and remove the pressure.
  • As the pressure is taken off, the spinal discs regain their natural height, relieving the pressure on the nerves and other spinal structures.
  • Optimal healing is promoted by an improved circulation of nutrients, water, and oxygen to the injury site.
  • Decompression helps to strengthen the muscles in the affected area.
  • It provides positive spinal structural changes.
  • Improves nervous system function.

Non-surgical decompression is a tool for correcting injuries and relieving pain, allowing optimal health for the individual.

DOC Decompression Table

Highly Effective, Non-Invasive, and Affordable Decompression Benefits

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References

Apfel, Christian C et al. “Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study.” BMC musculoskeletal disorders vol. 11 155. 8 Jul. 2010, doi:10.1186/1471-2474-11-155

Koçak, Fatmanur Aybala et al. “Comparison of the short-term effects of the conventional motorized traction with non-surgical spinal decompression performed with a DRX9000 device on pain, functionality, depression, and quality of life in patients with low back pain associated with lumbar disc herniation: A single-blind randomized controlled trial.” Turkish Journal of physical medicine and rehabilitation vol. 64,1 17-27. 16 Feb. 2017, doi:10.5606/tftrd.2017.154

Macario, Alex, and Joseph V Pergolizzi. “Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain.” Pain practice: the Official Journal of World Institute of Pain vol. 6,3 (2006): 171-8. doi:10.1111/j.1533-2500.2006.00082.x

Non-Surgical Spinal Decompression For Chronic Low Back Pain

By
Dr. Alex Jimenez
-

Introduction

The body makes sure that the spine is keeping it upright as the body allows the spine to twist, bend, and turn in different positions. When the body suffers from an injury, the immune system starts to take effect and begins to heal the body naturally in the affected areas. When the back gets injured from an accident or injured, the spinal disc in the spine will get damaged and lead to chronic issues that can cause a person to be miserable if it is not treated right away. However, there are non-surgical treatments that can relieve back pain symptoms and cause immense relief to the individual. In this article, we will be looking at what causes chronic back pain, its symptoms, and how non-surgical decompression can provide relief for chronic back pain. By referring patients to qualified and skilled providers specializing in spinal decompression therapy. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

What Causes Chronic Low Back Pain?

Mostly everyone would see a doctor or miss a couple of days at work due to having some back pain that causes them to be in pain and not do their daily activities due to it being common. Research studies have shown that back pain can range from a dull constant ache to a sudden, sharp pain that can be very mild or severe depending on the injury. The causes of back pain can be from an accident that a person went through, lifting heavy objects, or can develop when a person ages naturally when the spinal disc is losing fluid and nutrients. 

 

 

Two types of back pain can affect a person’s way of life depending on how severe the injury is. Acute back pain can last from a few days to a few weeks and can be resolved with a few days of self-care, and a person can take it easy with light activity. Chronic back pain is when the pain continues for about 12 weeks or more, causing it to persist where the individual needs medical treatment to relieve the pain. Other research studies have found many disorders like inflammatory disorders, trauma, DDD  (degenerative disc disease), and other chronic disorders that can cause chronic back pain symptoms. Chronic back pain can also cause significant rates of disability while being a contributor to morbidity and mortality in a person.

 

The Symptoms

Since chronic pain is often defined as persisting pain that goes beyond the normal healing time, research studies have shown that chronic pain can cause a significant impact on musculoskeletal conditions like chronic back pain. The presence of chronic pain can create more chronic issues that a person is experiencing. Other research studies have stated that the symptoms that chronic low back pain causes in a person include:

 

An Overview On Chronic Low Back Pain-Video

Chronic Low Back Pain

Research studies have shown that chronic low back pain is a chronic pain syndrome in the lower back region of the spine that can last for at least three months. Chronic low back pain is often the second leading cause of disability worldwide. It is influenced by psychological factors like stress, depression, or anxiety that can impact a person’s way of life. Other research studies have shown that low back pain can cause pain, muscle stiffness, or tension localized below the costal margin and above the inferior gluteal fold, characterized by sciatica symptoms. Chronic low back pain can be persistent for more than 12 weeks. It can cause immense individual pain, especially if the causes to have chronic low back pain have been associated with individual and workplace factors that cause the transition to chronic low back pain.

Non-Surgical Decompression For Chronic Low Back Pain

There are ways that many individuals can find relief after suffering from chronic low back pain and don’t require surgery. Non-surgical decompression therapy is where the individual is lying on a traction machine, and their spine gets a gentle stretch to relieve the compressed spinal disc’s pressure. Research studies have shown that non-surgical decompression therapy creates negative intradiscal pressure on the spine, allowing the herniated disc material to be pulled back into the spinal disc. Non-surgical decompression therapy also promotes the passage of healing nutrients back into the disc while fostering a better healing environment for the spine.

 

Many individuals who have non-surgical decompression therapy have reported at least 90% of improvement in back pain and have a better function when doing daily activities. Research studies have shown that spinal decompression therapy and general traction effectively improve the pain and disability of chronic low back pain issues for individuals suffering from intervertebral disc herniation and getting back their quality of life.

 

Conclusion

Chronic low back pain is caused by heavy lifting, injury, age, or accidents that cause the spinal disc to be compressed under immense pressure. Sometimes the pain levels can range from mild to severe, causing pain from the lower back to the legs and feet. When a person is suffering from chronic low back pain, it can cause them to be dysfunctional and ruin their daily lives. Non-surgical treatments like spinal decompression can help alleviate chronic back pain symptoms by gently stretching the spine and allowing the nutrients back to the spine. This will relieve the person’s spine and alleviate the painful symptoms causing back pain, causing the person to be pain-free and continue on their wellness journey.

 

References

Allegri, Massimo, et al. “Mechanisms of Low Back Pain: A Guide for Diagnosis and Therapy.” F1000Research, F1000Research, 28 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.

Casiano, Vincent E, et al. “Back Pain – Statpearls – NCBI Bookshelf.” StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 22 Feb. 2022, www.ncbi.nlm.nih.gov/books/NBK538173/.

Choi, Jioun, et al. “Influences of Spinal Decompression Therapy and General Traction Therapy on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation.” Journal of Physical Therapy Science, U.S. National Library of Medicine, Feb. 2015, pubmed.ncbi.nlm.nih.gov/25729196/.

Chou, Roger. “Low Back Pain (Chronic).” BMJ Clinical Evidence, BMJ Publishing Group, 8 Oct. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC3217809/.

Gay, Ralph. “How Spinal Decompression Therapy Is Thought to Work.” Spine, Spine-Health, 24 Sept. 2013, www.spine-health.com/treatment/chiropractic/how-spinal-decompression-therapy-thought-work.

Husky, Mathilde M, et al. “Chronic Back Pain and Its Association with Quality of Life in a Large French Population Survey.” Health and Quality of Life Outcomes, BioMed Central, 26 Sept. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6158815/.

Medical Professionals, NINDS. “Low Back Pain Fact Sheet.” National Institute of Neurological Disorders and Stroke, U.S. Department of Health and Human Services, 15 Nov. 2021, www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet.

Peloza, John. “Lower Back Pain Symptoms.” Spine, Spine-Health, 20 Apr. 2017, www.spine-health.com/conditions/lower-back-pain/lower-back-pain-symptoms.

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The Effects Of Spinal Decompression For Lumbar Disc Herniation

By
Dr. Alex Jimenez
-

Introduction

The spine is encompassed by soft tissues, the spinal cord, ligaments, and cartilage in an S-shaped curvature in the back. The spine’s primary function is to make sure that the body is supported in an upright position and holds parts of the musculoskeletal system while also making sure that the body bends, sits, moves, twists, and turns for proper functionality. When the body goes through an injury, the symptoms can range from mild to severe depending on how bad the damage is on the person and how severe it is. When a back injury causes immense pain to the individual, the pain can radiate from the back to the legs. However, there are ways to lower the effects of back pain through non-surgical treatments like spinal decompression to help alleviate back pain symptoms. In this article, we will be looking at what lumbar disc herniation is, its symptoms, and how spinal decompression can help lower the effects of lumbar disc herniation. By referring patients to qualified and skilled providers specializing in spinal decompression therapy. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

What Is Lumbar Disc Herniation?

In the back, the spine is in an S-shaped curve protected by soft tissue, the spinal disc, and the spinal cord. The spine makes sure that the body is moving and staying upright, and when there are factors that can cause back pain, it can lead to chronic issues that can affect the entire body. One of the chronic issues that can cause back pain is lumbar disc herniation. Research studies have found that lumbar disc herniation is due to aging and general wear and tear that causes the spinal disc to lose some of the fluid that makes them pliable and sponge-like. 

 

 

Lumbar disc herniation is when the spinal disc’s outer ring can bulge, crack or tear when pressure is on the spine. This will cause the disc to protrude and push against a nearby spinal nerve root, causing shooting pain to the buttock and the leg. Research studies have shown that lumbar disc herniation is most often the result of disc degeneration. It is often due to individuals using their back muscles instead of their leg muscles to lift heavy objects. This can cause the spinal disc to twist and turn while lifting the heavy object and thus leading to a painful experience on the lower back.

 

The Symptoms

Research studies have found that nearly 80% of the population will usually sustain low back pain at least once. Since low back pain can be due to different factors, intervertebral degeneration leads to DDD (degenerative disc disease), and lumbar disc herniation as common sources. When the spinal disc starts to protrude from the spinal nerve, it can cause lumbar disc herniation to cause symptoms on the spine and the body. Some of the symptoms include:

  • Inflammatory signaling
  • The presence & effects of Propionibacterium acnes
  • Microstructural changes to the nerve root
  • Radicular pain
  • Sensory abnormalities
  • Pain from sitting, walking, sneezing

What Is Herniated Disc?-Video

What Is A Herniated Disc - Symptoms, Causes, Treatments

Research studies have found that a herniated disc is a spinal injury. The spinal disc’s outer layer is weakened and cracked from the compressed pressure that the spine sustained from an injury, and the inner layer pushes through the crack to bulge out. Herniated discs from the spine are one of the leading causes of sciatica and can happen anywhere on the neck or the lower back. There are therapeutic treatments that individuals can utilize once the pain of herniated disc has gone away. Some of the treatments include:

How Spinal Decompression Effect Disc Herniation

Research studies have stated that spinal decompression therapy and general traction therapy can provide effective results in improving the pain and disability of individuals suffering from intervertebral disc herniation. Since mostly about 80% of individuals have experienced lumbar pain, utilizing spinal decompression can help alleviate the effects of disc herniation. Other research studies have found that spinal decompression therapy can effectively help resorption the herniation and increase the disc height for individuals with lumbar disc herniation.

 

 

As part of a treatment for lumbar disc herniation, spinal decompression therapy can withdraw the inflammation from the sciatic nerve and reduce lumbar lordosis. The gentle traction on the spine from the traction table can reduce the pressure from the inside, thus shrinking the disc herniation and drawing in the necessary fluids, nutrients, and oxygen back to the spinal disc.

 

Conclusion

It is crucial to utilize spinal decompression therapy to treat lower back pain, herniated discs, and other common back problems. The spine makes sure that the body moves, twists, and turns. When a person pulls a muscle or injures their back from an accident or lifting something heavy will cause the spinal disc to bulge out and cause back problems to arise. Utilizing treatments for back pain like spinal decompression can help many individuals get the relief they deserve from the gentle spinal stretching to get the necessary nutrients back to the spine and alleviate the pressure pushing on the spinal disc.

 

References

Amin, Raj M, et al. “Lumbar Disc Herniation.” Current Reviews in Musculoskeletal Medicine, Springer US, Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5685963/.

Choi, Jioun, et al. “Influences of Spinal Decompression Therapy and General Traction Therapy on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166.

Demirel, Aynur, et al. “Regression of Lumbar Disc Herniation by Physiotherapy. Does Non-Surgical Spinal Decompression Therapy Make a Difference? Double-Blind Randomized Controlled Trial.” Journal of Back and Musculoskeletal Rehabilitation, U.S. National Library of Medicine, 22 Sept. 2017, pubmed.ncbi.nlm.nih.gov/28505956/.

Härtl, Roger. “Lumbar Herniated Disc: What You Should Know.” Spine, Spine-Health, 6 July 2016, www.spine-health.com/conditions/herniated-disc/lumbar-herniated-disc.

Medical Professionals, Cleveland Clinic. “Herniated Disk: What It Is, Diagnosis, Treatment & Outlook.” Cleveland Clinic, 1 July 2021, my.clevelandclinic.org/health/diseases/12768-herniated-disk.

Staff, Mayo Clinic. “Herniated Disk.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 8 Feb. 2022, www.mayoclinic.org/diseases-conditions/herniated-disk/symptoms-causes/syc-20354095.

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How To Manage Low Back Pain With Spinal Decompression

By
Dr. Alex Jimenez
-

Introduction

As a support structure connected to the musculoskeletal system, the spine makes sure that the body stays upright, moves, bends, sits, and twists as the body are in motion. The spine is also in an S-shaped curve encompassing the spinal cord, soft tissues, and cartilage and is protected by these components. When an individual gets injured and suffers from a back injury, the spine can become damaged, and the individual will be in pain. There are some ways to lessen the pain, and one of the ways to reduce back pain is through spinal decompression therapy. In this article, we will be looking at what low back pain is, its symptoms, and how to manage low back pain through spinal decompression therapy. By referring patients to qualified and skilled providers specializing in spinal decompression therapy. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

What Is Low Back Pain?

Approximately 25–60% of individuals who experience low-back pain (LBP) will report a recurrence of pain within as little as one year. Research studies have shown that low back pain is widespread in individuals. It can result from a variety of different injuries, conditions, and diseases from muscle or tendon injury in the back. Lower back pain is the most common cause of work disability in the US, as many individuals are on disability for low back pain for six months. Usually, many individuals will not return to work due to low back pain. The pain can range from mild to severe depending on the injury that a person has endured while also making it impossible for individuals to do their daily tasks because of low back pain. Low back pain is one of the most expensive reasons for work disabilities since it has been estimated that about 2% of individuals in the workforce in the US will be compensated for back injuries yearly.

 

Since low back pain is common in many individuals, other research studies have found that the lower bottom part of the spine has only five vertebrae, and it does all the heavy lifting that a person does. This part of the area will experience lots of movement and stress that a person is doing, which leads to wear and tear on the lower back and, later on, injuries. Structural abnormalities such as disc degeneration or disc herniation and resultant biochemical effects such as inflammation can be the cause of disc-related pain.

 

The Symptoms

Research studies have found that depending on how mild or severe low back pain causes in a person, the muscles that encompass the lower back will begin to feel a burning or stabbing sensation of pain that can run down from the lower back down to the legs. Some of the factors that can cause lower back pain can be age since low back pain is common as a person gets older, physical inactivity where there are unused muscles that are weak in the back, excess body weight which puts more stress on the back, and improper lifting which is where a person uses their back instead of their legs. Some of the symptoms that can cause low back pain can progress further into chronic issues include:

 

How Spinal Decompression Works-Video

Spinal Decompression for Low Back Pain | San Diego Chiropractic

When a person suffers from low back pain, the pain symptoms can range from mild to severe as the pain travels from the lower back to the legs. The pain causes the individual to develop wear and tear on their lower back and, if it is not treated, can lead to chronic issues over time. One of the therapeutic options that can relieve their lower back pain is spinal decompression therapy. Research studies have stated that spinal decompression is a non-surgical decompression therapy that involves gentle stretching to the spine using a traction table to relieve back pain.

How To Manage Low Back Pain

Research studies have shown many ways to treat and manage low back pain. Some, if not most lower back pains can get better in a month with some home remedies. Since everybody is different and depending on what kind of back pain they have, some of the ways to manage low back pain include:

Some of these treatments can help ease the symptoms of low back pain and provide relief to many individuals suffering from back pain and help lower the inflammation in the lower back. With these low back treatments, the body will be able to recover, and the individual can continue with their wellness journey by managing their lower back pain.

 

Spinal Decompression Therapy

 

Since about 80% of adults have experienced lower back pain at some point, research studies have stated that when a person is dealing with lumbar pain due to a degenerative process and light external injuries to the spine can use spinal decompression therapy as a non-surgical treatment for lower back pain. Spinal decompression therapy can help reduce intervertebral disc pressure by supplying nutrients and oxygen through gentle spine stretching. Other research studies have found that individuals who use spinal decompression therapy for about 6-weeks will experience less stress on affected discs, a vertically expand of the intervertebral space, and restoration of disc height, as effective in reducing chronic low back pain. 

 

Conclusion

Many individuals have suffered from lower back pain and experienced mild to severe symptoms that can cause them to stop their everyday activities. Utilizing non-surgical therapeutic options like spinal decompression therapy can help alleviate the painful symptoms of lower back pain by gently stretching the spine using a traction machine. Spinal decompression therapy can help release the intervertebral disc’s compressed pressure and help restore the disc height on the spine. When many individuals use spinal decompression therapy as part of their treatment, they can feel relief from their lower back pain and continue their wellness journey.

 

References

Apfel, Christian C, et al. “Restoration of Disk Height through Non-Surgical Spinal Decompression Is Associated with Decreased Discogenic Low Back Pain: A Retrospective Cohort Study.” BMC Musculoskeletal Disorders, BioMed Central, 8 July 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2912793/.

Chhatre, Akhil. “Lower Back Pain: What Could It Be?” Johns Hopkins Medicine, 2022, www.hopkinsmedicine.org/health/conditions-and-diseases/back-pain/lower-back-pain-what-could-it-be.

Choi, Jioun, et al. “Influences of Spinal Decompression Therapy and General Traction Therapy on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.

Gay, Ralph. “All about Spinal Decompression Therapy.” Spine, Spine-Health, 24 Sept. 2013, www.spine-health.com/treatment/chiropractic/all-about-spinal-decompression-therapy.

Medical Professionals, Cleveland Clinic. “Low Back Pain: Causes, Diagnosis & Treatments.” Cleveland Clinic, 18 Jan. 2021, my.clevelandclinic.org/health/diseases/7936-lower-back-pain.

Staff, Mayo Clinic. “Back Pain.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 21 Aug. 2020, www.mayoclinic.org/diseases-conditions/back-pain/diagnosis-treatment/drc-20369911.

Staff, Mayo Clinic. “Back Pain.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 21 Aug. 2020, www.mayoclinic.org/diseases-conditions/back-pain/symptoms-causes/syc-20369906.

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An Overview of Spinal Decompression Therapy

By
Dr. Alex Jimenez
-

Introduction

The body is a well-tuned machine that makes sure that it moves constantly and functions appropriately. The body is also home to the organ systems, muscle tissues, skeletal joints, and cellular structures, where it’s their job to make sure that the body is working and getting the nutrients that it needs to keep everything working together. When different scenarios start to affect the body, it can cause different types of issues that can not only damage the body but also cause it to be dysfunctional. These scenarios can be done internally or externally to the body and can damage the organs, joints, or even the spine. In this article, we will be looking at what the spine does and what spinal decompression therapy is. By referring patients to qualified and skilled providers specializing in spinal decompression therapy. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

What Does The Spine Do?

 

The spine is located in the back and makes sure that the body is not falling apart as it is the body’s central support structure. Research studies have shown that as part of the musculoskeletal system since the spine is connected to different parts of the muscle tissues that make sure that the body is moving. The spine’s primary function is to help the body sit, stand, walk, twist, and bend as it is in motion. A healthy spine will have these natural curves that will absorb shocks that the body encounters and protect the spine itself from injury in an S-shaped curve. Other research studies have shown that the spine comprises bone, cartilage, ligaments, nerves, and muscles that play an integral role in how the spine is formed and how it functions. The many different parts that make up the spine include:

When back pain or spinal injury starts to affect the back and the spine, many back issues will begin to affect the spinal health over time. This is due to the spine’s vertebrae and disks wearing down due to age, and that can cause the individual pain. There are ways to lessen the pain from the spine, and that is through spinal decompression therapy.

Walking With Spinal Cord Injury-Video

Making the impossible possible: Walk with a spinal cord injury | Dennie Jager | TEDxYouth@Groningen

The spinal cord is made of soft tissues. It encompasses the spine as the spinal cord is a part of the central nervous system. Research studies have shown that spinal cord injury is when there is damage to any part of the spinal cord or damaged nerves that can often cause permanent changes in a person. Some of the symptoms caused by spinal cord injury can be complete, where all the sensory and motor functions are lost below the neck, or incomplete, where a person will have some of the motor and sensory functions below the waist. All is not lost as there is therapy rehabilitation to strengthen the spine and spinal cord from incomplete spinal cord injury, and one of those rehabilitations is spinal decompression therapy.

What Is Spinal Decompression Therapy?

Since the spine provides support to the body, spinal injury or spinal degeneration to the spine can cause excruciating pain to anybody. Around 80% of individuals usually suffer from a back injury. Research studies have shown that when a person is feeling severe pain in the spine, it is due to the compression that puts loads of pressure on the spinal cord or the nerves themselves. The best way to relieve the spinal cord’s stress is through spinal decompression therapy.

 

 

Research studies have found that spinal decompression therapy is a non-surgical decompression therapy that involves stretching the spine by using a traction table to relieve back pain or even leg pain that a person is suffering from. Other research studies have stated that spinal decompression therapy can also reduce the pressure on the intervertebral disc by supplying nutrients and oxygen back to the disc. This will cause relief to those pressurized discs as it causes negative pressure on the spine. Once a person receives spinal decompression therapy, they will notice a significant pain reduction in their spine and a higher increase in their range of motion as they become pain-free.

 

Conclusion

All in all, it is essential to make sure that the spine is healthy. Since the body is a well-tuned machine, it is necessary that the spine is being taken care of. Even though there are many scenarios that the body can get into when a person gets a back injury, it is crucial to recover and go to therapy sessions to relieve the pain, or else it will get worse over time. Spinal decompression therapy is a non-surgical option that many individuals can utilize. It provides a gentle stretch on the spine, causing instant relief to the compressed spinal disc that is causing a person pain. Using spinal decompression as a therapy option can make a person pain-free and get them back on their wellness journey.

 

References

Choi, Jioun, et al. “Influences of Spinal Decompression Therapy and General Traction Therapy on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.

Gay, Ralph. “All about Spinal Decompression Therapy.” Spine, Spine-Health, 24 Sept. 2013, www.spine-health.com/treatment/chiropractic/all-about-spinal-decompression-therapy.

Medical Professionals, Cleveland Clinic. “Spinal Decompression Therapy: Lower Back Pain & Back Pain Relief.” Cleveland Clinic, 18 Jan. 2022, my.clevelandclinic.org/health/articles/10874-spinal-decompression-therapy.

Medical Professionals, Cleveland Clinic. “Spine Structure & Function: Parts & Segments, Spine Problems, Spine Health.” Cleveland Clinic, 7 Dec. 2020, my.clevelandclinic.org/health/articles/10040-spine-structure-and-function.

Sassack, Brett, and Jonathan D Carrier. “Anatomy, Back, Lumbar Spine – StatPearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK557616/.

Staff, Mayo Clinic. “Spinal Cord Injury.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 2 Oct. 2021, www.mayoclinic.org/diseases-conditions/spinal-cord-injury/symptoms-causes/syc-20377890.

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Nutritional Supplements For Gut Health | Part 1

By
Dr. Alex Jimenez
-

Introduction

The gut system has an important job: making sure that the consumed food is being digested and transformed into nutrients to be absorbed into the body. These nutrients keep track of how the body moves and grows, ensuring that the immune support stays functional. The gut system also holds the other systems like the endocrine, immune, musculoskeletal, and central nervous systems operating and functioning. When harmful pathogens start to enter the gut system, they can cause various gut disorders in the gut and, over time, can turn into chronic issues if it is not treated right away. Luckily there are some ways to prevent gut disorders from progressing further in the gut to avoid more problems. In this 2 part series, we will be looking at how to detox the gut and what kind of nutritional supplements can optimize gut health. Part 2 will look at what the other organs do in the gut system and how glutamine can help with gut support and dampen the effects of gut disorders. By referring patients to qualified and skilled providers who specialize in gastroenterology services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

How To Detox The Gut

Mostly everyone ingests over 30-50 tons of food in a lifetime. Like air & water, most food is laden with numerous chemicals that must be appropriately detoxified, otherwise deposited in various tissues. Detoxification is the least expensive and least invasive method used as a first-line approach in the 5Rs program to treat GI illness. This will cause many people to have lifestyle habits that further encourage more toxic burdens, stressing the detox capability of the liver. Research studies have shown that the intestinal epithelium plays an essential role as it is a barrier against exogenous harmful compounds. The intestinal epithelial cells are part of the detoxification system and are in charge of eliminating toxic compounds. 

 

 

 

When individuals start to feel like their gut is starting to feel unwell or have a sense of unnecessary fullness in their gut, it could be constipation. Surprisingly, constipation is not just an inconvenience; it blocks proper detoxification and alters the microbial balance in the body. Other research studies have found that when there is an alteration in microbial colonization in the gut microbiota due to exposure to environmental toxins, the gut and the body needs to detox. One of the ways to start detoxing the gut is to:

  • Have proper hydration: Drink 6-8 glasses (48-64 oz) of water per day to help to flush out water-soluble toxins
  • Proper Elimination
  • Establish proper bowel movements
  • Mitochondrial function: The liver (other than the heart) has the most mitochondria per cell
  • Liver detoxification: It can be physically draining, so it’s crucial to limit exercise & emphasize rest

 

Understanding The Gut

The microbiome: Understanding gut health | Emmanuelle Lamontagne | TEDxYouth@MBJH

Research studies have shown that the gut microbiome plays a vital role in human health and influences the development of chronic diseases that can affect the body since the gut microbiota is home to trillions of bacteria that make sure that everything is working in the intestines and the rest of the organs in the gut system. When there are dietary patterns and environmental factors that can profoundly shape the gut microbiota, various gut issues can affect the gut and cause intestinal permeability, an imbalance of bacteria, and dysfunction in the body. Utilizing nutritional supplements can provide relief to the gut and dampen the effects of gut disorders on the digestive system.

Micronutrients & Barrier Functions

When the gut system is compromised, a person will begin to feel unwell, and if it is not treated, it will turn into chronic issues over time. Research studies have found that when there are micronutrient deficiencies in the gut system, it can exacerbate barrier leaks and morbidity. A compromised barrier function is related to deficiencies in:

Other research studies have found that incorporating a healthy diet and adding nutritional supplements into a healthy lifestyle can help reinforce the intestinal barrier function to help the gut system be restored to normal operations and reduce the risk of chronic diseases.

 

Glutamine

Glutamine is one of the most abundant free amino acids in the body and is utilized by the intestinal endothelium. Research studies have shown that glutamine has many beneficial properties that can help promote enterocyte proliferation, regulate the tight junction proteins and suppress pro-inflammatory signaling pathways in the gut. Some of the mechanisms that link glutamine with the intestinal barrier function have shown that glutamine is a critical substrate for metabolites within enterocytes, including ATP, glutathione, and DNA/RNA. Glutamine is an essential secondary signaling molecule within enterocytes, affecting critical metabolic and proliferative pathways in the cell.

 

 

Other research studies have shown that when the body is dealing with metabolic stress or even gastrointestinal diseases like IBD (inflammatory bowel disease), glutamine can decrease those symptoms and contribute to favorable alterations in the gut microbiota while maintaining intestinal structure and function during aging. Glutamine can also promote sIgA secretion via direct (immunomodulatory) and indirect (microbiota) signals while modulating the GI permeability effects of HPA axis stress (i.e., CRF) and the gastrointestinal permeability effects of intensive exercise.

 

Conclusion

It is crucial to incorporate nutritional supplements like glutamine into a healthy gut system and at least some form of detox to ensure all the harmful bacteria are out of the gut system through secretion. Once that is done, then the individual can incorporate gut-healthy foods and nutritional supplements to replenish the beneficial bacteria back in the gut system. Once the beneficial bacteria start to heal the gut, the person will no longer be in pain.

 

References

Camilleri, Michael, et al. “Role for Diet in Normal Gut Barrier Function: Developing Guidance within the Framework of Food-Labeling Regulations.” American Journal of Physiology. Gastrointestinal and Liver Physiology, American Physiological Society, 1 July 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6689735/.

Claus, Sandrine P, et al. “The Gut Microbiota: A Major Player in the Toxicity of Environmental Pollutants?” NPJ Biofilms and Microbiomes, Nature Publishing Group, 4 May 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5515271/.

DiGuilio, Katherine M, et al. “Micronutrient Improvement of Epithelial Barrier Function in Various Disease States: A Case for Adjuvant Therapy.” International Journal of Molecular Sciences, MDPI, 10 Mar. 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8951934/.

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/.

Kim, Min-Hyun, and Hyeyoung Kim. “The Roles of Glutamine in the Intestine and Its Implication in Intestinal Diseases.” International Journal of Molecular Sciences, MDPI, 12 May 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5454963/.

Perna, Simone, et al. “The Role of Glutamine in the Complex Interaction between Gut Microbiota and Health: A Narrative Review.” International Journal of Molecular Sciences, MDPI, 22 Oct. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6834172/.

Shimizu, Makoto. “Modulation of Intestinal Functions by Dietary Substances: An Effective Approach to Health Promotion.” Journal of Traditional and Complementary Medicine, Medknow Publications & Media Pvt Ltd, Apr. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3942919/.

Disclaimer

Restaurant Work Shoulder and Hand Injuries

By
Dr. Alex Jimenez
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A chef and cook working on their dishes indoors in restaurant kitchen.

Restaurant work takes a toll on the body with the repetitive moving, bending, twisting, reaching, prepping, cutting, serving, and washing. This is especially true of the shoulders, arms, and hands. When individuals avoid treating their aches and pains, this can lead to chronic pain conditions that can cause severe and permanent damage to the musculoskeletal system. Chiropractic can alleviate the tingling and pain by removing the compression, re-stretching/lengthening, and strengthening the muscles and nerves to perform at optimal levels.

Restaurant Work Shoulder and Hand Injuries

Restaurant Work

The arms and hands are designed to accomplish various tasks. When functioning normally, tasks can be performed flawlessly. Repetitive/Overuse or trauma can cause nerve compression, stiffness, and pain, decreasing function and affecting daily routines.

Carpal Tunnel

  • Carpal tunnel syndrome is one of the most common disorders that affect the arm and hands.
  • The carpal tunnel is a space where a nerve and several tendons pass. If the nerve becomes compressed, it can cause numbness, tingling in the fingers, pain, and muscle weakness, making it difficult to grip objects.
  • Discomfort and pain start gradually in one or both hands.
  • It can cause tightness and pain in the shoulder, forearm, wrist, and hand.
  • It can also cause numbness in the palm and fingers.
  • It can cause swelling and burning sensations.
  • Individuals often shake out the numbness and tingling sensations throughout the day or night.

Tendonitis

  • Tendonitis can present with carpal tunnel symptoms except for the gradual starting pain.
  • Tendonitis comes from Overuse and repetitive motions.
  • The pain will be tender directly on the affected area.
  • To help prevent and avoid, ask about exercises that stretch the affected tendons.
  • Ask a doctor or chiropractor which exercises and stretches are the safest for the specific condition.
  • Depending on the severity of the condition, individuals may need corticosteroid injections, physical therapy, or surgery.

Injury Prevention Tips Restaurant Work

  • Learn to stop trying to carry everything in one trip.
  • Ask for help/support staff to servers who deliver large orders and for clearing.
  • Recommend changes if body posture increases injury risk.
  • Heavy trays and plates should be balanced on the palm for better weight distribution.
  • Healthy rotation ensures that one worker does not always have the chopping and cutting duties for hours.
  • Take frequent breaks from tasks that require repetitive motions.
  • Find various stretches and exercises to build strength and flexibility in the arms, wrists, and hands.
  • Avoid scheduling multiple consecutive long shifts for jobs that require repetitive hand motions.

Body Composition

Sticking To A Meal Plan

Identify personal motivation to stick to a meal plan other than improving body composition. To keep motivation high, individuals need to identify other reasons behind goals. This could be:

  • Saving money from the food budget.
  • Spending time with loved ones preparing a healthy recipe.
  • Setting an example to family and friends.
  • It can be whatever motivates you.
  • Reassess and tweak the meal plan as needed.
  • Nutritional needs or dietary preferences change.
  • Meal planning should be a dynamic process.
  • Don’t get disappointed if not going as planned.
  • Refocus by making changes as needed.
References

Gentzler, Marc D, and Janan A Smither. “Using practical ergonomic evaluations in the restaurant industry to enhance safety and comfort: a case study.” Work (Reading, Mass.) vol. 41 Suppl 1 (2012): 5529-31. doi:10.3233/WOR-2012-0872-5529

Laperrière, Ève et al. “Work activity in foodservice: The significance of customer relations, tipping practices and gender for preventing musculoskeletal disorders.” Applied ergonomics vol. 58 (2017): 89-101. doi:10.1016/j.apergo.2016.05.013

Masear, V R et al. “An industrial cause of carpal tunnel syndrome.” The Journal of hand surgery vol. 11,2 (1986): 222-7. doi:10.1016/s0363-5023(86)80055-7

www.osha.gov/etools/hospitals/food-services/work-related-musculoskeletal-disorders

Szabo, R M. “Carpal tunnel syndrome as a repetitive motion disorder.” Clinical Orthopedics and related research,351 (1998): 78-89.

How Probiotics Dampen Gut Disorders | Part 2

By
Dr. Alex Jimenez
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Introduction

The gut system’s primary function is to make sure that the consumed food that a person eats is digested in the stomach, and the intestines (both large and small) and is absorbed into nutrients for the entire body to stay functional. The gut microbiota makes sure that the body’s energy, growth, metabolism, and immune support are doing their jobs correctly and that the bacteria in the gut are thriving. When harmful bacteria start to disrupt the balance in the intestines, it can cause many chronic gut disorders in the gut system. However, incorporating probiotics into a healthy diet can help alleviate the symptoms by dampening their effects on the gut. In this 2 part series, we will be looking at how probiotics can help dampen the impact of gut disorders. Part 1 looked at what probiotics are and how they alter the gut microbiome. By referring patients to qualified and skilled providers who specialize in gastroenterology services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

How Probiotics Help The Gut Microbiota

 

The gut microbiota makes sure that the entire body is functioning properly by regulating the body’s growth, metabolism, and immune support. When probiotics enter the gut system, they provide a protective barrier to prevent intestinal permeability from getting disrupted. Research studies have found that intestinal microbes can convert dietary nutrients into metabolites. When probiotics are introduced into the gut microbiota and can help restore the composition of the gut. When there are factors that can affect the probiotic function, they are often defined as subjects that are “permissive” or “resistant” to probiotic strains based on:

Other research studies have found that probiotics are live microorganisms found in fermented foods with many beneficial properties for the gut microbiota. Probiotics exhibit a variety of health beneficial properties for the gut as these microorganisms can prevent bowel diseases, improve the immune system, and prevent intestinal disorders’ effects on the digestive system.

Helping The Gut With Bugs

Your Gut Microbiome: The Most Important Organ You’ve Never Heard Of | Erika Ebbel Angle | TEDxFargo

Research studies have found that probiotics play many significant roles in the gut microbiota composition while also inhibiting the colonization of pathogenic bacteria in the intestines. Since the gut microbiota contains a rich, diverse microbial ecosystem that can influence the health of the human body, so adding probiotics to combat the overflow of harmful bacteria infesting the intestinal walls can provide beneficial relief and help regulate the gut microbiota. The probiotics will also help the body build a healthy intestinal mucosa protective layer while enhancing the immune system. Because of the close relationship between the immune system and the gut microbiota, probiotics are highly effective in improving immunity and regulating the gut microbiome.

Therapeutic Uses For Probiotics On Gut Disorders

Since the gastrointestinal (GI) tract is home to trillions of bacteria (both good and bad), there must be a balance between good and bad bacteria. These bacteria ensure that the gut microbiota is working correctly and prevent chronic gut disorders from inflicting on the intestinal wall barriers. Research studies have stated that the perturbation of the bacterial microflora of the GI tract may play an essential role in the pathophysiology of GI disorders. Using probiotics as a part of a healthy diet can help dampen the effects of GI disorders by regulating the gut flora back to normal. Some of the therapeutic use that probiotics can help the gut microbiota when it comes to gut disorders include:

  • Constipation
  • Diarrhea (traveler’s, AAD, CDAD)
  • IBS/SIBO
  • IBD
  • Candida
  • H.pylori
  • GERD
  • Intestinal Permeability

 

Probiotics & IBD

 

Research studies have found that an altercation of the mucosal immune response to bacterial agents will lead to chronic intestinal inflammation that can characterize IBD (inflammatory bowel disease). Probiotics are safe for most individuals who have IBD and those with IBS (irritable bowel syndrome). Other research studies have stated that when IBD individuals start to take probiotics can help normalize the gut barrier function and reduce the pro-inflammatory cytokines while lessening the disease. By taking probiotics, many individuals suffering from IBD will notice that their symptoms will diminish over time and that there will be positive outcomes seen at both low and high doses.

 

Conclusion

The gut system’s main job is to make sure that the food is being digested into nutrients and absorbed into the bloodstream to be transported throughout the entire body. When harmful pathogens enter the gut system, they can cause many digestive disorders that can upset the bacterial balance in the gut flora. When left untreated, it can develop into chronic gut diseases over time, causing the individual pain. Incorporating probiotics into a person’s diet can provide the beneficial results that a person needs. Probiotics can help replenish the healthy gut bacteria back to normal while dampening the effects of gut disorders from reoccurring in the intestinal tract. When individuals use probiotics as part of their diet, their gut will start to feel better and without pain.

 

References

Guandalini, Stefano, and Naire Sansotta. “Probiotics in the Treatment of Inflammatory Bowel Disease.” Advances in Experimental Medicine and Biology, U.S. National Library of Medicine, 2019, pubmed.ncbi.nlm.nih.gov/30632114/.

Hemarajata, Peera, and James Versalovic. “Effects of Probiotics on Gut Microbiota: Mechanisms of Intestinal Immunomodulation and Neuromodulation.” Therapeutic Advances in Gastroenterology, SAGE Publications, Jan. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3539293/.

Jonkers, Daisy, and Reinhold Stockbrügger. “Probiotics and Inflammatory Bowel Disease.” Journal of the Royal Society of Medicine, The Royal Society of Medicine, Apr. 2003, www.ncbi.nlm.nih.gov/pmc/articles/PMC539443/.

Shi, Lye Huey, et al. “Beneficial Properties of Probiotics.” Tropical Life Sciences Research, Penerbit Universiti Sains Malaysia, Aug. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5031164/.

Verna, Elizabeth C, and Susan Lucak. “Use of Probiotics in Gastrointestinal Disorders: What to Recommend?” Therapeutic Advances in Gastroenterology, SAGE Publications, Sept. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC3002586/.

Wang, Xinzhou, et al. “Probiotics Regulate Gut Microbiota: An Effective Method to Improve Immunity.” Molecules (Basel, Switzerland), MDPI, 8 Oct. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8512487/.

Disclaimer

How Probiotics Alter The Gut Microbiome | Part 1

By
Dr. Alex Jimenez
-

Introduction

When a person consumes food, it is traveled down to the gut system, where it can be digested and biotransformed into nutrients in the small and large intestines. These nutrients are then absorbed into the bloodstream and are transported throughout the entire body. These nutrients help the digestive system and provide immune support, metabolism, and body growth while helping to regulate the functions of the endocrine system, the central nervous system, and the musculoskeletal system. There are ways to optimize gut health as there are harmful pathogens that can disrupt the gut system through the usage of probiotics. In this 2 part series, we will be looking at what probiotics are and how they alter the gut microbiome. Part 2 will look at how probiotics can help dampen the effects of gut disorders. By referring patients to qualified and skilled providers who specialize in gastroenterology services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

What Are Probiotics?

The generic definition of probiotics is defined as “live microorganisms that, when administered in adequate amounts, confer a health benefit on the host.” Research studies have also stated that probiotics contain live microorganisms intended to maintain or even improve the beneficial bacteria in the gut system. Probiotics make sure that there is a balance of bacteria in the gut as different strands are there to prevent the harmful bacteria from overtaking the gut and intestines, causing a variety of gut disorders. Other research studies have found that there is a range of diseases that are associated with the gut and intestinal tract and when a person uses probiotics will help suppress unwanted gut symptoms.

 

However, some foods do not have probiotics strains like food-borne bacteria (e.g., the dirt on vegetables) or even fermented foods that are naturally occurring or starter cultures. Some probiotic strains are added to fermented food after they have been pasteurized, and these can include yogurt or kefir as probiotics.

 

Are Fermented Foods Probiotics?

 

When probiotic strains are added to fermented foods, they can provide beneficial bacteria to the gut and help dampen the effects of various gut disorders. Fermented foods contain natural (or added) cultures designed to digest the food during fermentation, creating organic acids and other byproducts. However, not all fermented foods are probiotics, as these organisms are often absent from the consumed product. This is primarily due to the storage and packaging of fermented foods in containers. A few controlled trials of fermented foods have been performed to document their traditional benefits. Research studies have shown that fermented foods contain microorganisms that can reach the gastrointestinal tract and potentially affect cardiovascular, immune, and metabolic health by generating bioactive peptides and polyamines. Many individuals with gut issues should be encouraged to incorporate fermented foods into their diet but not use them as a therapeutic substitute for probiotics.

An Overview Of Probiotics

What Are Probiotics? | GutDr Mini-Explainer

Since probiotics are live microorganisms that exhibit a wide variety of beneficial health properties for the gut, as studies have shown, probiotics can help dampen the effects of gastrointestinal disorders while also improving the immune system and producing more beneficial bacteria for the gut flora. Probiotics are excellent for gut health as they have different strains to help fight off harmful bacteria that can cause infections and chronic disorders to the gut and the body. Probiotics are also found in fermented foods like kimchi, yogurts, and kefir that can affect cardiovascular, immune, and metabolic health with the bioactive peptides and polyamines that it generates.

How Probiotics Alter The Gut Microbiome

 

When probiotics enter the gut microbiome, the strains are thought to be highly domesticated cousins from a fraction of the total gut “wild-type” microbiota. Research studies have found that when probiotics are being ingested, they cause significant positive improvements in balancing intestinal permeability and barrier function in the gut system. Not only that, but probiotics can also provide a considerable balance to the gut microbiota and brain functionality. The gut-brain axis needs probiotics to make sure that everything is functioning correctly. Probiotics act as part of the temporary or transient gut microbiota when consumed. Other research studies have found that the impact of probiotics does not reside in the ability to graft in the gut microbiota. They share genes and metabolites while supporting a challenged gut microbiota dealing with gut and gastrointestinal disorders by directly influencing the epithelial and immune cells in the gut and the body.

 

Conclusion

Utilizing probiotics in a healthy diet can help promote optimal gut health by lowering the effects of harmful bacteria affecting intestinal permeability. When unhealthy bacteria cause havoc to the gut microbiota, it can affect the body as well. The gut is home to all the body’s functions as the gut helps maintain the body’s energy, growth, metabolism, and immune support by keeping the body and the other systems functional. Therefore, probiotics are beneficial to the gut microbiota as they help dampen the effects of the gut and gastrointestinal disorders that are causing discomfort in the gut. Many individuals can incorporate probiotics in food or supplement form to ensure that their gut is happy and filled with beneficial bacteria to support them.

 

References

Bell, Victoria, et al. “One Health, Fermented Foods, and Gut Microbiota.” Foods (Basel, Switzerland), MDPI, 3 Dec. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6306734/.

Dimidi, Eirini, et al. “Fermented Foods: Definitions and Characteristics, Impact on the Gut Microbiota and Effects on Gastrointestinal Health and Disease.” Nutrients, MDPI, 5 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6723656/.

Shahrokhi, Mahsa, and Shivaraj Nagalli. “Probiotics – Statpearls – NCBI Bookshelf.” StatPearl [Internet] Treasure Island (FL), StatPearls Publishing, 25 Nov. 2021, www.ncbi.nlm.nih.gov/books/NBK553134/.

Shi, Lye Huey, et al. “Beneficial Properties of Probiotics.” Tropical Life Sciences Research, Penerbit Universiti Sains Malaysia, Aug. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5031164/.

Wieërs, Grégoire, et al. “How Probiotics Affect the Microbiota.” Frontiers in Cellular and Infection Microbiology, Frontiers Media S.A., 15 Jan. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC6974441/.

Zeratsky, Katherine. “Probiotics and Prebiotics: What You Should Know.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 10 July 2020, www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/probiotics/faq-20058065.

Disclaimer

Stress Health

By
Dr. Alex Jimenez
-
chiropractor in white coat massaging neck of man

Stress health recognizes how stress affects the body, thoughts, feelings, and behavior. Stress that’s left untreated can contribute to various health problems. These include:

  • Anxiety
  • Decreased energy levels
  • Digestive dysfunction
  • Obesity
  • Diabetes
  • High blood pressure
  • Abnormal heart rate
  • Heart disease
  • Mental problems

Chiropractic serves as a powerful intervention for anxiety-related symptoms.

Stress Health

Stress Health Blood Pressure and Heart Rate Balance

Chiropractic benefits cardiovascular health as it directly affects the nervous and other body systems that include the spinal system, the bones, joints, and muscular system, affecting the function of the cardiovascular system. Chiropractic regulates these system’s functions allowing for a moderate heart rate and blood pressure. Balanced blood pressure and heart rate can help minimize stress and anxiety, making it much easier to stay relaxed and focused. Individuals report experiencing decreased blood pressure and lower heart rate with long-term chiropractic treatment.

Mental Clarity

Cerebrospinal fluid/CSF is necessary for detoxifying the brain and helping to protect the brain. CSF transports oxygen and nutrients to the brain, helping to increase brain function efficiency. Chiropractic has been shown to increase the amount of cerebrospinal fluid delivered to the brain. This is because the spine is aligned correctly, allowing for a smooth flow of blood and nerve energy from the brain through the spine to the rest of the body. This provides:

  • Sustained mental alertness
  • Awareness
  • Mental Clarity

This helps to combat mental fog or anxiety hyperactivity.

Improve Energy Levels

Chiropractic can help increase energy levels in different ways for different individuals.

  • For some, this works by eliminating headaches, migraines, and other nerve dysfunction/s.
  • For others, this happens by decreasing or eliminating pain symptoms.

These conditions can contribute to lowered energy levels. Constant stress can change the body’s chemistry, leading to increased stress hormones like cortisol. Over time, these hormone releases can decrease energy, causing interference with the body/brain’s natural rejuvenating processes that reduce stress. With chiropractic, the therapeutic effects help correct body chemistry and improve energy levels.

Body Composition

Increase Immune Function

Lymphatic fluid has a vital role in stress health and the function of the immune system. Lymphatic fluid helps separate and release:

  • Toxins
  • Viruses
  • Fungus
  • Bacteria from the body.

When lymphatic fluid flows smoothly and is not impeded or trapped in tissues, joints, or muscles, the immune system operates at a high level. Chiropractic helps drive lymphatic fluid out of the tissues, joints, and muscles of the body, facilitating optimal immune function.

References

Dragoş, Dorin, and Maria Daniela Tănăsescu. “The effect of stress on the defense systems.” Journal of medicine and life vol. 3,1 (2010): 10-8.

Meier, Jacqueline Katharina et al. “Stress Alters the Neural Context for Building New Memories.” Journal of cognitive neuroscience vol. 32,12 (2020): 2226-2240. doi:10.1162/jocn_a_01613

Pickar, Joel G. “Neurophysiological effects of spinal manipulation.” The spine journal: official journal of the North American Spine Society vol. 2,5 (2002): 357-71. doi:10.1016/s1529-9430(02)00400-x

An Overview Of Therapeutic Treatments For SIBO | Part 2

By
Dr. Alex Jimenez
-

Introduction

The gut system is home to the organs and intestines that ensure that the consumed food is digested and absorbed into the bloodstream while being transported throughout the entire body. The gut system makes sure that the energy, growth, metabolism, and immune support are provided to the body and the immune system, endocrine system, and even the central nervous system for optimal performance. When pathogens enter the gut system, they can cause a variety of gut disorders like SIBO (small intestinal bacterial growth) to cause havoc in the gut system and cause the body to be dysfunctional. In this 2 part series, we will be looking at different treatments for SIBO and SIFO to optimize gut health. In Part 1, we looked at how SIBO and SIFO affect the gut and their symptoms. By referring patients to qualified and skilled providers who specialize in gastroenterology services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

SIBO/SIFO & The Intestines

 

In the gut, trillions of bacteria live in the stomach and intestines that help make sure that the food is digested and absorbed into the bloodstream as nutrients. These bacteria help keep the gut and intestines healthy and the body functioning as they help regulate the digestive system. The intestines are the primary reason nutrients are absorbed into the bloodstream. When there is an overabundance of bacteria and fungi species in the intestines causing the gut to be dysfunctional, it’s known as SIBO (small intestinal bacterial overgrowth) and SIFO (small intestinal fungal overgrowth). Part 1 looked at what SIBO and SIFO are and how their symptoms impact the gut. Research shows that SIBO is a commonly diagnosed gastrointestinal disorder that causes maldigestion and malabsorption in the intestines. When there are more bad bacteria than good, it can cause gastrointestinal symptoms like gas, bloating, and abdominal pain in the gut system and overlap with gastrointestinal disorders causing gut discomfort. Hence treatments can help with eliminating SIBO and SIFO out of the intestines and provide relief to the gut.

How To Treat SIBO

SIBO – How to Test? How to Treat?

Research studies have shown that SIBO is considered one of the manifestations of gut microbiome dysbiosis and can be highly prevalent in IBS (irritable bowel syndrome). When SIBO starts to affect the gut and the intestines, it can cause many gastrointestinal disorders and cause the body to be dysfunctional. There are ways to treat SIBO from reoccurring in the intestines as therapeutic options can help lower the harmful bacterial growth and replenish the good bacteria back in the gut. Once a person utilizes treatment to their gut by getting rid of the excess amount of harmful bacteria, they can continue their wellness journey without gut issues.

Therapeutic Treatments For SIBO/SIFO

There are many ways to ensure that SIBO and SIFO will be eliminated from the body. Research studies show that many doctors will treat SIBO by utilizing treatments more focused on correcting the nutritional deficiencies and eliminating the bacterial overgrowth taking over the intestines. The goal here is to treat the underlying causes, contain the bacterial overgrowth, and provide nutritional support for the gut when SIBO and SIFO affect it. Some of the therapy treatments that are used to treat SIBO and SIFO in the intestines include:

  • Diet (low FODMAPs)
  • Antibiotic therapy (Weeding)
  • Prokinetic agents
  • Herbs for weeding* (berberine, oregano oil, wormwood)
  • Probiotics (multiple mechanisms)
  • Serum Bovine-derived Immunoglobulins (SBIs)
  • Enzymes/HCl
  • Other(Antrantil, SYN-001:)

 

Probiotics

.

Research studies have found that probiotics can provide health benefits to the body. When a person has SIBO in their gut, antibiotics can help eliminate the harmful bacteria; however, that can cause antibiotic resistance and recolonize the harmful bacteria. Probiotics are living organisms with unique beneficial properties that can produce good bacteria to get rid of the harmful bacteria out of the intestines, enhance the mucosal barrier function, and even downregulate inflammatory responses that affect the gut. Probiotics are necessary for promoting gut health as part of the 5Rs program for repairing a dysfunctional gut.

 

Healthy Diet

 

Eating healthy food can help many individuals that are suffering from SIBO. Research studies have found that having a healthy diet can provide alterations and induce significant, temporary microbial shifts in 24 hours. Eating the right kinds of food that help promote gut health and offer nutrients to the body can lower the reoccurrence of SIBO from coming back. When a person makes small changes in their eating habits, it can provide excellent results as the body needs these nutrients from whole fruits and vegetables. Other research studies have found that the gut microbiome plays a vital role in human health as dietary patterns and environmental factors profoundly shape gut microbiota. When a person doesn’t change their eating habits and continues to eat processed food, their gut, and the bacteria microbiome will cause chronic issues to pop up over time. When they make those necessary changes in their eating habits, the gut microbiome will produce more beneficial bacteria for the nutrients to be absorbed.

 

Conclusion

Overall, the gut system makes sure that the bacteria in the intestines take the digested food and transform them into nutrients to be absorbed into the bloodstream and make the body functional. When gastrointestinal disorders like SIBO start to affect the intestines, it can cause the development of chronic conditions to affect not just the gut but also the body. Incorporating a healthy diet with gut-healthy food, taking probiotics, and finding ways to lower gut inflammation can help many individuals take care of their gut microbiota and produce more beneficial bacteria in the intestinal tract. With these treatments, a person can continue their wellness journey without gut issues affecting them.

 

Reference

Achufusi, Ted George O, et al. “Small Intestinal Bacterial Overgrowth: Comprehensive Review of Diagnosis, Prevention, and Treatment Methods.” Cureus, Cureus, 27 June 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7386065/.

Chen, Wei Chung, and Eamonn M M Quigley. “Probiotics, Prebiotics & Synbiotics in Small Intestinal Bacterial Overgrowth: Opening up a New Therapeutic Horizon!” The Indian Journal of Medical Research, Medknow Publications & Media Pvt Ltd, Nov. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4311309/.

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/.

Singh, Rasnik K, et al. “Influence of Diet on the Gut Microbiome and Implications for Human Health.” Journal of Translational Medicine, BioMed Central, 8 Apr. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5385025/.

Staff, Mayo Clinic. “Small Intestinal Bacterial Overgrowth (SIBO).” Mayo Clinic, Mayo Foundation for Medical Education and Research, 6 Jan. 2022, www.mayoclinic.org/diseases-conditions/small-intestinal-bacterial-overgrowth/diagnosis-treatment/drc-20370172.

Takakura, Will, and Mark Pimental. “Small Intestinal Bacterial Overgrowth and Irritable Bowel Syndrome – an Update.” Frontiers in Psychiatry, U.S. National Library of Medicine, 10 July 2020, pubmed.ncbi.nlm.nih.gov/32754068/.

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An Understanding Of SIBO & SIFO | Part 1

By
Dr. Alex Jimenez
-

Introduction

Inside the body, the gut and the intestines make sure that everything is working properly. The gut and intestinal system make sure that the consumed food is being digested and the nutrients from the food are being transported all over the entire body. The gut system makes sure that the body is being supported by regulating the growth, metabolism, and immune support of all the organ systems and that each of the systems is doing its job. When harmful pathogens enter the body and start to disrupt the gut system, it can lead to chronic gut disorders over time if it is not treated right away. In this 2 part series, we will be taking a look at how SIBO and SIFO affect the gut as well as their symptoms. In Part 2, we will be taking a look at different treatments for SIBO and SIFO to optimize gut health. By referring patients to qualified and skilled providers who specialize in gastroenterology services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

What Is SIBO?

 

SIBO, or small intestinal bacterial overgrowth, is a condition where an abnormally large number of bacteria (at least 10,000 bacteria per ml of duodenal aspirate) are present in the small intestines. In the small intestines, as research shows, when the food is being digested, gastric acids and biles are being destroyed. The bacteria are being prevented from entering through the intestines, providing optimal function. When there is an abundance of excessive bacteria in the small intestines causing problems, this is known as SIBO. SIBO is a commonly known gastrointestinal disorder that affects millions of individuals. Other research studies have shown that the common risk factors for SIBO include disturbances in the small bowel anatomy and motility in the gut system. The gut system needs the intestines to regulate the good bacteria for the stomach and the other organs to be functional. When SIBO starts to cause the bacterial growth to be excessive, it can cause many gut disorders to pop up and cause many disturbances to the gut and the body.

 

The Symptoms

The human body requires the balance of beneficial flora in the gut to maintain optimal function of the body through a complex series of chemical and mechanical operations. Research studies show that it is normal to have bacteria living in the intestines. Still, when there is an overabundance of bacteria growing in the intestines, the harmful bacteria can overtake and overwhelm the good bacteria, causing an upset to the digestive system. The harmful bacteria will begin to feed on the consumed food products meant for the good bacteria. Some of the symptoms that are from SIBO include:

How SIBO Affects The Gut

Small Intestinal Bacterial Overgrowth(SIBO) Steals Your Nutrients – Dr.Berg

The small intestines in the gut system ensure that the nutrients and the food mixed with digestive juices are being absorbed into the bloodstream and transported throughout the entire body. When SIBO is developing in the small intestines, research studies have shown that stagnant food in the small intestines is an ideal breeding ground for harmful bacteria to produce toxins and interfere with the absorbed nutrients. SIBO can steal the nutrients from the consumed, digested food. If it is not treated right away, the harmful bacteria will begin to overproduce and take over the beneficial bacteria. This will cause many gut issues and disorders to the gut system causing the body to be dysfunctional.

What Is SIFO?

 

When there is an abundance of fungal growth in the intestines can lead to many disorders in the gut, just like SIBO. SIFO or small intestinal fungal overgrowth is a condition where abnormally large numbers of fungi/yeast are found in the small bowel that is associated with gastrointestinal (GI) symptoms, as research studies have stated. SIFO is generally defined as greater than 1,000 fungi per ml of small intestinal aspirate that can also occur in the large intestine. This is known as LIFO (large intestinal fungal overgrowth. SIFO and LIFO are commonly used together in clinical settings since it is difficult to ascertain where the overgrowth is. Other research studies have stated that SIFO is usually part of immunodeficiency syndrome with other GI disorders.

 

The Symptoms

Research studies have found that SIFO can often develop in individuals with either a weakened immune system or a healthy immune system. The Candida species are located in the mouth, the skin, and the intestines. At low levels, it shouldn’t cause any problems in the body or the gut system; however, if it is not being checked, the fungal species will begin to grow uncontrollably, causing various infections in and out of the body. Some of the symptoms that are caused by SIFO are similar to SIBO as they can cause:

 

Conclusion

The gut system needs beneficial bacteria in the intestines to help digest and absorb nutrients into the bloodstream to be transported throughout the entire body. These beneficial bacteria help maintain the body’s growth, metabolism, and immune support, making it function properly. When harmful pathogens enter the gut system and cause an overabundance of harmful bacteria in the intestines, it can cause the development of both SIBO and SIFO. These gastrointestinal disorders can disrupt the gut system and cause dysfunction in the entire body if it is not treated right away. Incorporating gut-healthy therapies can provide relief to not only the gut but also the body.

 

References

Achufusi, Ted George O, et al. “Small Intestinal Bacterial Overgrowth: Comprehensive Review of Diagnosis, Prevention, and Treatment Methods.” Cureus, Cureus, 27 June 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7386065/.

Erdogan, Askin, and Satish S C Rao. “Small Intestinal Fungal Overgrowth.” Current Gastroenterology Reports, U.S. National Library of Medicine, Apr. 2015, pubmed.ncbi.nlm.nih.gov/25786900/.

Medical Professionals, Cleveland Clinic. “SIBO (Small Intestinal Bacterial Overgrowth): Symptoms, Diet, Causes & What It Is.” Cleveland Clinic, 1 Oct. 2021, my.clevelandclinic.org/health/diseases/21820-small-intestinal-bacterial-overgrowth-sibo.

Seladi-Schulman, Jill. “SIFO: Small Intestinal Fungal Overgrowth and Your Gut Health.” Healthline, Healthline Media, 4 Dec. 2019, www.healthline.com/health/sifo#what-is-sifo.

Singh, Rajdeep, and Gerard E Mullin. “A Wasting Syndrome and Malnutrition Caused by Small Intestine Fungal Overgrowth: Case Report and Review of the Literature.” Integrative Medicine (Encinitas, Calif.), InnoVision Health Media Inc., June 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC6419785/.

Sorathia, Sufian J., et al. “Small Intestinal Bacterial Overgrowth.” StatPearls [Internet]., U.S. National Library of Medicine, 31 Jan. 2022, www.ncbi.nlm.nih.gov/books/NBK546634/.

Staff, Mayo Clinic. “Small Intestinal Bacterial Overgrowth (SIBO).” Mayo Clinic, Mayo Foundation for Medical Education and Research, 6 Jan. 2022, www.mayoclinic.org/diseases-conditions/small-intestinal-bacterial-overgrowth/symptoms-causes/syc-20370168.

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GERD & The Role Of Stomach Acid

By
Dr. Alex Jimenez
-

Introduction

The gut system makes sure that any food that is being digested gets turned into nutrient particles and is transported all over the entire body. The food particles will be secreted out of the body to prevent waste from building up in the gut. The primary function of the gut system is to make sure that any food is being transformed into nutrients to help with growth, metabolism, and immune support for a functional body. The gut system also has a bidirectional connection to the brain as they send information back and forth to each other and keep the organs from being dysfunctional. When harmful pathogens enter the gut system, they can develop into chronic issues and affect the gut and the body. In this article, we will be looking at what GERD is, its symptoms, and how it can affect stomach acid. By referring patients to qualified and skilled providers who specialize in gastroenterology services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

What Is GERD?

 

Research studies have shown that GERD usually occurs when stomach acid frequently flows back and forth in the tube, where the mouth and the esophagus are connected, irritating the esophagus wall lining. So GERD or gastroesophageal reflux disease is the reflux of gastric contents into the esophagus in normal physiology and is defined as reflux leading to symptoms, esophageal mucosal injury, or both. The majority of individuals with GERD will show no abnormalities on upper endoscopy, and there are not any esophageal lesions (erosions, ulceration, intestinal metaplasia) for them to be diagnosed with GERD. Other research studies have also shown that GERD is a common digestive disorder that affects people worldwide and has troublesome symptoms and conditions that can affect a person’s quality of life.

 

The Symptoms Of GERD

Some of the typical symptoms of GERD that individuals will experience are heartburn, which is painful retrosternal burning or pressure sensation that may be angina‐like in quality, and regurgitation, which is the rising of gastric contents into the upper throat or mouth. Studies have shown that GERD can also be defined as mucosal damage due to the production of abnormal reflux of gastric contents. GERD can also be classified as NERD (non-erosive reflux disease) or ERD (erosive reflux disease) depending on how severe the presence or absence of esophageal mucosal damage GERD has caused in the esophagus. Some of the other symptoms that GERD can cause to the gut system and the body include:

An Overview Of GERD

What is GERD?

When a person gets acid reflux or even heartburn, it is completely normal since it does happen to anyone at some point in their lives. However, they develop GERD when they experience these gastric symptoms more than twice a week. GERD, as research shows, is a condition where stomach acid flows back and forth, irritating the esophageal tube. This is due to the esophageal sphincter not closing correctly as the food enters the stomach and the acid backwash leaves a sour taste in the throat and mouth.

GERD & The Role Of Stomach Acid

The stomach acid in the gut system ensures that the consumed food is digested and transported to the intestines (both large and small) to be distributed to the body, making it function properly. Research studies have found that weak stomach acid and bile in the stomach can cause unwanted gut disorders like GERD, esophagitis, and Barrett’s esophagitis. When GERD is disrupting the stomach acids by forcing them to go back and forth in the esophageal tube, it can cause unwanted symptoms that can cause a person discomfort. Weak stomach acid can also trigger persistent symptoms causing it to be the key to reflux symptoms in the gut.

 

GERD & Asthma

There are about 25 million individuals that have asthma, and this disorder can affect how a person breathes. However, GERD can trigger asthma symptoms by affecting the vagal reflex, the presence of acid in the esophagus, and the microaspiration of gastric contents into the trachea. Research studies have found that asthma and GERD can often occur together as GERD can worsen asthma symptoms. Conversely, asthma may cause GERD by altering the intrathoracic pressure, triggering the vagal reflex.

 

 

Other research studies have found that asthma causes chronic inflammation of the airways. When GERD interacts with asthma, it can cause an effect on the airways with an aspiration-induced response or even cause neurogenically induced inflammation. Since GERD is common for individuals with asthma, the symptoms and triggers can be developed into chronic issues over time. Studies have found that the installation of acid to reflux in the esophagus can stimulate vagal time and may trigger asthma symptoms in the airways.

 

Dilated Intercellular Spaces (DIS)

DIS or dilated intercellular spaces are also known as “leaky esophagus syndrome” as they are present on esophageal biopsy in virtually all GERD patients. Research studies have shown that DIS is considered a marker for GERD as the epithelial barrier is being reflected as an increase in paracellular permeability. The pathophysiology for DIS is thought to be repeated mucosal exposure to:

  • Refluxed acid
  • Digestive enzymes 
  • Bile acids

Dilated intercellular spaces may be responsible for the enhanced perception of proximal acid reflux and the symptoms in NERD individuals irrespective of esophageal acid exposure. Other research studies have shown that even though DIS is a structural marker of GERD symptoms, it does play a vital role in the pathophysiology of NERD individuals. DIS is also present in about 30% of asymptomatic patients with esophageal candidiasis, food allergies, eosinophilic esophagitis, and esophageal cancer.

 

Conclusion

Therefore, the gut system needs acid in the stomach as it helps break down the food into particles and be digested in the intestines, where it is transported throughout the entire body. When gut issues like GERD start to affect the wall linings of the esophagus, it can cause acid reflux and other symptoms to cause the gut to be upset. Suppose the symptoms are not treated right away. It can cause other chronic issues to flare up, like asthma symptoms and other gut disorders, developing over time, causing the body to be dysfunctional. Treatments for gut issues that are anti-inflammatory can provide relief to gut inflammation. They can even dampen the effects of inflammation not just in the gut but also in the entire body.

 

References

Ates, Fehmi, and Michael F Vaezi. “Insight into the Relationship between Gastroesophageal Reflux Disease and Asthma.” Gastroenterology & Hepatology, Millennium Medical Publishing, Nov. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC5395714/.

Badillo, Raul, and Dawn Francis. “Diagnosis and Treatment of Gastroesophageal Reflux Disease.” World Journal of Gastrointestinal Pharmacology and Therapeutics, Baishideng Publishing Group Inc, 6 Aug. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4133436/.

Caviglia, Renato, et al. “Dilated Intercellular Spaces of Esophageal Epithelium in Nonerosive Reflux Disease Patients with Physiological Esophageal Acid Exposure.” The American Journal of Gastroenterology, U.S. National Library of Medicine, Mar. 2005, pubmed.ncbi.nlm.nih.gov/15743349.

Clarrett, Danisa M, and Christine Hachem. “Gastroesophageal Reflux Disease (GERD).” Missouri Medicine, Journal of the Missouri State Medical Association, 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6140167/.

Li, James T C. “Asthma and Acid Reflux: Are They Linked?” Mayo Clinic, Mayo Foundation for Medical Education and Research, 30 Mar. 2021, www.mayoclinic.org/diseases-conditions/asthma/expert-answers/asthma-and-acid-reflux/faq-20057993.

Mastronarde, John G. “Is There a Relationship between Gerd and Asthma?” Gastroenterology & Hepatology, Millennium Medical Publishing, June 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3424477/.

Medical Professionals, Cleveland Clinic. “Gerd (Chronic Acid Reflux): Symptoms, Treatment, & Causes.” Cleveland Clinic, 6 Dec. 2019, my.clevelandclinic.org/health/diseases/17019-gerd-or-acid-reflux-or-heartburn-overview.

Orlando, Lori A, and Roy C Orlando. “Dilated Intercellular Spaces as a Marker of Gerd.” Current Gastroenterology Reports, U.S. National Library of Medicine, June 2009, pubmed.ncbi.nlm.nih.gov/19463218/.

Richter, Joel E. “Role of the Gastric Refluxate in Gastroesophageal Reflux Disease: Acid, Weak Acid and Bile.” The American Journal of the Medical Sciences, U.S. National Library of Medicine, Aug. 2009, pubmed.ncbi.nlm.nih.gov/19590427/.

Staff, Mayo Clinic. “Gastroesophageal Reflux Disease (GERD).” Mayo Clinic, Mayo Foundation for Medical Education and Research, 22 May 2020, www.mayoclinic.org/diseases-conditions/gerd/symptoms-causes/syc-20361940.

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How Sterolbiome & Bile Reflux Affect The Gut | Part 2

By
Dr. Alex Jimenez
-

Introduction

The body requires the gut and the intestines (both small and large) to store, digest, and transport the nutrients from food to all the body’s organs, tissues, muscles, and cells. These nutrients help the body by keeping it functional and promoting growth, metabolism, and immune support. When the food is being digested, the liver sends out bile acids to aid in the digestion process to break food particles and transport them and secreting them out of the body. Sometimes specific gut issues can start to affect both the intestines and gut, causing discomfort to the body. In this 2 part series, we will be looking at how bile acids are hormones, sterolbiome, and bile reflux. Part 1 looks at what bile acids are, their role in the gut, and what gall sludge is. By referring patients to qualified and skilled providers who specialize in gastroenterology services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

Are Bile Acids Hormones?

Research studies have found that the bile salts from bile acids are considered nutrient signaling hormones. They play a crucial role by allowing the gastrointestinal system to digest, transport, and metabolize nutrients throughout the entire body. Bile acids are hormones that regulate:

Other research studies have found that the essential role of bile acids is that they act as regulators for energy metabolism by acting as emulsifiers to cholesterol in the intestines. They can act like typical steroid hormones by having specific intracellular receptors in the target cells. When bile acids are in the intestines, they ensure that the particles are broken down and secreted into the bloodstream.

 

Sterolbiome

The gut microbiome or sterolbiome produces endocrine molecules from cholesterol-based molecules in the gut known as bile acids. Bile acids are also known to shape the gut microbiome fundamentally and vice versa, as studies show that bile acids can facilitate fat absorption while playing a role in glucose and metabolism regulation. This is important for bile acids mechanics because it can help stimulate the secretion of gut hormones. Other bacteria in the gut known as Clostridium scindens can help both the male and female bodies. This bacteria can increase blood estrogen levels and convert cortisol to male sex hormones while deconjugating the estrogen, allowing the hormone to be absorbed from the gut, advancing a more active serum estrogen.

Other studies have found that when bile acids are returned to the liver after circulating throughout the intestines and the body and accumulating in the biliary pool, the gut microbial community will produce bile acid metabolites through their capacity from the liver as an endocrine hormone.

How Bile Reflux Affect The Gut

What is Bile Reflux?

When bile acids are abundant in the gastrointestinal tract, it can cause a backup to the stomach organ and cause damage to the wall linings to the stomach and esophagus. It can cause tissue damage and inflammation in the gut system when this happens. If left untreated, it can turn into GERD or SIBO, causing more gut inflammation and making a person’s life miserable. However, there are some ways to dampen the effects of bile reflux by utilizing anti-inflammatory therapy treatments.

What Is GERD?

When the role of bile acids is a cause of esophageal inflammation or Barrett’s esophagus, a condition in which the esophageal lining cells become transformed (pre-cancerous). This is known as GERD or gastroesophageal reflux disease. Research studies have shown that GERD usually occurs when stomach acid frequently flows back and forth into the tube that connects the mouth and stomach, which can irritate the esophagus lining. So bile acids will be exclusively in conjugated form unless there is abnormal bacterial deconjugation in the duodenum.

 

There is little reflux of duodenal fluid into the stomach or esophagus in a healthy person because intragastric pressure is higher than intraduodenal pressure. However, in individuals with disordered gastroduodenal motility or pyloric sphincter dysfunction, there may be duodenal reflux that leads to reflux from the stomach to the esophagus. Other research studies show that now and then, mostly everyone has acid reflux and heartburn, which is entirely normal. However, if a person has acid reflux or heartburn more than twice a week, they are developing GERD in their gut system.

Bile Reflux

Reflux of duodenal contents through the pyloric valve is purported to be more common after cholecystectomy but is also seen in individuals with an intact gall bladder. Bile reflux, as research shows, can occur when the bile acids are backed up in the stomach and can be accompanied by stomach acid reflux into the esophagus. There are many ways this can happen to the gut as bile acids are produced in the liver, and their job is to break down food into particles. Other research studies have shown that when the valves in the digestive tract are not functioning right, bile reflux can happen and flow right back into the organs where they don’t belong.

 

Conclusion

Since the liver is the one to produce bile acids, it is known as a nutrient signaling hormone that is essential for gut metabolism, energy balance, and homeostasis to glucose and lipids. All in all, bile acids are part of the digestive system as they help break down foods into particles and help them be transported throughout the entire body. When there is little bile fluid in the intestines, it can cause gut disorders like GERD or bile reflux, causing the bile acid to go into the stomach and causing irritation to the wall linings esophagus, causing discomfort to the individual. Incorporating anti-inflammatory treatments into the gut system can help the bile acids return to normal and make the body functional.

 

References

Kuhre, Rune E, et al. “Bile Acids Are Important Direct and Indirect Regulators of the Secretion of Appetite- and Metabolism-Regulating Hormones from the Gut and Pancreas.” Molecular Metabolism, Elsevier, May 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6001409/.

Medical Professionals, Cleveland Clinic. “Bile Reflux: Symptoms, Treatment, Causes & What It Is.” Cleveland Clinic, 18 Nov. 2021, my.clevelandclinic.org/health/diseases/22056-bile-reflux.

Medical Professionals, Cleveland Clinic. “Gerd (Chronic Acid Reflux): Symptoms, Treatment, & Causes.” Cleveland Clinic, 6 Dec. 2019, my.clevelandclinic.org/health/diseases/17019-gerd-or-acid-reflux-or-heartburn-overview.

Ridlon, Jason M, and Jasmohan S Bajaj. “The Human Gut Sterolbiome: Bile Acid-Microbiome Endocrine Aspects and Therapeutics.” Acta Pharmaceutica Sinica. B, U.S. National Library of Medicine, 9 Feb. 2015, pubmed.ncbi.nlm.nih.gov/26579434/.

Staff, Mayo Clinic. “Bile Reflux.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 6 Jan. 2022, www.mayoclinic.org/diseases-conditions/bile-reflux/symptoms-causes/syc-20370115.

Staff, Mayo Clinic. “Gastroesophageal Reflux Disease (GERD).” Mayo Clinic, Mayo Foundation for Medical Education and Research, 22 May 2020, www.mayoclinic.org/diseases-conditions/gerd/symptoms-causes/syc-20361940.

Zagoskin, P P, and E I Erlykina. “Bile Acids as a New Type of Steroid Hormones Regulating Nonspecific Energy Expenditure of the Body (Review).” Sovremennye Tekhnologii v Meditsine, Privolzhsky Research Medical University, 28 Oct. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8596256/.

Zhou, Huiping, and Phillip B Hylemon. “Bile Acids Are Nutrient Signaling Hormones.” Steroids, U.S. National Library of Medicine, Aug. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4073476/.

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How Bile Acids Help Regulate The Gut | Part 1

By
Dr. Alex Jimenez
-

Introduction

The body’s primary job is to make sure that each organ system works correctly and does its job. One of the systems in the body is the gut system, and its position is to make sure that the food is being consumed and digested to be turned into nutrients and transported throughout the entire body. The gut system makes sure that the food is being digested and excreted out of the body to be functional. The digestion of the food being turned into particles is done through the bile acids in the stomach and the intestines (both large and small) to help turn the foods into nutrients and help regulate the entire digestive system. In this 2 part series, we will be looking at what bile acids are, their role in the gut, and what gall sludge is. Part 2 will look at how bile acids are hormones, sterolbiome, and bile reflux. By referring patients to qualified and skilled providers who specialize in gastroenterology services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable 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, please call Dr. Jimenez at 915-850-0900.

Download

The Gut’s Role In The Body

 

Since the human body is a complex ecosystem that is predominantly bacterial on a cellular and gene level, the various surfaces of the body are an interconnected network of ecosystems made up of human cells, bacteria, and archaea. These include:

As research studies have found, the gut microbiota is home to a complex community of over trillions of microbial cells that help influence the human body’s physiology, metabolism, nutrition, and immune function to ensure that everything is working and functioning correctly. Through their capacity, the gut microbial community can also produce bile acid metabolites that are distinct from the liver. The produced bile acids from the liver can be thought of as an endocrine organ with the potential to alter host physiology, perhaps to their favor. 

 

Bile Acids

Bile acids are produced from the liver to help with the aid of digestion of foods to be absorbed into the body. The liver synthesizes and secretes water-soluble primary bile acids, converted by intestinal flora into numerous fat-soluble compounds. Research studies show that bile acids are large molecules synthesized from cholesterol in the liver and are secreted out to the intestines. After that, these bile acids are absorbed into the blood, returned to the liver, and accumulate in the biliary pool. It takes about 16 enzymes needed to convert cholesterol to bile acids.

 

 

Other research studies have also found that the composition of the bile pool is being mediated by the bacterial metabolism in the intestinal tract, thus linking to the body’s physiology. When this happens, the liver cells also attach bile salts to glycine, taurine, sulfate, or glucuronide, forming a conjugation. However, flora in the ileum and colon may undo this process, causing a deconjugation as Bilirubin pigments are conjugated with glucuronic acid. Gilbert’s syndrome occurs if this does not happen as well as it should due to a genetic enzyme deficiency. For the bile pool, the primary mechanism for removing cholesterol from the blood is excretion into the bile. About 5% of the bile gets into the large intestine and is eliminated in the stool. Although with increasing levels, these bile acids can cause diarrhea. It is hypothesized that if these bile acids are deficient, functional constipation may occur in the body.

 

Primary Bile Acids

Primary bile acids form micelles with lecithin and cholesterol to mix fat and water, allowing the absorption of fats and fat-soluble vitamins. Research studies have shown that the two primary bile acids are synthesized from cholesterol in the liver, which are:

  • Cholic acid
  • Chenodeoxycholic acid

The primary bile acid chenodeoxycholic acid (CDCA) and the secondary bile acid deoxycholic acid (DCA) function as laxatives for the gastrointestinal tract. They do this by increasing water secretion from the blood into the bowel, causing the bile to be turned into a stool and being excreted out of the body. Primary bile acid also ensures that it is being secreted into the intestines, thus undergoing bacterial biotransformation that will generate the primary bile acid into secondary bile acid.

 

Secondary Bile Acids

Secondary bile acids are metabolites that influence nuclear receptors in the body as they can be carcinogens. The two secondary bile acids are made when intestinal flora act on the primary bile acids as:

  • Deoxycholic acid
  • Lithocholic acid

Since the biliary system is a route of detoxification for the liver, bile acids can be therapeutic agents for the body. Research studies have shown that the enterohepatic circulation of bile acids (both primary and secondary) from the liver to the intestines and back to the liver plays a vital role in nutrient absorption and distribution and provides metabolic regulation and homeostasis to the liver and the body.

An Overview Of Bile Acid In The Gut

Bile Pathways and the Enterohepatic Circulation, Animation

Bile acids are essential to the body’s overall health and wellness as they help break down food particles into nutrients so the body can use them for energy, growth, and metabolism. Studies have found that bile acids have been long known to facilitate digestion and absorption of lipids in the intestines and regulate cholesterol homeostasis. Since bile acids are produced from the liver, bile acids must regulate the endocrine and digestive systems for optimal health and wellness.

What Gallsludge Does To The Gut

 

Biliary sludge (microlithiasis) is a reversible suspension of precipitated particulate matter in bile in a viscous mucous liquid phase. The most common precipitates are cholesterol monohydrate crystals, calcium-based crystals, granules, and salts. Research studies have shown that gall sludge is when there is a collection of particles from the bile acids that are remaining in the gallbladder for too long. Individuals with biliary sludge or microlithiasis are believed to be gallstone patients at an early stage of their disease. The best way for many individuals to treat gall sludge is to go for oral bile-acid therapy. This therapy is for mildly symptomatic individuals with small radiolucent stones who cannot or do not want to undergo surgery. Other research studies have found that medical treatment can help prevent sludge formation and recurrent acute pancreatitis.

Conclusion

Overall, the gut system needs bile acids to aid in the progress of digestion and absorb the nutrients from food particles in the stomach. The food particles then go through biotransformation as they are broken down further from the primary bile acids and then transformed to become secondary bile acids. Since the bile acids are produced from the liver, it is considered a hormone with an essential function by ensuring that the entire body functions correctly and excreting out. When the bile acids have stayed in the gallbladder for long periods, it can create gall sludge and cause unwanted diseases in the body. Incorporating proper gut health protocols can provide beneficial results in producing bile acids and ensuring a healthy body.

 

References

National Institute of Diabetes and Digestive and Kidney Diseases; 2012-., Bethesda (MD). “Bile Acids.” LiverTox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]., U.S. National Library of Medicine, 25 Sept. 2017, www.ncbi.nlm.nih.gov/books/NBK548626/.

Chiang, John Y L. “Bile Acid Metabolism and Signaling.” Comprehensive Physiology, U.S. National Library of Medicine, July 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4422175/.

Guinane, Caitriona M, and Paul D Cotter. “Role of the Gut Microbiota in Health and Chronic Gastrointestinal Disease: Understanding a Hidden Metabolic Organ.” Therapeutic Advances in Gastroenterology, SAGE Publications, July 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3667473/.

Jain, Rajeev. “Biliary Sludge: When Should It Not Be Ignored?” Current Treatment Options in Gastroenterology, U.S. National Library of Medicine, Apr. 2004, pubmed.ncbi.nlm.nih.gov/15010024/.

Staels, Bart, and Vivian A Fonseca. “Bile Acids and Metabolic Regulation: Mechanisms and Clinical Responses to Bile Acid Sequestration.” Diabetes Care, American Diabetes Association, Nov. 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2811459/.

Staley, Christopher, et al. “Interaction of Gut Microbiota with Bile Acid Metabolism and Its Influence on Disease States.” Applied Microbiology and Biotechnology, U.S. National Library of Medicine, Jan. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5203956/.

Taylor, Sarah A, and Richard M Green. “Bile Acids, Microbiota, and Metabolism.” Hepatology (Baltimore, Md.), U.S. National Library of Medicine, Oct. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6173626/.

Villines, Zawn. “Gallbladder Sludge: Symptoms, Causes, and Treatments.” Medical News Today, MediLexicon International, 18 Nov. 2017, www.medicalnewstoday.com/articles/320057.

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