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Plantar Fasciitis & Trigger Points On The Feet

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

Introduction

Everyone worldwide knows that feet are important. The feet allow many individuals to run, walk, or jog for long periods without feeling pain for a moderate amount of time. To that point, the various muscles and tendons surrounding the foot provide full body flexion, extension, and stability. Even though it is very easy to get in the recommended amount of steps into being healthy, around 75% of individuals will have foot pain that can impact their ability to walk. One of the most common foot pains is plantar fasciitis, which can become a painful foot condition if it is not treated as soon as possible. Today’s article looks at plantar fasciitis, its symptoms, how trigger points correlate, and treatments for it. We refer patients to certified providers incorporating techniques and therapies for individuals dealing with plantar fasciitis. By locating where the trigger points are coming from, many pain specialists can develop a treatment plan to reduce the effects that plantar fasciitis is causing on the feet. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

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What Is Plantar Fasciitis?

 

Have you been dealing with constant heel pain? Do you feel pain shooting up your leg when you step or walk? Or do you feel a stabbing ache in your heel? Many of these pain issue people are dealing with correlate with plantar fasciitis. Studies reveal that plantar fasciitis results from degenerative irritation on the plantar fascia and its ligaments. This causes the muscle ligaments to become inflamed, swollen, and weak, which then causes the bottom of the foot or heel to hurt when a person is walking or standing. To that point, when there is a repetitive strain on the feet, it causes microtears in the plantar fascia. The plantar fascia in the foot plays an important role as it comprises three segments that support the medial arch and shock absorption when stepping down. As one of the most common causes of heel pain, the residual pain from plantar fasciitis tends to be a sharp, stabbing sensation. Plantar fasciitis is more prominent in middle-aged people. Still, anyone at any age can develop plantar fasciitis, especially if they have labor jobs requiring them to be constantly on their feet.

 

Symptoms Of Plantar Fasciitis

Since around 2 million Americans could potentially develop plantar fasciitis, it is important to know that when a person has been on their feet constantly, there will be inflammation along the tissues in the feet. Many individuals with a busy lifestyle that requires them to be on their feet frequently would often ignore the pain or discomfort. Some of the symptoms that plantar fasciitis causes include the following:

  • Pain on the bottom of the heel
  • Pain in the arch 
  • Pain that is usually worse when waking up
  • Pain that increases over months
  • Swelling on the bottom of the heel

However, when the pain becomes overbearing, many people would often think they have sore feet or low back pain from being overly tired from work, under constant stress, or over-exerting their bodies. When this happens, many would think the pain would go away in a few days after resting for a short period.

 

Trigger Points Associated With Plantar Fasciitis

 

Now many individuals would often think that plantar fasciitis just only affects the heels, however, it can affect any part of the structure of the foot since all the surrounding muscle tissues are at risk of inflammation. When people start to ignore the pain and discomfort that plantar fasciitis is causing on the feet, it can overlap and develop trigger points in other areas of the body:

  • Ankles
  • Knees
  • Hips
  • Lower back

Studies reveal that trigger points or myofascial pain syndrome are hard, discrete, small nodules that are along the taut musculoskeletal band that causes numerous issues like inflammation, hypersensitivity, and pain to the affected muscle groups in the body. According to “Myofascial Pain and Dysfunction” written by Dr. Travell, M.D., it mentions that when the deep intrinsic muscles that work with the plantar fascia are affected by trigger points, would cause symptoms of numbness and the feeling of swelling in the foot. This causes many people to have limited mobility and have intense pain when walking, which can negatively impact their lifestyle.

 

An Overview Of Plantar Fasciitis- Video

Understanding Plantar Fasciitis

Have you been dealing with aching feet? Do you feel a sharp, radiating pain in your feet? Or do you have difficulty walking? Many often think they are dealing with sore feet or other issues causing them pain. Around 75% of Americans often have foot pain affecting their ability to walk, and one of them is plantar fasciitis. The video above explains plantar fasciitis and how it can affect the feet. When the plantar fascia tendons become overused, it causes micro-tears in the muscle ligaments. When added compressive force starts to push against the heel boner, it can lead to a pathological state whereby the plantar fascia degenerates and creates dysfunction and pain. When this happens, it can lead to other conditions like trigger point pain along the muscle fibers in the foot. The pain and tenderness caused by trigger points in the plantar muscles may mask as plantar fasciitis. To that point, when plantar fasciitis becomes an issue and causes the individual to be in immense pain, it can become problematic. As luck would have it, treatments are available to reduce the pain from plantar fasciitis.

Treatments For Plantar Fasciitis

 

When treating plantar fasciitis, many available treatments can reduce the inflammatory effects in the heel and prevent trigger points from coming back. One of the available treatments is chiropractic care. Chiropractic care is an alternative treatment option to prevent, diagnose, and treat numerous injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems through spinal manipulation and adjustments. A chiropractor can carefully re-align the spine, improving a patient’s strength, mobility, and flexibility. Regarding plantar fasciitis, chiropractic care can work with other treatments, including physical therapy, massage, and even injections, to manage the pain and treat the condition. Even though plantar fasciitis takes several months to heal, chiropractic care can involve a precise technique that involves adjustments to the feet, ankles, and spinal alignment. This provides several benefits, which include the following:

  • Reduces Stress in the Plantar Fascia 
  • Promotes Healing 
  • Provides Effective Pain Management 
  • Reduces the Risk of Further Injury 

 

Conclusion

As many individuals worldwide are on their feet constantly, foot pain can hinder one’s ability to move. One of the most common foot pain is plantar fasciitis which can correlate with trigger points along the various muscles of the foot. Plantar fasciitis results from degenerative irritation on the plantar fascia and its ligaments, which causes sharp, stabbing pain on the heel. When this happens, it can cause the heel to be inflamed, swollen, and weak. To that point, it causes instability and pain when walking. However, plantar fasciitis can be treated when it is caught early through various treatments like chiropractic care. Chiropractic care can reduce the stress in the plantar fascia and help reduce the risk of further injuries. Combined with other therapies, many people can function normally and regain their walking ability without pain.

 

References

Buchanan, Benjamin K, and Donald Kushner. “Plantar Fasciitis – StatPearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 30 May 2022, https://www.ncbi.nlm.nih.gov/books/NBK431073/.

Petrofsky, Jerrold, et al. “Local Heating of Trigger Points Reduces Neck and Plantar Fascia Pain.” Journal of Back and Musculoskeletal Rehabilitation, U.S. National Library of Medicine, 2020, https://pubmed.ncbi.nlm.nih.gov/31594202/.

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

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.

Disclaimer

Agility Enhancement: Sciatica Functional Wellness Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Female physical therapist helping her patient

Agility is the ability to accelerate, decelerate, stabilize, and quickly change directions with proper form and posture. Everyone, athletes and non-athletes, use agility every day. This can be maneuvering around objects during a jog, shifting movements or positions when walking through a crowd, reaching toward the highest shelf, or carrying things upstairs. These controlled reactions require a balance of coordination, speed, stamina, and strength. Injury Medical Chiropractic and Functional Medicine Clinic can provide agility enhancement through adjustments, massage, and decompression to relax the body, strengthen the muscles, and improve circulation and nerve function.

Agility Enhancement: EP's Chiropractic Functional TeamAgility Enhancement

Individuals need skill and control to react to a stimulus or movement. Agility requires muscular coordination, efficiency, and cohesiveness between the upper and lower body. Agility and reaction time are two components of neuromusculoskeletal health that work together. Agility enhancement can improve cognitive ability, power production, and physical performance. Agility enhancement improves overall physical skills, including:

  • Balance
  • Stability
  • Coordination
  • Body Control
  • Cognition
  • Recovery time

Chiropractic Care

Chiropractic improves agility neurologically through improved circulation and energy flow in the nervous system.

Injury Treatment and Prevention

Agility enhancement can help with injury prevention, as agility training increases control, balance, and flexibility. It teaches the correct body placement while moving to protect the knees, shoulders, and lower back. It also helps to strengthen the muscles and improve the resiliency of the connective tissue allowing them to shorten and lengthen rapidly. This helps prevent injuries and relieves pain and stiffness associated with muscle overuse.

  • Stiffness often occurs from the overuse of muscles.
  • Stiffness reduces flexibility, increasing the risk of injury and affecting movement and physical capabilities.
  • Stiffness can even occur from changes in everyday routines.
  • Chiropractic prevents the muscles from tensing up, reducing stiffness and increasing your range of motion.
  • Chiropractic helps strengthen the musculoskeletal system, which makes it easier to maintain normal balance.
  • Chiropractic can strengthen the muscles by making the muscle fibers more excitable, contributing to quicker reaction time.

We create rehabilitation and strength and conditioning treatment plans that are individualized for each individual. This program entails the following:

  • Chiropractic assessment.
  • Therapeutic massage.
  • Rehabilitation exercises.
  • Strengthening of the whole body.
  • Posture, mobility, and performance education for improved movement.
  • Health and nutritional recommendations.

Our treatment programs are designed to improve each individual’s whole body health and decrease the risk of injury.

Improve Balance And Agility

References

Ali, Kamran, et al. “Comparison of Complex Versus Contrast Training on Steroid Hormones and Sports Performance in Male Soccer Players.” Journal of chiropractic medicine vol. 18,2 (2019): 131-138. doi:10.1016/j.jcm.2018.12.001

Järvinen, Tero A H, et al. “Muscle injuries: optimizing recovery.” Best practice & research. Clinical rheumatology vol. 21,2 (2007): 317-31. doi:10.1016/j.berh.2006.12.004

Lennemann, Lynette M et al. “The influence of agility training on physiological and cognitive performance.” Journal of strength and conditioning research vol. 27,12 (2013): 3300-9. doi:10.1519/JSC.0b013e31828ddf06

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

Foot Pain, Plantar Fasciitis, & Trigger Point Pain

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

Introduction

The various muscles and tendons surrounding the foot play an important role as they provide stability to the lower parts of the body and allow the individual to move and flex their feet. These various muscles and tendons help support the ankles and allow leg movement. Many people will be on their feet constantly as the world moves and sometimes have to deal with various issues affecting their ability to walk. As the body naturally ages, many people will begin to shuffle their feet around, which causes strain on the foot muscles and can affect the calves and legs over time. To that point, it can lead to foot pain and other conditions that can affect the individual. Other issues that can affect the feet and its muscle could be incorrect footwear, how they are standing, or how they walk. When this happens, conditions like plantar fasciitis and trigger point pain can affect the feet differently. Today’s article focuses on the superficial intrinsic foot muscles, how trigger points and plantar fasciitis correlate with foot pain, and how to strengthen the foot muscles. We refer patients to certified providers incorporating techniques and therapies in the lower body extremities of trigger points affecting the feet. This helps many people with trigger point pain symptoms associated with plantar fasciitis along the intrinsic foot muscles. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Alex Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

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The Superficial Intrinsic Foot Muscles

 

As stated earlier, the foot has various muscles and tendons that allow stability to the ankles and allow movement when a person is walking. The foot has two muscle groups: the extrinsic and intrinsic muscles. Today we will look at the intrinsic foot muscles and how important these muscles are in the foot. Studies reveal that the intrinsic foot muscles are highly important as they are contained to the foot and contribute to supporting the medial longitudinal arch. The intrinsic foot muscles are superficial and help keep the toes straight while providing flexion and extension when in motion. The foot has about 29 muscles, including 10 surrounding the foot and ankle, while the other 19 are intrinsic and provide the roles for gait and posture. The 19 intrinsic muscles have the following:

  • Abductor Hallucis
  • Quadratus Plantae
  • Flexor Hallucis Brevis
  • Flexor Digitorum Brevis
  • Abductor Digiti Minimi
  • Flexor Digiti Minimi
  • The Interossei Muscles
  • The Lumbricals

These muscles allow individuals to walk, run, or jog without pain. However, when the intrinsic muscles become impaired, studies reveal that intrinsic foot muscle function could be linked to various foot conditions that affect a person’s walking ability.

 

How Does Foot Pain Correlate With Plantar Fasciitis & Trigger Points?

Studies reveal that foot pain can cause an unpleasant sensory and emotional experience as many factors can affect how a person is walking and can lead to various issues affecting the lower extremities’ mobility. When multiple issues affect how a person walks, the intrinsic muscle and other muscles surrounding the ankle and foot could become strained and overlap with other foot conditions. When foot pain affects the intrinsic foot muscles, co-existing muscle impairments could affect the alignment, motion, load distribution, and muscle performance that involves the legs. When these impairments are causing foot pain, it can correlate with trigger points and conditions like plantar fasciitis that can affect a person walking. But how does foot pain connect with plantar fasciitis and trigger points?

 

According to Dr. Travell, M.D.’s book “Myofascial Pain and Dysfunction,” when tension starts to overload the foot, the intrinsic muscles develop tiny nodules in the muscle fibers and reduce the muscle strength of the medial arch. To that point, it can collapse and cause the foot to develop inflammation associated with repetitive actions that cause plantar fasciitis in the feet. When this happens, it can affect a person’s ability to walk, run, stand, and affect the lower extremities’ mobility. If it is not treated right away, it can cause muscle and joint pain in the hips, legs, knees, and lower back.

 

An Overview Of The Intrinsic Foot Muscles-Video

Plantar foot muscles

Have you been dealing with issues on your feet? Do you find it difficult to step down or walk? Or have you been rubbing your feet constantly to reduce the soreness in your feet? Many of these issues correlate with trigger points affecting the intrinsic foot muscles that could cause foot issues like plantar fasciitis. The foot has various muscles, like the intrinsic muscles, that allow gait and stability to the body. Multiple factors affecting the intrinsic foot muscles can lead to instability, muscle strain, tendon stress, and muscle and joint pain. This can affect how a person moves throughout the day and their quality of life. The video above explains where each different muscles are, which ones are extrinsic and intrinsic, and how each muscle helps with foot function. When various issues begin to affect the foot and cause mobility issues, multiple techniques are available to help strengthen the foot muscles and prevent future problems from affecting the feet.

Strengthening The Foot Muscles

 

Regarding trigger point pain affecting the intrinsic foot muscles, various techniques can reduce the pain-like symptoms of trigger points and prevent foot issues like plantar fasciitis from re-occurring. Studies reveal that light, non-weight-bearing exercises like cycling and swimming can minimize muscle overload on foot. Other ways to strengthen the intrinsic foot muscles are by stretching the toe flexors to help improve stability and prevent hypermobility in the foot. Other techniques that can reduce trigger points in the foot’s muscle fibers include using a cylindrical or spherical object and rolling under the arches to massage and loosen stiff muscles. Many of these techniques could help restore foot functionality and stability while reducing future issues like plantar fasciitis in the feet. To that point, allow people to walk pain-free again.

 

Conclusion

The foot has 29 muscles, including ten extrinsic muscles surrounding the foot and ankle and 29 intrinsic muscles on the foot. The intrinsic muscles are highly important for foot functionality as they are superficial and contribute to supporting the medial longitudinal arch. The intrinsic foot muscles also help keep the toes straight and allow flexion and extension when in motion. These muscles also help a person walk and stabilize the ankle. When various factors affect a person’s walking ability, it can lead to muscle strain and tendon stress to the foot, leading to the development of trigger points in the intrinsic muscle fibers and causing pain. This could cause foot conditions like plantar fasciitis and other co-existing muscle impairments that can affect the lower extremities’ mobility while causing muscle and joint pain in the hips, legs, knees, and lower back. Luckily there are available techniques that can help massage, stretch, and strengthen the intrinsic foot muscles while reducing trigger points and their associated symptoms from re-occurring. To that point, these techniques can allow many individuals to walk without feeling pain.

 

References

Card, Ryan K, and Bruno Bordoni. “Anatomy, Bony Pelvis and Lower Limb, Foot Muscles.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 27 Feb. 2022, https://www.ncbi.nlm.nih.gov/books/NBK539705/.

Gooding, Thomas M, et al. “Intrinsic Foot Muscle Activation during Specific Exercises: A T2 Time Magnetic Resonance Imaging Study.” Journal of Athletic Training, U.S. National Library of Medicine, Aug. 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5094843/.

Hawke, Fiona, and Joshua Burns. “Understanding the Nature and Mechanism of Foot Pain.” Journal of Foot and Ankle Research, U.S. National Library of Medicine, 14 Jan. 2009, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2631512/.

Hayter, Matt. “Why Do We Need the Intrinsic Muscles of the Foot? [Guide 2022].” Dynamic Podiatry, 2022, https://www.dynamicpodiatry.com.au/what-are-the-intrinsic-muscles-of-the-foot-guide-2019/#intrinsic.

Lim, Ang Tee, et al. “Management of Plantar Fasciitis in the Outpatient Setting.” Singapore Medical Journal, U.S. National Library of Medicine, Apr. 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4853481/.

Soysa, Achini, et al. “Importance and Challenges of Measuring Intrinsic Foot Muscle Strength.” Journal of Foot and Ankle Research, U.S. National Library of Medicine, 26 Nov. 2012, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3544647/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.

Disclaimer

Tight Back Muscles: Sciatica Functional Wellness Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Female physiotherapist performing therapeutic massage procedure while male patient lying on massage table in clinic

There is a multitude of reasons why back muscles tighten and stiffen up. Muscles pull the bones and joints. Overuse and/or injuries can pull the bones, joints, and tendons out of place, thus causing the muscles to stay in a flexed or stretched position, the inability for the muscles to relax and return to their normal position, resulting in symptoms of discomfort, stiffness, and pain. Individuals can have reoccurring bouts of tight muscles, eventually becoming chronic. Chronic muscle tension can pull the spine out of alignment even if there is no specific injury. The Injury Medical Chiropractic and Functional Wellness Team can relieve tight back muscle tension and restore positioning, mobility, and function.

Tight Back Muscles: EP's Chiropractic Functional Wellness TeamMuscles are the Key

Muscles make the body move and greatly impact the skeletal and nervous systems. When a muscle is overstretched or pulled, there is not just injury to the muscles but the potential for injury to the bones and tendons in the area. This, in turn, can pinch nerves and cause problems with the nervous system, especially in pain signal transmissions.

Symptoms

Symptoms will depend on the cause and severity. The most common include:

  • Constant or chronic muscle achiness, soreness, stiffness, and tightness.
  • Even after stretching or flexing, there is a dull aching or pain.

More serious symptoms may include:

  • Electrical or burning sensations
  • Sharp or stabbing pain.
  • Weakness in the legs or arms
  • Tingling or numbness in the legs, arms, or chest.
  • Chest discomfort symptoms.

Causes

Aging

The older a person is, the more likely they will experience back discomfort symptoms. Back issues most likely occur in 30- to 50-year-olds.

  • The aging process naturally wears the body.
  • Thinning bones
  • Muscle mass reduction
  • Fluid loss between joints in the spine.
  • All these can cause back issues and problems.

Unhealthy posture

Constant pressure on the spine can lead to general back discomfort symptoms. Practicing unhealthy posture can generate this pressure. The muscles and ligaments must work harder to keep the body balanced because the muscles are out of position, and the other muscles can’t perform their job properly. Overworking and overuse lead to tight back muscles, aches, and pain.

Muscle sprain or strain

Sprains are the tearing or stretching of ligaments. Strains are the tearing or stretching of muscles and tendons. Lifting heavy objects without proper form can easily cause a back sprain or strain. Sprains and strains can also occur after an awkward, sudden, or jerking movement.

Herniated disc

A herniated, slipped, or ruptured disc puts pressure on a nerve/s. This can stress the surrounding muscles causing tension to build up.

Fall or other injuries

Tight back muscles can result from the following:

  • A fall
  • Vehicle accident
  • Force Trauma
  • Sports accident

Weight gain

Added weight stresses and pulls the body down. This causes unhealthy posture and muscle tension.

Chiropractic Functional Wellness

Usually, tight muscles can be relieved with a hot bath or cold therapy. Reoccurring bouts of, or chronically tense back muscles, are signals that something is wrong and should not be ignored. Chiropractic care can release and relax tight back muscles and get them back into a natural state by re-aligning the spine through tissue manipulation, decompression, massage, and adjustments. The various treatment methods will relieve the discomfort, pain, tension, and realign the spinal column, and strengthen the body. When spinal components are put back into their proper place, the surrounding muscles no longer need to provide a counter-balance to the misalignment and begin to relax. Chiropractors can also recommend ways to improve posture and strengthen muscles to incur less wear and tear.

Chiropractic Back Therapy

References

Furlan, Andrea D et al. “Complementary and alternative therapies for back pain II.” Evidence report/technology assessment,194 (2010): 1-764.

Geneen, Louise J et al. “Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews.” The Cochrane database of systematic reviews vol. 4,4 CD011279. 24 Apr. 2017, doi:10.1002/14651858.CD011279.pub3

Mayo Clinic Staff. (2017). Back pain: Symptoms. mayoclinic.org/diseases-conditions/back-pain/basics/symptoms/con-20020797

Miake-Lye, Isomi M et al. “Massage for Pain: An Evidence Map.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 25,5 (2019): 475-502. doi:10.1089/acm.2018.0282

Nahian, Ahmed, et al. “Osteopathic Manipulative Treatment: Facial Muscle Energy, Direct MFR, and BLT Procedure – for TMJ Dysfunction.” StatPearls, StatPearls Publishing, 12 September 2022.

Rahman Shiri, Jaro Karppinen, Päivi Leino-Arjas, Svetlana Solovieva, Eira Viikari-Juntura, The Association Between Obesity and Low Back Pain: A Meta-Analysis, American Journal of Epidemiology, Volume 171, Issue 2, 15 January 2010, Pages 135–154, https://doi.org/10.1093/aje/kwp356

Toe Flexors & Trigger Points

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

Introduction

Regarding different destinations, our feet allow the legs and the lower body to move forward and stabilize the upper extremities from putting so much weight on the body itself. The lower portion of the body contains the hips, pelvis, legs, and feet. Within each section of the lower body, various muscles surround the joints and skeletal features of the lower half. For the hips, multiple muscles and tendons help support hip mobility and pelvic function. The legs work with the thigh as numerous muscles and tendons help the legs have more power to move. The lower portion of the legs works with the knee to allow extension and flexion to move as well. And finally, the ankles and feet work with various muscles to enable movement to the toes. The different muscles in the toes help stabilize the foot from causing issues to the ankles. However, when multiple injuries or factors begin to affect the muscles in the toes, it can lead to myofascial pain syndrome or trigger points to affect not only the toes but the entire portion of the legs and travel up to the hips. 

 

Today’s article looks at the flexor muscles of the toes, how calf pain is associated with trigger points affecting the toes, and how different treatments and stretches can alleviate trigger points along the toe flexor muscles. We refer patients to certified providers that incorporate various techniques and therapies in the lower body extremities pertaining to trigger points affecting the legs, calves, and feet. This helps many people with pain symptoms along the flexor toe muscles, causing pain when doing everyday actions like stepping or walking. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Alex Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

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The Flexor Muscles Of The Toes

Have you been dealing with stability issues that are affecting the way you are standing? How about coping with unquestionable calf or foot pain? Do you feel aches in your big toe? Many of these issues affecting the feet are correlated with the flexor muscles in the toes. The flexor muscles are the flexor digitorum longus and the flexor hallucis longus. These muscles are located in the calf region of the lower leg and travel downwards to the ankle, forming the tendons for the feet and toes. Research studies reveal that the flexor digitorum longus muscle is a thin muscle located in the tibia’s deep posterior muscles and provides operational support to the four different sections of the toes and allows flexion. While other research studies reveal that the flexor hallucis longus muscle is a deep posterior muscle located in the fibula and provides flexion to the great toe while serving to plantarflex and inversion to the foot.

 

Now the flexor muscles work together to allow stability to the foot when a person is walking. Additional studies have shown that the flexor muscles are active as many people push off from the heel to allow movement to the toes and feet when stepping on the ground. This action enables the flexor muscles to contract and exerts much energy to allow the feet to move. However, when the body begins to age naturally, or various issues affect the lower body extremities, it can lead to multiple problems affecting a person’s mobility. 

 

Calf Pain Associated With Trigger Points Affecting The Toes

 

As the body ages naturally, a person’s mobility will eventually begin to decline as they shuffle in their steps instead of picking up their feet to move. Studies reveal that when older adults start to age naturally, they tend to have a decreased foot posture that enables them to have a more pronated foot than a supinated foot. When this happens, it can reduce mobility in their legs while also causing stress to the flexor muscles and have a high occurrence in lower extremity injuries like patellofemoral pain or tendon dysfunction. Stress in the flexor muscles can lead to the potential development of trigger points along the flexor muscles, which can correlate to calf pain. Dr. Janet Travell, M.D.’s book, “Myofascial Pain and Dysfunction,” mentioned that trigger points along the toe flexor muscles could potentially cause impaired mobility and strain to the foot. Since the flexor muscles are located in the calves, many individuals that incorporate running, jogging, or walking as part of their daily lives can be affected. To that point, if a person is walking on uneven ground, it can cause the foot to be hyper-pronated and lead to calf pain. At the same time, trigger points in the flexor muscles can cause symptoms of muscle spasms and cramps which can become overlapping risk profiles for ankle and foot pain.

Treating Trigger Points Along The Flexor Muscles- Video

Treating trigger points in the tibialis posterior and flexor digitorum longus

Have you been dealing with unexplainable muscle spasms in your calves? Do you feel unstable when walking for a long time? Or do you notice you shuffle instead of picking up your feet? Many of these issues are correlated with trigger points affecting the flexor muscles of the toes that are causing pain to the calves and feet. When it comes to trigger points along the flexor muscles of the toes, studies show that it can develop a “trigger toe” where the flexor hallucis muscle that is providing flexion to the great toe, is in pain which leads to foot issues like plantar fasciitis or ankle pain. Fortunately, all is still possible as there are different stretches and treatments to reduce trigger points associated with the toe flexor muscles. The video above explains where the flexor muscles are located in the calve region of the leg and demonstrates how to stretch the flexor muscle to prevent trigger points from returning.

Different Stretches & Treatments For Toe Flexor Muscles

 

When relieving foot and calf pain associated with trigger points affecting the flexor muscles, there are different stretches and treatments to reduce pain-like symptoms associated with trigger points. Studies reveal that incorporating various muscle-strengthening exercises that target the calves could improve postural balance on the feet. Or find the right footwear to prevent trigger points from appearing in the future. Other stretches like toe grasping and flexing the foot allow many pain specialists to locate where the trigger points affect the flexor muscles and develop a treatment plan to reduce the effects of trigger points along the toe flexor muscles. Some of the treatments include chiropractic care. Now, doesn’t chiropractic care only incorporate spinal adjustments on the back? Yes, it does, but it can also alleviate other issues. As stated earlier, the feet provide stability to the lower body extremities. When problems affect a person’s balance can cause limited mobility to the hips, affect the legs and feet over time, and develop trigger points along the way. With chiropractic care, chiropractors can restore hip mobility through mechanical and manual manipulation of the spine and can help loosen the stiff joints and muscles that are causing pain. Chiropractors can pinpoint where the trigger points are located and find ways to reduce the pain in the affected muscle.

 

Conclusion

The flexor muscles of the toes, the flexor digitorum longus, and the flexor hallucis longus allow stability and flexion to the toes. The flexor muscles are located in the calve region and enable the individual to walk without complications. When issues or injuries start to affect the feet, they could develop into overlapping issues that affect the flexor muscles and causes symptoms of instability in a person’s balance. If not treated right away, it could develop trigger points in the calf region and cause pain to the flexor muscles. Trigger points in the flexor muscles can cause stress on the flexor muscles, which then leads to foot issues like patellofemoral pain or tendon dysfunction. To that point cause impaired mobility and muscle strain on the foot. Luckily there are treatments and various stretches to reduce trigger points from developing further and improve stability in the body. To that point, allow the individual to walk without any foot pain.

 

References

Fowles, J V, and N M Newman. “A Case of ‘Trigger Toe.’” Canadian Journal of Surgery. Journal Canadien De Chirurgie, U.S. National Library of Medicine, July 1984, https://pubmed.ncbi.nlm.nih.gov/6744145/.

Goldmann, Jan-Peter, and Gert-Peter Brüggemann. “The Potential of Human Toe Flexor Muscles to Produce Force.” Journal of Anatomy, U.S. National Library of Medicine, Aug. 2012, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3406365/.

Grujičić, Roberto. “Flexor Digitorum Longus Muscle.” Kenhub, Kenhub, 5 Dec. 2022, https://www.kenhub.com/en/library/anatomy/flexor-digitorum-longus-muscle.

Kusagawa, Yuki, et al. “Toe Flexor Strength Is Associated with Mobility in Older Adults with Pronated and Supinated Feet but Not with Neutral Feet.” Journal of Foot and Ankle Research, U.S. National Library of Medicine, 11 Sept. 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488436/.

Murdock, Christopher J, et al. “Anatomy, Bony Pelvis and Lower Limb, Calf Flexor Hallucis Longus Muscle …” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 25 Aug. 2022, https://www.ncbi.nlm.nih.gov/books/NBK539776/.

Quinlan, Shayan, et al. “The Evidence for Improving Balance by Strengthening the Toe Flexor Muscles: A Systematic Review.” Gait & Posture, U.S. National Library of Medicine, Sept. 2020, https://pubmed.ncbi.nlm.nih.gov/32679464/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.

Disclaimer

Holiday Health: Sciatica Clinic and Functional Wellness Team

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Handsome doctor holding clipboard and talking to patient in clinic

Winter is when most children and adults are prone to catching colds, the flu, etc. The excitement of the holiday season can also take a toll on the body’s neuromusculoskeletal system, leaving the individual more susceptible to illness. Digestive issues such as bloating, cramping, and constipation are also common. Certain supplements can help maintain body, gut, and brain holiday health. Here are a few recommended supplements to take during the holidays.

Holiday Health: EP's Chiropractic Functional Wellness Team

Holiday Health

To help fill in the gaps from the holiday foods and increase energy, holiday health supplements to consider adding include:

Probiotics

  • Probiotics are healthy bacteria and microbes that populate the gut or microbiome.
  • They help digest nutrients, support proper digestion and elimination, and manage appetite and mood.
  • A quality probiotic supplement supports healthy digestion and immune health.
  • It can help reduce diarrhea, constipation, gas, and bloating while protecting the immune system against pathogens.
  • For the most benefits, it is recommended to take a supplement with a high CFU count, diverse probiotic strains, and a delivery method that ensures the probiotics will survive once consumed.
  • SBO – soil-based organism probiotics are also recommended.

Melatonin

  • The body produces melatonin naturally, especially at night, since this promotes sleep.
  • Melatonin is a hormone that helps regulate the body’s circadian rhythm, which makes you feel tired or alert at the right times of the day.
  • Taking melatonin can help decrease jet lag symptoms.
  • Consider taking melatonin to help promote healthy sleep.
  • However, it’s usually only recommended for short-term use, so consult your doctor.

Vitamin D

  • During the winter, when less sunlight is available, low vitamin D levels are very common among adults.
  • The body naturally makes vitamin D when the skin is exposed to the sun’s UV light rays; however, most spend nearly all their time indoors once the weather becomes cold.
  • Vitamin D is responsible for hundreds of reactions related to brain function, hormone production, and immune defenses.
  • A vitamin D supplement can help maintain healthy levels, which is important for maintaining a strong immune system, cardiovascular and bone health, and mood.

Magnesium

  • Magnesium is a mineral and electrolyte providing cardiovascular and bone support, improved sleep, healthy muscle and nerve function, and healthy digestion.
  • A magnesium supplement can help with aches and pains, restlessness, headaches, and constipation.

Vitamin C

  • Vitamin C intake protects against colds and other illnesses.
  • It supports healthy immune defenses, healthy nervous system function, antioxidant activity, neuron function, and skin health.
  • A vitamin C supplement combined with probiotics further helps support healthy gastrointestinal function and absorption.

Chiropractic For Digestive Health

  • Chiropractic care supports the healthy functioning of the nervous system.
  • The vagus nerve extends from the brain stem and innervates digestive system organs.
  • Sympathetic nerves in the thoracic and lumbar regions and the parasympathetic nerves near the sacrum also support digestion.
  • Decompressing the spine and correcting posture allow room for the muscles to contract, open up the spine to circulate fluids throughout the body, and expand and properly circulate food and waste.

Functional Nutrition Lifestyle Change

References

https://ancientnutrition.com/blogs/all/soil-based-probiotics-vs-regular?utm_campaign=vitacost&utm_medium=Affiliate&utm_source=article

Ernst, Edzard. “Chiropractic treatment for gastrointestinal problems: a systematic review of clinical trials.” Canadian journal of gastroenterology = Journal canadien de gastroenterology vol. 25,1 (2011): 39-40. doi:10.1155/2011/910469

Govender, Mershen et al. “A review of the advancements in probiotic delivery: Conventional vs. non-conventional formulations for intestinal flora supplementation.” AAPS PharmSciTech vol. 15,1 (2014): 29-43. doi:10.1208/s12249-013-0027-1

Leboeuf-Yde, Charlotte, et al. “Self-reported nonmusculoskeletal responses to chiropractic intervention: a multination survey.” Journal of manipulative and physiological therapeutics vol. 28,5 (2005): 294-302; discussion 365-6. doi:10.1016/j.jmpt.2005.04.010

https://ods.od.nih.gov/factsheets/Probiotics-HealthProfessional/#:~:text=The%20seven%20core%20genera%20of,Enterococcus%2C%20Escherichia%2C%20and%20Bacillus.

Peterson, Caroline. “A case study of chiropractic management of pregnancy-related heartburn with postulated fetal epigenome implications.” Explore (New York, N.Y.) vol. 8,5 (2012): 304-8. doi:10.1016/j.explore.2012.06.001

Qu, Liuxin, et al. “Irritable bowel syndrome treated by traditional Chinese spinal orthopedic manipulation.” Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan vol. 32,4 (2012): 565-70. doi:10.1016/s0254-6272(13)60072-2

Toe Extensors, Trigger Points, & Chiropractic Care

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

The feet allow movement to make the host do various actions when it comes to the body. Whether running, walking, or stretching, the feet allow stability with help from the legs and lower limbs of the lower body to support the upper body’s weight and allow mobility and functionality to the hips. The feet have various extensor muscles that start at the head where the tibia and in the front of the shin and spreads out to the front of the foot and allow movement to each of the toes. Injuries like ankle sprains, objects landing on the foot, or muscle cramps can cause the various muscles to become injured and soon develop tiny nodules that can cause referred pain to the lower portion of the legs and cause mobility issues. To that point, trigger point pain can affect how a person functions and cause many to deal with unquestionable foot pain. Today’s article looks at the extensor muscles of the toes, how trigger points can affect the foot and toes, and how chiropractic care can help treat trigger points along the extensor muscles of the toes. We refer patients to certified providers that incorporate various techniques in the lower body extremities, like lower legs, calves, and foot pain therapies correlating to trigger points. This helps aid many people with pain symptoms along the extensor toe muscles, causing pain when doing everyday actions like stepping or walking. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Alex Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

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The Extensor Muscles Of The Toes

Have you been having issues walking for long periods? Do your feet constantly ache, so you have to take off your shoes to rub them? Or have you been having mobility issues that start at the hips and then travel down to the feet? Many of these issues are associated with pain that can affect the extensor muscles of the toes. The feet have various superficial muscles that allow movement to each toe. Today, we will look at the extensor muscles that enable movement to the toes and help with lower limb functionality. The extensor toe muscles include the extensor digitorum and the extensor hallucis longus. Studies reveal that the extensor muscles are the anterior compartment of the lower limbs that can allow extension and dorsiflex of the foot at the ankle. The extensor hallucis provides movement to the big toe, independently moving it up and down. At the same time, the extensor digitorum forms into four tendons to the other toe joints.  

 

 

These muscles work together to control the foot when descending and allow the heel to land first and then the toes after to prevent foot slaps or hard stepping. To that point, during this gait action, the extensor digitorum helps provide pure dorsiflex of the foot through balance on the tibial muscle. In contrast, the extensor hallucis allows the foot to adapt when the host is walking. Now, what happens when the extensor muscles suffer from injuries that cause mobility issues to the individual?

 

Trigger Points Affecting The Foot & Toes

 

When issues affect mobility and prevent many people from walking, it could be due to trigger points associated with the extensor muscles affecting the foot and toes. Trigger points or myofascial pain syndrome is where sensitive points or pressure in the muscles or muscle groups can cause referred pain in different body areas. This means that, for example, someone is dealing with pain in their elbows; however, they are complaining about shoulder pain. Studies reveal that when the legs’ lower limbs have trigger points in the feet musculature, it can lead to hypersensitivity in the extensor muscles and tendons. According to Dr. Janet G. Travell, M.D., she explained in her book, “Myofascial Pain and Dysfunction,” when the extensor muscles of the toes are being affected by trigger points, it could potentially be associated with anterior compartment syndrome and ischemia along the lower limbs. To that point, trigger points could affect a person’s ability to walk and cause them to shift their weight around to compensate for the pain from affecting them. When this happens, it can lead to hip issues.

 

Trigger Points Of The Week: The Extensor Toe Muscles- Video

Extensor Digitorum Longus and Brevis - Trigger Point of the Week

Have you been dealing with foot pain affecting your ability to walk? Does it hurt when you are stepping? Do you have mobility issues in your hips or legs associated with foot pain? Suppose you have been experiencing any of these issues in the lower extremities of your body. In that case, you could be dealing with trigger points associated with the toe extensor muscles correlating with foot pain. Studies reveal that trigger points associated with the extensor muscles can be characterized by pain and cause a limited range of joint motion. What that does is that trigger points in the extensor hallucis muscle can cause the lower portion of the legs to have intense sensitivity and hyper-irritability to the legs, which can affect how a person walks. The video above explains where the extensor muscles are located in the lower portions of the legs and where the trigger points cause referred pain to the foot and legs. When trigger points affect the extensor muscles, they can cause referred pain to the entire lower half of the body, including the hips. How would trigger points be associated with the hips when it affects the extensor muscles? Well, when the extensor muscles succumb to pain, it causes the individual to shift their weight and can cause the hips to become unstable, and that instability can affect not only the hips but the legs, knees, calves, and feet. Fortunately, treatments can reduce trigger point pain in the extensor muscles.

Chiropractic Care For Trigger Points

 

So when a person is dealing with mobility issues along the extensor muscles that are causing them pain, they don’t realize that their hips, legs, and knees are being affected. By going to chiropractic treatment, they can get the relief they are looking for and regain their ability to walk. A chiropractor will thoroughly examine and assess the individual dealing with trigger points along the extensor muscles. Chiropractors can pinpoint where the trigger points are located in the affected muscle and dramatically decrease pain through manipulation. Using mechanical and manual manipulation can help realign the spine out of subluxation, and chiropractors can provide a personalized treatment plan to the individual to incorporate to prevent trigger points from returning after a few treatments. Since chiropractic care is a whole-body approach, many patients can learn healthy habits, which include using a tennis ball under the feet, light stretching on the feet, and walking correctly with good posture can prevent future injuries from coming.

 

Conclusion

The feet allow movement to allow the host to walk from one location to another. The extensor muscles of the toes allow mobility and stability as they work together with the legs and hips to support the upper body’s weight and stability. When injuries like ankle sprains or heavy objects landing on foot affect the extensor muscles, it can lead to trigger points associated with foot pain that can affect the hips. When trigger points affect the extensor muscles, it can cause a person to be unable to walk properly and cause more issues in the hips. When this happens, treatments like chiropractic care can manually manipulate the spine and release trigger points from the extensor muscles. With chiropractic care, many individuals will be pain-free and can walk again.

 

References

Lezak, Bradley, and Spencer Summers. “Anatomy, Bony Pelvis and Lower Limb, Extensor Hallucis Longus Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 26 Sept. 2022, https://www.ncbi.nlm.nih.gov/books/NBK539875/.

Tornero-Caballero, Maria, et al. “Muscle Trigger Points and Pressure Pain Sensitivity Maps of the Feet in Women with Fibromyalgia Syndrome.” Pain Medicine (Malden, Mass.), U.S. National Library of Medicine, 1 June 2016, https://pubmed.ncbi.nlm.nih.gov/27257287/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.

Wada, Juliano T, et al. “An Anatomical Basis for the Myofascial Trigger Points of the Abductor Hallucis Muscle.” BioMed Research International, U.S. National Library of Medicine, 22 Jan. 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998759/.

Disclaimer

Family Health: Sciatica Functional Health Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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All fall down. Shot of a multi-generational family playing together in the garden

This time of year brings plenty of changes to normal day-to-day activities. We eat more and move less. But it is possible to stay on track while still enjoying the holiday festivities. The key is to balance healthy choices, stay aware of stressors, make a plan for staying healthy and get the whole family involved. The CDC recommends focusing on four areas to maintain family health: physical activity, nutritional habits, sleep, and screen time.

Family Health: EP's Chiropractic Functional TeamFamily Health

Striking a balance between being active and having fun will help to create a more enjoyable and relaxing holiday experience.

Get The Whole Family Moving

  • Physical activity develops stronger muscles and bones, improves heart health, increases blood circulation, and lowers body fat.
  • Children ages 3 to 5 years should be active throughout the day.
  • Children ages 6 to 17 need at least 60 minutes of physical activity daily.
  • Look for ways to blend fun and physical activity as a family.
  • If you can get outside, play games like basketball or touch football, walk the dog, or take a nature walk.
  • Inside, have a family dance party, play video games that require movement, and encourage everyone to move around and stretch out.

Nutrition

Everyone has go-to foods, treats, and drinks they enjoy during the holidays. Restricting or avoiding these pleasures completely isn’t good, as it can lead to binge eating.

  • Eat mindfully and in moderation.
  • Making healthy eating a family effort helps everyone reach and keep a healthy weight and sets a healthy example.
  • Eat a variety of vegetables and fruits, whole grains, lean proteins, and low-fat and fat-free dairy products.
  • Check labels and follow nutrition guidelines.
  • Drink plenty of water and real fruit juices instead of sugary drinks.

Maintain Healthy Sleep

  • Sleep is essential for optimal brain and body health.
  • Healthy sleep helps prevent Type 2 diabetes, injuries, and weight gain.
  • Improves mood, concentration, and performance.
  • Individuals tend to eat more and be less active when not getting enough sleep.
  • Children 6 years old to 12 need between 9 and 12 hours of sleep a night.
  • Teens need 8 to 10 hours.

Limit screen time

  • Sedentary activities combined with too much screen time can lead to weight gain, sleep problems, and affected mental health.
  • Limiting phone, computer, and TV usage maintains mind and body health and generates more time for family activities.
  • Turn off electronic devices an hour before bed.

Modeling healthy behaviors and making small lifestyle changes can lead to lifelong healthy habits.

Chiropractic Functional Medicine

Chiropractic functional medicine can improve the body’s neuromusculoskeletal system and enhance overall health. Chiropractic and massage therapies:

  • Increase circulation
  • Facilitate detoxification
  • Balance the distribution of hormones and nutrients
  • Regulate the heart’s rhythm
  • Soothe the nervous system
  • Increase mobility
  • Decreased pain
  • Increase flexibility
  • Serve as a supportive treatment to other kinds of therapeutic care.

Holiday Games

References

Physical Activity Facts https://www.cdc.gov/healthyschools/physicalactivity/facts.htm

Preventing Childhood Obesity: 4 Things Families Can Do, https://www.cdc.gov/nccdphp/dnpao/features/childhood-obesity/index.html

Screen Time vs. Lean Time Infographic, https://www.cdc.gov/nccdphp/dnpao/multimedia/infographics/getmoving.html

Tips to Help Children Maintain a Healthy Weight, https://www.cdc.gov/healthyweight/children/index.html

Dr. Alex Jimenez Presents: Preventing Atherosclerosis With Chiropractic Care

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Preventing and Reversing Dyslipidemias & AtheroSclerosis | El Paso, Tx (2023)

Introduction

Dr. Jimenez, D.C., presents how to prevent atherosclerosis through various therapies that can help reduce the effects of cardiovascular diseases. By understanding the risk factors causing these issues, many specialists associated with cardiovascular disorders can develop a solution to minimize these symptoms that correlate with the vital organs and muscles with a personalized treatment plan. We acknowledge patients to certified providers that provide treatment options for cardiovascular disorders that can restore body functionality and improve a person’s health. We assess each individual and their symptoms by entrusting them to our associated medical providers based on their diagnosis results for a better understanding. We recognize that education is a tremendous way to ask our providers questions about the patient’s knowledge and symptoms. Dr. Jimenez, D.C., implements this information as an educational service. Disclaimer

 

The Cardiovascular System & Atherosclerosis

Dr. Alex Jimenez, D.C., presents: When the body deals with various issues causing muscle and joint pain, it could be due to overlapping risk profiles affecting the cardiovascular system. In a normal functioning body, the cardiovascular system works with different systems, including the musculoskeletal system, the pulmonary system, the endocrine system, the central nervous system, and the gut system. The heart is one of the main vital organs in the cardiovascular system that supplies oxygen-riched blood to the different muscles, tissues, and organs to function properly. The oxygen-rich blood also carries other items to circulate in the body, like hormones, protein, and nutrients, to be used later. However, when environmental factors start to disrupt the body, they can affect the cardiovascular system and can do serious damage. To that point, it can develop cardiovascular diseases over time and cause body pain. Many studies and research have shown cardiovascular diseases are still the number one in the world that causes mortality and morbidity in the body. They can cause other issues that can affect the body.

 

One of the cardiovascular diseases that can lead to heart dysfunction is atherosclerosis. Atherosclerosis is a buildup of plaque (fats, cholesterol, and other hard, sticky substances) that builds up over time along the artery walls that can slow down the blood flow, causing less circulation in the arteries. When the circulation becomes obstructed, it can lead to ischemia associated with a blood clot due to the different body areas not getting enough blood and oxygen to function properly. 

 

Inflammation Associated With Atherosclerosis

Dr. Alex Jimenez, D.C., presents: When this happens, there can be an imbalance of LDLs (low-density lipoproteins) which can then develop various symptoms over time that can lead to muscle and joint pain. Some of the most common underlying reasons that can cause LDL imbalances associated with atherosclerosis could include the following:

  • Chronic inflammation
  • Immune dysfunction
  • Oxidative stress in the vascular system
  • Poor diet
  • Tobacco exposure
  • Genetics
  • Pre-existing cardiovascular disease

When various disruptors can damage LDL, it can become oxidized over time, damage the cardiovascular endothelium wall, and cause macrophage and platelet activation. To that point, once the macrophages start to eat, they form into foam cells and then explode and release peroxidation, which means that they damage the lining of the blood vessel. 

 

Looking closer at the oxidized LDL, it can biotransform into pro-inflammatory markers and is correlated with vascular inflammation. When dealing with vascular inflammation, the body can develop metabolic endotoxemia. Metabolic endotoxemia is where LPS (lipopolysaccharides) levels elevate even though there is a presence of infections in the body. To that point, it can correlate to gut dysbiosis and chronic inflammatory diseases to stimulate the immune system to increase NFkB inflammatory cytokines and cause muscle and joint pain. 

 

 

When there is an increase in inflammation due to atherosclerosis or any cardiovascular disease an individual may have, the signs and symptoms can vary depending on their environment. Excessive weight gain, hypertension, increased oxidative stress, high triglycerides, low HDLs, etc., can affect the body and make it dysfunctional. These mechanic factors can influence dysbiosis in the cardiovascular and gut systems, leading to chronic conditions like IBS, metabolic syndrome, and cardiovascular diseases. 

Treatments To Lower Inflammation

Dr. Alex Jimenez, D.C., presents: So what can we do to reduce the inflammation associated with atherosclerosis causing muscle and joint pain? Well, one of the ways that many people can do this is by eating less refined carbohydrates, and high sugar can lower high glycemic levels in the body can reduce the risk of cardiovascular diseases. Another way is to try the Mediterranean diet, which includes lean proteins, nuts, extra virgin olive oil, heart-healthy vegetables, fresh fruits, and whole grains to reduce inflammatory markers from proceeding further to causing issues in the body. Even supplements and nutraceuticals like glutathione and omega-3s can reduce chronic inflammation and cardiovascular disease complications by enhancing their antioxidant properties to preserve redox homeostasis while regulating oxidative stress in the body.

 

Another way people can prevent atherosclerosis is by exercising regularly. An exercise routine is an excellent way to keep the heart pumping and allow the muscles to move. Any exercise like yoga, Crossfit, dancing, swimming, walking, and running will allow more oxygen intake to the lungs, allowing the heart to pump out more blood to allow more circulation to the various organs, muscles, and tissues. Plus, any exercise can reduce plaque buildup in the arteries and reduce inflammation in the muscles and joints affecting the body.

 

Chiropractic Care & Inflammation

Dr. Alex Jimenez, D.C., presents: And finally, treatments like chiropractic care can help restore functionality to the body through spinal manipulation. Now, how does chiropractic care correlate with cardiovascular diseases like atherosclerosis? When the body is dealing with inflammation and chronic stress associated with atherosclerosis, the decrease in blood circulation can cause internal organ dysfunction and disrupt the transmitted signals to reach the brain. So when the transmitted signals become blocked, it can cause spinal subluxation to the spine and invokes pain in the upper, middle, and lower sections of the back, neck, hips, and shoulders. To that point, a chiropractor incorporates mechanical and manual manipulation to realign the spine and allow joint and muscle function back to the body. At the same time, chiropractic care can work with other associated medical providers to develop a personal treatment plan that allows the body to begin its recovery process. 

 

Conclusion

Our goal is to reduce inflammation and oxidative stress in the body to dampen the effects of cardiovascular diseases associated with pain. Covering some of the different ways to prevent atherosclerosis from affecting the cardiovascular system in the body can help the vital organs and muscles from producing more inflammation associated with pain. Incorporating heart-healthy and anti-inflammatory food, taking supplements, exercising, and going to treatments can make big changes to the body. The process may be tedious, but the results will slowly improve the body’s functionality and help the individual stay on the path of health and wellness.

 

Disclaimer

Power Walking: Sciatica and Functional Wellness Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Happy athletic woman taking a walk through autumn park. Copy space.

Power walking is a fast-paced walking activity quicker than a typical walking pace. It is an exercise technique emphasizing speed and arm motion to increase health benefits. It’s not as high impact as jogging but significantly increases heart rate. Adding power walking to an overall health regimen can improve cardiovascular, joint, muscle, and overall wellness.

Power Walking: EP's Chiropractic Functional Wellness TeamPower Walking

  • Power walking is considered from 3 mph to 5 mph and focuses on speed and arm motion to increase heart rate.
  • Power walking demands more from the cardiovascular system.
  • Because it requires more steps per minute, the heart rate will increase more than from a regular walk.
  • This makes for a more intense cardiovascular workout that burns more calories.

Benefits

Power walking is a great way to improve fitness, heart and joint health, and mental well-being. It has been shown to decrease diabetes risk and lower high blood pressure and some cancers. Other benefits include:

Improves Life Span

  • The National Institutes of Health recognize the benefits of walking, including a reduced risk of all-cause mortality.

Cardiovascular

  • Power walking will raises the heart rate into the moderate-intensity zone.
  • This zone improves cardiovascular health, lowering resting heart rate and strengthening the heart.

Lowers Risk of Health Conditions

  • Lowers the risk of several conditions like heart disease, dementia, and type 2 diabetes.
  • Improves sleep quality, reduces sleep disorders’ risks, increases brain function, and supports bone health.

Strengthens Muscles and Bones

  • It releases pressure from the joints and the muscles and increases the body’s overall range of motion.

Quality of Life

  • It improves the quality of life as the body becomes more fit.
  • Reduces risk of illnesses.
  • Mental abilities and performance improve with increased circulation.
  • Attention, concentration, and motivation improve.

Technique Overview

Optimal power walking technique will maximize benefits and prevent injuries. Some recommended guidelines to follow:

Posture Awareness

The right posture will help the body maintain speed and will help protect/prevent injury.

  • Eyes forward, shoulders back, and head upright.
  • Pull your belly button in toward the spine to engage the core muscles.
  • If you start to slump forward, take a moment to correct your body position.
  • If you start holding tension in the shoulders and neck, take a moment to relax and release them.

Gently Swing Arms

  • Arms bent at around 90 degrees.
  • Move the arms up and back so the opposite arm and leg advance together.
  • If the right foot is stepping forward, the left arm should also go forward.
  • Adding arm motion increases speed.
  • Focus on controlling the range of motion.
  • The hand should not rise higher than the collarbone and should not cross the body’s center.

Walking Pattern

  • With every step, land on the heel and roll the foot toward the toes.
  • Concentrate on moving the hips forward and not side to side.

Movement

  • Use short strides and try for a quick pace.
  • Studies have shown that taking more steps per minute can positively impact insulin levels, body mass index, and waist circumference.
  • Gradually work up to longer distances and increased speed.

Chiropractic

Chiropractic care can improve exercise experience, athletic performance, and sports performance. A few benefits include the following:

  • Increased limberness of the joints, ligaments, and tendons.
  • Increased elasticity and flexibility of the muscles.
  • Nervous system support improving response time, speed, and endurance.

Physical activity, no matter what intensity, is vital for health. If you are considering beginning an exercise program, talk to your doctor about developing a training program.

How To Walk Faster

References

Dunlop DD, et al. (2019). One hour a week: Moving to prevent disability in adults with lower extremity joint symptoms. DOI: 10.1016/j.amepre.2018.12.017

Mayo Clinic Staff. (2019). Walking: Trim your waistline, and improve your health. mayoclinic.org/healthy-lifestyle/fitness/in-depth/walking/art-20046261

Sharma, Ashish, et al. “Exercise for mental health.” Primary care companion to the Journal of clinical psychiatry vol. 8,2 (2006): 106. doi:10.4088/pcc.v08n0208a

Tudor-Locke, Catrine, et al. “Step-Based Physical Activity Metrics and Cardiometabolic Risk: NHANES 2005-2006.” Medicine and science in sports and exercise vol. 49,2 (2017): 283-291. doi:10.1249/MSS.0000000000001100

Dr. Alex Jimenez Presents: Reversing Dyslipidemia & Atherosclerosis

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Preventing and Reversing Dyslipidemias & AtheroSclerosis | El Paso, Tx (2023)

Introduction

Dr. Jimenez, D.C., presents how to reverse dyslipidemia and atherosclerosis through various therapies that can help the body function. By understanding the risk factors causing these issues, many specialists associated with these cardiovascular risk factors can develop a solution to reduce these and other pre-existing symptoms that correlate with the vital organs and muscles. We acknowledge patients to certified providers that provide treatment options for cardiovascular disorders that can restore body functionality and improve a person’s health. We assess each individual and their symptoms by entrusting them to our associated medical providers based on their diagnosis results for a better understanding. We recognize that education is a tremendous way to ask our providers questions that apply to the patient’s knowledge and symptoms. Dr. Jimenez, D.C., implements this information as an educational service. Disclaimer

 

Coming Up With A Treatment Plan

Dr. Alex Jimenez, D.C., presents: Today, we will look at how to reverse dyslipidemia and atherosclerosis functionally. In the previous article, we observed the risk factors of dyslipidemia and how it is associated with metabolic syndrome. Today’s objective looks at the emerging biomarkers that could lead to dyslipidemia and atherosclerosis. Looking at the fundamental guidelines from lifestyle, nutrition, physical activity, stress response, and incorporating supplements and nutraceuticals can help many individuals transform their health from a personal perspective. To that point, everyone is different, and their treatment plans are unique as they cater to each individual regarding health and wellness. 

 

When it comes to functional medicine, tools like the Living Matrix and the IFM allow doctors to look at results that are being presented to the patient allowing them to see their cholesterol and the history that could lead to these cardiovascular disorders. Some of the earlier studies would enable doctors to prescribe their patients to go through nutrient depletion from statin therapy to reduce the effects of cardiovascular diseases. Supplements like CoQ10, vitamin K2, omega-3 fatty acids, vitamin D, zinc, and copper are all heart-healthy supplements that can give an insight into what the individual is missing to prevent dyslipidemia and atherosclerosis. Another thing is that statin therapies could also note how the hormone levels are also being affected in the body as these cardiovascular risk factors can cause hormone levels to be lower than they are and can affect both men and women.

 

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Cardiovascular Risk Factors & Treatments

Dr. Alex Jimenez, D.C., presents: Now, this can be a double edge sword because we know that erectile dysfunction is a vascular issue, and it allows blood flow to the reproductive system. So say, for example, if someone has poor endothelial function reduction in nitric oxide vascular disease, they will have erectile dysfunction. So when this happens, statin therapy can help the individual and improve endothelial function. Utilizing these therapies is important when dysfunction in the body can cause overlapping risk profiles to the cardiovascular system and disrupt hormone reproduction. Without these various treatments, it can lead to pain associated with these symptoms that make the body have an imbalance of hormones, high cholesterol, and other issues that affect the body. As stated earlier, everybody is different, and the treatment plans are unique as they cater to each individual. 

 

How can we tell when a person is dealing with dyslipidemia and atherosclerosis? After the examination and listening to how the patient is doing, many doctors would combine the AAPIER and SBAR protocol to come up with a diagnosis and look at the risk factors that correlate with these disorders. When the body is dealing with various environmental factors like poor sleep quality, being under constant stress, eating food high in saturated fats, and not getting enough exercise, it can cause the body to develop high cholesterol that can lead to building up plaque in the artery walls, causing chest pain associated with the heart. This is known as somato-visceral referred pain, where the affected muscle is causing issues to the corresponding organs related to pain. Another thing is that these environmental risk factors could overlap with inflammation and cause muscle and joint pain, which can cause complaints of limited mobility and stiffness that can cause a person to feel tight and miserable. 

 

Inflammation Is A Key Factor

Dr. Alex Jimenez, D.C., presents: Factoring inflammation as a key player affecting the body is the first step in functional medicine. When it comes to the body being in constant pain due to inflammation, chronic stress, dyslipidemia, or atherosclerosis, it can cause the brain to transmit signals through the spinal cord and cause the surrounding muscles to be sensitive. The inflammatory markers can cause many individuals to be easily confused as they think they are dealing with back pain instead of somato-visceral pain. This is because inflammation can be good or bad, depending on the severity. When the immune system begins to release inflammatory cytokines, despite no infections, bacteria, or viruses, into the cardiovascular, gut, and musculoskeletal systems, it can cause symptoms of swelling, pain, redness, and heat that can affect the corresponding organs. So inflammation affects the heart; it can cause overlapping symptoms of shortness of breath, fluid buildup, and mimic chest pains. At the same time, inflammation in the gut can lead to unwanted factors that can cause harmful changes that can impair the homeostatic mechanism and activate multiple pathways that can trigger cardiovascular disease risk factors like atherosclerosis and dyslipidemia.

 

Now how would atherosclerosis be correlated with the heart? When the body deals with factors that can correlate with inflammation, many factors like high blood pressure or plaque buildup cause a blockage in the arteries, which can cause blood flow reduction to the heart for circulation. When this happens, it can lead to cardiovascular disease associated with chest pains. In functional medicine, figuring out where the inflammatory effects are coming from, which is most likely in the gut, can help many individuals to reduce and reverse dyslipidemia and atherosclerosis. 

 

Reducing Cardiovascular Risk Factors

Dr. Alex Jimenez, D.C., presents: When it comes to reducing the development of dyslipidemia and atherosclerosis, various ways can help protect vital organs and reduce the inflammatory effects in the musculoskeletal system. One of the treatments that functional medicine corresponds with is chiropractic treatment. When it comes to the organs and spinal nerves in the body, there is a connection, as all internal organs are connected through the spinal cord that sends signals to the brain. When the transmitted signals are blocked or interrupted by risk factors that have entered the body, the vital organs can not function properly. So how would chiropractic treatment help with this? A chiropractor would use manual and mechanized manipulation to realign the spine from subluxation. This will allow the blockage to interrupt the transmitted signals to function properly and restore joint function while preventing degeneration, slowing the disease’s progress in the bones, muscles, and organs.

 

Another way to reduce inflammatory effects in the body is by incorporating heart and gut-healthy foods that can lower inflammation and improve gut microbiome health. Eating nutritious foods that are rich in prebiotics, have anti-inflammatory properties, and have soluble fibers can help the body turn them into SCFAs (short-chain fatty acids) that allow the large intestines to create more energy for the body. Incorporating these various ways as part of the treatment plan for individuals dealing with dyslipidemia or atherosclerosis can help reverse the effects slowly.

Conclusion

Combining heart-healthy foods, exercising regularly, and changing lifestyle habits can provide amazing results when these small changes are gradually incorporated. This will allow the person to see what works and what doesn’t while constantly communicating with their medical providers to ensure they get the amazing benefits that will improve their health and wellness.

 

Disclaimer

Knee Neuropathy: Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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physiotherapist treating the patient's knee

Individuals dealing with aching knees is one of the most common health problems and affects people of all ages. The knee is the largest joint in the body, comprised of muscles, tendons, ligaments, cartilage, and bones. The knees support walking, standing, running, and even sitting. Constant use makes them highly susceptible to injuries and conditions. The knees are also surrounded by a complex network of nerves that transmit messages to and from the brain. Damage to the nerves from an injury or disease can create various symptoms of discomfort in and around the knee joint.

Knee Neuropathy: EP's Chiropractic Team

Knee Neuropathy

Causes

Knee discomfort symptoms can be brought on by injury, degenerative disorders, arthritis, infection, and other causes, including:

Rheumatoid arthritis

  • This is a chronic inflammatory disorder that causes the knees to swell and causes damage to the cartilage.

Osteoarthritis

  • This type of arthritis causes the cartilage to steadily wear away, causing damage to the joints and various symptoms.

Cartilage Issues

  • Overuse, muscle weakness, injury, and misalignments can cause compensating postures and movements that can wear down and soften the cartilage, generating symptoms.

Several factors can increase the risk of developing knee neuropathy, including:

  • Previous knee injury
  • Undiagnosed and untreated knee injury
  • Unhealthy Weight
  • Gout
  • Compromised leg muscle strength and/or flexibility

Symptoms

Symptoms associated with a knee injury or disorder can vary, depending on the severity and damage. Symptoms can include:

  • Joint stiffness
  • Swelling in the joint.
  • Reduced movement/flexibility in the joint.
  • Increased instability/feeling of weakness in the knee.
  • Changes in skin color around the knee joint, like increased redness or pale discoloration.
  • Numbness, coldness, or tingling in and/or around the joint.
  • Pain symptoms could be a dull ache or throbbing felt throughout the knee.
  • Sharp, stabbing discomfort in a specific area.

If left untreated, knee neuropathy could permanently affect the ability to walk and lead to partial or total loss of knee function and mobility. Doctors recommend taking note of the following:

  • What activity/s generates symptoms?
  • Where are the symptoms located?
  • What the pain feels like?

Treatments available for knee pain

Chiropractic treatment offers various approaches to addressing the pain caused by nerve damage. Standard treatment includes chiropractic adjustments, therapeutic massage, non-surgical decompression, stretching, posture and movement training, and nutritional anti-inflammatory plans. Our medical team specializes in non-surgical treatments that decrease symptoms and increase strength, flexibility, mobility, and restore function.

Knee Injuries Adjustment

References

Edmonds, Michael, et al. “The current burden of diabetic foot disease.” Journal of clinical orthopedics and trauma vol. 17 88-93. 8 Feb. 2021, doi:10.1016/j.jcot.2021.01.017

Hawk, Cheryl, et al. “Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181

Hunter, David J et al. “Effectiveness of a new model of primary care management on knee pain and function in patients with knee osteoarthritis: Protocol for THE PARTNER STUDY.” BMC musculoskeletal disorders vol. 19,1 132. 30 Apr. 2018, doi:10.1186/s12891-018-2048-0

Kidd, Vasco Deon, et al. “Genicular Nerve Radiofrequency Ablation for Painful Knee Arthritis: The Why and the How.” JBJS essential surgical techniques vol. 9,1 e10. 13 Mar. 2019, doi:10.2106/JBJS.ST.18.00016

Krishnan, Yamini, and Alan J Grodzinsky. “Cartilage diseases.” Matrix biology: journal of the International Society for Matrix Biology vol. 71-72 (2018): 51-69. doi:10.1016/j.matbio.2018.05.005

Speelziek, Scott J A, et al. “Clinical spectrum of neuropathy after primary total knee arthroplasty: A series of 54 cases.” Muscle & nerve vol. 59,6 (2019): 679-682. doi:10.1002/mus.26473

Dr. Alex Jimenez Presents: A Look At Dyslipidemia Risk Factors

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Dyslipidemia risk factors *MUST WATCH* | El Paso, Tx (2023)

Introduction

Dr. Jimenez, D.C., presents how dyslipidemia can increase the chances of various issues associated with multiple risk factors that can cause muscle and joint pain. By understanding where these issues affect the body, many specialists associated with dyslipidemia can come up with a solution to reduce dyslipidemia symptoms and other pre-existing symptoms that correlate with high cholesterol. We acknowledge patients to certified providers that provide treatment options for dyslipidemia that can restore body functionality and improve a person’s health. We assess each individual and their symptoms by entrusting them to our associated medical providers based on their diagnosis results for a better understanding. We recognize that education is a tremendous way to ask our providers questions that apply to the patient’s knowledge and symptoms. Dr. Jimenez, D.C., implements this information as an educational service. Disclaimer

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The Risk Factors Of Dyslipidemia

Dr. Alex Jimenez, D.C., presents: Today we will look at the guidelines and the risk factors of dyslipidemia. When specialists utilize these guidelines that involve lipid production in the patient’s body, they use these guidelines to emphasize lifestyle therapies that can encourage more patient involvement and decision-making regarding their health. When an issue involves an increase or decrease in lipid production in the body, it can be due to lifestyle choices that can affect anyone and correlate to metabolic syndrome. In functional medicine, it is important to look, follow, and know these guidelines to understand better what is going on with the patients and come up with a treatment plan that can help reduce the risk factors of dyslipidemia and treat the symptoms associated with these risk factors.

 

Regarding these guidelines, doctors work with associated medical specialists that look into lipid production and develop a personalized list for the patients that shows the risk-enhancing factors causing dyslipidemia associated with cardiovascular diseases causing metabolic syndrome. Dyslipidemia is when an imbalance of lipid production in the body causes an increase in high cholesterol due to various factors that can lead to cardiovascular diseases. To that point, when a patient is dealing with high cholesterol due to a sedentary lifestyle or being constantly stressed, it can lead to an imbalance of lipid production and cause doctors to not just look at the standard lipid panels but also figure out how to come up with a treatment plan for their patients to regulate their lipid production. 

 

How To Look For The Risk Factors Of Dyslipidemia?

Dr. Alex Jimenez, D.C., presents: So when it comes to looking at the risk factors that are developing dyslipidemia, functional medicine allows doctors to look at advanced lipid tests and evaluate the risk factors causing dyslipidemia. The evaluations of these tests find various risk factors that conventional medicine would not see, and it shows patients the importance of these results and gets their attention. To that point, many risk factors can enhance the progress of dyslipidemia. Risk factors include:

  • Having a family history of premature atherosclerotic cardiovascular diseases (ASCVD).
  • High levels of lipoprotein and triglycerides.
  • Excessive sedentary lifestyle.
  • Lack of physical activity.
  • Having pre-existing chronic inflammatory disorders that can cause hypersensitivity to the body.

All these risk factors can cause dyslipidemia to develop and can even overlap risk factors related to metabolic syndrome that can cause muscle and joint pain. Now how is metabolic syndrome associated with dyslipidemia?

 

Metabolic Syndrome & Dyslipidemia

Dr. Alex Jimenez, D.C., presents: Metabolic syndrome is a cluster of disorders that could be associated with dyslipidemia, as it can cause a person to feel miserable and affect their quality of life. When individuals have high cholesterol due to physical inactivity, not consuming lots of healthy fruits, vegetables, protein, and whole grains, smoking, or being in constant stress, it can affect the body both inside and out as it can cause a person to have imbalances of lipid and hormone function. When these imbalances affect the body, they can affect the individual’s mentality, bring down their energy to feel sluggish, and cause inflammatory issues in their joints and muscles that can lead to various injuries and diseases.

 

 

 

An example would be an individual who comes in dealing with back pain associated with obesity and has been dealing with high blood pressure and high cholesterol. When that person is being examined by their doctor, their results show an imbalance of how much their body produces lipids. To that point, many individuals are unaware that they have dyslipidemia unless they have a routine blood test and if it has gone severe. Other symptoms that dyslipidemia can cause in the body include:

  • Leg pain
  • Chest pain and tightness
  • Pain in the neck, jaw, shoulders, and back
  • Heart palpitations
  • Sleep problems
  • Leg swelling

If it is not treated right away, it can lead to more issues that can cause pain to the body and leave them feeling hopeless. When these unwanted symptoms and pathogens start to affect the body, it can cause the vital organs that monitor lipid production to be dysfunctional and cause chronic symptoms to rise over time. 

 

Treatments & Guidelines For Dyslipidemia

Dr. Alex Jimenez, D.C., presents: By looking at the guidelines, we can assess the situation that the patient is dealing with, come up with an evaluation of how to reduce these risk factors that are causing dysfunction in the patient’s body, and come up with a personalized treatment plan that encourages the patient to participate in and work with other associated medical providers to ensure health and wellness to the person. All is not lost, as there are ways to reduce dyslipidemia associated with metabolic syndrome.

 

Treatments like chiropractic care can help restore the body’s systems through spinal manipulation in the cervical, thoracic, and lumbar regions to reduce stiffness and restore mobility to the person. An anti-inflammatory diet and exercise can help lower inflammatory effects and lower the high cholesterol the person is dealing with. And finally, exercise can help reduce stress and improve the range of motion of the body’s joints and muscles. All these treatments work together regarding a person’s health and wellness, as the body is a complex machine. The combination of functional medicine and chiropractic care can allow individuals to start making small changes in their lives to restore their health and become pain-free from metabolic syndrome associated with dyslipidemia. Remembering that it takes time for these treatments to show results of feeling good can make the journey to a healthier version of yourself worth it.

 

Disclaimer

Idiopathic Scoliosis: Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Frowning handsome aged doctor in eyeglasses holding x-ray image against light while explaining spinal problems to senior female patient

Idiopathic scoliosis means that no cause congenital or neuromuscular that created the spinal deformation has been identified. However, idiopathic scoliosis is the most common type, affecting 2% to 3% of individuals. Individuals diagnosed with an idiopathic disease or condition can be frustrated with more questions than answers, but it can still be treated in adults and kids.

Idiopathic Scoliosis

Idiopathic Scoliosis: EP's Chiropractic Team

Congenital Scoliosis

  • Congenital scoliosis is an abnormal curvature of the spine related to which the patient was born.
  • Usually, a failure of formation or segmentation during normal development leads to the spinal condition.

Neuromuscular Scoliosis

  • Individuals with neuromuscular scoliosis are usually born with neurological disorders that contribute to muscular unevenness, often resulting in the development of the condition.
  • For example, individuals with cerebral palsy are born with muscular unevenness that can contribute to scoliosis development.

Who Is Affected

Anyone can develop scoliosis, but children and adults are divided into separate categories.

Children

  • Children with this condition are divided into three subcategories:
  • Infantile idiopathic scoliosis
  • Juvenile idiopathic scoliosis
  • Adolescent idiopathic scoliosis

These classifications are based on age and skeletal maturity.

  • Infantile is zero to 3 years old.
  • A juvenile is 3 to 10 years old.
  • Adolescents are from 11 onward or when starting puberty, to the point where the skeleton fully matures.

Adults

  • Idiopathic scoliosis in adults results from undiagnosed or untreated scoliosis in childhood that gradually progressed.

Causes

Research has found a genetic predisposition to developing scoliosis, as it has been found to run in families. Genetic testing has been designed to help determine the risk of developing progressive scoliosis. Theories have been presented about abnormalities that affect the nervous system. These include:

  • Dysfunctions of the brain stem or equilibrium have been frequently identified in individuals with idiopathic scoliosis.
  • Other theories suggest skeletal growth abnormalities or hormonal/metabolic dysfunction may contribute to the condition.
  • However, determining its exact cause remains unknown.

Signs and Symptoms

Here are some things to look out for.

  • The body leans to one side.
  • There is an unevenness of the ribcage or hips.
  • Uneven shoulders.
  • Shoulder blades may protrude or stick out.
  • The head is not positioned directly above the pelvis.

Diagnosis

Idiopathic scoliosis curves tend to follow predictable patterns.

  • Right thoracic or middle back scoliosis
  • Left thoracolumbar or mid and low-back scoliosis
  • Relative thoracic hyper or hypo kyphosis

Magnetic resonance images/MRIs of the spine can show evidence of any significant abnormalities. If no other related condition is present to suggest different causes, then the idiopathic scoliosis diagnosis can be made.

Treatment

Treatment depends on the individual’s age and the degree of curvature in the spine.

  • In many cases, adolescent or juvenile idiopathic scoliosis patients that have a mild curve can be treated with a brace.
  • Adults could need surgical intervention, such as a fusion surgery where rods and screws are added to realign the spine and relieve the pressure on the nerves.

Chiropractor

References

Burnei, G et al. “Congenital scoliosis: an up-to-date.” Journal of medicine and life vol. 8,3 (2015): 388-97.

Clément, Jean-Luc, et al. “Relationship between thoracic hypokyphosis, lumbar lordosis and sagittal pelvic parameters in adolescent idiopathic scoliosis.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 22,11 (2013): 2414-20. doi:10.1007/s00586-013-2852-z

Giampietro, Philip F et al. “Congenital and idiopathic scoliosis: clinical and genetic aspects.” Clinical medicine & research vol. 1,2 (2003): 125-36. doi:10.3121/cmr.1.2.125

“Scoliosis – Symptoms, Diagnosis and Treatment.” https://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Scoliosis

“Thoracic Hyperkyphosis.” Physiopedia, 2009, https://www.physio-pedia.com/Thoracic_Hyperkyphosis

Pinched Nerves and Muscle Spasms: Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Physiotherapist massaging and kneading a female patient's leg provides medical care for sprained ligaments. Woman in rehabilitation clinic

Pinched Nerves and Muscle Spasms: A pinched or compressed nerve can occur in various body regions, from the wrist to the foot. When a nerve is compressed, a pins and needles feeling can present until the pressure is relieved, or there can be no sensation symptoms, but other symptoms like muscle spasms, especially in the arm or leg, can appear. Individuals will feel a repetitive fluttering or twitching when the arm or leg is not in motion. A pinched nerve could be the cause of spasms in the back or extremities. Injury Medical Chiropractic and Functional Medicine Clinic can help if symptoms are not stopping or worsening.

Pinched Nerves and Muscle Spasms: EPs Chiropractic Team

Pinched Nerves and Muscle Spasms

When multiple symptoms appear, individuals may not realize they are connected. Individuals may think aches, pains, and spasms are normal aging processes. Pinched nerves occur when there is an impingement on any one of the numerous nerves of the spine. Impingements can be caused by:

  • Repetitive motion injuries
  • Disc degeneration
  • Herniated/ruptured discs
  • Bone spurs
  • Arthritis
  • Trauma injury

The pain symptoms from the spasm can be quick, sharp, or pulsating and throbbing. The muscles respond by tightening or spasming as the nerve sends interrupted/incomplete signals. In addition to muscle spasms, a pinched nerve can contribute to other symptoms, including the following.

  • Tingling
  • Numbness
  • Pins and needles sensation
  • Reduced range of motion
  • Muscle weakness

Signs a Pinched Nerve Might Be Causing Spasms

  • Sudden shooting pain that radiates down the leg or arm.
  • Weak muscles
  • Muscle atrophy – shrinking or deteriorating.
  • Chronic tingling in the extremities.
  • A burning sensation in a specific area; this could but is not necessarily the source of the pinched nerve.
  • Electrical shock-type pain accompanies the spasms.

If a pinched nerve is left untreated and continues to generate symptoms, it can affect daily life and lead to uncomfortable long-term issues. Severe nerve compression combined with inflammation can cause damage to nearby soft tissues and muscles, leading to chronic conditions. When the nerves are damaged, it can be harder to control the muscles making certain motions uncomfortable or difficult to move certain body parts.

Chiropractic Care

Chiropractic care, massage, and decompression therapy will relieve pinched nerves and muscle spasms and restore neuromusculoskeletal system function. The body will be realigned, and patients will be trained on stretching exercises, muscle strengthening, posture training, and nutritional support to optimize the body’s natural healing abilities to repair the damaged nerves.

Low Back Pain

References

Bustamante, S, and P G Houlton. “Swelling of the leg, deep venous thrombosis, and the piriformis syndrome.” Pain research & management vol. 6,4 (2001): 200-3. doi:10.1155/2001/104091

Chu, Eric Chun-Pu, and Robert J Trager. “Thoracic Schwannoma as an Unusual Cause of Sciatic Pain in the Chiropractic Office: A Case Report.” The American journal of case reports vol. 23 e938448. 16 Nov. 2022, doi:10.12659/AJCR.938448

Coletti, Roger H. “The ischemic model of chronic muscle spasm and pain.” European journal of translational myology vol. 32,1 10323. 18 Jan. 2022, doi:10.4081/ejtm.2022.10323

Hirayama, Jiro, et al. “Relationship between low-back pain, muscle spasm and pressure pain thresholds in patients with lumbar disc herniation.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 15,1 (2006): 41-7. doi:10.1007/s00586-004-0813-2

Kennedy, John G, and Donald E Baxter. “Nerve disorders in dancers.” Clinics in sports medicine vol. 27,2 (2008): 329-34. doi:10.1016/j.csm.2008.01.001

Waddell, Roger K. “Chiropractic care for a patient with spasmodic dysphonia associated with cervical spine trauma.” Journal of chiropractic medicine vol. 4,1 (2005): 19-24. doi:10.1016/S0899-3467(07)60108-6

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