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Tremors and Spinal Cord Compression

By
Dr. Alex Jimenez
-
senior businessman with pain in neck working with laptop

Tremors are extremely rare, but they can result from spinal compression and not necessarily a brain condition like Parkinson’s disease. Tremors are abnormal, involuntary body movements with various causes, most of which are connected to the brain and not the spine. A study reports that more than 75% of individuals with Parkinson’s experienced a resting tremor, and about 60% experience tremors while moving. Sometimes the spine is the contributor caused by compression of the spinal cord.

Tremors and Spinal Cord Compression

Spinal Compression Study

A 90-year-old man was hospitalized after having tremors, with Parkinson’s being the initial diagnosis. The tremors progressed to the point where the man could not feed himself or walk without support. The case became the focus of a medical report published by physicians in the Department of Orthopaedic Surgery, Division of the Spine, Singapore Tan Tock Seng Hospital. Along with the tremors, symptoms progressed to:

  • Difficulty with fine motor skills like buttoning a shirt.
  • However, it was ruled out because the patient was not presenting with other Parkinson’s symptoms.
  • What was found from the symptoms was cervical spondylotic myelopathy, which is a spinal cord compression in the neck.
  • The compression was caused by a herniated disc impinging the spinal canal and compressing the spinal cord causing spinal stenosis.
  • The compression was resolved by having an ACDF surgical procedure.
  • An anterior cervical discectomy and fusion or ACDF procedure can help manage the condition.
  • An ACDF treats spinal cord compression by removing a degenerative or herniated disc in the neck.

Cervical Myelopathy

Causes of cervical spondylotic myelopathy include:

Common symptoms include:

  • Balance problems
  • Coordination problems
  • Tingling in the hands
  • Numbness
  • Weakness
  • Impairment of fine motor skills

Tremors as a symptom are rare.

Cervical Myelopathy vs. Parkinson’s Disease

There are cases where cervical spondylotic myelopathy and Parkinson’s disease symptoms can overlap. Studies have shown difficulties between the two diagnoses, as well as, individuals with Parkinson’s may exhibit symptoms similar to cervical spondylotic myelopathy that can include:

  • Weakness
  • Lack of coordination
  • Bowel dysfunction
  • Bladder dysfunction

Treatment Cervical Myelopathy Tremors

For individuals with cervical spondylotic myelopathy tremors, surgery can be used to help the condition. However, with cervical myelopathy, there is often some permanent damage. Individuals have shown that post-surgery and decompression, symptoms still present, maybe not as much, but there will be a need for a symptom management plan.

Prevention

The best way to prevent tremors associated with cervical spondylotic myelopathy is to minimize the strain on the spine that can lead to herniated discs and/or other spinal injuries. The discs in the spine degenerate, dry out and start cracking with age, increasing the risk of rupture. If a tremor develops, contact a doctor, spine specialist, or chiropractor to help diagnose the condition. These doctors can perform physical and neurological tests to determine the cause and treatment options.

Body Composition

Aging Health

Steady weight gain throughout life can lead to adult-onset diabetes. This is partly caused by having more body fat and progressive muscle loss. Loss of skeletal muscle mass is linked to insulin resistance that involves:

  • The less muscle is available, the less insulin sensitive the body becomes.
  • As insulin sensitivity decreases, the body becomes more resistant, increasing risk factors for type II diabetes.
  • This can lead to osteoporosis, where the old bone is reabsorbed more and less new bone is created.

Both men and women can experience decreased muscle mass that can lead to:

  • Thinner bones
  • Weaker bones
  • Increased risk of osteoporosis and severe injury from falls.

To help prevent these issues, it is recommended to:

  • Eat sufficient protein throughout the day.
  • It is recommended to space out protein intake across meals rather than consuming it all at once. This helps to ensure the proper amount is acquired.
  • Monitoring body composition regularly can help minimize muscle mass loss and fat mass gain as the body ages.
  • A regular strength training routine will help strengthen bones muscles and maintain optimal circulation.
References

Heusinkveld, Lauren E et al. “Impact of Tremor on Patients With Early Stage Parkinson’s Disease.” Frontiers in neurology vol. 9 628. 3 Aug. 2018, doi:10.3389/fneur.2018.00628

Jancso, Z et al. “Differences in weight gain in hypertensive and diabetic elderly patients primary care study.” The Journal of nutrition, health & aging vol. 16,6 (2012): 592-6. doi:10.1007/s12603-011-0360-6

Srikanthan, Preethi, and Arun S Karlamangla. “Relative muscle mass is inversely associated with insulin resistance and prediabetes. Findings from the third National Health and Nutrition Examination Survey.” The Journal of clinical endocrinology and metabolism vol. 96,9 (2011): 2898-903. doi:10.1210/jc.2011-0435

Tapia Perez, Jorge Humberto et al. “Treatment of Spinal Myoclonus Due to Degenerative Compression Myelopathy with Cervical Spinal Cord Stimulation: A Report of 2 Cases.” World neurosurgery vol. 136 (2020): 44-48. doi:10.1016/j.wneu.2019.12.170

Revolutionary Concept Treatments For Hypertension | Part 2

By
Dr. Alex Jimenez
-

Introduction

In the cardiovascular system, the heart’s main job is to make sure that blood is pumping throughout the entire body. What this does is that the blood cells are carrying all the nutrients and oxygen to all the organs and muscle tissues so that way everything is working properly. When there are stressful situations that are constantly rising a person’s blood pressure, it can cause chronic issues that can cause the body pain. Since everyone in the world deals with stressful situations and if they are not careful in lowering these stressors, it can raise their blood pressure to chronic levels. In this 2 part series, we will be looking at revolutionary concept treatments to treat hypertension from rising into the body. Part 1 was taking a look at how hypertension is being a marker for vascular dysfunction and how the interaction of microvascular disease and vascular remodeling affects the body. By referring patients to qualified and skilled providers who specialized in cardiovascular services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

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

Download

Hypertension As A Marker For Vascular Dysfunction

In part 1, it talked about hypertension as the leading factor for cardiovascular disease and how it is originated from a combination of factors that can affect the body. When this happens, it can cause elevated blood pressure to be one of the many responses to endothelial dysfunction and vascular dysfunction. If it is not treated right away, the body can develop future cardiovascular risk factor events and target organ damage. All is not hopeless, due to treatments that can help reverse cardiovascular risk factors and treat hypertension through therapeutic treatments.

 

HCTP Therapy

Tony Robbins finds secret to eliminating back pain

*Stem cells are another term for human cellular tissue products or HCTP that international and nationally affiliated clinics and distribution organizations used to help boost the body’s natural healing process. Even though in the U.S. HCTP therapy is used for bone marrow transplants, international affiliated clinics use HCTP therapy as regenerative medicine to help repair and regenerate damaged cells, tissues, and organs that have been affected by chronic illnesses.

Treatments For Hypertension

Surprisingly there are many ways to help lower hypertension in the body. Some individuals can take up meditation to calm the anxious mind and through rhythmic breathing can lower their blood pressure significantly. Other ways that can help lower blood pressure include:

  • Exercise
  • DASH diet
  • Hydrogen Sulfide
  • Sodium Restriction
  • Nutraceuticals

 

Exercise & Hypertension

 

Since hypertension has been known to affect about 25% of the world’s population, studies found that exercise training can reduce blood pressure in the body. Regular aerobic exercise helps lower blood pressure significantly and reduces chronic heart disease risk. Individuals that want to lower their blood pressure and feel good about themselves need a combination of aerobic and resistance training in order to achieve optimal fitness by doing it 60 minutes 4 times per week to reduce chronic heart disease and blood pressure. Not only that but the benefits of exercising regularly can:

  • Increase eNOS and NO
  • Improves ED
  • Increase IL-10 and reduce inflammation
  • Muscle VEGF protein increased 67%.(J of Hypertens 2010;28:1176)
  • Marked improvement in angiogenesis.

DASH Diet

The Dash Diet is known as the Dietary Approaches to Stop Hypertension and it is designed to help treat or prevent high blood pressure through healthy eating. For DASH-HF, it helps lower blood pressure as DASH but reduced TG and VLDL, increasing LDL size more without a change in LDL. Research studies show that long-term adherence to the DASH diet and having food substitutions within the diet help lower the risk for heart failure. By limiting CHO despite increased SFA can improve the lipid profile with DASH –HF can provide more MUFA and PUFA also improving lipids. Other studies also found that the DASH diet can be used to not only effectively reduce blood pressure but the food and nutrients from the diet can prevent and treat hypertension in the body.

 

Hydrogen Sulfide

Hydrogen Sulfide or H2S is from sulfate-reducing bacteria, dietary sulfur-containing amino acids, and from the enzymatic breakdown of homocysteine and cysteine that can help lower blood pressure in the body. Studies have found hydrogen sulfide is recognized as a gasotransmitter with protective effects for the cardiovascular system and when there are higher blood levels of sulfate and thiosulfate and polysulfides correlate with reductions in CVD and hypertension by inducing vasodilation and ROS scavenging.

 

 

Since H2S reacts with NO and nitrosothiols forming thionitrous acid, nitroso-persulfide, and nitroxyl which vasodilates, it also activates K channels, inhibits SNS, activates PKG1 alpha, and inhibits PDE 5. Studies also found that hydrogen sulfide is a blood pressure regulator and scavenger of reactive oxygen species while also reducing organ damage like stem cells*.

 

Sodium Restriction

A great way to lower hypertension in the body is to restrict sodium from any diet. Studies have found that the effects of dietary sodium restriction on diabetic individuals are remarkable as sodium restrictions significantly lower systolic and diastolic blood pressure in the body. Other studies also found that not only sodium restriction can decrease blood pressure and the incidences of hypertension in the body, but it can reduce morbidity and mortality in cardiovascular diseases. Some of the other functions that sodium restriction can do includes:

  • Improve HBP control in pharmacologically treated patients
  • Reduce CVD, CHD, CHF, CVA in all subjects, especially the obese
  • Reduce LVH, diastolic dysfunction, and vascular hypertrophy
  • Reduce renal disease and proteinuria
  • Improved effect with high K+, Mg++, and Ca++ intake (especially Na+ sensitive) (DASHI and II) (Montreal)
  • Improved effect with restriction of refined carbohydrates
  • Reduction in TOD is also independent of BP Reduction

 

Nutraceuticals

 

Nutraceuticals can actually help lower hypertension levels in the body. Research studies have found that different supplements and nutraceuticals contain antioxidant properties that lower blood pressure. Some of the nutraceuticals and supplements that can help lower hypertension include:

 

Conclusion

All in all, finding ways to lower blood pressure from the body is beneficial for anyone that wants to change their lifestyle. By making small changes to their lifestyle slowly can provide amazing results in their wellness journey. When providing the right kind of foods, therapy, or exercise to their lifestyle, a person can being to change how the way they look and if they have any ailments that hinder their way of life, can notice that their body is healing itself and they can get their life back together.

 

References

Al-Magableh, Mohammad R, et al. “Hydrogen Sulfide Treatment Reduces Blood Pressure and Oxidative Stress in Angiotensin II-Induced Hypertensive Mice.” Hypertension Research: Official Journal of the Japanese Society of Hypertension, U.S. National Library of Medicine, 7 Aug. 2014, pubmed.ncbi.nlm.nih.gov/25099489.

Carpio-Rivera, Elizabeth, et al. “Acute Effects of Exercise on Blood Pressure: A Meta-Analytic Investigation.” Arquivos Brasileiros De Cardiologia, Sociedade Brasileira De Cardiologia – SBC, May 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4914008/.

Cicero, Arrigo F G, and Alessandro Colletti. “Nutraceuticals and Blood Pressure Control: Results from Clinical Trials and Meta-Analyses.” High Blood Pressure & Cardiovascular Prevention: the Official Journal of the Italian Society of Hypertension, U.S. National Library of Medicine, 19 Mar. 2015, pubmed.ncbi.nlm.nih.gov/25788027/.

Grillo, Andrea, et al. “Sodium Intake and Hypertension.” Nutrients, MDPI, 21 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6770596/.

Ibsen, Daniel B, et al. “The Dietary Approach to Stop Hypertension (DASH) Diet Is Associated with a Lower Risk of Heart Failure: A Cohort Study.” European Journal of Preventive Cardiology, U.S. National Library of Medicine, 4 Jan. 2022, pubmed.ncbi.nlm.nih.gov/34983068/.

Levitan, Emily B, et al. “Consistency with the Dash Diet and Incidence of Heart Failure.” Archives of Internal Medicine, U.S. National Library of Medicine, 11 May 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2682222.

Ren, Jingyi, et al. “Effect of Dietary Sodium Restriction on Blood Pressure in Type 2 Diabetes: A Meta-Analysis of Randomized Controlled Trials.” Nutrition, Metabolism, and Cardiovascular Diseases: NMCD, U.S. National Library of Medicine, 26 Feb. 2021, pubmed.ncbi.nlm.nih.gov/33838996/.

Staff, Mayo Clinic. “How to Make the Dash Diet Work For You.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 25 June 2021, www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/dash-diet/art-20048456.

Disclaimer

New Concept Treatments For Hypertension | Part 1

By
Dr. Alex Jimenez
-

Introduction

The heart’s job in the cardiovascular system is to make sure that blood is pumping through the veins, arteries, and blood vessels to each muscle tissue, organ, and making sure that everything is working properly. When a person is dealing with high blood pressure, it can cause harm to the body as there are many factors that can affect it. If it is not treated, the body can develop chronic illnesses over time and can harm each of the organ systems including the cardiovascular system. In this 2 part series, we will be taking a look at hypertension being a marker for vascular dysfunction and how the interaction of microvascular disease and vascular remodeling affect the body. Part 2 will look at new concept treatments to treat hypertension from rising into the body. By referring patients to qualified and skilled providers who specialized in cardiovascular services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

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

Download

What Is Hypertension?

The blood vessels in the body have a finite number of responses to an infinite number of insults that can affect a person. The three finite responses that can cause the body to be dysfunctional are inflammation, oxidative stress, and vascular immune dysfunction. Research studies show that high blood pressure or hypertension is where there is a long-term force of the blood against the artery walls that are high enough to cause heart problems like heart disease. Hypertension is not a disease but is the “correct” chronic dysregulated vascular response with an exaggerated outcome from infinite insults to the blood vessels. There are infinite insults that are biomechanical like blood pressure and hemodynamic alterations and biohumoral, which are biochemical, metabolic, and nutritional.

 

This results in the subsequent environmental-gene expression patterns in which the vascular system is the innocent bystander, thus resulting in altered vascular biology, vasoconstriction, and hypertension. With these modulations of environmental insults and downstream disturbances of gene expression patterns is the key to the prevention and treatment of hypertension and cardiovascular disease.

 

Hypertension As A Marker For Vascular Dysfunction

Studies have found that hypertension is the leading risk factor for cardiovascular disease and that it originates from a combination of factors that can cause the blood pressure to rise. An elevated blood pressure is one of many responses of the blood vessel to endothelial dysfunction and vascular smooth muscle dysfunction. ( impaired microvascular function and structure ). The endothelial dysfunction and microvascular smooth muscle dysfunction precede the development of hypertension by decades if it is not treated.

 

Endothelial Dysfunction Predicts CVD & Hypertension

Endothelial dysfunction, as studies show, is an established response to cardiovascular risk factors and can cause the development of atherosclerosis. Not only that, but endothelial dysfunction is a very accurate predictor of future cardiovascular events (CVD) and target organ damage (TOD) such as CHD, MI, CVA, CRF, and CHF. All is not lost, as cardiovascular risk factors can be treated and endothelial dysfunction can be reversed with treatments like regenerative therapy.

 

HCTP Therapy

Tony Robbins finds secret to eliminating back pain

As new treatments for chronic illnesses start to prove exceptional results, regenerative medicine has been rising up in treating individuals at the cellular level. Most individuals have heard of the term “stem cells”* but the correct term is human cellular tissue products or HCTP as most affiliated clinics and distribution organizations (both nationally and internationally) uses HCTP as regenerative therapy to help repair damaged cells, organs, and tissues back to their original state. Nationally here in the US, HCTP treatments are used for bone marrow transplants, however; international clinics in Colombia, use HCTP treatments to help repair diseased cells and damaged tissues in the body.

Microvascular Disease & Vascular Remodeling

Microvascular disease involves small resistance arteries, arterioles, capillaries, and post-capillary venules and about 100-300 um size arterioles are involved due to hypertension, DM, and obesity. Studies have found that microvascular disease is referring to the subset of disorders that are affecting the structure and function of the coronary microcirculation in the heart. In hypertension and many other cardiovascular risk factors like obesity and diabetes mellitus, there is an increase in MLR: media/lumen ratio and in essential or primary hypertension it is eutrophic remodeling, meaning that there is a rearrangement of normal material around a narrowed lumen and in DM, MS, obesity, and secondary forms of hypertension, it is known as hypertrophic remodeling: VSMC hypertrophy or hyperplasia.

 

 

Studies have shown that vascular remodeling is when there are alternations in the resistance vessel structures that are contributing to elevated systemic vascular resistance in hypertension. Vascular remodeling and rarefaction of arterioles can occur at the same time and lead to reduced tissue perfusion and oxygenation. Other factors that vascular remodeling does to the vessels in the heart include:

  • Reduced coronary flow reserve and dilation
  • An increase in the MLR in arterioles prior to the onset of hypertension. Once hypertension occurs then the MLR and BP parallel one another.
  • Due to integrins, ROS, inflammation, and vascular immune dysfunction.
  • An increased MLR of over 0.098 increased CV events in hypertension, especially if hypertrophic remodeling.
  • Correlation with retinal and subcutaneous arteries

 

The Interactions Between Microvascular Disease & Vascular Remodeling

When there are small resistance and pre-capillary arteries that are less than 100 um in size, maintain wall tensile stress by eutrophic remodeling inward without growth processes and this is due to the greatest myogenic response and constriction that decreases the lumen size. The larger arterioles that are 100 to 300 uM in size has a lower myogenic constrictive response which leads to the vascular media wall
hypertrophy with reduced lumen size and increased media to lumen ratio (MLR).

 

Microvascular adaptive mechanisms help protect fragile capillaries from excess pressure but necessarily reduce blood flow with a mismatch in local tissue demands and induce ischemia. And theses microvascular changes occur with  HLP, DM, and CRI in the body, while the endothelial dysfunction that leads to microvascular disease is secondary to inflammation, oxidative stress, and immune
vascular dysfunction. This will lead to an increase in aortic stiffness, thus increasing the pressure pulsatility in the vessels. Macrovascular changes can include large arterial stiffness with loss of arterial compliance, while also changing the abnormal vasomotor tone and the functional and structural network rarefaction decreased vasodilatory reserve and altered wall to lumen ratio. This means that both macrovascular and microvascular changes are independent predictors of cardiovascular events in hypertensive patients.

 

Conclusion

All in all, the heart’s job is to make sure that blood is pumping through the blood vessels, arteries, and veins throughout the body. When there are unwanted pathogens that start affecting the heart, it can cause many problems for the body and if it is not treated can be dangerous for the person. By lowering high blood pressure in the body with nutritious food or through therapeutic treatments, the body can begin to reverse the effects of cardiovascular disease risk factors from rising. By lowering the effects of cardiovascular disease factors, the body can function properly and the individual can start their wellness journey.

 

References

Carey, Robert M, et al. “Prevention and Control of Hypertension: JACC Health Promotion Series.” Journal of the American College of Cardiology, U.S. National Library of Medicine, 11 Sept. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6481176/.

Hadi, Hadi A R, et al. “Endothelial Dysfunction: Cardiovascular Risk Factors, Therapy, and Outcome.” Vascular Health and Risk Management, Dove Medical Press, 2005, www.ncbi.nlm.nih.gov/pmc/articles/PMC1993955/.

Renna, Nicolás F, et al. “Pathophysiology of Vascular Remodeling in Hypertension.” International Journal of Hypertension, Hindawi Publishing Corporation, 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3736482/.

Staff, Mayo Clinic. “High Blood Pressure (Hypertension).” Mayo Clinic, Mayo Foundation for Medical Education and Research, 1 July 2021, www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410.

Taqueti, Viviany R, and Marcelo F Di Carli. “Coronary Microvascular Disease Pathogenic Mechanisms and Therapeutic Options: JACC State-of-the-Art Review.” Journal of the American College of Cardiology, U.S. National Library of Medicine, 27 Nov. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6296779/.

Disclaimer

Squat Exercises Causing Low Back Pain

By
Dr. Alex Jimenez
-
People doing squats without weighting exercise in gym. Concept of gym.

Squat exercises are highly effective, as they strengthen the back and core muscles, helping the prevention of injury. They can be done anywhere with or without equipment like weights and resistance bands and can be part of an aerobic workout. Squatting requires following proper form and posture. Using the improper form, adding too much weight too soon, overdoing it without enough recovery time can cause soreness, back pain, and injury. Having muscle soreness after performing squats is expected; however, if symptoms like chronic soreness, tingling, numbness, or sharp aches that come and go, begin to appear, it is recommended to consult a medical trainer, chiropractor, doctor, or spine specialist to evaluate the symptoms, and if necessary develop a treatment plan, as well as a prevention plan to continue exercising safely.

Squat Exercises Causing Low Back Pain

Squat Exercises

Squatting is a highly beneficial form of exercise. Athletes, trainers, coaches, and individuals just staying healthy use the technique as a part of their training and workouts. This is because squatting increases core muscle strength, increasing body power. Squat exercises benefits include:

Increased Flexibility

  • Improved strength and a range of motion allow the body to move flawlessly in various directions with minimal effort.

Increased Core Strength

  • All major muscles work together during a squat.
  • This increases muscle stabilization, maintains body balance, increasing core strength.

Injury Prevention

  • Squats work all leg muscles simultaneously, synchronizing the body.
  • This increases body stability decreasing the risk of injury.

Back Pain and Potential Injury

The spine is exposed and unprotected during a squat. This is where back pain and injury can happen. Potential causes include:

  • Not warming up/priming muscles properly.
  • Tight muscles and a limited range of motion.
  • Improper form and squatting technique.
  • Adding weight or loading too soon.
  • Weak core muscles.
  • Incorrect or improper footwear with inadequate arch support.
  • Weak ankle muscles are not used to the weight and shift, causing misalignment and awkward positioning.
  • Previous injuries to the lower back can cause a flare-up to the area and potentially worsen.

Prevention

Ways to troubleshoot and prevent back pain during squat exercises.

Warmup

  • Using a proper and effective warmup will ensure that the body is ready for the workout stress.
  • Priming each muscle is recommended. This could be:
  • Starting with glute work.
  • Then planks to activate the core.
  • Finish off with stretching and range of motion exercises.
  • A personal trainer can assist in creating a customized workout routine.

Starting Position

  • The feet should always face forward to protect the hips and knees when beginning a squat.
  • If the feet face at an angle, the form can be impacted, leading to back pain or collapsing arches.

Spinal Alignment

  • Maintaining a straight-ahead or upward gaze, which increases center awareness during squat exercises, can prevent the body from leaning forward and placing stress on the spine.
  • Only squat as far as possible, making sure to feel in control and maintain the form.
  • Squatting too deep can cause muscle strain leading to pain.
  • Focus on form, as it is more important than depth.

Joint mobility

  • Ankle mobility and stability are essential to balance and control.
  • If the ankle is compromised, the feet could lift off the floor, forcing the body to compensate, leading to strain and potential injuries.
  • Only squat as far as ankle stability allows.
  • Ankle flexibility exercises will help improve squat form.

Variations

A chiropractor or physical therapist will be able to evaluate spinal health, exercise form, and advise if there is an issue.

Body Composition

Achieve Health and Fitness Goals By Doing What You Enjoy

Don’t engage in workouts or fitness programs that make you miserable. Do workouts/activities that you enjoy and have fun doing. Exercise for the love of the body, keeping it healthy and in shape, not because there is a feeling of obligation.

  • Try and experiment with different workouts/physical activities to see and feel what works for you.
  • Individuals who don’t like lifting weights try using resistance bands or bodyweight exercises.
  • The same goes for nutrition. Don’t base diet and supplement choices on misperceptions about health.
References

Calatayud, Joaquín et al. “Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain.” International journal of environmental research and public health vol. 16,19 3509. 20 Sep. 2019, doi:10.3390/ijerph16193509

Clark, Dave R et al. “Muscle activation in the loaded free barbell squat: a brief review.” Journal of strength and conditioning research vol. 26,4 (2012): 1169-78. doi:10.1519/JSC.0b013e31822d533d

Cortell-Tormo, Juan M et al. “Effects of functional resistance training on fitness and quality of life in females with chronic nonspecific low-back pain.” Journal of back and musculoskeletal rehabilitation vol. 31,1 (2018): 95-105. doi:10.3233/BMR-169684

Donnelly, David V et al. “The effect of the direction of gaze on the kinematics of the squat exercise.” Journal of strength and conditioning research vol. 20,1 (2006): 145-50. doi:10.1519/R-16434.1

Zawadka, Magdalena et al. “Altered squat movement pattern in patients with chronic low back pain.” Annals of agricultural and environmental medicine: AAEM vol. 28,1 (2021): 158-162. doi:10.26444/aaem/117708

Cardiovascular Disease & Diabetes Prevention

By
Dr. Alex Jimenez
-

Introduction

The body needs insulin to make sure that the blood glucose is making each of the systems inside work properly and provide energy as well. By regulating insulin in the body, it can help the body from having unwanted pathogens disrupting the organ systems and increasing blood glucose levels. However, the body is not perfect as it encounters situations where the body can become dysfunctional over time if it is not treated. Unwanted pathogens can actually enter the body and cause many chronic illnesses to develop over time causing pain and suffering to the individual. In this article, we will be taking a look at how cardiovascular disease and diabetes are linked and how to prevent these two from rising in the body. By referring patients to qualified and skilled providers who specialized in cardiovascular services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

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

Download

How Cardiovascular Disease & Diabetes Are Linked?

 

When unwanted pathogens affect the body, a variety of chronic illnesses and conditions can pop up over time, even if the individual is healthy. Diabetes and cardiovascular diseases can work hand in hand by causing the blood glucose levels to rise in the bloodstream, while the arteries can have plaque build-up causing heart diseases to pop up. Research studies show that when the body has high blood glucose levels from diabetes, it can actually damage the blood vessels and the nerves that control the heart and over time lead to heart disease. Cardiovascular disease and diabetes are linked to each other through obesity, insulin resistance, and inflammation. Other studies have shown that amongst diabetics that obesity and type 2 diabetes are two of the major risk factors for cardiovascular disease and can increase the risk of heart failure in a person. Other conditions that diabetes and cardiovascular diseases are linked to include:

 

Insulin Resistance

 

Insulin resistance is an impaired biological response to insulin stimulation of targeted tissues as studies show. The study also showed that insulin resistance can impair glucose disposal and once it is progressed can lead to chronic conditions like diabetes, coronary heart disease, metabolic syndrome, and nonalcoholic fatty liver disease. Other studies have shown that as obesity and diabetes have reached epidemic proportions and with insulin resistance, it can cause an increase in blood glucose levels, and tissues and organs that require insulin will have excess amounts of glucose in their systems causing hyperinsulinemia to developed.

 

Metabolic Syndrome

Research studies have stated that metabolic syndrome is a cluster of disorders that can affect a person’s lifestyle which includes atherosclerotic cardiovascular disease, insulin resistance, and diabetes mellitus. Metabolic syndrome, when being assessed by physicians requires the measurement of waist circumference for patients. This is a simple but seldom performed procedure in general practice. The most essential components for the prevention and management of metabolic syndrome are measures to change diet and physical activity in order to achieve and sustain weight loss. Research shows that when metabolic syndrome is being diagnosed early, individuals can effectively employ a change of lifestyle and risk factor modifications to their bodies in order to live healthier.

 

Increased Gut Permeability

Since the gut microbiota contributes to host metabolism by several mechanisms including increased energy harvest from a healthy diet, modulation of lipid metabolism, altered endocrine function, and increased inflammatory tone. The gut microbiota could thus be considered to be an environmental factor that modulates obesity and other metabolic diseases. Studies have found that increased intestinal permeability can cause microbial translocation which can induce low-grade inflammation in various diseases. This means that when there are alterations in the intestinal permeability, intestinal
barrier function becomes compromised whereby access of infectious agents and dietary antigens to mucosal immune elements are facilitated, which may eventually lead to immune reactions with damage to pancreatic beta cells and can lead to increased cytokine production with consequent insulin resistance.

 

 

Other indications of an increased intestinal permeability as studies show when the gut barrier is compromised, toxins can seep out of the gut and into the bloodstream thus the immune system will start attacking the pathogens and cause low-grade inflammation. An increased gut permeability can lead to an increase of macromolecule being absorbed from the intestinal content resulting in systemic immune
responses and altering the signaling pathways influencing lipid and glucose metabolism.

 

Preventing CVD & Diabetes from Rising

There are many ways to prevent cardiovascular disease and diabetes from rising to dangerous levels in the body. Many individuals that want to get their life back in order ask for their primary health care providers to suggest to them a personalized diet that can help them in the long run. With each diet lifestyle, it can help successfully modify elevated postprandial blood glucose and its metabolic consequences. By finding the right nutritional diet, exercise, and lifestyle that works for individuals, they have a better chance to lower any chronic illnesses that they may have and can live life to the fullest.

 

Exercise

By finding the right kind of exercise routine or even starting out exercise is beneficial for a person to get moving and help alter the skeletal muscle metabolism and improves glucose uptake. By exercising regularly, the body will begin to feel much better since exercising can help reduce low-density lipoprotein, raise HDL while lowering blood pressure, reduce inflammation and oxidative stress. By incorporating exercise as a recovery process will benefit the body and the individual will notice that they are losing weight in a healthier way.

 

Eating Nutritious Food

Now exercising is only a third of the recovery process, as eating nutritious food that is filled with antioxidants, full of bright colors, and has the necessary vitamins and nutrients that the body needs. By making small changes to a person’s diet by swapping out the processed food with more fruits, vegetables, limiting the carbohydrates and oils in the food diet can provide the body a better chance to feel better. Eating nutritious food can even help the gut system by feeding the good bacteria and repairing the intestinal permeability back to normal. Plus one of the bonus points of eating nutritional food is that it can even lower the effects of cardiovascular diseases, regulate blood glucose levels and have antioxidant properties to lower inflammatory factors.

HCTP Research

Tony Robbins finds secret to eliminating back pain

HCTP therapy is a form of regenerative treatment that both internationally and nationally affiliated clinics and distribution organizations used to treat damaged cells, tissues, and organs by repairing them. HCTP therapy is beneficial for individuals who are in chronic pain as HCTP can help speed up the body’s own natural healing process to repair damaged cells.

Conclusion

All in all, cardiovascular disease and diabetes are two of the main factors to cause the body to be in chronic pain and be dysfunctional. By realizing that an unhealthy lifestyle can cause a chain reaction to inflammation, diabetes, and cardiovascular risk factors can lead the body to be in chronic pain over time. By incorporating a heart-healthy diet filled with nutritional food filled with antioxidants, vitamins, and minerals that provide beneficial properties to the body can lower these symptoms. With these changes, a person can begin their wellness journey with a better understanding on what causes them pain and begin to live life to the fullest.

 

References

Bischoff, Stephan C, et al. “Intestinal Permeability–a New Target for Disease Prevention and Therapy.” BMC Gastroenterology, BioMed Central, 18 Nov. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4253991/.

Freeman, Andrew M. “Insulin Resistance.” StatPearls [Internet]., U.S. National Library of Medicine, 10 July 2021, www.ncbi.nlm.nih.gov/books/NBK507839/.

Fukui, Hiroshi. “Increased Intestinal Permeability and Decreased Barrier Function: Does It Really Influence the Risk of Inflammation?” Inflammatory Intestinal Diseases, S. Karger AG, Oct. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5988153/.

Medical Professionals, NIDDKD. “Diabetes, Heart Disease, & Stroke.” National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Department of Health and Human Services, Apr. 2021, www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/heart-disease-stroke.

Rochlani, Yogita, et al. “Metabolic Syndrome: Pathophysiology, Management, and Modulation by Natural Compounds.” Therapeutic Advances in Cardiovascular Disease, SAGE Publications, Aug. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5933580/.

Swarup, Supreeya. “Metabolic Syndrome.” StatPearls [Internet]., U.S. National Library of Medicine, 30 Oct. 2021, www.ncbi.nlm.nih.gov/books/NBK459248/.

Wilcox, Gisela. “Insulin and Insulin Resistance.” The Clinical Biochemist. Reviews, U.S. National Library of Medicine, May 2005, www.ncbi.nlm.nih.gov/pmc/articles/PMC1204764/.

Zang, P-Y. “Cardiovascular Disease in Diabetes.” European Review for Medical and Pharmacological Sciences, U.S. National Library of Medicine, 2014, pubmed.ncbi.nlm.nih.gov/25070828/.

Disclaimer

Sports Specific Performance Training

By
Dr. Alex Jimenez
-
Young woman doing exercises with personal instructor in gym. Sport, athlete, training, healthy lifestyle and people concept.

Sports-specific performance training is an approach to develop an athlete’s full potential in their sport. This involves three different factors: physical, technical, and experience. Physical ability is the exercise physiology that consists of strengthening and conditioning the body to handle the conditions of the sport. This includes:

  • Strength
  • Power
  • Speed
  • Endurance
  • Mobility
  • Stability
  • Flexibility
  • Balance

Technical ability involves the skill sets needed for the sport. This includes:

  • Running
  • Jumping
  • Kicking
  • Throwing
  • Catching
  • Hitting
  • Sliding

And finally is the athlete’s experience. This takes the knowledge, combined with the physical and technical abilities brought together to perform at optimum levels. However, it all begins with physical ability that needs to be developed. Even naturally gifted individuals need to develop their physical ability.

Sports Specific Performance Training

Sports Specific Performance Training

Strength & conditioning objectives are to develop the whole athlete. This involves:

An athlete’s health takes into consideration their body composition and current or past injuries. Along with injuries, the athlete’s mobility, flexibility, and stability are examined to determine if these were among the contributors or conditions that caused or could lead to an injury. Strength & conditioning is used so an athlete can return to play and allow them to be more resilient to injuries. Maintaining the body’s health means:

  • Keeping track of nutrition by making healthy food choices.
  • Maintaining proper hydration levels.
  • Allowing the body to recover from training thoroughly.
  • Keeping the body loose and flexible through chiropractic sports massage or a personal training therapist.

Mobility, Flexibility, and Stability

If an athlete is mobile and flexible but not stable, it increases the risk of sustaining an injury. The same can be said of an athlete with stability but limited mobility.

Athletic Mindset

An athlete’s mindset can win or lose games.

  • Athletes are encouraged to push themselves to see what they are capable of, which relies on mental strength.
  • Athletes that doubt their ability become their own worst critics and hold themselves in low self-esteem tend to underperform or become overly cautious when competing.
  • This is where a sports psychologist can help an athlete overcome any confidence issues.

Athleticism

Developing athleticism involves strength, power, speed. These physical attributes allow athletes to perform within their technical and strategical abilities.

  • It is recommended to spend 10-15 minutes warming up with each sports-specific performance training session. The warm-up:
  • Primes for the athlete’s nervous system.
  • Increases blood flow to the muscles.
  • Prepares the joints for optimal function.

Warm-ups can consist of:

  • Foam rolling
  • Breathing drills
  • Static stretching
  • Corrective exercises
  • Movement preparation
  • Movement skills

Speed training addresses linear, lateral, and multi-directional speed. The objective is to keep athletes learning and developing better reaction skills while maintaining high-quality movement. Speed training can last 10 to 15-minutes with the number of repetitions.

Strength training follows an individualized system for each athlete based on an initial evaluation. The objective is to eliminate any weaknesses that an individual may have and develop functional strength, giving the athlete the ability to take that strength onto the field, court, mat, etc.

It is essential to understand how the body moves. Kinesiology and programming parameters involve – sets, repetitions, overall training volume, and the body’s response to the stimulus.

Body Composition

Exercise and Blood Pressure

Blood pressure typically rises naturally as the body ages.  The American Heart Association recommends individuals get at least 150 minutes of moderate-intense aerobic exercise or 75 minutes of vigorous aerobic activity each week. This can be split up into 30 minutes per day on at least five days a week or in 10 minute short sessions throughout the day.  Aerobic exercise can include:

  • Walking
  • Dancing
  • Running
  • Cycling
  • Hiking
  • Swimming

Resistance Training

Research suggests that resistance training with bands or weights can supplement aerobic exercise to reduce blood pressure. It is recommended to complete 2 to 4 sets of 8 to 12 repetitions for each major muscle group during workouts. It is recommended that resistance training be spaced out throughout the week to limit the potential muscle soreness that can lead to injury. Resistance training can include:

  • Weight machines like chest press, shoulder press, etc.
  • Free weights like dumbbells, barbells, etc.
  • Resistance band exercises
References

Bahr, R, and T Krosshaug. “Understanding injury mechanisms: a key component of preventing injuries in sport.” British journal of sports medicine vol. 39,6 (2005): 324-9. doi:10.1136/bjsm.2005.018341

Iaia, F Marcello et al. “High-intensity training in football.” International journal of sports physiology and performance vol. 4,3 (2009): 291-306. doi:10.1123/ijspp.4.3.291

Jeukendrup, Asker E. “Periodized Nutrition for Athletes.” Sports medicine (Auckland, N.Z.) vol. 47,Suppl 1 (2017): 51-63. doi:10.1007/s40279-017-0694-2

Kraemer, William J, and Nicholas A Ratamess. “Fundamentals of resistance training: progression and exercise prescription.” Medicine and science in sports and exercise vol. 36,4 (2004): 674-88. doi:10.1249/01.mss.0000121945.36635.61

Nagorsky, Eugen, and Josef Wiemeyer. “The structure of performance and training in esports.” PloS one vol. 15,8 e0237584. 25 Aug. 2020, doi:10.1371/journal.pone.0237584

The Gut’s Role In Cardiovascular Disease | Part 2

By
Dr. Alex Jimenez
-

Introduction

The body’s microbiome is a host of trillions of microorganisms that help form an ecosystem that interacts with the entire body system. Each of the systems inside the body like the musculoskeletal system, the gut system, the central nervous system, and the endocrine system each play a role in order for the body to function properly. When there are unwanted pathogens that start attacking each system, it can cause lots of problems to the body and over time can develop into chronic illnesses. In this 2 part series, we will be taking a look at how different organisms are associated with cardiovascular diseases and how to improve the gut’s microbiome health. Part 1 took a look at the body’s microbiome and how it plays a role in cardiovascular disease. By referring patients to qualified and skilled providers who specialized in cardiovascular services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

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

Download

The Gut Microbiome & Cardiovascular Disease

Since the gut is known to create a symbiotic relationship with its host, chronic illnesses can affect it and cause unwanted problems to not only the gut but also the entire body. Studies have found that when the gut goes through deleterious changes that cause an imbalance to the gut microbiota, it can impair the homeostatic mechanisms and activate multiple pathways that can trigger cardiovascular disease risk factors. Another study also found that when the gut microbiome is affected it can also cause bacterial translocation to be associated with the development of cardiac disorders that makes them potential triggers to the gut microbiome.

 

Organisms Associated With Cardiovascular Disease

Some of the organisms that are in the body can be associated with cardiovascular disease. Studies show that when these organisms are associated with cardiovascular diseases, they can cause impaired intestinal barrier function and the presence of bacterial products that they carry can be in the systemic circulation and heightened inflammatory state in the gut while also affecting the cardiovascular system. Some of the organisms include:

  • Lipopolysaccharide (LPS)
  • Occludin
  • Zonulin
  • Leaky Gut
  • Metabolic Endotoxemia

 

Lipopolysaccharide

 

Lipopolysaccharides (LPS) are large molecules found in gram‐negative bacteria. They are endotoxins, and if absorbed can elicit a strong immune response. The detection of antibodies against LPS reveals macromolecule‐sized endotoxin infiltration through the intestinal barrier into the systemic circulation.
Intestinal permeability can cause systemic inflammation through translocation of LPS. Studies have found that lipopolysaccharides may be involved in the process of atherothrombosis process since it is an interesting molecule that once it crosses the gut microbiota and enters the systemic circulation it will cause chronic inflammation and atherosclerosis, which is a cardiovascular disease.

 

Occludin

Occludin is part of the main component of proteins holding together the tight junctions. Research shows that intercellular tight junctions help regulate the counter interactions of occludin and provide highly polarized barriers for homeostatic maintenance. The detection of antibodies to occludin indicates that the tight junctions are breaking down.  Studies have found that occludin can help the tight junction with regulated maintenance but when chronic symptoms like oxidative stress are causing problems to occludin, it can cause damage to the gut and the intestinal barrier membrane.

 

Zonulin

Zonulin is a protein that regulates the permeability of the intestine and the detection of antibodies against zonulin indicates that the normal regulation of tight junctions is compromised. Research has found that zonulin expression is augmented in autoimmune conditions that are associated with tight junction dysfunction including celiac disease and cardiovascular disease. There are clues to the presence of an ongoing mechanism involved in damaging the intestinal barrier. Studies have also found that zonulin can possibly cause low-grade inflammation and degenerative disorders like coronary heart disease, stroke, and diabetes.

 

Leaky Gut

 

When the intestinal permeability is compromised with chronic illnesses that make holes in the intestinal walls, that is known as leaky gut. Research states that a leaky gut is caused when bad bacteria begin to cut holes and food particles and toxins start to leak out into the bloodstream. When that happens, the immune system will see these as pathogens and start to attack them causing irritation and inflammation. Leaky gut can even cause many chronic symptoms to the body that the bad bacteria outweighs the good bacteria and other symptoms that leaky gut can cause include:

 

Metabolic Endotoxemia

Metabolic endotoxemia is considered an important factor that is in developing many chronic illnesses that a person is dealing with. Research shows that when there are structural changes in the intestinal epithelium it can allow LPS into the bloodstream. LPS is common to trigger insulin resistance, obesity, diabetes, and endotoxemia increased during the fed and decreased during fasted state. This means that LPS concentration 2‐3X threshold defines metabolic endotoxemia which can dysregulate the inflammatory tone and trigger the body. Other factors that metabolic endotoxemia can do to the body are:

 

By lowering plasma LPS concentration, it could be a potent strategy for the control of metabolic diseases and the body can start to feel better.

 

How To Improve Gut Microbiome Health

 

There are many ways to help improve gut microbiome health. One of the ways that an individual can help improve their gut is by eating soluble fibers. Soluble fibers are found in oats, beans, apples, and citrus fruits that are digested by enzymes into short-chain fatty acids (SCFAs). SCFAs are the main metabolites that are produced by the large intestine microbiota and constitute approximately 5–10% of the energy source in healthy people. By increasing dietary fibers and prebiotics in the body can help the large intestine microbiota increase production of SCFAs. Other ways to help the gut is by:

  • Increase low‐mercury fish consumption
  • Increase in whole plant food
  • Avoid sugar and processed foods
  • Eat foods like onion, leek, garlic, and dandelion greens (prebiotics are the non-digestible oligofructose, inulin, galactooligosaccharides within these plants).
  • Fiber‐enriched diets improve insulin sensitivity in lean and obese diabetic subjects

 

HCTP Research

Tony Robbins finds secret to eliminating back pain

HCTP therapy is a form of regenerative treatment that both international and national affiliated clinics and distribution organizations use for individuals that are dealing with chronic pain. HCTP therapy helps the body’s natural healing process by regenerating damaged cells, tissues, and organs back to their original state.

Conclusion

All in all, the heat and gut microbiomes are connected to make sure that the body is functioning properly. When there are unwanted pathogens that are attacking one or the other, it can cause chronic illnesses that can cause inflammation and heart diseases to rise up. By incorporating a healthy diet that is rich in fiber, can help lower inflammation and repair the gut microbiota. With a healthy gut, the body can begin to heal and repair itself with the necessary nutrients that it needs in order to function normally.

 

References

Camilleri, Michael. “Leaky Gut: Mechanisms, Measurement and Clinical Implications in Humans.” Gut, U.S. National Library of Medicine, Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6790068/.

Carrera-Bastos, Pedro, et al. “Serum Zonulin and Endotoxin Levels in Exceptional Longevity versus Precocious Myocardial Infarction.” Aging and Disease, JKL International LLC, 1 Apr. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5963352/.

Cummins, Philip M. “Occludin: One Protein, Many Forms.” Molecular and Cellular Biology, American Society for Microbiology, Jan. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3255790/.

Fasano, Alessio. “Zonulin, Regulation of Tight Junctions, and Autoimmune Diseases.” Annals of the New York Academy of Sciences, U.S. National Library of Medicine, July 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3384703/.

Forkosh, Esther, and Yaron Ilan. “The Heart-Gut Axis: New Target for Atherosclerosis and Congestive Heart Failure Therapy.” Open Heart, BMJ Publishing Group, 23 Apr. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6519415/.

Mohammad, Shireen, and Christoph Thiemermann. “Role of Metabolic Endotoxemia in Systemic Inflammation and Potential Interventions.” Frontiers, Frontiers, 1 Jan. 2021, www.frontiersin.org/articles/10.3389/fimmu.2020.594150/full.

Novakovic, Marko, et al. “Role of Gut Microbiota in Cardiovascular Diseases.” World Journal of Cardiology, Baishideng Publishing Group Inc, 26 Apr. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7215967/.

Pastori, Daniele, et al. “Gut-Derived Serum Lipopolysaccharide Is Associated with Enhanced Risk of Major Adverse Cardiovascular Events in Atrial Fibrillation: Effect of Adherence to Mediterranean Diet.” Journal of the American Heart Association, John Wiley and Sons Inc., 5 June 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5669181/.

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

Zhang, Li-Zi, and Sun Lei. “Changes of Junctions of Endothelial Cells in Coronary Sclerosis: A Review.” Chronic Diseases and Translational Medicine, KeAi Publishing, 8 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5643598/.

Disclaimer

The Microbiome Role In Cardiovascular Disease | Part 1

By
Dr. Alex Jimenez
-

Introduction

The body has specific roles for each of the systems that are inside. The musculoskeletal system makes sure that the body is moving, while the central nervous system sends signals from the brain to the rest of the body. The gut system makes sure that the body is getting the nutrients from foods and excreting out the bad toxins out of the body and the cardiovascular system is pumping blood to each of the muscle tissue and organs so the body can function. When chronic illnesses start to affect each of the body’s systems, it can cause many problems that make the body become dysfunctional. In this 2 part series, we will be taking a look at the body’s microbiome and how it plays a role in cardiovascular disease. In part 2, we will discuss how different organisms are associated with cardiovascular disease and how to improve the microbiome’s health. By referring patients to qualified and skilled providers who specialized in cardiovascular services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

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

Download

The Microbiome

The best way to describe the body’s microbiome is like a bustling city with people commuting to work. Research shows that the body’s microbiome is entirely unique to individuals and is considered a supporting organ that has many key roles in the body. The microbiota in the body can also help stimulate the body’s immune system to break down compounds, vitamins, and amino acids in the body. With the body’s ability to deal with stressors, the body needs a greater microbial diversity to deal with opportunistic pathogens or dietary perturbations that enter. Individuals with any chronic diseases are more likely to have alterations in the gut microbiome compared to healthy controls and the associations between reduced microbial diversity and illness.

 

Microbiome Diversity Begins at Birth

So in the formation of the gut microbiota, bacterial colonization during birth plays a major role for expecting mothers. Studies have shown that the gut microbiome can influence immunological, endocrine, and neural pathways in infant development. However, there are factors that can affect both the mother and the infant, these include:

  • Premature birth
  • Caesarean section versus vaginal birth
  • Breast milk versus commercial formula

 

The study also shows that when infants are born vaginally will have a gut microbiome that is similar to the mother’s microbiota. In the vaginally-born infant’s microbiota, they will have Lactobacillus, Prevotella, or Sneathia spp in their system, while Caesarean section-born infants are colonized by bacteria found on the skin surface like Staphylococcus, Corynebacterium, and Propionibacterium species in their microbiota. When there is reduced bacterial diversity of the infant’s intestinal flora was associated with increased risk of allergic sensitization, allergic rhinitis, and peripheral blood eosinophilia.

 

Factors to Influence Microbiome Diversity

 

There are actually many factors that can influence the gut microbiota diversity in the body, studies have found that when the gut microbiota is being established early in the life stage and can be altered through various factors that influence the homeostasis and diversity of the microbiota. The factors that can influence the gut include:

  • External influences: Diets, lifestyle, illnesses
  • Health & diseases: The density, diversity, and activity of the gut bacteria
  • Internal host properties: Age, genetics, stress

 

When there are factors that can influence the gut microbiota,s sometimes it can cause dysbiosis if there are illnesses that can affect the gut. Studies show that the mechanics that influence dysbiosis in the gut microbiota can cause intestinal disorders like IBS, metabolic syndrome, and cardiovascular disease.

HCTP Research

Tony Robbins finds secret to eliminating back pain

As a form of regenerative medicine, HCTP therapy can help the body heal faster by regenerating diseased cells, organs, and tissues back to their original forms.  Both international and national affiliated clinics provide HCTP therapy services to individuals that are suffering from chronic illnesses that are affecting the body’s microbiome.

Cardiovascular Disease and The Microbiome

 

Since cardiovascular disease is one of the leading causes of mortality, it can actually cause the gut microbiota to be on the verge of dysbiosis in the body. Studies have shown that the intestinal microbiota and the body’s host interact and play a critical role in regulating human physiology. When there are deleterious changes that change the microbiota, it can cause imbalances and even activate multiple pathways in the body for cardiovascular disease risk factors to pop up. This will cause intestinal inflammation if the risk factors are not treated and even cause an increased circulation of bacterial structure components and microbial metabolites in the body to progress the development of cardiovascular diseases.

 

Cardiovascular Symptoms Affecting The Microbiome

When there are changes that affect the gut microbiome due to cardiovascular disease, the symptoms from CVD actually go hand in hand with gut dysbiosis. Studies have found that heart failure and impaired intestinal barrier function are the results of bacterial translocation and with its presence, it can circulate and heightened the gut’s inflammatory state. Other symptoms that cardiovascular disease and gut dysbiosis have in common include:

 

Conclusion

All in all, cardiovascular disease and the body’s microbiome are connected when it comes to chronic symptoms that are affecting the body. By eating a healthier diet, exercising regularly, and taking multi-vitamins and supplements that can lower the risk of cardiovascular diseases and can help flourish the microbiota’s beneficial bacteria to flourish in the gut. By lowering the risk of chronic symptoms, the body can begin the healing process, and the individual can begin living their best lives.

 

References

Carding, Simon, et al. “Dysbiosis of the Gut Microbiota in Disease.” Microbial Ecology in Health and Disease, Co-Action Publishing, 2 Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4315779/.

Hasan, Nihal, and Hongyi Yang. “Factors Affecting the Composition of the Gut Microbiota, and Its Modulation.” PeerJ, PeerJ Inc., 16 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6699480/.

Medical Professionals, HSPH. “The Microbiome.” The Nutrition Source, 1 May 2020, www.hsph.harvard.edu/nutritionsource/microbiome/.

Novakovic, Marko, et al. “Role of Gut Microbiota in Cardiovascular Diseases.” World Journal of Cardiology, Baishideng Publishing Group Inc, 26 Apr. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7215967/.

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

Yang, Irene, et al. “The Infant Microbiome: Implications for Infant Health and Neurocognitive Development.” Nursing Research, U.S. National Library of Medicine, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4681407.

Disclaimer

Neuroregeneration: Growing Nerve Cells

By
Dr. Alex Jimenez
-
Side view of a female physiotherapist showing and pointing the spinal hernia to patient in reception.

Neuroregeneration could become an option for spinal cord injury treatments in the future. A spinal cord injury or SCI is when there is damage to the bundle of nerves and cells that send and receive signals from the brain and body. A spinal cord injury can be caused by direct trauma/injury to the cord or damage to the tissue and vertebrae. The damage can result in temporary or permanent changes in:

  • Sensation
  • Movement
  • Strength
  • Body function/s below the injury site.

There are incomplete and complete injuries. Injuries that cause limited or no cell death can achieve a full recovery. Injuries that are more serious and/or are higher on the spinal cord can cause permanent damage and/or paralysis. Automobile crashes, accidents, and serious falls are the most common causes of spinal cord injuries.

  • An incomplete injury means the cord can still transmit messages, but there is interference/disturbance.
  • A complete injury means communication and motor function/voluntary body movement is not transmitting.

Neuroregeneration: Growing Nerve Cells

Symptoms

Symptoms of a spinal cord injury include:

  • Unnatural or awkward positioning of the spine or head.
  • Pain or pressure in the head, neck, or back.
  • Numbness
  • Tingling
  • Loss of or changes in sensation in the hands and feet.
  • Problems with walking.
  • Weakness or inability to move parts of the body.
  • Loss of movement.
  • Paralysis can occur immediately or develop over time as swelling and bleeding affect the cord.
  • Loss of bladder and bowel control.
  • Changes in sexual function.
  • Difficulty breathing.

SCI Damage Control

A spinal cord injury affects the central nervous system, the body’s central headquarters. Damage can cause complications through what’s called the secondary injury cascade, which is a series of chemical reactions the body activates to help the situation. However, if the chemical response does not stop and stays active, it can worsen the injury. The body recognizes that an emergency has occurred and tries to go into a shut-down mode that kills off some of the cells in the central nervous system. When a spinal injury happens, treatment focuses on stopping the damage as quickly as possible to stop the injury cascade and prevent as much cell death as possible. This act is called neuropreservation, meaning that the team is trying to preserve and save as many nerve cells as possible.

Injury Neuroregeneration Treatment Studies

While current treatment primarily focuses on stopping as much damage as possible then going through physical therapies to maintain spinal alignment and rehabilitate the body, the future of injury treatment is looking towards regrowing and repairing the damaged nerve cells through a process known as neuroregeneration. Repairing nerves that have been damaged could change life for many. Neuroregeneration Treatments being studied include:

Surgery

  • A study in The Lancet Neurology presents how getting surgery as soon as possible after an injury can provide significant benefits.
  • The findings could change all of the guidelines for spinal cord injury.

Medication

  • A study on Riluzole, a medication that has shown promise to slow down nerve cell damage.
  • A team completed a randomized controlled trial for the medication; soon, the final results will be available.

Antibody treatment

Antibodies are being studied in two ways.

  • To stop nerve cells from being damaged.
  • To help damaged nerve cells regenerate.

Stem cells

  • Scientists are studying ways to grow new nerve cells from an individual’s stem cells without the need for embryonic stem cells.
  • Specialized stem cells could also be used to help other nerve cells regenerate.

Electrical stimulation

  • Another approach is using electrical stimulation to restore function in the spinal cord.
  • Therapy that could help a paralyzed individual walk again.

The Future of Neuroregeneration

Aside from early surgery intervention, most neuroregenerative treatments are not ready or accessible yet. There’s still much more research before it can become a mainstream treatment option. Treatment that involves regenerating nerve cells will take longer than a treatment designed to protect nerve cells. However, more clinical trials are expected to be done in the next few years, with stem cell therapies taking the longest. Some of these therapies could be ready to be used on actual patients in 5-10 years.

Body Composition

The Importance of Measuring Body Composition

Most diet and fitness programs focus on weight loss or gain. However, they tend to overlook that individuals have completely different body compositions. Body composition describes the amount of:

  • Fat
  • Bone
  • Water
  • Muscle
  • In the body.

Measuring body composition can tell a body’s unique makeup and help identify areas to work on to improve overall health and wellness. Body composition analysis provides a snapshot of an individual’s health/fitness levels to help achieve health goals from the inside out.

References

Aguilar, Juan et al. “Spinal cord injury immediately changes the state of the brain.” The Journal of neuroscience: the Official Journal of the Society for Neuroscience vol. 30,22 (2010): 7528-37. doi:10.1523/JNEUROSCI.0379-10.2010

Badhiwala, Jetan H; Wilson, Jefferson R; Witiw, Christopher D; et al. (February 2021). The Lancet Neurology Vol. 20, No. 2, P. 117. The Influence of Timing of Surgical Decompression for Acute Spinal Cord Injury: A Pooled Analysis of Individual Patient Data. DOI: 10.1016/S1474-4422(20)30406-3

Chari, Aswin et al. “Surgical Neurostimulation for Spinal Cord Injury.” Brain sciences vol. 7,2 18. 10 Feb. 2017, doi:10.3390/brainsci7020018

Nutritional Food Groups To Prevent Cardiovascular Disease | Part 2

By
Dr. Alex Jimenez
-

Introduction

Finding the right set of nutritional supplements and foods is hard when trying to go for a healthier lifestyle. For individuals that are trying to prevent cardiovascular diseases from rising in their bodies, finding the right amount of nutritional foods that can not only lower the risk of cardiovascular disease but also provide them a healthier lifestyle that they can take. With the right combination of nutritional food that is being eaten the cells in the body are getting the vitamins and minerals that the body needs to function. In this 2 part series, we will be taking a look at how different food groups can help prevent cardiovascular disease in the body. Part 1 discussed how different nutritional diets can help prevent cardiovascular disease. By referring patients to qualified and skilled providers who specialized in cardiovascular services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

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

Download

Food Groups That Prevent Cardiovascular Disease

When it comes to figuring out the right kinds of food to help prevent any kind of diseases that can affect the body, it is best to go back to the food pyramid and figure out which of the food groups can help give that nutritional boost that the body needs. By looking into each food group and talking with a nutritionist, a person can get the best options of what their body needs, and not only that if they have any ailments that might affect them, the small changes in the food that is being consumed can help dampen the issues that were causing them pain.

 

Proteins

 

When it comes to protein, the body needs it in order to grow muscles and help the tissues feel good. Sadly though eating a high meat protein can actually increase the risk of cardiovascular diseases and that is not good. However, research studies have found that consuming lean meat protein can actually lower the risk of cardiovascular diseases and still provide the nutrients to fuel the body’s muscles. By having lean meats into a diet can provide beneficial results that can not only lower the risk of cardiovascular diseases but also provide the body with lower insulin resistance.

 

Dairy

Dairy products, like milk, cheese, and yogurt can not only provide protein and calcium that the body needs for strong bones but can help lower cardiovascular diseases. Studies have found that individuals that consume low-fat or fat-free dairy products can lower symptoms of blood pressure, total cholesterol, and LDL cholesterol. By consuming low-fat dairy products, the body will be absorbing bioactive dairy peptides and specific micronutrients that are important for body growth and bone health as well.

 

Fats and Oils

 

When it comes to fats and oils to be included in a person’s diet, it is important to choose the right oils and fats when cooking a heart-healthy meal that is delicious and nutritious. Studies have found that by replacing saturated fats and oils with unsaturated can lower low-density lipoprotein cholesterol, which is the cause of atherosclerosis. Finding a moderate-fat diet in which unsaturated fatty acids replace SFAs, and CHO is not increased, seems to be most preferred for cardiovascular health. And when trying to find the right oils and fats to cook with, research shows that monounsaturated fats and polyunsaturated fats are excellent due to being plant-based and if they contain omega-3 fatty acids, that can not only help dampen the effects of inflammation but is heart-healthy as well.

 

Carbohydrates & Sugars

By limiting the intake of carbohydrates that are being consumed can help prevent the risk of cardiovascular disease from rising up. Studies show that the role of carbohydrates and sugars can cause the body to produce glycemic index and glycemic load that can increase the symptoms that are associated with cardiovascular disease. However, incorporating fiber-riched foods like cooked dry beans, whole grains, dairy products fruits, and vegetables are carbohydrates that can help fuel active people as their primary energy source as studies show. Even swapping refined sugars with honey can help improve sugar levels. Honey is rich with polyphenols shown to exhibit several biological activities: antimicrobial, anti-inflammatory, antioxidant, cardioprotective properties, and anticancer.

 

Fruits & Vegetables

Adding a variety of fruits and vegetables can help individuals lower their risk of cardiovascular diseases. Many fruits & vegetable intake that are greater than 5 servings/day are associated with the lowest risk of cardiovascular diseases in the body. Studies show that there are specific vegetables that contain high levels of specific nutrients and phytochemicals that can help reduce the risk of cardiovascular disease symptoms. Leafy greens, cruciferous vegetables, bright color vegetables are excellent for the heart.

 

 

When it comes to fruits, studies show that a high intake of apples, pears, and citrus fruits can also prevent cardiovascular diseases from rising in the body and are riched with beta-carotene, magnesium, potassium, and fiber; which the body needs. By consuming fruits and vegetables, research studies have stated that colorful fruits and vegetables have a protective effect against coronary heart disease and the body can take those nutrients and vitamins to each of the systems that need them.

HCTP Research

Tony Robbins finds secret to eliminating back pain

In both international and national affiliated clinics and distribution organizations use HCTP therapy for individuals who are suffering from chronic illnesses like cardiovascular diseases. HCTP therapy helps boost the body’s natural healing process by repairing diseased tissue and organs. Since HCTP therapy is a form of regenerative medicine, it uses the body’s own raw material to help regenerate damaged cells.

Conclusion

All in all, choosing from each of the food groups can help lower the risk of cardiovascular disease and even help the body with staying healthy. With the mix of proper nutrition and a healthy lifestyle going hand in hand, a person can get their life back together and continue with their wellness journey without worrying about what is causing their body pain. When the body becomes dysfunctional and develops chronic illnesses over time, a person will become miserable and unhappy. By making small changes to eating healthier and sticking to that mindset, a person can begin to feel great and pain-free.

 

References

Aune, Dagfinn, et al. “Fruit and Vegetable Intake and the Risk of Cardiovascular Disease, Total Cancer and All-Cause Mortality-A Systematic Review and Dose-Response Meta-Analysis of Prospective Studies.” International Journal of Epidemiology, Oxford University Press, 1 June 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5837313/.

Blekkenhorst, Lauren C, et al. “Cardiovascular Health Benefits of Specific Vegetable Types: A Narrative Review.” Nutrients, MDPI, 11 May 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5986475/.

Clifton, Peter M. “Protein and Coronary Heart Disease: The Role of Different Protein Sources.” Current Atherosclerosis Reports, U.S. National Library of Medicine, Dec. 2011, pubmed.ncbi.nlm.nih.gov/21912836.

Fontecha, Javier, et al. “Milk and Dairy Product Consumption and Cardiovascular Diseases: An Overview of Systematic Reviews and Meta-Analyses.” Advances in Nutrition (Bethesda, Md.), U.S. National Library of Medicine, 1 May 2019, pubmed.ncbi.nlm.nih.gov/31089735/.

Joshipura, K J, et al. “The Effect of Fruit and Vegetable Intake on Risk for Coronary Heart Disease.” Annals of Internal Medicine, U.S. National Library of Medicine, June 2001, pubmed.ncbi.nlm.nih.gov/11412050/.

Livesey, Geoffrey, and Helen Livesey. “Coronary Heart Disease and Dietary Carbohydrate, Glycemic Index, and Glycemic Load: Dose-Response Meta-Analyses of Prospective Cohort Studies.” Mayo Clinic Proceedings. Innovations, Quality & Outcomes, Elsevier, 26 Feb. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6410335/.

Medical Professionals, Cleveland Clinic. “Heart-Healthy Oils: What You Need to Know.” Cleveland Clinic, 1 Oct. 2019, my.clevelandclinic.org/health/articles/16031-heart-healthy-oils-what-you-need-to-know.

Sacks, Frank M, et al. “Dietary Fats and Cardiovascular Disease: A Presidential Advisory from the American Heart Association.” Circulation, U.S. National Library of Medicine, 15 June 2017, pubmed.ncbi.nlm.nih.gov/28620111/.

Slavin, Joanne, and Justin Carlson. “Carbohydrates.” Advances in Nutrition (Bethesda, Md.), American Society for Nutrition, 14 Nov. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4224210/.

Disclaimer

Nutritional Diets To Prevent Cardiovascular Disease | Part 1

By
Dr. Alex Jimenez
-

Introduction

The cardiovascular system is consisting of the heart, the arteries, blood vessels, and the blood itself. This system makes sure that oxygenated blood is being pumped and transported from the heart to the rest of the body. However, when chronic illnesses like cardiovascular diseases start to affect the body and start to target the heart, it can cause the body to be dysfunctional and over time cause many problems like inflammation or high blood pressure that can cause a person to be miserable. In this 2 part series, we will be taking a look at diets that can help prevent cardiovascular disease in the body. Part 2 will be looking at different nutritional food that can help lower the risk of cardiovascular disease. By referring patients to qualified and skilled providers who specialized in cardiovascular services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

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

Download

What Is Cardiovascular Disease?

Cardiovascular disease is a cluster of conditions that can affect the heart. When there are unwanted pathogens that entered the body and start to cause problems it can lead to chronic problems developing over time. Research studies have shown that some of the symptoms of cardiovascular disease vary from males and females but they include:

Sometimes even if a person is getting a routine check-up from their primary physician, the diagnosis of that person having cardiovascular disease can be found.

 

Diets To Prevent Cardiovascular Disease

When the body starts to feel dysfunctional and a person is wanting to get their health and wellness back, maintaining a healthy diet can provide beneficial results in the body. When making the switch to eating healthier, it can be hard at first due to eliminating all the unhealthy foods that are so good yet so bad. However, if a person has cardiovascular disease and wants to make a change to prevent the symptoms from rising, having a heart-healthy diet can provide beneficial properties to their health and well-being.

 

The Guidelines

Taking the first step to live a healthier lifestyle can be difficult but here are some of the guidelines to make the transition easier for people that want to improve their health.

  • Follow a healthy eating pattern: All food and beverage choices matter. By choosing a healthy eating pattern at an appropriate calorie level can help achieve and maintain a healthy body weight, support nutrient adequacy, and reduce the risk of chronic disease.
  •  Focus on variety, nutrient density, and amount: By meeting the nutrient needs within the calorie limits, it is best to choose a variety of nutrient-dense foods across and within all food groups in recommended amounts.
  • Limit added sugars, saturated fats, and sodium intake: Cut back and limit eating added sugars, saturated fats, and sodium intake from food and beverages that contain these components to fit within healthy eating patterns.
  • Shift to healthier food and beverage choices: By choosing nutrient-dense foods and beverages that are in all the food groups in place of the unhealthy choices. Consider cultural and personal preferences to make these shifts easier to accomplish and maintain.
  • Support healthy eating patterns for all: Everybody has a role to help create and support healthy eating patterns in multiple settings.

 

Mediterranean Diet

 

Research studies have shown that the Mediterranean diet emphasizes fruit, vegetables, grains, nuts, legumes, dairy, olive oil; small amounts of poultry, fish, red meat, red wine and can help reduce the risk of coronary heart disease. Other studies have shown that the Mediterranean diet has been associated with reducing the risk of the body developing acute coronary syndromes that are in diabetes, being physically inactive, and cardiovascular factors.

 

Mediterranean Diet Benefits

Some of the other beneficial factors that the Mediterranean diet can provide not just for the cardiovascular system, but also for the body itself. By consuming the Mediterranean diet, it can help lower blood pressure while also improving the serum lipids in the body by lowering TC, LDL, TG, increasing HDL, lowering oxLDL and Lp(a). Improves LDL size and decreases LDL-P to a less atherogenic profile. Other beneficial properties that the Mediterranean diet can provide include:

  •  Improves T2DM and dysglycemia
  • Improves oxidative defense and reduces oxidative stress: F-2 isoprostanes and 8-Oxo-2′-deoxyguanosine (8OHDG)
  • Reduces inflammation: lowers (high sensitivity C reactive protein) hsCRP, interleukin – 6 (IL6), soluble vascular cell adhesion molecule (sl-VCAM), and soluble cell adhesion molecule (sI-CAM)
  •  Reduces thrombosis and factor VII after meals
  • Decreases brain natriuretic peptide (BNP)
  • Increases nitrates/nitrites
  • Improves membrane fluidity
  • Reduces MI, CHD, and CVA
  • Reduces homocysteine

 

DASH Diet

The Dietary Approach to Stop Hypertension or the DASH diet is a healthy-eating plan that is designed to help treat and prevent high blood pressure in the body. Research studies show that the DASH diet emphasizes the daily intake of fruits, vegetables, whole grains, beans, fiber, LF dairy products, poultry,
fish, seeds, and nuts, but limiting red meat, sweets, and sugar-containing beverages. Not only that but the DASH diet also makes sure that the individual has an increased intake of potassium, magnesium, and calcium but has a variable restriction in dietary sodium.

 

DASH Diet Benefits

One of the benefits that the DASH diet can provide to the body is that it can help lower hypertension in the body. Studies have found that the beneficial dietary patterns from the DASH diet have been recognized by the USDA and the NHLBI for reducing diabetes and cardiovascular risks. Other beneficial properties that the DASH diet provides include:

  • Decreasing the effects of low-density lipoprotein-cholesterol (LDL-C)
  • Reduce hypertension
  • Reduce the risk of a stroke
  • Reduces cardiovascular disease factors from rising

 

Paleo Diet

 

The paleo diet or the cavemen’s diet is a dietary plan that is based on food that are eaten during the Paleolithic era. Research shows that the Paleo diet consists of lean meats. fish, fruits, vegetables, nuts, and seeds. Other studies also show that the Paleo diet provides high contents of protein, micronutrients, and fiber while also having a lower caloric intake from carbohydrates and refined fats. The studies also mentioned that the positive effect of the Paleo diet is that this diet is much healthier than the Western diet.

 

Paleo Diet Benefits

Some of the beneficial factors that the Paleo diet can provide is that it can help improve the cardiovascular and metabolic syndrome markers in the body. Other beneficial factors that the Paleo diet can provide include:

 

HCTP Research

Tony Robbins finds secret to eliminating back pain

HCTP therapy is a form of regenerative medicine that helps speed up the body’s natural healing process by repairing and regenerating damaged cells, organs, and tissues back to their original forms. Affiliated clinics and distribution organizations (both internationally and nationally) can provide HCTP therapy services to individuals that are suffering from chronic diseases like cardiovascular disease.

Conclusion

All in all, heart health is very important in preventing the risk of cardiovascular diseases from rising up. By making small changes in a person’s lifestyle, anyone can begin their health and wellness journey with the right tools and motivation to start. By regularly exercising, eating nutritional foods, and changing their lifestyles, the body will begin to heal properly from the inside out, plus the individual will notice that they have more energy throughout the day.

 

References

Chiavaroli, Laura, et al. “Dash Dietary Pattern and Cardiometabolic Outcomes: An Umbrella Review of Systematic Reviews and Meta-Analyses.” Nutrients, MDPI, 5 Feb. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6413235/.

Dontas, Anastasios S, et al. “Mediterranean Diet and Prevention of Coronary Heart Disease in the Elderly.” Clinical Interventions in Aging, Dove Medical Press, 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC2684076/.

Ghaedi, Ehsan, et al. “Effects of a Paleolithic Diet on Cardiovascular Disease Risk Factors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” Advances in Nutrition (Bethesda, Md.), Oxford University Press, 1 July 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6628854/.

Martínez-González , Miguel A, et al. “The Mediterranean Diet and Cardiovascular Health.” Circulation Research, U.S. National Library of Medicine, Mar. 2019, pubmed.ncbi.nlm.nih.gov/30817261/.

Medical Staff, Mayo Clinic. “Heart Disease.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 9 Feb. 2021, www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118.

Medical Staff, Mayo Clinic. “How to Dash and Dine.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 25 June 2021, www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/dash-diet.

Medical Staff, Mayo Clinic. “Paleo Diet: Eat like a Cave Man and Lose Weight?” Mayo Clinic, Mayo Foundation for Medical Education and Research, 25 Aug. 2020, www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/paleo-diet/art-20111182.

Disclaimer

Post Spine Surgery Physical Therapy

By
Dr. Alex Jimenez
-
Mature woman doing table exercises for coordination improving with help of professional therapist during stroke rehabilitation in medical center

Post spine surgery physical therapy or PT is the next phase after a discectomy, laminectomy, fusion, etc., to gain optimal mobility and ease the transition for a full recovery. A chiropractor and physical therapist team will help with proper muscle training and activation, pain and inflammation relief, postural training, exercises, stretches, and educate the individual on an anti-inflammatory diet. Physical therapy post spine surgery reduces:

  • Scar tissue
  • Inflammation
  • Muscle weakness
  • Muscle tightness
  • Joint stiffness

Post Spine Surgery Physical Therapy

The therapy also identifies and treats any issues that caused or contributed to the spinal damage/injury. A study found physical therapy to improve postoperative ambulation, pain, disability, and decreased surgical complications.

Post Spine Surgery Physical Therapy Goals

Physical therapy goals are to return the individual to full function before chronic pain or injury. These include:

  • Decrease pain and stress around the surgical site.
  • Loosen and stretch the muscles surrounding the surgical site.
  • Strengthen the back and neck muscles.
  • Stabilize the back and neck muscles.
  • Learn to move around safely.
  • Prepare for everyday physical activities like standing up or sitting down, lifting, and carrying objects.
  • Improve posture.

The therapy team will develop a customized treatment/rehabilitation plan as well as post-surgical recovery at home to help the individual and family to understand what to expect, including psychological factors like not wanting to perform the exercises or stretches to avoid pain, frustration, anger, depression, and wanting to give up. However, individuals can maximize the benefits to ensure an optimal outcome before surgery by pre-conditioning identifying structural and functional issues contributing to the injury.

Physical Therapy Involves

Therapy can be done at home, in a hospital or rehab setting, or at a chiropractic/physical therapy clinic. Therapists use:

  • Massage
  • Heat or cold therapy
  • Thermotherapy
  • Electrotherapy
  • Ultrasound

Also included are active therapies like:

  • Therapeutic stretches
  • Therapeutic mobility exercises
  • Therapeutic resistance training

A physical therapy session can last 45 minutes to an hour. It’s essential to discuss hopes and expectations post-surgery and after the therapy has finished. The therapists will explain the healing process, the treatment progression, and any questions a patient may have. Understanding the treatment process will help the individual want to engage in the treatment plan. The therapist team will also interface with the surgeon to prevent adverse outcomes.

Optimal Health

The physical therapy team will help the individual feel better with each session and stay motivated. Having a solid relationship with the therapy team makes it easier to share goals, worries, and challenges that the team can adapt to as progress is made. To gain the most from the therapy:

  • Try working with a therapist that the surgeon recommends can be helpful as they already have a working relationship.
  • Keep communication open between the surgeon and team.
  • Adhere to any precautions and restrictions set by the surgeon and therapy team.
  • Maintain recommended exercises at home between sessions.
  • Ease into activity and avoid overexertion.

Post spine surgery physical therapy helps accelerate the healing process and serves to help individuals regain their quality of life.

Body Composition

Power Of Protein

Protein is an essential component of muscle development, bone density, muscle mass, and lean tissue when building a healthy body. Protein is necessary for all the body’s physiological functions.

References

Adogwa, Owoicho et al. “Assessing the effectiveness of routine use of postoperative in-patient physical therapy services.” Journal of spine surgery (Hong Kong) vol. 3,2 (2017): 149-154. doi:10.21037/jss.2017.04.03

Atlas, S J, and R A Deyo. “Evaluating and managing acute low back pain in the primary care setting.” Journal of general internal medicine vol. 16,2 (2001): 120-31. doi:10.1111/j.1525-1497.2001.91141.x

Gellhorn, Alfred Campbell et al. “Management patterns in acute low back pain: the role of physical therapy.” Spine vol. 37,9 (2012): 775-82. doi:10.1097/BRS.0b013e3181d79a09

Jack, Kirsten et al. “Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review.” Manual therapy vol. 15,3 (2010): 220-8. doi:10.1016/j.math.2009.12.004

Lindbäck, Yvonne et al. “PREPARE: Pre-surgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial protocol.” BMC musculoskeletal disorders vol. 17 270. 11 Jul. 2016, doi:10.1186/s12891-016-1126-4

Preventing Cardiovascular Disease & Vascular Aging | Part 2

By
Dr. Alex Jimenez
-

Introduction

The heart is part of the cardiovascular system that makes sure that the blood is being pumped through the arteries and going to each organ system and muscle tissue. The blood also carries oxygen, nutrients, and hormones to each of the different systems and makes sure that they are doing their job properly. When there are unwanted pathogens that enter the body and disrupt the cardiovascular system, it can cause the arteries and blood vessels to be damaged. These problems, if not treated, can develop into chronic illnesses like inflammation, high blood pressure, oxidative stress over time. In this 2 part series, we will be taking a look at the cardiovascular system and its functions, what is cardiovascular disease and how to prevent it. Part 1 took a look at what is the vascular system, its function, and discussed what vascular aging is. By referring patients to qualified and skilled providers who specialized in cardiovascular services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

 

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

Download

What Is The Cardiovascular System?

 

The cardiovascular system is made up of the heart, blood vessels, and the blood itself in the body. Its main purpose is to transport the nutrients and oxygen-riched blood all over the body. Research shows that the cardiovascular system is responsible for different parts of the body and has two blood circulatory systems in the body that are responsible for the blood being transported throughout the body. The first system is the systemic circulatory system and this is the main system that transports blood to the organs and tissues throughout the body. The second system is the pulmonary circulatory system and this system helps move the blood between the heart and the lungs. The pulmonary circulatory system makes sure that oxygen is entering the blood cells while carbon dioxide is leaving the blood cells in the body.

 

Cardiovascular Function

One of the most important things the cardiovascular system does is that the blood continues to flow throughout the body. Research shows that the main function of the cardiovascular system is that it makes sure that the body receives oxygen, nutrients, and hormones from the respected organ system and gets rid of the unnecessary toxins out of the body. Another function that the cardiovascular system provides is a continuous blood flow day and night. So if the individual is either awake or asleep, the heart will continue to circulate the blood flow throughout the body. The cardiovascular system also helps the body gets the necessary nutrients so the organs can do their job and keep the body’s temperature at a normal level.

 

What Is Cardiovascular Disease?

 

Since the cardiovascular system is made up of the heart and blood vessels, when there are unwanted pathogens that start affecting the cardiovascular system, it can cause an abundance of problems. Research has found that cardiovascular disease can cause by physical inactivity, an unhealthy diet, oxidative stress, metabolic syndrome, and hypertension are some of the factors that can cause cardiovascular disease to the body. Cardiovascular diseases are related to increased oxidative stress and decreased oxidative defense in the body. Another study also found that cardiovascular diseases are a relative risk factor that is age-adjusted and can affect middle-aged adults all the way to older adults.

 

Cardiovascular Disease Symptoms

Depending on what type of cardiovascular disease a person has, the signs and symptoms can vary. Research shows that cardiovascular diseases can be different in both males and females as some of the symptoms include:

 

Cardiovascular Disease & Stress

Stress can affect the body’s response time and can trigger the body both externally or internally. Studies have found that when there is a physiological reaction to psychological stress it can act as a trigger for cardiac events. If the stress response turns chronic in the body it can cause cardiovascular diseases to progress even further into the body. Other studies have shown that if there is chronic stress in the body, it can actually worsen the health behaviors of the cardiovascular system and can cause a rise in chronic symptoms like inflammation, a rise of oxidative stressors, and can cause a person to have a heart attack without even them knowing it.

 

Preventing Cardiovascular Disease

All is not lost as there are ways to prevent cardiovascular disease from progressing further and to boost the heart’s health. Research studies have provided information that can help an individual boost their heart health but also make their body feels good. Some of the ways to boost the heart include:

 

Conclusion

All in all, taking care of the cardiovascular system is important since the heart makes sure to pump blood to each of the organ systems and the muscle tissues. When there are chronic illnesses that can affect the heart, it can cause major problems to the body if it is not being taken care of immediately. By maintaining a healthy weight, lowering stress levels, eating nutritional food, and exercising regularly can lower the risk of heart diseases and the body can function normally.

 

References

Dimsdale, Joel E. “Psychological Stress and Cardiovascular Disease.” Journal of the American College of Cardiology, U.S. National Library of Medicine, 1 Apr. 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2633295/.

Lopez, Edgardo Olvera, et al. “Cardiovascular Disease.” StatPearls [Internet]., U.S. National Library of Medicine, 11 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK535419/.

Medical Professionals, Cleveland Clinic. “Cardiovascular System: Overview, Anatomy and Function.” Cleveland Clinic, 13 Sept. 2021, my.clevelandclinic.org/health/body/21833-cardiovascular-system.

Medical Staff, Mayo Clinic. “Heart Disease.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 9 Feb. 2021, www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118.

Medical Staff, Mayo Clinic. “Top Strategies to Prevent Heart Disease.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 14 Jan. 2022, www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-disease-prevention/art-20046502.

Ruan, Ye, et al. “Cardiovascular Disease (CVD) and Associated Risk Factors among Older Adults in Six Low-and Middle-Income Countries: Results from Sage Wave 1.” BMC Public Health, BioMed Central, 20 June 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6011508/.

Sherrell, Zia. “Cardiovascular System: Function, Organs, Diseases, and More.” Medical News Today, MediLexicon International, 29 July 2021, www.medicalnewstoday.com/articles/cardiovascular-system.

Steptoe, Andrew, and Mika Mika Kivimäki. “Stress and Cardiovascular Disease.” Nature Reviews. Cardiology, U.S. National Library of Medicine, 3 Apr. 2012, pubmed.ncbi.nlm.nih.gov/22473079/.

Disclaimer

Treating Vascular Aging & CVD | Part 1

By
Dr. Alex Jimenez
-

Introduction

The heart plays an important role in the body. It helps pump blood through the arteries and it makes sure that the red blood cells are traveling to each organ system and muscle tissue. Not only that but through the cardiovascular system, it makes sure that it’s bringing oxygen and nutrients as well. When there are pathogens that can disrupt the cardiovascular system like inflammation or cardiovascular diseases, they can damage the arteries and blood vessels causing more problems for the body. In this 2 part series, we will be taking a look at the vascular system, its functions, and discussing what is vascular aging. Part 2 will be discussing what is cardiovascular disease and how to prevent it. By referring patients to qualified and skilled providers who specialized in cardiovascular services. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

 

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

Download

What Is Vascular System?

 

Also known as the circulatory system, the vascular system is made up of vessels that transports blood and lymph throughout the body. Some of the vessels that are in the circulatory system include:

  • Arteries: Blood vessels that transport oxygenated blood away from the heart.
  • Veins: Blood vessels that transport blood back to the heart.
  • Capillaries: Tiny blood vessels that are between the arteries and veins that transport oxygen-riched blood throughout the body.

 

Research also shows that as blood is being moved through the circulatory system, it goes through three circuits and moves in a continuous pattern. The three circuits are:

  • The pulmonary circuit: Carries non-oxygenated blood from the heart to the lungs.
  • The systemic circuit: Carries blood cells that contain oxygen, nutrients, and hormones to be traveling from the heart to the rest of the body.
  • The coronary circuit: Provides the heart muscle oxygenated blood from the heart arteries to be sent to the lungs.

 

The Endothelial Function

As the largest endocrine organ in the body, studies show that endothelium is a monolayer of endothelial cells. The endothelial cells are the inner cellular lining of the vessels in the circulatory system and the lymphatic system. They help with growth inhibition to the body, are antithrombotic, and are anti-inflammatory to the entire body. The endothelial function plays a huge role in the body as it helps control the blood fluidity in the body while also regulating immunology, inflammation, and metabolizes as an endocrine organ. Other studies also show that there are techniques that measure endothelial function by taking a look at the vascular tone modulation, dynamic permeability, and its biomarkers.

 

What Is Vascular Aging?

Just like how hormones naturally age as a person gets older, so does the blood vessels in the body. As research studies have stated, vascular aging is associated with the mechanical changes and structural properties of the vascular wall that can lead to the arterial walls losing their elasticity and can reduce arterial compliance. When both males and females get older with age, their arterial wall starts to change when they reach the age of 70.  The arterial walls start to be stiff and thicken up inside, causing the arteries to develop plaque and calcium deposition as well. When arterial compliance is young and healthy, it can reduce disease states like hypertension, diabetes, and renal failure. However, when there are changes in arterial compliance, it can actually manifest into cardiovascular diseases if it is not taken care of.

 

 

Other research studies show that vascular aging actually plays a role in the morbidity and mortality in older people. This is due to the cellular and functional changes that can occur in the vascular system when the body begins to age over time. Some of the dysfunctions that can be caused due to vascular aging include:

 

Vascular Disease

Vascular disease is the “correct” but a chronic dysregulated and exaggerated response to infinite vascular insults with finite responses and environmental-gene expression patterns. Research has shown that vascular disease can include any condition that affects the circulatory system and can cause diseases in the arteries. Some of the symptoms that can cause vascular diseases to be in the body vary from the type of vascular disease that is affecting the body. One of the vascular diseases that can affect the body is PAD or peripheral arterial disease.

 

Research shows that peripheral arterial disease is a chronic progressive atherosclerotic disease that affects the iliac arteries, lower limbs, and the abdominal aorta. Other research studies also show that peripheral arterial disease can also cause reduced blood flow through the arteries causing extremities like thigh or calf pain from walking, this is known as “poor circulation” and it can affect a person’s health if it is not treated.

 

Conclusion

All in all, it is important that individuals should take care of their circulatory system by taking the proper nutraceutical supplements and nutritious food that provides the necessary nutrients and vitamins that the body needs, but also exercising regularly to promote oxygen in the blood and making sure that the heart is pumping out the oxygen-riched blood to each of the muscle tissues and organ systems that need that blood. Without it, the body will be dysfunctional and unwanted chronic diseases will disrupt the circulatory system, causing the individual to not feel well over time and even develop chronic symptoms that can cause the individual pain. So by taking care of the vascular system, the body can continue to function properly and the individual can continue on with their day pain-free.

 

References

Chia, Po Ying, et al. “Overview of the Assessment of Endothelial Function in Humans.” Frontiers in Medicine, Frontiers Media S.A., 7 Oct. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7575777/.

Félétou, Michel. “The Endothelium.” National Center for Biotechnology Information, U.S. National Library of Medicine, 1 Jan. 1970, www.ncbi.nlm.nih.gov/books/NBK57149/.

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Disclaimer

Most Common Form Of Pain The Headache

By
Dr. Alex Jimenez
-
Man grabbing his aching head with left hand while resting with cup of tea on sofa in kitchen

The most common form of pain is the headache. Whether dealing with a mild, dull ache, severe throbbing, or painful tension along the scalp and neck, headaches can disrupt and get in the way of everyday life. Over-the-counter pain medications can offer temporary relief, but they don’t get to the root and solve the cause. Chiropractic is a safe and effective treatment option that will bring head pain relief and treat what is causing the headache/s.

Most Common Form Of Pain The Headache

Triggers

Individuals engage in more sedentary activities, and more hours spent in one fixed position combined with poor posture can increase joint irritation and muscle tension in the neck, upper back, and scalp. Headaches can have a variety of causes or triggers. These can include:

  • Stress is the most common trigger
  • Muscle tension
  • Insomnia
  • Environmental stimuli – noises, lights, smells
  • Dehydration
  • Weather changes
  • Foods
  • Blood sugar changes
  • Excessive exercise

Most Common Types

There are two main categories: primary and secondary headaches.

Primary headaches

Primary headaches are when the headache itself is the main problem and is not a symptom of underlying diseases or conditions. These include:

Secondary headaches

These are related to medical condition/s like:

  • Sinus congestion
  • Medication overuse
  • Infection
  • High blood pressure
  • Trauma
  • Head injury
  • Diseased blood vessels in the brain
  • Tumor

Frequency

Headache pain comes from interacting signals in the brain, blood vessels, and nerves. A mechanism activates specific nerves that affect the muscles and blood vessels, sending pain signals back to the brain. If any of the following is occurring it is recommended to contact a doctor, headache specialist, or chiropractor.

  • Three or more headaches a week.
  • Headaches that get worse or don’t go away.
  • Having to take a pain reliever every day or almost every day.
  • Need more than 2-3 doses of over-the-counter medications a week to relieve symptoms.
  • Headaches triggered by strenuous activity, hard work/exertion, bending, coughing.
  • Recent changes in headache symptoms.
  • Family history of headaches.

Clinical Description

To get to the root a doctor will ask:

  • What time of day/night the headache usually occurs?
  • How long does the headache last?
  • Where the pain is located?
  • Type of pain –  throbbing, comes and goes, dull aching, one-sided, etc.
  • Does the headache come on suddenly without warning or slowly progress?
  • Are there other symptoms like weakness, nausea, sensitivity to light or noise, decreased appetite, changes in attitude or behavior?

Chiropractic

A chiropractor will assess, diagnose, conduct a physical examination to determine the cause and develop a personalized treatment plan to alleviate the pain and help to manage and prevent headaches. Treatment approaches include:

  • A combination of chiropractic manipulative therapy.
  • Activate trigger points to release tension and allow for optimal nerve and blood circulation.
  • Active and passive exercises.
  • Massage.
  • Health coaching.

Body Composition

Water

Most of the body is made up of water with the percentage of body composition that is water changing based on individual functional needs. Essential functions of water include:

  • Help to build/repair almost every cell in the body.
  • Regulating body temperature through sweating and respiration.
  • Energy from carbohydrates and proteins is transported by water through the blood.
  • Assists in the removal of metabolic waste through urination.
  • Acts as a shock absorber to protect the brain and spinal cord.
  • Creates saliva/fluids to lubricate the joints.

The amount of water in the body depends on various factors that include:

The most common water comes from lean body mass. This includes blood, organs, and muscle. Major body organs’ water content:

  • Lungs – 83%
  • Muscles and kidneys – 79%
  • Brain and heart – 73%
  • Skin – 64%
  • Bones – 31%
References

Bryans, Roland et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008

Tyagi, Alok. “New daily persistent headache.” Annals of Indian Academy of Neurology vol. 15,Suppl 1 (2012): S62-5. doi:10.4103/0972-2327.100011

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Sciatica Specialist
STOP SUFFERING! We specialize in advanced non-surgical approaches in treating sciatica. Our focus is to stop the pain, remove the cause and prevent chronic recurrence of complex sciatica pain syndromes. We treat with advanced protocols and supportive care plans. Blessings - Dr. Alex Jimenez DC, MSACP, IFMCP, CIFM, ATN
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