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Tight Hip Flexors and How To Release

By
Dr. Alex Jimenez
-
selective focus of mature woman suffering from back pain while sitting on sofa

Tight hip flexors are a common complaint among individuals. Sitting for too long is the usual suspect, but highly active individuals can experience tightness. Here is a hip flexor test to determine if there is tightness:

  • Lie on back on a table or bench
  • Let the lower part of the legs hang off the side at the knees
  • Pull one knee up to the chest while keeping the head, shoulders, back, and hips in contact with the table/bench
  • The other leg will stay in contact with the table/bench with the knee at a 90-degree angle if the hip flexors are not tight
  • If they are tight, the other leg will come up from the table/bench, causing the knee to come out of the 90-degree angle
  • Perform on both sides, because one hip flexor could be tighter than the other

However, if the hip flexors are not tight but there is still discomfort, soreness then the most common cause is weak hip flexors.

Why Hip Flexors Become Tight

Figuring out what’s making them so tight varies from person to person. Some individuals are more susceptible to tight hip flexors than others. Here are common reasons why individuals experience discomfort, soreness, and pain:

  • Sitting for a long time shortens and weakens the flexors
  • A shifted pelvis could be an anterior or posterior pelvic tilt
  • Uneven hips can cause tightness on one side
  • Poor posture can lead to standing or leaning on one hip
  • Sleeping too much on one side
  • Running or exercising without regular stretching especially of the hips
11860 Vista Del Sol, Ste. 128 Tight Hip Flexors and How To Release

Tight Hip Flexor Symptoms

Many are surprised by how tight hip flexors can affect the rest of the body. This is because of the many different muscles in the hip flexor group. They help lift the leg at the hip, help stabilize the spine, and can affect the neck and shoulder area.

  • Tightness in the upper groin/hip area
  • Pain/tightness in the glutes
  • Tight hamstrings
  • Pain/tightness in the lower back when standing up
  • Trouble standing up straight
  • Pain/tightness in the neck

Releasing Tight Hips

The test is a great way to determine if the hip flexors are tight. Before attempting to stretch the hip flexors, it is key to determine that the flexors are tight or weak. If the hip flexors are not tight, stretching them will not help. Instead, they need to be strengthened. Individuals can confuse tight hip flexors with weak ones and become frustrated when there is no relief after stretching.

Stretches

Here are some easy stretches for the hip flexors.

Butterfly Stretch

  • Sit on the floor with the heels and toes of the feet pressed together
  • The weight of the knees as they open and move forward to the floor will stretch the hips
  • For a greater stretch, gently press down on the inside of the knees
  • Hold for 30 seconds to a minute
11860 Vista Del Sol, Ste. 128 Tight Hip Flexors and How To Release

Chair Figure 4 Stretch

  • Sit in a chair
  • Raise one leg and place the ankle on the opposite knee
  • Straighten the back and then hinge the torso forward
  • The stretch will be felt in the hip and glute
  • Hold for one minute
  • Switch legs and repeat

Kneeling Hip Flexor Stretch

  • Kneel down with one leg bent at 90-degrees in front and the other at 90-degrees underneath
  • Keep the back straight
  • Squeeze the glutes
  • Tuck the pelvis forward
  • Maintain this position, lean forward gently into the forward leg
  • The stretch will be felt along the hip and front of the underneath leg
  • Hold for 15 to 30 seconds
  • Repeat 3 to 5 times

These stretches can be done 2 to 4 times throughout the day keeping the flexors from tightening up.

Chiropractic Care To Loosen Tight Hips

If dealing with pain in the hips when stretching or sitting, there could be something other than tight hip flexors, or in addition to tight flexors. If exercising or stretching, causes discomfort/pain, stop the activities and contact a chiropractor for a possible hip adjustment. Chiropractic medicine specializes in the entire musculoskeletal system.

Massage

Combined with a hip adjustment, massage therapy will help relieve pain, stiffness and improve circulation. Many find relief from a massage after an adjustment, while others receive a massage before the adjustment.

11860 Vista Del Sol, Ste. 128 Tight Hip Flexors and How To Release

Hip Flexors Cracking

A less common issue with hip flexors is cracking or popping during activity/s. Individuals can experience this while they are exercising or running and is usually caused by a tendon or muscle sliding over the bone. It can be difficult to determine the cause of the cracking/popping without seeing a medical professional. In some cases, it could be gas escaping the hip joint, while in others, it could be an issue that needs to be addressed by strengthening, massaging, and working out the muscle or tendon.

Strengthening Weak Hip Flexors

For those with weak hip flexors that is causing the discomfort, here are some exercises:

Single-Leg Stance

  • Stand on one leg
  • Keep the thigh of the other leg lifted parallel with the ground and the knee at 90-degrees
  • Hold for 30 seconds
  • Switch sides
  • Repeat 6 to 8 times

Knee Raises

  • Lift each knee as high as possible
  • Try to perform quickly but with control in alternating movements
  • Continue for 30 to 60 seconds
  • Repeat 3 to 5 times

Body Composition

InBody Spotlight - Todd Durkin of Fitness Quest 10

Physical activity decreased

Physical inactivity is a primary factor in the progression of sarcopenia. Regular resistance exercise can help maintain muscle mass and help build muscular strength. Individuals that are more sedentary can exacerbate the effects of sarcopenia.

Decreased motor neurons

Aging comes with a loss of motor neurons caused by cell death. This leads to a decrease in muscle fiber numbers and size. This decrease leads to:

  • Impaired performance
  • Reduction in functional capacity
  • Decreased ability to perform everyday chores/tasks

Increased Pro-inflammatory Cytokines

Poor diet and exercise are known to promote and increase the storage of visceral fat. This type of fat produces pro-inflammatory cytokines which can accelerate muscle breakdown. Obesity and muscle weakness are associated with high levels of pro-inflammatory cytokines. This is made worse by decreased muscle mass and plays a role in the progression of sarcopenia.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Blue Cross Blue Shield. 2015.“A study of cost variations for knee and hip replacements in the U.S.” www.bcbs.com/the-health-of-america/reports/study-of-cost-variations-knee-and-hip-replacement-surgeries-the-us

Centers for Disease Control and Prevention. 2017. “Vital Signs: Prevalence of Doctor Diagnosed Arthritis and Arthritis-Attributable Activity Limitation. The United States, 2013-2015. www.cdc.gov/mmwr/volumes/66/wr/mm6609e1.htm

Spine. 1983. “Hip-Spine Syndrome.” pubmed.ncbi/nih.gov/6623198

Anesthesia & Analgesia. 2005. “Sacroiliac Joint Pain: A comprehensive review of anatomy, diagnosis, and treatment.” pubmed.ncbi.nim.nih.gov/1624408.

Personal Injury Chiropractic Specialist and Common Injuries

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

Most individuals see their family physician or general practitioner after an automobile accident or other common personal injury/s. However, seeing a chiropractor is more beneficial. Chiropractors specialize in treating, rehabilitating, and strengthening the musculoskeletal system after different types of personal injuries. Auto accidents are the most common personal injuries. The next most common type of injury comes from slip and fall accidents. These accidents are a leading cause of hip and head injuries. A chiropractor can help with injuries that involve the:

  • Muscles
  • Tendons
  • Joints
  • Ligaments
  • Hips
  • Neck
  • Shoulders
  • Spine
  • Nervous System
11860 Vista Del Sol, Ste. 128 Personal Injury Chiropractic Specialist and Common Injuries

Chiropractors are specifically suited to help individuals recover after one of these accidents. Because of this individuals are turning to chiropractic treatment after an auto accident or a slip and fall accident.

Who pays for chiropractic treatment after an accident

There are many different factors that determine who pays for chiropractic treatment after an accident. However, the party that is at fault or the insurance company usually handles the chiropractic care expenses. A chiropractor also provides records and reports detailing an individual’s injuries. This is for the chiropractic care that the at-fault party will be covering. However, an individual must prove, with the help of the chiropractor, that they did suffer an injury as a result of the accident. Pre-existing injuries typically are not covered. Chiropractic personal injury specialists are well-versed/trained on accident and injury claims.

Injury claims and chiropractic expenses

An injury claim usually covers most if not all chiropractic treatment expenses following an accident. This often involves dealing with insurance companies and lawyers. It depends on the situation/circumstances of the accident. A personal injury chiropractic specialist keeps updated records and provides the individual with the assistance needed for a successful claim, as well as, for treating the injuries and getting the individual back to optimal health.

11860 Vista Del Sol, Ste. 128 Personal Injury Chiropractic Specialist and Common Injuries

Lawyers and chiropractors

After an accident, talking to a lawyer about filing a personal injury claim means they may recommend seeing a chiropractor. This is normal procedure for personal injury claims. Personal injury cases are rarely closed before the individual filing the claim is fully healed. If the individual is still being treated, the total cost of the medical expenses is still unknown. Only when the treatment is done can a lawyer present the total cost of the medical bills. This is because chiropractors are also specialists that can diagnose and treat injuries that general physicians or doctors can miss. Whiplash and back problems are two common injuries that happen as a result of auto accidents.

How long to wait before seeing a chiropractor after an accident

How long the individual waits to see a chiropractor after an accident is up to the individual. However, it is highly recommended to see a chiropractor as soon as possible following an accident to get treatment going before the injury/s worsens and inflammation sets in. The injuries can still be treated, but it could take longer to heal them properly if they have set in. For example, whiplash treatment can take anywhere from 2 to several sessions, depending on the severity of the injury to the muscles and ligaments of the neck.

The benefits of seeing a chiropractor after an accident

The benefits of chiropractic treatment after an accident includes:

Specialized treatment

Most personal injury claims involve injuries to the back, neck, muscles, and joints. Chiropractic treatment provides effective care immediately.

Reduced pain and inflammation

Chiropractic treats the root cause of the pain, which helps reduce swelling and inflammation. A chiropractor will utilize various techniques/methods that include:

  • Heat and ice
  • Ultrasound
  • Cold laser therapy
  • Massage
  • Electrical therapy

Improved frame of mind and range of motion

Two major benefits from seeing a chiropractor are an improved frame of mind and range of motion. Stiff muscles and a low mood can become lifted with chiropractic treatment that helps produce positive hormones as muscle tension is worked out and released.

Non-invasive and drug-free

Chiropractors use non-invasive and drug-free treatment methods. They do not prescribe medications or perform surgical procedures that could worsen or cause further injury.

Chiropractors work with other doctors/specialists

A chiropractor might not be able to help with every injury or aspect of the injury/s. But doctors of chiropractic are members of the medical community. If they feel that they cannot help the individual, they will refer the individual to someone who can or work closely with the individual’s doctor to ensure that safety, overall health, and well-being are the first priority.

Chiropractic is ideal for whiplash

Whiplash is a common and often debilitating injury suffered during a motor vehicle accident. One study showed that 93% of whiplash patients showed improvement after chiropractic treatment. Chiropractic for whiplash can help speed up the healing process and involves:

  • Pain relief
  • Inflammation reduction
  • Spinal manipulation
  • Chiropractic massage
  • Trigger point therapy
  • Stretches
  • Exercises

Chiropractic can help with stress after an accident

One of the major benefits of chiropractic is stress relief. An accident or injury can generate intense stress and stress and make things worse. Chiropractic adjustments have been shown to improve the levels of beneficial chemicals in the body, that can reduce stress. Injuries along with the insurance companies, lawyers, court costs can contribute to sleep, and diet problems.

Conclusion

It is highly recommended to make an appointment with a chiropractor after an accident. They can provide a thorough diagnosis and treatment, reduce the pain and healing time for injuries, as well as provide the necessary records for a personal injury claim. Seeing a chiropractor as soon as possible after an accident is beneficial for rehabilitating and strengthening an individual’s musculoskeletal health.

Body Composition

InBody Spotlight - Bryce Henson of Fit Body Boot Camp

Body fat percentage

The body’s fat percentage is a significant number but should not be relied upon as it does not provide an individual with a complete picture of their overall health. In order to maintain a healthy weight and understand the changes that the body experiences over time, an individual needs more specific values. If there is no comparison of body fat percentage to skeletal muscle mass, an individual will not be able to:

  • Understand the increases and decreases in body fat percentage
  • Maintain a healthy body fat percentage
  • Maintain a healthy weight and muscle mass level
  • Determine if the muscles are balanced

The body is a very complex system of many components that all work together. This is why it is important to get as much information as possible to understand, maintain a healthy weight and achieve optimal health.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Jacobs, Craig L et al. “Musculoskeletal injuries and pain in dancers: a systematic review update.” Journal of dance medicine & science: official publication of the International Association for Dance Medicine & Science vol. 16,2 (2012): 74-84.

Plaza-Manzano, Gustavo et al. “Changes in biochemical markers of pain perception and stress response after spinal manipulation.” The Journal of orthopedic and sports physical therapy vol. 44,4 (2014): 231-9. doi:10.2519/jospt.2014.4996

Vitamin D For Bone Health and Injury Prevention

By
Dr. Alex Jimenez
-
Female doctor in a blue medical gown checking broken leg and shows the male patient lateral projection x-ray of foot and ankle.

Vitamin D, also known as the sunshine pill, can help keep the musculoskeletal system healthy and prevent injury by keeping the bones strong. In recent years, vitamin D has been praised for its various benefits, like helping to treat Seasonal affective disorder and in the regulation of calcium. Vitamin D deficiency can lower the effectiveness of an individual’s immune system. A 2010 study confirmed a positive association between vitamin D deficiency and various types of nonspecific bone pain. Daily vitamin D supplement intake can help alleviate painful, bone-related conditions, including back pain.

Vitamin D

Vitamin D is a fat-soluble vitamin and hormone-type compound that has multiple functions in the body. Low vitamin D levels have been identified as a risk factor and associated with chronic diseases that include:

Vitamin Supplementation Can Help

The vitamin has been proven to:

  • Promote skeletal muscle metabolism
  • Improve bone health
  • Maintain immune function
  • Reduce risk factors for certain cancers
11860 Vista Del Sol, Ste. 128 Vitamin D For Bone Health and Injury Prevention

Vitamin D supplementation provides anti-inflammatory benefits to help ease general soreness resulting from low-grade inflammation. It has also been shown to reduce exercise-induced muscle damage and muscle soreness following a hard workout.

Supplements

Taking a daily vitamin D supplement, within recommended dosages has a low risk for any side effects. Consult a doctor first and ask for a test to determine vitamin D levels. This will verify if there is a deficiency and how much vitamin D is needed each day. Getting vitamin D into the system is most common with increased sunlight exposure. But this might not be an option for certain individuals, depending on the time of year and location. This is where supplements come in.

There is not a one-size-fits-all dosage recommendation. Proper dosage depends on individual baseline vitamin D levels. In general, the recommended dietary allowance for vitamin D is 600 International Units or IU’s per day. But in certain situations, like getting older or for individuals that live where there is not a whole lot of sunlight, then a higher intake of 700 to 2,000 IU’s per day could be required to improve vitamin D insufficiency.

11860 Vista Del Sol, Ste. 128 Vitamin D For Bone Health and Injury Prevention

Side Effects

With supplements, there is the potential for side effects when taking vitamin D. Vitamin D can become toxic if taken in excess. This is why it is important to get checked/tested or consult with a physician prior to supplementation. Side effects can include:

  • Fatigue
  • Nausea
  • Vomiting
  • Poor appetite
  • Constipation
  • Weakness
  • Heart rhythm problems

Continued Research

Additional studies are being done concerning vitamin D. Evidence supports the direct benefits of vitamin D supplementation to maintain optimal levels and for overall health.

Body Composition

InBody Spotlight - CJ Miller of NutritionScience.life

Basic Keto Diet

Going keto means no carbohydrates, as it is a high fat, moderate protein, and very low carb diet. Diets that follow or are based on the ketogenic diet include:

A keto diet can work for pretty much anyone as it suits vegan or vegetarian needs and still helps to achieve ketogenesis. The focus should be on foods that are high in fat naturally and to avoid processed foods labeled with trans-fats. Fruits that are low on the glycemic index but are still rich in fiber are great, along with lots of green, yellow, and red vegetables. A typical keto diet can include:

  • Meats like pork, chicken, and beef
  • Vegans will switch to vegetable protein sources
  • Nuts
  • Seeds
  • Eggs
  • High-fat dairy products like cream, whole butter, and hard cheeses
  • Leafy greens
  • Fish and seafood
  • Olive oil
  • Coconut oil
  • Pure butter
  • Vegetable oils rich in omega 3

Foods to Avoid:

  • Any foods that are made of starch even whole grain, and organic bread/s
  • Fruits that are high in sugar
  • Any food that is labeled low-fat
  • Vegetable oils that are rich in omega-6 and low in omega-3

Individuals add alcohol and coffee minus the cream, milk, or sugar in moderation to their diet. Individuals need to experiment with beverages and figure out what works.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Intro: The Journal of Nutrition. (April 1996) “Vitamin D and Bone Health” academic.oup.com/jn/article/126/suppl_4/1159S/4724783?login=true

Intro: European Journal of Clinical Nutrition. (May 2020) “Perspective: improving vitamin D status in the management of COVID-19” www.nature.com/articles/s41430-020-0661-0?fbclid=IwAR3yo41dvfU1HWVX_Y6z7iXFNL3X2C06A5gIfC4LcNmXzCA48A7ViMAf7N8

Intro: International Journal of Rheumatic Diseases. (August 2010) “Association between nonspecific skeletal pain and vitamin D deficiency” onlinelibrary.wiley.com/doi/abs/10.1111/j.1756-185X.2010.01561.x

Neck Bulging Disc/s Chiropractic Exercises and Stretches

By
Dr. Alex Jimenez
-
Young muscular man in sportswear and earphones doing exercise for neck while standing on sportsground

A bulging disc happens when the supportive gel-filling between the spinal vertebrae begins to slip out of place. If left untreated it can lead to a herniated disc. It can heal on its own, however, not being careful could accidentally worsen the condition/injury. This is why chiropractic treatment is recommended to heal the injury safely and properly. Treatment usually involves stretching and exercises for the individual to do at home. Knowing which exercises and stretches are safe and how to do them correctly can relieve pain, encouraging the disc to slip back in place naturally. Here are some exercises and stretches approved by a chiropractor.

11860 Vista Del Sol, Ste. 128 Neck Bulging Disc/s Chiropractic Exercises and Stretches

Bulging Disc In The Neck

When pressed out of its normal position the result can be the spine shifting to an awkward angle. This affects posture and can damage the surrounding nerves and joints. If left untreated, it could cause:

  • Dizziness
  • Headaches
  • Lack of flexibility

Avoid Exercises that are strenuous that involve excessive motions, like:

  • Jumping
  • Running
  • Lifting weights
  • As these can put a strain on the affected area and can make the pain worse increasing the risk of also tearing nearby discs.
11860 Vista Del Sol, Ste. 128 Neck Bulging Disc/s Chiropractic Exercises and Stretches

Safe neck exercises and stretches

Chin Tucks

This stretch will move the upper vertebrae without causing further injury to the bulging disc. To do a chin tuck:

  • First, sit with proper posture.
  • Gently tilt the head back toward the shoulders.
  • There should be a feeling of the upper neck muscles slightly pulling together.
  • Hold this position for a few seconds
  • Slowly tilt the head down toward the chest.
  • Carefully attempt to touch the chin to the upper chest.
  • Hold for a few seconds.
  • Repeat the process 10 times.

Stability Ball Stretches

Stability ball exercises and stretches are a great way to reduce a bulging disc. It allows for movement but prevents generating spinal pressure. One exercise requires carefully bouncing up and down. To do this:

  • Sit with correct posture in the center.
  • Keeping the arms flat at the sides.
  • Slowly move the body up and down.

This simple motion increases blood flow around the spine bringing healing nutrients to the affected area.

11860 Vista Del Sol, Ste. 128 Neck Bulging Disc/s Chiropractic Exercises and Stretches

Shoulder-Blade Squeezes

Shoulder-blade squeezes are great for releasing tension throughout the upper back. This calms the tight muscles that help heal a herniated or bulging disc faster. To perform:

  • Stand with proper posture.
  • Make sure that the body is aligned but loose. If tension is present, it could make it harder to do the stretch.
  • Slowly pull the shoulder blades so they meet.
  • There should be a slight pull feeling.
  • Hold the position for 10 seconds
  • Bring the shoulders back to the original position.
  • Repeat five times.

Bed Neck Extensions

This stretch works to extend the spine. It creates space between the vertebrae assisting by helping the bulging disc back to its proper position.

  • Lie on a bed horizontally, flat on your back.
  • Line up the neck on the edge with the head slightly falling off.
  • Tilt the head slowly toward the floor until the stretch is felt.
  • Hold the position for about a minute.
  • Lift the head back up.
  • Continue the stretch a few more times.
  • If there is any discomfort/pain/tingling sensation stop immediately.

This could indicate that the stretch is being done wrong or the bulging disc is irritated.

Isometric Holds

Isometric exercises focus on a specific set of muscles. The isometric holds will help heal the neck muscles. This will help prevent them from pressing on the nerves and shifting the bulging disc further out of place and will relieve the pressure around the head and upper neck. It will stretch the neck muscles and increase blood flow.

  • Sit with proper posture.
  • Place the palm on the top of the forehead.
  • Firmly press the hand into the forehead.
  • Try not to move the head.
  • Keep pressing the palm into the forehead for 15 seconds
  • Release.
  • Repeat a few times.

Exercising and Stretching Tips

While these exercises and stretches are helpful and beneficial, keep in mind not to overdo them. If there is any pain when moving stop the exercise/stretch. Try to be as consistent with the exercises and stretches as possible. This will help the body heal properly and safely.

Visit a Chiropractor

One of the best treatment options for anything spine-related is chiropractic. It works to heal the neck bulging disc and can help generate more flexibility throughout the body. The types of adjustments will depend on how severe the condition is. In most cases, the flexion-distraction technique is used. The chiropractor pushes their hands in specific areas massaging and manipulating the discs back into the proper position and form. This also reduces inflammation relieving the pain.

Body Composition

InBody Spotlight - Lance Walker of Michael Johnson Performance

Phase Angle Muscle Fat Analysis

Dialysis time can disrupt lifestyle habits that include:

  • Diet
  • Exercise
  • Leads to:
  • Malnutrition
  • Muscle loss

Identifying changes in the body’s composition allows health coaches, dietitians, and nutritionists to adjust diet plans and educate individuals on the importance of muscle/fat balance. Restrictions to a normal food intake and lack of exercise can lead to negative body composition changes. InBody tracks these changes so health coaches, dietitians, and nutritionists can educate individuals on dietary and exercise needs to promote muscle and fat maintenance. Understanding changes specific to each individual allows professionals to develop specific dietary recommendations.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

BMJ. 2017 Advances in the diagnosis and management of neck pain. Available at: pubmed.ncbi.nlm.nih.gov/28807894/

Mayo Clin Proc. 2015. Epidemiology, diagnosis, and treatment of neck pain. Available at: pubmed.ncbi.nlm.nih.gov/25659245/

Open Orthop J. 2016. A Qualitative Description of Chronic Neck Pain has Implications for Outcome Assessment and Classification. Available at: www.ncbi.nlm.nih.gov/pmc/articles/PMC5301418/

Chiropractic Mechanical and Manual Cervical Traction for Injuries

By
Dr. Alex Jimenez
-
Osteopath performing cervical trust on a woman patient manipulating her spine during a consultation in his clinic

In cases of cervical disc nerve compression, traction treatment is a recommended approach to proper spinal adjustment and pain relief. Traction treatment enables a chiropractor to relieve the stress/pressure that can lead to spinal disc problems like:

  • Disc herniation
  • Disc Rupture
  • Displacement

Traction concepts differ with chiropractors. They could utilize static positioning and inversion therapy but each has there own treatment application.

11860 Vista Del Sol, Ste. 128 Chiropractic Mechanical and Manual Cervical Traction for Injuries

Manual and mechanical cervical traction

The methodologies/techniques are different, but the results are the same. Which is used depends on an individual case basis and the chiropractic treatment plan. Injury Medical Chiropractic and Functional Medicine Clinic utilize both mechanical and manual traction approaches. Choosing the right traction treatment is based on an understanding of each technique’s strengths, depending on each individual’s case.

Traction approach

The difference between mechanical and manual traction is simple. Mechanical traction is aided and directed with the use of machines, weights, and pulleys while manual traction is performed by a chiropractor. Mechanical traction cradles the individual’s head in a sling, which is positioned at the optimal position to get the most benefits from the adjustment. The sling is counterweighted to hold the head and neck in a specific position, leveraging mechanical pressure to generate positive cervical adjustments. Manual traction involves an individual lying down on a table, with the chiropractor adjusting/pulling the head and neck to decompress the cervical spine. The adjustment can be a continuous pull, or a series of low-velocity pulls in different directions. This depends on the individual’s condition and treatment adjustment plan.

11860 Vista Del Sol, Ste. 128 Chiropractic Mechanical and Manual Cervical Traction for Injuries

Methodology comparison

The objective of mechanical and manual traction is similar, but both are tools that a chiropractor can utilize for different benefits. Mechanical traction therapy is hands-free decompression that allows a chiropractor the time they need to work on complex cases. This method is often implemented for severe cases, where a traction session can last for 20-30 minutes. It is also helpful when educating patients on proper posture. Manual traction is controlled by a chiropractor, as they manually increase or decrease the countering force. The hands-on technique enables a chiropractor to feel the status of the cervical spine in real-time. This helps the patient understand the effects of their traction treatment.

The right technique for the individual

Traction’s overall ability to decompress the spine makes it a beneficial approach to treating a number of spinal conditions. The cause of the condition/injury and the individual’s overall health can determine which approach will benefit the most. Mechanical and manual traction are just two adjustment methods/techniques. However, both forms on their own are not the only option. Both can be used in combination. Injury Medical Chiropractic Clinic is committed to developing the best approach for spinal correction for every patient.

Body Composition

ACSM 2015 Attendees Talk: Why InBody?

Phase angle cellular health assessment for surgical risks and outcomes

Phase angle measures how the cells respond to the electrical currents used to measure body composition. It reflects the cell membrane integrity. When the body’s cells are healthy, they are able to resist the InBody current, which results in a higher phase angle.

Nutritional status cardiac patient monitoring

Phase angle shows changes in cellular health that happen before the onset of cardiac cachexia or circulation issues. Monitoring these changes is used to track cardiac patient’s status and can help determine surgical risks and outcomes. By assessing these results over time, a patient’s nutritional status can be monitored as they go through their rehabilitation program. Complications associated with surgery can be prevented.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Madson, Timothy J, and John H Hollman. “Cervical Traction for Managing Neck Pain: A Survey of Physical Therapists in the United States.” The Journal of orthopaedic and sports physical therapy vol. 47,3 (2017): 200-208. doi:10.2519/jospt.2017.6914

Wang, Kuan et al. “Cervical traction therapy with and without neck support: A finite element analysis.” Musculoskeletal Science & practice vol. 28 (2017): 1-9. doi:10.1016/j.msksp.2017.01.005

Bryans, Roland et al. “Evidence-based guidelines for the chiropractic treatment of adults with neck pain.” Journal of manipulative and physiological therapeutics vol. 37,1 (2014): 42-63. doi:10.1016/j.jmpt.2013.08.010

Diffuse Idiopathic Skeletal Hyperostosis

By
Dr. Alex Jimenez
-
senior man with walking cane holding back while standing up from sofa

Diffuse idiopathic skeletal hyperostosis, also known as D.I.S.H is a misunderstood and often misdiagnosed source of back pain. Dr. Jimenez gives some insight into this condition and prevention. There are many health conditions that have back pain as a symptom. This is why it can be difficult to pinpoint the exact cause. Usually, this is not a problem because most cases of back pain resolve on their own in a matter of days or weeks. Spinal conditions like muscle strains and herniated discs are the usual suspects when back pain presents. But when the common conditions are not the cause healthcare providers need to delve deeper. One spinal condition that is rarely discussed or known by medical professionals is diffuse idiopathic skeletal hyperostosis. Along with D.I.S.H, it is also known as Forestier disease.

Diffuse idiopathic skeletal hyperostosis involves the tendons that connect muscles to bones and ligaments that connect the bones to each other, around the spine, begin to harden. This is a process called calcification. Bone spurs or osteophytes typically accompany the calcification process. However, the Arthritis Foundation states that bone spurs can develop along the spine but also around the:

  • Hips
  • Knees
  • Shoulders
  • Hands
  • Throughout the body

Diffuse Idiopathic Skeletal Hyperostosis Symptoms

An important reason that diffuse idiopathic skeletal hyperostosis is not recognized and underdiagnosed is that many individuals do not experience symptoms. It is usually asymptomatic/without symptoms or mildly symptomatic. A healthy spine is flexible enough to distribute the force from a fall or hit and prevent injury. The condition fuses the spine. So someone with the condition suffers a fall and lands on their back has an increased risk of a fracture. Even low energy trauma could lead to a serious fracture. Common symptoms are:

  • Stiffness that is worse in the morning
  • Mild but constant low or upper back pain
  • There could be symptoms of spinal stenosis where the pain radiates down the extremities or into the arms
  • The most severe form can present as a fracture even after a low-energy trauma like a fall from a sitting position.
  • Limited range of spinal motion
  • Individuals can also experience sleep apnea
  • Severe calcification in the cervical spine/neck can also compress the esophagus and trachea. This can lead to dysphonia/hoarseness and trouble swallowing or dysphagia.
  • Extensive pressure along the spinal cord can lead to partial paralysis

D.I.S.H Risk Factors

Doctors and scientists still don’t know how or why the condition happens. There are some statistics that indicate which individuals are more likely to develop the condition:

Age

Around twelve percent of the general population is affected. However, the percentage increases with age. Individuals that are fifty and older have an increased risk of developing the condition. The average age of individuals with the condition is 65, with around twenty-eight percent of adults ages eighty and up being affected by the condition.

Sex

About twenty-five percent of men are affected and around fifteen percent of women.

11860 Vista Del Sol, Ste. 128 Diffuse Idiopathic Skeletal Hyperostosis

Metabolic disorders

Individuals with certain metabolic disorders are at risk. These include:

  • Type 2 diabetes
  • Prediabetes
  • Hyperinsulinemia
  • Obesity

Injury/s

Injuries from lifting, moving heavy objects and falls increase the risk, as well as spinal injuries.

Diagnosis

Doctors and clinicians that are experienced in correcting diffuse idiopathic skeletal hyperostosis are more likely to recognize and properly diagnose it. X-rays and advanced imaging for the cervical, lumbar or thoracic spine have certain characteristic appearances that are easy to pick up. This is when an expert realizes an individual’s diagnosis and treatment plan requires reassessment. For further confirmation, a healthcare provider will order a computed tomography CT scan or magnetic resonance imaging MRI scan.

11860 Vista Del Sol, Ste. 128 Diffuse Idiopathic Skeletal Hyperostosis

Treatment

Because the cause is not clearly understood and there are no medications yet, the treatment plan is usually to manage symptoms along with any complications. When the condition causes mild neck and back discomfort/pain, Conventional sprain, strain, and arthritis treatments can help ease the pain. These include:

  • Heating pads
  • Over-the-counter anti-inflammatories like aspirin and ibuprofen
  • Exercises that a doctor and/or chiropractor/physical therapist recommend
  • Physical therapy
  • Orthotic shoe inserts can help relieve bone spur pain

Prevention

The condition can develop from common aging with few to no symptoms. Weight loss is important in the prevention of the condition. This is believed because issues like diabetes and high blood pressure seem to be associated with the condition.

  • An anti-inflammatory diet is recommended along with bone health supplements
  • Individuals need to learn to use proper posture when lifting and pulling heavy objects
  • Follow a doctor, chiropractor-approved exercise routine slowly
  • Wear the right supportive footwear

Spotlight

YouTube player

Body composition phase angle analysis

There is a condition known as Lymphedema and is characterized by chronic swelling in one or more areas of the body caused by an impaired lymphatic flow. Secondary lymphedema usually presents after cancer treatment or surgery. Because of this, it is crucial to monitor patients undergoing cancer treatment as this condition is commonly underdiagnosed until the edema progresses. There is no cure, so early detection is key to managing symptoms and progression, as well as, improving individual outcomes and quality of life. The InBody is a medical-grade bioimpedance device that measures body water and composition, providing thorough objective measures of fluid and muscle-fat. Lymphedema specialists use the InBody to:

  • Monitor body water and composition for early detection and treatment
  • Identify fluid imbalances through tracking segmental body water values and edema index variables
  • Evaluate additional health risks

Based on objective data, clinicians can more effectively identify, treat and manage lymphedema, improving the success of the treatment programs.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Arthritis Foundation (n.d.), “Diffuse idiopathic skeletal hyperostosis,” www.arthritis.org/diseases/diffuse-idiopathic-skeletal-hyperostosis

Mayo Clinic (n.d.), “Diffuse idiopathic skeletal hyperostosis (DISH),” www.mayoclinic.org/diseases-conditions/diffuse-idiopathic-skeletal-hyperostosis/symptoms-causes/syc-20371661

StatPearls, August 10, 2020, “Diffuse Idiopathic Skeletal Hyperostosis,” via NCBI: www.ncbi.nlm.nih.gov/books/NBK538204/#article-23350.s2

Motorcycle Accident Causes, Injuries, and Chiropractic Treatment

By
Dr. Alex Jimenez
-

Motorcycle accidents are a lot different from automobile accidents. Specifically is how much the riders are exposed and unprotected during the collision impact compared to individuals in a motor vehicle. A recommendation that comes from attorneys, doctors, and chiropractors is for all motorcyclists to learn about common causes of accidents to help prevent and reduce the level of risk. When on a motorcycle, there is nothing between the individual and the impact to protect the body from injury. If something hits the motorcycle, the individual is going to get hit or hit something. The strength and stamina that it takes to ride a motorcycle, takes a definite toll on the body. It’s very common for the spine to get out of alignment and sustain soft tissue damage from regular riding. Injury Medical Chiropractic and Functional Medicine Clinic can help bring pain relief and rehabilitate the body’s musculoskeletal system from regular riding or after a motorcycle accident.

11860 Vista Del Sol, Ste. 128 Motorcycle Accident Causes, Injuries, and Chiropractic Treatment

Head-On Collisions

Accidents and crashes that involve motorcycles and other vehicles account for over half of motorcycle accident deaths. In a majority of these accidents, the vehicle hits the motorcycle from the front more than 70% of the time. Automobiles hit motorcycles from behind only 5% of the time.

Vehicles Making Left-Hand Turns

When an automobile is making a left-hand turn is one of the most dangerous situations for motorcyclists. These collisions account for almost half of all accidents involving a motorcycle and car. The turning car usually hits the motorcycle when the motorcycle:

  • Goes straight through an intersection
  • Is passing the automobile
  • Trying to overtake the automobile

These types of accidents are common with cars and trucks as well. However, the motorcycle’s smaller size makes it even less visible to turning vehicles.

Lane Splitting

Motorcycles that pass cars within the same lane are at an increased risk of getting hit. Car and truck drivers don’t expect the motorcyclist to pass and are often taken by surprise. Lane splitting is when a motorcycle drives between two lanes of stopped or slowly moving cars, typically during high traffic time. It is a common cause of motorcycle accidents because:

  • The close proximity of the automobiles to the motorcycle
  • Reduced space that the motorcyclist has to maneuver around the other vehicles
  • Most drivers don’t see or anticipate a motorcycle passing them in slowed or stopped traffic
11860 Vista Del Sol, Ste. 128 Motorcycle Accident Causes, Injuries, and Chiropractic Treatment

Road Hazards

Motorcyclists are at an increased risk from road hazards. Because of the smaller size and unstable nature of the motorcycle:

  • Potholes
  • Roadkill
  • Slick road conditions
  • Uneven height between lanes
  • Other unexpected objects in the road pose a serious threat.

Common Injuries

Hip/Pelvic Misalignment

The pelvis has three major joints:

  • The pubic joint on the front of the body
  • Two sacroiliac joints on each side of the back, that connect the pelvis to the spine.

It also connects to different muscles, including the hip and pelvic floor. When the body falls on the hip or sustains various forms of crash-related impact, the hip or pelvis can get shifted out of place. This type of misalignment is a leading cause of back pain and can be agonizing. It can keep an individual off the road, and unable to work. A chiropractor can adjust any pelvic misalignment using manipulative therapy. Physical therapy rehabilitation and home exercises/stretches will also be recommended.

11860 Vista Del Sol, Ste. 128 Motorcycle Accident Causes, Injuries, and Chiropractic Treatment

Whiplash

This is a type of neck injury that happens from a forceful, back-and-forth motion, during the impact of a crash, or with a sudden stop. It is a soft tissue injury where the tendons and muscles of the neck are stretched and/or torn. Common symptoms include:

  • Pain
  • Tingling
  • Stiffness
  • Limited range of motion

A chiropractor can help with gentle adjustments to realign the neck, and muscle stretching to loosen the tense muscles.

Other Neck Injuries

Other injuries can include misalignment or fractures of the vertebrae in the neck from a different impact like a side hit. Chiropractic can help an individual recover from these types of injuries and restoring the range of motion. Gentle chiropractic manipulative, mobilization treatment, and intersegmental traction can help realign the neck.

Back Injury

The spine and its muscles are highly prone to injury. Common injuries include:

  • Fractures
  • Herniated/slipped discs
  • Spinal misalignment
  • Soft tissue injuries

A chiropractor can rehabilitate musculoskeletal and soft tissue injuries through therapeutic massage.

Leg/Foot Injury

Injuries to the legs and feet are common in motorcycle accidents. Common injuries include:

  • Sprains
  • Strains
  • Road rash
  • Fractures

Biker’s Arm

Biker’s arm also known as rider’s arm, is specific to motorcyclists and sometimes bicyclists. It happens when a motorcyclist instinctively pulls in their arm/hand in front of them to try and lessen the impact when falling. This can lead to shoulder, arm, wrist, and hand injuries. The bones, tendons, ligaments, muscles, and nerves can suffer damage and can be severe.

Treatment

Treatment of these injuries can range from a soft collar, chiropractic, anti-inflammatory medications, corticosteroid injections, nerve blocks, and physical therapy. Surgery could be necessary and combined with the aforementioned treatments. Motorcycle riders can increase their safety by being aware of the common causes of accidents, staying alert, and taking steps to reduce and avoid the risk.

Body Composition Overall Health

InBody Spotlight - Dr. Tom Bakman of Restoration Healthcare

Phase Angle Inflammation Injury Tracking

Phase angle determines the status of an individual’s overall health. If an individual gets hurt and has a low phase angle then their ability to heal can be delayed. The extracellular water and water mass of the body are measured to assess how swollen an individual is after an accident. The individual is reassessed every two weeks to show water loss or inflammation loss. Body composition is important for understanding an individual’s fluid status and physiological makeup. This is used for guiding and developing treatments aimed at improving status, and decreasing the length of staying at a hospital. InBody is non-invasive and convenient, making it the ideal tool for patient assessments. In less than 60 seconds, the InBody test provides easy-to-understand, accurate, and objective measurements to evaluate a patient’s health and monitor progress throughout their treatment. Doctors use InBody to:

  • Identify fluid imbalances related to medical conditions, trauma, and/or organ failure
  • Track fluid overload
  • Monitor variables for muscle loss and cachexia
  • Assess malnutrition risks

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Cherta Ballester, Oscar et al. “Analysis of trunk impact conditions in motorcycle road accidents based on epidemiological, accidentological data and multibody simulations.” Accident; analysis and prevention vol. 127 (2019): 223-230. doi:10.1016/j.aap.2019.03.006

Halbersberg, Dan, and Boaz Lerner. “Young driver fatal motorcycle accident analysis by jointly maximizing accuracy and information.” Accident; analysis and prevention vol. 129 (2019): 350-361. doi:10.1016/j.aap.2019.04.016

Spinal cord injury: Causes. Mayo Clinic Web site. www.mayoclinic.org/diseases-conditions/spinal-cord-injury/basics/causes/con-20023837. Published October 8, 2014. Accessed August 30, 2017.

Why Tendonitis Should Not Be Left Untreated A Chiropractic Perspective

By
Dr. Alex Jimenez
-
Handsome doctor is examining female patient's injured hand while working in his office

Tendonitis can happen in any area of the body where a tendon is being overused. If left untreated it can lead to serious/chronic issues. Most individuals experience this injury near joints around the shoulder, knee, elbow, wrist, foot, and can be a painful problem. The muscles’ have a regular blood supply of healing nutrients and fresh oxygen. But the tendons along with other connective tissues do not, which causes the tendons to become inflamed and unable to quickly heal. Most individuals don’t realize they are developing tendonitis until the pain starts to present. Chiropractic can help to prevent tendonitis from becoming a chronic problem.

Length of time for tendonitis to heal

Healing time depends on the overall health, age, and how serious the tendonitis is.

  • A mild case for a person under 40 could heal in two to four weeks
  • A moderate case in 4 to 6 weeks
  • An extreme case can take months

It is important to not ignore tendonitis, especially if it comes back after having tried the usual therapies.

Symptoms and Signs

Mild cases can feel like sore muscles. However, moderate symptoms, depending on the affected area, can include:

Shoulder

When reaching for something or lifting an object, pain is felt in the shoulder.

Elbow

Pain sometimes can be sharp on the outside of the elbow joint. This along with sore muscles or muscles that are painful to the touch. In the forearm and wrist, it can happen in the inner elbow but is not as common.

Wrist

Pain is usually in the inner joint of the wrist or below the thumb. And the joint is tender/sensitive to the touch. It can make driving a painful task.

11860 Vista Del Sol, Ste. 128 Why Tendonitis Should Not Be Left Untreated A Chiropractic Perspective

In the Knee

Swelling and stiffness are common, along with pain when bending, walking, or when putting weight on the affected knee.

In the Foot

Pain is felt in the Achilles and the foot is tender/sensitive when walking.

If left untreated will it go away on its own?

In certain cases. it can but one should never ignore pain symptoms. Pain is the body’s way of telling the individual that there is something wrong.

Resting the affected tendons

The first thing a doctor will say is that the painful area needs to rest from various types of activities. Rest works to alleviate the symptoms of only the mildest forms of tendonitis. Most individuals are unaware that they have tendonitis until it reaches the moderate stage. Resting the affected area does help, however, even with moderate damage, rest alone probably won’t take care of the inflammation. An individual will need to do some sort of stretching/strengthening/rehabilitation of the area. Otherwise, when returning to normal activities including what caused the injury the individual is only going to overuse the tendon/s again.

Difficult to completely rest the affected joint/s

Completely resting the arm, hand, shoulder, or foot for 4-6 weeks is a serious challenge. Most individuals will not be able to accomplish this with their job, children, and all the other responsibilities that they have for 4-6 weeks. Most individuals can take a week, but even then don’t really stop using the affected joint completely. When the regular routine returns along with the activity/job that caused the tendonitis, because of the light rest, the pain comes back within a few days to a few weeks.

It can become a chronic condition left untreated

When left untreated tendonitis can become chronic. What happens is the constant inflammation progressively becomes chronic. Healing chronic tendonitis is a long and painful process that can require surgery. A chronic case can take months to heal along with rehabilitation to strengthen the affected tendons. Chronic cases can feel like a knife being driven into the joint, even with simple tasks like turning/pulling a door handle.

11860 Vista Del Sol, Ste. 128 Why Tendonitis Should Not Be Left Untreated A Chiropractic Perspective

Avoiding surgery

Continued use of the joint means inflammation will continue and it will get worse. In severe cases, where conservative treatment/s has not helped surgery could be required. When it comes to tendon surgery, it does not heal like a broken bone. After the surgery, the joint can become permanently stiff and the full range of motion does not return. Healing time is around 12 weeks, depending on the overall health, age, and severity. A full recovery could take as long as 6 months. Avoiding surgery can be accomplished if proper treatment is sought out as soon as there is a feeling of joint tingling, numbness, and pain.

Healing treatment

Getting treatment as soon as possible is key. Even if the pain is not tendonitis but a pulled muscle, the body will heal faster with the proper treatment. Chiropractors are highly skilled specialists in the musculoskeletal system. Chiropractic care that includes manipulation, massage, ultrasound, etc. has shown to be highly effective in the treatment of tendonitis. Depending on the diagnosis, a chiropractor will utilize other therapies as a part of the treatment plan, including:

  • Therapeutic massage
  • Heat therapy
  • Rehabilitation exercise
  • Rehabilitation stretching
  • Cold laser therapy

A chiropractor will perform a complete exam and order x-rays to determine if the pain is tendonitis or some other type of joint problem. A chiropractor will look at the whole body and lifestyle to find the root cause. This will help prevent the injury from reoccurring and become chronic. A chiropractor will also advise on:

  • Ergonomic changes to the workstation
  • Taking anti-inflammatory supplements
  • Refer the individual to a different specialist if other issues fall outside of their range of practice.

Tendonitis left untreated

Untreated tendonitis can lead to the permanent weakening of the tendon. This can lead to a rupture of the tendon, which requires surgery. It can also cause permanent damage to the tissues surrounding the area, as well as, scar tissue can form in and around the area. The pain and inflammation continue because the scar tissue is not as flexible as tendons. This often causes individuals to force the affected joint to work harder causing added inflammation. Untreated tendonitis can turn into a life-long issue that interferes with everyday activities like getting dressed, walking, eating, etc. Get started with a proper treatment and recovery plan to get back to living a healthy, pain-free life.

Body Composition

InBody Spotlight - Heather Whitaker of Western Digital

Tracking inflammation/fluid imbalances from injury or surgery

After surgery or injury, inflammation can present with little or no visible symptoms. Precise measures of the body’s water can detect water retention and inflammation. This could help guide rehabilitation treatment. InBody effectively distinguishes water in the intracellular/within the tissues and extracellular/in the blood/interstitial fluids water that comprises total body water. The Edema Index can be used to detect fluid imbalances resulting from inflammation brought on by injury or surgery recovery. By assessing fluid balance in the body, inflammation can be identified, used to guide treatment options, and reduce the risk of re-injury or post-surgery complications. Tracking these values back to normal will help therapists by providing proof of the success of the treatment plan.

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

References

Sharma P, Maffulli N. Biology of tendon injury: healing, modeling, and remodeling. J Musculoskelet Neuronal Interact. 2006;6(2):181-90.

Dean BJF, et al., Review: Emerging concepts in the pathogenesis of tendinopathy, The Surgeon (2017), dx.doi.org/10.1016/j.surge.2017.05.005

Wilson JJ, Best TM. Common overuse tendon problems: a review and recommendations for treatment. Am Fam Phys. Sep 1 2005;72(5):811e8.

Chiropractic Sports Massage for Injuries, Sprains, and Strains

By
Dr. Alex Jimenez
-
Fitness coach explans to athletic girl dressed in black sport clothes how works muscles of the arms .

A chiropractic sports massage will reduce the risk of injury, improve flexibility, and the circulatory system. A chiropractic sports massage is a focused treatment that is designed for biomechanical needs and physical demands of individuals that regularly engage in sports/physical athletic activities like:

  • Running
  • Gym workouts
  • CrossFit
  • Football
  • Basketball
  • Raquetball
  • Skating
  • Cycling
  • Soccer
  • Yoga

Individuals that stress their body’s to the limits through physical activities can benefit from a chiropractic sports massage.

A chiropractic sports massage is not like a spa massage

A chiropractic sports massage is not like a spa massage. There are spa massages for helping individuals unwind and relax. And then there is a massage for healing sore muscles, tendons, ligaments after an intense game, workout, etc. This type of massage helps loosen the muscles/connecting tissues and allows the body to heal a lot quicker. This is done by increasing the blood and nerve circulation around the muscles.

11860 Vista Del Sol, Ste. 128 Chiropractic Sports Massage for Injuries, Sprains, and Strains

Breaks down scar tissue

For individuals with previous injuries, a sports massage will help break down scar tissue that has developed. This allows for more flexibility and an increase in the muscles’ function.

More than a rubdown

The massage therapist might be an athlete or has extensive training in sports injury therapy. A sports massage is more than just a rubdown. Treatment depends on the individual’s favorite sporting activity/s along with the number and severity of the injury, sprain, or strain. The massage treatment could include:

Can help deal with hormonal changes

Female athletes tend to experience more hormonal changes than women that are not athletic. This massage helps improve the way the body deals with the changes and relaxes the mind while stimulating the body to release serotonin. When mind and body are relaxed, sleep improves helping to improve mood.

Helps prevent soreness

It helps to prevent muscle soreness after intense exercise or an intense game. It can alleviate discomfort and sore muscles. A session after a workout/game can make a significant difference in how the body feels the next day.

Helps remove toxins from the body

One of the benefits is that it will flush the lymphatic system, which removes toxins from the body. Toxins build up around the joints when they are stimulated through a massage. This allows the lymphatic system to get rid of the toxins. If the lymphatic system is stimulated during the massage, it will drain the toxins faster. This improves recovery time and helps prevent lymphedema or edema.

11860 Vista Del Sol, Ste. 128 Chiropractic Sports Massage for Injuries, Sprains, and Strains

A combination of massage techniques

This type of massage is more than a single type of massage. This is to create the best chiropractic sports massage for the individual. It can consist of a combination of:

What to expect

If new to a chiropractic sports massage there will be a little soreness for up to 48 hours afterward. There might also be a thirsty or weak feeling as the body works to remove toxins and begin the healing process. Taking a hot bath/shower and keeping the body hydrated will help the process.

The difference between a sports and deep tissue massage

If experiencing knots in the muscles, a deep tissue massage could be the best option. This type of massage is designed to untangle knots, tightness, and soreness from a set of muscles caused by overexertion. However, a deep tissue massage could be part of the chiropractic sports massage treatment plan.

Massage time

A chiropractic sports massage can last about an hour, but it could be a short 30-minute session for those that have already gone through the initial treatment and are getting regular therapy. Everyone is different, individuals should discuss which session type works better for them with the massage therapist or chiropractor. Our chiropractor and physical therapy team are highly skilled professionals at addressing the source of pain and using a variety of techniques to help heal the body. A chiropractor can also advise on exercise, stretching programs, and diet to help improve performance and help to prevent further and new injury/s.

InBody

InBody Spotlight - Bryan Burnstein of Cirque du Soleil

Weight loss leveling off is normal

Everyone goes through weight loss plateaus. In a review published in the Journal of the Academy of Nutrition and Dietetics, researchers found the individuals tend to level off around the 6-month mark. The trials assessed eight different types of weight-loss programs that included:

  • Diet alone
  • Diet and exercise
  • Exercise alone
  • Meal replacement
  • Very-low-energy diet
  • Weight-loss medication
  • Advice alone

No matter what strategy is being utilized every individual will hit a plateau. It’s easy to become fixated on the end result. Instead, focus on the journey.

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

References

Massage Therapy Industry Fact Sheet. American Massage Therapy Association. www.amtamassage.org/infocenter/economic_industry-fact-sheet.html?src=navdropdown. Released February 2017. Accessed May 17, 2017.

Neck Pain and Feeling Dizzy: Cervicogenic/Cervical Vertigo

By
Dr. Alex Jimenez
-
Senior man is suffering from neck pain.

When neck pain and becoming dizzy present it is called cervical vertigo or cervicogenic dizziness. It can present from different causes. It could be a recent or previous automobile accident, or from slouching too much while looking down at the phone, or it could be an arthritic condition acting up. Whatever the reason/s the spinning, neck pain, and headaches, need to stop. Cervical vertigo, also known as cervicogenic dizziness, is a feeling of disorientation or unsteadiness caused by a neck injury or health condition that affects the neck region of the spine.

There is almost always neck pain when the dizziness starts up. The range of motion is affected and can present with a headache. A cervical vertigo episode can go on for hours, and the condition can last for years. Diagnosing cervical vertigo can be a challenge because some of the symptoms are similar or overlap with other medical issues. This can be inner ear infections/issues to stroke and traumatic brain injury/s like a concussion. Fortunately, once there is a correct diagnosis many of the treatment therapies can be done at home. If there is a cause coming from the neck then it can usually be treated without surgery.

How Balance Works

Keeping the body upright and moving takes a great deal of coordination. Balance involves the:

  • Eyes
  • Muscles
  • Joints
  • And the nervous system working together with the inner ear organs called the vestibular system.
11860 Vista Del Sol, Ste. 128 Neck Pain and Feeling Dizzy: Cervicogenic/Cervical Vertigo

When everything is in sync, maintaining equilibrium is as natural as breathing. If one area gets damaged or becomes disrupted, maintaining vertical balance can be a challenge. The exact reason for cervical vertigo is still unknown, but many experts believe it involves a communication problem between the vestibular system and body awareness. Proprioception is the awareness of an individual’s body’s position and motions. It is how an individual knows where their limbs and joints are, and how they move through space. This awareness involves:

  • Sensors in the skin
  • Muscles
  • Joints that send signals to the nervous system

There is a theory that cervical vertigo happens when an injury or health condition interferes with the receptors in the neck, which throws off proprioception. This affects the signals being transmitted to the brain and vestibular system. The result is vertigo.

11860 Vista Del Sol, Ste. 128 Neck Pain and Feeling Dizzy: Cervicogenic/Cervical Vertigo

Diagnosing Cervical Vertigo

There is no official test to diagnose cervical vertigo. Instead, a doctor needs to rule out other possible causes of symptoms and confirm the issue is neck-related. This is known as exclusion diagnosis. Other conditions that have similar symptoms and should be considered include:

Neck pain can be a clue that the problem could be cervical vertigo. When an individual has pain, it can be easier to diagnose because it is a kind of reference. When neck pain is not present, healthcare professionals look to the ear or brain.

Spine Conditions That Can Cause A Feeling of Being Dizzy

Sometimes, it can be caused by physical trauma, while other times, it is a result of a health condition that affects the spine. The most common causes include:

Age

Getting older is a potential risk factor from all the wear and tear of regular living. Age can affect neck strength, mobility and increases the chances of developing various health issues.

Whiplash

If the head and neck snap forward and backward at high speed, the result is often whiplash. It is a neck spasm after a high-velocity injury, most commonly an automobile accident.

Cervical spondylosis

This is also known as arthritis of the neck. Cervical spondylosis involves the breakdown of the spine’s discs and joints over time. The discs are the body’s shock absorbers. If they begin to lose water content this starts the degenerative inflammatory process. During this process, bone spurs can begin to develop. This can cause compression of the nerves, blood vessels, and the spinal cord, which can lead to vertigo.

Herniated disc

When the center of a spinal disc bulges out/herniates, it can press on the spinal cord, compressing the spinal cord or the nerves.

Poor posture

Slouching when sitting or looking down to read the phone can compress the vertebrae at the top of the spine.

Atherosclerosis

This is the hardening of artery walls and can restrict blood flow to areas that affect balance.

Neck surgery

This can cause vertigo if the surgery damaged the area, nearby blood vessels, or nerves.

Bow Hunter’s Syndrome

Also known as rotational vertebral artery occlusion. It is the compression of a blood vessel in the neck called the vertebral artery, although it is rare.

11860 Vista Del Sol, Ste. 128 Neck Pain and Feeling Dizzy: Cervicogenic/Cervical Vertigo

Treatment Options

Cervical vertigo can be managed without surgery. A healthcare provider can begin the process of diagnosing and start treating any underlying health problems to relieve symptoms. Muscle relaxers and over-the-counter analgesics like ibuprofen or acetaminophen can help with pain, and medications like meclizine can help with dizziness.

Aerobic exercise

Physical activities like walking, running, biking or swimming can reduce inflammation and pain. However, for aerobic exercise to be effective, the heart rate has to hit the aerobic zone for at least 15 to 30 minutes per session, at least 3 to 5 times per week.

Strength and balance training

Exercise can ease symptoms. Yoga, Pilates, and tai chi incorporate mindfulness and breathing techniques that are proven to help with pain relief.

Physical therapy

Physical therapy is recommended for building strength, improving posture, and neck mobility. Manual therapy works the muscles and joints and has been found to be helpful.

Massage

Therapeutic massage can be beneficial for cervical vertigo as it eases tension on the neck and allows better circulation in the arteries.

Acupuncture

Acupuncture has been shown to be beneficial for neck pain, and for the treatment of vertigo.

Chiropractic

Gentle chiropractic mobilization can help by correcting any injuries or misalignments.

Where to Go

Check with a healthcare provider first to check which is the right treatment to pursue. Conduct plenty of research and ask questions. Above all, don’t let symptoms go unaddressed.

Body Composition

InBody Spotlight - Bryce Henson of Fit Body Boot Camp

Probiotics and Prebiotics

A probiotic is referred to as good bacteria that keeps viruses and bad bacteria in check. The health benefits range from:

  • Boosting immune system function
  • Reducing cholesterol levels
  • Keeps anxiety levels in check
  • Probiotics can be thought of as a personal army that protects the gut/body 24/7.

Yogurts that are low in sugar and high in bacteria cultures along with fermented foods are highly beneficial. If fermented foods cannot be taken, consider probiotic supplements to increase gut health. Good gut bacteria can be helped by consuming prebiotics. Prebiotics are a form of soluble fiber. The body cannot digest prebiotics, but gut bacteria can. Optimal sources of fiber-rich prebiotics can be found in nutrient-dense foods like:

  • Barley
  • Oats
  • Wheat bran
  • Leeks
  • Garlic
  • Onions
  • Fruits
  • Legumes
  • Raw chicory

A diet with various types of fiber has been shown to reduce the risk of obesity and prevent weight gain.

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

References

Cleveland Clinic. 2020. “Why You Shouldn’t Ignore Dizziness Problems.” health.clevelandclinic.org/is-your-world-spinning-help-for-dizziness/

Laryngoscope Investigative Otolaryngology. (2018.) “Symptoms in cervical vertigo.”onlinelibrary.wiley.com/doi/full/10.1002/lio2.227

Pain Physician. (2013.) “Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo.”painphysicianjournal.com/current/pdf?article=MjM3NQ%3D%3D&journal=89

Physiopedia. (n.d.) “Cervicogenic dizziness: screening.” physio-pedia.com/Cervicogenic_dizziness:_screening

Benefits of Chiropractic After Auto Injury

By
Dr. Alex Jimenez
-
Physiotherapist giving neck massage to a woman in clinic

After being involved in an auto accident, it could be weeks before the full effects of the trauma present. Visiting a chiropractor after an auto injury can help the body heal quicker and helps to prevent further injury. Benefits include:

  • Inflammation is reduced
  • It is non-Invasive
  • It is highly effective for pain treatment
  • Helps to lessen and avoid pain medications
  • Treats whiplash effectively
  • Reduces stress
  • Promotes quicker healing and recovery time
  • Reduces and prevents scar tissue

Especially for those that believe they are okay after an accident, it is highly recommended to get checked by a doctor of chiropractic just in case. This can help prevent more serious issues from developing.

11860 Vista Del Sol, Ste. 128 Benefits of Chiropractic After Auto Injury

Injury From An Accident

There could be a wide range of injuries that an individual can suffer after an accident. These include:

Soft and Hard Tissue Injuries

  • Minor scrapes
  • Bruising/Contusions
  • Whiplash
  • Neck/Back injuries
  • Concussions
  • Post-traumatic stress disorder
  • Fractures
  • Broken bones
  • Internal Bleeding
  • Traumatic brain injuries
  • Spinal cord injuries and paralysis
  • Burns

Chiropractic After Auto Injury

During an auto accident, the joints in various parts of the body are often jolted, shaken, and banged up. This damages the joints and the spine. Chiropractors specialize in treating these types of injuries. Chiropractic is a full-body approach that also includes inflammation alleviation and long-term injury therapy.

Reduce Inflammation

Inflammation is the body’s natural reaction to trauma. But inflammation and swelling that doesn’t go away can be detrimental to an individual’s health. Chiropractic treats the underlying injury reducing swelling for the body to heal in an optimal fashion. Because inflammation causes pain, chiropractic addresses inflammation, and pain in different ways. These include:

  • Heat and ice therapy
  • Massage
  • Physical rehabilitation
  • Anti-inflammatory diet
  • Ultrasound therapy
  • Cold laser therapy

The quicker chiropractic treatment is put into effect after an auto injury, the faster an individual can get back to normal.

Effective Pain Treatment

The spine can experience intense trauma after a car accident. This can cause it to slip out of alignment leading to pain in the back muscles. Auto injuries that result in a bulging or herniated disc that is pressing on a nerve can generate pain that can spread out to the:

  • Head
  • Neck
  • Shoulders
  • Arms
  • Abdomen
  • Legs

Chiropractic adjusting will bring the spine back into alignment, and treat the cause of the pain. This helps prevent/avoid long-term issues and complications that go with surgery or medications.

Whiplash Treatment

Whiplash is a common injury after an auto accident. The pain can take days or weeks to present. Without treatment, long-term whiplash injuries can become a chronic condition. Whiplash is an injury to the muscles and ligaments of the neck. Common treatment options include:

  • Massage
  • Spinal manipulation
  • Trigger Point exercises
  • McKenzie exercises
  • Stretching
11860 Vista Del Sol, Ste. 128 Benefits of Chiropractic After Auto Injury

Reduce Stress and Promote Healing

Even minor auto injuries can cause massive stress in one’s life. Dealing with the insurance, getting the car fixed, and dealing with the pain can take a serious toll. Chiropractic can help reduce stress through therapeutic massage which promotes optimal blood flow, which helps flush toxins and speeds up the healing of damaged and stressed muscles.

InBody

InBody Spotlight - Rick Mayo of Alloy

Snack Benefits

Fullness and Satisfaction

An example is almonds have more influence on satisfaction when eaten as a snack, instead of with a meal. And high-protein yogurt promotes healthy satisfaction more than chocolate or crackers.

Metabolism Benefits

Eating a high-protein diet has shown to increase the body’s Basal Metabolic Rate (BMR). This process uses a lot of energy, meaning the body burns more calories when eating a high-protein snack.

Body Composition Benefits

For those wanting to build muscle, a high-protein diet is recommended. This is because when exercising muscle is broken down. Protein from the diet has amino acids that repair and rebuild Skeletal Muscle Mass. High-protein snacks can help meet protein recommendations to build Skeletal Muscle Mass.

Post-Workout

A healthy snack is perfect for replenishing the body’s energy after a workout. Carbohydrates are the body’s preferred source of energy, and protein helps repair the muscle fibers that were broken down. For top results, look for a snack that offers a balance of carbohydrates and protein.

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

References

National Spinal Cord Injury Statistical Center. (2020) “Spinal Cord Injury: Facts and Figures at a Glance.” www.nspine injurysc.uab.edu/Public/Facts%20and%20Figures%202020.pdf

Kelsey L Corcoran, DC, Lori A Bastian, MD, Craig G Gunderson, MD, Catherine Steffens, Alexandria Brackett, MA, MLIS, Anthony J Lisi, DC, Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis, Pain Medicine, Volume 21, Issue 2, February 2020, Pages e139–e145, doi.org/10.1093/pm/pnz219

www.sciencedirect.com/science/article/pii/S1836955315000582

***MELATONIN*** & its effects on human structure | El Paso, Tx (2021)

By
Dr. Alex Jimenez
-
***MELATONIN*** & its effects on human structure | El Paso, Tx (2021)
Today Dr. Alex Jimenez, Clinical Nutritionist Ana Paola Rodriguez Arciniega, and Senior Health Coach Kenna Lee Vaughn discuss the function of Chronobiotic molecule, Melatonin.

Discussion: Melatonin is the primary hormone synthesized in the pineal gland. It is considered synchronize our biological clock as a master clock that distributed temporal cues. Nevertheless, melatonin is involved in the protection of our GI tract, has immunologic, antioxidant and anti-inflammatory functions that serve as a potent therapeutic option.

If you have any questions you can call us at 915-850-0900
–
If you have enjoyed this video and/or we have helped you in any way
please feel free to subscribe and share with us.

Thank You & God Bless.
Dr. Alex Jimenez DC, MSACP, ATN, IFMCP. CIFM, CCST

Join our webinars!
el-paso-tx-functional-medicine.eventbritestudio.com

Additional Online Links & Resources (Available 24/7)

Online Functional Medicine Assessment: bit.ly/functionmed

Online Appointments or Consultations: bit.ly/Book-Online-Appointment

Online Physical Injury / Accident Intake Form: bit.ly/Fill-Out-Your-Online-History

If you are someone who truly cares about their health we recommend you look at the care plans we offer on our site:

www.functionalmedicine.expert/

Please Subscribe: bit.ly/drjyt

Facebook Clinical Page: www.facebook.com/dralexjimenez/
Facebook Sports Page: www.facebook.com/pushasrx/
Facebook Injuries Page: www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: www.facebook.com/justplayfitness


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


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


Information:
Clinical Site: www.dralexjimenez.com
Injury Site: personalinjurydoctorgroup.com
Sports Injury Site: chiropracticscientist.com
Back Injury Site: www.elpasobackclinic.com
Rehabilitation Center: www.pushasrx.com
Functional Medicine: wellnessdoctorrx.com
–


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

Disclaimer:
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our presentations share knowledge and information from research, experience, and the collaborative functional medicine community. The information and scope are limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. Our discussions include Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, Exercise Performance Specialists, Physicians, and others. Each specialist practices within their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care plans for the musculoskeletal system’s injuries or disorders. Our discussions, videos, posts, topics, subjects, and insights cover clinical matters and issues that relate to and support, directly or indirectly, our collaborative clinical scope of practice. We make a reasonable attempt to provide supportive citations and identify the relevant research studies supporting our presentations. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover issues that may require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subjects matters presented, please feel free to contact Dr. Alex Jimenez.

Cervical Spondylotic Myelopathy and Chiropractic Protection

By
Dr. Alex Jimenez
-
11860 Vista Del Sol, Ste. 128 Cervical Spondylotic Myelopathy and Chiropractic Protection
Senior Asian woman with sore and muscle pain from laptop use in bed

Age is the primary contributor to many spinal conditions. This is because of the strain that comes after decades of wear and tear. The most damaging age-related spinal condition is spondylosis/arthritis of the vertebrae. This can lead to everything from herniated discs, to vertebral fractures. Spondylosis increases the risk for cervical spondylotic myelopathy. This condition involves the compression of the spinal cord, placing increased strain on the nerves, discs, and supporting soft tissue/s. A chiropractor will work with senior patients on all levels. Injury Medical Chiropractic and Functional Medicine Clinic will offer recommendations and educate the individuals on the effects of the condition and how to prevent and safeguard.

11860 Vista Del Sol, Ste. 128 Cervical Spondylotic Myelopathy and Chiropractic Protection

Signs and Symptoms cervical spondylotic myelopathy

The slow compression of the spine brought on by spondylosis generates the onset of numerous symptoms. Seniors should have a general understanding of these symptoms and be able to recognize them if they present.

  • Numbness in the fingers and toes
  • Loss of balance and coordination
  • Instability symptoms
  • General neck pain
  • Discomfort at the base of the neck
  • Referred pain in different areas of the body like the legs

An individual with preexisting spinal conditions has an increased risk of developing cervical spondylotic myelopathy. Conditions that further devolve from spondylosis include:

  • Herniated discs
  • Disc degeneration
  • Disc inflammation

Identification

Cervical spondylotic myelopathy is triggered by a traumatic event or an underlying condition.

  • The first and most common is trauma.
  • Slip and fall accidents can cause damage to the cervical spine that takes longer to heal.
  • The stress further compresses the vertebrae because of the body’s need to support itself.
  • Trauma tends to affect muscles and ligaments. This weakens the overall support of the spine.
  • Arthritis is another catalyst for cervical spondylotic myelopathy.
  • This autoimmune condition can affect the facet joints, causing instability that leads to compression.
11860 Vista Del Sol, Ste. 128 Cervical Spondylotic Myelopathy and Chiropractic Protection

Spine-health

Most senior individuals are aware and understand the increased risk of accidents and injury/s. A chiropractor will take the time to inform them and focus on helping the individual address specific conditions they have or have an increased risk of acquiring. For individuals with spondylosis or those at-risk should consider a chiropractic treatment plan that involves decompression techniques, and strength training of the core muscles. Combined with regular adjustments and wellness examinations will provide a solid foundation for avoiding the effects of cervical spondylotic myelopathy.

InBody

InBody Spotlight - Lance Walker of Michael Johnson Performance

Vitamin D Keeps You on Your Feet

Falls are a primary cause of injury/s for older adults. Low vitamin D levels can be a contributor to weakened bones. There is a strong correlation that vitamin D deficiency can increase the risk of falls in older adults. This has to do with the effects on muscle strength and function. Daily vitamin D plus calcium supplementation improves quadriceps strength, postural control, and regular functions, like standing, and walking. Supplements help counter the effects of aging and inactivity on the muscles and are important in the prevention of potential fall/s that could result in injury. The benefit of supplementing is noticeable in individuals that have a history of falls along with improvements in muscle strength, function, and an increase in strength, and functional performance.

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

References

Etheridge J, Kalantar SB. The pathophysiology and biological mechanisms of cervical spondylotic myelopathy. Semin Spine Surg. 2014;26:62-67.

*How do we evaluate patients? * Dr. Alex Jimenez | El Paso, Tx (2021)

By
Dr. Alex Jimenez
-
*How do we evaluate patients? * Dr. Alex Jimenez | El Paso, Tx (2021)
As part of our personalized medicine approach in our offices, we take our remote patient monitoring and virtual health software beyond the technology to provide a complete support service. Today we present the use of our advanced Living Matrix platform designed by clinicians in collaboration with the Institute for Functional Medicine, a global leader in Functional Medicine education, to effectively evaluate patients, create personalized, actionable care plans, and track superior, life-changing health outcomes over time.
We explain the use of Bioelectrical impedance analysis (BIA). This method which uses to measure the components of the body, including muscle mass, body fat, and total body

If you have any questions you can call us at 915-850-0900
–
If you have enjoyed this video and/or we have helped you in any way
please feel free to subscribe and share with us.

Thank You & God Bless.
Dr. Alex Jimenez DC, MSACP, ATN, IFMCP. CIFM, CCST

Join our webinars!
el-paso-tx-functional-medicine.eventbritestudio.com

Additional Online Links & Resources (Available 24/7)

Online Functional Medicine Assessment: bit.ly/functionmed

Online Appointments or Consultations: bit.ly/Book-Online-Appointment

Online Physical Injury / Accident Intake Form: bit.ly/Fill-Out-Your-Online-History

If you are someone who truly cares about their health we recommend you look at the care plans we offer on our site:

www.functionalmedicine.expert/

Please Subscribe: bit.ly/drjyt

Facebook Clinical Page: www.facebook.com/dralexjimenez/
Facebook Sports Page: www.facebook.com/pushasrx/
Facebook Injuries Page: www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: www.facebook.com/justplayfitness


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


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


Information:
Clinical Site: www.dralexjimenez.com
Injury Site: personalinjurydoctorgroup.com
Sports Injury Site: chiropracticscientist.com
Back Injury Site: www.elpasobackclinic.com
Rehabilitation Center: www.pushasrx.com
Functional Medicine: wellnessdoctorrx.com
–


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

Disclaimer:
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our presentations share knowledge and information from research, experience, and the collaborative functional medicine community. The information and scope are limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. Our discussions include Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, Exercise Performance Specialists, Physicians, and others. Each specialist practices within their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care plans for the musculoskeletal system’s injuries or disorders. Our discussions, videos, posts, topics, subjects, and insights cover clinical matters and issues that relate to and support, directly or indirectly, our collaborative clinical scope of practice. We make a reasonable attempt to provide supportive citations and identify the relevant research studies supporting our presentations. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover issues that may require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subjects matters presented, please feel free to contact Dr. Alex Jimenez.

Pulled Shoulder Muscle Injury Chiropractic Care

By
Dr. Alex Jimenez
-
chiropractor massaging shoulder of man on Massage Table in hospital

The shoulder joint consists of different muscles that are for moving, protection, and provide a wide range of motion. When one or more of these muscles is pulled or strained it can affect the smallest movements. A pulled shoulder muscle can make simple activities difficult, painful, and impossible. Minor shoulder injuries can heal on their own with home remedies. A serious shoulder muscle injury should be addressed by a medical professional. The shoulder is a ball-and-socket joint. Pulling a muscle in the shoulder can be caused by:

  • Injury
  • Overuse
  • General wear and tear

Pulled Shoulder Muscle Causes

Pulling a shoulder muscle can happen quickly like falling on the shoulder or from a car accident. It can also develop from months or years of working a job where individuals perform repetitive motions with the shoulders and overuse the muscles to the point of strain. No matter the cause, rehabilitation, and recovery depend on the type and severity of the injury.

Common Shoulder Muscle Injuries

The shoulder joint is surrounded by several muscles and tendons and because the shoulder can move so freely, it is a common area for a pull or strain. Different shoulder muscle injuries fall under being pulled or strained.

  • Rotator Cuff Tear
  • Shoulder Tear
  • Shoulder Sprain
  • Shoulder Strain
  • Pulled Muscle in the shoulder blade

A Pulled Muscle or Something Else

Unless an individual is a medical professional or has experienced this type of pain before, it can be hard to tell exactly what the cause is. Shoulder pain can have other or combined causes like inflammation of the tendons and joints, or the joint itself could be causing the injury. Here are a few ways to investigate what is causing shoulder pain.

Pulled Shoulder Muscle Symptoms

  • Pain in the shoulder blade area is characterized by dull, sore, or aching pain.
  • Sometimes shooting pain in the area between the shoulder blades will present, causing pain in the front or back of the shoulder.
  • Shoulder instability of the muscles or tendons.
  • The shoulder feels fragile
  • Movement causes pain
  • A bump can develop at the top of the shoulder near the end of the collarbone
  • General symptoms include:
  • Pain when the shoulder is at rest
  • Pain when the specific muscle is used
  • Tenderness
  • Possible swelling of the area
  • Inability to use the muscle at all

The Seriousness of a Pulled Shoulder Muscle

The majority of the time a pulled shoulder muscle is not serious. If the pain is not severe and it is not the result of an accident, it is okay to utilize home remedies to reduce pain and help the shoulder heal. However, there are symptoms that could indicate a serious injury or medical problem. If you experience shoulder pain and any of the following, seek immediate medical attention.

  • Severe and intense pain
  • Severe, abrupt pain that has no obvious cause
  • Shortness of breath
  • Chest numbness or pain
  • Seeing clearly
  • Difficulty speaking
  • Sudden swelling, pain, or redness

For individuals that experience shoulder pain that does not get better over time, seek professional help, even if the pain is mild. A professional will develop the right treatment plan, reduce pain, and generate a healthy recovery, getting the individual back to normal and optimal health.

11860 Vista Del Sol, Ste. 128 Pulled Shoulder Muscle Injury Chiropractic Care

Treatment and Recovery Options

Treatment and recovery plans are different for everyone. This is because it depends on the severity of the pull and the individual’s overall health. Many find that the pain is reduced with home remedies in two or three weeks. Chiropractic treatment for a pulled shoulder muscle can provide relief within one or two weeks.

Home Remedies for Pulled Shoulder Muscles

Depending on the severity and how much pain is presenting taking NSAIDs like Ibuprofen can help reduce pain and swelling. Individuals can also incorporate the following:

Rest

The shoulder should rest for 2 or 3 days. This gets the healing process started and prevents further injuring the area.

Wrap or Sling

During the days of rest, keeping the shoulder from moving can be difficult. To avoid this, wrap the shoulder or utilize a sling to support the arm. Remember that these should not be used for more than 2 or 3 days.

Ice for Swelling

If there is swelling, applying ice to the area can help reduce the inflammation. Apply for 20 minutes every hour. The swelling should begin reducing in a day or two.

Gentle Stretching

Working out the muscles after the 2 or 3 days of rest is important. Stretches will help the muscle group strengthen and heal. Not stretching the muscles and not using them for an extended time could worsen the injury and increase the risk of further injury.

Stretching the Shoulder

As aforementioned not moving/stretching can cause more problems in the long run. Not using the muscle can cause it to atrophy, which means that it will take longer to heal with the surrounding muscles weakening. Gentle stretches for a pulled shoulder muscle include:

Cross-Body Shoulder Stretch

  • Bring the affected arm across the body at an angle
  • Cup the elbow of the affected arm with the other hand
  • Use that hand to gently pull the arm toward the body
  • Hold the stretch for 15 to 30 seconds
  • Repeat 3 to 5 times

Pendulum Stretch

  • Bend slightly forward, support the body by placing the non-injured arm on a table or chair
  • Allow the injured arm to hang straight down
  • Start swinging the arm in small circles clockwise that gradually grow wider
  • Do for 1 minute, then switch counterclockwise for another minute
  • Repeat 4 to 8 times throughout the day
11860 Vista Del Sol, Ste. 128 Pulled Shoulder Muscle Injury Chiropractic Care

Chiropractic

If home remedies are not enough, then chiropractic can help. Chiropractors use a variety of treatment modalities for pulled shoulder muscles. These include:

  • Chiropractic adjustments
  • Electrical stimulation
  • Manual stretching
  • Ultrasound
  • Cold laser therapy to reduce pain and swelling
  • Health coaching
  • Posture exercises
  • Physical rehabilitative therapy

If the pain is persistent, it could indicate more than a pulled muscle is causing the pain. This could be a pinched nerve or a joint issue. A doctor of chiropractic can develop the best recovery option to get to the root cause.

Body Composition

InBody Spotlight - Rachel Cosgrove of Results Fitness

Women and muscle distribution

Research reveals that women could have a higher distribution of type 1 muscle fibers and lower distribution of type 2 muscle fibers which are more prevalent in men. Type 1 muscle fibers are slow-twitch muscles and are extremely useful in long-endurance activities like long-distance running. Type 1 muscle fibers are also the first ones that activate during any type of exercise. Type 2 are the fast-twitch muscle fibers and get activated when performing powerful or explosive bursts of movements like sprinting.

Because of these muscle-fiber differences, men are likely to excel in training that involves explosive, powerful routines. However, a study found that women can gain more muscle mass using a total body strength training program compared to men. For optimal results mix up the workout with a variety of resistance and strength training routines. This will allow for greater muscle mass growth.

Dr. Alex Jimenez’s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

References

Kim, Jun-Hee et al. “Comparison of the Shoulder External Rotator Strength and Asymmetry Ratio Between Workers With and Without Shoulder Impingement Syndrome.” Journal of strength and conditioning research, 10.1519/JSC.0000000000003343. 17 Sep. 2019, doi:10.1519/JSC.0000000000003343

Verniba, Dmitry, and William H Gage. “Stepping threshold with platform-translation and shoulder-pull postural perturbation methods.” Journal of biomechanics vol. 94 (2019): 224-229. doi:10.1016/j.jbiomech.2019.07.027

Dealing with Painful Trigger Points. Berkeley Wellness. www.berkeleywellness.com/self-care/preventive-care/article/dealing-painful-trigger-points. Published September 1, 2011. Accessed June 14, 2018.

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