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Root Causes of *GUT DYSFUNCTION* | El Paso, Tx (2021)

Root Causes of *GUT DYSFUNCTION* | El Paso, Tx (2021)
Welcome to our Functional Medicine episodes brought to you by Dr. Alex Jimenez. In this episode, we have a presentation by a Chiropractic Specialist; where he will teach us how to identify the key functional roles of the gastrointestinal tract and recognize how impairments may lead to dysfunction. We will also be Identifying the role the gastrointestinal tract plays in many
chronic diseases. Our specialist will also help us use stool analysis as a foundational tool to help evaluate gastrointestinal function. Stay tuned for the next episode of this presentation and many more to come…

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.

*GASTRO-INTESTINAL* dysfunction treatment | El Paso, Tx (2021)

*GASTRO-INTESTINAL* dysfunction treatment | El Paso, Tx (2021)
Welcome to our new Functional Medicine series, brought to you by Dr. Alex Jimenez. In this edition, we feature part two of a presentation titled “Treatment of GI dysfunction from the context of the Functional Medicine Matrix” where a Medical Specialist will teach us how to review and clarify the Functional Medicine Timeline, Matrix, and the concepts of Antecedents, Triggers, and Mediators. He will also be discussing the importance of understanding the patient’s individual story.
This presentation will help us identify “leverage points” to utilize therapeutically with individual patients, he will also be showing us how to define the components of the R5 framework (Remove, Replace, Reinoculate, Repair, Rebalance). By the end of this presentation, we will be explaining how to select and interpret functional GI laboratory evaluation to help guide personalized implementations of the 5R approach in patients with gastrointestinal dysfunction. This and much more in this Functional Medicine Episode, by Dr. Alex Jimenez…

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.

Treatment of GI Dysfunction *PART THREE* | El Paso, Tx (2021)

Treatment of GI Dysfunction *PART THREE* | El Paso, Tx (2021)
Welcome to our new Functional Medicine series, brought to you by Dr. Alex Jimenez. In this edition, we feature part three of a presentation titled “Treatment of GI dysfunction from the context of the Functional Medicine Matrix” where a Medical Specialist will teach us how to review and clarify the Functional Medicine Timeline, Matrix, and the concepts of Antecedents, Triggers, and Mediators. He will also be discussing the importance of understanding the patient’s individual story.
These specialists will help us identify “leverage points” to utilize therapeutically with individual patients, he will also be showing us how to define the components of the R5 framework (Remove, Replace, Reinoculate, Repair, Rebalance). By the end of this presentation, we will be explaining how to select and interpret functional GI laboratory evaluation to help guide personalized implementations of the 5R approach in patients with gastrointestinal dysfunction. This and much more in this Functional Medicine Episode, by Dr. Alex Jimenez DC…

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.

Sleeping With Sciatica and A Better Night’s Rest

11860 Vista Del Sol, Ste. 128 Sleeping With Sciatica and A Better Night's Rest
Top view of young couple sleeping on their backs in bed uncovered

Trying to get a proper night’s rest and healthy sleep with sciatica can be difficult. Here we discuss how to combat sciatica discomfort for a better night’s rest. The sciatic nerves are the two largest nerves in the body. They run from the low back through the:

  • Hips
  • Buttocks
  • Down each leg into the feet

When the nerve gets:

  • Irritated
  • Inflamed
  • Pinched
  • Compressed

Sciatica can cause pain, tingling, numbness in the butt, lower back, leg, calf, and foot. It is a common condition that affects many individuals.

Is It Sciatica

Sciatica happens when the nerve becomes pinched from a bulging or herniated disc. In rare cases, the pain can result from a tumor putting pressure on the nerve or damage to the nerve caused by disease. The location and intensity of the pain depend on where the injury or damage occurred and how bad it is. Sciatica pain can be described as:

  • Dull
  • Sore
  • Numbing
  • Jolting
  • Throbbing
  • Hot
  • Stabbing
  • Radiating
11860 Vista Del Sol, Ste. 128 Sleeping With Sciatica and A Better Night's Rest

For many sciatica usually resolves within a matter of weeks. However, once sciatica has presented future episodes are almost guaranteed to resurface and if not treated properly can lead to more serious problems.

Symptoms

The sciatic nerve/s can affect several areas of the body, making symptoms vary. The most common include:

  • Lower back pain starts at the low back, runs along the hips and buttocks down each leg.
  • Pain radiates/spreads down the butt/leg area sometimes described as a shooting pain and usually occurs on just one side.
  • Pain while sitting for long periods of time places pressure on the gluteal muscles, lower back, and nerves. This can cause or worsen the condition. When having to sit for a while, it is recommended to get up every hour or so and walk/move around. This gets the blood flowing and stretches out the tightened muscles.
  • Hip pain, as the sciatic nerves run through the hip joint and in some cases can cause pain to settle in the hip. Injuries in the hip can mimic the symptoms of sciatica. If there is hip pain that does not improve with time get checked by a doctor to rule out other causes like osteoarthritis, bursitis.
  • Numbness, some experience weakness in the legs and an altered sensation of numbness. This is caused by a herniated disc in the lower lumbar region.
  • Burning/tingling like a pins and needles sensation, especially in the feet and toes.

Conditions/Causes

There are several conditions that can cause sciatica:

  • Degenerative Disc Disease is where the discs of the spine deteriorate and become susceptible to painful herniation.
  • Spondylolisthesis is a painful condition where the lower vertebrae slip forward onto the bone directly below impinging the sciatic nerve.
  • Muscle Spasms and involuntary contractions of the muscles can cause sciatica if they compress the nerve.
  • Pregnancy sciatica is not uncommon. As the baby grows it places pressure on the nerve causing aches and pains.
  • Lumbar spinal stenosis is when the spaces in the low back begin to narrow compressing and irritating the nerve.

Risk factors include:

  • Age, as the spine gets older it becomes more susceptible to herniated discs and bone spurs, which are leading causes of sciatica.
  • Obesity and excess weight create added stress on the spine, which can inflaming the nerves.
  • Occupation/work that requires standing/sitting for long periods or if a lot of heavy lifting is involved there is added pressure on the back increasing the risk for back problems.
  • Individuals with diabetes have an increased risk for nerve damage. When nerves are damaged, they can cause radiating pain.

Night Time

Sleeping at night can be a challenge, especially not being able to get into a comfortable position. Sleep deficits and insufficient sleep can reduce the body’s tolerance to pain and worsen inflammation. Many wake up with increased symptoms.

This is likely due to the fact that when the body is laying down the discs draw in and absorb fluid, which results in increased pressure within the disc, creating more pressure on the nerve. But there are some things to do to lessen pain and get a good night’s sleep. This includes changing sleep position, stretching, and practicing healthy sleep hygiene.

11860 Vista Del Sol, Ste. 128 Sleeping With Sciatica and A Better Night's Rest

Sleeping Positions

  • Sleeping on the back is considered the best sleeping position for sciatica because it eases pressure on the low back and discs where the nerves are located.
  • Sleeping on the side can be more comfortable and is a good position because it doesn’t place direct pressure on the muscles, discs, or sciatic nerve. But, it is important that the mattress is supportive enough to keep the spine aligned. If more support is needed place a pillow between the legs.
  • Sleeping with the knees elevated can help take the pressure off the low back. To achieve this place a pillow under the knees or, with an adjustable bed, use it to elevate the foot of the bed.
  • Sleeping with a body pillow provides extra comfort and helps the body remain in a certain position throughout the night. These pillows come in a variety of shapes, sizes.

Stretches

Stretching can provide relief. It’s important to stretch to keep the body flexible and to prevent pain. Gentle stretches before bed, and after waking up will loosen the muscles and ligaments surrounding the spine and joints.

  • Reclining pigeon pose is a yoga pose opens the hips and eases lower back pain.
  • Lying on the back with both knees bent.
  • Lift the right leg and place the ankle on the top of the left knee. Hold the stretch for 15 to 30 seconds.
  • Repeat with the other leg.
  • Sitting pigeon pose stretch is similar to the reclining pigeon but is done while sitting.
  • Sitting on the floor with knees bent. Keep balance by placing the hands on the floor.
  • While seated, place the right ankle on the top of the left knee.
  • Lean forward and move the upper body forward. Hold for 15 to 30 seconds.
  • Repeat with the other leg.
  • Forward pigeon pose is a more advanced version of the pigeon stretch.
  • Start in a plank or push-up position.
  • Move the right leg in front so that the right knee is toward the right wrist and the right foot toward the left wrist.
  • Stretch the left leg out behind. The top of the foot should be on the ground and toes flat against the floor.
  • Shift the weight forward onto the hands or elbows. Feel the stretch in the right glute.
  • Repeat steps with other leg.
  • Knee to opposite shoulder is a simple stretch that is easy and pain-relieving.
  • Lie on back with legs extended.
  • Bend the right leg, grasp the knee and pull it toward the abdomen.
  • Straighten the leg and then repeat these steps with the left leg.
  • Do three times on each side.
  • Sitting spinal stretch can help open the vertebrae to relieve sciatica pain.
  • Sit on the floor with the legs extended.
  • Bend the right knee so that the foot is next to the inside of the left knee. Keep the right foot flat on the ground.
  • Move the left arm around so that the elbow is on the outside of the right knee. Place right hand behind for balance.
  • Gently turn toward the right, looking behind. Hold position for 15 to 30 seconds.
  • Repeat with the other leg.
  • Standing hamstring stretch can ease pain in the hamstrings.
  • Stand and place one heel on an elevated surface, like a chair.
  • Fully extend the knee and flex the ankle by pointing the toes toward the ceiling.
  • Bend forward at the hips keeping the spine in a neutral position. Hold for 15 to 30 seconds.
  • Repeat with the other leg.
11860 Vista Del Sol, Ste. 128 Sleeping With Sciatica and A Better Night's Rest

Sleep Hygiene

Proper sleep hygiene helps prepare for a good night’s sleep. Here are some tips to help improve sleep hygiene.

  • A nighttime routine will help unwind the body before bedtime. Start the routine 30 minutes before planning to go to sleep. Some things to do to help unwind:
  • Take a warm bath
  • Listen to relaxing/soothing music
  • Meditation
  • Reading
  • Get a new mattress. An old, sagging mattress can worsen sciatica and strain the back. The best mattresses for sciatica pain combines contour comfort to ease pressure points at the hips and shoulders with the proper support to keep the spine aligned.
  • Eye masks can help with artificial light which can fool the mind along with the circadian clock into thinking it’s daylight. Keeping out unwanted light all night can help.
  • Avoid blue light too close to bedtime like lamps and device screens. These are great for the day, as they help boost attention, reaction time, and mood. But at night it can be disruptive. Turn off electronics at least 30 minutes before bed to help the body adjust.
  • Room temperature control has found that most sleep better in a cool room. The optimal temperature is between 60 and 67 degrees.
  • Avoid exercise close to bedtime. Working out before bed can interfere with sleep. This is because exercise releases adrenaline keeping the mind and body alert.
  • Avoid stimulants before bedtime like caffeine, sugar, etc. which will keep the body up.

Medical Intervention

Sciatica pain can be mild or severe. Stretching or changing up sleeping position can help ease discomfort. But if the pain is severe or chronic, and if it prevents getting a good night’s sleep, consult a chiropractic professional.

InBody Spotlight

InBody Spotlight - Nathan Shaw of Arizona Diamondbacks

Sleep And Body Composition

A lack of sleep makes it harder to gain muscle and harder to lose fat.

  • Sleeping less means fewer opportunities to secrete growth hormone and develop muscle
  • Testosterone is negatively affected by lack of sleep
  • Sleeping less can increase cortisol levels, impairing muscle development
  • Irregular sleep throws off the body’s cycles, making the body feel hungrier
  • Sleeping less is linked to eating more snacks, increasing energy levels
  • Lack of sleep can cause reductions in Basal Metabolic Rate by 20%, reducing total energy output
  • Being tired reduces spontaneous movements, reducing total energy output

If trying to get into shape and change body composition, sufficient sleep is vital. Any positive changes to get more sleep is going to have positive changes on efforts to change body composition.

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

Siengsukon, Catherine F et al. “Sleep Health Promotion: Practical Information for Physical Therapists.” Physical therapy vol. 97,8 (2017): 826-836. doi:10.1093/ptj/pzx057

Texas Supreme Court’s Decision in “Texas Board of Chiropractic Examiners et al v. Texas Medical Association” Case

Image of Dr. Alex Jimenez with thumbs up standing in front of his office clinic.

After all of these years, I am happy to announce that the Texas Supreme Court has finally made a decision regarding the Texas Board of Chiropractic Examiners et al v. Texas Medical Association case on January 29th, 2021. With great honor and gratitude, I’d like to continue to extend sincere thanks to everyone who worked hard on this case and whose tremendous efforts resulted in the decision. Thanks to the Supreme Court’s decision, chiropractors in Texas can now carry on their jobs accordingly. Below, I have provided a letter from Board President, Mark R. Bronson, D.C., F.I.A.N.M. on behalf of the Texas Board of Chiropractic Examiners stating the Texas Supreme Court’s decision in the Texas Board of Chiropractic Examiners et al v. Texas Medical Association case on January 29th, 2021. – Dr. Alex Jimenez D.C., C.C.S.T.


February 1, 2021

On behalf of the Texas Board of Chiropractic Examiners, I extend our sincere thanks and appreciation to everyone whose efforts resulted in the Texas Supreme Court’s decision in Texas Board of Chiropractic Examiners et al v. Texas Medical Association on January 29, 2021. Special thanks are due to all the attorneys at the Office of the Attorney General who worked on this case over these years.

The decision properly affirmed the validity of the Board’s scope of practice rule, which the court clearly said does not exceed our statutory scope of chiropractic practice. The court unequivocally held that the Board’s rules do not violate Occupations Code Chapter 201 or run counter to the chapter’s objectives set by the Texas Legislature, and in fact, carefully observe the statutory boundary between the medical and chiropractic professions. This decision, which recognizes the common sense and long-standing inclusion of associated nerves in chiropractic diagnosis and treatment, preserves and strengthens the essence of chiropractic.

Thanks to the court’s decision, our licensees can now fulfill their duties as vital portal-of-entry healthcare providers in Texas without fear. The court’s decision reaffirms the principles of economic freedom that have made Texas the best state in the nation to be a chiropractor.

Sincerely,

Mark R. Bronson, D.C., F.I.A.N.M. Board President
Texas Board of Chiropractic Examiners


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*

A guide for Food Allergies, Hypersensitivity and Intolerances | El Paso, Tx (2021)

A guide for Food Allergies, Hypersensitivity and Intolerances | El Paso, Tx (2021)
Dr. Alex Jimenez DC brings to you Part Three of a Functional Medicine presentation titled “Food Allergies, Hypersensitivity, and Intolerances: Diagnosis and Treatment” featuring a Naturopathic Specialist who will present to us methods on how to identify the differences between food allergy, food sensitivity, and food intolerance. He will also help us differentiate between IgG and IgE food testing, its benefits, and its disadvantages. This presentation will also be covering how to recognize the differences between celiac disease wheat allergy and non-celiac gluten sensitivity. And lastly, The Clinical Specialist will also guide us on how to outline a rationale for evaluating and testing for food reactions. This and much more on this functional medicine episode brought to you by Dr. Alex Jimenez

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.

Diagnosis & Treatment of Food Allergies | El Paso, Tx (2021)

Diagnosis & Treatment of Food Allergies | El Paso, Tx (2021)
Welcome to part two of a Functional Medicine presentation titled “Food Allergies, Hypersensitivity and Intolerances: Diagnosis and Treatment” featuring Naturopathic specialists. who will present to us methods on how to identify the differences between food allergy, food sensitivity, and food intolerance. He will also help us differentiate between IgG and IgE food testing, its benefits, and its disadvantages. This presentation will also be covering how to recognize the differences between celiac disease wheat allergy and non-celiac gluten sensitivity. And lastly, he will also guide us on how to outline a rationale for evaluating and testing for food reactions. This and much more on this functional medicine episode brought to you by Dr. Alex Jimenez

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/
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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.

Easiest Exercises on The Spine and Back Muscles

11860 Vista Del Sol, Ste. 128 Easiest Exercises on The Spine and Back Muscles

When lower back pain presents many want to retreat to the couch, bed and just lay down, but doctors, chiropractors, physical therapists, and spine specialists do not recommend this course of action. What they do recommend, other than treatment, is to engage in the easiest forms of exercise on the spine and back muscles.

11860 Vista Del Sol, Ste. 128 Easiest Exercises on The Spine and Back Muscles

Staying sedentary is one of the worst things an individual can do to their back. When the back is aching exercise can usually help. This is because the muscles, ligaments, tendons are being stretched and not just staying still, which lets inflammation build up and swell. Moving keeps the blood flowing, allowing for broader healing and recovery.

However, back pain relief can be a challenge. Various treatment options exist because there are a variety of causes. The key is figuring out which type is best for each individual and their specific condition. An individual needs to know the cause of their type of back pain, as this determines which exercises should or should not be doing. The Pain and Therapy journal evaluated some of the best exercises for lower back pain.

Physical Therapy Exercises

The McKenzie method can be very effective for acute disc herniation pain and sciatica. This type of exercise is to figure out if there is a specific position that helps the pain become centralized, correct any motion restrictions, and take the pressure off the region that is compressed or inflamed. Physical therapists incorporate McKenzie exercises as part of regular treatment. The strength-building moves are designed to help support the spine and consist of range-of-movement work and sustained positions.

11860 Vista Del Sol, Ste. 128 Easiest Exercises on The Spine and Back Muscles

Home and Studio Workouts

Pilates is one of the easiest exercises for individuals with chronic low-back pain. Like McKenzie exercises, it utilizes sustained positions that strengthen the trunk/core muscles. The muscles are strengthened using small movements. Using the machine called a reformer, has built-in support for the spine. This is considered a low-key, muscle-toning workout that can ease chronic back pain.

Water Exercise

Water exercises lessen the body’s weight, taking pressure/stress off the spine. Deep-water running with the water at shoulder-height can significantly improve low-back pain. In a study, a group of overweight/obese women worked out twice a week for an hour-long exercise session. After 12 weeks, improvements in pain intensity, personal care, sitting, standing, and sleeping were reported.

Easiest Office Exercise

One of the easiest exercises is walking. It is great for the body. But the key is to walk more than usual around the office, or wherever work is. This is not about getting the heart rate up. It is about not staying in the same position for too long. When sitting and focused, an individual can stay in an uncomfortable position for some time and just push through it in an attempt to finish up the work.

Using a timer or an application that alerts every hour to get up and stretch is highly beneficial. Walk correctly to the bathroom, or just get up and walk around for a bit gets the blood pumping through the body and the muscles in motion stretching and contracting.

Stabilization Exercise

Strengthening workouts can be done at home.

  • Stretch while standing against the wall bringing the arms up and down.
  • Pull the elbows down into the back, which stops the hyperactive trapezius from tensing up.
  • Knee to the chest motion while lying on the back
  • Abdominal crunches while balance on an exercise ball
  • Push the head back into the headrest while driving. This helps avoid the forward head posture.

Contact a doctor, chiropractor, or physical therapist that can recommend the best stabilization exercises for the specific pain/condition.

11860 Vista Del Sol, Ste. 128 Easiest Exercises on The Spine and Back Muscles

Tai Chi and Qigong

Tai Chi and Qigong are gentle exercises where an individual performs slow, controlled movements emphasizing balance and focus. Both can reduce pain, disability, and other symptoms associated with lower back pain.

Body Composition Testimonial

InBody Spotlight - CJ Miller of NutritionScience.life

Exercise After Childbirth

Physical activity for pregnant and post-birth, the American Congress of Obstetricians and Gynecologists recommends the following. The easiest exercise routines can be resumed gradually after pregnancy, once a doctor confirms it is medically safe, depending on the delivery, and the presence or absence of medical complications.

  • Pelvic floor exercises could be initiated in the immediate postpartum period.
  • Regular aerobic exercise in lactating women has been shown to improve cardiovascular fitness without affecting milk production, composition, or infant growth.
  • Nursing women should consider feeding their infants before exercising in order to avoid exercise discomfort.
  • Nursing women also should ensure proper hydration before engaging in physical activity.
  • Take it slow.

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

Pain and Therapy. (2020) “Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.” link.springer.com/article/10.1007/s40122-020-00149-5

Spine. (2016) “Pilates for Low Back Pain: Complete Republication of a Cochrane Review.” pubmed.ncbi.nlm.nih.gov/26679894/

Spinal Misalignments The Root Of Pain And Discomfort

11860 Vista Del Sol, Ste. 128 Spinal Misalignments The Root Of Pain And Discomfort
Mature physiotherapist in uniform supporting arm of young patient sitting on medical couch during sidebend exercise in rehabilitation clinics

When spinal misalignments happen the body experiences soreness, inability to rotate the neck, or after sitting/standing in one position for too long hip and leg discomfort/pain. This is why spinal alignment is so crucial to healthy living. These examples help to illustrate the delicate balance required in the spine to maintain optimal health, stay pain-free, prevent injury, and the ability to conduct everyday chores/responsibilities without the fear and anxiety of setting off pain symptoms.

11860 Vista Del Sol, Ste. 128 Spinal Misalignments The Root Of Pain And Discomfort

Understanding how pain is processed

Pain is a complex sensation. Neural pain receptors, also known as nociceptors detect harmful stimulation/s in the form of:

  • Body Temperature changes
  • Mechanical forces and pressure on the body
  • Chemical changes in the body brought on by inflammation or cell damage

How the signal transmits from the stimulated nerve and how it is perceived depends on the upper levels of neural activity in the body. Specifically, the spinal cord, brainstem, and the brain. Examples of pain perceptions:

  • Beliefs
  • Mood levels
  • Stress levels
  • General health
  • Other sensations the body could be experiencing
  • Previous pain generating experiences – auto accident, work injury, etc.

Spinal Misalignments and Balance

Pain is essential for alerting the body when engaged in activities, and body positions that can cause damage to the tissues like poor postures, work/sports/personal injuries, inflammatory foods, etc. The nerves’ pain pathways can experience overstimulation when the system is overloaded.

Excessive stimulation can be brought on by chronic inflammation, mood disorders, and poor health. One overlooked issue with the perception of pain is the health/effectiveness of the actual neural pathways. The nerve’s energy is affected by spinal misalignments. Proper nerve health and circulation are crucial for the body to transmit proper pain signals. Spinal misalignments can be brought on by:

The longer the pain and discomfort go on the more intense/severe the issues can become. This is when pain and discomfort become chronic leaving individuals feeling hopeless, frustrated.

Symptoms

The spine does more than provide stability. Any type of spinal misalignments will affect the rest of the body as well. Possible symptoms that the spine is out of alignment includes:

  • Chronic headaches
  • Frequent illnesses
  • Fatigue
  • Lower back pain
  • Neck pain
  • Hip pain
  • Knee pain
  • Numbness/tingling in the hands or feet
  • Walking gait abnormalities causing one shoe to wear out quicker than the other
11860 Vista Del Sol, Ste. 128 Spinal Misalignments The Root Of Pain And Discomfort

Chiropractic Management

Many treatments focus on masking the pain rather than addressing the underlying root cause. This can lead to a chronic pain cycle and dependence on pain medications and invasive treatment. Chiropractic is a science-based approach that focuses on getting to the root issue. Chiropractic utilizes gentle and effective techniques like:

  • Manipulation
  • Exercise regimen
  • Stretching regimen
  • Body mechanics training
  • Health nutritional education

When the body is aligned and the spinal nerves are healthy, an individual’s pain perception will be changed for optimal functionality.

InBody Composition

InBody Spotlight - Dr. Tom Bakman of Restoration Healthcare

Body composition goals

The first step is to reduce caloric intake by changing/adjusting dietary nutritional habits. Individuals can experiment with various types of diets and regular exercise regimens, and getting into the habit of getting the proper amount of sleep. Depending on an individual’s existing muscle mass, gaining Lean Body Mass first could be an option. An individual may be able to lose fat and gain muscle because:

  • Increased muscle mass will increase the Basal Metabolic Rate/metabolism, and if no extra calories are added body fat can be shed while building muscle.
  • Lifting weights can increase Total Daily Energy Expenditure, causing the body to burn more calories.

Circuit training is one option for improving changes in body composition while not affecting changes in overall body weight. This means muscle gain and fat loss is happening at the same time.

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

Dubinsky RM, Miyasaki J.Assessment: Efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidence-based review). Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology. 2010;74:173-176.

Shrier I. Does stretching help prevent injuries? Evidence-based Sports Medicine. Williston, VT: BMJ Books; 2002.

Chiropractic Prevention and Relief For Degenerative Disc Disease

11860 Vista Del Sol, Ste. 128 Chiropractic Prevention and Relief For Degenerative Disc Disease
Young athletic girl playing with flying disc in the park. Professional player. Sport concept

Chiropractic prevention for degenerative disc disease. In between the bones of the spine or the vertebrae are the protective shock-absorbing intervertebral discs. These protective cushions naturally begin wearing down or degenerating as the body ages. The common term for this is degenerative disc disease or DDD. It is not a disease, but the body’s natural aging process. The reason it is called degenerative disc disease is that it is a condition of the spine with deteriorating effects.

11860 Vista Del Sol, Ste. 128 Chiropractic Prevention and Relief For Degenerative Disc Disease

One of the things seen in degenerative disc disease and aging of the spine is that the soft disc, made up of a vast amount of water, slowly begins to dry out and dehydrate. The protein/sugar that is within the disc begins to dry out and that starts a degenerative domino effect along with tearing of the outside rings of the disc.

Causes and Risk Factors

The most common cause of disc degeneration is aging. With age comes the loss of fluids/water. This means the discs get thinner and provide less protection. The shock absorbers don’t absorb weight, impact, pressure like they used to. However, disc degeneration does not always occur later in life. Genetics can be a catalyst for development when young.

Individual environment vs. genetics

  • Stresses
  • Strains
  • Wear
  • Tear
  • Discs dry out
  • Rings crack or tear

If involved in an occupation that requires heavy lifting, twisting, and bending, this can generate disc damage, but physical stressors do not automatically enhance disc erosion. An individual can do this type of work their entire life and not experience problems. It depends on the environment and the overall health of the individual that can be assessed through chiropractic prevention and body composition analysis.

Chiropractic Prevention and Preserving The Discs

Individuals need training on proper body posture and body mechanics. A major contributing factor that increases the risk of nerve, spine/back pain due to disc damage. The back/spine should be moved like a crane. This means not bending over at the waist, but squatting down with the hips and knees when lifting an object. Not everything can be done this way, but if an individual can eliminate too much bending at the waist, it will definitely help.

Do not neglect the core muscles. Core exercises will maintain the muscles around the waist, which also strengthens the rest of the body. All the muscles front, back, around the trunk, hips, and knees to the chest are all the core muscles.

Healthy Weight Less Spinal Stress

Beyond physical stressors, another important factor in preventing degenerative disc disease is maintaining a proper weight. Society has adapted more and more to a sedentary lifestyle. And home quarantine means being more sedentary. Emotional factors like:

  • Boredom
  • Anxiety
  • Depression
  • Fatigue

This can cause excessive junk food consumption and rapid weight gain.

11860 Vista Del Sol, Ste. 128 Chiropractic Prevention and Relief For Degenerative Disc Disease

Lifestyle Adjustments Health Coaching

Implementing a preventive lifestyle to prevent degenerative damage is challenging. Everyone really should try to live as healthy a lifestyle they can.

Education and training

Continual education on slowing disc degeneration is essential. This is what chiropractic prevention focuses on. Then an individual can begin implementing various tools for avoiding weight gain and learn proper posture and lifting.

Quitting smoking

Smoking accelerates the aging process by drying out the tissue, especially the spinal discs. It is known as desiccation and is why smoking is a major risk factor for degenerative disc disease.

Disc stress

Anything that stresses the discs for any amount of time can generate pain. For example, standing too long even carefully standing straight can induce discomfort and pain. Sitting can help, but caution needs to be observed. Sitting too long places more pressure on the low back than when standing. There must be a balance between sitting and standing. Experts suggest getting up and moving every 20 to 30 minutes. This is a perfect time to get up and do in-home walking exercises, physical chores, anything that gets the body up and moving around.

Stretching

Regular bending and stretching need to become a natural reflex. When the body begins to feel sore, stretch out the area.

11860 Vista Del Sol, Ste. 128 Chiropractic Prevention and Relief For Degenerative Disc Disease

The good news is that everyone, even those with a genetic predisposition to greater disc loss or fusion, there are options for slowing down and minimizing disc damage. Maintaining a healthy weight, strengthening the core, and learning proper techniques for lifting for work, exercise, or sports will all help. If diagnosed with disc degeneration, talk to a doctor, physical therapist about developing a chiropractic prevention treatment plan. They’ll be able to develop a program specifically designed to help.

Bodily Composition

InBody Spotlight - Dr. Adrienne Youdim

Human Immune System

The immune system is highly complex and essential in maintaining optimal health. The main function of this system is to neutralize pathogenic microorganisms like bacteria that get into the body and affect the body’s homeostasis, eliminate any harmful substances from the environment, and fight the body’s own cells that can cause illnesses like cancer. The defense system consists of innate and adaptive immune processes. The innate system includes exterior defenses like the:

Any organisms that get past the first line of defense, have to face the adaptive system, which is made up of T and B cells. The adaptive immune system is a learning defense that constantly adapts and evolves to be able to identify changes in pathogens that mutate over time. Together, these systems provide a fortified resistance to any long-term survival of infectious agents in the body. Healthy lifestyle adjustments can help strengthen and boost these systems working to keep the body safe.

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

Mayo Clinic. (May 11, 2020.) “Packing on pounds during COVID-19 and how to turn it around.” newsnetwork.mayoclinic.org/discussion/packing-on-pounds-during-covid-19-and-how-to-turn-it-around/

Cauda Equina Syndrome Nerve Compression Chiropractic Diagnosis

11860 Vista Del Sol, Ste. 128 Cauda Equina Syndrome Nerve Compression Chiropractic Diagnosis
Male doctor examining the back of senior woman during her visit at hospital

Cauda equina syndrome is an emergency that needs to be treated as soon as possible. It is a form of spinal nerve compression, but if left untreated, it can lead to permanent paralysis of one or both legs and permanent loss of bowel/bladder control. Lower back pain after sitting for too long or improperly lifting something heavy happens to most if not all of us.

However, sometimes pain in the lower back can be an indicator of something more serious. Especially, for individuals that are dealing with or managing back pain. One condition is cauda equina syndrome. It’s not like sciatica or arthritis, but it does have specific symptoms that individuals should be aware of.

Cauda Equina Syndrome

The term comes from Latin that means horse’s tail. The cauda equina forms the group of nerves that run through the lumbar spinal canal. Generally, the condition means two things:

  • There is nerve compression of most of the lumbar spinal canal
  • Compression symptoms like numbness or weakness in the leg/s

How cauda equina syndrome differs from typical compression of the lumbar spinal canal is that it can be caused by different issues, from fractures, tumors, and infections. More commonly, it is disc herniations that cause the problems. The key difference is the degree of nerve compression, and the number of nerves compressed.

For example, compression of a single nerve will not cause loss of bladder function. But compression of multiple nerves, especially the sacral nerves can cause loss of function. Nerve compression that leads to pain or numbness can be treated differently. Surgery is reserved for severe cases and for individuals that are not improving with non-invasive treatment.

11860 Vista Del Sol, Ste. 128 Cauda Equina Syndrome Nerve Compression Chiropractic Diagnosis

Sneaky Presentation

One of the major factors is long-term compression that individuals do not realize they have. Individuals are more likely to be aware of symptoms from another spinal condition before cauda equina syndrome presents. However, the condition presents quickly but often other overlapping back problems mask cauda equina syndrome.

Causes

The syndrome can be brought on from anything that compresses the nerves. Most commonly, it is a root compression from degenerative processes, specifically lumbar disc herniations. Other causes include:

  • Bleeding like an epidural hematoma
  • Trauma like fractures or penetrating trauma
  • Tumors growing in the canal or the collapse of a tumor-affected bone
  • Disc herniations can progressively grow in size, which leads to a slowly-evolving cauda equina syndrome.
  • An enlarging disc herniation or synovial cyst can further compromise the already compressed nerves.
  • Overgrowth of arthritic joints or bone spurs into the spinal canal can lead to long-term compression.

Symptoms

The symptoms vary based on the degree that the spinal canal has been affected:

  • Back pain
  • Leg pain
  • Sciatica
  • Saddle numbness that extends into other areas of the legs
  • Neurogenic bladder dysfunction. This can range from difficulty starting to urinate or limited and/or non-voluntary control urinating.
  • Bowel dysfunction
  • Sexual dysfunction

Diagnosis

A doctor will examine any significant changes in bladder, bowel, or leg function that are considered red flags prompting an early and complete assessment. A physician will ask for a complete/detailed history of the onset and progression of symptoms.

The second is a close physical examination which includes testing sensation and strength along with a rectal exam to assess voluntary contraction. Also checking the body’s reflexes, assess walking gait and alignment. If most or all of the symptoms are presenting this will set in motion spinal imaging or an MRI. If the symptoms, exam, and imaging match, it will lead to an emergency admission to the hospital.

11860 Vista Del Sol, Ste. 128 Cauda Equina Syndrome Nerve Compression Chiropractic Diagnosis

Body Composition Spotlight

InBody Spotlight - Dr. Richard Isaacson of Weill Cornell Medical College

Obesity and Osteoarthritis Connection

A variety of factors contribute to the development of osteoarthritis, including genetic factors and lifestyle choices. Research supports obesity is a significant risk factor in the development of osteoarthritis. It is pretty straightforward as body weight increases this equals increased load on the spine, and joints, especially the weight-bearing ones like the hips and knees. Increased pressure leads to early wearing, tearing, and eventual development of osteoarthritis. Added weight affects the body’s biomechanics and gait patterns.

However, obesity has also been shown to be a risk factor even on the non-weight-bearing joints. This is based on adipose tissue, which is more than just insulation. Adipose tissue is metabolically active and is involved in the secreting adipokines and cytokines which promote an inflammatory response. Pro-inflammatory adipokines and cytokines can have detrimental effects on joint tissue including damage to cartilage, synovial joints, and subchondral bone. The effect of inflammation on the joints in the body can contribute to the development of osteoarthritis.

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

Causes of Cauda Equina: Neurosurgical Focus. (June 2004) “Spinal epidural hematoma causing acute cauda equina syndrome” pubmed.ncbi.nlm.nih.gov/15202871/

Arriving at a Diagnosis: British Journal of Neurosurgery. (August 2010) “Reliability of clinical assessment in diagnosing cauda equina syndrome” www.tandfonline.com/doi/abs/10.3109/02688697.2010.505987

Extinguish Chronic Inflammation With Chiropractic

11860 Vista Del Sol, Ste. 128 Extinguish Chronic Inflammation With Chiropractic
rear view of businesswoman with backplain in office

Chronic inflammation is quite common and can cause a variety of painful back conditions. Fortunately, chiropractic treatment can extinguish the inflammation at its core/root cause and bring long-lasting relief. Inflammation can be a significant factor in causing body and back pain. The proper and lasting treatment goes beyond anti-inflammatory medications. The objective is to extinguish the inflammation completely.

Inflammation

The number of diseases associated with chronic inflammation is increasing exponentially. An estimated 60% of Americans deal with at least one chronic condition caused completely or in part by inflammation. Inflammation is the body’s immune response to something that is not right in the body. Typically, there is:

  • Swelling
  • Redness
  • Warmth/heat signaling an inflammatory response from injury or infection

Chronic inflammation can present through a series of symptoms, including:

  • General fatigue
  • Pain throughout the body
  • Off feeling/not focused

Inflammatory conditions can include:

  • Skin changes like a rash
  • Joint swelling
  • Lymph node swelling
  • Endocrine, heart, lung, and neurological complications

Inflammation can generate inflammatory back pain as well when this happens. This is because the immune system is trying to protect the body from whatever is trying to infiltrate. The cells and chemicals fight the attack and try to heal whatever is going on. Sometimes, there is nothing going on but the immune system becomes hyper-reactive and attacks itself. This is the case of autoimmune disease, or what becomes chronic inflammation. Chronic inflammation lasts longer than 3 months and can lead to diseases like:

Inflammation and Inflammatory Conditions

Autoimmune inflammation that presents as ankylosing spondylitis and rheumatoid arthritis is in a different category. This is when the body begins attacking itself. This can be triggered by a viral infection, which stimulates the immune system. This can cause:

  • Joint destruction
  • Ligament pain
  • Soft tissue swelling
  • Some conditions are hereditary

Inflammatory Spinal Conditions

Inflammation can travel into the body’s spinal and neurological systems. This results in painful conditions that can affect an individual’s quality of life.

Ankylosing Spondylitis

Ankylosing spondylitis usually starts in the lower back and can spread up. It is a form of arthritis that causes the vertebrae to fuse together. It can also cause inflammation in the urological and ophthalmological systems. It is believed to have a somewhat genetic connection. There is a marker called HLA B27 that is usually positive in patients and is more common in young males.

Rheumatoid Arthritis

Rheumatoid arthritis/RA causes inflammation in synovial joints. These produce a fluid that helps lubricate and nourish the joints. RA is found most commonly in the hands, wrists, and knees, but can also present in the spine’s facet joints that connect vertebrae. There is some genetic association but is common with smoking and obesity. It is diagnosed with lab work, like inflammation markers, rheumatoid factor, and physical examination. RA pain typically presents in the cervical spine or neck region.

11860 Vista Del Sol, Ste. 128 Extinguish Chronic Inflammation With Chiropractic

Transverse Myelitis and Multiple Sclerosis

These conditions are closely tied and caused by inflammation in the central nervous system/CNS. The immune system attacks the nerve cells and removes the fatty substance that insulates the nerves and helps them transmit impulses to and from the central nervous system. This causes:

  • Pain
  • Weakness
  • Numbness
  • Bladder/bowel issues

Transverse myelitis affects the spinal cord whereas multiple sclerosis can affect the brain and the spinal cord. Transverse myelitis is typically acute, whereas multiple sclerosis is long-term and can have an increasing/decreasing course of progressive symptoms. And transverse myelitis can be a symptom of multiple sclerosis. Certain lifestyle choices/habits can cause or worsen inflammation. Obesity, smoking, and an unhealthy diet can have a significant impact on chronic inflammation.

Spinal Structures Affected

Inflammation can affect every area of the spine. From the lower back to inflammation of the vertebrae themselves. Injuries to the spine, that include the:

  • Bones
  • Discs
  • Ligaments
  • Joints

This can cause swelling and a build-up of fluid that can be found on an MRI. This is the preferred method of detecting inflammation. When the term itis is used this usually indicates a type of inflammation. For example, neuritis means inflammation of the nerve/s. This can be seen with nerve compression where the nerve is swollen on an MRI.

11860 Vista Del Sol, Ste. 128 Extinguish Chronic Inflammation With Chiropractic

Extinguish Spinal Inflammation

Causes of inflammation can be traced back to lifestyle choices, but can also be alleviated through healthy lifestyle adjustments that turn into habits.

Nutritional Health Coaching

Recommended is to avoid or decrease processed foods, trans fats, and sugar. Consider supplementing vitamin D, magnesium, and omega 3s.

Quit Smoking

Quitting smoking will improve circulation and extinguish vascular inflammation.

Regular Physical Activity/Exercise

Aerobic exercises improve cardiac function and circulation as well as exercises that support the spine ergonomically. Core and pelvic stabilization are necessary for lower back pain.

Medication

For acute inflammation caused by injuries steroids and NSAIDs can help with severe pain and inflammation.

Chiropractic Extinguisher

When the spine and the body’s joints are in proper alignment, and the nerves are functioning at optimal levels the body’s biomechanics return to normal. This stops neuropeptides from producing and helps extinguish inflammation.

Surgery

With the spine, surgery is not recommended as a first-line treatment unless it is an emergency or there is potential for permanent neurological damage. If medication, chiropractic, physical therapy, supplements, lifestyle changes, and/or complementary treatments like acupuncture do not help and quality of life and function are significantly impacted, then elective surgery can be considered.

Body Composition Spotlight

InBody Spotlight - Rachel Cosgrove of Results Fitness

All-around Exercise Regimen

As individuals continue to struggle with obesity and functional fitness with age, exercise becomes more important than ever. It is crucial to combine diet and regular physical activity/exercise to lose weight, have a favorable impact on body composition and lifespan. A well-rounded exercise regimen that incorporates all types of fitness. Aerobic exercise helps maintain an elevated heart rate and helps get rid of fat-free mass.

Resistance training helps to build lean muscle mass. Combining the two, with concurrent training, or utilizing a HIIT workout when there is not enough time will work wonders. Being better equipped and understanding why exercise is important for the body’s health, different types of exercise, and which ones are best suited for each individual’s needs will keep the body in top form for the long term.

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

What Is Inflammation?: StatPearls. (November 2020) “Chronic Inflammation” www.ncbi.nlm.nih.gov/books/NBK493173/

Types of Inflammatory Spinal Conditions: Current Opinion in Rheumatology. (January 2014) “When and Where Does Inflammation Begin in Rheumatoid Arthritis?” www.ncbi.nlm.nih.gov/pmc/articles/PMC4033623/

Whiplash, Herniated Neck, Radiculopathy, and Chiropractic Relief

11860 Vista Del Sol, Ste. 128 Whiplash, Herniated Neck, Radiculopathy, and Chiropractic Relief
Male Motorist Injured In Car Crash After Using Mobile Phone Whilst Driving

Whiplash is one of the most devastating cervical/neck spinal injuries. Rapid acceleration and deceleration can be so powerful that it bruises, tears the muscles, ligaments, soft tissue, and herniates the neck’s discs. Chiropractic relief can take care of initial and late-onset symptoms. As symptoms develop, they typically take the form of radiculopathy pain. Depending on the severity of the whiplash the types of symptoms that can occur include:

  • Swelling of the face
  • Neck pain
  • Shoulder and arms aching and pain
  • Hands can swell and ache
  • Loss of mobility
  • Numbness or complete loss of feeling
  • Symptoms can get worse indicating progressive nerve damage
11860 Vista Del Sol, Ste. 128 Whiplash, Herniated Neck, Radiculopathy, and Chiropractic Relief

If left untreated the individual can face long-term, chronic spine problems. Injury Medical Chiropractic Relief focuses on treating the whiplash, radiculopathy, and herniated discs at the source. After assessing the symptoms and the severity we can develop the most optimal treatment plan for the individual.

Radiculopathy

Radiculopathy is the result of a pinched nerve. This sends pain signals throughout the entire length of the nerve. With the neck’s nerve bundles, this means the pain travels as far as the face and hands. Tracing the extent of the radiculopathy informs the chiropractor as to which specific vertebrae have been affected. For example, if the nerve bundle in C7, which is the lowest neck vertebrae gets pinched, it can present in the arms. Another example, if chronic and persistent headaches or cheek pain are presenting, then C3-C4 will be the focus. The key is to look past the site of the pain and find its point of origin. Tracing referred pain quickly will allow the chiropractor to get a handle on the symptoms, even after the accident.

Herniated discs

A major factor in radiculopathy is a herniated disc. Displaced discs are how nerve compression and signal disruption begins. Until the disc/s are realigned, corrected, and reset, the affected nerves will continue to suffer.

The Connection

Make mention of any vehicle accidents throughout life. This can help the chiropractor immensely in diagnosis. A severe case of whiplash can occur even if the airbag does not deploy. The rocking motion of the cervical spine is strong, meaning whiplash can happen at collisions as slow as 5 miles per hour. Whether a minor car accident, a roller coaster ride, or sports, the condition frequently presents long after the accident.

11860 Vista Del Sol, Ste. 128 Whiplash, Herniated Neck, Radiculopathy, and Chiropractic Relief

Chiropractic Relief and Realignment

A chiropractor must put together the clues of a condition to hypothesize the cause. If experiencing pain symptomatic with recent neck trauma, it is essential to get checked. Injury Medical Chiropractic Clinic will address the condition before symptoms progress to a chronic condition.

Body Composition

InBody Spotlight - Rick Mayo of Alloy

The Function of Skeletal Muscle

Skeletal muscle is one of three major types of muscles in the body. The others are smooth and cardiac muscle. These muscles are attached to the bone by tendons. Skeletal muscles consist of nerves and blood vessels along with connective tissue to operate properly. These muscles consist of cells that come together and form bundles of skeletal muscle fibers.

Strength training stimulates the muscle fibers and combined with proper nutrition causes the muscles to grow. Muscles contract and shorten pulling on the bone and joints. This is what causes body movement. The nervous system sends signals to the nerves in the muscle and trigger contractions. Besides movement, skeletal muscle helps maintain posture, generate body heat, and stabilizes the bones and joints.

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

Rodriquez, Arthur A et al. “Whiplash: pathophysiology, diagnosis, treatment, and prognosis.” Muscle & nerve vol. 29,6 (2004): 768-81. doi:10.1002/mus.20060

Fatigue And Fibromyalgia Chiropractic Therapeutics

11860 Vista Del Sol, Ste. 128 Fatigue And Fibromyalgia Chiropractic Therapeutics
portrait of chiropractor stretching neck of woman during appointment in hospital

Fibromyalgia is a musculoskeletal condition that consists of pain symptoms and fatigue that can make diagnosis a challenge. Through chiropractic therapeutics, individuals can find relief from pain, fatigue, inflammation, and improve their quality of life. Individuals dealing with fibromyalgia and searching for answers should consider consulting a chiropractor to determine what treatment options will provide the most benefits. Treatment can be as much of a challenge without clear underlying issues. This often leads to frustration when trying to develop a treatment plan that works.

Fibromyalgia

Fibromyalgia is characterized by:

  • Body aches and pain
  • Tender points in muscles
  • General fatigue

Accompanied issues include:

  • Headaches
  • Anxiety
  • Depression
  • Sleep issues
  • Poor concentration
11860 Vista Del Sol, Ste. 128 Fatigue And Fibromyalgia Chiropractic Therapeutics

It is believed that fibromyalgia causes the brain and spinal cord to transmit amplified/overresponsive signals. The exaggerated response of the neural pathways in the spine and body generate chronic pain. This is where specific diagnostic tools for assessing symptoms, underlying cause/s, and treatment development are necessary. Risk factors include:

Treatment

Fibromyalgia treatment that is most effective consists of lifestyle adjustments. These usually includes:

Treatment for chronic pain, swelling, and low energy includes:

  • Massage therapy
  • Physical therapy
  • Medication
  • Acupuncture
  • Chiropractic therapeutics

Chiropractors have a significant advantage for addressing these symptoms.

11860 Vista Del Sol, Ste. 128 Fatigue And Fibromyalgia Chiropractic Therapeutics

Chiropractic Therapeutics

Chiropractic therapeutics is a safe, gentle, non-invasive treatment option that can help alleviate body pain and swelling. Options include:

  • Spinal re-alignment
  • Physical therapy/massage for improved nerve circulation
  • Manual manipulation
  • Soft tissue therapy
  • Health coaching

When the body is rebalanced it can better manage symptoms because of the improved nerve circulation. Home treatments can include:

  • Exercise
  • Stretching
  • Heat therapy
  • Ice therapy

A full medical team consisting of the doctor, physical therapist, massage therapist, and chiropractor could be utilized to maximize results and ensure the highest quality of life.

Body Composition

InBody Spotlight - James Fitzgerald of OPEX

Muscles and The Immune System

Increasing muscle mass is a great way to improve body composition and boost the immune system. Research shows that senior adults with greater skeletal muscle mass have an increased number of immune cells in the blood. This indicates that muscles and the immune system are interrelated.

When the muscles are worked out, myokines are released. These are hormone-type proteins that strengthen the immune system that helps protect against diseases. A study revealed that regular exercise increases the release of T lymphocytes/T cells. Regular exercise also helps reduce the risk of developing chronic diseases like type 2 diabetes, obesity, various cancers, and cardiovascular diseases.

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

Schneider, Michael et al. “Chiropractic management of fibromyalgia syndrome: a systematic review of the literature.” Journal of manipulative and physiological therapeutics vol. 32,1 (2009): 25-40. doi:10.1016/j.jmpt.2008.08.012

Spinal Disc Herniation Chiropractic Reset

11860 Vista Del Sol, Ste. 128 Spinal Disc Herniation Chiropractic Reset
cropped shot of young man in pajamas suffering from backache while sitting on bed in the morning

Spinal disc herniation and bulging discs have nearly identical symptoms and can present almost in the same way. Both cause localized pain, nerve impingement, and are treated similarly with chiropractic. In most cases spinal disc herniation is not painful, it is the material that leaks out of the disc that causes pinching, inflammation, and irritates the nerves around the area, causing radicular pain.

Radicular pain/nerve root pain radiates/spreads to other areas of the body, like the low back to down the leg or from the neck down the arm. Leg pain from a pinched nerve usually leads to sciatica. A spinal disc itself can be the source of pain if it is dehydrating or degenerating causing pain and instability in the spinal segment, which is known as degenerative disc disease. Disc degeneration pain tends to include chronic, low-level pain around the disc and infrequent episodes of severe pain.

Spinal Disc Herniation Differences and Similarities

Spinal disc herniation and bulging discs have similar roots that make them difficult to diagnose. Some core comparisons that can be made include:

  • Both include pain and tenderness
  • Both are caused by cartilage movement/slippage
  • They cause nerve pinching and nerve pain
  • They occur more often in the neck and lower spinal regions
11860 Vista Del Sol, Ste. 128 Spinal Disc Herniation Chiropractic Reset

How they differ:

  • Bulging discs protrude
  • Herniated discs rupture
  • Bulging discs are more common
  • Herniated discs are less common
  • Bulges are caused by constant pressure
  • A herniation is caused by trauma
  • Bulging discs create dull radiating pain
  • Herniated discs cause sharp intense pain

It is the severity that separates them. Bulging discs tend to be more passive and can be treated with incremental adjustments, while herniated discs usually require a more aggressive adjustment approach.

11860 Vista Del Sol, Ste. 128 Spinal Disc Herniation Chiropractic Reset

Injury Effects

How the injury affects the spine and overall wellness is the objective when diagnosing. Bulging discs are often associated with chronic pain that does not go away with time and needs proper treatment. Herniated discs are considered severe because of the disc fluid spilling/leaking out affecting the surrounding nerves. Left untreated, bulging discs lead to intermittent nerve blockages/pinching and posture problems. Herniated disc left untreated leads to chronic nerve pain and permanent nerve damage, which can develop into a series of issues. This includes limited mobility and/or loss of feeling in the affected area.

Early Detection

Chiropractic diagnosis for bulges and spinal disc herniation is recommended because of the specialization in spine care and focusing on all symptoms. For example, although it is not typically this simple, analysis revealing tingling in the fingers and sharp pain in the lower spine indicates herniation. Conversely, dull aches in the low back and down the legs, indicate sciatic pain that can be traced to a disc bulge. Making the correct diagnosis is crucial in developing the right treatment plan. The wrong treatment plan could result in worsening of the injury and creation of new injuries. Injury Medical Chiropractic provides optimal care along with education for patients to understand everything that is going on with their bodies.

InBody Composition

InBody Spotlight - Jim Crowell of OPEX

Types of pain

Pain can be grouped into three categories:

  • Early warning pain is most recognizable with the withdrawal reflex. For example, touching a scalding hot object and quickly pulling away. A protective mechanism that helps the body avoid danger and is important for survival.
  • Inflammatory pain occurs following an injury or surgery when the body is healing and in recovery. Inflammation prevents the body from moving too fast or too hard causing re-injury. This type of pain is important while healing, but is a cause for concern if it continues after the injury has healed.
  • Pathological pain happens after the body has healed but the nervous system has suffered damage. This often occurs with individuals that get injured in a way that changes the way the body functions. If the nervous system does not heal properly, the body’s protective pain responses can begin to create false alarms and become chronic.

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

Santilli, Valter et al. “Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations.” The spine journal: official journal of the North American Spine Society vol. 6,2 (2006): 131-7. doi:10.1016/j.spinee.2005.08.001