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Disc Protrusion Sciatica Clinic Chiropractor

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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cropped view of chiropractor massaging back of man in hospital

Spinal disc deterioration from aging is normal, but health issues or injuries can advance the degenerative process. Disc protrusions are related to herniated discs but are the mildest form of the condition and are a common form of spinal disc deterioration that can cause neck and back issues. However, individuals may have a small protruding disc that can go undetected unless it irritates or compresses the surrounding nerves. Chiropractic care, decompression, and massage therapy can realign the disc back into position, relieving discomfort and pain. 

Disc Protrusion Chiropractor

Disc Protrusion

A disc is like a sturdy, soft rubber shock absorber/cushion with added gel inside. The gel acts as a shock absorber. When the gel begins to protrude out slightly, this is a disc protrusion. Once a protruding disc develops, it usually remains in that position. The disc can sometimes reabsorb on its own and realign back into position, but there is no way of knowing that will happen or how long it will take. With age and/or injuries, the body’s parts change. The spine’s discs dehydrate and lose elasticity, weakening the discs and making them more vulnerable to herniation stages:

First Stage

  • Following natural weakening can be classified as a disc protrusion when the disc’s core begins pushing into the spinal column.
  • Disc protrusions can be tiny or push out an entire side of the disc.

Second Stage

  • Disc deterioration often involves a bulging disc when the core pushes out farther around the circumference beyond the disc’s outer layer, called the annulus fibrosus, creating the telltale bulge.
  • A bulging disc involves more than 180 degrees of the disc’s circumference.

Third Stage

  • The third stage is a herniated disc, meaning the disc’s outer wall has torn, allowing the inner gel to leak out, usually irritating the surrounding nerves.

Fourth Stage

  • The fourth stage is sequestration, a herniated disc in which a piece of the nucleus breaks free of the vertebral disc fragments and falls into the spinal canal.

Types

A disc protrusion is one type of disc herniation that pushes out but remains connected. Different types compress and irritate the discs differently and produce various symptoms, including:

Paracentral

  • This is the most common, where the disc protrusion jams the space between the central canal and the foramen.

Central

  • This is where the disc protrusion intrudes into the spinal canal, with or without spinal cord compression.

Foraminal

  • The disc intrudes into the foramen, the space through which nerve roots branch off the spinal cord and exit the vertebrae.

Symptoms, Diagnosis, and Chiropractic Care

Individuals with a disc protrusion can experience symptoms similar to sciatica, which includes discomfort in the back, buttock, and leg, numbness, and pain sensations.

  • Treatment for disc protrusion will be based on the individual’s symptoms.
  • A chiropractor will take a detailed medical history and perform a physical examination.
  • A spinal MRI test could be ordered depending on the injury or condition.
  • A customized treatment plan will be developed to fit the individual’s medical needs.

Most disc protrusions improve after a few weeks of rest, avoiding strenuous activities, activity modification, an anti-inflammatory diet, and gentle exercises that the chiropractic team will provide.

True Spinal Decompression

References

Fardon, David F et al. “Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology.” The spine journal: official journal of the North American Spine Society vol. 14,11 (2014): 2525-45. doi:10.1016/j.spinee.2014.04.022

Mysliwiec, Lawrence Walter, et al. “MSU classification for herniated lumbar discs on MRI: toward developing objective criteria for surgical selection.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 19,7 (2010): 1087-93. doi:10.1007/s00586-009-1274-4

https://www.ninds.nih.gov/low-back-pain-fact-sheet#3102_7

Urban, Jill P G, and Sally Roberts. “Degeneration of the intervertebral disc.” Arthritis research & therapy vol. 5,3 (2003): 120-30. doi:10.1186/ar629

Trigger Point Pain Affecting The Medial Pterygoid Muscles

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

The jaw has a primary function in the head as it allows the muscles to move up and down, helps chew food, and allows the host to speak. Each of the muscles and organs inside the jaw has its functions that will enable the head to function correctly. The mouth, part of the gut system, allows air to travel into the lungs so the body can breathe and consume food to be swallowed and digested to be turned into energy for the rest of the body to move around. The mouth, the tongue, and the teeth have a casual relationship as the teeth can grind the food into small pieces to be digested, while the tongue can taste the food. When issues begin to cause an effect on the jaw, it can lead to symptoms that can, over time, be painful to the surrounding muscles, organs, and even nerve endings along the jaw’s skeletal structure. Today’s article looks at the medial pterygoid muscle, how trigger point pain affects this muscle, and ways to manage trigger point pain on the medial pterygoid muscle. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from trigger point pain associated with the medial pterygoid muscle along the inside of the jaw. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Medial Pterygoid Muscle?

 

Do you have any problems or issues chewing your food? What about throat soreness from swallowing something hard? Or have you noticed stiffness along your jawline? Individuals experiencing these symptoms might be dealing with pain along the medial pterygoid muscle in their jaw. The medial pterygoid muscle is part of the mastication muscles, which includes the temporalis, lateral pterygoid, and masseter muscles of the jaw. The medial pterygoid is a rectangular-shaped muscle that lies inside the lateral pterygoid muscle. The medial pterygoid muscle works together with the masseter muscle as a sling to help stabilize the mandible or the lower jaw. In contrast, the medial pterygoid nerves provide sensory-motor functions to make the lower jaw move and promote chewing action, thus sending nerve signals to travel through the trigeminal nerve and send the information to the brain. Just like any of the different muscles in the body, the medial pterygoid muscle may succumb to injuries that can affect the sensory-motor function of the jaw while triggering various issues to cause more pain to the jaw and the body.

 

How Does Trigger Point Pain Affect The Medial Pterygoid Muscle?

 

When various issues begin to affect the muscles of the body, it can be something simple like repetitive motions that causes the muscles to be overused or injuries that can cause the muscles to become inflamed and, if not treated, can become sensitive to the touch. To that point, tiny knots known as trigger points are formed along the taut muscle fibers that can make the muscle become sensitive and overlap various issues that can cause pain in different body locations. Since the medial pterygoid and the masseter muscle work together, studies reveal that muscle hypertrophy may associate with the masseter, medial pterygoid, or both and can potentially be involved with the risk of dental problems or other issues that are affecting the oral-facial region. Trigger points along the medial pterygoid muscle may be challenging to diagnose due to the referred pain that affects different body areas while mimicking various pain symptoms that become the causes. An example would be a person experiencing ear pain associated with jaw pain. Now how would these two correlate when the person is dealing with ear pain? Since trigger points can mimic other symptoms, the jaw muscles (which include the medial pterygoid) become aggravated and overused, causing referred pain to the teeth overlapping with ear pain.

The Anatomy Of The Medial Pterygoid Muscle-Video

Medial Pterygoid Muscle: Origin, Insertion, Function & Nerve Supply - Anatomy | Kenhub

Have you been experiencing unexplainable ear pain? What about your jaws feeling stiff when chewing on something? Or have you been dealing with tooth pain in the back of your jaw? Many of these issues are correlated to referred pain symptoms associated with the medial pterygoid. The video above gives an overview look of the anatomy of the medial pterygoid muscle, its functions, and how it helps the body. When the medial pterygoid is affected by trigger point pain, it may potentially cause various conditions to affect the oral facial region or the surrounding areas of the head. Studies reveal that myofascial pain is often characterized by a trigger point in the taut skeletal muscle band or the fascia. When trigger point pain affects the mastication muscles, it may lead to other comorbidities like muscle tension, poor posture, headaches, and jaw disorders like TMJ(temporomandibular joint) pain. Fortunately, there are ways to manage trigger point pain on the medial pterygoid muscle.

Ways To Manage Trigger Point Pain On The Medial Pterygoid Muscle

 

Trigger point pain often affects the muscles in certain body areas, causing pain that affects the region of the body, thus making the muscle sensitive. Many individuals who suffer from trigger point pain associated with the medial pterygoid muscle would often complain of toothaches or headaches affecting their daily activities to their primary doctors. After an examination, many doctors would refer their patients to musculoskeletal specialists to see what issue is causing the patient pain in their bodies. Since trigger point pain is a bit complex, musculoskeletal specialists like chiropractors or physical therapists will examine trigger points associated with pain. Many musculoskeletal specialists utilize various techniques to release trigger points along the affected muscle to manage the pain and its related symptoms. At the same time, many musculoskeletal specialists incorporate other multiple treatments to help manage trigger point pain on the medial pterygoid muscle. These various treatments allow the muscles to relax and avoid a relapse in future injuries affecting the muscle.

 

Conclusion

The primary function of the jaw in the head is to allow the muscles to move up and down, enabling the host to speak and help the mouth chew food. The medial pterygoid is one of the four main mastication muscles that help support the jaw, which is rectangular shaped and helps stabilize the lower jaw. This muscle allows the sensory-motor function of the lower jaw and promotes chewing action. When traumatic or ordinary factors cause the medial pterygoid muscles to become overused can developed trigger points along the muscle fibers and initiate pain associated with toothaches and headaches. Trigger points along the medial pterygoid muscle can make the affected area sensitive and challenging to pinpoint. Fortunately, musculoskeletal specialists like chiropractors or physical specialists can help alleviate the pain while managing trigger points on the affected muscle through various techniques. When people begin to incorporate treatments to manage pain in their bodies, it can allow them to be mindful and avoid future injuries.

 

References

Guruprasad, R, et al. “Masseter and Medial Pterygoid Muscle Hypertrophy.” BMJ Case Reports, BMJ Publishing Group, 26 Sept. 2011, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185404/.

Jain, Prachi, and Manu Rathee. “Anatomy, Head and Neck, Medial (Internal) Pterygoid Nerve.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 June 2022, https://www.ncbi.nlm.nih.gov/books/NBK547712/.

Jain, Prachi, and Manu Rathee. “Anatomy, Head and Neck, Medial Pterygoid Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 June 2022, https://www.ncbi.nlm.nih.gov/books/NBK546588/.

Sabeh, Abrar Majed, et al. “Myofascial Pain Syndrome and Its Relation to Trigger Points, Facial Form, Muscular Hypertrophy, Deflection, Joint Loading, Body Mass Index, Age and Educational Status.” Journal of International Society of Preventive & Community Dentistry, Wolters Kluwer – Medknow, 24 Nov. 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7791579/.

Disclaimer

Baseball Injuries Chiropractor: Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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The game of baseball takes a toll on the body, especially when players advance from little league to high school, college, minor league, and the pros. The most common baseball injuries can range from mild to severe, from normal wear and tear on the joints and muscles to repetitive stress injuries, collisions with other players, getting hit with the ball, or bodily trauma. A chiropractor can provide ideal treatment for players of all ages and levels with decreased downtime and expedited healing and recovery.

Baseball Injuries Chiropractor

Baseball Injuries

Although there have been a lot of advances in player safety and health, from helmets with face guards to shin and arm padding, the equipment lessens the impact and risks of injury. The game still involves running, sliding, twisting, and jumping, causing the body to maneuver awkwardly. Players often report sliding into first, feeling a pop or twisting to catch a fly ball, and feeling something snap. The most common injuries include:

Torn Labrum

  • Cartilage surrounding the shoulder joint socket, known as the labrum, often gets torn.
  • The soft tissue keeps the bones in place and provides stability.
  • Pitching and throwing motions stress the labrum.
  • With time, the cartilage begins to overstretch and tear, leading to swelling, shoulder pain, weakness, and overall instability.

Rotator Cuff Tears

  • The rotator cuff structure involves a complex set of tendons and muscles that stabilize the shoulder.
  • Pitchers are the most vulnerable, but all players are susceptible.
  • Cases are caused by not warming up and stretching correctly and repetitive/overuse movements.
  • Swelling and pain are the most common symptoms.
  • With a severe tear, a player will lose the ability to rotate the shoulder correctly.

Shoulder Instability or Dead Arm

  • This is when the shoulder muscles become overly fatigued, and the joint becomes unstable, losing the ability to throw precisely.
  • The condition is called dead arm by players and trainers.
  • This type of injury is caused by overuse and repeated stress.
  • Healing involves letting the shoulder rest for an extended period, but treatment, like chiropractic or physical therapy, could be recommended depending on the severity.

Pitchers Elbow

  • A pitcher’s elbow injury is caused by overuse and sustained/repeated damage to the tendons that rotate the wrist.
  • Pain and swelling occur along the inside of the elbow and forearm.

Wrist Tendonitis and Trauma

  • Wrist Tendonitis or tenosynovitis happens when the ligaments and tendons become tender, swollen, ruptured, or torn.
  • This causes inflammation, pain, and weakness.
  • Trauma injuries can result from collisions with another player, the ground, or a ball.

Knee Tears and Trauma

  • Knee injuries can be caused by normal wear and tear, overuse, or traumatic impact.
  • The fibrous bands are what stabilize and cushion the knee.
  • Overuse and any awkward movement can cause the tearing of the various ligaments.
  • The bands can develop micro-tears or complete ruptures, causing inflammation, pain, and instability.

Chiropractic Care and Rehabilitation

Chiropractic treatment and physical therapy have been found to help athletes maintain flexibility and range of motion, rehabilitate the body after an injury, and prevent new injuries or worsening of current injuries.

  • Chiropractic helps stretch and flex the muscles to stay limber and less prone to injury.
  • Chiropractic is a natural pain reliever for sore muscles and joint pain.
  • Physical therapy can strengthen an injured area during recovery and educate on proper form and techniques.
  • Taping and strapping can help support the elbows, wrists, ankles, and knees, reducing stress.
  • A combination of treatment approaches can help decrease recovery time so players can get back on the field.

Shoulder Adjustment Baseball Injuries

References

Bullock, Garrett S et al. “Shoulder Range of Motion and Baseball Arm Injuries: A Systematic Review and Meta-Analysis.” Journal of athletic training vol. 53,12 (2018): 1190-1199. doi:10.4085/1062-6050-439-17

Lyman, Stephen, and Glenn S Fleisig. “Baseball injuries.” Medicine and sport science vol. 49 (2005): 9-30. doi:10.1159/000085340

Matsel, Kyle A et al. “Current Concepts in Arm Care Exercise Programs and Injury Risk Reduction in Adolescent Baseball Players: A Clinical Review.” Sports health vol. 13,3 (2021): 245-250. doi:10.1177/1941738120976384

Shitara, Hitoshi, et al. “Shoulder Stretching Intervention Reduces the Incidence of Shoulder and Elbow Injuries in High School Baseball Players: a Time-to-Event Analysis.” Scientific reports vol. 7 45304. 27 Mar. 2017, doi:10.1038/srep45304

Wilk, Kevin E, and Christopher A Arrigo. “Rehabilitation of Elbow Injuries: Nonoperative and Operative.” Clinics in sports medicine vol. 39,3 (2020): 687-715. doi:10.1016/j.csm.2020.02.010

Temporal Headaches & Toothaches

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

Headaches are one of the common issues that affect anyone worldwide. Different issues can cause headaches and affect other individuals depending on the issue. The pain can range from being dull to sharp and affect a person’s mood, sense of belonging, and body. Different headaches can have different effects on people since headaches can be acute or chronic and overlap with other issues affecting the body. To that point, the surrounding muscles and organs around the face may be involved with other conditions where headaches are a symptom rather than a cause. Today’s article examines the temporalis muscle, how trigger pain affects the temporalis muscle, and how to manage the pain associated with trigger points. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from trigger point pain associated with the temporal muscle pain along the side of the head. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Temporalis Muscle?

 

Have you been dealing with a dull or sharp ache on the side of your head? What about the tension that is along your jawline? Or have you been dealing with tooth pain throughout the entire day? Encountering these symptoms can be difficult as they affect the facial region of the head and might overlap with the temporal muscle. The temporalis muscle is part of the mastication muscles, which includes the medial pterygoid, lateral pterygoid, and masseter muscles. The temporalis muscle is a flat, fan-shaped muscle that spans from the temporal fossa to the inferior temporal line of the skull. This muscle converges to form a tendon that surrounds the jaw bone and helps stabilize the jaw and its function by extending and retracting. Studies reveal that the temporalis muscle has two tendons: superficial and deep, in the back of the molars to aid chewing and are attached to the coronoid process (the skin and subcutaneous tissues that cover the superficial tendon of the temporalis muscle and the masseter muscle.) To that point, traumatic and ordinary factors can affect the temporalis muscle and cause symptoms associated with the muscle.

 

How Do Trigger Points Affect The Temporalis Muscle?

When traumatic or ordinary factors begin to affect the body, including the oral-facial region, it can cause unwanted symptoms to develop over time and, if not treated, make a person’s life miserable. Studies reveal that individuals dealing with chronic tension-type headaches have intense pain from the temporalis muscle. When the temporalis muscle becomes sensitive to the touch, the pain can travel to different body areas. These are known as myofascial or trigger points, and they can be a bit challenging for doctors to diagnose because they can mimic various pain symptoms. Trigger points along the temporalis muscles may potentially affect the teeth and cause headaches to form. Active trigger points in the temporalis muscle could potentially evoke local and referred pain while constituting one of the contributing sources of headache pain. Now how can the temporalis muscle induce chronic tension-type headaches? Well, trigger points are caused when the muscles are overused and can develop tiny knots along the muscle fibers.

Trigger points along the temporalis muscle could potentially induce abnormal dental pain. Studies reveal that abnormal dental pain can be referred to as neurovascular headaches associated with tension on the temporalis muscle. Since trigger points often mimic other chronic conditions that confuse many people about why they are experiencing pain from one section of their body, there are no signs of traumatic encounters. Since trigger points can cause pain to travel from one area of the body to another, many individuals try to find therapeutic ways to alleviate their pain.

An Overview Of The Temporal Muscle- Video

Temporal Muscle Anatomy Overview - Human Anatomy | Kenhub

Have you been experiencing headaches that affect your daily activities? Does your jaw seem stiff or tender to the touch? Or have your teeth become extra sensitive when eating certain foods? Many of these symptoms may involve trigger points affecting the temporalis muscle. The video above gives an overview of the anatomy of the temporalis muscle in the body. The temporalis is a fan-shaped muscle that converges into tendons that help make the jaws move. When factors affect the body, especially the temporalis muscle, it can potentially develop trigger points along the muscle fibers. To that point, trigger points can mimic conditions affecting the body, like chronic tension-type headaches and tooth pain. Studies reveal that the pain pressure associated with trigger points along the temporalis muscle is consistently higher when there are different amounts of tooth clenching or jaw gaps. As luck would have it, there are ways to manage temporal muscle pain associated with trigger points.

Ways To Manage Temporal Muscle Pain Associated With Trigger Points

 

Since trigger points along the temporalis muscle could potentially cause pain in the oral facial region, the surrounding muscles like the upper trapezius and the sternocleidomastoid with their trigger points may cause jaw motor dysfunction and tooth pain. Fortunately, musculoskeletal specialists like chiropractors, physiotherapists, and massage therapists can find where the trigger points are located and use various techniques to alleviate trigger point pain along the temporalis muscle. Studies reveal that soft tissue manipulation can help release the trigger point pressure off of the temporalis muscle and cause relief. Utilizing soft manipulation on myofascial temporalis pain affecting the neck, jaw, and cranial muscles can help reduce headache pain symptoms and help many people feel relief.

 

Conclusion

The temporalis in the body is a flat, fan-shaped muscle that converges down to the jawline and works with the other mastication muscles to provide the motor function to the jaw. When ordinary or traumatic factors affect the temporalis muscle, it can develop trigger points along the muscle fibers. To that point, it causes pain-like symptoms and even causes referred pain like tension headaches and toothaches in the oral-fascial region of the head. This can make many people suffer in pain unless there are ways to manage the associated symptoms. Fortunately, many musculoskeletal specialists can incorporate techniques that target trigger-point pain related to the affected muscle. When people utilize treatment for myofascial trigger pain, they can get their lives back together.

 

References

Basit, Hajira, et al. “Anatomy, Head and Neck, Mastication Muscles – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 June 2022, https://www.ncbi.nlm.nih.gov/books/NBK541027/.

Fernández-de-Las-Peñas, César, et al. “The Local and Referred Pain from Myofascial Trigger Points in the Temporalis Muscle Contributes to Pain Profile in Chronic Tension-Type Headache.” The Clinical Journal of Pain, U.S. National Library of Medicine, 2007, https://pubmed.ncbi.nlm.nih.gov/18075406/.

Fukuda, Ken-Ichi. “Diagnosis and Treatment of Abnormal Dental Pain.” Journal of Dental Anesthesia and Pain Medicine, The Korean Dental Society of Anesthsiology, Mar. 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5564113/.

Kuć, Joanna, et al. “Evaluation of Soft Tissue Mobilization in Patients with Temporomandibular Disorder-Myofascial Pain with Referral.” International Journal of Environmental Research and Public Health, MDPI, 21 Dec. 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7767373/.

McMillan, A S, and E T Lawson. “Effect of Tooth Clenching and Jaw Opening on Pain-Pressure Thresholds in the Human Jaw Muscles.” Journal of Orofacial Pain, U.S. National Library of Medicine, 1994, https://pubmed.ncbi.nlm.nih.gov/7812222/.

Yu, Sun Kyoung, et al. “Morphology of the Temporalis Muscle Focusing on the Tendinous Attachment onto the Coronoid Process.” Anatomy & Cell Biology, Korean Association of Anatomists, 30 Sept. 2021, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493017/.

Disclaimer

Spinal Stenosis MRI: Sciatica Clinic Chiropractor

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Young doctor pushing button on panel to start mri scan procedure while female patient lying on long table

Spinal stenosis is when space somewhere along or within the spine begins to narrow, closing off the ability of normal/comfortable movement and nerve circulation. It can affect different areas, including the cervical/neck, lumbar/low back, and, less commonly, the thoracic/upper or mid-back regions causing tingling, numbness, cramping, pain, muscle weakness, or a combination in the back, leg/s, thighs, and buttocks. There can be various factors causing the stenosis; correct diagnosing is the first step, and where a spinal stenosis MRI comes in.

Spinal Stenosis MRI: Injury Medical Chiropractor

Spinal Stenosis MRI

Stenosis can be challenging to diagnose as it is more of a symptom/complication than a condition, often caused by herniated discs, bone spurs, a congenital condition, post-surgery, or after an infection. Magnetic resonance imaging/MRI is a common test used in diagnosis.

Diagnosis

  • A healthcare professional, like a chiropractor, physical therapist, spine specialist, or physician, will begin with understanding symptoms and medical history.
  • A physical exam will be conducted to learn more about the location, duration, positions, or activities that decrease or worsen the symptoms.
  • Additional tests include muscle strength, gain analysis, and balance testing to help better understand where the pain is coming from.
  • To confirm a diagnosis, imaging will be required to see what is going on.
  • An MRI uses computer-generated imaging to produce images that show bone and soft tissues, like muscles, nerves, and tendons, and if they are compressed or irritated.
  • A healthcare professional and MRI technician will go over the safety requirements before the imaging.
  • Because the machine uses powerful magnets, there can be no metal on or in the body, like implanted prostheses or devices that include:
  • Pacemakers
  • Cochlear implants
  • Medication infusion pumps
  • Intrauterine contraceptives
  • Neurostimulators
  • Intracranial aneurysm clips
  • Bone-growth stimulators
  • A different imaging test may be used if an individual cannot have an MRI like a CT scan.

An MRI can range from several minutes to an hour or longer, depending on how many positions are necessary to isolate the injured area and get a clear image. The test is painless, but sometimes individuals are asked to maintain a specific position that could be uncomfortable. The technician/s will ask if there is discomfort and offer any help to make the experience as easy as possible.

Treatment

Not all cases of stenosis cause symptoms, but there are treatment options that a healthcare professional can recommend.

  • Conservative care is the first recommendation that includes chiropractic, decompression, traction, and physical therapy.
  • Treatment increases muscle strength, improves range of motion, improves posture and balance, decreases discomfort symptoms, and incorporates strategies to prevent and manage symptoms.
  • Prescription medications could be part of a larger treatment plan.
  • Surgery could become an option in more severe cases where conservative care is not working.

Spinal Stenosis

References

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-. Diagnosis of lumbar spinal stenosis: an updated systematic review of the accuracy of diagnostic tests. 2013. Available from: https://www.ncbi.nlm.nih.gov/books/NBK142906/

Ghadimi M, Sapra A. Magnetic Resonance Imaging Contraindications. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551669/

Gofur EM, Singh P. Anatomy, Back, Vertebral Canal Blood Supply. [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541083/

Lurie, Jon, and Christy Tomkins-Lane. “Management of lumbar spinal stenosis.” BMJ (Clinical research ed.) vol. 352 h6234. 4 Jan. 2016, doi:10.1136/bmj.h6234

Stuber, Kent, et al. “Chiropractic treatment of lumbar spinal stenosis: a review of the literature.” Journal of chiropractic medicine vol. 8,2 (2009): 77-85. doi:10.1016/j.jcm.2009.02.001

Myofascial Pain Affecting The Jaw Muscles

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

Introduction

The head has many functions that provide the body with functionality. The head consists of the skull, which protects the brain, the eyes to make the host see, and the jaw, which has teeth and the tongue to taste and chew food. The neck supports the head to ensure that it is stabilized and functions appropriately. Below the eyes, the jaw has muscles and joints that help stabilize the jaw from hyperextending out while providing motor function. To that point, factors that can affect the jaw could potentially affect the surrounding muscles and joints on the head and neck, causing the individual to be in pain. Today’s article looks at the masseter muscles, how myofascial pain affects the masseter muscles, and ways to relieve myofascial pain associated with the masseter muscles. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from myofascial pain associated with masseter muscle pain along the jaw. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Masseter Muscle?

 

Have you been experiencing headaches located near your temples? Does your jaw feel sore throughout the entire day? Or have tooth pain or ear pain seems to bother you constantly? Some of these symptoms may affect your jaw joints, especially in the masseter muscles. The masseter muscles are powerful quadrangular muscles on each side of the jaw with three divisions: superficial, intermediate, and deep. The masseter muscles are also part of the mastication muscles in the jaw which include:

  • Temporalis
  • Medial pterygoid
  • Lateral pterygoid
  • Masseter muscles

The masseter muscles also help the jaw function properly, as studies reveal that this quadrangular muscle participates in various activities like mastication (chewing), swallowing, and talking. To that point, the masseter muscles have a relationship with the trigeminal nerve, which provides sensory-motor stimulation for the jaw to move. However, when factors (traumatic or ordinary) begin to affect the masseter muscles and the surrounding muscles associated with the neck and head, pain can either slowly or quickly depending on the severity the muscles have endured.

 

How Myofascial Pain Affects The Masseter Muscle?

Studies reveal that chronic pain in the orofacial region of the body is common worldwide and can cause disorders affecting jaw motor control. When painful symptoms affect the jaw, many individuals begin to feel pain in the top or bottom of their jaws that cause tooth pain and the brows, causing them cluster-like headaches or experiencing tinnitus (ringing in the ears). These symptoms are associated with myofascial pain affecting the masseter muscles in the jaw. Myofascial pain or trigger points are where the muscle fibers in the body become sensitive after being injured or overused. To that point, the muscle fibers developed tiny knots along the taut muscle bands and caused pain throughout the entire muscle. Myofascial pain can be tricky to diagnose due to mimicking other pain symptoms. For trigger pain to affect the masseter muscles, studies reveal that temporomandibular disorders that involve the oral-facial region may be multifactorial while affecting the masticatory muscles and the temporomandibular joints. To that point, myofascial masseter pain could potentially involve ailments like migraines, toothaches, TMJ (temporomandibular joint) dysfunction, and ear pain.

 

According to Dr. Janet G. Travell, M.D., complex symptoms and overlapping patterns of facial pain might be referred from multiple trigger points in the head and neck muscles, which can be more easily traced back to the individual’s muscles. By finding the root cause of these symptoms, many doctors can develop a clinical process to assess their patients dealing with myofascial trigger pain and develop a plan that caters to their wants and needs.

Stretching The Masseter Muscles-Video

How to Stretch the Masseter Muscle - Trigger Point Therapy

Do headaches seem to be affecting your daily routine? Have you felt that your jaw feels stiff and has a dull ache when you move your mouth open? Or do you feel pain along the sides of your teeth? Many of these symptoms are referred pain associated with myofascial masseter pain. The video above demonstrates stretching the masseter muscles to reduce trigger pain along the muscle structure. Myofascial pain related to the masseter muscles can make it difficult for doctors to diagnose their patients due to the pain traveling to different areas in the body, known as somato-visceral pain. Somato-visceral pain is pain affecting the muscle connected to an affected organ. An example would be jaw pain associated with a toothache while potentially involving the masseter muscles. Thankfully, treatments are available to relieve myofascial pain along the masseter muscle.

Ways To Relieve Myofascial Pain In The Masseter Muscles

 

Myofascial pain affecting the masseter muscle could cause pain in the surrounding muscles and organs in the oral-facial region. The symptoms caused by myofascial pain associated with masseter muscles may be complex and challenging to diagnose due to the pain affecting different body regions. Fortunately, many doctors refer musculoskeletal specialists like chiropractors, massage therapists, and physiotherapists to relieve myofascial muscle pain associated with the masseter muscles by providing pain relief techniques. Some of the various methods that help ease trigger pain from the masseter muscles include:

  • Stretch & Spray: Stretching the jaw slowly to the full extent and spraying coolant along the masseter muscle to relieve pain
  • Jaw Exercising: Yawning, extending, and retracting the masseter muscle to stretch and strengthen the jaw.
  • A warm compress on the cheek: Helps relax the aggravating muscle and releases any tension causing myofascial pain.

Studies reveal that soft tissue mobilization is one of the various techniques that can help relieve trigger pain in masseter muscles. What soft tissue mobilization does is that it allows musculoskeletal specialists to use a pincer method to lengthen the masseter muscle to an extent and release trigger points in slow downward traction to alleviate the pain from the masseter muscles. Utilizing these various treatments can help many people with myofascial pain associated with masseter muscles feel relief from jaw pain and its related symptoms.

 

Conclusion

The masseter is a quadrangular muscle that surrounds each side of the jaw and helps stabilize the jaw’s motor function. When injuries or traumatic factors begin to affect the jaw, over time can lead to the development to trigger point pain associated with masseter muscles. When trigger point pain affects the masseter muscles in the oral-facial region, it can cause somato-visceral pain alongside the jaw affecting the teeth, causing tinnitus symptoms and headaches. Fortunately, various treatments are available to help manage trigger pain and relieve the associated symptoms that affect the masseter muscles. This allows many individuals to get back their health by being pain-free.

 

References

Al Sayegh, Samaa, et al. “Effects of Chronic and Experimental Acute Masseter Pain on Precision Biting Behavior in Humans.” Frontiers in Physiology, Frontiers Media S.A., 29 Oct. 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6828929/.

Corcoran, Nicholas M, and Evan M Goldman. “Anatomy, Head and Neck, Masseter Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 June 2022, https://www.ncbi.nlm.nih.gov/books/NBK539869/.

Kuć, Joanna, et al. “Evaluation of Soft Tissue Mobilization in Patients with Temporomandibular Disorder-Myofascial Pain with Referral.” International Journal of Environmental Research and Public Health, MDPI, 21 Dec. 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7767373/.

Maini, Kushagra, and Anterpreet Dua. “Temporomandibular Syndrome.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 28 Apr. 2022, https://www.ncbi.nlm.nih.gov/books/NBK551612/.

Widmer, C G, et al. “Developmental and Functional Considerations of Masseter Muscle Partitioning.” Archives of Oral Biology, U.S. National Library of Medicine, Apr. 2007, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1861846/.

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Football Training: Chiropractic Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Side view of a mixed race male American football player wearing a team uniform, training at a sports field, jumping in the air holding a football, with blue sky in the background

Football season is here, and the sport demands healthy, strong bodies. It is explosive, with high-intensity plays lasting between 2-15 seconds. Strength and power are put out in a few moments then the player rests up and does it again. A football training chiropractor can take players to another level with therapeutic massage, body strengthening, and rehabilitation so that players can enjoy a healthy injury-free season.

Football Training: Chiropractor

Football Training

Stretching and Warm-Up

Stretching and a dynamic warm-up are essential to strengthening the body and preventing injury. Stretching is necessary to increase the range of motion in the muscles, especially when the body is in an awkward position; it can adapt. A dynamic warm-up increases the core temperature of the muscles and prepares the muscles, joints, and nervous system for the physical event. The critical muscles are the hip flexors, hamstrings, and calves. The warm-up consists of a series of progressive movement drills that include:

Proper stretching, followed by a dynamic warm-up, will maximize performance.

Cardio, Aerobic, and Anaerobic Fitness

  • Cardio training increases oxygen and blood circulation to play for a long time without getting tired.
  • Aerobic fitness increases oxygen and provides endurance to break through or enhance tackles, sustained effort, and strength.
  • Anaerobic fitness utilizes high-intensity exercises to challenge the body without using a lot of oxygen like cardio and aerobics do.
  • All are important, especially for players playing the whole or most of the game.

Core Strength

The core is where power and strength come from. It refers to the muscles around the trunk and pelvis, including the diaphragm, abdominal wall, low back, and hips. Reinforcing the core will enhance balance, stability, and efficiency and reduce the risk of injury. The core muscles under the washboard abs link upper-body power with lower-body torque. In-season strength training provides a progressive buildup to optimal fitness and performance. The focus is on the following:

  • Speed maintenance.
  • Aerobic and anaerobic fitness.
  • Strength and power.
  • Emphasis on injury prevention training stabilizer muscles for balance and agility.

A core workout could consist of the following:

It is recommended to allow at least two days between training sessions and games. Avoid strength training on the same day as working out on the field.

  • Rest entirely from strength training for one week in five.
  • Light workouts are fine.

Hydration

Football players have unique hydration needs due to the exposure to extreme heat or cold while wearing heavy equipment. Top-rated athletic trainers monitor weather conditions, length and time of day at practice and games, and the hydration levels of each player. Hydration recommendations include:

  • Hydrate before, during, and after practices and games.
  • Two to three hours before the game, drink 17 to 20 fluid ounces of water or a sports drink.
  • Ten to 20 minutes before the game, drink seven to 10 fluid ounces of water or a sports drink.
  • During practices, drink seven to 10 fluid ounces of water or sports drink every 10 to 20 minutes with the helmet off.
  • Post-practice/game, correct any fluid loss, ideally within two hours.
  • The hydration should contain water to restore hydration, carbohydrates to replenish glycogen stores, and electrolytes to speed the recovery process.

Football Training Chiropractic

Chiropractic care has become integral to NFL players’ health and training programs. All 32 teams have a chiropractor, and according to the Professional Football Chiropractic Society, the average NFL team chiropractor gives 30-50 treatments a week. Chiropractic treats conditions like neuromusculoskeletal strain injuries, neck pain, back pain, strains to the hamstring and quadriceps, and injuries caused by whiplash-like movements. Benefits include:

  • Increased strength
  • Increased endurance
  • Increased flexibility and mobility
  • Enhanced muscle efficiency
  • Pain relief
  • Injury Prevention

Chiropractic Care Player Testimonials

References

https://www.frontiersin.org/articles/10.3389/fphys.2019.00013/full

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

Lorenz, Daniel, and Scot Morrison. “CURRENT CONCEPTS IN PERIODIZATION OF STRENGTH AND CONDITIONING FOR THE SPORTS PHYSICAL THERAPIST.” International journal of sports physical therapy vol. 10,6 (2015): 734-47.

Robbins, Daniel W. The Normalization of Explosive Functional Movements in a Diverse Population of Elite American Football Players. Journal of Strength and Conditioning Research: April 2012 – Volume 26 – Issue 4 – p 995-1000
doi: 10.1519/JSC.0b013e31822d53b7

Stump, John L, and Daniel Redwood. “The use and role of sports chiropractors in the national football league: a short report.” Journal of manipulative and physiological therapeutics vol. 25,3 (2002): E2. doi:10.1067/mmt.2002.122326

Zein MI, Saryono S, Laily I, Garcia-Jimenez JV. The effect of high-intensity circuit training-modified FIFA 11+ program on physical fitness among young football players. J Sports Med Phys Fitness 2020;60:11-6. DOI: 10.23736/S0022-4707.19.09813-X

Trigger Pain Affecting The Sternocleidomastoid Muscle

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

The neck is vital in keeping the head upright in a casual relationship with the cervical spine. The neck is home to the thyroid organ and the surrounding muscles that help support the neck to the rest of the body. One of the muscles that help support the neck is the sternocleidomastoid muscle. When traumatic forces begin to affect the neck, over time can lead to the development of chronic conditions associated with pain. When individuals start to feel pain affecting their neck, it can cause them to be miserable and find ways to relieve the pain they are experiencing. Today’s article focuses on the sternocleidomastoid muscle, how trigger pain affects this muscle, and ways to relieve SCM pain. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from SCM associated with trigger pain along the neck. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

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What Is The Sternocleidomastoid Muscle?

Have you been experiencing pain along the sides of your neck? What about limited mobility when you turn your neck from side to side? Or do headaches seem to worsen throughout the entire day? Some of these symptoms are associated with pain along the neck and could affect the surrounding muscles that are connected. One of the surrounding muscles that sit behind the thyroid is known as SCM or sternocleidomastoid muscle. The sternocleidomastoid muscle is a long muscle with dual innervation and multiple functions in the neck. The SCM is connected to the trapezius muscle that helps flex the neck, pulling the head forward while bringing the chin down to the chest. The SCM and the trapezius muscle work together to help stabilize and fix the head position while the host is talking or eating. When factors affect the neck over time, the SCM also gets involved.

 

How Does Trigger Pain Affect The Sternocleidomastoid?

 

When factors affect SCM associated with the neck, many issues will start to affect the neck and overlap pain near the eyes, ears, sides of the cheeks, and forehead. Studies reveal that SCM may develop myofascial trigger points in the head, causing referred pain. Trigger points are usually formed when traumatic forces affect certain areas in the body. For SCM to be affected by trigger pain, tiny knots along the taut band of the SCM muscle fibers become sensitive to pressure when compressed, and many people often describe the pain as deep and dull. To that point, the symptoms associated with SCM trigger pain may appear in numerous combinations or together depending on how severe the pain is on the person. Some of the symptoms related to SCM trigger pain include:

  • Headaches (sinus, cluster, or tension)
  • Sore throat
  • Ear pain (popping sounds in the ears)
  • Blurred vision
  • Vertigo
  • Dizzyness
  • Balance issues
  • Muscle soreness

 

SCM Pain & Trigger Points- Video

Sternocleidomastoid (SCM) Pain and Trigger Points

Have you been dealing with headaches throughout the entire day? What about muscle tenderness in certain areas near your neck or shoulders? Or have you been feeling dizzy that it is affecting your daily activities? Many people with these symptoms may be dealing with SCM pain associated with trigger pain. The video above offers an insightful overview of how does trigger pain may be involved with SCM pain. SCM or sternocleidomastoid muscle is a long muscle that surrounds the sides of the neck and is connected to the trapezius muscle. When factors begin to affect the SCM, the muscle is at risk of developing trigger pain along the muscle fibers. Studies reveal that trigger pain along the SCM may affect SCM’s normal muscle functions, like chewing due to hyperactivity. Fortunately, there are ways to relieve SCM pain associated with trigger pain affecting the neck.

Ways To Relieve SCM Pain In The Neck

 

When it comes to SCM pain associated with trigger pain along the neck, many individuals find ways to relieve the related symptoms that are causing the pain. Some individuals will take over-the-counter medication to relieve their neck, shoulders, and head pain. At the same time, others do stretches to release the tension on their head, neck, and shoulders. However, trigger pain is a bit complex and challenging to diagnose since it mimics other conditions that affect the body. As luck would have it, many doctors will refer musculoskeletal specialists like massage therapists, physical therapists, and chiropractors who can help relieve SCM pain in the neck. Studies reveal that a combination of physiotherapy, classical massages, and stretching exercises can be applied to alleviate SCM pain in the neck. By stretching and massaging the SCM, many individuals can begin to feel pain relief in their neck, increase their range of motion, and have endurance in their neck. Integrating these various treatments for the SCM (sternocleidomastoid muscle) pain in the neck can help revitalize a person’s sense of well-being without being in pain.

 

Conclusion

The SCM, or sternocleidomastoid muscle, is a long muscle that sits behind the thyroid organ and is connected with the trapezius muscle. This muscle helps stabilize and holds the head position while flexing the neck and bringing the chin down to the chest. When environmental or traumatic factors affect the neck muscles, it can lead to chronic conditions over time, thus inflicting pain and tenderness along the SCM. These are known as trigger points and can be hard to diagnose due to them mimicking other chronic symptoms associated with the neck, head, and shoulders. Thankfully, various treatments like physiotherapy, stretching exercises, and classical massages can help relieve the trigger points along the SCM and relieve the neck and surrounding muscles.

 

References

Bordoni, Bruno, and Matthew Varacallo. “Anatomy, Head and Neck, Sternocleidomastoid Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 5 Apr. 2022, https://www.ncbi.nlm.nih.gov/books/NBK532881/.

Büyükturan, Buket, et al. “The Effects of Combined Sternocleidomastoid Muscle Stretching and Massage on Pain, Disability, Endurance, Kinesiophobia, and Range of Motion in Individuals with Chronic Neck Pain: A Randomized, Single-Blind Study.” Musculoskeletal Science & Practice, U.S. National Library of Medicine, 12 June 2021, https://pubmed.ncbi.nlm.nih.gov/34147954/.

Kohno, S, et al. “Pain in the Sternocleidomastoid Muscle and Occlusal Interferences.” Journal of Oral Rehabilitation, U.S. National Library of Medicine, July 1988, https://pubmed.ncbi.nlm.nih.gov/3171759/.

Missaghi, Babak. “Sternocleidomastoid Syndrome: A Case Study.” The Journal of the Canadian Chiropractic Association, Canadian Chiropractic Association, Sept. 2004, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1769463/.

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Sciatica Pain Can Radiate To The Knee: Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Senior woman at the gym suffering from pain in knee

Sciatica pain can radiate to the knee. Individuals with sciatica do report unique/unusual knee pain that was never there and no past or recent physical injuries. Sciatica is the culprit, as the knee muscles are powered and controlled by nerves in the lower spine. Irritation or compression of these nerves can cause symptoms that can include: random back pain, hamstring tightness, weakness in the hips or quadriceps, the development of bunions, and knee pain and/or weakness. Chiropractic treatment can release the compression, heal the sciatic nerve, and alleviate knee problems.

Sciatica Pain Can Radiate To The Knee: Injury Medical Chiropractic

Sciatica Pain Can Radiate To The Knee

Spine conditions that can cause sciatica include:

  • Disc herniation – Where the inside of the discs leak out and compress and/or irritate surrounding nerves.
  • Degeneration of the discs – The discs between the vertebrae wears down naturally as the body ages.
  • Spinal stenosis – The spinal canal begins to narrow, not allowing enough space for the nerves to rest comfortably, resulting in compressed nerves.
  • Spondylolisthesis – A condition that occurs when a vertebrae slips forward onto the vertebrae below it.

Any can cause irritation, inflammation, or compression of the sciatic nerve leading to painful sensations that extends from the lower back down through the leg.

Symptoms

Common knee symptoms that may be experienced with sciatica include:

  • A dull ache, warm sensation, or sharp pain around the knee.
  • Tightness in the hamstrings.
  • Weakness in the hips or quadriceps.
  • Unable to put weight on the knee.
  • Buckling/Collapsing giving out of the knee.
  • Difficulty or inability to straighten the knee.
  • Weakness when extending the knee.
  • Bunions form from weakened stabilizing muscles that affect walking, running, and standing posture.

As sciatica pain can radiate to the knee, individuals will usually also experience pain in their buttocks, thigh, calf, and/or foot. The nerve sensations and other symptoms in the knee can be felt through a branch of the sciatic nerve known as the peroneal nerve.

Duration

The knee pain will last as long as sciatica does, depending on the type of sciatica, whether it is acute or chronic.

  • An acute sciatic episode usually resolves after a few weeks, with possible future flare-ups.
  • Chronic sciatica is a long-term condition that does not resolve independently and necessitates intervention by a specialist.

Chiropractic Treatment Plan

Depending on the diagnosis, a chiropractor will develop a personalized treatment plan to address the root cause and heal the injury. The treatment plan will include therapeutic massage, posture training, and at-home self-care to help heal and prevent future sciatica.

Massage Rehabilitation

  • Physical therapy and therapeutic massage will loosen and relax the muscles, nerves, tendons, and ligaments.
  • Heat and ice, exercises, and stretches will prepare the muscles and nerves for chiropractic decompression adjustments.

Posture Training

  • Training will be provided to maintain the back, hips, knees, and feet in proper alignment.
  • Training on removing pressure from the lower back and restabilizing the rest of the body.
  • Training on proper body mechanics, safe lifting techniques, and injury prevention.

Self-Pain Management

  • Training on self-care habits that include healthy weight, core strengthening exercises and stretches for the back muscles, and proper rest for a full recovery.
  • Discomfort and pain management skills.

Health Coaching

  • An anti-inflammatory diet to reduce/eliminate inflammation and achieve a healthy weight and a nutrition plan to maintain overall health.

Surgery

  • Surgery is the final option when conservative treatments are not working.

Treating Severe & Complex Sciatica Syndromes

References

Dydyk AM, Khan MZ, Singh P. Radicular Back Pain. [Updated 2021 Nov 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546593/

Hirabayashi, Hiroki, et al. “Characteristics of L3 nerve root radiculopathy.” Surgical neurology vol. 72,1 (2009): 36-40; discussion 40. doi:10.1016/j.surneu.2008.08.073

Jandre Reis, Felipe Jose, and Adriana Ribeiro Macedo. “Influence of Hamstring Tightness in Pelvic, Lumbar and Trunk Range of Motion in Low Back Pain and Asymptomatic Volunteers during forwarding Bending.” Asian spine journal vol. 9,4 (2015): 535-40. doi:10.4184/asj.2015.9.4.535

Jeong, Ui-Cheol, et al. “The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain.” Journal of physical therapy science vol. 28,1 (2016): 46-50. doi:10.1589/jpts.28.46

Myofascial Trigger Pain Affecting The Trapezius Muscle

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

Introduction

The body incorporates different muscles that have specific jobs to help mobilize the skeletal joints while providing function to the arms, neck, legs, and back. Many individuals use their muscles for everyday uses like lifting and carrying objects, moving from one place to another, and protecting vital organs from damage. To that point, issues like traumatic events, injuries, and environmental factors can affect the body and cause damage to the muscles. When the muscles are affected by these factors, tiny knots can form along the taut muscle band that can cause painful symptoms that affect specific areas in the body. One of the muscles affected by pain is the trapezius muscle, known as the “coat hanger” muscle, which can be associated with chronic symptoms of myofascial pain syndrome. Today’s article examines the trapezius muscle, how myofascial pain affects the trapezius muscle, and how to manage myofascial trapezius pain. We refer patients to certified providers specializing in musculoskeletal treatments to aid individuals suffering from trapezius muscle pain associated with myofascial pain. We also guide our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

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What Is The Trapezius Muscle?

 

Have you experienced pain in your neck, shoulders, or mid-upper back? Do you feel headaches occurring near your temples? What about tenderness in certain areas of your body? Some of these symptoms may appear in your trapezius muscles. The trapezius muscle is located across the back that looks like a simple trapezoid with upper, middle, and lower muscle fibers that have different functions for the upper-middle back, shoulders, and neck. While the entire trapezius muscle helps rotates, elevate, and retract the scapula while extending the head and neck, and turning the chin by itself. At the same time, the entire muscle can help with assisting the extension of the cervical and thoracic spine.

  • Upper Trapezius muscles: allow the shoulders to rise, bend the head and neck, and help support the weight of the upper extremities of the body, including the arms.
  • Middle Trapezius muscles: assist with flexion and abduction of the arms around the shoulders at a nearly full range.
  • Lower Trapezius muscles: Helps retract the scapula while rotating the glenoid fossa upwards by decompressing the vertebral borders of the scapula. These fibers help assist the flexion and abduction of the arms.

When traumatic forces or injuries affect the trapezius muscles, painful symptoms begin to affect the muscles, causing them to be tender to the touch and affecting different areas in the body.

 

How Does Myofascial Pain Affect The Trapezius Muscle?

 

When traumatic forces or injuries affect the trapezius muscles, certain parts of the shoulders, neck, and upper-mid back will experience pain-related symptoms. When people experience headaches and shoulder and neck pain in their bodies while feeling tenderness in their trapezius muscles, this is known as referred pain associated with myofascial pain. Myofascial pain is when tiny knots along the taut muscle bands begin to make the muscle area tender to the touch. Individuals who suffer from myofascial pain in their trapezius muscles might experience hyperirritable spots that inflict pain and motor dysfunction. Studies reveal that individuals who work in food services may have symptoms of shoulder pain associated with myofascial pain due to repetitive motions on the upper trapezius muscles affecting their upper bodies. Myofascial trigger pain is a bit challenging to diagnose since the pain can be in different locations and mimic various ailments in the body. To that point, when the trapezius muscles are affected by trigger pain may potentially be involved with cervical myofascial pain. Cervical myofascial pain is a disorder that causes pain from muscle overuse or trauma in the neck. When the pain affects the neck muscles, it can travel down to the trapezius muscles causing tenderness and sensitivity in the affected muscle area. Stress, postural mechanics, or repetitive movements can develop myofascial pain syndrome and affect the surrounding muscles.

Trapezius Trigger Points- Video

Trapezius Trigger Points and Headaches

Have you felt sore around your shoulders, neck, and upper-mid back? What about muscle tenderness in certain areas of your body? Do you feel tension along your neck or near the temples of your head? If you have been dealing with any of these symptoms, then you might be experiencing myofascial trapezius pain. The video above explains how trigger points from traumatic events can affect the trapezius muscle and cause referred pain that overlaps other conditions that may affect the body. Studies reveal that trigger points in the head and neck muscles of many suffering individuals have tension-type headaches. Tension-type headaches are one of the symptoms associated with myofascial trapezius pain. Some of the other symptoms related to myofascial pain affecting the trapezius muscle include:

  • Deep aching pain
  • Stiffness
  • Muscle spasms
  • Tightness around the shoulder and neck
  • Tenderness along the shoulders, neck, and upper back
  • Occipital headaches

 

How To Manage Myofascial Trapezius Pain

 

When many individuals suffer from myofascial trapezius pain, many would go to their primary doctor and explain to them that they are experiencing tension headaches constantly. Since myofascial pain is associated with the trapezius muscle is a bit complex and challenging for doctors to diagnose since every person’s pain is different. Many doctors will refer their patients to associated specialists like physical therapists, massage therapists, or chiropractors to determine where the pain is located along the trapezius muscle. Different treatments can help alleviate stiff muscles, and studies reveal that spinal manipulative therapy can help manage chronic pain from myofascial origins. Spinal subluxations or misalignment could potentially involve the corresponding spinal nerve root causing antinociceptive effects to the tender muscle, thus causing pain to the trapezius muscle. Utilizing various treatments to treat myofascial trapezius pain can provide individuals with beneficial relief from their pain along with managing their associated symptoms.

 

Conclusion

The trapezius muscle is a large superficial trapezoid-shaped muscle located in the back. The upper, middle, and lower muscle fibers have different functions in the head, neck, shoulders, and arms. The trapezius muscle also helps with assisting the extension of the cervical and thoracic spine. When traumatic events or injuries affect the trapezius muscle, it can be developed over time to create trigger points along the taut muscle band of the trapezius muscle and cause referred pain to the upper extremities of the body. Luckily various treatments can help manage the associated pain symptoms from myofascial trapezius pain and can help many individuals get back on their health and wellness journey.

 

References

Fernández-de-Las-Peñas, César, et al. “Myofascial Trigger Points and Their Relationship to Headache Clinical Parameters in Chronic Tension-Type Headache.” Headache, U.S. National Library of Medicine, Sept. 2006, https://pubmed.ncbi.nlm.nih.gov/16942471/.

Hwang, Ui-Jae, et al. “Predictors of Upper Trapezius Pain with Myofascial Trigger Points in Food Service Workers: The Strobe Study.” Medicine, Wolters Kluwer Health, June 2017, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5500039.

Laframboise, Michelle A, et al. “Effect of Two Consecutive Spinal Manipulations in a Single Session on Myofascial Pain Pressure Sensitivity: A Randomized Controlled Trial.” The Journal of the Canadian Chiropractic Association, Canadian Chiropractic Association, June 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915475/.

Ourieff, Jared, et al. “Anatomy, Back, Trapezius – StatPearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 26 July 2021, https://www.ncbi.nlm.nih.gov/books/NBK518994/.

Touma, Jeffrey, et al. “Cervical Myofascial Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 4 July 2022, https://www.ncbi.nlm.nih.gov/books/NBK507825/.

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Kombucha Fermented Tea Health Benefits: Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
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Kombucha second Fermented fruit tea, Probiotic food for gut health, healthy drink

Kombucha is a fermented tea that has been around for nearly 2,000 years. It became popular in Europe in the early 20th century. It has the same health benefits as tea, is rich in probiotics, contains antioxidants, and can destroy harmful bacteria. Kombucha sales are growing at stores because of its health and energy benefits.

Kombucha Fermented Tea Health Benefits

Kombucha

It is typically made with black or green tea, sugar, healthy bacteria, and yeast. It is flavored by adding spices or fruits into the tea while it ferments. It is fermented for about a week, when gases, 0.5 percent of alcohol, beneficial bacteria, and acetic acid are produced. The fermentation process makes the tea slightly effervescent. It contains B vitamins, antioxidants, and probiotics, but the nutritional content will vary depending on the brand and its preparation.

Benefits

The benefits include:

  • Improved digestion from the fact that fermentation makes probiotics.
  • Helps with diarrhea and irritable bowel syndrome/IBS.
  • Toxin removal
  • Increased energy
  • Improved immune system health
  • Weight loss
  • Helps with high blood pressure
  • Heart disease

Kombucha, made from green tea, includes the benefits of:

Probiotics

Beneficial bacteria are known as probiotics. These same probiotics are found in other fermented foods, like yogurt and sauerkraut. Probiotics help populate the gut with healthy bacteria that aid digestion, reduce inflammation, and produce essential vitamins B and K. The probiotics improve bowel movements and alleviate nausea, bloating, and indigestion.

Antioxidants

The antioxidants and polyphenols benefits include:

  • Increased metabolic rate
  • Reduced blood pressure
  • Lowered cholesterol
  • Improved cognitive function
  • Decreased risk of chronic diseases – cardiovascular disease, type 2 diabetes, and certain cancers.

Anti-Bacterial Properties

  • The fermentation process produces acetic acid that destroys harmful pathogens like invasive bacteria and yeasts, preventing infection.
  • The anti-bacterial effect also preserves the beneficial bacteria.

Liver Detoxification

  • It can help detoxify the liver, which:
  • Improves overall skin health
  • Improves liver function
  • Decreases abdominal bloating and pain
  • Improves digestion and bladder function

Pancreatic Support

  • It can improve pancreatic function, which can help protect the body from diseases and illnesses like:
  • Acid reflux
  • Abdominal spasms
  • Numbness
  • Pancreatic cancer

Joint Support

  • The tea contains compounds like glucosamines that have been shown to improve joint health and relieve joint pain.
  • Glucosamines increase hyaluronic acid, lubricating the joints, which helps protect and strengthen them.

Satisfy Soda Craving

  • The variety of flavors and natural carbonation can satisfy the craving for a soda or other unhealthy beverages.

Injury Medical Chiropractic and Functional Medicine Clinic includes elements of integrative medicine and takes a different approach to health and wellness. Specialists take a comprehensive view of an individual’s health, recognizing the need for a personalized treatment plan to help identify what is needed to get healthy. The team will create a customized plan that fits an individual’s schedule and needs.

Dietitian Explains Kombucha

References

Cortesia, Claudia et al. “Acetic Acid, the active component of vinegar, is an effective tuberculocidal disinfectant.” mBio vol. 5,2 e00013-14. 25 Feb. 2014, doi:10.1128/mBio.00013-14

Costa, Mirian Aparecida de Campos et al. “Effect of kombucha intake on the gut microbiota and obesity-related comorbidities: A systematic review.” Critical reviews in food science and nutrition, 1-16. 26 Oct. 2021, doi:10.1080/10408398.2021.1995321

Gaggìa, Francesca, et al. “Kombucha Beverage from Green, Black and Rooibos Teas: A Comparative Study Looking at Microbiology, Chemistry and Antioxidant Activity.” Nutrients vol. 11,1 1. 20 Dec. 2018, doi:10.3390/nu11010001

Kapp, Julie M, and Walton Sumner. “Kombucha: a systematic review of the empirical evidence of human health benefit.” Annals of epidemiology vol. 30 (2019): 66-70. doi:10.1016/j.annepidem.2018.11.001

Villarreal-Soto, Silvia Alejandra, et al. “Understanding Kombucha Tea Fermentation: A Review.” Journal of food science vol. 83,3 (2018): 580-588. doi:10.1111/1750-3841.14068

When Chiropractic is Necessary: Herniated Discs Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
Senior male orthopedist examining patient's back in clinic

Herniated, slipped, or ruptured discs affect 80% or more of the population. Most individuals don’t even realize they suffered a vertebral subluxation, as it shifted slightly but returned on its own and healed itself. Herniated disc/s symptoms can subside over time and can heal on their own. However, there are times when chiropractic is necessary to help the slipped or ruptured disc back into correct alignment and to help prevent re-injury or the development of new ones.

When Chiropractic is Necessary: Herniated Discs

When Chiropractic Is Necessary

When an individual’s ability to move is limited is definitely when chiropractic is necessary. Individuals twist and turn their bodies, and the rotational force that comes from lifting and moving objects at home, work, school, sports, or lifting weights increases the risk of disc injury.

  • The lumbar spine or lower back is the most common location for a herniated disc injury.
  • The pain can spread to the glutes and legs, causing sciatica or sciatica-like symptoms.
  • When back pain spreads to the shoulder through the arm, it s caused by a herniated neck/cervical disc.
  • When the cushioning material from the disc/nucleus pulposus presses on surrounding nerves, it causes inflammation, pain, and numbness.
  • Individuals can suffer a herniated disc after changing a flat tire, stepping/slipping out of the bath/shower, or coughing and sneezing.

Healing

Herniated discs can be treated with ice packs and heat, over-the-counter medications, and anti-inflammatories. However, if these approaches are not producing results, chiropractic and physical therapy could be necessary to address the pain, reactivate the body’s healing system, and get the body’s circulation energy flowing. Exercises/movements are recommended depending on the injury to allow the musculoskeletal system to realign and circulate the nutrient-rich blood.

Evaluation

The chiropractic team must check if the individual is cleared for chiropractic care. Some individuals cannot undergo chiropractic adjustments because of the following:

  • Spinal cancer
  • Advanced osteoporosis
  • Bone abnormality in or around the upper neck
  • High risk of stroke

Once The Patient Is Cleared:

  • The chiropractor will assess the injury and damage by evaluating the spine’s overall health, not just the painful areas.
  • They will inquire about medical history and conduct a physical examination.
  • Diagnostic tests could be necessary depending on the condition.

The team will evaluate the following criteria:

  • If reflexes are normal.
  • If there is muscle loss or decreased muscle strength.
  • If there is numbness or loss of sensation.
  • Loss of reflexes, muscle strength, and sensation could indicate the need for more aggressive treatment.

Depending on what is found, they may refer the individual to a spinal surgeon or specialist.

Techniques

Chiropractic focuses on restoring structural integrity to the body, reducing pressure on neurological tissue, and re-establishing a normal range of motion. With this treatment, pain and inflammation will be reduced or eliminated, and regular movement and reflexes will return. The body is realigned, stress is reduced, and the body’s natural energy can repair the damage. Adjustments involve:

  • HVLA is a high velocity, low amplitude short thrust to vertebrae that are out of position.
  • Mobilization involves low-velocity manipulation, stretching, and moving affected muscles and joints.
  • Joint cavitation expels oxygen, nitrogen, and carbon dioxide from the vertebrae and releases pressure on the affected area.

Specialized Adjustment Techniques

Activator

Active Release Technique

Cox Flexion Distraction

Diversified

Gonstead Technique

The Toggle Recoil Technique

  • This technique uses a drop table while the chiropractor uses quick thrust and release manipulation.

Logan Basic Technique

  • This technique uses a light touch to level the sacrum.

Thompson Terminal Point Technique or Thompson Drop

  • This table technique adjusts with a weight mechanism to keep the patient in the correct position before the thrust is applied.

DOC Decompression Table

References

Danazumi, Musa S et al. “Two manual therapy techniques for management of lumbar radiculopathy: a randomized clinical trial.” Journal of osteopathic medicine vol. 121,4 391-400. 26 Feb. 2021, doi:10.1515/jom-2020-0261

Kerr, Dana, et al. “What Are Long-term Predictors of Outcomes for Lumbar Disc Herniation? A Randomized and Observational Study.” Clinical orthopedics and related research vol. 473,6 (2015): 1920-30. doi:10.1007/s11999-014-3803-7

Lurie, Jon D et al. “Surgical versus nonoperative treatment for lumbar disc herniation: eight-year results for the spine patient outcomes research trial.” Spine vol. 39,1 (2014): 3-16. doi:10.1097/BRS.0000000000000088

Wang, Jeffrey C et al. “Epidural injections for the treatment of symptomatic lumbar herniated discs.” Journal of spinal disorders & techniques vol. 15,4 (2002): 269-72. doi:10.1097/00024720-200208000-00001

Yussen, P S, and J D Swartz. “The acute lumbar disc herniation: imaging diagnosis.” Seminars in ultrasound, CT, and MR vol. 14,6 (1993): 389-98. doi:10.1016/s0887-2171(05)80032-0

Neck Pain Associated With Myofascial Trigger Pain

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

Introduction

The neck ensures that the head is upright in the body while providing mobility to rotate, bend, and tilt in various directions. The neck is part of the cervical spine and provides sensory-motor functions from the nerve pathways spread out along the shoulders and upper back. When traumatic events or injuries affect the cervical spine and cause pain to the neck over time, however, if not treated, it can lead to problematic symptoms associated with muscle pain. Neck pain can lead to muscle stiffness and cause myofascial trigger pain associated with referred pain along the rest of the upper body. Today’s article looks at the effects of neck pain, how it is associated with myofascial trigger pain, and ways to manage neck pain associated with myofascial trigger pain. We refer patients to certified providers specializing in musculoskeletal treatments to aid individuals suffering from neck pain associated with myofascial trigger pain. We also guide our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

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The Effects Of Neck Pain

 

Have you been feeling muscle stiffness around your neck and shoulders? Do you experience random headaches that affect your day? What about feeling tingling sensations along your arms and hands? These symptoms are associated with neck pain and can affect many individuals if not treated over time. Many people who suffer from neck pain will feel muscle stiffness that affects not only the sides of the neck but around the shoulders and their upper back. Studies reveal that neck pain is a multifactorial musculoskeletal disorder that affects the worldwide population and can become a chronic problem. Risk factors associated with the contributing development of neck pain include:

  • Stress
  • Poor posture
  • Anxiety
  • Sleep position
  • Neuromusculoskeletal disorders
  • Auto accidents
  • Traumatic events

Many of these risk factors associated with neck pain can cause pain symptoms and cause pain in different locations of the body, making diagnosing the pain source problematic for doctors.

 

Neck Pain Associated With Myofascial Trigger Pain

Since neck pain is common for many individuals, one of the symptoms associated with muscle stiffness and tenderness is myofascial trigger pain overlapping neck pain. Studies reveal that the formation of trigger points is caused when various physical activities begin to yield repetitive stress or cause micro-tears in the definite muscle groups that can cause tension within the muscle fibers. To that point, knots in the taut band of the muscles become hypersensitive and produce referred pain, tenderness, motor dysfunction, and autonomic phenomena. When the neck suffers from a traumatic event that affects the spine, over time can create trigger points or myofascial pain. It is difficult to diagnose where the pain is located in the body because myofascial trigger pain often mimics other pain conditions. It can confuse many individuals as they think they are suffering from one pain, but it’s a different pain that affects their body. Other studies reveal that individuals with myofascial pain syndrome associated with neck pain have a tender point within the tight muscular band, causing local discomfort. To that point, myofascial pain can cause referral pain in remote areas like cervical spine disorders like herniation can often be confused with myofascial pain when there is referral pain in the upper extremities of the body. Some of the symptoms associated with myofascial trigger pain that affects the neck include:

  • Deep, aching pain
  • Headaches
  • Muscle tenderness in the neck or shoulders
  • Tingling sensation or numbness down the arms and hands
  • Muscle stiffness

 

Neck Pain & Trigger Points- Video

Neck Pain and Trigger Points

Are you experiencing numbness that is running down your shoulders to your hands? What about muscle stiffness along the sides of the neck or shoulders? Or do headaches seem to pop out of nowhere and affect your day? You could risk suffering from neck pain associated with myofascial trigger pain. The video above explains how neck pain is associated with trigger points and how to trigger pain can be primary or secondary to neck pain. Studies reveal that myofascial pain syndrome is a common muscular pain disorder that is misunderstood and involves referred pain to form minor, tender trigger points within the muscles. To that point, myofascial pain associated with neck pain may be consistent with specific patterns of pain associated with each trigger point, contributing factors like emotional, postural, and behavioral factors that cause tension in the neck and frequently related symptoms from various conditions make diagnosing difficult. Since myofascial trigger points are complex and mimic other conditions that affect a different body part, many believe that different ailments affect their body than the actual ailment itself. Thankfully there are ways to manage neck pain associated with myofascial trigger pain and relieve muscle pain.

Ways To Manage Neck Pain Associated With Myofascial Trigger Pain

 

Since myofascial trigger pain associated with the neck can be a bit complex and challenging to diagnose, many doctors will refer patients to a physical therapist, a chiropractor, or another spine specialist to examine the trigger points causing neck pain. Various treatments can range from home remedies to severe muscle injections, depending on how severe the injuries are since everyone’s pain is different. Some of the available treatments that can reduce and manage myofascial neck pain include:

  • Exercising (helps stretch and strengthen neck and upper back muscles)
  • Massage (helps loosen stiff muscles in the neck and shoulders)
  • Heat therapy (helps relax and increase blood flow to the affected area)
  • Chiropractic care (uses spinal manipulation to prevent further pain issues from happening)
  • Acupuncture (helps to relax the trigger point and relieve pain)

Incorporating these various treatments can provide beneficial relief to those suffering from myofascial neck pain and help manage the symptoms associated with the body.

 

Conclusion

The neck provides mobility to the head as it can rotate, bend, and tilt in various directions while providing sensory-motor functions to the shoulders and upper back from the nerve roots in the cervical spine. When traumatic forces impact the neck, myofascial trigger pain can lead to neck pain. Myofascial trigger pain associated with neck pain is where tiny knots in the affected neck muscles become tender and stiff, which causes referred pain to different locations in the body. Myofascial neck pain is challenging to diagnose but manageable to treat with various treatments and techniques that can release the knots from the affected muscle and prevent future symptoms from happening. This allows many individuals to feel relief from their neck pain and continue their wellness journey.

 

References

Alghadir, Ahmad H, et al. “Efficacy of Combination Therapies on Neck Pain and Muscle Tenderness in Male Patients with Upper Trapezius Active Myofascial Trigger Points.” BioMed Research International, Hindawi, 10 Mar. 2020, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085833/.

Ezzati, Kamran, et al. “Prevalence of Cervical Myofascial Pain Syndrome and Its Correlation with the Severity of Pain and Disability in Patients with Chronic Non-Specific Neck Pain.” The Archives of Bone and Joint Surgery, Mashhad University of Medical Sciences, Mar. 2021, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121028/.

Fricton, J R, et al. “Myofascial Pain Syndrome of the Head and Neck: A Review of Clinical Characteristics of 164 Patients.” Oral Surgery, Oral Medicine, and Oral Pathology, U.S. National Library of Medicine, Dec. 1985, https://pubmed.ncbi.nlm.nih.gov/3865133/.

Kazeminasab, Somaye, et al. “Neck Pain: Global Epidemiology, Trends and Risk Factors.” BMC Musculoskeletal Disorders, BioMed Central, 3 Jan. 2022, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8725362/.

Disclaimer

Toxin Overload: Sciatica Clinic

By
Dr Alexander D Jimenez DC, APRN, FNP-BC, CFMP, IFMCP
-
smiling female chiropractor showing human body picture to patient during appointment in hospital

Toxin overload is the condition of having an excessive amount of toxins in the body. Harmful substances can come from water, food, cleaning products, and environmental sources that individuals are exposed to regularly. Toxins are also produced in the body by poor gut health through autointoxication. Considering the number of toxins from food additives, preservatives, and perfumes to cleaning products, cosmetic products, and plastic water bottles, much of everyday life include exposure to chemicals that are not healthy. That’s why it’s recommended to undergo regular detoxes to ensure optimal body function and disease prevention.

Toxin Overload Chiropractor

Toxin Overload

One of the main ways toxins damage the body is they poison the enzymes, which prevents the body from functioning correctly. The body relies on enzymes for every physiological function. When toxins damage the enzymes, the production of hemoglobin in the blood is prevented, which can accelerate aging and lead to the failure of energy production and lower protection against oxidated stress. The failure of normal body functions increases the risk of diseases that include:

Symptoms

Chronic Digestive Issues

  • Individuals can experience chronic gas, bloating, heartburn, constipation, diarrhea, and/or food sensitivities.
  • Proper waste elimination is essential to optimal health.
  • 80% of the immune system is in the gut, and with a compromised digestive system, toxins can begin to accumulate.

Fatigue

  • When the body efficiently delivers nutrients to the cells and eliminates waste, there should be balanced energy throughout the day.
  • Toxin overload can cause individuals to experience fatigue, even in individuals that eat healthily and exercise, which could be an indicator of accumulation.
  • Chronic fatigue and viral infections could present from a weakened immune system.

Muscle Joint Aches and Pains

  • When gut health is compromised, undigested food particles can cause tears in the lining of the intestinal wall leading to a leaky gut.
  • The food particles enter the bloodstream and can cause an inflammatory response.
  • They can lodge themselves in weak areas of the joints, causing pain and increased muscle soreness.
  • Proper digestion and detoxification help eliminate toxins from the joints and muscles and heal the damaged lining.

Insomnia

  • Sleep is when the body detoxes, repairs, and rejuvenates itself.
  • Sleep problems could be a sign that the body is struggling to detoxify.

Chronic Headaches

  • Chronic headaches often result from imbalances in the body resulting from toxin overload and obstructed/blocked detoxification pathways.

Fluid Retention and Congestion

  • The lymphatic system is part of the circulatory system. The primary function is to transport lymph, a clear fluid that contains white blood cells essential for regulating inflammation.
  • Diet, hormone imbalances, sedentary lifestyle, medications, and genetics can contribute to fluid retention and congestion, causing stagnation of the lymphatic system.
  •  If the system becomes congested, it can cause pain and swelling.

Unusual Weight Loss or Gain

  • Increased belly/visceral fat is the fat stored within the abdominal cavity. This is the most dangerous fat because of its proximity to vital organs like the liver, pancreas, and stomach.
  • Visceral fat or active fat influences how hormones function in the body. Stress, lack of exercise, and an unhealthy diet contribute to excess visceral fat.
  • Individuals trying to lose weight unsuccessfully could be a sign of having excessive toxins in the body.

Skin Problems

  • The skin reveals what’s happening inside the body.
  • Acne, rosacea, eczema, or other chronic skin issues, could indicate toxins are traveling through the skin.
  • When waste is not eliminated thoroughly through sweat, urine, and feces, the body could try to expel it through the skin.
  • Improving the body’s digestive and detoxification processes can help heal the root problem.

Chiropractic Realignment

When the body is misaligned, toxins can begin to accumulate. A toxin overload could affect the body in various ways if left untreated. Chiropractic treatment will realign the body through massage, decompression, and adjustments releasing the toxins into the bloodstream. This can trigger a mild immune response causing cold or flu-like symptoms until the toxins are eliminated from the body. The benefits include:

  • Inflammation and swelling alleviation
  • Improved stress levels
  • Better mood
  • Better digestion
  • Increased energy
  • Balanced pH levels
  • Improved immunity
  • Decreased risk of disease

Flushing Toxins

References

Giannini, Edoardo G et al. “Liver enzyme alteration: a guide for clinicians.” CMAJ : Canadian Medical Association journal = journal de l’Association medicale canadienne vol. 172,3 (2005): 367-79. doi:10.1503/cmaj.1040752

Grant, D M. “Detoxification pathways in the liver.” Journal of inherited metabolic disease vol. 14,4 (1991): 421-30. doi:10.1007/BF01797915

Lala V, Goyal A, Minter DA. Liver Function Tests. [Updated 2022 Mar 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482489/

Mattick, R P, and W Hall. “Are detoxification programmes effective?.” Lancet (London, England) vol. 347,8994 (1996): 97-100. doi:10.1016/s0140-6736(96)90215-9

Seaman, David R. “Toxins, Toxicity, and Endotoxemia: A Historical and Clinical Perspective for Chiropractors.” Journal of chiropractic humanities vol. 23,1 68-76. 3 Sep. 2016, doi:10.1016/j.echu.2016.07.003

How Trigger Points Affect The Musculoskeletal System

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

Introduction

The body is a functional machine that consists of muscles, organs, and skeletal joints that play different parts in making the body healthy as possible. Each section has a casual relationship as they work together and do their jobs separately. The muscles provide protection and movement from daily activities. The organs supply hormones, oxygen, and nutrients, so the body’s internal functions work correctly. And finally, the skeletal joints help with mobility and stabilization for the body to stay upright. When environmental factors or traumatic injuries affect the body, many issues over time may cause damage, and the body may develop pain-related symptoms. Today’s article examines how the musculoskeletal system works in the body, how trigger points affect the musculoskeletal system, and how chiropractic care can help alleviate trigger point pain. We refer patients to certified providers specializing in musculoskeletal treatments to aid individuals suffering from muscle pain associated with trigger points. We also guide our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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How Does The Musculoskeletal System Works?

 

Have you been experiencing muscle stiffness in specific areas located in your body? Do you feel tenderness in your neck, shoulders, or back? Or do you feel knots along your muscles that are causing you pain? Some of these symptoms are associated with muscle pain in the musculoskeletal system. The musculoskeletal system in the body has muscles, ligaments, and connective tissues surrounding the skeletal joints. Studies reveal that the structure of the musculoskeletal system shows how the surrounding muscles protect the joints and help provide the body functionality. The various muscles in the body offer a range of motion, sensory-motor functions, reflexes, and strength when functioning normally. However, when environmental factors begin to affect the body over time, it can lead to musculoskeletal disorders associated with pain. Studies reveal that when the body succumbs to pain related to musculoskeletal disorders. Musculoskeletal disorders are a common issue that has affected many individuals worldwide and causes various disabilities and symptoms that affect the body. Some of the musculoskeletal disorder symptoms that affect the body include:

  • Burning sensations
  • Muscle twitches
  • Fatigue 
  • Stiffness and aching
  • Myofascial trigger pain

 

How Do Trigger Points Affect The Body?

One of the musculoskeletal symptoms associated with muscle pain is trigger points or myofascial pain. Myofascial pain is a common condition involving the muscles and surrounding connective tissues that may be acute or chronic depending on where the pain is located. While trigger points refer to hard palpable nodules in the taut bands of the skeletal muscle that can be active (causes spontaneous pain or abnormal sensory symptoms) or latent (causes no spontaneous pain but shows operational myofascial trigger points characteristics). Studies reveal that myofascial pain can be associated with muscle dysfunction, weakness, and limited range of motion that affects the body. A knot in the muscle in certain body areas can make the muscle hyperirritable, causing painful compression while invoking characteristic referred pain and autonomic phenomena in the body. To that point, it can be difficult for doctors to diagnose since trigger points are caused by traumatic events in the body and can occur in different spots in different people. Trigger points can form all over the body, including:

  • Neck 
  • Mid-back
  • Low back

One common characteristic when trigger points affect the body is that they can travel or even spread to the surrounding muscles.

 

Myofascial Pain Syndrome & Trigger Points- Video

Myofascial Pain Syndrome and Trigger Points Treatments, Animation.

Have you been feeling pain located in your neck, back, or particular areas in your body? What about feeling pain in a different location of your body? Or have you experienced muscle stiffness or tenderness in certain areas of your body? If you have been experiencing these symptoms associated with muscle pain, you could be dealing with trigger point pain or myofascial pain in your musculoskeletal system. The video above explains myofascial pain and trigger points and how they affect the body. Studies reveal that myofascial pain is caused by myofascial trigger points that produce exquisitely tender spots in the taut bands of hardened muscles. To that point, it stimulates local and referred pain amongst other sensory, motor, and autonomic symptoms. Myofascial trigger points can cause stiffness and weakness in the involved muscle, making it difficult to diagnose since it can cause pain in different body areas. Fortunately, there are ways to alleviate trigger point pain associated with myofascial pain syndrome from the body.

How Chiropractic Care Alleviates Trigger Point Pain

 

Since myofascial trigger point pain can be challenging to diagnose, it can range from neck to low back pain in different locations and mimic other pain conditions that affect the body. It can affect the body to become hypersensitive and hyperirritable while decreasing a person’s overall sense of well-being. Luckily, treatments like chiropractic care can help alleviate trigger point pain and help manage myofascial pain syndrome. Chiropractic care is not just for the skeletal system but can help relieve muscle pain associated with myofascial pain. Since the muscles are layered and interwoven around the joints, they play an integral part in supporting the body. Studies reveal that chiropractors are great at finding trigger points and utilize specific exercises and physical modalities to treat myofascial pain syndrome symptoms. Some of the benefits chiropractic care use include:

  • Breaking up scar tissue
  • Applying pressure on the trigger point
  • Aligning the spine to reduce the spinal subluxation
  • Ease muscle pain

 

Conclusion

The body consists of muscles, organs, and joints in a casual relationship that helps function and stabilizes the host. The musculoskeletal system has muscles, tissues, and ligaments that are interwoven and layered, surrounding the skeletal joints to prevent injuries or traumatic events from affecting the body. When the body does suffer from damages caused by traumatic events, it can lead to a musculoskeletal disorder known as myofascial pain or trigger pain. Trigger pain is when the muscles have knots along taut bands of the muscle that can cause muscle stiffness and pain. Trigger point pain can be challenging to diagnose since the pain can travel from one location to another section of the body. This is referred pain, and myofascial trigger pain can mimic other chronic musculoskeletal symptoms. Treatments like chiropractic care can help alleviate myofascial trigger pain through spinal manipulation and trigger point therapy, thus relieving the stiff muscle causing pain. Incorporating treatments like chiropractic care can help loosen stiff muscles, increase joint range of motion and bring a person’s wellness back.

 

References

Bron, Carel, and Jan D Dommerholt. “Etiology of Myofascial Trigger Points.” Current Pain and Headache Reports, Current Science Inc., Oct. 2012, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440564/.

Morgan, William. “Chiropractic Treatment for Myofascial Pain Syndrome.” Spine, Spine-Health, 24 Sept. 2014, https://www.spine-health.com/treatment/chiropractic/chiropractic-treatment-myofascial-pain-syndrome.

Murphy, Andrew C, et al. “Structure, Function, and Control of the Human Musculoskeletal Network.” PLoS Biology, Public Library of Science, 18 Jan. 2018, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5773011/.

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

Vilella, Renato C, and Anil Kumar Reddy Reddivari. “Musculoskeletal Examination.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 Sept. 2021, https://www.ncbi.nlm.nih.gov/books/NBK551505.

Disclaimer

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