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For individuals who are having difficulty moving around due to pain, loss of range of motion, and/or decreased strength, can incorporating working with a physical therapist help relieve pain and restore function?

Physical Therapy Benefits

Many wonder if they are candidates for physical therapy or if physical therapy can help their injury, ailment, or condition. The answer is yes; most individuals can benefit from physical therapy, whether their condition is a simple ankle sprain or a complex neurological disorder. Physical therapists can help develop pain management treatment strategies and injury prevention. Physical therapy can benefit individuals even if they are not injured; as movement experts, physical therapists can train individuals to help prevent injury and maintain flexibility.

Body Mechanics 

Physical therapists work in various settings, including hospitals, nursing homes, sports, and chiropractic clinics. If necessary, they can come to your house after an injury. They work with individuals from all walks of life as a conservative treatment approach to managing, healing, and preventing injuries and disabilities. Physical therapy uses non-invasive tools to help improve total body function. Physical therapy focuses on:

• Relieving pain
• Promoting healing
• Restoring function
• Restoring movement
• Facilitation and adaptation for a specific injury.
• Therapy also focuses on body mechanic training, fitness, and wellness. (Hon, S. et al., 2021)
• Regardless of age, individuals who have problems with flexibility and mobility may benefit from working with a physical therapist to help them return to optimal function.

Conditions Physical Therapy Can Help Treat

• Muscle sprains and strains.
• Work-related injuries.
• Repetitive motion injuries.
• Sports-related injuries.
• Neck pain.
• Lower back pain.
• Neuro-rehabilitation - post-stroke and spinal cord or head injury.
• Arthritis - in one or multiple joints.
• Mobility problems.
• Balance issues.
• Knee, ankle, and foot problems.
• Shoulder, arm, hand, and wrist injuries and problems.
• Fractures.
• Slip and fall accidents and other traumas.
• Orthopedic conditions.
• Chronic fatigue.
• Chronic weakness.
• Pre and post-surgical conditioning and strengthening.
• Wound care like diabetic wounds and non-healing traumatic or post-surgical wounds.
• Pre - during pregnancy and post-partum programs.
• Fitness and wellness education. 
• Poor cardiovascular endurance.
• Cardiac rehabilitation.
• Respiratory problems.
• Bowel or bladder incontinence.
• Cancer recovery.

Individuals unsure whether they need or would benefit from physical therapy should discuss their options with a primary physician, healthcare provider, or specialist to guide them in the right direction. Injury Medical Chiropractic and Functional Medicine Clinic focuses on what works for you and strives to better the body through researched methods and total wellness programs. Using an integrated approach, we treat patients’ injuries and chronic pain syndromes through personalized care plans that improve ability through flexibility, mobility, and agility programs personalized to the individual to relieve pain. If other treatment is needed, Dr. Jimenez has teamed up with the top surgeons, clinical specialists, medical researchers, and premier rehabilitation providers to provide the most effective treatments.

Unlocking Vitality

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Hon, S., Ritter, R., & Allen, D. D. (2021). Cost-Effectiveness and Outcomes of Direct Access to Physical Therapy for Musculoskeletal Disorders Compared to Physician-First Access in the United States: Systematic Review and Meta-Analysis. Physical therapy, 101(1), pzaa201. https://doi.org/10.1093/ptj/pzaa201

For individuals suffering from back pain, can knowing basic chiropractic terminology help in understanding diagnosis and treatment plan development?

Chiropractic Terminology

The chiropractic principle is that a properly aligned spine positively affects an individual's overall health. One of the main aspects of chiropractic care is applying calculated force to the spinal joints to restore correct spinal alignment. Chiropractic terminology describes specific types of techniques and care.

General Subluxation

A subluxation can mean different things for various doctors. In general, a subluxation is a significant structural displacement or an incomplete or partial dislocation of a joint or organ. 

• To medical doctors, a subluxation refers to a partial dislocation of ​a vertebrae.
• This is a serious condition, usually brought on by trauma, that can result in a spinal cord injury, paralysis, and/or death.
• X-rays show a conventional subluxation as an obvious disconnect between the vertebrae.

Chiropractic Subluxation

• The chiropractic interpretation is more subtle and refers to the misalignment of adjacent spinal vertebrae.
• Subluxations are the main pathology treated by chiropractors. (Charles N.R. Henderson 2012)
• Subluxation in this context refers to position changes in the joints and soft tissues of the spine.
• Vertebral misalignment is believed to lead to pain and abnormal intervertebral joint motion.
• This difference between the serious subluxation medical condition and the chiropractic version may cause individuals to dismiss seeking back pain treatments.

Motion Segment

• Chiropractors and surgeons use it as a technical term.
• Motion segment refers to two adjacent vertebrae and the intervertebral disc between them.
• This is the area chiropractors assess and adjust.

Adjustment

• The chiropractor performs a spinal manual adjustment to realign joint subluxations.
• Adjustments involve applying force to motion segments to bring them back into a centered alignment.
• The goal for adjustments and realigning the vertebrae includes:
• Nerves can transmit signals without interruption.
• Positively affects overall health. (Marc-André Blanchette et al., 2016)

Manipulation

Spinal manipulation is a technique used by chiropractors to provide relief for musculoskeletal pain related to the back and neck. Manipulation provides mild to moderate relief and works as well as some conventional treatments like pain-relieving medications. (Sidney M. Rubinstein et al., 2012)

• Spinal manipulation is divided into grades of mobilization.
• Depending on their training, practitioners of various medical disciplines may be licensed to perform grade 1 to grade 4 mobilizations.
• Only physical therapists, osteopathic physicians, and chiropractors are licensed to perform grade 5 mobilizations, which are high-velocity thrust techniques.​
• Most massage therapists, athletic trainers, and personal trainers are not licensed to perform spinal manipulations.

Based on a systematic review, the effectiveness of these treatments found that there is quality evidence that manipulation and mobilization can help reduce pain and improve function for individuals with chronic low back pain, with manipulation appearing to produce a more profound effect than mobilization. Both therapies are safe, with multimodal treatments potentially being an effective option. (Ian D. Coulter et al., 2018)

As with any treatment, results vary from person to person and with different chiropractors. There are also potential risks with spinal manipulation. Though rare, cervical, carotid, and vertebral artery dissections have occurred with cervical/neck manipulation. (Kelly A. Kennell et al., 2017) Individuals with osteoporosis may be advised to avoid chiropractic adjustments or manipulation because of the increased risk of injury. (James M. Whedon et al., 2015)

Many individuals choose chiropractic treatment for a variety of conditions. Understanding chiropractic terminology and reasoning allows individuals to ask questions as they discuss their symptoms to develop a personalized treatment plan and restore function and wellness.

What Causes Disc Herniation?

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Henderson C. N. (2012). The basis for spinal manipulation: chiropractic perspective of indications and theory. Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 22(5), 632–642. https://doi.org/10.1016/j.jelekin.2012.03.008

Blanchette, M. A., Stochkendahl, M. J., Borges Da Silva, R., Boruff, J., Harrison, P., & Bussières, A. (2016). Effectiveness and Economic Evaluation of Chiropractic Care for the Treatment of Low Back Pain: A Systematic Review of Pragmatic Studies. PloS one, 11(8), e0160037. https://doi.org/10.1371/journal.pone.0160037

Rubinstein, S. M., Terwee, C. B., Assendelft, W. J., de Boer, M. R., & van Tulder, M. W. (2012). Spinal manipulative therapy for acute low-back pain. The Cochrane database of systematic reviews, 2012(9), CD008880. https://doi.org/10.1002/14651858.CD008880.pub2

Coulter, I. D., Crawford, C., Hurwitz, E. L., Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, P. M. (2018). Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. The spine journal : official journal of the North American Spine Society, 18(5), 866–879. https://doi.org/10.1016/j.spinee.2018.01.013

Kennell, K. A., Daghfal, M. M., Patel, S. G., DeSanto, J. R., Waterman, G. S., & Bertino, R. E. (2017). Cervical artery dissection related to chiropractic manipulation: One institution's experience. The Journal of family practice, 66(9), 556–562.

Whedon, J. M., Mackenzie, T. A., Phillips, R. B., & Lurie, J. D. (2015). Risk of traumatic injury associated with chiropractic spinal manipulation in Medicare Part B beneficiaries aged 66 to 99 years. Spine, 40(4), 264–270. https://doi.org/10.1097/BRS.0000000000000725

For individuals experiencing tightness in the lower back and hamstrings, can utilizing the sit and reach test help determine an individual's risk for future pain and injury?

Sit and Reach Test

Lower back and hamstring tightness and pain symptoms are usually brought on by muscle stiffness. The sit-and-reach test is one of the most common ways to measure lower back and hamstring flexibility. Exercise physiologists, physical therapists, chiropractors, and fitness trainers use the sit-and-reach test to measure lower back and hamstring flexibility to assess baseline flexibility. The test has been around since 1952 (Katharine F. Wells & Evelyn K. Dillon 2013) and has an extensive database of results across all age groups and genders.

• Individuals can use the sit-and-reach test to compare flexibility to the average result for individuals of the same gender and age.
• For healthcare providers, the test may be repeated after several weeks to determine flexibility progress.

Measurement

The test can be a valuable measurement of functional flexibility to sit with the legs straight in front and reach the toes. Jobs, sports, and everyday tasks regularly require bending over, reaching, and lifting objects. These are real-life examples of how having a healthy back and hamstring flexibility is vital in preventing pain symptoms and injuries. New flexibility assessments are currently being developed, and many trainers and therapists use their own versions with patients and clients. But even with more advanced specialized flexibility tests, the sit and reach test can be a functional testing tool for tracking general flexibility changes over time. (Daniel Mayorga-Vega et al., 2014)

Performing The Test

A special sit-and-reach testing box is used; however, individuals can make their own testing box by finding a heavy-duty box around 30cm or 11.811 inches tall. Set a measurement ruler/stick on top of the box so that 26 cm or 10.2362 inches of the ruler extends over the front edge toward the individual being tested. The 26cm mark should be at the edge of the box.

1. Get into position - Remove shoes and sit on the floor with legs stretched out in front with the knees straight and feet flat against the front end of the test box.
2. Start the movement - In a slow, steady motion, lean forward, keeping the knees straight, and slide the hands up the ruler as far as possible.
3. Stretch and repeat - Extend as far as possible, record the results, rest, and repeat three times.
4. Calculate the results - Average the results.

Results

Results compare flexibility over time to norms, or averages, for gender and age. Adequate flexibility is reaching the toes - the 26-cm mark on the ruler while keeping the legs straight.

Adult Women

• 37cm or 14.5669 inches or above: Excellent
• 33 to 36cm or 12.9921 inches: Above average
• 29 to 32cm or 11.4173 inches:  Average
• 23 to 28cm or 9.05512 inches: Below average
• Below 23cm or 8.66142 inches: Poor

Adult Men

• 34cm or 13.3858 inches or above: Excellent
• 28 to 33cm or 11.0236 inches:  Above average
• 23 to 27cm or 9.05512 inches:  Average
• 16 to 22cm or 6.29921 inches: Below average
• Below 16cm or 5.90551 inches: Poor

Alternatives

Individuals can test their own hamstring and lower back flexibility with some easy at-home tests. Use these methods while working on flexibility, and keep a record to see improvements. (Brittany L. Hansberger et al., 2019) One alternative is the V-sit reach test.

• To perform this, make a line on the floor with tape, then place a measuring tape perpendicular to the tape, making a cross.
• Sit with the feet in a V shape, touching the tape, feet about a foot apart, with the measuring tape between the legs; the 0 end starts where the legs part.
• Overlap hands with arms outstretched in front.
• Repeat three times, leaning forward and reaching with hands out.
• Then, repeat and take note of how far the hands could reach.

Another alternative is the fingertip-to-floor-distance test.

• Individuals will need someone to measure the distance between their fingertips and the floor.
• Warm up with a few practice stretches of standing and bending toward the floor.
• Then, measure how far from the floor the fingertips are.
• The ability to touch the floor is a good sign.

Improving Flexibility

Individuals with less than adequate flexibility are recommended to work on stretching the major muscle groups in both the upper and lower body on a regular basis to improve and maintain body flexibility.

• Individuals can incorporate dynamic stretching, which consists of active movements utilizing a full range of motion as part of warming up for workouts, sports, or other activities.
• Static stretching is recommended when cooling down after the muscles are warmed up and joints are lubricated.
• The American College of Sports Medicine recommends 2 to 3 sessions a week of flexibility training and learning to stretch daily.
• Stretches should be held for 15 to 30 seconds, then released and repeated 2 to 4 times. (Phil Page 2012)

This will take time and dedication, but with the help of trained specialists, regaining flexibility and full range of motion can be accomplished.

Benefits of Stretching

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Katharine F. Wells & Evelyn K. Dillon (1952) The Sit and Reach—A Test of Back and Leg Flexibility, Research Quarterly. American Association for Health, Physical Education and Recreation, 23:1, 115-118, DOI: 10.1080/10671188.1952.10761965

Mayorga-Vega, D., Merino-Marban, R., & Viciana, J. (2014). Criterion-Related Validity of Sit-and-Reach Tests for Estimating Hamstring and Lumbar Extensibility: a Meta-Analysis. Journal of sports science & medicine, 13(1), 1–14.

Hansberger, B. L., Loutsch, R., Hancock, C., Bonser, R., Zeigel, A., & Baker, R. T. (2019). EVALUATING THE RELATIONSHIP BETWEEN CLINICAL ASSESSMENTS OF APPARENT HAMSTRING TIGHTNESS: A CORRELATIONAL ANALYSIS. International journal of sports physical therapy, 14(2), 253–263.

Page P. (2012). Current concepts in muscle stretching for exercise and rehabilitation. International journal of sports physical therapy, 7(1), 109–119.

General health, diet, exercise, and lifestyle are important, but the importance of the spinal structure is often forgotten. The spine, or backbone, is the body's central support structure that holds the body together, supports its weight, and protects the nervous system. It connects different parts of the musculoskeletal system to help sit, stand, walk, twist, and bend. When the spine is misaligned, injured, and/or damaged, it can lead to various health issues, from chronic conditions to organ dysfunction. Chiropractic spinal structure restoration benefits overall health and can help relieve symptoms and restore mobility, flexibility, and function.

Spinal Structure Restoration

Chiropractic care goes beyond relieving muscle or joint pain and discomfort. Although injury rehabilitation is a primary reason for going to a chiropractor, it is in its ability to reset and rebalance the body. Just like a vehicle or piece of equipment that needs regular maintenance, tune-ups, rotation, and realignment, chiropractic provides these benefits.

Improved Range of Motion

• As the body ages or suffer from injuries or illnesses, the body's mobility and flexibility decrease, which causes stiffness and a limited range of motion.
• When the spine is not aligned correctly, it can cause restrictions in the range of motion.
• Chiropractic techniques improve joint function, correct misalignments, and strengthen and stabilize the spine, improving mobility and flexibility.
• Spinal structure restoration improves joint mobility and flexibility.
• The improved range of motion helps relieve muscle tension, stiffness, and pain.

Improved Posture

• Spinal misalignment typically leads to posture problems, neck and back pain, headaches, and other health issues.
• Correcting the spinal structure will:
• Correct posture.
• Reduce the risk of health issues.
• Provide more energy.
• Enhance mental clarity.
• Improve sleep.
• Restore mobility.
• Increase athletic and physical performance.

Pain and Discomfort Relief

• Misalignments can cause nerve irritation, inflammation, and muscle tension, leading to chronic pain in various areas, like the neck, back, shoulders, and hips.
• Chiropractic is a natural and non-invasive treatment that can help manage pain and discomfort without medication.
• Specifically addresses the underlying cause of the pain rather than just the symptoms, resulting in long-lasting relief.
• Chiropractic combines traditional techniques, such as adjustments, decompression, and traction, with advanced elements and a personalized approach.
• Adjustments and customized spinal traction setups alleviate pain and restore proper function to the spine.
• When the spine is properly aligned, the central nervous system's electrical signals can travel more effectively.

Increased Nerve Function

• Spinal misalignment can interfere with nerve function, leading to other musculoskeletal issues.
• Chiropractic releases compressed, tangled, or trapped nerves and restore nerve circulation, improving nerve function.

Enhanced Musculoskeletal Performance

• Individuals can benefit from chiropractic care, especially those involved in physically demanding occupations that place repeated stress on the body.
• Chiropractic can help prevent injuries, improve alignment and balance, reduce inflammation, and speed recovery.
• Spinal correction includes traction that targets and releases specific muscle groups and ligaments and stimulates detoxification that can enhance musculoskeletal performance.

Immune System Function

• Spinal misalignments can disrupt immune system function.
• The system relies on proper communication between the brain and immune organs.
• Chiropractic improves nerve function and reduces spine and back stress, allowing the system to function optimally.

By taking a holistic and personalized approach to spinal structure restoration, individuals can prevent the development of chronic health conditions and improve their quality of life.

Quick Patient Initiation Process

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

American Academy of Orthopaedic Surgeons. Spine Basics. (https://orthoinfo.aaos.org/en/diseases--conditions/spine-basics/) Accessed 12/08/2020.

American Chiropractic Association. Back Pain Facts and Statistics. (https://www.acatoday.org/Patients/What-is-Chiropractic/Back-Pain-Facts-and-Statistics/Back-Pain-Facts-and-Statistics) Accessed 12/08/2020.

Fernández-de-Las-Peñas, César, and María L Cuadrado. “Physical therapy for headaches.” Cephalalgia: an international journal of Headache vol. 36,12 (2016): 1134-1142. doi:10.1177/0333102415596445

InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. What are the organs of the immune system? [Updated 2020 Jul 30]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279395/

Izzo, Roberto, et al. “Biomechanics of the spine. Part I: spinal stability.” European Journal of Radiology vol. 82,1 (2013): 118-26. doi:10.1016/j.ejrad.2012.07.024

Jenkins, Hazel J et al. “Current evidence for spinal X-ray use in the chiropractic profession: a narrative review.” Chiropractic & manual therapies vol. 26 48. Nov 21 2018, doi:10.1186/s12998-018-0217-8

McHardy, Andrew, et al. “Chiropractic treatment of upper extremity conditions: a systematic review.” Journal of Manipulative and physiological therapeutics vol. 31,2 (2008): 146-59. doi:10.1016/j.jmpt.2007.12.004

Sharrak, Samir. and Yasir Al Khalili. “Cervical Disc Herniation.” StatPearls, StatPearls Publishing, Aug 29, 2022.

Fatigue Ankylosing Spondylitis: Fatigue is a significant complaint for individuals dealing with ankylosing spondylitis. Ankylosing spondylitis is a chronic inflammation of the spine's joints that can cause them to become fused or locked up. The process can cause the spine to stiffen, limiting movement, reducing flexibility, and generating a severe hunched posture. 

Symptoms can include back pain, stiffness, and the inability to take a deep breath if the ribs are involved. Fatigue can have a variety of causes, but in ankylosing spondylitis, inflammation and cytokines play a significant role. The underlying cause of ankylosing spondylitis is still being researched, but it currently affects around 300,000 Americans.

Fatigue Ankylosing Spondylitis

Most individuals with ankylosing spondylitis experience pain in the lower back but can also feel pain in their hips and neck, have abdominal pain, or experience problems with vision. Inflammatory back pain is usually strongest in the morning but can also come from inactivity.

Spinal Condition and Extreme Exhaustion

The inability to move along with a decreased spinal range of motion impacts body functionality, sleep quality, and respiratory function affecting energy levels and leading to mild to severe fatigue. Studies have shown that 50% - 85% of individuals with ankylosing spondylitis experience fatigue.

Fatigue is brought on by inflammation, as the body generates the same chemicals when fighting a cold or flu; an individual's body constantly works to reduce inflammation, leaving them drained and unable to perform ordinary tasks. Inflammatory diseases take a significant toll on the whole body, leading to an increased risk of depression and increased fatigue levels.

Exercise, Massage, and Diet

Many individuals find that their symptoms flare up after long periods of inactivity, like sleeping. This can make wanting to fall and stay asleep complicated, exacerbating fatigue and vice versa, creating a vicious cycle. Even though it can be challenging to move, gentle exercise is recommended. Exercise can help slow the disease progression, build muscle, and improve sleep. It is recommended to speak with a spine specialist, doctor, chiropractor, physical therapist, or exercise trainer about a customized exercise treatment program.

Many individuals with ankylosing spondylitis find therapeutic massage helpful in temporarily relieving pain, and stiffness, reducing stress and improving flexibility from increased blood circulation. A combination of gentle chiropractic massage, exercise, ergonomic adjustments, and rheumatology treatment is recommended for many cases. An anti-inflammatory diet comprised of foods like fatty fish, fruits, nuts, and leafy green vegetables can fight inflammation and decrease fatigue.

AS Causes, Symptoms, Diagnosis, Treatment, and Pathology

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Cornelson, Stacey M et al. "Chiropractic Care in the Management of Inactive Ankylosing Spondylitis: A Case Series." Journal of chiropractic medicine vol. 16,4 (2017): 300-307. doi:10.1016/j.jcm.2017.10.002

Li, Ting, et al. "Fatigue in Ankylosing Spondylitis Is Associated With Psychological Factors and Brain Gray Matter." Frontiers in medicine vol. 6 271. 21 Nov. 2019, doi:10.3389/fmed.2019.00271

Zhang, Jun-Ming, and Jianxiong An. "Cytokines, inflammation, and pain." International anesthesiology clinics vol. 45,2 (2007): 27-37. doi:10.1097/AIA.0b013e318034194e

Spine Conditions and Diabetes: Uncontrolled diabetes can wreak havoc on multiple organ systems, including:

• The cardiovascular system
• Neurological systems
• Kidneys
• Eye health

Diabetes and severe blood sugar fluctuations can lead to back pain and spinal conditions. The negative impacts on the body from diabetes can be destructive as it is a state of chronic inflammation.

Spine Conditions and Diabetes

Spinal conditions being researched and their link to diabetes can affect each condition and its development differently.

Spinal Stenosis

• Spinal stenosis is when the spine’s openings foramina begin to shrink and narrow, causing the nerve roots that branch off the spinal cord to have less space to function.
• The stenosis can compress one or more lumbar spinal nerves.
• Pain, tingling, weakness, and/or numbness in the legs can begin to present.

Spinal Epidural Abscess

• Spinal epidural abscess is an infection between the vertebral bones and the spinal cord membrane.
• Diabetes increases the risk of infection and increases the risk of developing an abscess.
• Hypertension and obesity can also increase the risk of infection.

Lumbar Disc Degeneration

• The back contains spinal discs between each vertebra that are the shock absorbers.
• Lumbar disc degeneration occurs when one or more discs begin to break down.
• The disc’s deterioration causes changes in the lumbar/lower back structure.
• The degeneration also causes back pain.

Disc degeneration is a normal part of aging and is expected. However, those who have lived with diabetes for over ten years have a higher risk of developing advanced lumbar disc degeneration. To prevent disc degeneration and/or minimize the adverse effects, it’s essential to maintain blood sugar levels.

Vertebral Osteomyelitis

• Vertebral osteomyelitis is a rare spinal infection resulting from a spinal injury or post-surgical complication/s.
• It is a bacterial infection that can travel to the spine from another location.
• Diabetes increases susceptibility to infections.
• For example, an individual with diabetes could have a foot ulcer, lower back pain, and a fever, symptoms that could indicate the development of vertebral osteomyelitis.

Chiropractic and Decompression Therapy

Spinal decompression is an effective non-surgical technique that can relieve back pain, leg pain, and symptoms associated with spinal conditions and disorders. It works by gently creating traction/pulling force with a specialized mechanical decompression table combined with chiropractic massage and adjustments. Benefits include:

Pain relief

• Decompression relieves tension in tight, spasming, or injured muscles.
• Stimulates the nervous system to release chemical signals that bring pain relief.

Heals spinal disc tissues

• Decompression creates a vacuum force on the spinal discs, helping to circulate much-needed fluids, cells, and other substances to the damaged tissue/s.

Restores spinal disc and joint alignment

• Stress, poor posture, poor body mechanics, and other factors can cause joints to shift out of place or the discs to herniate.
• The vacuum force helps realign the joints and discs.
• Prevents further pain and inflammation.
• Restores mobility and function.

Relieves pressure on nerves

• Spinal nerves can get pinched when discs, bones, or other tissues compress the small spaces causing inflammation and pain.
• Non-surgical decompression increases the space around the nerves, allowing the nerves to heal.

Injury Medical Chiropractic and Functional Medicine Clinic offer spinal decompression as one of many treatment approaches that make a difference in our patients’ quality of life and functional outcomes.

DOC Decompression Table

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Anekstein, Yoram, et al. “Diabetes mellitus as a risk factor for the development of lumbar spinal stenosis.” The Israel Medical Association journal: IMAJ vol. 12,1 (2010): 16-20.

Eivazi, Maghsoud, and Laleh Abadi. “Low back pain in diabetes mellitus and importance of preventive approach.” Health promotion perspectives vol. 2,1 80-8. 1 Jul. 2012, doi:10.5681/hpp.2012.010

Heuch, Ingrid et al. “Associations between serum lipid levels and chronic low back pain.” Epidemiology (Cambridge, Mass.) vol. 21,6 (2010): 837-41. doi:10.1097/EDE.0b013e3181f20808

Rinaldo, Lorenzo, et al. “Diabetes and Back Pain: Markers of Diabetes Disease Progression Are Associated With Chronic Back Pain.” Clinical diabetes: a publication of the American Diabetes Association vol. 35,3 (2017): 126-131. doi:10.2337/cd16-0011

Spondylitis Anti-Inflammation Diet: Individuals who have a chronic back pain condition can be recommended to have two or more vertebrae fused to correct the problem/s and alleviate the pain. However, a form of inflammatory spinal arthritis can cause the vertebrae to fuse by themselves, known as ankylosing spondylitis. One recommended way to bring pain relief is by eating an anti-inflammatory diet. Studies have shown that a low-inflammatory diet can help improve spondylitis symptoms.

Spondylitis Anti-Inflammation Diet

Ankylosing spondylitis is a progressive inflammatory disease that primarily affects the spine; however, individual symptoms vary. Symptoms include stiffness and pain in the neck, hips, low back, and fatigue. There is no definite pattern meaning:

• Symptoms can improve.
• Symptoms can worsen or flare up.
• Symptoms can stop for a period of time.

Women are affected more often than men with no known cause. There is no cure for ankylosing spondylitis, but treatments and self-care can slow down the disease's progression and help manage symptoms.

Diet and Inflammation

Diet is not the root cause of inflammatory disease, but eating inflammation-causing foods can worsen symptoms. Reducing inflammation can help alleviate pain.

• Eliminating foods that cause or increase inflammation is recommended to help the body become stronger and manage symptoms.
• Another way is to incorporate spondylitis anti-inflammation foods.
• Functional medicine practitioners can help guide individuals on maximizing healthy nutrition and using it to reduce pain and symptoms.
• If an individual has a genetic predisposition, their diet can be crucial to calm down the symptoms and help turn the autoimmune disease around.

A spondylitis anti-inflammation diet should be rich in vegetables, fruit, whole grains, and omega-3 fatty acids. Evidence shows that a diet low in starches can lead to less ankylosing spondylitis activity. Low-starch can also help limit the presence of Klebsiella pneumoniae, a bacteria that feeds on starch and is a known trigger for the onset and development of ankylosing spondylitis.

Foods To Eat

Leafy greens

• These include spinach, kale, Swiss chard, and collard greens containing magnesium and polyphenols that reduce inflammation.
• These can be raw or cooked with garlic and olive oil added to maximize benefits.

Cruciferous vegetables

• These contain sulforaphane, an antioxidant that includes broccoli cauliflower and can be eaten raw or cooked, roasted with olive oil, sauteed, and stir-fried.

Allium Vegetables

• These contain sulfuric compounds and quercetin, a flavonoid that helps reduce inflammation.
• These include red and yellow onions, leeks, garlic, and shallots.
• They can be eaten raw or cooked in salads, stir-frys, and sandwiches.

Berries

• These contain anthocyanin, an antioxidant flavonoid, and other antioxidants and polyphenols that help with inflammation.
• These include strawberries, raspberries, blueberries, blackberries and can be eaten raw, in smoothies, in salads, with oatmeal, or mixed in unsweetened yogurt.

Fruits

• Certain fruits contain quercetin and polyphenols to help with inflammation.
• These include apples, cherries, oranges.

Healthy oils

• Contain oleocanthal which acts similar to nonsteroidal anti-inflammatory medications and contains various antioxidants.
• These include olive oil for low heat cooking and avocado oil for high heat cooking to replace butter and margarine.
• It can be served in dressings and drizzled on foods.

Nuts and seeds

• These contain alpha-linolenic acid, which is a type of omega-3 fatty acid.
• Examples include walnuts, almonds, peanuts, pistachios, chia seeds, and ground flaxseeds.
• These can be served as snacks, salads, mixed in side dishes, topping, or added to unsweetened yogurt or oatmeal.

Fatty fish

• Omega-3 fatty acids help reduce inflammation.
• Examples include salmon, cod, rainbow trout, mackerel, and sardines.
• These can be baked, sauteed, grilled, mixed into salads, and stir fry.

Avoid These Foods

When making lifestyle adjustments for a spondylitis anti-inflammation diet, focus on reducing or removing processed foods and saturated fats. These include:

• Sugars from all sources like soda, sugary drinks, shakes, candy, and desserts.
• Trans fats, like those in fried foods like chips and fries.
• Starches, such as found in potatoes.
• Refined carbohydrates, processed grains that include white bread, and pastries.
• Red meat.
• Gluten.
• Dairy.
• Eggs.

Individuals may not be symptomatic with certain foods, but that doesn't mean the foods should be consumed. Gluten, dairy, and eggs can cause potential problems as they compromise the gut and the immune system. These can set back the individual's healing or remission.

Body Composition

What Happens To The Body When Eating Fruit

Fruit is made up of simple sugar called fructose, providing the body with a carbohydrate energy source. The natural sugar the body gets from a piece of fruit is not the same as processed fructose added to processed products like fructose corn syrup. Processed products are typically filled with empty calories and very little nutrition. When the body has fruit, the liver processes fructose before getting absorbed through the small intestine. Research shows that exposing the gut to more fiber-rich foods like fruit helps the gut achieve an anti-obese condition by increasing the good bacteria and reducing the obese bacteria. Essential nutrients from fruit include:

• Folate
• Vitamin C
• Vitamin B1

The USDA recommends making half of each meal/plate be fruit and vegetables.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Harvard Health Publishing. (November 16, 2021) "Foods that Fight Inflammation." https://www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation

Macfarlane, Tatiana V et al. "Relationship between diet and ankylosing spondylitis: A systematic review." European journal of rheumatology vol. 5,1 (2018): 45-52. doi:10.5152/eurjrheum.2017.16103

Nielsen, Forrest H. "Magnesium deficiency and increased inflammation: current perspectives." Journal of inflammation research vol. 11 25-34. January 18 2018, doi:10.2147/JIR.S136742

Rashid T, Wilson C, Ebringer A. The Link between Ankylosing Spondylitis, Crohn's Disease, Klebsiella, and Starch Consumption. Clin Dev Immunol. 2013;2013:872632. doi: 10.1155/2013/872632.

Sharma, Satya P et al. "Paradoxical Effects of Fruit on Obesity." Nutrients vol. 8,10 633. 14 Oct. 2016, doi:10.3390/nu8100633

van Buul, Vincent J et al. "Misconceptions about fructose-containing sugars and their role in the obesity epidemic." Nutrition research reviews vol. 27,1 (2014): 119-30. doi:10.1017/S0954422414000067

Individuals that experience frequent headaches can have sensitive headache trigger points. Every case is different and requires a thorough examination before a proper and personalized chiropractic treatment plan can begin. Headaches can be brought on from a variety of causes. This could be:

• Drug reactions
• Temporomandibular joint dysfunction (TMJ)
• Tightness in the neck muscles
• Low blood sugar
• High blood pressure
• Stress
• Fatigue

The majority of recurrent headaches fall into three types:

• Tension headaches, also known as cervicogenic headaches
• Migraine headaches
• Cluster headaches, which are related to migraines.

Tension

Tension headaches are the most common and affect around 77% of individuals experiencing chronic headaches. Most individuals describe a tension headache as a consistent dull ache on one side of the head and sometimes both sides. They are often described as having a tight band/belt around the head or behind the eyes. These headaches usually start slowly, gradually and can last for a few minutes or days. They tend to start in the middle of the day or before the end of the day.

These headaches can be the result of stress and/or poor posture. The most common cause is subluxations in the upper back and neck, usually combined with active headache trigger points. This stresses the spinal muscles in the upper back and neck. A tension headache or stress headache can last 30 minutes to a few days. Chronic tension headaches can last for months. The pain can be severe; however, these headaches are typically not associated with symptoms like throbbing, nausea, or vomiting.

If the top cervical vertebrae shift out of their position and lose their normal motion, a small muscle called the rectus capitis posterior minor/RCPM begins to spasm. This small muscle has a tendon that slips between the upper neck and the base of the skull. It attaches to a thin, sensitive tissue called the dura mater that covers the brain. The dura mater is very pain-sensitive. When the RCPM muscle goes into spasm, the tendon pulls the dura mater causing a headache. Individuals that work at a desk station for long hours tend to experience headaches from this cause. Another cause comes from referred pain caused by headache trigger points in the Sternocleidomastoid/SCM or levator muscle on the side of the neck. This cause tends to happen more to individuals that have suffered a whiplash injury with muscle damage in the neck region.

Migraine Headaches

Migraines are intense and throbbing headaches that are associated with nausea and sensitivity to light or noise. They can last for a few hours to a few days. Many experience visual symptoms known as an aura just before they come on. This is described as seeing flashing lights or when things take on a dream-like appearance. However, even in individuals that don't experience the aura, most can tell that a migraine is getting ready to present. Individuals usually have their first attack before age 30. They tend to run in families supporting a genetic component. Some have attacks several times a month, while others can have less than one a year. Most individuals find that migraines happen less and become less severe as they get older.

These headaches are caused by the constriction of blood vessels in the brain. During the constriction period, there is a decrease in blood circulation. This is followed by dilation/enlargening of the blood vessels. This is what leads to the visual symptoms. Then the blood vessels dilate, generating a rapid increase in blood pressure inside the head. This increased pressure is what leads to a pounding headache. Every time the heart beats, it sends another shock wave through the carotid arteries in the neck into the brain. There are different theories as to why the blood vessels constrict, but they are still unknown. What is known is that several factors can trigger a migraine. This includes:

• Lack of sleep
• Stress
• Flickering lights
• Strong smells
• Changing weather
• Foods that are high in an amino acid known as tyramine

Cluster

Cluster headaches are very short excruciating headaches. They are usually felt on one side of the head behind the eyes. These headaches affect about 1 million individuals and are more common in men. This type of headache tends to happen at night. They are called cluster headaches because they tend to happen one to four times a day over several days. After one cluster is over, it could be months or even years before they present again. Like migraines, cluster headaches cause the dilation of the blood vessels in the brain, increasing the pressure.

Trigger Points

Headache trigger point therapy involves four muscles. These are the:

• Splenius muscles
• Suboccipitals
• Sternocleidomastoid - SCM
• Trapezius

The Splenius muscles involve two individual muscles, the Splenius Capitis and the Splenius Cervicis. These muscles run along the upper back to the skull base or the upper cervical/neck vertebrae. Trigger points in the Splenius muscles are a common contributor to pain that travels through the head to the back of the eye and top of the head.

The Suboccipitals are a group of four small muscles that maintain proper movement and positioning between the first cervical vertebra and the skull base. Trigger points in these muscles can cause pain that feels like it's happening inside the head, from the back to the eye and forehead. Individuals report that the whole side of the head hurts. This is a pain pattern similar to a migraine.

The Sternocleidomastoid muscle runs along the base of the skull, behind the ear, down the side of the neck. It attaches to the top of the sternum/breastbone. Although most are not aware of this muscle's trigger points, the effects are evident. This includes:

• Referred pain
• Balance issues
• Visual symptoms

Referred pain tends to be eye pain, headaches over the eye, and can even cause earaches. An unusual characteristic of SCM headache trigger points is that they can cause dizziness, nausea, and balance problems.

The trapezius muscle is the large, flat muscle in the upper and middle back. Pain can be felt in the temple and back of the head. A common trigger point is located at the top of the muscle. This particular point can activate secondary trigger points in the temple or jaw muscles, leading to jaw or tooth pain.

Headache Triggers

• Stress can be a trigger.
• Depression, anxiety, frustration, and even pleasant excitement can be associated with headache development.
• A headache diary can help determine whether factors like food, weather, and/or mood correlate with headache patterns.
• Repeated exposure to nitrite compounds can result in a dull headache accompanied by a flushed face. Nitrite dilates blood vessels and is found in products like heart medications, and is also used as a chemical to preserve meat. Processed meats containing sodium nitrite can contribute to headaches.
• Foods prepared with monosodium glutamate or MSG can result in headaches. Soy sauce, meat tenderizers, and various packaged foods contain this chemical as a flavor enhancer.
• Exposure to poisons, even household varieties like insecticides, carbon tetrachloride, and lead, can contribute.
• Contact with lead batteries or lead-glazed pottery.
• Foods that are high in the amino acid tyramine should be avoided. This could be ripened cheeses like cheddar, brie, chocolate, and pickled or fermented food.

Bio-Chiropractic

Chiropractic adjustments are highly effective for treating tension headaches, especially those that originate in the neck. Research has found that spinal manipulation resulted in almost immediate improvement and had fewer side effects and longer-lasting relief than taking common medications. There is a significant improvement by manipulating the upper two cervical vertebrae, combined with adjustments to the area between the cervical and thoracic spine.

Body Composition Testing

Vibration Exercise

Vibration exercise is believed to stimulate the muscle fibers without going to a gym or stressing the bones. One study broke up postmenopausal women into three groups: resistance training, vibration training combined with resistance training, or no exercise/training. Their body composition was measured before starting the study. After the study was completed, the findings included:

• Both the resistance group and the resistance group with vibration training increased lean tissue mass.
• The control group did not show an increase in lean tissue and, in fact, gained body fat.
• The combination group, using vibration training with resistance training, showed a drop in body fat.

Another study placed male athletes in a training program that included vibration training. The first group had lower-limb strength training combined with vibration training, and the other had lower-limb strength training without vibration training. The researchers found that the athletes in the vibration training group improved leg extension strength by five percent. In addition, the vibration training groups balancing ability and vertical lift/jumping test improved as well. 

References

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

Chaibi, Aleksander et al. “Chiropractic spinal manipulative therapy for cervicogenic headache: a single-blinded, placebo, randomized controlled trial.” BMC research notes vol. 10,1 310. 24 Jul. 2017, doi:10.1186/s13104-017-2651-4

Bryans R, Descarreaux M, Duranleau M, et al. Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther 2014; 37: 42-63.

Bryans R, Descarreaux M, Duranleau M, et al. Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther 2011; 34: 274-89.

Belly fat is a gateway to back pain/spinal issues that can lead to various health problems. The bulging belly population has grown a bit since the beginning of the COVID-19 pandemic. 37% of individuals have gained weight since it began, according to a global Ipsos survey. If back pain is presenting and there is excess weight around the abdomen known as abdominal obesity, this could be a contributing factor.

Belly fat and posture

When the natural curves of the spine are normal, the core is stable and well-supported. Excessive weight, including a large abdomen, shifts these curves out of correct alignment. Excessive abdominal fat has been associated with lordosis, which is an excessive inward curve of the spine toward the lower back. One study found that severely obese individuals had pain and changes in posture. This was especially visible in the spine, knees, and feet.

Front-loading shift

The back pain felt from a bulging belly can be caused by a shift in posture and body mechanics. Studies show these can have a negative impact on back pain and body positioning. All or most of the weight is placed on the lower back.

Overloaded discs

Abdominal obesity can damage/injure the discs/shock absorbers of the spine. This leads to:

• Increased pressure
• Annular tears
• Herniation
• Pinched/compressed nerves

And a bulging belly can flatten the height of the intervertebral discs.

Fat pollutants in the blood

Fat can accumulate and secrete toxins that contribute to swelling and inflammation that can be painful. Over time, these toxins wear down components of the skeletal system. A study found potential links between obesity and degenerative disc disease. Scientists found a connection in obese men, but not obese women. This is believed to be because men tend to store fat in their bellies, and women tend to store fat in the buttocks and thighs.

Damage to the musculoskeletal system

The bones constantly renew themselves, but when there is excess body fat it can interfere with the process. This has the potential to turn into osteoporosis over time. Studies associate visceral fat with lower bone mineral density, and an increase in the risk of fractures.

Ankylosing spondylitis treatment and fat interference

Ankylosing spondylitis is an inflammatory disease that causes chronic back pain and can cause the vertebrae to fuse. The back can be extremely stiff, and the condition can lead to a permanently hunched posture. There are medications to improve symptoms and slow the disease. However, being overweight reduces the drugs’ effectiveness. This is because belly fat can cause medication absorption problems.

Rare spinal condition linked to obesity

Obesity along with a high Body Mass Index increases the risk of a rare condition called spinal epidural lipomatosis or SEL. This is an overgrowth of body fat in the spinal canal. Spinal epidural lipomatosis can cause various types of back pain. This is why it is recommended to have a doctor examine and evaluate any aches or pains.

Body Composition

Kombucha beneficial for gut bacteria

Kombucha contains a wide variety of bacteria and fungi that helps ferment the sugar in kombucha drinks. It is able to affect the existing microbes in the gut by inhibiting the growth of various gut-dwelling pathogens. These include:

• Salmonella
• Campylobacter
• E. coli
• H. pylori

1. It is a probiotic drink made from fermenting green or black tea
2. It is made up of healthy bacteria that produce acetic acid that is beneficial for blood sugar, insulin levels, and body composition
3. It helps the body process food by lowering insulin levels after a meal
4. It contains polyphenols that reduce oxidative stress, to help fight disease risks
5. It destroys unhealthy bacteria in the gut
6. It helps increase healthy bacteria

Kombucha can be thought of as a natural antibiotic. However, it does not come with the weight-gain side effect. Improving the health of the gut through fermented foods like kombucha help reduce the risk for weight gain/obesity, as well as restore gut health for those trying to lose weight by creating a healthy gut environment.

Disclaimer

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

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

References

Osong Public Health and Research Perspectives. (2016) “Influence of Obesity on Postural Stability in Young Adults.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5194219/

Obesity Surgery. (2005) “Postural changes in morbidly obese patients.” https://pubmed.ncbi.nlm.nih.gov/16105399/

Arthritis Research & Therapy. (2017) “Fat mass and fat distribution are associated with low back pain intensity and disability: results from a cohort study.” https://arthritis-research.biomedcentral.com/articles/10.1186/s13075-017-1242-z

Clinical and Investigative Medicine. (2014) “Visceral fat reflects disease activity in patients with ankylosing spondylitis.” https://pubmed.ncbi.nlm.nih.gov/24895992/

European Spine Journal. (2012). “Rapid progression of spinal epidural lipomatosis.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3369035/

Chronic inflammation remains a confusing subject for many. One reason for this is that chronic inflammation does not resemble acute inflammation and is not associated with conditions that are normally treated with medications, spinal manipulation or surgery.

Chronic Inflammation Needs To Be Understood

DD Palmer wrote a chapter in 1914 entitled Inflammation, stating that, "inflammation is present in most, if not all diseases, in the acute if not chronic." 100 years later, all chronic diseases are inflammatory conditions within local tissues . Chronic systemic inflammation and related pathophysiological changes involve structures and functions that are silent.

Chronic inflammatory condition alters the structure and function of a given tissue and is identified by symptoms and laboratory tests. This enables the application of a name, which describes the chronic state, such as osteoarthritis, fatty liver, tendinosis, diabetes, widespread pain, depression, osteoporosis, heart disease, Parkinson's disease, Alzheimer's disease and cancer.

Lifestyle Choices That Promote Chronic Inflammation

Loss of sleep, sedentary living, stress and diet all encourage inflammation.

Dietary interventions may appear confusing and complicated. The first step is to assess inflammatory markers during the examination, which will offer insight for a lifestyle change and management.

Markers For Chronic Inflammation

Laboratory tests are the best approach to spot chronic inflammation. High levels of glucose, triglycerides, hemoglobin A1c protein along with reduced levels of vitamin D and HDL cholesterol are the most reliable in identifying chronic inflammation.

Patients can also fill out a Health Survey Questionnaire (HSQ-12), which identifies health status, which directly correlates to chronic inflammation. Without doing a lab test,  chronic inflammation can be indirectly measured.

Nutrition For Chronic Inflammation

Diet is a problem for most people with over two-thirds of the population being overweight. Obesity is known to be a chronic inflammatory state associated with chronic pain and degenerative diseases.

Do no focus on the food for a dietary change and instead focus on the inflammatory markers aforementioned. Food can be emotional, with the markers being objective. Avoiding emotion and stress is a way to deal with nutrition effectively, along with weight loss.

The most essential element in reducing inflammation is caloric restriction. Becoming overweight comes from eating too many calories, whether they comes from fat, flour or sugar. Americans, on average, acquire 60 percent of their calories from flour, sugar and oils. The solution is to replace the refined calories with vegetation calories that allow for greater food consumption with lower calories.

Dietary options that can help:

• Vegan
• Omnivore
• Ketogenic

The important thing is to avoid extra salt, flour, refined oils and refined sugar.

Overview

One does not need to understand the chemistry of chronic inflammation to employ an anti-inflammatory lifestyle. It is crucial to understand that inflammation is the underlying cause of disease and most chronic pain.

Fibromyalgia Can Mask Chronic Inflammatory Disease

For individuals who suffer from migraine headaches, can incorporating physical therapy help decrease pain, improve mobility, and manage future attacks?

Migraine Physical Therapy

Cervicogenic migraine headaches can cause pain, limited motion, or confusing symptoms like dizziness or nausea. They may originate from the neck or cervical spine and be called cervicogenic headaches. A chiropractic physical therapy team can assess the spine and offer treatments that help improve mobility and decrease pain. Individuals may benefit from working with a migraine physical therapy team to perform treatments for specific conditions, quickly and safely relieving pain and returning to their previous level of activity.

Cervical Spine Anatomy

The neck is comprised of seven stacked cervical vertebrae. The cervical vertebrae protect the spinal cord and allow the neck to move through:

• Flexion
• Extension
• Rotation
• Side bending

The upper cervical vertebrae help support the skull. There are joints on either side of the cervical level. One connects to the back of the skull and allows motion. This suboccipital area is home to several muscles that support and move the head, with nerves that travel from the neck through the suboccipital area into the head. The nerves and muscles in this area may be a source of neck pain and/or headaches.

Symptoms

Sudden motions can trigger symptoms of cervicogenic migraine, or they may come on during sustained neck postures. (Page P. 2011) The symptoms are often dull and non-throbbing and may last several hours to days. Symptoms of cervicogenic migraine headache may include:

• Pain on both sides of the back of the head.
• Pain in the back of the head that radiates to one shoulder.
• Pain on one side of the upper neck that radiates to the temple, forehead, or eye.
• Pain in one side of the face or cheek.
• Reduced range of motion in the neck.
• Sensitivity to light or sound
• Nausea
• Dizziness or vertigo

Diagnosis

Tools a physician may use may include:

• X-ray
• MRI
• CT scan
• Physical examination includes neck range of motion and palpation of the neck and skull.
• Diagnostic nerve blocks and injections.
• Neck imaging studies may also show:
• Lesion
• Bulging or herniated disc
• Disc degeneration
• Arthritic changes

Cervicogenic headache diagnosis is usually made with one-sided, non-throbbing headache pain and a loss of neck range of motion. (Headache Classification Committee of the International Headache Society. 2013) A healthcare provider may refer the individual to physical therapy to treat cervicogenic headaches once diagnosed. (Rana M. V. 2013)

Physical Therapy

When first visiting a physical therapist, they will go through medical history and conditions, and questions will be asked about the onset of pain, symptom behavior, medications, and diagnostic studies. The therapist will also ask about previous treatments and review medical and surgical history. Components of the evaluation may include:

• Palpation of the neck and skull
• Measures of neck range of motion
• Strength measurements
• Postural assessment

Once the evaluation is completed, the therapist will work with the individual to develop a personalized treatment program and rehabilitation goals. Various treatments are available.

Exercise

Exercises to improve neck motion and decrease pressure on cervical nerves may be prescribed and may include. (Park, S. K. et al., 2017)

• Cervical rotation
• Cervical flexion
• Cervical side bending
• Cervical retraction

The therapist will train the individual to move slowly and steadily and avoid sudden or jerky movements.

Postural Correction

If forward head posture is present, the upper cervical spine and the suboccipital area could compress the nerves that travel up the back of the skull. Correcting posture may be an effective strategy for treatment and can include:

• Performing targeted postural exercises. 
• Utilizing a supportive neck pillow for sleep.
• Using a lumbar support when sitting.
• Kinesiology taping may help increase tactile awareness of back and neck position and improve overall postural awareness.

Heat/Ice

• Heat or ice may be applied to the neck and skull to help decrease pain and inflammation.
• Heat can help relax tight muscles and improve circulation and may be used before performing neck stretches.

Massage

• If tight muscles are limiting neck motion and causing head pain, a massage can help improve mobility.
• A special technique called suboccipital release loosens the muscles that attach the skull to the neck for improved motion and decreased nerve irritation.

Manual and Mechanical Traction

• Part of the migraine physical therapy plan may involve mechanical or manual traction to decompress the neck's discs and joints, improve motion in the neck, and decrease pain.
• Joint mobilizations may be used to improve neck motion and manage pain. (Paquin, J. P. 2021)

Electrical Stimulation

• Electrical stimulation, like electro-acupuncture or transcutaneous neuromuscular electrical stimulation, may be used on the neck muscles to decrease pain and improve headache symptoms.

Therapy Duration

Most migraine physical therapy sessions for cervicogenic headaches last about four to six weeks. Individuals may experience relief within a few days of starting therapy, or symptoms may come and go in different phases for weeks. Some experience continued migraine headache pain for months after starting treatment and use techniques they learned to help control symptoms.

Injury Medical Chiropractic and Functional Medicine Clinic specializes in progressive therapies and functional rehabilitation procedures focused on restoring normal body functions after trauma and soft tissue injuries. We use Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, and Rehabilitation Systems for all ages. Our natural programs use the body’s ability to achieve specific measured goals. We have teamed up with the city’s premier doctors, therapists, and trainers to provide high-quality treatments that empower our patients to maintain the healthiest way of living and live a functional life with more energy, a positive attitude, better sleep, and less pain.

Chiropractic Care For Migraines

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, don't hesitate to contact Dr. Alex Jimenez or us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Page P. (2011). Cervicogenic headaches: an evidence-led approach to clinical management. International journal of sports physical therapy, 6(3), 254–266.

Headache Classification Committee of the International Headache Society (IHS) (2013). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia: an international journal of headache, 33(9), 629–808. https://doi.org/10.1177/0333102413485658

Rana M. V. (2013). Managing and treating headaches of cervicogenic origin. The Medical Clinics of North America, 97(2), 267–280. https://doi.org/10.1016/j.mcna.2012.11.003

Park, S. K., Yang, D. J., Kim, J. H., Kang, D. H., Park, S. H., & Yoon, J. H. (2017). Effects of cervical stretching and cranio-cervical flexion exercises on cervical muscle characteristics and posture of patients with cervicogenic headache. Journal of Physical Therapy Science, 29(10), 1836–1840. https://doi.org/10.1589/jpts.29.1836

Paquin, J. P., Tousignant-Laflamme, Y., & Dumas, J. P. (2021). Effects of SNAG mobilization combined with a self-SNAG home-exercise for treating cervicogenic headache: a pilot study. The Journal of manual & manipulative therapy, 29(4), 244–254. https://doi.org/10.1080/10669817.2020.1864960

Individuals that engage in heavy exercise can develop heat cramps from overexertion. Can knowing the causes and symptoms help prevent future episodes from happening?

Heat Cramps

Heat cramps can develop during exercise from overexertion or prolonged exposure to high temperatures. The muscle cramps, spasms, and pain can range from mild to severe.

Muscle Cramps and Dehydration

Heat cramps often develop because of dehydration and electrolyte loss. (Robert Gauer, Bryce K. Meyers 2019) Symptoms include:

• Cramping
• Spasms
• Pain in the abdomen, arms, or legs. (Centers for Disease Control and Prevention. 2022)

Electrolytes like sodium, calcium, and magnesium are important for properly functioning muscles, including the heart. The primary role of sweating is to regulate the body's temperature. (MedlinePlus. 2015) Sweat is mostly water, electrolytes, and sodium. Excessive sweating from physical activity and exertion or a hot environment can cause electrolyte imbalances that lead to cramps, spasms, and other symptoms.

Causes and Activities

Heat cramps most commonly affect individuals who sweat excessively during strenuous activity or are exposed to hot temperatures for prolonged periods. The body and organs need to cool down, which causes sweat production. However, too much sweating can lead to dehydration and electrolyte depletion. (Centers for Disease Control and Prevention. 2022)

Risk Factors

Factors that can increase the risk of developing heat cramps include: (Robert Gauer, Bryce K. Meyers 2019)

• Age - Children and adults 65 years and older have the highest risk.
• Excessive sweating.
• Low sodium diet.
• Preexisting Medical Conditions - heart disease, diabetes mellitus, and obesity are conditions that can increase the risk of muscle cramping.
• Medications - blood pressure, diuretics, and antidepressants can affect electrolyte balance and hydration.
• Alcohol consumption.

Self-Care

If heat cramps begin, immediately stop the activity and look for a cool environment. Rehydrate the body to replenish the fluid loss. Staying hydrated and drinking fluids regularly during intense activity or in a hot environment can help prevent the body from cramping. examples of beverages that increase electrolytes include:

• Gatorade
• Pedialyte
• Coconut water (FoodData Central. 2019)
• Milk (FoodData Central. 2019)

Gently applying pressure and massaging affected muscles can help reduce pain and spasms. As symptoms resolve, it is recommended to not return to strenuous activity too soon because additional exertion can progressively lead to heatstroke or heat exhaustion. (Centers for Disease Control and Prevention. 2021) Heatstroke and heat exhaustion are two heat-related illnesses. (Centers for Disease Control and Prevention. 2022)

• Heatstroke is when the body loses the ability to regulate temperature and can cause dangerously high temperatures.
• Heat exhaustion is the body's response to excessive fluid and electrolyte loss.

Symptom Timing

The timing and length of heat cramps can determine whether medical attention is necessary. (Centers for Disease Control and Prevention. 2022)

During or After Activities

• The majority of heat cramps develop during activities because of the exertion and sweating, causing more electrolytes to be lost and the body to become more dehydrated.
• Symptoms can also develop minutes to hours after activity has ceased.

Duration

• Most heat-related muscle cramps will resolve with rest and hydration within 30–60 minutes.
• If muscle cramping or spasms do not subside within one hour, seek professional medical attention.
• For individuals with heart conditions or on a low-sodium diet who develop heat cramps, regardless of duration, medical help is necessary to ensure there are no complications.

Prevention

Tips for preventing heat cramps include: (Centers for Disease Control and Prevention. 2022)

• Drink plenty of fluids before and during physical activities.
• Avoid alcohol and caffeinated beverages.
• Avoid exercising or exposure to extreme heat during peak sunlight hours.
• Avoid tight and dark-colored clothing.

Assessing Patients In A Chiropractic Setting

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Gauer, R., & Meyers, B. K. (2019). Heat-Related Illnesses. American family physician, 99(8), 482–489.

Centers for Disease Control and Prevention. (2022). Heat stress — heat related illness. The National Institute for Occupational Safety and Health (NIOSH) Retrieved from https://www.cdc.gov/niosh/topics/heatstress/heatrelillness.html#cramps

MedlinePlus. (2015). Sweat. Retrieved from https://medlineplus.gov/sweat.html#cat_47

FoodData Central. (2019). Nuts, coconut water (liquid from coconuts). Retrieved from https://fdc.nal.usda.gov/fdc-app.html#/food-details/170174/nutrients

FoodData Central. (2019). Milk, nonfat, fluid, with added vitamin A and vitamin D (fat free or skim). Retrieved from https://fdc.nal.usda.gov/fdc-app.html#/food-details/746776/nutrients

Centers for Disease Control and Prevention. (2012). Frequently asked questions (FAQ) about extreme heat. Retrieved from https://www.cdc.gov/disasters/extremeheat/faq.html

For individuals managing osteoarthritis, could massage therapy provide added treatment benefits?

Osteoarthritis Massage Therapy

Osteoarthritis happens when the cartilage between the joints wears away, causing stiffness and pain. Massage therapy is a treatment used to relieve various types of pain symptoms.

• There are many types of massage therapy, that healthcare providers utilize to manipulate the muscles and other soft tissues to relieve symptoms, relax muscles, increase circulation, reduce inflammation, release trigger points, and restore mobility, flexibility, and function. (Ergonomic Trends. 2023)
• Professional therapists can help relieve osteoarthritis joint pain by relaxing the surrounding muscles and other soft tissues to release stiffness. (Adam Perlman, et al., 2019)

Massage Objectives and Types

Massage therapists use their hands and fingers, forearms, elbows, and/or instruments to manipulate the body's soft tissues. Soft tissues support and surround body structures and include muscle, fat, tendons, and ligaments.

• The goal of osteoarthritis massage therapy is to relax muscles and soft tissues, increase blood and oxygen circulation, warm the affected area/s, relieve pain, and restore mobility and function.
• Depending on the location of the muscles being massaged, individuals may be seated or lie down on a specialized table.
• The amount of pressure and direction of movement depend on the body area.
• Therapeutic oils and/or massage creams may be used to increase the therapy.

Types include:

Swedish

• The therapist uses long strokes, kneading, and friction on the muscles.
• Joints are moved to increase flexibility.

Deep Tissue

• The therapist uses deep finger or instrument pressure, focusing on muscles that are tight or knotted.

Trigger Point

• Trigger points represent a source of radiating pain symptoms.
• The therapist focuses pressure on these myofascial tissue points using various strokes to release them.

Shiatsu

• The therapist applies rhythmic pressure with their thumbs, fingers, and palms to redirect and increase energy or chi/qi.

A massage session lasts around 30–60 minutes depending on the severity of the condition and the number of sessions the patient has undergone. Chronic pain patients usually go through a series of specialized sessions that focus on specific areas and gradually build.

Risk Factors

Certain precautions must be taken before getting osteoarthritis massage therapy. Although there are a few serious risks, certain individuals are not suitable candidates and should not receive massage therapy. The conditions include: (Medical Massage Therapy Resource & Reference. 2023)

• Damaged nerves.
• Damaged blood vessels.
• Infection and inflammation in the area to be massaged.
• Open wounds.
• Fever.
• Taking a blood thinner.
• Deep vein thrombosis - blood clots.
• Bleeding disorders.
• Osteoporosis - weak and brittle bones.
• Recent fractures - broken bones.
• Tumors.
• Cancer.
• Individuals who have recently undergone surgery.
• Individuals with a skin condition that is contagious, like warts or herpes, or noncontagious, like psoriasis, could be aggravated by touch or pressure.
• Individuals who have cancer, fragile skin, heart problems, or dermatomyositis are recommended to discuss osteoarthritis massage therapy with their healthcare provider.

Research on the effects of massage therapy on various health conditions is ongoing. Massage therapy promotes relaxation while reducing stress, which can help with chronic joint issues like osteoarthritis.

Arthritis Explained

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Ergonomic Trends. 20 most common types of massages and their benefits explained.

Perlman, A., Fogerite, S. G., Glass, O., Bechard, E., Ali, A., Njike, V. Y., Pieper, C., Dmitrieva, N. O., Luciano, A., Rosenberger, L., Keever, T., Milak, C., Finkelstein, E. A., Mahon, G., Campanile, G., Cotter, A., & Katz, D. L. (2019). Efficacy and Safety of Massage for Osteoarthritis of the Knee: a Randomized Clinical Trial. Journal of general internal medicine, 34(3), 379–386. https://doi.org/10.1007/s11606-018-4763-5

Medical Massage Therapy Resource & Reference. When not to get a massage: 26 reasons you cannot get a massage.

Muscle knots or trigger points are tissues/segments of muscle fibers stuck in a contracted state and balled up or become entangled. To the touch, they can feel like small bumps, nodules, or knots. They are primarily found in muscles, but they can also be found in tendons, fascia, periosteum, and ligaments. Tight muscles can limit flexibility, increase discomfort and pain symptoms, and cause further injury that can develop into chronic conditions. Trigger points can develop in all muscles and multiple muscles simultaneously. The Injury Medical Chiropractic and Functional Medicine Team can create a personalized treatment plan for trigger point alleviation.

Muscle Knots Trigger Points

When muscle fibers are stuck in contraction, blood circulation decreases in and around the affected area, and the necessary nutrients and oxygen cannot be delivered. The excessive accumulation of the chemicals – acetylcholine, and calcium leads to a lack of oxygen in the area, which causes muscle fiber contraction and spasms. As the muscle fibers overly contract, they form a knot. Waste materials build up in the fibers as the blocked circulation doesn't allow removal. This irritates the trigger point, which reacts by sending out pain signals. The brain responds by telling the body not to use that muscle, causing the muscle to tighten, become weak, and lose range of motion. The other muscles have to work harder to compensate.

Trigger Point Types

Active and Latent 

• One type is an active trigger point.
• The trigger point causes pain and discomfort even when the muscle or tissue rests.
• The other type is latent, which means that the point does not cause pain or is sometimes even noticed until pressure is applied to the point or area.
• Both types can cause secondary trigger points to form.
• They can also prevent muscles from extending, making them feel weak.

Key and Satellite

• There are also key and satellite trigger points.
• Key trigger points activate satellite trigger points.
• Because key trigger point muscles are weakened, the muscles around that point need to work harder, causing multiple knots to form.
• Referred pain happens when a satellite trigger point causes sensations in a different area from the point itself.

Causes

The main causes include the following:

Direct Trauma

• Muscle trauma or injury can cause fibers not to heal properly, causing segments to stay deprived of oxygen and knotted.

Excessive and Extended Exercising

• During exercise/physical activity, profound muscle strain and injury can occur from pushing too hard for too long without proper recovery and repair.

Maintaining Healthy Posture

• Unhealthy postures can cause tension, stiffness, and aches and pains.

Stress and Fatigue

• Emotional and physical stress takes a toll on the body, which can result in excessive muscle contraction.
• Most of the time, it happens subconsciously without realizing that the body is tensing up.
• This is why engaging in relaxation activities, including therapeutic massage, is important.

Inactivity

• Lack of physical activity and a sedentary lifestyle can cause muscle spasms and over-contracting, leading to muscle knots.

Medical Conditions

• Conditions that affect muscles, like arthritis and fibromyalgia or medications, can cause muscle spasms and the development of trigger points.

Chiropractic and Massage Therapy

Chiropractic and therapeutic massage is an effective treatment to relieve muscle knots and symptoms and restore the body to optimal function. Massage uses various techniques to increase blood circulation, break down inflexible scar tissue and stretch and loosen muscles. Pain and discomfort decrease by allowing the muscles to move and restoring blood flow.

Massage Therapy Chiropractic Care

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Barbero, Marco, et al. “Myofascial pain syndrome and trigger points: evaluation and treatment in patients with musculoskeletal pain.” Current Opinion in Supportive and palliative care vol. 13,3 (2019): 270-276. doi:10.1097/SPC.0000000000000445

Cheung, Karoline, et al. “Delayed onset muscle soreness: treatment strategies and performance factors.” Sports medicine (Auckland, N.Z.) vol. 33,2 (2003): 145-64. doi:10.2165/00007256-200333020-00005

Money, Sarah. “Pathophysiology of Trigger Points in Myofascial Pain Syndrome.” Journal of Pain & palliative care pharmacotherapy vol. 31,2 (2017): 158-159. doi:10.1080/15360288.2017.1298688

Moraska, Albert F et al. “Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages: A Randomized, Placebo-Controlled Trial.” American Journal of physical medicine & Rehabilitation vol. 96,9 (2017): 639-645. doi:10.1097/PHM.0000000000000728

Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004

Prescription Medications: Sciatica is a term used to describe neuropathic/nerve pain. It is a prevalent condition known as a lumbosacral radicular syndrome. It’s discomforting, numbness, and tingling, combined with sharp shooting pain that can present anywhere from the low back where the nerve begins and down the leg into the foot. The most common cause is a bulging or herniated disc. The first medical recommendations are:

• Ice and Heat packs
• Physical therapy
• Chiropractic
• Over-the-counter pain relievers:
• Acetaminophen - Tylenol
• Non-steroidal anti-inflammatory drugs - NSAIDs:
• Naproxen - Aleve
• Ibuprofen - Advil, Motrin

However, when that is not enough, the next step usually involves prescription medications to treat the nerve pain.

Prescription Medications

The following are a few prescription medications for sciatica:

• Prescription-only NSAID diclofenac
• Gabapentin
• Topiramate

When it comes to prescription medications for non-specific lower back pain, medical guidelines are in agreement. Here’s a look at what the research shows about their effectiveness.

Diclofenac

Inflammation is a normal response of the immune system. However, the inflammation can irritate the nerves of the spinal column to the rest of the body, causing swelling and sciatica symptoms. NSAIDs are available as over-the-counter and prescription meds and can reduce inflammation, bringing relief from nerve pain, including sciatica. 

Dosage

Diclofenac is taken by mouth with its total daily dose or TDD and can range from 75 to 200 mg.

Side Effects

Possible short-term side effects of NSAIDs can include:

• Upset stomach
• Heartburn
• Nausea
• Headache
• Dizziness

Gabapentin

Gabapentin is commonly used to treat diabetic neuropathy and chronic sciatica nerve pain. However, it can take some time, possibly more than two weeks, to activate, and its effectiveness relieves sciatic nerve pain for up to 3 months. It works by calming down nerve cells to relieve neuropathic/nerve pain. It calms down the nerves by lowering the amounts of chemicals in the nervous system. An overabundance of chemicals can excite the nerve cells to the point of inflammation. Substance P is a neurotransmitter and a neuromodulator that plays a role in how the body perceives pain. Gabapentin helps to lower substance P levels.

Dosage

It is taken by mouth with its TDD typically between 900 to 3,600 mg, divided into multiple daily doses.

Side Effects

Common side effects include:

• Drowsiness/sleepiness
• Dizziness
• Arms and/or Leg swelling
• Diarrhea
• Weakness

Topiramate

Like the other anti-seizure medications, topiramate is thought to relieve nerve pain by calming down the nerve cells by attaching to the glutamate receptor and preventing it from activating pain signals. Topiramate is commonly used to alleviate sciatica symptoms but may not be as effective after three months and does not lower disability from the low back and sciatic pain. 

Dosage

The TDD for topiramate ranges between 50 to 400 mg.

Side Effects

Side effects can include:

• Drowsiness/sleepiness
• Sleep problems
• Mood/behavioral changes
• Trouble with memory
• Nervousness
• Appetite loss
• Weight loss
• Dizziness
• Numbness or tingling sensations

Decompression Diagnostics Specialists

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Baron, R., et al. (2010). The efficacy and safety of pregabalin in the treatment of neuropathic pain associated with chronic lumbosacral radiculopathy. Pain.

Dydyk AM, Conermann T. Chronic Pain. [Updated 2021 Nov 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553030/

Oliver Enke, Heather A. New, Charles H. New, Stephanie Mathieson, Andrew J. McLachlan, Jane Latimer, Christopher G. Maher, C.-W. Christine Lin. Anticonvulsants in the treatment of low back pain and lumbar radicular pain: a systematic review and meta-analysis. CMAJ Jul 2018, 190 (26) E786-E793; DOI: 10.1503/cmaj.171333

Rasmussen-Barr, Eva, et al. “Non-steroidal anti-inflammatory drugs for sciatica.” The Cochrane database of systematic reviews vol. 10,10 CD012382. 15 Oct. 2016, doi:10.1002/14651858.CD012382

Motorized non-surgical decompression helps relieve pain, removes pressure on the nerves, promotes healing, and increases blood flow to the spine. Spinal discs cannot attain nutrients from the blood without circulation. Decompression opens the spine, flooding the discs with nutrients that result in quicker and optimal healing. This, combined with manual chiropractic adjustments and therapeutic massage, can help get an individual to a pain-free lifestyle.

Spinal Discs

The soft disc material that separates each spinal bone can lose hydration, causing the material to dry out and compress. The discs can also compress from pressure from added weight, trauma from an automobile accident, work, school, and sports injury. Often the soft gel center of the discs spills out, causing a disc herniation. This is usually accompanied by:

• Numbness
• Tingling
• Soreness
• Stiffness
• Sharp pain
• Dull pain
• Achiness
• Muscle Weakness
• Stinging/Burning sensation
• Leg pain
• Poor balance

These are often indicators of a nerve or nerve bundle, including the sciatic nerve becoming compressed by a herniated disc, bulging disc or slipped disc, stenosis, facet syndrome, or degenerative disc disease. When this happens, the symptoms may be felt in the back or neck area, and/or they may spread out into the arms, hands, legs, or feet.

Motorized Decompression

Spinal decompression is relaxing and helps maintain range of motion throughout the body. The benefits of motorized decompression include:

• Relaxation
• Increased energy
• Pain relief
• Stress relief
• Headache relief
• Improved posture
• Improved range of motion
• Improved circulation
• Improved sleep

We focus on providing expert chiropractic treatment that incorporates the most current research and technology into personalized treatment plans. Our goal is to help the individual heal as quickly as possible while educating and training them to use tools to maintain health and wellness.

What Is Spinal Decompression?

 General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Andersson, G B, and R A Deyo. “History and physical examination in patients with herniated lumbar discs.” Spine vol. 21,24 Suppl (1996): 10S-18S. doi:10.1097/00007632-199612151-00003

Apfel, Christian C et al. “Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study.” BMC musculoskeletal disorders vol. 11 155. 8 Jul. 2010, doi:10.1186/1471-2474-11-155

Cherkin, DC, and F A MacCornack. “Patient evaluations of low back pain care from family physicians and chiropractors.” The Western journal of medicine vol. 150,3 (1989): 351-5.

Koçak, Fatmanur Aybala et al. “Comparison of the short-term effects of the conventional motorized traction with non-surgical spinal decompression performed with a DRX9000 device on pain, functionality, depression, and quality of life in patients with low back pain associated with lumbar disc herniation: A single-blind randomized controlled trial.” Turkish Journal of physical medicine and rehabilitation vol. 64,1 17-27. 16 Feb. 2017, doi:10.5606/tftrd.2017.154

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

Thermogenesis and metabolic homeostasis work hand in hand, thanks to BAT’s proper function. Indeed, BAT can metabolize nutrients, such as glucose and fatty acids, and convert them into heat instead of ATP. This mechanism is called non-shivering thermogenesis, and it is made possible by mitochondrial uncoupling protein 1 (UCP-1). Furthermore, proper mitochondrial function and quality are essential for the BAT metabolic and thermogenic processes. Therefore, maintaining mitochondrial homeostasis is crucial for BAT’s metabolic maintenance.

BAT:

Brown adipose tissue (BAT) is a specialized adipocyte group that converts nutrients, like glucose and fatty acids, into heat. Indeed, this thermogenic process is possible due to the high mitochondrial concentration and uncoupling protein 1 (UCP1). 

Furthermore, this thermogenic mechanism is essential to maintain core body temperature and survival when exposed to cold temperatures. Indeed, when exposed to cold weather, brown adipocyte’s mitochondria convert nutrients into protons and stores them in the mitochondrial inner membrane. Consequently, these stored protons are converted into heat by uncoupling protein 1 (UCP1)-mediated proton leak. Lastly, the heat produced by UCP1 is by the blood flow to maintain body temperature. This mechanism is called non-shivering thermogenesis, and it promotes metabolic homeostasis by modulating energy expenditure.

This activation pathway shows that mitochondrial function and quality are essential for thermoregulation and metabolic homeostasis. Furthermore, this positions mitochondrial health in the central stage of human survival mechanisms and energy production. In addition, as mitochondrial integrity becomes paramount for proper BAT function, their biogenesis, repair, and removal are critical for human health.

Clinical applications:

Recent studies have focused on increasing BAT by several mechanisms that have proven to improve mitochondrial function. Furthermore, these studies challenged brown adipocytes from mice with cold temperatures to observe mitochondrial behavior and, most important, quality control.

Cold adaptation:

In the first study, the researchers observed the mitochondrial ultrastructure of mice by electron microscopic (EM) images. Afterward, the mice were divided into two groups; the first was subjected to 4 °C (cold-challenge) vs. 30 °C (thermoneuturality) for seven days.

Furthermore, the EM images reported an increased presence of mitophagosomes in cold-challenged mouse BAT. Also, there was an increased expression of mRNA of mammalian autophagic membrane markers microtubule-associated protein light chain 3 (Map1lc3a) and ubiquitin-interacting protein p62 (Sqstm1). Consequently, these findings coincided with an increased concentration of UCP1, cytochrome c oxidase 1 (mt-Co1), cytochrome c oxidase II (mt-Co2), and ATP-synthase 6 (mt-Atp6). All of these results point to the fact that cold exposure increases mitophagy, which improves mitochondrial quality. Also, this shows that cold exposure increases UCP1 and cytochrome concentration, which can increase BAT’s size and total metabolic capacity.

BAT’s mitochondrial and ER interaction:

The second study focused on the interaction of BAT’s mitochondrial and endoplasmic reticulum (ER) health. Indeed, this study reports how BAT adaptive recruitment process during cold adaptation interacts with ER’s protein and lipid synthesis. Furthermore, they also discuss the importance of a high-fat diet consumption and how this excess nutrient consumption might lead to the whitening of this tissue and reduced metabolic capacity.

ER’s cellular function is to synthesize proteins and lipids, and by doing so, this creates metabolic homeostasis. In addition, ER has its maintenance mechanism mediated by the unfolded protein response (UPR). Indeed, UPR is a molecular network that promotes enhanced protein capacity and reduces protein translation and ER-associated protein degradation (ERAD) of damaged proteins through the ubiquitin-proteosome system (UPS). This system is inhibited in obese patient’s livers, which leads to inflammatory stress pathways. Furthermore, as ER concentration is low in brown adipocytes leads to believe that this pathway is dispensable or that brown adipocytes need an alternative protective pathway.

This study confirmed that the ER-localized transcription factor nuclear factor erythroid-2, like-1 (Nfe2l1, also known as Nrf1), was a critical driver of this quality control system. Also, the cold-induced activation of the Nrf1 pathway increased proteasomal activity, maintained ER homeostasis, thermoregulation, and cellular integrity.

Conditions complex as obesity or an injury have something in common with survival: mitochondrial integrity. As the studies on mitochondrial show their different metabolic or thermoregulatory functions, we notice that they run the show. In Functional Medicine, we seek to treat the root cause of health issues, supplying the right amount of vitamins and minerals to increase mitochondrial function or integrity. Most of the time, this means that we need to restore gut health and fix macro and micronutrient depletion, ultimately leading to restoring membrane function. This has a domino effect that results in fast injury recovery, less pain, inflammation reduction, and wellbeing. – Ana Paola Rodríguez Arciniega, MS

References:

Bartelt, Alexander et al. “Brown adipose tissue thermogenic adaptation require Nrf1-mediated proteasomal activity.” Nature medicine vol. 24,3 (2018): 292-303. doi:10.1038/nm.4481

Lu, Yuan et al. “Mitophagy is required for brown adipose tissue mitochondrial homeostasis during cold challenge.” Scientific Reports vol. 8,1 8251. 29 May. 2018, doi:10.1038/s41598-018-26394-5

Additional Online Links & Resources (Available 24/7)

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

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

Online Functional Medicine Assessment: https://bit.ly/functionmed

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

A proper diagnosis goes a long way. Treatment and recovery can happen relatively quickly or broken up into parts, phases, and sessions, as part of a treatment and rehabilitation plan. This depends on the individual, their age, underlying conditions, and the severity of their injury/s. 

It is not uncommon to have a treatment schedule that could be weeks/months long. This can be tough on individuals with limited abilities and/or a slow progressive rehab to get back to normal. It is arduous, but to achieve optimal healing and health, it is expected.

Chiropractic medicine is no different.  It’s non-invasive compared to surgery but not as immediate as medication/s. This places it in between. Recovery timelines can vary significantly based on the nature of the condition, the patient, their injury/s, and everything attached. Most chiropractic treatment and adjustment plans are scheduled according to the individual's injury and/or condition.

Every case is different, meaning that treatment could be a couple of sessions for an individual with mild sciatica to a few weeks or months for more severe injuries/conditions. Most want to know why chiropractors execute these plans over weeks and months.

The Body Needs To Get Used To The Adjustments

One reason for an extended adjustment schedule is to prevent adjustment shock. Adjustment shock often presents through soreness and tenderness, and there could be a feeling of soreness when sitting or standing or difficulty when trying to move with a normal range of motion. This happens when trying to heal the body too much and too fast. Trying to perform massive chiropractic adjustments without preparing the body could worsen and/or create further injury/s.

For example, correcting severe lordosis requires repositioning the spine’s curvature through properly planned out adjustment sessions. If a chiropractor tries to adjust/align the spine into place over a few days, this would be extremely uncomfortable and more than likely painful for the individual. Plus, there is a lack of musculoskeletal support from the rest of the body that is needed to make sure that the adjustments/changes take hold and are maintained. A chiropractor wants to avoid these issues to focus on getting the individual back to proper health.

Preparing The Body With A Solid Foundation

Chiropractic manipulations and adjustments need time to settle in, ensuring that they take hold and not shift back to the incorrect position. Spinal problems are not solved overnight. This means that the causes of misalignment will remain for a period as the treatment/adjustment process begins. 

A spaced-out schedule ensures that the adjustments are made accordingly to strengthen the spine through the process. This enables adjustments and the body to develop the necessary support system and prevent any negative re-shifting. As time goes on, the adjustments achieve total realignment, restoring the positive curvature that can be maintained.

Schedule Benefits

Finally, the step-by-step nature of a chiropractic adjustment schedule enables the treatment team to check the status of an adjustment plan. If radiological imaging shows changes, setbacks, or new issues arise, the treatment plan and schedule can be changed and adapted accordingly.

Body Composition Testing

Too Much Alcohol Can Slow Recovery From Tissue Injuries

Alcohol is often associated with celebrations, anniversaries, etc. But drinking too much can damage the immune system. Too much alcohol contributes to organ damage, specifically the liver. However, it is known to slow down recovery from tissue injuries, as well. Moderate drinking is defined as drinking up to 1 drink a day for women and up to 2 a day. 

Exceeding the recommended intake disrupts the immune pathways and impairs the body’s ability to fight off infections. Alcohol-related immune system damage has been associated with the development of certain types of cancer, including head and neck cancers among alcohol users. Before thinking that this is a problem that only affects chronic alcohol users, acute binge drinking can also severely impair the body’s immune system.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Holt, Kelly, et al. “The effects of a single session of chiropractic care on strength, cortical drive, and spinal excitability in stroke patients.” Scientific Reports vol. 9,1 2673. 25 Feb. 2019, doi:10.1038/s41598-019-39577-5

Iben, Axén, et al. “Chiropractic maintenance care - what's new? A systematic review of the literature.” Chiropractic & manual therapies vol. 27 63. 21 Nov. 2019, doi:10.1186/s12998-019-0283-6

Mior, Silvano et al. “Chiropractic services in the active-duty military setting: a scoping review.” Chiropractic & manual therapies vol. 27 45. 15 Jul. 2019, doi:10.1186/s12998-019-0259-6

Pasala, Sumana et al. “Impact of Alcohol Abuse on the Adaptive Immune System.” Alcohol research: current reviews vol. 37,2 (2015): 185-97.

If dealing with chronic disease, condition, or just poor overall health, detox support combined with chiropractic/health coaching is definitely an option that will help. Toxicity in the body can initiate or worsen existing health conditions.

A detox is not about a massive diet overhaul or spending a lot of time at some clinic. Detox support involves making small changes/adjustments that will help support the body’s natural detoxing process without radical changes. One way that a detox is supported is with chiropractic.

Detoxing the Body

The body is exposed to chemicals/toxins every day from food, air, and other particles that the body comes in contact with. However, the body has a natural ability for managing exposure to toxins to maintain overall health. If the toxins become too much to handle it can lead to a range of symptoms. Symptoms can range from:

• Sleepiness
• Fatigue
• Poor concentration
• Chronic disease
• Musculoskeletal conditions

Methods

Reducing the toxic load can be accomplished by supporting the body’s natural detox pathways. The body has organs/systems that detoxify and keep the body in balance. These support detoxification and include:

• Lymph nodes
• Kidneys
• Blood
• Liver
• Digestive system

Reducing toxin exposure is a long term strategy for improved health. Detox options include:

• Increased water intake
• Nutritional adjustments that focus on increased nutrient whole foods and reduced processed chemical foods
• Regular exercise
• More sleep
• Improved stress management skills/techniques
• Reducing environmental exposure with hygiene and cleaning product awareness
• Cleansing supplements
• Lifestyle changes
• Fasting, intermittent or longer with nutritionist/health coach supervision

Chiropractic Can Help

When the body struggles with toxin overload, the body can begin storing some of these toxins. Common areas include visceral fat and joints, like the spine. If toxins buildup in the spine, spinal misalignment can be exacerbated as it affects blood and nerve circulation. Spinal alignment restoration will help open and support the body's natural detox abilities and prevent unnecessary storage of toxins.

A chiropractic practitioner specializes in naturally restoring spinal alignment and the body's balance. This supplies the body with the energy it needs to process and rid itself of toxins. When the body is optimally supported and its detox pathways cleared overall optimal health can be achieved. Contact Injury Medical Chiropractic Clinic and experience what chiropractic support can do.

Body Composition Support

Food

Neutralizing oxidative stress, lowering inflammation, and boosting metallothionein expression, food can support the body when detoxifying and countering the effects like brain fog, and neurodegenerative disorders. However, foods and nutrients that detoxify can be a part of a healthy diet and lifestyle that includes a regular fitness routine.

References

Klein, A V, and H Kiat. “Detox diets for toxin elimination and weight management: a critical review of the evidence.” Journal of human nutrition and dietetics: the official journal of the British Dietetic Association vol. 28,6 (2015): 675-86. doi:10.1111/jhn.12286