Neuropathy "The Painful Enigma"

As humans, there are a variety of stressors experienced daily. Stress collects in various body areas, most commonly the upper back, jaw, and neck muscles. Stress leads to tension in the muscles. The built-up tension can cause the spinal bones to shift out of alignment, irritating the nerves between the spinal bones. A cycle begins as increased nerve tension causes the muscles to continue to contract/tighten. The extra muscle tension continues to pull the spinal bones out of alignment, making the spine stiff and less flexible affecting posture, balance, coordination, and mobility, causing the spine to become further unstable. Chiropractic treatment at regular intervals is recommended to help realign and maintain proper position.

Why The Spine Goes Out of Alignment

The nerves in the body are intricately linked to the spinal cord, and small distortions in the alignment can cause nerves to misfire and malfunction. When the spine goes out of alignment, the nervous system/brain and nerves get stuck in a stressed or tense state. Even a minor misalignment can cause a series of discomfort symptoms to travel throughout the body.

Causes

Causes of misalignment that creates tension in the nerves and muscles include:

• Previous injuries.
• Unhealthy sleep.
• Stress - mental and physical.
• Physically demanding jobs.
• Overtraining.
• Sedentary habits.
• Foot conditions and problems.
• Unhealthy eating habits.
• Being overweight.
• Chronic inflammation.
• Arthritis.

Chiropractic Treatment

Chiropractic examination procedures:

Palpation

• A chiropractor will feel/palpate the spine to see if the bones are in alignment, move well, or are out of alignment and not moving correctly or moving at all.

Posture Exam

• If the head, shoulders, and hips are uneven or the shoulders and head are pulling forward, the spinal bones are out of alignment/subluxations.

Balance and Coordination

• Unhealthy balance and coordination can indicate the brain, nerves, and muscles are malfunctioning by spinal misalignment.

Range of Motion

• A loss of spinal movement flexibility can show tension in the nerves, muscles, and misalignments.

Muscle Test

• Loss of strength in a muscle can indicate the nerve signals are weak.

Orthopedic Tests

• Tests that put the body in stressful positions focus on what tissue/s may be injured and the causes.

X-rays

• X-rays look for abnormalities, dislocations, bone density, fractures, hidden/invisible injuries, and infections.

Injury Medical Chiropractic and Functional Medicine Clinic provide personalized treatment plans. These specific therapies are made to generate long-term spine benefits. Spinal manipulation, deep tissue massage, MET, and other manual therapy techniques, combined with exercise, help get the bones moving properly, the muscles functioning correctly, and the spine back into proper form. Treatment relieves muscle spasms, tension, and joint dysfunction, increases circulation, and retrains the muscles to remain relaxed.

The Natural Way to Heal

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

Ando, Kei et al. “Poor spinal alignment in females with obesity: The Yakumo study.” Journal of Orthopaedics vol. 21 512-516. 16 Sep. 2020, doi:10.1016/j.jor.2020.09.006

Le Huec, J C et al. “Sagittal balance of the spine.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 28,9 (2019): 1889-1905. doi:10.1007/s00586-019-06083-1

Meeker, William C, and Scott Haldeman. “Chiropractic: a profession at the crossroads of mainstream and alternative medicine.” Annals of internal medicine vol. 136,3 (2002): 216-27. doi:10.7326/0003-4819-136-3-200202050-00010

Oakley, Paul A et al. “X-Ray Imaging is Essential for Contemporary Chiropractic and Manual Therapy Spinal Rehabilitation: Radiography Increases Benefits and Reduces Risks.” Dose-response: a publication of International Hormesis Society vol. 16,2 1559325818781437. 19 Jun. 2018, doi:10.1177/1559325818781437

Shah, Anoli A, et al. “Spinal Balance/Alignment - Clinical Relevance and Biomechanics.” Journal of biomechanical engineering, 10.1115/1.4043650. 2 May. 2019, doi:10.1115/1.4043650

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

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

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

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

Symptoms

Symptoms of a spinal cord injury include:

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

SCI Damage Control

A spinal cord injury affects the central nervous system, the body's central headquarters. Damage can cause complications through what's called the secondary injury cascade, which is a series of chemical reactions the body activates to help the situation. However, if the chemical response does not stop and stays active, it can worsen the injury. The body recognizes that an emergency has occurred and tries to go into a shut-down mode that kills off some of the cells in the central nervous system.

When a spinal injury happens, treatment focuses on stopping the damage as quickly as possible to stop the injury cascade and prevent as much cell death as possible. This act is called neuropreservation, meaning that the team is trying to preserve and save as many nerve cells as possible.

Injury Neuroregeneration Treatment Studies

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

Surgery

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

Medication

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

Antibody treatment

Antibodies are being studied in two ways.

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

Stem cells

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

Electrical stimulation

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

The Future of Neuroregeneration

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

Body Composition

The Importance of Measuring Body Composition

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

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

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

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

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

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

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

Fibromyalgia is a chronic pain disorder affecting millions and mostly women. It is physically and emotionally distressing. Those with the condition experience widespread chronic muscle pain. Research has shown that individuals with fibromyalgia could have a lower threshold for pain. This can come from injury, emotional distress, or abnormal levels of substances/chemicals in the brain and spine linked to pain sensitivity. One of the most common treatments is chiropractic medicine.

Common symptoms/conditions individuals report:

• Chronic fatigue syndrome
• Irritable bladder
• Irritable bowel syndrome
• Migraines
• Sleep disorders
• Restless legs syndrome
• TMJ or Temporomandibular joint disorder
• Raynaud's Syndrome - a rare blood vessel disorder causing the toes and hands to feel cold or numb.

Doctors are still trying to figure out the relationship between these conditions and fibromyalgia.

Causes

Doctors have yet to determine the exact cause, however, research is ongoing and beginning to shed light on the condition. Some possible causes include:

• Abnormalities in the endocrine system
• Abnormalities in the autonomic nervous system
• Genetics
• Muscle tissue abnormalities
• Abnormal blood flow

As research has discovered many conditions/disorders do not have one cause but rather, several factors that impact the probability of developing the condition.

Questions

It has become one of the most common chronic pain conditions. 1 in 50 Americans are dealing with fibromyalgia. The condition can be difficult to diagnose, and, because of its chronic nature, it can linger for months and even years. Typically it causes pain throughout the body and creates areas that become tender to the slightest touch. There are both traditional and alternative treatments available.

Traditional approaches to managing the pain:

• Anti-inflammatory's
• Over-the-counter pain relievers
• Sleep medications
• Muscle relaxants

Fibromyalgia medications include:

• Lyrica - pregabalin, which is a nerve pain medication
• Cymbalta - duloxetine hydrochloride, which is an antidepressant that can also help manage pain
• Savella - milnacipran HCI, which is an antidepressant and nerve pain medicine

The type of treatment depends on the symptoms. For example, a doctor could prescribe an antidepressant to reduce pain and depression. If stress, anxiety, and trouble sleeping are presenting, a therapeutic exercise program could be the answer. Individuals prefer natural remedies/therapies instead of more medications like vitamin therapy, acupuncture, and meditation.

Other treatment options include alternative treatments like:

• Physical therapy
• Massage
• Biofeedback therapy to manage stress

A doctor will usually recommend you see a physical therapist, chiropractor, and possibly psychologist to work on the mental and emotional toll.

Chiropractic medicine benefits

Pain is reduced

The most common issue is constant and consistent pain, which can affect the entire body for weeks and even months. Individuals realize that chiropractic helps restore overall health and aids the body to heal itself. Adjustments to the spine bring alignment and balance back to the body. Also incorporated is soft tissue work that can relieve and reduce painful pressure/trigger points and decrease pain in tender spots.

Range of motion is increased

Chiropractic medicine also adjusts the body's joints and helps loosen them up. This increases the range of motion and allows the individual to move more freely and easily. Depending on how long the individual has been dealing with the condition, it can take a few treatments to achieve optimal results, so it does take a commitment from the individual patient. However, in the long run, it is well worth the time.

Sleep is improved

The pain associated with fibromyalgia often affects an individual's ability to sleep well. Being unable to sleep normally will leave you exhausted, foggy, unable to accomplish things and irritable to downright angry. A chiropractor's ability to loosen the body's joints, massage tender points, and kickstart the body's self-healing mechanisms means individuals with this condition can enjoy deep sleep, and stay asleep.

Complements other therapies

Medicines/treatments/therapies can counteract with each other, or get mixed up and cause side effects. Chiropractic medicine can be utilized in combination with medications/treatments, either traditional or natural. Individuals diagnosed with this condition should speak to their chiropractor about the different treatments available. Customized treatment programs are created case-by-case and are tailored to the specific needs of that individual. Remember there is not a one-stop solution.

Empowers the individual

Individuals that have to deal with painful, chronic conditions can exhaust themselves with the varying treatment options and can feel as if they have no control over the situation. This causes stress, anxiety, and depression, which works against achieving overall wellness. With chiropractic, individuals are more in charge of their treatment plan, which leads to an optimistic outlook in their recovery. 

Chiropractic medicine treats not only the symptoms of fibromyalgia but attempts to get to the root cause to alleviate the condition or to activate the body's self-healing response. Patients that commit will see the benefits along with reduced pain, better mobility, and sound sleep.

The best benefit is being able to take control of the circumstances and playing a vital role in the managing of an individual's well-being. Understand that there are options available for fibromyalgia pain management. If you or a loved one has been diagnosed with fibromyalgia, don’t go it alone. Dr. Alex Jimenez is passionate about helping those who are injured or struggling with a condition get relief. Contact us today to schedule an appointment.

Peripheral Neuropathy Recovery Success

Spinal stress can affect nerve health. Neuropathy happens when disease or damage is sustained in the nerves that transmit messages from the brain through the spinal cord to the whole body. The source of the damage can be inside the spine, where a herniated disc could be squeezing the nerves, impeding or completely blocking blood circulation until deterioration begins to disease or damage nerve receptors. Removing the pressure from the spine and reversing the stress on the nerves can be done through manual or motorized spinal decompression.

Spinal Stress and the Nerves

The peripheral nervous system is comprised of three types of nerves that are directly influenced by the central nervous system, each with a distinct function which is why there is a wide range of symptoms associated with neuropathy. The types of nerves include:

• Autonomic nerves regulate respiration, heart rate, blood pressure, digestion, bladder function, etc.
• Motor nerves control muscle movement.
• Sensory nerves receive sensations from the skin like heat, cold, pleasure, and pain.

Spinal nerves contain sensory and motor fibers giving them sensory and motor functions. The spinal nerves receive sensory messages from the skin, internal organs, and bones. Any disruption from a bent, crushed, or entangled nerve group will not allow proper blood circulation and message transmission, causing delayed responses, tingling, numbness, and pain. If left untreated, it could cause permanent damage that can lead to chronic pain. Decompression therapy accelerates healing as it floods the spine with blood, oxygen, and nutrients.

Peripheral nerves originate from the spinal cord and extend a network of lines throughout the body called dermatomes. Injury to one dermatome can radiate/spread out to other dermatomes and the peripheral areas like the hands and feet. Once communication with the brain is compromised, results can lead to sensations like numbness and severe pain. Several factors can result in peripheral neuropathy, including:

• Diabetes.
• Genetics.
• Infection.
• Disease.
• Unhealthy dietary habits.

Nerve Root Pain Causes

Nerve root pain is usually caused by underlying conditions that have caused compression or damage to the nerve root; these include:

• Herniated discs.
• Spinal injury.
• Bone spurs.
• Arthritis.
• Infection.
• Inflammatory disease.
• Degenerative spinal conditions, like spinal stenosis and spondylosis.
• Tumors, cysts, hernias, and hematomas

DRX 9000

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

Gordon, Tessa. “Peripheral Nerve Regeneration and Muscle Reinnervation.” International journal of molecular sciences vol. 21,22 8652. 17 Nov. 2020, doi:10.3390/ijms21228652

Menorca, Ron M G et al. “Nerve physiology: mechanisms of injury and recovery.” Hand clinics vol. 29,3 (2013): 317-30. doi:10.1016/j.hcl.2013.04.002

Wang, Mark L et al. “Peripheral nerve injury, scarring, and recovery.” Connective tissue research vol. 60,1 (2019): 3-9. doi:10.1080/03008207.2018.1489381

Tinnitus is defined as the perception of sound without an external acoustic stimulus. It is a prevalent complaint in ENT offices, but the etiology of this condition has not yet been elucidated fully. However, it is believed that the root cause of the sound is perceived without any external stimulation is due to abnormal neural activity along the hearing path from the cochlear apparatus to the auditory cortex. In addition, tinnitus accompanies a wide array of conditions like sleep disturbances, stress, and reduced work efficiency. Furthermore, its treatment is complex, and 5-15% of those patients with tinnitus report that the symptoms are still present. Therefore, alternative therapies such as supplements and acupuncture have been proposed to reduce tinnitus symptoms positively.

Acupuncture Therapy as Tinnitus Treatment:

Acupuncture as tinnitus treatment has been extensively reported in books. Indeed, acupuncture’s effectiveness in treating tinnitus relies on the electric stimulations promoted by the needles, which initiates action potentials to rebalance the body’s systems. 

A study to determine acupuncture efficacy to reduce tinnitus symptoms was performed in 105 patients. This study compared the effects of two types of acupuncture, verum acupuncture and sham acupuncture, for five weeks, twice weekly. In addition, the study used the Tinnitus Handicap Inventory (THI) questionnaire and the visual analog scale to measure the treatment’s efficacy.

THI: 

The Tinnitus Handicap Inventory is a survey of 25 questions that are answered by the patient with a scoring system of 3 options:

Yes (4 points)

Sometimes (2 points) 

No (0 points)

After answering the 25 items, the points are added, and the result classifies the degree of tinnitus as grade 1 (0–16 points), grade 2 (18–36 points), grade 3 (38–56 points), grade 4 (58–76 points), or grade 5 (78–100 points). This survey is associated with the quality of life of the patient.

VSA

The Visual Analog Scale is a verbally administered scale to determine the degree of discomfort caused by tinnitus. It is ranged by scores starting with 0, indicating no discomfort, up to 10, which means an unbearable amount of pain.

Furthermore, this study reported that the group with the lowest THI and VAS scores was the one who received verum acupuncture. Additionally, this study reported a three-month follow-up, which determined that the tinnitus symptoms increased after stopping the acupuncture sessions.

One of the most exciting findings in tinnitus acupuncture treatment is that the VAS score decreases from 9.56 to 2.88. This same finding is reported by many authors who used the THI score in their studies. Nevertheless, this study concluded that acupuncture therapy is highly effective in reducing tinnitus symptoms, and it can potentially increase the patient’s quality of life. However, the changes promoted by this treatment are temporary and seem to diminish over time. 

Ginkgo biloba:

Over time pharmaceutical treatments have been used to diminish the severity of tinnitus. Indeed, medications like calcium channel blockers, vasodilators, muscle relaxants, anticonvulsants, antihistamines, anesthetics, and even barbiturates form part of the tinnitus treatment. However, these medications have shown little to no effects when compared with placebo. 

Once again, the lack of an etiology makes tinnitus hard to treat. However, new research has pointed to oxidative stress as one of the proposed mechanisms for the development of tinnitus. In addition, the increase of glutamate as an excitatory neurotransmitter in combination with neurotoxicity leads to the inflammation and necrosis of dendrites. Consequently, dendrite damage and inflammation of the afferent cochlear Corti organ cells is due to the production of free radicals.

The literature strongly supports the use of Gingko Biloba to treat tinnitus due to its varied bioactive constituents such as phytochemicals including alkanes, lipids, sterols, benzoids, carotenoids, phenylpropanoids, carbohydrates, flavonoids, and terpenoids. Furthermore, the Gingko Biloba acts like a monoamine-oxidase inhibitor (MAOI), improving tinnitus symptoms caused by ischemia. This mechanism of action is mainly due to myricetin, quercetin, ginkgolide, and bilobalide terpenoids. In conclusion, Gingko Biloba can reduce tinnitus symptoms by regulating vascular tone, and it acts as a scavenging agent of primary and secondary free radicals.

Despite all the medical research in tinnitus, no recommended treatment can reduce all the symptoms. Indeed, this is associated with tinnitus being a multifactorial disease and should be carefully evaluated to determine its treatment. The conclusion of many experts on this topic determines that the treatment should be a combination of sustainable and secure treatments. Therefore, Ginkgo Biloba and acupuncture studies can be used together to improve tinnitus outcomes in a conservative measure. – Ana Paola Rodríguez Arciniega, MS

References:

Mahmoudian Sani, M. R., Hashemzadeh-Chaleshtori, M., Asadi-Samani, M., & Yang, Q. (2017). Ginkgo biloba in the treatment of tinnitus: An updated literature review. International Tinnitus Journal, 21(1), 58-62.

Kuzucu, I., & Karaca, O. (2020). Acupuncture Treatment in Patients with Chronic Subjective Tinnitus: A Prospective, Randomized Study. Medical acupuncture, 32(1), 24–28. https://doi.org/10.1089/acu.2019.1367

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*