Posture Insights

For individuals trying to achieve healthy posture, could using posture awareness training be effective in treatment and prevention?

Posture Awareness

Spinal curves help support the body's weight, movement, and balance. Five areas include the neck, upper back, lower back, sacrum, and coccyx. The bottom of the spine or sacrum rests between the two hip bones that comprise the pelvis. Because of this location, the movements made with the pelvis significantly affect the spine. (Ibrahim Alkatout, et al., 2021) When the pelvis moves, the spine moves.

• Posture-related back pain and associated symptoms are often caused by a weakened strength and flexibility ratio between the opposing muscle groups that hold the body upright.
• Achieving healthy posture requires technique and consistent practice for maintaining a healthy pelvis and low back curve. (DeokJu Kim, et al., 2015)
• Finding the low back curve and exploring how it responds when moving the pelvis is important to effective posture awareness training.

Lower Back Curve Awareness Exercise

One important thing to do to increase postural awareness is to become aware of the low back curve. (Arkadiusz Łukaz Żurawski, et al., 2020)

Sit On a Firm Chair or Stool

• So that the weight is planted into the seat in a balanced way.

Hold Onto the Arms of the Chair

• If the chair doesn't have arms, hold onto the edge of a desk/workstation or the sides of the chair seat.
• This will support the back when moving the pelvis.
• Maintaining core abdominal strength is key to preventing back injury. (Erika Zemková, Ludmila Zapletalová. 2021)

Movement

• Tilt the pelvis forward.
• In this position, notice the slightly exaggerated arch in the lower back and the increase in lower back muscle tension.
• A moderate amount of this increase and exaggeration is normal.

Relax Back to the Start Position

Sitting upright with the hip bones/top of the pelvis directly above the bottom.

• Next, tilt the pelvis back.
• The abs may have to work hard to support this position
• Use your hands against the chair for support.
• Check the lumbar curve area, noticing if it has flattened out.
• Notice the tension in the back muscles.
• Is it a little looser? This is normal.

Relax Back to the Start Position

• Sitting upright.
• Repeat the sequence again.
• This time, when in the forward position, pause briefly and slide a hand between the lower back and the back of the chair or the wall.
• When in the backward position, there will be little to no space between the lower back and the seatback or wall.

Problems

• If there are problems moving the pelvis back and forth, imagine a basket or bowl of fruit.
• The pelvis has a round shape and is open at the top, like a bowl or basket.
• Imagine the fruit is placed toward the front of the bowl, and the weight brings the bowl/pelvis forward.
• To go back, imagine the fruits are placed toward the back.
• The weight causes the bowl to roll backward.
• This may help to get the rhythm of the movement.

This posture awareness exercise can be used as a posture muscle builder by doing it with the back against the wall.

• A more challenging position for this exercise is standing against a wall.
• Keep the heels against the baseboard to really work the abs.
• Start with sitting and gradually to standing.

Foot Motion and Posture

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, 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

Kim, D., Cho, M., Park, Y., & Yang, Y. (2015). Effect of an exercise program for posture correction on musculoskeletal pain. Journal of physical therapy science, 27(6), 1791–1794. https://doi.org/10.1589/jpts.27.1791

Alkatout, I., Wedel, T., Pape, J., Possover, M., & Dhanawat, J. (2021). Review: Pelvic nerves - from anatomy and physiology to clinical applications. Translational neuroscience, 12(1), 362–378. https://doi.org/10.1515/tnsci-2020-0184

Żurawski, A. Ł., Kiebzak, W. P., Kowalski, I. M., Śliwiński, G., & Śliwiński, Z. (2020). Evaluation of the association between postural control and sagittal curvature of the spine. PloS one, 15(10), e0241228. https://doi.org/10.1371/journal.pone.0241228

Zemková, E., & Zapletalová, L. (2021). Back Problems: Pros and Cons of Core Strengthening Exercises as a Part of Athlete Training. International journal of environmental research and public health, 18(10), 5400. https://doi.org/10.3390/ijerph18105400

Healthy hips are necessary for standing, sitting, walking, running, bending, twisting, lifting, etc. Hip problems can seriously interfere with everyday activities. Out of alignment hips don’t just cause pain and soreness in the hip area but can radiate to other body areas. When the hip joint is out of alignment, the rest of the body has to start compensating for the misalignment, which can cause chronic pain in the back and/or legs.

Out of Alignment Hips

Discomfort and soreness begin as occasional but can quickly become regular. Individuals may also begin to limp when they walk, have a reduced range of motion in the hips, and pain that escalates with physical activity and improves with immobility/rest. Out of alignment hips can be caused by:

• Lifting incorrectly
• Repetitively carrying heavy loads on one side of the body places uneven pressure on the pelvis, causing an imbalance.
• Performing repetitive motions that begin to stress the joint
• Wearing shoes that do not provide proper support
• Standing and leaning on one leg regularly
• Injury/trauma
• Physical leg length discrepancy
• Functional leg length discrepancy
• Scoliosis

Physical Leg Length Discrepancy

If the legs are different lengths, this can cause the hips to go out of alignment. Using a foot wedge/foot orthotic in the shoe can remedy the situation.

Functional Leg Length Discrepancy

Functional leg length discrepancy is a common cause of hip misalignment, meaning that leg length is equal, but the individual is doing something to cause the hips to go out of alignment. It usually involves posture, standing, walking, sitting, lifting, and carrying improperly or awkwardly and repetitively could create functional leg length discrepancy.

Scoliosis

Scoliosis is only one cause of hip misalignment. It is not likely that an individual has scoliosis if they are an adult and have not previously been diagnosed with the condition. If a child has what looks like a misaligned hip, it is recommended to take them to get tested for scoliosis. Most children with the disorder will outgrow it, but they need to be monitored by a medical professional.

Symptoms include:

• Uneven gait
• Uneven shoulders
• Hip pain on one side
• Groin pain
• Tight buttock muscles
• Tight leg muscles
• Back pain - upper and lower
• Sciatica
• Knee pain
• Ankle pain

One of the most prominent signs that it is a hip problem is the presence of groin pain. Groin pain can radiate downward toward the buttocks, front of the thighs, and knees. The hip joint is located behind the groin; pain usually means the hip is the root cause.

Chiropractic Decompression

A chiropractic examination can identify uneven hips. Chiropractic and motorized spinal decompression can reset the hips to their proper position. A chiropractor will be able to rebalance the hips and help avoid invasive surgical treatments and long-term rehabilitation.

DRX9000 90 Seconds 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

Battaglia, Patrick J et al. “Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging.” Journal of chiropractic medicine vol. 15,4 (2016): 281-293. doi:10.1016/j.jcm.2016.08.004

Jones HR, Burns TM, Aminoff MJ, Pomeroy SL. Pain. Chapter: Diagnosis of Low Back, Buttock, and Hip Pain. Netter Collection of Medical Illustrations: Spinal Cord and Peripheral Motor and Sensory Systems, Section 8, 201-224.

Khamis, Sam, and Eli Carmeli. “A new concept for measuring leg length discrepancy.” Journal of orthopedics vol. 14,2 276-280. 27 Mar. 2017, doi:10.1016/j.jor.2017.03.008

Miyagi, Masayuki, et al. “Hip-spine syndrome: cross-sectional-study of spinal alignment in patients with coxalgia.” Hip international: the journal of clinical and experimental research on hip pathology and therapy vol. 29,1 (2019): 21-25. doi:10.1177/1120700018803236

Nunes, Guilherme S et al. “Acute Effects of Hip Mobilization With Movement Technique on Pain and Biomechanics in Females With Patellofemoral Pain: A Randomized, Placebo-Controlled Trial.” Journal of sport rehabilitation vol. 29,6 707-715. 18 Oct. 2019, doi:10.1123/jsr.2018-0497

Acid reflux is a common digestive problem. It happens when the stomach acid flows back into the esophagus or food pipe and irritates the lining. Sensations of burning discomfort in the abdomen and chest are also known as heartburn. Other digestive problems include:

• Heartburn that can be chronic or short-term
• Constipation
• Diarrhea
• Irritable Bowel Syndrome

If there are two or more episodes a week, it can be diagnosed as Gastroesophageal Reflux Disease/GERD. Symptoms usually present after eating. And symptoms can be especially pronounced if an individual lies down soon after. Additional symptoms can include:

• Feeling that the throat is blocked
• Acidic taste in the mouth
• Bad breath
• Pressure in the upper abdomen
• Cramping
• Nausea
• Inability to swallow - if trouble with swallowing and choking persists or becomes severe, seek medical attention immediately

A chiropractor can help restore the body's spinal balance and alignment. This can promote proper digestion without acid reflux symptoms. Realigning the spine back to a healthy shape, strengthens the back muscles, reducing the mechanical pressure on the internal organs. It also circulates the nerve energy to flow freely restoring normal function to the stomach and other organs.

Acid Reflux Causes

The most common causes of acid reflux are:

• Poor posture
• Obesity
• Pregnancy from the pressure placed on the stomach
• High acidic diet - tomatoes, soda, coffee both regular/decaf, alcohol, and chocolate are common heartburn triggers
• Hypersensitivity to certain foods
• Nerve interference from the spine to the organs
• Prescription medication/s
• Smoking
• Hiatal hernia

It has to do with something altering the body’s ability to generate digestive enzymes, acid, or a structural misalignment issue that can lead to disrupted digestion and acid reflux symptoms. When the body is out of alignment it can lead to aching hips, sore back, neck, and shoulders.

A misaligned spine can cause improper digestion and movement of food from the stomach to the intestines. Proper posture is a lot more than just keeping the body straight. Incorrect posture can lead to kyphosis, the spinal column rounding, which can cause the spine to push on areas where there is normally, no pressure. Two are the gastric and stomach areas.

Digestion

Common treatment options for acid reflux include:

• Diet adjustments
• Learning to eat less food at a slower pace
• Weight loss
• Quitting smoking
• Posture education
• Adopting a standing posture after eating allowing for optimal digestion

Medications can also be utilized like non-steroidal anti-inflammatories and anti-depressants. However, they may need to be modified as they can affect the efficiency of the esophageal sphincter.

A chiropractor will address the spinal misalignment that is affecting the body’s nerve flow for proper digestion. Once the body is in balance the physical process of proper digestion is restored. Along with synapses from the autonomic system, which is where digestion is controlled will be able to fire without interference. Additional chiropractic treatments that can benefit include:

• Health coaching
• Soft tissue therapy
• Core strengthening for stomach pressure alleviation

Talk with a chiropractor to go through treatment options. Everyone is different, and so each treatment plan is unique to the individual's needs and condition. Poor digestion and acid reflux affect the proper absorption of nutrients and minerals that can affect normal bodily processes. Chiropractic can get an individual back to normal digestive regulation.

Effective Chiropractic Therapy

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

Angus, Katherine et al. “What effect does chiropractic treatment have on gastrointestinal (GI) disorders: a narrative review of the literature.” The Journal of the Canadian Chiropractic Association vol. 59,2 (2015): 122-33.

Healthy posture and movement are essential for everyone, but especially for mothers-to-be. Practicing healthy posture is one of the most important contributions to a healthy pregnancy. Proper body alignment decreases low back and neck discomfort symptoms and muscle fatigue. A chiropractic therapy team can educate on maintaining a healthy posture when standing, sitting, and lying down throughout pregnancy, alleviate any subluxations, maintain optimal alignment, and keep the muscles relaxed through massage techniques.

Pregnancy Posture

Many changes occur in the musculoskeletal system during pregnancy for the growing fetus. This impacts posture, balance, and gait. Pregnancy posture can significantly influence the comfort and/or pain levels in the pregnant and postnatal body. This includes:

• Sleeping in the best position while pregnant.
• Sitting in the best position during pregnancy.
• These little changes and adjustments impact the health of the mother and baby.

Postural Changes During Pregnancy

During pregnancy, several factors work against maintaining correct and healthy alignment. For one, the baby's weight causes the lower back to sway as the center of gravity shifts forward.

Increased Lumbar Lordosis

• The concave curvature in the spine can become more pronounced because of the forward pull of the growing fetus.
• This can result in a swayback position - lordosis.
• The sacrum tilts backward.
• The legs grow wider apart when standing.

Increased Cervical Lordosis

• The normal slight forward curvature of the spine in the neck or cervical area is called cervical lordosis.
• The growing fetus aggravates the forward pull on the neck.
• During pregnancy, the breasts grow, adding more weight to the thoracic or mid back, causing the neck curvature to get pulled forward and down.
• Both shoulders also move forward and inward.

These changes can lead to back problem symptoms/pain, sciatica, and other musculoskeletal disorders and conditions if left untreated.

Unhealthy Posture Happens Naturally

• The abdominal muscles become stretched as the baby grows.
• Hormone levels increase and cause joints and ligaments to loosen.
• The muscles cannot contract fully and keep the lower back in alignment.

Healthy Posture Requires Practice

Standing

Proper posture when standing. From top to bottom:

• Maintain a neutral gaze that looks straight ahead.
• Don't bend the head too much forward or backward.
• Avoid twisting/bending movements whenever possible, or keep them to a minimum.
• The chest should be up, the core braced, and the shoulders back.
• The body weight is distributed evenly along the lower extremities.
• Contract abdominal and pelvic floor muscles during movements, as they support the stability of the pelvis and the trunk.
• When standing and having to hold the position for an extended period, use a box or stool to prop up one foot.
• For example, when washing dishes, the cabinet under the sink can rest the foot on the ledge.
• Switch position every 20 to 30 minutes.

Chiropractic

Whether in the planning stages or the second or third trimester, it's essential to keep postural health in mind. A chiropractor trained in the needs of pregnant women will use tables that adjust for a pregnant woman's body, and they will use techniques that avoid unneeded pressure on the abdomen and provide safe exercises and stretches. Benefits of chiropractic include:

• Helps maintain a healthier pregnancy.
• Helps regulate symptoms of nausea.
• Relieves back, neck, discomfort symptoms, and pain.
• Relieves and reduces excess strain on muscles, ligaments, and joints.
• Spinal curvature exaggeration is corrected.
• The normal spine curvatures are restored and maintained.

As more women seek the benefits of chiropractic for pregnancy, more healthcare providers seek trained doctors of chiropractic to refer their pregnant patients. Discuss these options with your healthcare provider, and schedule a visit to Injury Medical Chiropractic and Functional Medicine Clinic to check posture and biomechanics.

Chiropractic Pregnancy Treatment

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

Bauer, A W. “NEUE GESICHTSPUNKTE UEBER HALTUNG UND ERNAEHRUNG WAEHREND DER SCHWANGERSCHAFT” [NEW VIEWPOINTS ON POSTURE AND NUTRITION DURING PREGNANCY]. Wiener medizinische Wochenschrift (1946) vol. 113 (1963): 875-6.

Fitzhugh, M L, and M NEWTON. “Posture in pregnancy.” American Journal of Obstetrics and Gynecology vol. 85 (1963): 1091-5. doi:10.1016/s0002-9378(16)35644-7

Gutke A, Ostgaard HC, Oberg B Spine (Phila Pa 1976). 2006 Mar 1; 31(5):E149-55. Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning.

Schröder, Guido et al. “Impact of pregnancy on back pain and body posture in women.” Journal of physical therapy science vol. 28,4 (2016): 1199-207. doi:10.1589/jpts.28.1199

Yoo, Hyunju, et al. “Changes in the spinal curvature, degree of pain, balance ability, and gait ability according to pregnancy period in pregnant and nonpregnant women.” Journal of physical therapy science vol. 27,1 (2015): 279-84. doi:10.1589/jpts.27.279

 Chiropractic treatment is much more than just spinal adjustments. Regular chiropractic treatment stabilizes and keeps the body balanced. It provides individuals with the knowledge and tools to maintain optimal health and helps prevent musculoskeletal injuries. Treatment options and benefits that chiropractic care can provide includes:

• Soft Tissue Manual Therapy
• Physical Therapy
• Therapeutic Exercise
• Therapeutic Stretches
• Spinal Traction
• Diet and Nutritional counseling
• Lifestyle Modification health coaching

The spine is what allows the body to maintain a stable, upright position. A strong spine combined with proper posture is essential to healthy mobility, An unhealthy spine can cause all kinds of issues. Recognizing the role the spine plays in overall health will help protect an individual's long-term quality of life.

Chiropractic Support

With chiropractic care, the objective is on spinal health. The spine is the basis for all other aspects of the body's health. When the spine is properly aligned, nerve energy/communication is optimized to support all the body's basic functions. Maintaining spinal alignment builds and strengthens the body's immune system to take on whatever comes its way. This includes:

• Increases energy
• Increases productivity
• Clear thinking
• Improves biomechanics with regular movement
• Improved mood
• Improves sleep cycles

Chiropractic follows a specialized approach that is science-based and optimized for producing results.

Chiropractic Treatment Options

Chiropractic treatment activates the body's systems to function properly and at optimal levels. What to expect at a chiropractic clinic? It depends on the individual's symptoms, condition, and health goals. 

Spinal adjusting

This is a common procedure used to begin the process of aligning the spine. However, different chiropractic techniques are needed to maintain the spine's alignment for long-term health. In the beginning, regular sessions will be required to get the spine aligned completely and then light maintenance whenever needed.

Health coaching

Understanding what is causing the spine to go out of alignment will significantly help manage and prevent issues and/or injuries. A chiropractor will also discuss lifestyle/activity modification to help maintain optimal health. This includes:

• Posture education
• Exercise guidance
• Stress management techniques
• Sleep guidance

Soft tissue massage

Sore, stiff, and inflexible tissues are common with spinal misalignment. These areas are specifically addressed with targeted massage to reinforce the spinal alignment.

Exercise/stretching program

A chiropractor can recommend exercises for strengthening and stretching the muscles. This will optimize spinal alignment and the overall health of an individual.

Health Potential

Improving health through chiropractic is a safe and natural process. They will address the root issues with integrity to help individuals feel their best on every level. Contact Injury Medical Chiropractic and Functional Medicine Clinic today and see the possibilities.

Body Composition

Diet Changes

Two main forms of intervention include diet and exercise. Both contribute to reducing total cholesterol levels. When intervention is early it can be easier for the individual. But individuals can still reduce cholesterol levels at any stage of life or any stage of their fitness journey. Simple adjustments mean diet modification and the addition of aerobic exercise, and/or strength training.

A healthy diet emphasizes healthy fats in moderation and the minimization of foods that contribute to a high triglyceride count. Two diets that can help are the Mediterranean diet and the DASH Diet. Both diets recommend a high intake of:

• Fruits
• Vegetables
• Whole grains
• Fat-free dairy products
• Vegetable oils
• Seeds
• Nuts
• Lean proteins like salmon or chicken breast

One example of an optimal snack is avocado toast on whole wheat bread: delicious, and nutritious. It is important to remember that diet and exercise changes vary depending on an individual's age and medical history. Be sure to consult with a healthcare provider before beginning a diet or adding lifestyle adjustments.

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