Accidents and Injuries
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Accidents and Injuries
Dr. Jimenez discusses injuries caused by trauma from an accident, including the symptoms affecting the body and treatment options. Being involved in a motor vehicle accident can not only lead to injuries but too can be full of confusion and frustrations. It is very important to have a qualified provider specializing in these matters completely assess the circumstances surrounding any injury.  If you need legal services or representation below some posts that may serve you well.  If you have questions please feel  free to contact: Dr. Alex Jimenez D.C., C.C.S.T  Injury Medical and Chiropractic Clinic: http://bit.ly/chiropractorPersonalInjury Book Appointment Today: https://bit.ly/Book-Online-Appointment
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Understanding a Dislocated Hip: Causes, Treatment, and Recovery | Call: 915-850-0900 or 915-412-6677

Understanding a Dislocated Hip: Causes, Treatment, and Recovery | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Can knowing treatment options for a dislocated hip help individuals expedite rehabilitation and recovery?

Dislocated Hip

A dislocated hip is an uncommon injury but can happen due to trauma or following hip replacement surgery. It usually occurs after severe trauma, including motor vehicle collisions, falls, and sometimes sports injuries. (Caylyne Arnold et al., 2017) A dislocated hip can also occur after hip replacement surgery. Other injuries like ligament tears, cartilage damage, and bone fractures can occur alongside the dislocation. Most hip dislocations are treated with a joint reduction procedure that resets the ball into the socket. It is usually done with sedation or general anesthesia. Rehabilitation takes time and could be a few months before full recovery. Physical therapy can help restore motion and strength in the hip.

What Is It?

If the hip is only partially dislocated, it's called a hip subluxation. When this happens, the hip joint head only partially emerges from the socket. A dislocated hip is when the head or ball of the joint shifts or pops out of the socket. Because an artificial hip differs from a normal hip joint, the risk of dislocation increases after joint replacement. A study found that around 2% of individuals who undergo total hip replacement will experience hip dislocation within a year, with the cumulative risk increasing by approximately 1% over five years. (Jens Dargel et al., 2014) However, new technological prosthetics and surgical techniques are making this less common.

Hip Anatomy

  • The hip ball-and-socket joint is called the femoroacetabular joint.
  • The socket is called the acetabulum.
  • The ball is called the femoral head.

 

The bony anatomy and strong ligaments, muscles, and tendons help to create a stable joint. Significant force must be applied to the joint for a hip dislocation to occur. Some individuals report feeling a snapping sensation of the hip. This usually is not a hip dislocation but indicates a different disorder known as snapping hip syndrome. (Paul Walker et al., 2021)

Posterior Hip Dislocation

  • Around 90% of hip dislocations are posterior.
  • In this type, the ball is pushed backward from the socket.
  • Posterior dislocations can result in injuries or irritation to the sciatic nerve. (R Cornwall, T E Radomisli 2000)

Anterior Hip Dislocation

  • Anterior dislocations are less common.
  • In this type of injury, the ball is pushed out of the socket.

Hip Subluxation

  • A hip subluxation occurs when the hip joint ball starts to come out of the socket partially.
  • Also known as a partial dislocation, it can turn into a fully dislocated hip joint if not allowed to heal properly.

Symptoms

Symptoms can include:

 

  • The leg is in an abnormal position.
  • Difficulty moving.
  • Severe hip pain.
  • Inability to bear weight.
  • Mechanical lower back pain can create confusion when making a proper diagnosis.
  • With a posterior dislocation, the knee and foot will be rotated towards the body's midline.
  • An anterior dislocation will rotate the knee and foot away from the midline. (American Academy of Orthopaedic Surgeons. 2021)

Causes

A dislocation can cause damage to the structures that hold the ball in the socket and can include:

 

  • Cartilage damage to the joint - 
  • Tears in the labrum and ligaments.
  • Fractures of the bone at the joint.
  • Injury to the vessels that supply blood can later lead to avascular necrosis or osteonecrosis of the hip. (Patrick Kellam, Robert F. Ostrum 2016)
  • A hip dislocation increases the risk of developing joint arthritis following the injury and can raise the risk of needing a hip replacement later in life. (Hsuan-Hsiao Ma et al., 2020)

Developmental Dislocation of the Hip

  • Some children are born with developmental dislocation of the hip or DDH.
  • Children with DDH have hip joints that did not form correctly during development.
  • This causes a loose fit in the socket.
  • In some cases, the hip joint is completely dislocated.
  • In others, it's prone to becoming dislocated.
  • In milder cases, the joint is loose but not prone to becoming dislocated. (American Academy of Orthopaedic Surgeons. 2022)

Treatment

Joint reduction is the most common way to treat a dislocated hip. The procedure repositions the ball back into the socket and is usually done with sedation or under general anesthesia. Repositioning a hip requires significant force.  A hip dislocation is considered an emergency, and reduction should be performed immediately after the dislocation to prevent permanent complications and invasive treatment. (Caylyne Arnold et al., 2017)

 

  • Once the ball is back in the socket, the healthcare provider will look for bone, cartilage, and ligament injuries.
  • Depending on what the healthcare provider finds, further treatment may be necessary.
  • Fractured or broken bones may need to be repaired to keep the ball within the socket.
  • Damaged cartilage may have to be removed.

Surgery

Surgery could be necessary to return the joint to its normal position. Hip arthroscopy can minimize the invasiveness of certain procedures. A surgeon inserts a microscopic camera into the hip joint to help the surgeon repair the injury using instruments inserted through other small incisions.

 

Hip replacement surgery replaces the ball and socket, a common and successful orthopedic surgical procedure. This surgery may be performed for various reasons, including trauma or arthritis, as it is common to develop early arthritis of the hip after this type of trauma. This is why many who have a dislocation ultimately need hip replacement surgery. As a major surgical procedure, it is not without risks. Possible complications include:

 

  • Infection
  • Aseptic loosening (the loosening of the joint without infection)
  • Hip dislocation

Recovery

Recovering from a hip dislocation is a long process. Individuals will need to walk with crutches or other devices early in recovery. Physical therapy will improve the range of motion and strengthen the muscles around the hip. Recovery time will depend on whether other injuries, such as fractures or tears, are present. If the hip joint was reduced and there were no other injuries, it may take six to ten weeks to recover to the point where weight can be placed on the leg. It could be between two and three months for a full recovery. Keeping weight off the leg is important until the surgeon or physical therapist gives the all-clear. Injury Medical Chiropractic and Functional Medicine Clinic will work with an individual's primary healthcare provider and other surgeons or specialists to develop an optimal personalized treatment plan.

Chiropractic Solutions for Osteoarthritis

 

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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Arnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Managing dislocations of the hip, knee, and ankle in the emergency department [digest]. Emergency medicine practice, 19(12 Suppl Points & Pearls), 1–2.

 

Dargel, J., Oppermann, J., Brüggemann, G. P., & Eysel, P. (2014). Dislocation following total hip replacement. Deutsches Arzteblatt international, 111(51-52), 884–890. https://doi.org/10.3238/arztebl.2014.0884

 

Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, W. F., & Kaye, A. D. (2021). Snapping Hip Syndrome: A Comprehensive Update. Orthopedic reviews, 13(2), 25088. https://doi.org/10.52965/001c.25088

 

Cornwall, R., & Radomisli, T. E. (2000). Nerve injury in traumatic dislocation of the hip. Clinical orthopaedics and related research, (377), 84–91. https://doi.org/10.1097/00003086-200008000-00012

 

American Academy of Orthopaedic Surgeons. (2021). Hip dislocation. https://orthoinfo.aaos.org/en/diseases--conditions/hip-dislocation

 

Kellam, P., & Ostrum, R. F. (2016). Systematic Review and Meta-Analysis of Avascular Necrosis and Posttraumatic Arthritis After Traumatic Hip Dislocation. Journal of orthopaedic trauma, 30(1), 10–16. https://doi.org/10.1097/BOT.0000000000000419

 

Ma, H. H., Huang, C. C., Pai, F. Y., Chang, M. C., Chen, W. M., & Huang, T. F. (2020). Long-term results in the patients with traumatic hip fracture-dislocation: Important prognostic factors. Journal of the Chinese Medical Association : JCMA, 83(7), 686–689. https://doi.org/10.1097/JCMA.0000000000000366

 

American Academy of Orthopaedic Surgeons. (2022). Developmental dislocation (dysplasia) of the hip (DDH). https://orthoinfo.aaos.org/en/diseases--conditions/developmental-dislocation-dysplasia-of-the-hip-ddh/

Dr. Alex Jimenez's insight:

Explore the causes, treatment, and recovery timeline for a dislocated hip. Discover how physical therapy can facilitate your healing journey. For answers to any questions you may have, call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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Understanding Instrument-Assisted Soft Tissue Mobilization | Call: 915-850-0900 or 915-412-6677

Understanding Instrument-Assisted Soft Tissue Mobilization | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Can physical therapy with instrument-assisted soft tissue mobilization or IASTM improve mobility, flexibility, and health for individuals with musculoskeletal injuries or illnesses?

Instrument Assisted Soft Tissue Mobilization

Instrument-assisted soft tissue mobilization or IASTM is also known as the Graston technique. It is a myofascial release and massage technique used in physical therapy where the therapist uses metal or plastic tools to improve soft tissue mobility in the body. The ergonomically shaped tool is gently or vigorously scraped and rubbed across the injured or painful area. The rubbing is used to locate and release tightness in the fascia/collagen covering the muscles and the tendons. This helps reduce pain and improve movement.

Massage and Myofascial Release

Instrument-assisted soft tissue mobilization rehabilitation helps:

 

  • Improve soft tissue mobility.
  • Release of restrictions in tight fascia.
  • Decrease muscle spasms.
  • Improve flexibility.
  • Increased circulation to the tissues.
  • Relieve pain. (Fahimeh Kamali et al., 2014)

 

Individuals often develop tissue tightness or restrictions in the muscles and fascia after an injury. These soft tissue restrictions can limit the range of motion - ROM and can trigger pain symptoms. (Kim J, Sung DJ, Lee J. 2017)

History

The Graston technique of instrument-assisted soft tissue mobilization was developed by an athlete who created their instruments to treat soft tissue injuries. The practice has grown with input from medical experts, trainers, researchers, and clinicians.

 

  • Physical therapists use different types of tools to perform IASTM.
  • These massage instruments comprise various types for specific massage and release.
  • The Graston company designs some of the tools.
  • Other companies have their version of metal or plastic scraping and rubbing tools.
  • The objective is to help release soft tissue and myofascial restrictions to improve body movement. (Kim J, Sung DJ, Lee J. 2017)

How It Works

  • The theory is that scraping the tissues causes microtrauma to the affected area, activating the body's natural inflammatory response. (Kim J, Sung DJ, Lee J. 2017)
  • The body activates to reabsorb the tightened or scar tissue, causing the restriction.
  • The therapist can then stretch the adhesions to alleviate pain and improve mobility.

Treatment

Certain conditions respond well to instrument-assisted soft tissue mobilization, including (Kim J, Sung DJ, Lee J. 2017)

 

  • Limited mobility
  • Decreased muscle recruitment
  • Loss of range of motion - ROM
  • Pain with movement
  • Excessive scar tissue formation

 

Augmented soft tissue mobilization or ASTM techniques can treat certain injuries and medical conditions that include:

 

  • Musculoskeletal imbalance/s
  • Ligament sprains
  • Plantar fasciitis
  • Myofascial pain
  • Tendonitis and tendinopathy
  • Scar tissue from surgery or trauma (Morad Chughtai et al., 2019)

Benefits and Side Effects

Benefits include: (Kim J, Sung DJ, Lee J. 2017)

 

  • Improved range of motion
  • Increased tissue flexibility
  • Improved cell activity at the site of injury
  • Reduced pain
  • Reduced scar tissue formation

 

Side effects may include:

 

Research

  • A review compared hands-on myofascial release to instrument myofascial release for chronic low back pain. (Williams M. 2017)
  • Little difference was found between the two techniques for pain relief.
  • Another review compared IASTM to other methods for treating pain and function loss. (Matthew Lambert et al., 2017)
  • The researchers concluded that IASTM could positively affect blood circulation and tissue flexibility and reduce pain.
  • Another study examined the use of IASTM, pseudo-fake ultrasound therapy, and spinal manipulation for patients with thoracic/upper back pain. (Amy L. Crothers et al., 2016)
  • All groups improved over time with no significant negative events.
  • The researchers concluded that instrument-assisted soft tissue mobilization is no more or less effective than spinal manipulation or pseudo-ultrasound therapy for thoracic back pain.

 

Every case is different, and musculoskeletal conditions respond differently to various treatments. For any questions or concerns, contact your primary healthcare provider to determine if IASTM is an appropriate treatment that can help.

From Injury To Recovery

 

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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Kamali, F., Panahi, F., Ebrahimi, S., & Abbasi, L. (2014). Comparison between massage and routine physical therapy in women with sub acute and chronic nonspecific low back pain. Journal of back and musculoskeletal rehabilitation, 27(4), 475–480. https://doi.org/10.3233/BMR-140468

 

Kim, J., Sung, D. J., & Lee, J. (2017). Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application. Journal of exercise rehabilitation, 13(1), 12–22. https://doi.org/10.12965/jer.1732824.412

 

Chughtai, M., Newman, J. M., Sultan, A. A., Samuel, L. T., Rabin, J., Khlopas, A., Bhave, A., & Mont, M. A. (2019). Astym® therapy: a systematic review. Annals of translational medicine, 7(4), 70. https://doi.org/10.21037/atm.2018.11.49

 

Williams M. (2017). Comparing pain and disability outcomes of instrumental versus hands-on myofascial release in individuals with chronic low back pain: a meta-analysis. Doctoral dissertation, California State University, Fresno. https://repository.library.fresnostate.edu/bitstream/handle/10211.3/192491/Williams_csu_6050D_10390.pdf?sequence=1

 

Matthew Lambert, Rebecca Hitchcock, Kelly Lavallee, Eric Hayford, Russ Morazzini, Amber Wallace, Dakota Conroy & Josh Cleland (2017) The effects of instrument-assisted soft tissue mobilization compared to other interventions on pain and function: a systematic review, Physical Therapy Reviews, 22:1-2, 76-85, DOI: 10.1080/10833196.2017.1304184

 

Crothers, A. L., French, S. D., Hebert, J. J., & Walker, B. F. (2016). Spinal manipulative therapy, Graston technique® and placebo for non-specific thoracic spine pain: a randomised controlled trial. Chiropractic & manual therapies, 24, 16. https://doi.org/10.1186/s12998-016-0096-9

Dr. Alex Jimenez's insight:

Discover the benefits of instrument-assisted soft tissue mobilization for improved mobility, pain relief, and increased flexibility. For answers to any questions you may have, call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Strengthen Your Multifidus Muscles to Improve Spine Stability | Call: 915-850-0900 or 915-412-6677

Strengthen Your Multifidus Muscles to Improve Spine Stability | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

For individuals experiencing lower back pain can understanding the anatomy and function of the multifidus muscle help in injury prevention and in the development of a highly effective treatment plan?

Multifidus Muscle

The multifidus muscles are long and narrow on either side of the spinal column, which helps stabilize the lower region of the spine or lumbar spine. (Maryse Fortin, Luciana Gazzi Macedo 2013) Sitting too much, practicing unhealthy postures, and lack of movement can progress to the multifidus muscle weakening or atrophy, which can lead to spinal instability, vertebral compression, and back pain. (Paul W. Hodges, Lieven Danneels 2019)

Anatomy

Known as the deep layer, it is the innermost layer of the three muscle layers of the back and controls the movement of the spine. The other two layers, known as the intrinsic and superficial, are responsible for the thoracic cage/rib cage and shoulder movement. (Anouk Agten et al., 2020) The multifidus has attachment points at:

 

  • The thoracic spine of the middle back.
  • The lumbar spine of the lower back.
  • The iliac spine - the base of the wing-shaped iliac bone of the pelvis.
  • Sacrum - series of bones at the base of the spine connected to the tailbone.
  • When standing or moving, the multifidus muscle works with the transversus abdominus and pelvic floor muscles to stabilize the lumbar spine. (Christine Lynders 2019)

Muscle Function

The main function is to stabilize the lower back, but it also helps extend the lower spine whenever reaching or stretching. (Jennifer Padwal et al., 2020) Because the muscle has numerous attachment points and is serviced by a specific branch of nerves known as the posterior rami, it allows each vertebra to work individually and more efficiently.

 

  • This protects against spinal deterioration and the development of arthritis. (Jeffrey J Hebert et al., 2015)
  • The multifidus muscle works with two other deep muscle groups to stabilize and move the spine. (Jeffrey J Hebert et al., 2015)
  • The rotatores muscle enables unilateral rotation, turning from side to side, and bilateral extension or bending backward and forward.
  • The semispinalis muscle above the multifidus allows extension and rotation of the head, neck, and upper back.
  • The multifidus muscle ensures spinal strength because it has more attachment points to the spine than the other layers, which reduces spinal flexibility and rotation but increases strength and stability. (Anouk Agten et al., 2020)

Lower Back Pain

A weak multifidus muscle destabilizes the spine and provides less support to the vertebra. This adds pressure on muscles and connective tissues between and adjacent to the spinal column, increasing the risk of lower back pain symptoms. (Paul W. Hodges, Lieven Danneels 2019) The loss of muscle strength and stability can cause atrophy or wasting away. This can cause compression and other back problems. (Paul W. Hodges et al., 2015) Back problems associated with multifidus muscle deterioration include (Paul W. Hodges, Lieven Danneels 2019)

 

  • Herniated discs - also bulging or slipped discs.
  • Nerve entrapment or compression pinched nerve.
  • Sciatica
  • Referred pain - nerve pain originating from the spine felt in other areas.
  • Osteoarthritis - wear-and-tear arthritis
  • Spinal osteophytes - bone spurs
  • Weak abdominal or pelvic floor muscles can compromise the core, increasing the risk of chronic lower back pain and injury.

 

Individuals are recommended to consult a physical therapist and chiropractor who can help develop the appropriate treatment, rehabilitation, and strengthening plan based on age, injury, underlying conditions, and physical abilities.

Can Core Exercises Help with Back Pain?

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Fortin, M., & Macedo, L. G. (2013). Multifidus and paraspinal muscle group cross-sectional areas of patients with low back pain and control patients: a systematic review with a focus on blinding. Physical therapy, 93(7), 873–888. https://doi.org/10.2522/ptj.20120457

 

Hodges, P. W., & Danneels, L. (2019). Changes in Structure and Function of the Back Muscles in Low Back Pain: Different Time Points, Observations, and Mechanisms. The Journal of orthopedic and sports physical therapy, 49(6), 464–476. https://doi.org/10.2519/jospt.2019.8827

 

Agten, A., Stevens, S., Verbrugghe, J., Eijnde, B. O., Timmermans, A., & Vandenabeele, F. (2020). The lumbar multifidus is characterized by larger type I muscle fibers compared to the erector spinae. Anatomy & cell biology, 53(2), 143–150. https://doi.org/10.5115/acb.20.009

 

Lynders C. (2019). The Critical Role of Development of the Transversus Abdominis in Preventing and Treatment Low Back Pain. HSS journal: The Musculoskeletal Journal of Hospital for Special Surgery, 15(3), 214–220. https://doi.org/10.1007/s11420-019-09717-8

 

Padwal, J., Berry, D. B., Hubbard, J. C., Zlomislic, V., Allen, R. T., Garfin, S. R., Ward, S. R., & Shahidi, B. (2020). Regional differences between superficial and deep lumbar multifidus in patients with chronic lumbar spine pathology. BMC musculoskeletal disorders, 21(1), 764. https://doi.org/10.1186/s12891-020-03791-4

 

Hebert, J. J., Koppenhaver, S. L., Teyhen, D. S., Walker, B. F., & Fritz, J. M. (2015). The evaluation of lumbar multifidus muscle function via palpation: reliability and validity of a new clinical test. The Spine Journal: official North American Spine Society journal, 15(6), 1196–1202. https://doi.org/10.1016/j.spinee.2013.08.05

 

Hodges, P. W., James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Multifidus Muscle Changes After Back Injury Are Characterized by Structural Remodeling of Muscle, Adipose and Connective Tissue, but Not Muscle Atrophy: Molecular and Morphological Evidence. Spine, 40(14), 1057–1071. https://doi.org/10.1097/BRS.0000000000000972

Dr. Alex Jimenez's insight:

Multifidus muscles help stabilize the lower lumbar region & protect against weakness & pain. Learn more here! For answers to any questions you may have, call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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Recognizing the Symptoms of a Cracked Rib | Call: 915-850-0900 or 915-412-6677

Recognizing the Symptoms of a Cracked Rib | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Individuals may not realize they have a cracked rib until symptoms like pain when taking in a deep breath begin to present. Can knowing the symptoms and causes of cracked or broken ribs help in diagnosis and treatment?

Cracked Rib

A broken/fractured rib describes any break in the bone. A cracked rib is a type of rib fracture and is more a description than a medical diagnosis of a rib that has been partially fractured. Any blunt impact to the chest or back can cause a cracked rib, including:

 

  • Falling
  • Vehicle collision
  • Sports injury
  • Violent coughing
  1. The main symptom is pain when inhaling.
  2. The injury typically heals within six weeks.

Symptoms

Cracked ribs are usually caused by a fall, trauma to the chest, or intense violent coughing. Symptoms include:

 

  • Swelling or tenderness around the injured area.
  • Chest pain when breathing/inhaling, sneezing, laughing, or coughing. 
  • Chest pain with movement or when lying down in certain positions.
  • Possible bruising.
  • Although rare, a cracked rib can cause complications like pneumonia.
  • See a healthcare provider immediately if experiencing difficulty breathing, severe chest pain, or a persistent cough with mucus, high fever, and/or chills.

Types

In most cases, a rib usually gets broken in one area, causing an incomplete fracture, which means a crack or break that does not go through the bone. Other types of rib fractures include:

Displaced and Nondisplaced Fractures

  • Completely broken ribs may or may not shift out of place.
  • If the rib does move, this is known as a displaced rib fracture and is more likely to puncture lungs or damage other tissues and organs. (Yale Medicine. 2024)
  • A rib that stays in place usually means the rib is not completely broken in half and is known as a nondisplaced rib fracture.

Flail Chest

  • A section of the ribcage can break away from the surrounding bone and muscle, although this is rare.
  • If this happens, the ribcage will lose stability, and the bone will move freely as the individual inhales or exhales.
  • This broken ribcage section is called a flail segment.
  • This is dangerous as it can puncture the lungs and cause other serious complications, like pneumonia.

Causes

Common causes of cracked ribs include:

 

  • Vehicle collisions
  • Pedestrian accidents
  • Falls
  • Impact injuries from sports
  • Overuse/Repetitive stress brought on by work or sports
  • Severe coughing
  • Older individuals can experience a fracture from a minor injury due to the progressive loss of bone minerals. (Christian Liebsch et al., 2019)

The Commonality of Rib Fractures

  • Rib fractures are the most common type of bone fracture.
  • They account for 10% to 20% of all blunt trauma injuries seen in emergency rooms.
  • In cases where an individual seeks care for a blunt injury to the chest, 60% to 80% involve a broken rib. (Christian Liebsch et al., 2019)

Diagnosis

A cracked rib is diagnosed with a physical exam and imaging tests. During the examination, a healthcare provider will listen to the lungs, press gently on the ribs, and watch as the rib cage moves. The imaging test options include: (Sarah Majercik, Fredric M. Pieracci 2017)

 

  • X-rays - These are for detecting recently cracked or broken ribs.
  • CT Scan - This imaging test comprises multiple X-rays and can detect smaller cracks.
  • MRI - This imaging test is for soft tissues and can often detect smaller breaks or cartilage damage.
  • Bone Scan - This imaging test uses a radioactive tracer to visualize the structure of bones and can show smaller stress fractures.

Treatment

In the past, treatment used to involve wrapping the chest with a band known as a rib belt. These are rarely used today as they can restrict breathing, increasing the risk of pneumonia or even a partial lung collapse. (L. May, C. Hillermann, S. Patil 2016). A cracked rib is a simple fracture that requires the following:

 

  • Rest
  • Over-the-counter or prescription medications can help manage pain symptoms.
  • Nonsteroidal anti-inflammatory drugs - NSAIDs like ibuprofen or naproxen are recommended.
  • If the break is extensive, individuals may be prescribed stronger pain medication depending on the severity and underlying conditions.
  • Physical therapy can expedite the healing process and help maintain the range of motion of the chest wall.
  • For patients who are frail and elderly individuals, physical therapy can help the patient walk and normalize certain functions.
  • A physical therapist can train the individual to transfer between bed and chairs safely while maintaining awareness of any movements or positioning that make the pain worse.
  • A physical therapist will prescribe exercises to keep the body as strong and limber as possible.
  • For example, lateral twists can help improve the range of motion in the thoracic spine.
  1. During the early stages of recovery, it is recommended to sleep in an upright position.
  2. Lying down can add pressure, causing pain and possibly worsen the injury.
  3. Use pillows and bolsters to help support sitting up in bed.
  4. An alternative is to sleep in a reclining chair.
  5. Healing takes at least six weeks. (L. May, C. Hillermann, S. Patil 2016)

Other Conditions

What may feel like a cracked rib may be a similar condition, which is why it's important to get checked out. Other possible symptom causes can include:

 

Emergency

The most common complication is being unable to take a deep breath because of the pain. When the lungs cannot breathe deeply enough, mucous and moisture can build up and lead to an infection like pneumonia. (L. May, C. Hillermann, S. Patil 2016). Displaced rib fractures can also damage other tissues or organs, increasing the risk of a collapsed lung/pneumothorax or internal bleeding. It is recommended to seek immediate medical attention if symptoms develop like:

 

  • Shortness of breath
  • Difficulty breathing
  • A bluish color of the skin caused by lack of oxygen
  • A persistent cough with mucus
  • Chest pain when breathing in and out
  • Fever, sweating, and chills
  • Rapid heart rate

The Power of Chiropractic Care In Injury Rehabilitation

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Yale Medicine. (2024). Rib fracture (broken rib).

 

Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Patterns of serial rib fractures after blunt chest trauma: An analysis of 380 cases. PloS one, 14(12), e0224105. https://doi.org/10.1371/journal.pone.0224105

 

May L, Hillermann C, Patil S. (2016). Rib fracture management. BJA Education. Volume 16, Issue 1. Pages 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011

 

Majercik, S., & Pieracci, F. M. (2017). Chest Wall Trauma. Thoracic surgery clinics, 27(2), 113–121. https://doi.org/10.1016/j.thorsurg.2017.01.004

Dr. Alex Jimenez's insight:

Cracked ribs can occur with falls, vehicle collisions, sports injuries, and intense violent coughing. Learn about symptoms and treatments. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

good health's curator insight, January 12, 7:17 AM

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Groin Strain Injury: Causes, Symptoms, and Recovery | Call: 915-850-0900 or 915-412-6677

Groin Strain Injury: Causes, Symptoms, and Recovery | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

When a groin strain injury happens, can knowing the symptoms help in the diagnosis, treatment, and recovery times?

Groin Strain Injury

A groin strain is an injury to an inner thigh muscle. A groin pull is a type of muscle strain affecting the adductor muscle group (the muscles help pull the legs apart). (Parisa Sedaghati, et al., 2013) The injury is caused when the muscle is stretched beyond its normal range of motion, creating superficial tears. Severe strains can tear the muscle in two. (Parisa Sedaghati, et al., 2013)

 

  • A groin muscle pull causes pain and tenderness that worsens when squeezing the legs together.
  • There may also be swelling or bruising in the groin or inner thigh.
  • An uncomplicated groin pull takes four to six weeks to heal with proper treatment. (Andreas Serner, et al., 2020)

Symptoms

A groin pull can be painful, interfering with walking, navigating stairs, and/or driving a car. In addition to pain, other symptoms around the injured area include: (Parisa Sedaghati et al., 2013)

 

  • A popping sound or snapping sensation when the injury occurs.
  • Increased pain when pulling the legs together.
  • Redness
  • Swelling
  • Bruising of the groin or inner thigh.

 

Groin pulls are graded by severity and how much they impact mobility:

Grade 1

  • Mild discomfort but not enough to limit activities.

Grade 2

  • Moderate discomfort with swelling or bruising that limits running and/or jumping.

Grade 3

  • Severe injury with significant swelling and bruising can cause pain while walking and muscle spasms.

Signs of a severe groin strain

  • Difficulty walking
  • Groin pain while sitting or resting
  • Groin pain at night
  • A healthcare provider should see severe groin pulls because the muscle may have ruptured or be on the verge of rupturing.
  • In severe cases, surgery is necessary to reattach the torn ends.

 

Groin pulls are sometimes accompanied by a stress fracture of the pubis/forward-facing pelvic bones, which can significantly extend healing and recovery time. (Parisa Sedaghati et al., 2013)

Causes

Groin pulls are often experienced by athletes and individuals who play sports where they must stop and change directions quickly, placing excessive strain on the adductor muscles. (Parisa Sedaghati et al., 2013) The risk is increased in individuals who: (T. Sean Lynch et al., 2017)

 

  • Have weak hip abductor muscles.
  • Are not in adequate physical condition.
  • Have a previous groin or hip injury.
  • Pulls can also occur from falls or extreme activities without the proper conditioning.

Diagnosis

A healthcare provider will perform a thorough investigation to confirm the diagnosis and characterize the severity. This involves: (Juan C. Suarez et al., 2013)

Medical History Review 

  • This includes any previous injuries and specifics about where and when the symptoms started.

Physical Examination

  • This involves palpating - lightly touching and pressing the groin region and manipulating the leg to understand better where and how extensive the injury is.

Imaging Studies

  • Ultrasound or X-rays.
  • If a muscle rupture or fracture is suspected, an MRI scan may be ordered to visualize soft tissue injuries and stress fractures better.

Differential Diagnosis

Certain conditions can mimic a groin pull and require different treatments. These include: (Juan C. Suarez, et al., 2013)

Sports Hernia

  • This type of inguinal hernia occurs with sports and work injuries.
  • It causes a portion of the intestine to pop through a weakened muscle in the groin.

Hip Labral Tear

  • This is a tear in the cartilage ring of the labrum outside the rim of the hip joint socket.

Hip Osteoarthritis 

  • This is the wear-and-tear form of arthritis that can present with groin pain symptoms.

Osteitis Pubis

  • This is inflammation of the pubic joint and surrounding structures, usually caused by the overuse of the hip and leg muscles.

Referred Groin Pain

  • This nerve pain originates in the lower back, often due to a pinched nerve, but is felt in the groin.

Treatment

Beginning treatment is conservative and includes rest, ice application, physical therapy, and prescribed gentle stretching and exercises.

 

  • Individuals may need crutches or a walking device to reduce pain and prevent further injury if the pain is significant. (Andreas Serner, et al., 2020)
  • Physical therapy will be a part of the treatment plan.
  • Over-the-counter pain medications like Tylenol/acetaminophen or Advil/ibuprofen can help with pain relief short term.
  • If there is severe pain from a grade 3 injury, prescription medications may be used for a short period to help minimize pain. (Andreas Serner, et al., 2020)
  • Surgery is not usually necessary. (Andreas Serner, et al., 2020)

Recovery

Recovery times can vary based on the injury's severity and physical condition before the injury.

 

  • Most injuries will heal within four to six weeks with rest and proper treatment.
  • Severe groin strains can take up to 12 weeks or longer if surgery is involved. (Andreas Serner, et al., 2020)

Injury Rehabilitation

 

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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Sedaghati, P., Alizadeh, M. H., Shirzad, E., & Ardjmand, A. (2013). Review of sport-induced groin injuries. Trauma monthly, 18(3), 107–112. https://doi.org/10.5812/traumamon.12666

 

Serner, A., Weir, A., Tol, J. L., Thorborg, K., Lanzinger, S., Otten, R., & Hölmich, P. (2020). Return to Sport After Criteria-Based Rehabilitation of Acute Adductor Injuries in Male Athletes: A Prospective Cohort Study. Orthopaedic journal of sports medicine, 8(1), 2325967119897247. https://doi.org/10.1177/2325967119897247

 

Lynch, T. S., Bedi, A., & Larson, C. M. (2017). Athletic Hip Injuries. The Journal of the American Academy of Orthopaedic Surgeons, 25(4), 269–279. https://doi.org/10.5435/JAAOS-D-16-00171

 

Suarez, J. C., Ely, E. E., Mutnal, A. B., Figueroa, N. M., Klika, A. K., Patel, P. D., & Barsoum, W. K. (2013). Comprehensive approach to the evaluation of groin pain. The Journal of the American Academy of Orthopaedic Surgeons, 21(9), 558–570. https://doi.org/10.5435/JAAOS-21-09-558

Dr. Alex Jimenez's insight:

Learn about groin strains, an injury to the inner thigh muscle that can cause swelling, tenderness, and difficulty walking. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Facts About Bulging Disc Pain You Should Know | Call: 915-850-0900 or 915-412-6677

Facts About Bulging Disc Pain You Should Know | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Individuals dealing with back pain problems could be suffering from a bulging disc. Could knowing the difference between slipped and herniated disc symptoms help with treatments and finding relief?

Bulging Disc Pain

Back pain can become debilitating if not treated properly. A bulging disc is a common cause of cervical, thoracic, and lower back pain symptoms. It happens when one of the fluid-filled cushions between the vertebrae begins to shift out of place. Instead of being aligned with the edges, the disc bulges over. This begins to generate pressure on the nerves causing pain and inflammation.

 

  • Bulging discs are often caused by age, but repetitive movements and/or lifting heavy objects can contribute to the condition.
  • Symptoms can resolve on their own, but individuals are recommended to consult with a physical therapist and/or chiropractor to make sure the disc healed properly, otherwise, it can lead to worsening and/or further injuries.

Bulging Disc vs. Herniated Disc

Bulging and herniated discs cause pain symptoms.

 

  1. Bulging - the intervertebral disc moves out of place but stays intact.
  2. Herniated - the thick outer layer of the disc ruptures, causing the cushioning gel inside to leak onto the spinal nerves.

Location of Symptoms

  • A bulging disc can happen anywhere along the spine.
  • However, most occur between the last five vertebrae in the lower back.
  • This is the lumbar spine. (American Academy of Orthopaedic Surgeons. 2022)
  • This is because the lower back is subject to all kinds of pressure and movement with daily activities, increasing the chances of pain and injuries.
  • The next most common place is the neck/cervical spine where there are constant movements making it prone to injury and pain symptoms.

Causes

Bulging discs are most often caused by body aging and normal wear and tear. As time goes on the intervertebral discs naturally degenerate, known as degenerative disc disease. This can cause the discs to pull downward, causing them to bulge from their placement. (Penn Medicine. 2018) Factors that can cause or worsen the condition include:

 

  • Practicing unhealthy postures.
  • Repetitive motions.
  • Lifting heavy objects
  • Spinal injuries.
  • Medical history of spinal or disc disease in the family.

Treatment

Treating a bulging disc takes time and patience. (American Academy of Neurological Surgeons. 2023)

Examination

Individuals with back pain that interferes with daily functions or has lasted longer than six weeks, should see a healthcare provider for diagnosis. They will order a magnetic resonance imaging scan/MRI, which can show where a disc is protruding. (American Academy of Neurological Surgeons. 2023)

Rest

  • For bulging disc pain, resting the back is necessary. However, 
  • Many patients benefit from a day or two of bed rest. (American Academy of Orthopaedic Surgeons. 2022)
  • After that, start light activities like walking. Avoid any movements that make your pain worse.

NSAIDs

  • NSAID pain medications like Advil, Motrin, or Aleve can keep pain symptoms and inflammation reduced.
  • However, this is for short-term use, as the underlying cause still needs to be addressed.
  • A healthcare provider will recommend safe dosage and how long these medications should be taken. (American Academy of Orthopaedic Surgeons. 2022)

Physical Therapy

  • Individuals may be recommended by their healthcare provider for a referral to a physical therapist.
  • A physical therapist will address the injury for rehabilitation and introduce strengthening exercises. (American Academy of Orthopaedic Surgeons. 2022)
  • Chiropractic Adjustments (NIH. 2022)
  • Non-surgical spinal decompression
  • Traction therapy
  • Therapeutic massage
  • Muscle Energy Technique

Steroid Injection

  • An epidural steroid injection can provide relief for individuals still experiencing symptoms after six weeks.
  • A healthcare provider will inject cortisone into the spine to reduce inflammation and pain. (American Academy of Orthopaedic Surgeons. 2022)

Surgery

  • If conservative treatments don't work, a healthcare provider may recommend surgery, like a microdiscectomy.
  • This procedure uses small incisions to remove all or part of a bulging disc.
  • Most individuals with a bulging disc will not require surgery. (American Academy of Neurological Surgeons. 2023)

Inflammation: Integrative Medicine Approach

 

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, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Penn Medicine. (2018) Bulging disc vs. herniated disc: What’s the difference?

 

American Academy of Orthopaedic Surgeons. (2022) Herniated disk in the lower back.

 

American Academy of Neurological Surgeons. (2023) Herniated disc.

 

National Institutes of Health. (2022) Spinal Manipulation: What You Need To Know.

Dr. Alex Jimenez's insight:

Do you have bulging disc pain? Learn how this condition develops & the symptoms associated with it. Discover treatment & relief options. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Cervical Acceleration - Deceleration - CAD | Call: 915-850-0900 or 915-412-6677

Cervical Acceleration - Deceleration - CAD | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Individuals who have suffered cervical acceleration-deceleration/CAD more commonly known as whiplash, can experience headaches, and other symptoms like neck stiffness, pain, fatigue, and shoulder/neck/back discomfort. Can non-surgical and conservative treatments help alleviate the symptoms?

Cervical Acceleration - Deceleration or CAD

Cervical acceleration-deceleration is the mechanism of a neck injury caused by a forceful back-and-forth neck motion. It happens most commonly in rear-end vehicle collisions when the head and neck whip forward and backward with intense acceleration and/or deceleration causing the neck to flex and/or extend rapidly, more than normally, straining and possibly tearing muscle tissues and nerves, ligaments, dislocation of spinal discs and herniations, and cervical bone fractures.

 

  • For symptoms that do not improve or worsen after 2 to 3 weeks, see a healthcare provider or chiropractor for further evaluation and treatment.
  • Whiplash injuries strain or sprain the neck muscles and/or ligaments, but can also affect the vertebrae/bones, disc cushions between the vertebrae, and/or the nerves.
  • For individuals who experience a headache that starts at the base of the skull following a motor vehicle accident is more than likely a whiplash headache. (National Institute of Neurological Disorders and Stroke. 2023)

Symptoms

Whiplash symptoms can present right away, or after several hours to a few days after the incident, and tend to worsen in the days after the injury. Symptoms can last a few weeks to a few months, and can severely limit activity and range of motion. Symptoms can include: (National Institute of Neurological Disorders and Stroke. 2023)

 

  • Pain that extends into the shoulders and back.
  • Neck stiffness
  • Limited neck motion 
  • Muscle spasms
  • Numbness and tingling sensations - paresthesias or pins and needles in the fingers, hands, or arms.
  • Sleep problems
  • Fatigue
  • Irritability
  • Cognitive impairment - memory and/or concentrating difficulties.
  • Ringing in the ears - tinnitus
  • Dizziness
  • Blurred vision
  • Depression
  • Headaches - A whiplash headache usually starts at the base of the skull and can vary in intensity. Most individuals experience pain on one side of the head and toward the back, though some can experience symptoms all over their head, and a small number experience headaches on the forehead or behind the eyes. (Monica Drottning. 2003)
  • The headaches can become aggravated by moving the neck around, especially when looking up.
  • Headaches are often associated with shoulder pain along with sensitive neck and shoulder muscles that when touched can increase pain levels.
  • Whiplash headaches can lead to chronic neck-related headaches known as cervicogenic headaches. (Phil Page. 2011)

Causes

The most common cause of whiplash is rear-end automobile accidents and collisions. (National Institute of Neurological Disorders and Stroke. 2023)
However, cervical acceleration-deceleration injuries can also occur from:

 

  • Playing sports - hockey, martial arts, boxing, tackle football, gymnastics, basketball, volleyball, soccer, and baseball.
  • A slip and fall that causes the head to suddenly jolt forward and back.
  • Physical assault - getting punched or shaken.
  • Being struck on the head by a heavy or solid object.

Treatment

  1. Symptoms usually resolve within 2 to 3 weeks.
  2. Icing the neck for 10 minutes several times a day can help reduce pain and inflammation. (National Institute of Neurological Disorders and Stroke. 2023)
  3. It is also important to rest your neck area following the injury.
  4. A cervical collar can be utilized temporarily to stabilize the neck, but for long-term recovery, it is recommended to keep the area mobile.
  5. Physical activity reduction until the individual can look over both shoulders, and tilt their head all the way forward, all the way back, and from side to side without pain or stiffness.

Additional Treatments

  • Traction and decompression therapies.
  • Chiropractic adjustments
  • Therapeutic various massage techniques.
  • Electronic nerve stimulation
  • Posture retraining
  • Stretching
  • Sleep position adjustments.
  • Non-steroidal anti-inflammatories - NSAIDs - Ibuprofen or Naproxen.
  • Muscle relaxers

 

If symptoms do not improve, a healthcare provider may recommend physical therapy and/or stronger pain medications. For whiplash headaches that last for several months, acupuncture, or spinal injections may be recommended.

Neck Injuries

 

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, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

National Institute of Neurological Disorders and Stroke. Whiplash Information Page.

 

Drottning M. (2003). Cervicogenic headache after a whiplash injury. Current pain and headache reports, 7(5), 384–386. https://doi.org/10.1007/s11916-003-0038-9

 

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

Dr. Alex Jimenez's insight:

Cervical acceleration-deceleration/CAD more commonly known as whiplash, can cause pain and discomfort. Injury Medical Chiropractic can help. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Stiffness and Pain Developing In The Shoulder | Call: 915-850-0900 or 915-412-6677

Stiffness and Pain Developing In The Shoulder | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Stiffness and pain developing in the shoulder could be adhesive capsulitis, (frozen shoulder), a condition in the shoulder's ball-and-socket joint/glenohumeral joint. It usually develops over time and limits the functional use of the arm. The pain and tightness restrict arm movement, and the duration of symptoms can persist for 12-18 months. The cause is often unknown, but it is more common in individuals over 40, individuals with diabetes, thyroid disease, and cardiac conditions have an increased risk of developing the condition, and women tend to develop the condition more than men. Chiropractic treatment can be effective at relieving pain and expediting recovery.

Stiffness and Pain

The shoulder joint allows more movement than any other joint in the body. A frozen shoulder causes the capsule surrounding the shoulder joint to contract and form scar tissue. The capsule contraction and the formation of adhesions cause the shoulder to become stiff, restrict movement, and cause pain and discomfort symptoms.

Stages

The progression is marked by three stages:

Freezing

  • Stiffness and pain begin to restrict motion.

Frozen

  • Movement and motion are severely restricted.

Thawing

  • The shoulder starts to loosen up.
  • It can take years to fully resolve symptoms.
  • In mild cases, a frozen shoulder can go away on its own but that does not mean that it is truly healed and correctly aligned.
  • Even in mild cases seeking treatment is recommended, rather than just waiting for it to go away.

Symptoms

  • Limited range of motion.
  • Stiffness and tightness.
  • Dull or aching pain throughout the shoulder.
  • Pain can radiate into the upper arm.
  • Pain can be triggered by the smallest movements.
  • The symptoms are not always due to weakness or injury, but actual joint stiffness.

Causes

Most frozen shoulders occur with no injury or discernible cause but the condition is often linked to a systemic condition or one that affects the entire body.

Age and Gender

  • Frozen shoulder most commonly affects individuals between the ages of 40 to 60, and is more common in women than in men.

Endocrine Disorders

  • Individuals with diabetes have an increased risk of developing a frozen shoulder.
  • Other endocrine abnormalities like thyroid problems can also lead to the development of this condition.

Shoulder Trauma and/or Surgery

  • Individuals who sustain a shoulder injury, or undergo surgery on the shoulder can develop a stiff and painful joint.
  • When injury or surgery is followed by prolonged immobilization/resting the arm, the risk of developing a frozen shoulder increases.

Other Systemic Conditions

Several systemic conditions such as heart disease have also been associated with an increased risk of developing the condition and can include:

 

  • High cholesterol
  • Adrenal disease
  • Heart and lung disease
  • Parkinson's disease

 

Stiffness and pain can also be associated with damage to the joint from injuries or other shoulder problems that include:

 

  • Muscle or connective tissue injury
  • Rotator cuff tendinopathy
  • Calcific tendinitis
  • Dislocation
  • Fracture
  • Osteoarthritis
  • A frozen shoulder associated with any of these causes is considered secondary.

Treatment

A diagnosis is made by observing the range of motion in the shoulder, considering the two types:

Active Range

  • This is how far an individual can move a body part on their own.

Passive Range

  • This is how far another person like a therapist or doctor can move the body part.

Therapies

  • Chiropractic, massage, and physical therapy involve stretches, realignment, and exercises to relieve pain symptoms and restore mobility and function.
  • Usually, strength is not affected by a frozen shoulder but a chiropractor may want to strengthen the surrounding muscles to better support the shoulder and prevent worsening the injury or causing a new injury.
  • Anti-inflammatory medications and corticosteroid injections may help manage pain symptoms.
  • Getting a diagnosis and treatment during the freezing stage can keep the condition from progressing and expedite recovery time.

Enhancing Health: Evaluation and 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, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Brun, Shane. “Idiopathic frozen shoulder.” Australian Journal of general practice vol. 48,11 (2019): 757-761. doi:10.31128/AJGP-07-19-4992

 

Chan, Hui Bin Yvonne, et al. “Physical therapy in the management of frozen shoulder.” Singapore medical journal vol. 58,12 (2017): 685-689. doi:10.11622/smedj.2017107

 

Cho, Chul-Hyun, et al. “Treatment Strategy for Frozen Shoulder.” Clinics in orthopedic surgery vol. 11,3 (2019): 249-257. doi:10.4055/cios.2019.11.3.249

 

Duzgun, Irem, et al. “Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization?.” Journal of Musculoskeletal &amp; neuronal interactions vol. 19,3 (2019): 311-316.

 

Jain, Tarang K, and Neena K Sharma. “The effectiveness of physiotherapeutic interventions in the treatment of frozen shoulder/adhesive capsulitis: a systematic review.” Journal of back and musculoskeletal rehabilitation vol. 27,3 (2014): 247-73. doi:10.3233/BMR-130443

 

Kim, Min-Su, et al. “Diagnosis and treatment of calcific tendinitis of the shoulder.” Clinics in shoulder and elbow vol. 23,4 210-216. 27 Nov. 2020, doi:10.5397/cise.2020.00318

 

Millar, Neal L et al. “Frozen shoulder.” Nature reviews. Disease primers vol. 8,1 59. 8 Sep. 2022, doi:10.1038/s41572-022-00386-2

Dr. Alex Jimenez's insight:

Stiffness and pain developing in the shoulder could be adhesive capsulitis or frozen shoulder. Injury Medical Chiropractic can help. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Vehicle Crash Hip Injury: EP Chiropractic Rehabilitation Team | Call: 915-850-0900 or 915-412-6677

Vehicle Crash Hip Injury: EP Chiropractic Rehabilitation Team | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

As one of the most load-bearing joints in the body, the hips nearly affect every movement. If the hip joint is involved in a vehicle crash, the space in the joint/hip capsule can fill with fluid, causing joint effusion or swelling, inflammation, dull-immobilizing pain, and stiffness. Hip pain is a common injury symptom reported after a vehicle crash. This pain can range from mild to severe and may be short-term or last for months. No matter the level of pain being experienced, action must be taken quickly to avoid long-term damage. Individuals need high-quality, patient-focused care from experienced specialists as soon as possible to get on the road to recovery.

Vehicle Crash Hip Injury

The hip joints must be healthy and work as effectively as possible to stay active. Arthritis, hip fractures, bursitis, tendonitis, injuries from falls, and automobile collisions are the most common causes of chronic hip pain. Depending upon the type of injury, individuals may experience pain symptoms in the thigh, groin, inside of the hip joint, or buttocks. 

Associated Injuries

The most common injuries that cause pain in the hip after a collision include:

 

Hip Ligament Sprains or Strains

  • A hip ligament sprain or strain is caused by overstretched or torn ligaments.
  • These tissues attach bones to other bones and provide stability to the joints.
  • These injuries may only require rest and ice to heal, depending on the severity.
  • Chiropractic, decompression, and physical massage therapies may be necessary for realignment and to keep muscles flexible and relaxed.

Bursitis

  • Bursitis is an inflammation of the bursa, or the fluid-filled sac providing cushioning/material between bones and muscles.
  • It is one of the main causes of hip pain after an automobile collision and requires immediate medical attention.

Tendonitis

  • Tendonitis is a type of injury that affects soft tissues like tendons and ligaments, as opposed to bone and muscle.
  • Tendonitis can result in chronic pain and various discomfort symptoms in and around the hip area if left untreated.

Hip Labral Tear

  • A hip labral tear is a type of joint damage in which the soft tissue/labrum that covers the hip's socket gets torn.
  • The tissue ensures that the thighbone head moves smoothly within the joint.
  • Damage to the labrum can lead to severe pain symptoms and affect mobility.

Hip Dislocation

  • A hip dislocation means the femur ball has popped out of the socket, causing the upper leg bone to slide out of place.
  • Hip dislocations can cause avascular necrosis, which is the death of bone tissue from a blockage in the blood supply.

Hip Fractures

  • The hip bones can be broken down into three parts:
  • Ilium
  • Pubis
  • Ischium
  • A hip fracture, or broken hip, occurs whenever a break, crack, or crush happens to any one of these parts of the hip.

Acetabular Fracture

  • An acetabular fracture is a break or a crack outside the hip socket that holds the hip and thigh bones together.
  • A fracture to this body part is not as common because of the location.
  • Significant force and impact are often necessary to cause this type of fracture.

Symptoms

If any of the following symptoms after a vehicle crash are experienced, it could be a hip injury and should be examined by a medical professional. These include:

 

  • Soreness or tenderness at the site of injury.
  • Bruising.
  • Swelling.
  • Difficulty moving the hip/s.
  • Intense pain when walking.
  • Limping.
  • Loss of muscle strength.
  • Abdominal pain.
  • Knee pain.
  • Groin pain.

Treatment and  Rehabilitation

A doctor or specialist should always evaluate hip problems and pain symptoms. With the help of a physical examination and diagnostics like X-rays, CT Scans, or an MRI, a physician can diagnose and recommend treatment options. Treatment after a vehicle crash depends on the severity of the damage. For example, hip fractures often require immediate surgery, while other injuries may only necessitate medication, rest, and rehabilitation. Possible treatment plans include:

 

  • Rest
  • Pain, muscle relaxants, and anti-inflammatory medication.
  • Physical therapy
  • Massage therapy
  • Chiropractic realignment
  • Spinal decompression
  • Exercise therapy
  • Steroid injections
  • Surgery - after surgery, a physical therapist can help stretch and work on muscles around the hip to gain mobility and flexibility for a complete recovery.
  • Total hip replacement

 

Our team collaborates with the necessary specialists to provide the complete care needed to experience full recovery and healing for long-term relief. The team will work together to form a comprehensive treatment plan to strengthen the hip muscles for better support and increased range of motion.

Movement as Medicine

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Cooper, Joseph, et al. "Hip dislocations and concurrent injuries in motor vehicle collisions." Injury vol. 49,7 (2018): 1297-1301. doi:10.1016/j.injury.2018.04.023

 

Fadl, Shaimaa A, and Claire K Sandstrom. "Pattern Recognition: A Mechanism-based Approach to Injury Detection after Motor Vehicle Collisions." Radiographics: a review publication of the Radiological Society of North America, Inc vol. 39,3 (2019): 857-876. doi:10.1148/rg.2019180063

 

Frank, C J et al. "Acetabular fractures." The Nebraska medical journal vol. 80,5 (1995): 118-23.

 

Masiewicz, Spencer, et al. "Posterior Hip Dislocation." StatPearls, StatPearls Publishing, 22 April 2023.

 

Monma, H, and T Sugita. "Is the mechanism of traumatic posterior dislocation of the hip a brake pedal injury rather than a dashboard injury?." Injury vol. 32,3 (2001): 221-2. doi:10.1016/s0020-1383(00)00183-2

 

Patel, Vijal, et al. "The association between knee airbag deployment and knee-thigh-hip fracture injury risk in motor vehicle collisions: A matched cohort study." Accident; Analysis and Prevention vol. 50 (2013): 964-7. doi:10.1016/j.aap.2012.07.023

Dr. Alex Jimenez's insight:

Hip pain is a common injury symptom after a vehicle crash. Injury Medical Chiropractic can provide quality care from experienced specialists. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Sacroiliac Sprain: EP's Chiropractic Injury Specialists | Call: 915-850-0900 or 915-412-6677

Sacroiliac Sprain: EP's Chiropractic Injury Specialists | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

A joint is where two bones meet. The two sacroiliac or SI joints connect the spine, pelvis, and hips. This strong joint balances and transmits stress from the upper body to the pelvis and legs. The joints can suffer a sprain causing pain and discomfort symptoms. There can also be the feeling of tightness wrapping around the waist and dull aching across the low back as the surrounding muscles tighten up as a form of protection, also known as muscle guarding. A correct diagnosis is vital to avoid any potentially serious complications. Chiropractors are experts on neuromusculoskeletal problems and can treat, heal, and strengthen the body through various MET, mobilization, and manipulation techniques.

Sacroiliac Sprain

The main function is to balance the upper and lower body forces. The sacroiliac joints are surrounded by muscle, connective tissue, nerves designed to withstand large stresses and a complex system of ligaments, further strengthening the joints.

Injury Causes

Sacroiliac sprains can be caused by direct trauma to the pelvis from a fall or automobile collision or jobs and sports that involve a lot of bending and twisting. However, sometimes there is no distinct cause. Common causes include:

 

  • Repetitive microtrauma is excessive/repetitive movements like prolonged twisting, bending, or lifting at work, home, physical activities, and sports.
  • The joint can be pushed out of alignment.
  • Muscular imbalance or weakness in the muscles surrounding the sacroiliac joints can cause problems to develop over time, presenting little or no symptoms.
  • The tissues around a sacroiliac joint also can be stretched or torn.
  • Trauma such as a fall or road traffic accidents
  • Problems with the hips, knees, and feet can generate increased pressure on the joint, which can become painful over time due to repetitive strain.
  • Pregnancy hormones released to promote pelvis relaxation can increase the risk of SI sprain injury.

 

Excessive stress on the joint can cause microscopic damage to the ligaments surrounding the joint. The joint then becomes inflamed and presents with pain and sensations of discomfort. The body responds by contracting the muscles to prevent further damage. However, the muscle spasms may not stop, resulting in more pain. Referred pain is common from the muscles that go into spasm, with the most affected being the piriformis, gluteal/buttock, and psoas muscles.

Signs and Symptoms

  • Tenderness over the affected joint and area.
  • Pain symptoms on one or both sides above the joints and into the buttocks.
  • Standing or working with increased weight on one leg increases pain symptoms.
  • Pain after lifting or twisting that develops a little while later.
  • Pain travels to the back of the leg, front of the thigh, and the groin.
  • Pain gets worse when sitting and bending forward.
  • Lying down eases the symptoms.
  • Most cases report no loss of strength, tingling, or numbing sensations.

Chiropractic Treatment

Chiropractic treatment will relieve the pain symptoms, but there are stages of treatment, each with specific goals before moving to the next.

 

  • The objective of the initial stage is to decrease pain and inflammation.
  • The second stage is stabilizing and restoring proper musculoskeletal function.
  • Rehabilitation and targeted stretches and exercises will be introduced as the treatment continues.
  • In the maintenance stage, there should be no pain, and the individual should be able to perform normal daily activities and return to normal life.
  • Recovery time for a sacroiliac sprain can be 4-6 weeks but can take months to heal completely.

Chiropractic Approach for Pain Relief

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

BIDWELL, A M. “Treatment of sacroiliac sprain by manipulation.” The Medical World vol. 65,1 (1947): 14-6.

 

Evans, P. “Sacroiliac sprain.” American family physician vol. 48,8 (1993): 1388; author replies 1390.

 

LeBlanc, K E. “Sacroiliac sprain: an overlooked cause of back pain.” American family physician vol. 46,5 (1992): 1459-63.

 

Sun, Chao, et al. “Cost and outcome analyses on the timing of first independent medical evaluation in patients with a work-related lumbosacral sprain.” Journal of Occupational and environmental medicine vol. 49,11 (2007): 1264-8. doi:10.1097/JOM.0b013e318156ecdb

Dr. Alex Jimenez's insight:

Chiropractors are experts on neuromusculoskeletal problems and can treat, heal, and strengthen the body through MET manipulation techniques. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Motorcycle Crash Injury Rehab: EP's Chiropractic Team | Call: 915-850-0900 or 915-412-6677

Motorcycle Crash Injury Rehab: EP's Chiropractic Team | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Injuries after a motorcycle crash include contusions, skin abrasions, soft tissue injuries to tendons, ligaments, and muscles, sprains, strains and tears, facial and jaw fractures, traumatic brain injury, broken bones, misalignment, neck and back injuries, and biker’s arm. The Injury Medical Chiropractic and Functional Medicine Team can develop a comprehensive view of the sustained injuries to create a personalized treatment plan to reduce inflammation, increase flexibility, correct misalignments, rehabilitate the body, relax, stretch, and strengthen the musculoskeletal system, and restore mobility and function.

Motorcycle Crash Injuries

Motorcycle crash injuries are not easy to recover from. Acute soft tissue injuries caused by sudden trauma are common, as well as herniated discs, pelvis, and spinal misalignments that can have a cascading effect on the rest of the body. 

Pelvic Misalignment 

  • The pelvis comprises the pubic joint in the front and two sacroiliac joints in the back.
  • The sacroiliac joints work to connect the pelvis to the spine.
  • The pelvis also connects various muscles, including the pelvic floor and hip.

 

When the hip sustains a crash/collision impact or the impact causes the individual to fall on their hip, the hip or pelvis can become misaligned. Pelvic misalignment is one of the leading causes of severe back problems and pain. To realign the pelvis, a chiropractor will develop a physical therapy program that will include the following:

 

  • Therapeutic massage to relax the muscles and increase blood circulation.
  • Directed stretching of tight and overactive muscles.
  • Strengthening or reactivating weak and inhibited muscles.
  • Exercises to train proper pelvis positioning awareness.

Neck Injuries

In addition to whiplash, spinal misalignment to the vertebrae in the neck can occur. A chiropractor can help restore the range of motion. The treatment team will develop a therapy program in addition to chiropractic. The primary focus is to improve the flexibility and strength of the neck. The common types of physical therapy include:

 

  • Massage.
  • Neck stretches.
  • Back strengthening.
  • Core strengthening.

Leg and Foot Injuries

Extremity injuries frequently occur, particularly to the feet and legs, and include:

 

  • Sprains.
  • Strains.
  • Muscle tears.
  • Road Rash.
  • Bone fractures.

 

The therapy team will build a treatment plan that works through each system up the foot, knee, and hip. This plan will help heal soft tissue injuries by applying techniques like massage therapy and at-home exercises.

Rider’s Arm

Motorcyclists may extend their hands out to protect themselves from the impact when falling. This position can lead to injuries that affect the shoulders, arms, wrists, and hands. The physical therapy team can help heal soft tissue injuries and increase mobility using mobilization. Chiropractic can restrengthen damaged shoulder muscles, support torn ligaments, and treat tissue damage.

 

  • This hands-on technique involves easing a joint or muscle through normal movement patterns to release and relax stiffness and increase mobility.
  • Manual adjustments, deep tissue massage, exercise, and hot/cold therapy help restore health and mobility and expedite recovery.

Injury Rehabilitation

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Dischinger, Patricia C et al. “Injury patterns and severity among hospitalized motorcyclists: a comparison of younger and older riders.” Annual proceedings. Association for the Advancement of Automotive Medicine vol. 50 (2006): 237-49.

 

Mirza, M A, and K E Korber. “Isolated rupture of the anterior tibialis tendon associated with a fracture of the tibial shaft: a case report.” Orthopedics vol. 7,8 (1984): 1329-32. doi:10.3928/0147-7447-19840801-16

 

Petit, Logan, et al. “A review of common motorcycle collision mechanisms of injury.” EFORT open reviews vol. 5,9 544-548. 30 Sep. 2020, doi:10.1302/2058-5241.5.190090

 

Sander, A L et al. “Mediokarpale Instabilitäten der Handwurzel” [Mediocarpal instability of the wrist]. Der Unfallchirurg vol. 121,5 (2018): 365-372. doi:10.1007/s00113-018-0476-9

 

Tyler, Timothy F et al. “Rehabilitation of soft tissue injuries of the hip and pelvis.” International journal of sports physical therapy vol. 9,6 (2014): 785-97.

 

Vera Ching, Claudia, et al. “Traumatic tracheal injury after a motorcycle accident.” BMJ case reports vol. 13,9 e238895. 14 Sep. 2020, doi:10.1136/bcr-2020-238895

Dr. Alex Jimenez's insight:

The Injury Medical Chiropractic and Functional Medicine Team can develop a personalized treatment plan to restore mobility and function. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Vocal Cord Injury: EP Chiropractic Injury Specialists | Call: 915-850-0900 or 915-412-6677

Vocal Cord Injury: EP Chiropractic Injury Specialists | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Automobile collisions, work, sports, and personal accidents can cause neck injuries that can affect other areas, leading to long-term health problems. Neck injuries involving soft tissue damage frequently persist after the incident. One of the injuries includes vocal cord damage caused by impact to the larynx. The larynx, or voicebox, is an organ that is behind the Adam's appleA neck injury impacting the larynx can affect the ability to speak and breathe and cause vocal cord paralysis. Treatment can involve surgery, voice therapy, physical therapy, and chiropractic.

Vocal Cord Injury

The vocal cords are two flexible bands of muscle tissue at the entrance of the trachea. The vocal cords are normally in a relaxed open position to allow breathing. When talking, the bands combine and vibrate to make a sound. Surgery, viral infections, certain cancers, and neck trauma can cause vocal cord paralysis. In this condition, nerve damage blocks or inhibits impulses from transmitting to the voice box. The muscles, usually one of them, become paralyzed, preventing swallowing and ingesting saliva through the windpipe/trachea. In rare cases, both muscles are unable to move.

Symptoms

Signs and symptoms can include:

 

  • Difficulty breathing
  • Shortness of breath.
  • Hoarse breathing.
  • Noisy breathing.
  • Speaking problems
  • The need to take frequent breaths while speaking.
  • Loss of vocal pitch.
  • Inability to talk loudly.
  • Trouble Swallowing
  • Choking or coughing when swallowing.
  • Loss of gag reflex.
  • Frequent coughing and throat clearing.

Causes

Neck or Chest Injury

  • Trauma to the neck or chest can injure the voice box nerves.

Infections

  • Infections like Lyme disease, Epstein-Barr virus, and herpes can cause inflammation and nerve damage.

Tumors

  • Tumors, cancerous and noncancerous, can grow inside or around the muscles, cartilage, and nerves.

Neurological

  • Neurological conditions like multiple sclerosis or Parkinson's disease can lead to vocal cord paralysis.

Surgical Injury 

  • Surgical procedure mistakes or complications on or near the neck or upper chest can result in damage to the voice box nerves.
  • Surgeries to the thyroid or parathyroid glands, esophagus, neck, and chest have an increased risk.

Stroke

  • A stroke chokes blood flow to the brain and can damage the region of the brain that transmits messages to the voice box.

Treatment

Treatment is determined by a doctor based on the individual medical condition and diagnostic tests. Treatment can involve:

Speech Therapy

Speech therapy is recommended as the laryngeal muscles are strengthened through various exercises, improving breathing function. A speech therapist will begin working with the individual on exercises targeting the weakened vocal folds by enhancing airflow and blood circulation.

Physical Therapy and Chiropractic

Treatment involves performing gentle exercises that work on the vocal cords gradually and progressively but does not stress them. Chiropractors work with the physical therapist performing high-velocity, low-amplitude manipulation targeted at the lower neck and upper thoracic area, the C3/T1 vertebrae. A treatment plan will also use massage, non-surgical decompression, instrument/tool-assisted soft-tissue mobilization, low laser or ultrasound, and at-home stretches and exercises.

Surgery

Surgery could be necessary for individuals experiencing no improvement despite doing the prescribed speech and physical therapy exercises. Different types of procedures are based on the degree and extent of the paralysis:

 

  • Injections – Collagen and fillers are injected into the vocal cords to reposition the affected muscles closer to the larynx.
  • Phonosurgery – The vocal cords are repositioned through restructuring.
  • Tracheotomy – If the vocal folds are closing, a surgeon may make an incision in the neck at the opening of the windpipe and insert a breathing tube. This bypasses the air blockage caused by the vocal folds and promotes proper air circulation.

Cervical Spine Instability

 

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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Chen, Ching-Chang, et al. “Long-term result of vocal cord paralysis after anterior cervical discectomy.” 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. 23,3 (2014): 622-6. doi:10.1007/s00586-013-3084-y

 

Dankbaar JW, et al. Vocal cord paralysis: Anatomy, imaging, and pathology. Insights in Imaging. 2014; doi:10.1007/s13244-014-0364-y.

 

Fitzpatrick, P C, and R H Miller. “Vocal cord paralysis.” The Journal of the Louisiana State Medical Society: official organ of the Louisiana State Medical Society vol. 150,8 (1998): 340-3.

 

Kriskovich, M D et al. “Vocal fold paralysis after anterior cervical spine surgery: incidence, mechanism, and prevention of injury.” The Laryngoscope vol. 110,9 (2000): 1467-73. doi:10.1097/00005537-200009000-00011

 

Vocal fold paralysis. National Institute on Deafness and Other Communication Disorders. https://www.nidcd.nih.gov/health/vocal-fold-paralysis. Accessed May 18, 2022.

 

Vocal fold paralysis. American Speech-Language-Hearing Association. https://www.asha.org/public/speech/disorders/Vocal-Fold-Paralysis. Accessed May 18, 2022.

 

Waddell, Roger K. “Chiropractic care for a patient with spasmodic dysphonia associated with cervical spine trauma.” Journal of chiropractic medicine vol. 4,1 (2005): 19-24. doi:10.1016/S0899-3467(07)60108-6

Dr. Alex Jimenez's insight:

Chiropractors perform high-velocity, low-amplitude manipulation targeted at the lower neck and upper thoracic area. For answers to any questions you may have, please call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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Rear End Collision Injuries: EP's Chiropractic Team | Call: 915-850-0900 or 915-412-6677

Rear End Collision Injuries: EP's Chiropractic Team | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

The NHTSA records show that rear-end collisions are the most common and make up 30% of all traffic accidents, crashes, and collisions. Rear-end collisions can come out of nowhere. One moment a driver is waiting at a stop or light, and suddenly they are catapulted forward by the intense force of another vehicle/s resulting in serious and sustaining injuries that can impact an individual's physical capabilities. Rear-end collision injuries most commonly affect the neck and back. This is because of the excessive force and intense shifting and whipping the body goes through. Chiropractic care, massage, and decompression therapy can realign the body, relax the muscles, release compressed nerves, expedite recovery, and restore mobility and function.

Rear-End Collision Injuries

Rear-end collision injuries can range from mild to serious, and what seems like a minor pull can result in a severe injury. The most common injuries include:

 

  • Contusions
  • Neck and spinal injuries
  • Whiplash
  • Concussion
  • Traumatic brain and other head injuries.
  • Facial injuries
  • Dental injuries
  • Lacerations
  • Broken bones
  • Crushed or fractured ribs
  • Punctured lungs
  • Internal bleeding
  • Paralysis
  • Pre-existing conditions such as degenerative disc disease can worsen.

Collision Types

A rear-end collision can occur in several ways. The most common types include:

Tailgating

  • When drivers in the rear follow another motorist too closely, and the lead motorist slows down or has to stop quickly, the rear driver hits the vehicle because there was not enough adequate time and distance to stop.

Slow Speed Collisions

  • Slow-speed/low-impact collisions or fender benders can result in spinal injuries and concussions.
  • They can also lead to facial and head injuries from sudden airbag deployment.

Vehicle Pile-Ups

  • A single rear-end collision on a busy street or interstate highway can cause a chain reaction of multiple-vehicle collisions.
  • These accidents can cause devastating injuries.

Causes

Causes that can take attention away from the road include:

 

  • Speeding
  • Distracted driving - Talking or texting.
  • Tailgating
  • Looking at something like an accident while driving by.
  • Unsafe lane changes
  • Drowsy or fatigued driving
  • Construction site hazards
  • Poor weather conditions
  • Parking lot accidents

Chiropractic Care

Symptoms of rear-end collision injuries may not immediately present following an accident. It can take 24 to 48 hours for discomfort symptoms to come on and sometimes longer. The adrenaline rush allows the individual not to experience the physical symptoms, which is why individuals think they're fine when they are not.  Ignoring signs increases the risk of permanent injury. A herniated disc, for example, left untreated, can lead to permanent nerve damage. 

 

Chiropractic treatment for rear-end collisions is one of the most effective options available. A chiropractor manipulates the spine to realign the spinal cord, allowing the body to decrease inflammatory cytokine production, which reduces the inflammatory response. Specific techniques and various tools can realign individual vertebrae, restore joint flexibility, and break up the scar tissue so the areas can heal faster.

The Spine In A Rear-End Auto Accident

 

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 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, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Chen, Feng, et al. "Investigation on the Injury Severity of Drivers in Rear-End Collisions Between Cars Using a Random Parameters Bivariate Ordered Probit Model." International journal of environmental research and public health vol. 16,14 2632. 23 Jul. 2019, doi:10.3390/ijerph16142632

 

Davis, C G. "Rear-end impacts: vehicle and occupant response." Journal of manipulative and physiological therapeutics vol. 21,9 (1998): 629-39.

 

Dies, Stephen, and J Walter Strapp. "Chiropractic treatment of patients in motor vehicle accidents: a statistical analysis." The Journal of the Canadian Chiropractic Association vol. 36,3 (1992): 139–145.

 

Garmoe, W. "Rear-end collisions." Archives of physical medicine and rehabilitation vol. 79,8 (1998): 1024-5. doi:10.1016/s0003-9993(98)90106-x

Dr. Alex Jimenez's insight:

Chiropractic, massage and decompression therapy can realign the body, relax the muscles, release compressed nerves, and expedite recovery. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Recognizing Whiplash Signs and Symptoms: A Complete Overview | Call: 915-850-0900 or 915-412-6677

Recognizing Whiplash Signs and Symptoms: A Complete Overview | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Those experiencing neck pain, stiffness, headache, shoulder and back pain may suffer from a whiplash injury. Can knowing whiplash signs and symptoms help individuals recognize the injury and help healthcare providers develop an effective treatment plan?

Whiplash Signs and Symptoms

Whiplash is a neck injury that typically occurs after a motor vehicle collision or accident but can happen with any injury that rapidly whips the neck forward and backward. It is a mild to moderate injury of the neck muscles. Common whiplash signs and symptoms include:

 

  • Neck pain
  • Neck stiffness
  • Headache
  • Dizziness
  • Shoulder pain
  • Back pain
  • Tingling sensations in the neck or down the arms. (Johns Hopkins Medicine. 2024)
  • Some individuals can develop chronic pain and headaches.

 

The symptoms and treatment depend on the severity of the injury. Treatment can include over-the-counter pain medicines, ice and heat therapy, chiropractic, physical therapy, and stretching exercises.

Frequent Signs and Symptoms

The sudden whipping movement of the head can affect several structures within the neck. These structures include:

 

  • Muscles
  • Bones
  • Joints
  • Tendons
  • Ligaments
  • Intervertebral discs
  • Blood vessels
  • Nerves. 
  • Any or all of these can be affected by a whiplash injury. (MedlinePlus, 2017)

Statistics

Whiplash is a neck sprain that occurs from a fast neck-jerking motion. Whiplash injuries account for more than half of vehicle traffic collision injuries. (Michele Sterling, 2014) Even with a minor injury, the most frequent symptoms include: (Nobuhiro Tanaka et al., 2018)

 

  • Neck pain
  • Next stiffness
  • Neck tenderness
  • Limited range of motion of the neck

 

Individuals can develop neck discomfort and pain shortly after an injury; however, the more intense pain and stiffness typically do not occur right after the injury. Symptoms tend to worsen the next day or 24 hours later. (Nobuhiro Tanaka et al., 2018)

Beginning Symptoms

Researchers have found that approximately more than half of individuals with whiplash develop symptoms within six hours of the injury. Around 90% develop symptoms within 24 hours, and 100% develop symptoms within 72 hours. (Nobuhiro Tanaka et al., 2018)

Whiplash vs. Traumatic Cervical Spine Injury

Whiplash describes a mild to moderate neck injury without significant skeletal or neurological symptoms. Significant neck injuries can lead to fractures and dislocations of the spine that can affect the nerves and spinal cord. Once an individual develops neurological problems associated with a neck injury, the diagnosis changes from whiplash to traumatic cervical spine injury. These differences can be confusing as they are on the same spectrum. To better understand the severity of a neck sprain, the Quebec classification system divides neck injury into the following grades (Nobuhiro Tanaka et al., 2018)

Grade 0

  • This means there are no neck symptoms or physical examination signs.

Grade 1

  • There is neck pain and stiffness.
  • Very few findings from the physical examination.

Grade 2

  • Indicates neck pain and stiffness
  • Neck tenderness
  • Decreased mobility or neck range of motion on physical examination.

Grade 3

  • Involves muscle pain and stiffness.
  • Neurologic symptoms include:
  • Numbness
  • Tingling
  • Weakness in the arms
  • Decreased reflexes

Grade 4

  • Involves a fracture or dislocation of the bones of the spinal column.

Other Symptoms

Other whiplash signs and symptoms that can be associated with the injury but are less common or only occur with a severe injury include (Nobuhiro Tanaka et al., 2018)

 

  • Tension headache
  • Jaw pain
  • Sleep problems
  • Migraine headache
  • Difficulty concentrating
  • Reading difficulties
  • Blurred vision
  • Dizziness
  • Driving difficulties

Rare Symptoms

Individuals with severe injuries can develop rare symptoms that often indicate traumatic cervical spine injury and include: (Nobuhiro Tanaka et al., 2018)

 

  • Amnesia
  • Tremor
  • Voice changes
  • Torticollis - painful muscle spasms that keep the head turned to one side.
  • Bleeding in the brain

Complications

Most individual generally recover from their symptoms within a few weeks to a few months. (Michele Sterling, 2014) However, whiplash complications can occur, especially with severe grade 3 or grade 4 injuries. The most common complications of a whiplash injury include chronic/long-term pain and headaches. (Michele Sterling, 2014) Traumatic cervical spine injury can affect the spinal cord and be associated with chronic neurological problems, including numbness, weakness, and difficulty walking. (Luc van Den Hauwe et al., 2020

Treatment

The pain is typically more severe the next day than after the injury. Whiplash musculoskeletal injury treatment depends on whether it is an acute injury or the individual has developed chronic neck pain and stiffness.

 

  • Acute pain can be treated with over-the-counter medicines like Tylenol and Advil, which effectively treat the pain.
  • Advil is a nonsteroidal anti-inflammatory that can be taken with the pain reliever Tylenol, which works in different ways.
  • The mainstay of treatment is encouraging regular activity with stretching and exercise. (Michele Sterling, 2014)
  • Physical therapy uses various range of motion exercises to strengthen the neck muscles and relieve the pain.
  • Chiropractic adjustments and non-surgical decompression can help realign and nourish the spine.
  • Acupuncture can cause the body to release natural hormones that provide pain relief, help relax the soft tissues, increase circulation, and reduce inflammation. The cervical spine can return to alignment when the soft tissues are no longer inflamed and spasming. (Tae-Woong Moon et al., 2014)

Neck Injuries

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Medicine, J. H. (2024). Whiplash Injury. https://www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury

 

MedlinePlus. (2017). Neck Injuries and Disorders. Retrieved from https://medlineplus.gov/neckinjuriesanddisorders.html#cat_95

 

Sterling M. (2014). Physiotherapy management of whiplash-associated disorders (WAD). Journal of physiotherapy, 60(1), 5–12. https://doi.org/10.1016/j.jphys.2013.12.004

 

Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). Pathology and Treatment of Traumatic Cervical Spine Syndrome: Whiplash Injury. Advances in orthopedics, 2018, 4765050. https://doi.org/10.1155/2018/4765050

 

van Den Hauwe L, Sundgren PC, Flanders AE. (2020). Spinal Trauma and Spinal Cord Injury (SCI). In: Hodler J, Kubik-Huch RA, von Schulthess GK, editors. Diseases of the Brain, Head and Neck, Spine 2020–2023: Diagnostic Imaging [Internet]. Cham (CH): Springer; 2020. Chapter 19. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19

 

Moon, T. W., Posadzki, P., Choi, T. Y., Park, T. Y., Kim, H. J., Lee, M. S., & Ernst, E. (2014). Acupuncture for treating whiplash associated disorder: a systematic review of randomised clinical trials. Evidence-based complementary and alternative medicine : eCAM, 2014, 870271. https://doi.org/10.1155/2014/870271

Dr. Alex Jimenez's insight:

Get informed about the symptoms of whiplash, including neck pain, headaches, and tingling sensations. Injury Medical Chiropractic Clinic! For answers to any questions you may have, call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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Acupuncture for Knee Pain: Restoring Healing and Relieving Pain | Call: 915-850-0900 or 915-412-6677

Acupuncture for Knee Pain: Restoring Healing and Relieving Pain | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

For individuals dealing with knee pain symptoms from injury and/or arthritis, can incorporating an acupuncture and/or electroacupuncture treatment plan help in pain relief and management?

Acupuncture For Knee Pain

Acupuncture involves inserting very thin needles into the skin at specific acupoints on the body. It is based on the premise that the needles restore the flow of the body’s energy to activate and promote healing, relieve pain, and help the body relax.

 

  • Acupuncture can help address various health conditions, including knee pain caused by arthritis or injury.
  • Depending on the type and severity of pain, treatments can help reduce the pain for days or weeks.
  • Acupuncture is often used as a complementary therapy - treatment in addition to other treatment or therapy strategies like massage and chiropractic.

Acupuncture Benefits

Knee pain caused by osteoarthritis or injury can reduce flexibility, mobility, and quality of life. Acupuncture can help provide relief.

When the acupuncture needles are placed on the body, a signal is sent along the spinal cord to the brain, which triggers a release of endorphins/pain hormones. Medical researchers believe this helps reduce pain. (Qian-Qian Li et al., 2013) Acupuncture also helps decrease the production of cortisol, a hormone that helps control inflammation. (Qian-Qian Li et al., 2013) With reduced pain sensations and less inflammation after acupuncture treatments, knee function and mobility can be improved.

 

  • Various factors play a role in the pain relief experienced from acupuncture. Some evidence suggests that an individual's expectations may impact the results of acupuncture treatment. (Stephanie L. Prady et al., 2015)
  • Researchers are currently assessing whether the expectation that acupuncture is beneficial contributes to a better outcome after treatment. (Zuoqin Yang et al., 2021)
  • In 2019, acupuncture was recommended in treating knee osteoarthritis in the American College of Rheumatology/Arthritis Foundation guidelines for hand, hip, and knee osteoarthritis pain management. (Sharon L. Kolasinski et al., 2020)

Research

  • Different clinical studies support acupuncture’s ability to help in knee pain relief and management.
  • One study found that acupuncture helps manage various conditions that cause chronic pain. (Andrew J. Vickers et al., 2012)
  • A scientific review analyzed previous studies on pain management interventions after knee surgery and found supporting evidence that the treatments delayed and reduced the use of medications for pain relief post-surgery. (Dario Tedesco et al., 2017)

Osteoarthritis

  • A systematic review analyzed randomized control studies to determine whether or not acupuncture reduced pain and improved joint function in individuals with chronic osteoarthritis knee pain. (Xianfeng Lin et al., 2016)
  • Individuals received six to twenty-three weekly acupuncture sessions for three to 36 weeks.
  • The analysis determined that acupuncture can improve short and long-term physical function and mobility and provide up to 13 weeks of pain relief in individuals with chronic knee pain caused by osteoarthritis.

Rheumatoid Arthritis

  • Rheumatoid arthritis is a chronic disease that affects joints, including the knee joint, causing pain and stiffness.
  • Acupuncture is beneficial in treating rheumatoid arthritis/RA.
  • A review found that acupuncture alone and in combination with other treatment modalities benefits individuals with RA. (Pei-Chi, Chou Heng-Yi Chu 2018)
  • Acupuncture is believed to have anti-inflammatory and antioxidant effects to help regulate immune system function.

Chronic Knee Pain

  • Various conditions and injuries can cause chronic knee pain, making mobility difficult.
  • Individuals with joint pain often turn to complementary therapies for pain relief management, with acupuncture being one of the popular modalities. (Michael Frass et al., 2012)
  • A study showed modest improvements in pain relief at 12 weeks. (Rana S. Hinman et al., 2014)
  • Acupuncture resulted in modest improvements in mobility and function at 12 weeks.

Safety

Side Effects

  • Side effects can include soreness, bruising, or bleeding at the site of needle insertion and dizziness.
  • Less common side effects include fainting, increased pain, and nausea. (Harvard Medical School. 2023)
  • Working with a licensed, professional acupuncture practitioner can reduce the risk of unwanted side effects and complications.

Types

Other acupuncture options that may be offered include:

Electroacupuncture

  • A modified form of acupuncture where a mild electrical current passes through the needles, providing additional stimulation to the acupoints.
  • In one research study, individuals with knee osteoarthritis reported significant improvements in their pain, stiffness, and physical function after electroacupuncture treatment. (Ziyong Ju et al., 2015)

Auricular

  • Auricular or ear acupuncture works on acupoints in the ear corresponding to the body's different parts.
  • A research review analyzed several studies on auricular acupuncture for pain relief and found that it can provide relief within 48 hours of pain onset. (M. Murakami et al., 2017)

Battlefield Acupuncture

  • The military and veteran healthcare facilities use a unique form of auricular acupuncture for pain management.
  • Studies show that it is effective at providing immediate pain relief, but more research is necessary to determine long-term pain relief effectiveness. (Anna Denee Montgomery, Ronovan Ottenbacher 2020)

 

Before trying acupuncture, consult a healthcare professional for guidance, as it may be integrated with other therapies and lifestyle adjustments.

Overcoming an ACL Injury

 

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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Li, Q. Q., Shi, G. X., Xu, Q., Wang, J., Liu, C. Z., & Wang, L. P. (2013). Acupuncture effect and central autonomic regulation. Evidence-based complementary and alternative medicine : eCAM, 2013, 267959. https://doi.org/10.1155/2013/267959

 

Prady, S. L., Burch, J., Vanderbloemen, L., Crouch, S., & MacPherson, H. (2015). Measuring expectations of benefit from treatment in acupuncture trials: a systematic review. Complementary therapies in medicine, 23(2), 185–199. https://doi.org/10.1016/j.ctim.2015.01.007

 

Yang, Z., Li, Y., Zou, Z., Zhao, Y., Zhang, W., Jiang, H., Hou, Y., Li, Y., & Zheng, Q. (2021). Does patient's expectation benefit acupuncture treatment?: A protocol for systematic review and meta-analysis. Medicine, 100(1), e24178. https://doi.org/10.1097/MD.0000000000024178

 

Kolasinski, S. L., Neogi, T., Hochberg, M. C., Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, W. F., Hawker, G., Herzig, E., Kwoh, C. K., Nelson, A. E., Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis care & research, 72(2), 149–162. https://doi.org/10.1002/acr.24131

 

Vickers, A. J., Cronin, A. M., Maschino, A. C., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., Witt, C. M., Linde, K., & Acupuncture Trialists' Collaboration (2012). Acupuncture for chronic pain: individual patient data meta-analysis. Archives of internal medicine, 172(19), 1444–1453. https://doi.org/10.1001/archinternmed.2012.3654

 

Tedesco, D., Gori, D., Desai, K. R., Asch, S., Carroll, I. R., Curtin, C., McDonald, K. M., Fantini, M. P., & Hernandez-Boussard, T. (2017). Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty: A Systematic Review and Meta-analysis. JAMA surgery, 152(10), e172872. https://doi.org/10.1001/jamasurg.2017.2872

 

Lin, X., Huang, K., Zhu, G., Huang, Z., Qin, A., & Fan, S. (2016). The Effects of Acupuncture on Chronic Knee Pain Due to Osteoarthritis: A Meta-Analysis. The Journal of bone and joint surgery. American volume, 98(18), 1578–1585. https://doi.org/10.2106/JBJS.15.00620

 

Chou, P. C., & Chu, H. Y. (2018). Clinical Efficacy of Acupuncture on Rheumatoid Arthritis and Associated Mechanisms: A Systemic Review. Evidence-based complementary and alternative medicine : eCAM, 2018, 8596918. https://doi.org/10.1155/2018/8596918

 

Frass, M., Strassl, R. P., Friehs, H., Müllner, M., Kundi, M., & Kaye, A. D. (2012). Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review. Ochsner journal, 12(1), 45–56.

 

Hinman, R. S., McCrory, P., Pirotta, M., Relf, I., Forbes, A., Crossley, K. M., Williamson, E., Kyriakides, M., Novy, K., Metcalf, B. R., Harris, A., Reddy, P., Conaghan, P. G., & Bennell, K. L. (2014). Acupuncture for chronic knee pain: a randomized clinical trial. JAMA, 312(13), 1313–1322. https://doi.org/10.1001/jama.2014.12660

 

National Center for Complementary and Integrative Health. (2022). Acupuncture in depth. National Center for Complementary and Integrative Health. https://www.nccih.nih.gov/health/acupuncture-what-you-need-to-know

 

Harvard Medical School. (2023). Acupuncture: what is it? Harvard Health Publishing Harvard Medical School Blog. https://www.health.harvard.edu/a_to_z/acupuncture-a-to-z#:~:text=The%20most%20common%20side%20effects,injury%20to%20an%20internal%20organ.

 

Ju, Z., Guo, X., Jiang, X., Wang, X., Liu, S., He, J., Cui, H., & Wang, K. (2015). Electroacupuncture with different current intensities to treat knee osteoarthritis: a single-blinded controlled study. International journal of clinical and experimental medicine, 8(10), 18981–18989.

 

Murakami, M., Fox, L., & Dijkers, M. P. (2017). Ear Acupuncture for Immediate Pain Relief-A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Pain medicine (Malden, Mass.), 18(3), 551–564. https://doi.org/10.1093/pm/pnw215

 

Montgomery, A. D., & Ottenbacher, R. (2020). Battlefield Acupuncture for Chronic Pain Management in Patients on Long-Term Opioid Therapy. Medical acupuncture, 32(1), 38–44. https://doi.org/10.1089/acu.2019.1382

Dr. Alex Jimenez's insight:

Learn how acupuncture can relieve knee pain caused by arthritis or injury. Discover the healing power of this ancient practice. For answers to any questions you may have, call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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Effective Recovery Strategies for FOOSH Injuries | Call: 915-850-0900 or 915-412-6677

Effective Recovery Strategies for FOOSH Injuries | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

During a fall individuals tend to automatically outstretch their hands to help break a fall, which can slam onto the ground causing a falling onto an outstretched hand or FOOSH injury. Should individuals get checked by a healthcare provider if they believe there is no injury?

FOOSH Injuries

Falling down usually results in minor injuries. A FOOSH injury occurs when falling and trying to break the fall by reaching out with the hand/s. This can result in an upper extremity injury like a sprain or a fracture. But sometimes, falling on one's hands can lead to serious injuries and/or create future musculoskeletal issues. Individuals who have fallen or suffered a FOOSH injury should consult their healthcare provider and then a physical therapist or chiropractor to safely develop a treatment plan to rehabilitate, strengthen, and expedite recovery.

After The Injury

For individuals who have fallen down and landed on their hand, wrist, or arm, here are a few things to ensure the proper care for the injury, including:

 

  • Follow the R.I.C.E. protocol for acute injuries
  • Visit a healthcare provider or local emergency clinic
  • Contact a physical therapist

 

A FOOSH injury could be or become serious, so to avoid letting small issues become big problems, get examined by a musculoskeletal specialist. The healthcare provider will obtain an imaging scan of the injured and surrounding areas. They will perform a physical examination to determine the type of injury, like a sprain or muscle strain. Not getting appropriate medical treatment after a fall can result in chronic pain and loss of function. (J. Chiu, S. N. Robinovitch. 1998)

Common Injuries

A FOOSH injury can injure different areas. These usually involve the wrist and hand, but the elbow or shoulder can also be injured. Common injuries include:

Colles' fracture

  • A wrist fracture where the end of the arm bone is displaced backward.

Smith's fracture

  • A wrist fracture, similar to a Colles' fracture, is where the end of the arm bone is displaced towards the front of the wrist.

Boxer's fracture

  • A fracture of the small bones in the hand.
  • Typically, it occurs after punching something, but it can happen from falling on an outstretched fist.

Elbow dislocation or fracture

  • The elbow can pop out of the joint or can break a bone in the elbow.

Collarbone fracture

  • The force from falling with the hands and arms outstretched can travel up to the collarbone, causing a fracture.

Proximal humeral fracture

  • Falling onto an outstretched hand injury can cause the arm bone to get jammed into the shoulder, causing a proximal humeral fracture.

Shoulder dislocation

  • The shoulder can pop out of the joint.
  • This can cause a rotator cuff tear or labrum injury.

 

Regardless of the injury, individuals should visit a healthcare provider to evaluate the damage. If the injury is serious, the practitioner can make an accurate or differential diagnosis and develop a treatment plan. (William R. VanWye et al., 2016)

Physical Therapy

Individuals can benefit from physical therapy to help recover and return to their previous level of function. Physical therapy varies depending on the specific injury, but generally, a physical therapist can help individuals return to function after a fall on an outstretched hand. (William R. VanWye et al., 2016) Common treatments can include:

 

  • Treatments and modalities to decrease pain, inflammation, and swelling.
  • Instruction on how to wear an arm sling properly.
  • Exercises and stretches to improve the range of motion, strength, and functional mobility.
  • Balance exercises.
  • Scar tissue management if surgery was necessary.

 

The therapy team will ensure the proper treatment is utilized to quickly and safely return to normal activities.

Chiropractic Care For Healing After Trauma

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Chiu, J., & Robinovitch, S. N. (1998). Prediction of upper extremity impact forces during falls on the outstretched hand. Journal of biomechanics, 31(12), 1169–1176. https://doi.org/10.1016/s0021-9290(98)00137-7

 

VanWye, W. R., Hoover, D. L., & Willgruber, S. (2016). Physical therapist screening and differential diagnosis for traumatic-onset elbow pain: A case report. Physiotherapy theory and practice, 32(7), 556–565. https://doi.org/10.1080/09593985.2016.1219798

Dr. Alex Jimenez's insight:

Learn about the common injuries and musculoskeletal issues resulting from falls and FOOSH injuries. Get tips on how to treat injuries. For answers to any questions you may have, call Dr. Jimenez at 915-850-0900 or 915-412-6677

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The Anatomy of the Gluteus Minimus Muscles | Call: 915-850-0900 or 915-412-6677

The Anatomy of the Gluteus Minimus Muscles | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

For individuals experiencing gluteus minimus pain and are unsure where to start to deal with it, can a physical therapist, chiropractor, or general practitioner help diagnose lower extremity pain and develop an appropriate treatment plan?

Gluteus Minimus Muscles

The gluteus minimus is the smallest muscle of the gluteal muscles. Combined with the gluteus maximus and gluteus medius, these muscles make up the glutes. The glutes help form the buttocks shape, stabilize the hips, rotate the legs, and raise the thighs. The gluteus minimus and medius specifically support the gluteus maximus's ability to raise the leg to the side and rotate the thigh inwards. (ScienceDirect. 2011)

Anatomy

  • The gluteus minimus muscles are triangular and lie underneath the gluteus medius near the rotators of the hip joints. The muscles start in the lower ilium region, the upper and largest area of the hip bone that makes up the pelvis and attaches to the femur/thigh bone.
  • The fibers on the top part of the muscle are thick and compact, while the lower fibers are flat and spread out.
  • The superior gluteal nerves and blood vessels separate the gluteus minimus and the medius.
  • The gluteus medius muscles start on the upper ilium region, which covers the gluteus minimus muscle entirely. The location of the gluteus minimus muscles envelopes the sciatic notch or the area in the pelvis that houses the piriformis muscle, superior gluteal vein, and superior gluteal artery, which provide a certain amount of protection.

Function

Movement depends on the location of the femur. The gluteus minimus muscle's function is to:

 

  1. Flex
  2. Rotate
  3. Stabilize
  • When the thigh is extended, it helps abduct or swing the leg out away from the body.
  • When the hip bones are flexed, the gluteus minimus rotates the thigh inward with the help of the gluteus medius.
  • The movements are done with the support of the muscle fibers, which contract to move the thigh in both directions. (ScienceDirect. 2011)
  • The gluteus minimus and the medius also stabilize the hips and pelvis during movement and when resting.

Associated Conditions

One of the most common injuries is muscle wearing and tearing, which can cause pain over and around the greater trochanter. This is known as greater trochanteric pain syndrome or GTPS, a condition usually caused by a gluteus medius or minimus tendinopathy, which can include inflammation of the surrounding bursae. (Diane Reid. 2016) For a gluteus minimus tear, the pain/sensations will be felt outside the hip, especially when rolling or applying weight on the affected side. A tear can happen suddenly with no particular activity causing the tear to occur aside from normal use and stress on the muscle. Physical activities like walking may be painful.

Rehabilitation

Treatment depends on the severity of the condition. Usually, rest, ice, and over-the-counter medication can help reduce swelling and pain symptoms. For pain symptoms that are not subsiding, it’s recommended to see a healthcare provider who can run an MRI or X-ray to see the condition of the muscle and rule out other causes of pain. The healthcare provider will refer the patient to a physical therapy team that can evaluate the strength of the gluteus minimus and provide a list of exercises and stretches to help repair the muscle while conditioning the surrounding muscles. (SportsRec. 2017) Depending on the level of pain, sometimes the healthcare provider will prescribe a cortisone injection to the gluteus minimus muscle in conjunction with physical therapy. This will help alleviate the pain so that the physical therapy exercises can be done comfortably, allowing the gluteus maximus muscle to heal properly and strengthen. (Julie M. Labrosse et al., 2010)

The Science of Motion 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 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, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

ScienceDirect. (2011). Gluteus minimus muscle.

 

Reid D. (2016). The management of greater trochanteric pain syndrome: A systematic literature review. Journal of orthopaedics, 13(1), 15–28. https://doi.org/10.1016/j.jor.2015.12.006

 

SportsRec. (2017). Physical therapy exercises for the gluteus minimus.

 

Labrosse, J. M., Cardinal, E., Leduc, B. E., Duranceau, J., Rémillard, J., Bureau, N. J., Belblidia, A., & Brassard, P. (2010). Effectiveness of ultrasound-guided corticosteroid injection for the treatment of gluteus medius tendinopathy. AJR. American journal of roentgenology, 194(1), 202–206. https://doi.org/10.2214/AJR.08.1215

Dr. Alex Jimenez's insight:

Learn more about the muscles and how they play an important role in the skeletal system, such as aiding with stabilization. For answers to any questions you may have, please call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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What Causes Finger Sprains and Dislocations? What to Know | Call: 915-850-0900 or 915-412-6677

What Causes Finger Sprains and Dislocations? What to Know | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Finger sprains and dislocations are common hand injuries that can happen during work, physical/sports activities, or in automobile collisions and accidents. Can recognizing the symptoms help in developing an effective treatment strategy?

Finger Sprains and Dislocations

Finger sprains and dislocations are common injuries of the hand that cause pain and swelling.

 

  • A sprain happens when the finger tissue that supports a joint gets stretched beyond its limits in a way that stresses the ligaments and tendons.
  • The ligament tissue can be partially or completely torn. If the damage is bad enough, the joint comes apart.
  • This is a dislocation - A dislocation happens when the joint in the finger gets shifted out of its normal position.
  • Both injuries can cause pain and stiffness in the finger and hand.

Sprains

Finger sprains can happen any time the finger bends in an awkward or unusual way. This can happen from falling on the hand or getting hurt when engaged in physical activities like sports or household chores. Sprains can occur in any of the knuckle joints in the finger. However, most commonly, the joint in the middle of the finger gets sprained. It's known as the proximal interphalangeal or PIP joint. (John Elfar, Tobias Mann. 2013) Symptoms of a finger sprain can include:

 

  • Pain when you move your finger
  • Swelling around the knuckle
  • Tenderness in the finger and around the joint
  • For a sprain, individuals may need to have imaging done to see if any of the bones in the hand are broken or fractured. (OrthoInfo. American Academy of Orthopaedic Surgeons. 2022)

Treatment

Individuals are encouraged not to move the injured finger while in recovery and healing. It can be hard to do, but wearing a splint can help.

 

  • Splints are supports that are usually made from foam and pliable metal.
  • A sprained finger can also be taped to one of the fingers next to it while in recovery, known as buddy-taping.
  • Splinting a sprained finger while engaged in activities can protect the hand from worsening or further injury.
  • However, splinting the finger when it is not needed can cause the joint to become stiff. (OrthoInfo. American Academy of Orthopaedic Surgeons. 2022)
  1. An injury known as "gamekeeper's thumb" is a more serious type of sprain.
  2. Injury to the ligaments at the thumb joint can cause difficulty in pinching and gripping.
  3. This injury must often be taped up or splinted for a significant amount of time for full recovery and could require surgery. (Chen-Yu Hung, Matthew Varacallo, Ke-Vin Chang. 2023)

 

Other treatments to help a sprained finger include:

 

  • Elevate the hand if swelling and inflamed.
  • Gentle finger exercises/movements to prevent stiffness.
  • Icing the injured finger.
  • Take an anti-inflammatory medication.

 

Individuals who have not broken bones or dislocated the joint will probably be able to move their finger in about a week. A doctor will set a timeline for when to start using the finger normally.

 

  1. Individuals who sprain their finger that feels swollen and stiff for longer than a few weeks are recommended to consult a doctor or specialist.
  2. They will need to check the hand to make ensure there aren't any breaks or fractures. (OrthoInfo. American Academy of Orthopaedic Surgeons. 2022)
  3. Thumb sprains and finger sprains in children may need to be splinted or taped for longer periods, as the ligament is not fully developed or as strong, which could lead to a tear.

Dislocations

A finger dislocation is a more severe injury involving the ligament, joint capsule, cartilage, and other tissues that causes misalignment of the finger. The ligaments and the joint capsule get torn when a joint is dislocated. The joint needs to be reset, which can be a simple process, or in severe cases, patients may need to be placed under anesthesia or undergo surgery to reset the joint properly.

 

  • In these cases, tendons or other tissues might be preventing the joint from getting into position.
  • Putting the finger back into the right position is known as"reduction." Once reduced, the finger needs to be splinted.
  • Individuals also need an X-ray to ensure the joint is lined up correctly and that any bones were not broken or fractured when they sustained the injury. (James R. Borchers, Thomas M. Best. 2012)
  • Once reset, caring for a dislocated finger is basically the same as a sprained finger. Using ice on the finger, keeping the hand elevated to reduce swelling.
  • Individuals need to check with their doctor to find out when to start moving the finger. (James R. Borchers, Thomas M. Best. 2012)

The Chiropractic Approach To Improving Health

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Elfar, J., & Mann, T. (2013). Fracture-dislocations of the proximal interphalangeal joint. The Journal of the American Academy of Orthopaedic Surgeons, 21(2), 88–98. https://doi.org/10.5435/JAAOS-21-02-88

 

OrthoInfo from the American Academy of Orthopaedic Surgeons. (2022) Hand fractures.

 

Hung, C. Y., Varacallo, M., & Chang, K. V. (2023). Gamekeeper's Thumb. In StatPearls. StatPearls Publishing.

 

OrthoInfo from the American Academy of Orthopaedic Surgeons. (2022) Finger fractures.

 

Borchers, J. R., & Best, T. M. (2012). Common finger fractures and dislocations. American family physician, 85(8), 805–810.

Dr. Alex Jimenez's insight:

Understand how to identify finger sprains and dislocations, prevent further injuries, and find appropriate treatments for a fast recovery. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Healing Pulled Muscles: Tips and Advice for a Speedy Recovery | Call: 915-850-0900 or 915-412-6677

Healing Pulled Muscles: Tips and Advice for a Speedy Recovery | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

When individuals experience a neuromusculoskeletal injury strain, can following basic pulled muscle treatment protocols help in healing and a full recovery?

Pulled Muscle Treatment

A pulled muscle or muscle strain occurs when a muscle is stretched beyond its ability resulting in discomfort symptoms and mobility issues. Microscopic tears can occur within the muscle fibers potentially worsening the injury. This type of injury usually causes mild to severe pain, bruising, and immobility, and nerve injuries can develop as well. Common muscle strains include:

 

  • Pulled hamstrings
  • Groin strains
  • Pulled abdominal muscles
  • Calf strains

 

Pulled muscle treatment requires patience to promote proper healing and restoration of optimal function.

 

  • Individuals need to focus on the different stages of healing.
  • Gradually increase activity levels as the body allows to prevent stiffness and atrophy which can cause complications.

Symptoms

The usual symptoms of this type of injury include:

 

  • Pain
  • Limited mobility
  • Muscle spasms 
  • Swelling
  • Bruising
  • Often individuals will feel a sudden grabbing or tearing sensation and are then unable to continue the activity.

Grading

Muscle strain injuries are graded by severity: (Hospital for Special Surgery. 2019)

 

Grade I

  • Mild discomfort.
  • Often there is no disability.
  • Usually does not limit activity.

 

Grade II

 

  • Moderate discomfort
  • Can limit the ability to perform certain activities.
  • May have moderate swelling and bruising.

 

Grade III

 

  • Severe injury that can cause significant pain.
  • Muscle spasms.
  • Swelling.
  • Significant bruising.

Basic Treatment Protocols

Most pulled muscle strain injuries heal with simple treatment. Following the right steps can ensure an expedited recovery. In the early stages after the injury, there is a balance between doing too much or not enough. The amount of activity an individual will be able to do, and the time required for recovery depends on the severity of the injury. Here are some guidelines in the right direction.

Rest

  • Rest is recommended for the early recovery stage.
  • Depending on the severity of the injury this could last from one to five days.
  • Immobilization is usually not necessary, and not moving at all can lead to muscle and joint stiffness.
  • This can be harmful and interfere with mobility. (Joel M. Kary. 2010)
  • If immobilization is necessary, like using a splint or cast, careful supervision should be monitored by a healthcare provider.

Cold Therapy

  • Cold therapy should begin as soon as possible after sustaining a pulled muscle.
  • The therapy/ice helps reduce swelling, bleeding, and pain. (Gerard A Malanga, Ning Yan, Jill Stark. 2015)
  • Cold therapy applications can be done frequently, but should not exceed 15 minutes at a time.

Stretching

  • Stretching is important to relax the muscles and for pre-mobilization.
  • Muscles that maintain flexibility help prevent further injury.

Strengthening

  • The injury and the rest period can decrease the strength of the muscle.
  • It is important to rebuild strength before returning to physical activities.
  • Strengthened muscles help prevent re-injury.

Increased Activity to Prevent Muscle Fatigue

Properly Warming Up

  • Warming up before taking on physical activities will help loosen the muscles and prevent injuries.
  • Beginning work or exercise with stiff muscles can lead to an increased chance of strain.
  • Studies have shown that temperature can influence the stiffness of a muscle. (K. W. Ranatunga. 2018)
  • Maintaining body and muscle warmth helps prevent injury and re-injury.

Injuries and Chiropractic: The Road To Recovery

 

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, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Hospital for Special Surgery, Muscle Strain: What You Need to Know About Pulled Muscles.

 

Kary J. M. (2010). Diagnosis and management of quadriceps strains and contusions. Current reviews in musculoskeletal medicine, 3(1-4), 26–31. https://doi.org/10.1007/s12178-010-9064-5

 

Malanga, G. A., Yan, N., & Stark, J. (2015). Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury. Postgraduate medicine, 127(1), 57–65. https://doi.org/10.1080/00325481.2015.992719

 

Mair, S. D., Seaber, A. V., Glisson, R. R., & Garrett, W. E., Jr (1996). The role of fatigue in susceptibility to acute muscle strain injury. The American journal of sports medicine, 24(2), 137–143. https://doi.org/10.1177/036354659602400203

 

Ranatunga K. W. (2018). Temperature Effects on Force and Actin⁻Myosin Interaction in Muscle: A Look Back on Some Experimental Findings. International journal of molecular sciences, 19(5), 1538. https://doi.org/10.3390/ijms19051538

Dr. Alex Jimenez's insight:

Take the correct steps in pulled muscle treatment for proper healing. Find out how to reduce symptoms such as pain and swelling. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Head Pressure | Call: 915-850-0900 or 915-412-6677

Head Pressure | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Can chiropractic treatment protocols diagnose what's causing head pressure in individuals, and provide effective treatment?

Head Pressure

Head pressure can have various causes and symptoms that affect different areas depending on whether the cause is a headache, allergies, injury, illness, or disease. The location of the pressure or pain can help a doctor of chiropractic determine the cause.

 

  • The underlying factor is usually not life-threatening, but the pressure that has built can be the result of serious conditions like a head injury or brain tumor.
  • Chiropractic ​care, which includes a combination of spinal manipulation, active and passive exercises, and massage, is often used for headache management and prevention. (Moore Craig, et al., 2018)
  • Chiropractic therapy is often sought out for tension and cervicogenic headaches, migraines, and each responds differently to the treatment.

The Head

  • The head is made up of a complex system of lobes, sinuses/channels, blood vessels, nerves, and ventricles. (Thau L, et al., 2022)
  • The pressure of these systems is regulated and any disruption to this balance can be noticeable.
  • Diagnosis can be difficult to figure out what is causing discomfort or head pressure.
  • Pain, pressure, irritability, and nausea are all symptoms that can occur with headaches. (Rizzoli P, Mullally W. 2017)

Location

  • Head pressure in more than one spot is possible with a migraine or a severe cold. (American Migraine Foundation 2023)
  • Pain can present in more than one area if there has been a head injury.
  • If the pressure is more specific in a certain region, it can help provide clues about the cause of the symptoms.
  • Medical issues can cause pressure in different areas. (Rizzoli P, Mullally W. 2017)
  • An example is a sinus infection which can cause pressure under the eyes and around the nose.
  • migraine or tension headache can present as: (MedlinePlus. Migraine 2021)
  • A tight band around the head.
  • Pain or pressure behind the eyes.
  • Stiffness and pressure in the back of the head and/or neck.

Causes of Pressure

The root cause of the problem is not always clear. There can be a number of potential causes.

Tension Headache

Tension headaches are the most common that feels like pressure squeezing the head. They usually develop because of tightening scalp muscles caused by:

 

  • Stress
  • Depression
  • Anxiety
  • Head injuries
  • Unusual positioning of the head or illness can cause tension headaches.

 

Other than muscle tension, tension headaches can develop from: (MedlinePlus. Tension headache.)

 

  • Physical stress
  • Emotional stress
  • Eye strain
  • Fatigue
  • Overexertion
  • Overuse of caffeine
  • Caffeine withdrawal
  • Over alcohol use
  • Sinus infections
  • A cold or flu
  • Smoking
  • Tension headaches can also run in families. (MedlinePlus. Tension headache.)

Sinus Headache

  • A sinus headache - rhinosinusitis - is caused by a viral or bacterial infection in the sinus cavities. (American Migraine Foundation 2023)
  • There are sinus cavities on each side of the nose, between the eyes, in the cheeks, and on the forehead.
  • The location of where these headaches cause pressure varies, depending on which sinuses are infected. (Cedars Sinai. Sinus Conditions and Treatments)
  • Sinus infection headaches are obvious from the discolored nasal drainage.
  • Individuals can have facial pain and pressure, lose their sense of smell, or have a fever. (American Migraine Foundation 2023)

Ear Conditions

  • The ears help the body sense movement and balance.
  • A problem in the inner ear that helps control balance can cause a type of migraine known as a vestibular migraine. (American Speech-Language-Hearing Association)
  • This type of migraine doesn't always present with pain symptoms.
  • Problems with balance and feelings of vertigo/sense of spinning are common with these types of migraines. (American Migraine Foundation)
  • An ear infection can also cause feelings of head pressure and/or pain.
  • Infections can cause pressure to build on the delicate structures of the middle and inner ear.
  • These infections are usually caused by viral illness or bacteria. (FamilyDoctor.org)

Neurological Causes

  • Neurological diseases and conditions can lead to increased pressure in the head.
  • The pain symptoms depend on the specific cause.
  • For example, a stroke can affect the whole head, while decreased brain fluid levels may affect just the base of the skull.
  • The latter condition is known as intracranial hypertension which means increased pressure in the brain. (Schizodimos, T et al., 2020)
  • For some individuals, there is no clear cause, this is known as idiopathic intracranial hypertension. (Wall, Michael. 2017) (National Health Service 2023)

 

Other causes of increased intracranial pressure include:

 

  • Medications
  • Hormones
  • Head injury
  • Fluid buildup inside the brain - hydrocephalus (National Institute of Neurological Disorders and Stroke, 2023)
  • Brain infections like meningitis or encephalitis
  • Brain blood clots 
  • Brain tumors

Other

  • Head pressure can also occur only at times when standing up, bending down to pick up an object, or otherwise changing posture in some way that blood pressure is affected.

Chiropractic Treatment

The Injury Medical team will develop a personalized treatment plan to help relieve pressure symptoms through a multidisciplinary approach that can include. (Moore Craig, et al., 2018)

 

  • Spinal manipulation
  • Low-load craniocervical mobilization
  • Joint mobilization
  • Deep neck flexion exercises
  • Neuromuscular massage
  • Physical therapy exercises
  • Relaxation techniques
  • Stress management
  • Nutritional recommendations

Multidisciplinary Evaluation and 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, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Moore, C., Leaver, A., Sibbritt, D., &amp; Adams, J. (2018). The management of common recurrent headaches by chiropractors: a descriptive analysis of a nationally representative survey. BMC neurology, 18(1), 171. https://doi.org/10.1186/s12883-018-1173-6

 

Thau, L., Reddy, V., &amp; Singh, P. (2022). Anatomy, Central Nervous System. In StatPearls. StatPearls Publishing.

 

Rizzoli, P., &amp; Mullally, W. J. (2018). Headache. The American journal of medicine, 131(1), 17–24. https://doi.org/10.1016/j.amjmed.2017.09.005

 

American Migraine Foundation. Is it a migraine or a sinus headache?

 

MedlinePlus. Migraine.

 

MedlinePlus. Tension headache.

 

Cedars Sinai. Sinus conditions and treatments.

 

American Speech-Language-Hearing Association. Dizziness and balance.

 

American Migraine Foundation. What to know about vestibular migraine.

 

FamilyDoctor.org. Ear infection.

 

Schizodimos, T., Soulountsi, V., Iasonidou, C., &amp; Kapravelos, N. (2020). An overview of the management of intracranial hypertension in the intensive care unit. Journal of Anesthesia, 34(5), 741–757. https://doi.org/10.1007/s00540-020-02795-7

 

Wall M. (2017). Update on Idiopathic Intracranial Hypertension. Neurologic Clinics, 35(1), 45–57. https://doi.org/10.1016/j.ncl.2016.08.004

 

National Health Service. Intracranial hypertension.

 

National Institute of Neurological Disorders and Stroke. Hydrocephalus. https://www.ninds.nih.gov/health-information/disorders/hydrocephalus

Dr. Alex Jimenez's insight:

Can chiropractic treatment protocols diagnose what's causing head pressure in individuals, and provide effective treatment? For answers to any questions you may have, please call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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Overexertion, Repetitive Stress Injuries: Personal Injury Doctors | Call: 915-850-0900 or 915-412-6677

Overexertion, Repetitive Stress Injuries: Personal Injury Doctors | Call: 915-850-0900 or 915-412-6677 | Accidents and Injuries | Scoop.it

Overexertion and repetitive stress injuries make up a fourth of all work injuries. Repetitive pulling, lifting, punching in numbers, typing, pushing, holding, carrying, and scanning are the most common causes of job-related injuries. These types of injuries are the most common that cause missed days at work.  Overexertion can lead to lasting physical chronic conditions, ranging from chronic back pain to chronic joint pain caused by the advanced wearing and tearing of the various musculoskeletal tissues. Chiropractic medicine takes a comprehensive and whole-body approach to treating neuromusculoskeletal injuries. Chiropractic relieves tight or damaged muscles, increases nerve energy flow, and properly aligns the joints through adjustments, spinal traction, decompression, and various forms of manual manipulation.

Overexertion and Repetitive Stress Injuries

Overexertion and repetitive stress injuries typically occur over time/years of engaging in the same strenuous activity regularly. However, an overexertion injury can occur with one sudden or extreme movement. A worker can injure muscles, tendons, joints, and ligaments. Overexertion can lead to musculoskeletal disorders with symptoms including:

 

  • Inflammation
  • Swelling
  • Numbness
  • Stiffness
  • Chronic pain
  • Limited or total loss of mobility in the muscles, tendons, ligaments, and joints.

Types

A few of the most common examples of overexertion injuries include:

Soft-Tissue

  • Injuries to muscles, ligaments, tendons, and joints.

Back

  • Pulled, strained back muscles.
  • Herniated discs.
  • Compressed nerve roots.
  • Fractured vertebrae.

Dehydration and Heat Stroke 

  • Most common among workers doing outdoor manual labor.

Repetitive and Overuse

  • Injuries range from carpal tunnel syndrome to stress fractures.
  • Often the result of weeks, months, or years of repeated movements
  • In many cases, two or more injuries can happen simultaneously.
  • For example, a worker is more likely to sustain an injury if they are dehydrated or they are performing dual tasks.

Causes

Certain movements and activities are more likely to cause overexertion injuries. Some of the most common include:

 

  • Daily lifting of objects, light and heavy.
  • Performing awkward movements that cause the body to be in unhealthy positions.
  • Standing and/or sitting or for long periods.
  • Using excessive force to perform tasks.
  • Operating heavy machinery.
  • Working in hot and/or humid conditions.

High-Rate Injury Industries

Industries in which overexertion injuries are most common include:

 

  • Education.
  • Health services.
  • Manufacturing.
  • Construction.
  • Warehouse work.
  • Transportation.
  • Wholesale trade.
  • Retail stores.

Chiropractic Treatment

These injuries can lead to missed work, debilitating pain, and medical bills. Depending on the severity of the injury, chiropractic care will use massage techniques, spinal manipulation, traction, and decompression therapies, to increase flexibility and mobility to reduce the chances of a recurring injury. The benefits of chiropractic include:

 

  • Prevents the risk of worsening or future injuries.
  • Expedites recovery to help individuals rehabilitate and get back to work sooner.
  • Improves physical and mental well-being.
  • Provide recommendations on how to properly stretch and strengthen muscles.
  • Nutritional anti-inflammatory recommendations.

 

By learning how to avoid overexertion injuries, workers can be more productive, enjoy work, and improve their quality of life.

From Injury To Recovery

 

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, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Anderson, Vern Putz, et al. “Occupational fatalities, injuries, illnesses, and related economic loss in the wholesale and retail trade sector.” American Journal of industrial medicine vol. 53,7 (2010): 673-85. doi:10.1002/ajim.20813

 

Choi, Hyun-Woo, et al. “Characteristics of occupational musculoskeletal disorders of five sectors in the service industry between 2004 and 2013.” Annals of Occupational and environmental medicine vol. 29 41. 19 Sep. 2017, doi:10.1186/s40557-017-0198-4

 

Friedenberg, Rivi, et al. “Work-related musculoskeletal disorders and injuries among emergency medical technicians and paramedics: A comprehensive narrative review.” Archives of Environmental &amp;