Accidents and Injuries

Learn what to do after an auto accident and recover from WAD. Stay informed about your rights and the steps to take immediately.

Introduction

Buckle up, folks, because we’re about to take a wild ride through the world of whiplash-associated disorders (WAD) and cervical spine injuries caused by motor vehicle accidents (MVAs)! If you’ve ever been rear-ended at a stoplight or had your neck do the cha-cha after a fender bender, you know this isn’t just a minor oopsie—it’s a serious medical issue that can leave you feeling like you’ve been through a blender. In this article, we’ll dive into the clinical rationale behind why WAD and cervical spine injuries are so closely tied to MVAs. We’ll explore how these injuries develop, their impact on your body, and the best ways to recover while keeping your neck and spine in tip-top shape. Plus, we’ll spotlight Dr. Alexander Jimenez, a rockstar chiropractor and nurse practitioner in El Paso, Texas, who’s helping personal injury victims get back on their feet with advanced diagnostics and a knack for bridging the gap between medical care and legal needs. So, let’s hit the gas and get started!

What Are Whiplash-Associated Disorders (WAD)?

Picture this: you’re cruising along, singing to your favorite tune, when—BAM!—someone rear-ends you. Your head snaps back and forth like a bobblehead on a bumpy road. That, my friends, is the classic setup for a whiplash injury, which can lead to a range of symptoms collectively known as whiplash-associated disorders (WAD). According to the Quebec Task Force, WAD encompasses a variety of neck-related symptoms following an acceleration-deceleration injury, most commonly from MVAs (Spitzer et al., 1995). These symptoms can include neck pain, stiffness, headaches, dizziness, and even cognitive issues like trouble concentrating—yep, it’s like your brain’s GPS goes on the fritz!

WAD is classified into grades based on severity, ranging from Grade 0 (no symptoms) to Grade 4 (severe injuries like fractures or dislocations). Most cases fall into Grades 1–3, which involve neck pain, reduced range of motion, and sometimes neurological symptoms like numbness or weakness (Sterling, 2004). The tricky part? These injuries often don’t show up on standard X-rays or MRIs right away, making them a bit like the ninja of injuries—sneaky and hard to pin down.

Why MVAs Cause WAD

So, why does a car crash turn your neck into a cranky, achy mess? It’s all about physics—Newton’s laws are not your friend in a collision. When your car gets hit, your body gets pushed forward, but your head lags behind for a split second before whipping forward and back. This rapid hyperextension and hyperflexion of the cervical spine (the seven vertebrae in your neck) stretches and strains muscles, ligaments, and nerves beyond their normal limits (Bogduk & Yoganandan, 2001). It’s like pulling a rubber band too far—things get stretched, and sometimes, they don’t snap back quite right.

The cervical spine is especially vulnerable because it’s the most mobile part of your spine, designed to let you turn your head to check your blind spots or nod along to a good song. But that mobility comes at a cost: it’s prone to injury when sudden forces are applied, especially in rear-end collisions, which account for about 90% of whiplash cases (Kullgren et al., 2000). Even low-speed crashes (think 10–15 mph) can generate enough force to cause WAD, proving that you don’t need a Hollywood-style crash to end up in pain.

References

• Bogduk, N., & Yoganandan, N. (2001). Biomechanics of the cervical spine, part 3: Minor injuries. Clinical Biomechanics, 16(4), 267–275. doi.org/10.1016/S0268-0033(00)00094-7
• Kullgren, A., Krafft, M., Nygren, A., & Tingvall, C. (2000). Neck injuries in frontal impacts: Influence of crash pulse characteristics on injury risk. Accident Analysis & Prevention, 32(2), 197–205. doi.org/10.1016/S0001-4575(99)00107-7
• Spitzer, W. O., Skovron, M. L., Salmi, L. R., Cassidy, J. D., Duranceau, J., Suissa, S., & Zeiss, E. (1995). Scientific monograph of the Quebec Task Force on whiplash-associated disorders: Redefining “whiplash” and its management. Spine, 20(8S), 1S–73S.
• Sterling, M. (2004). A proposed new classification system for whiplash-associated disorders—Implications for assessment and management. Manual Therapy, 9(2), 60–70. doi.org/10.1016/j.math.2003.11.006

The Cervical Spine: Your Neck’s Superhero Structure

Let’s give a shout-out to the cervical spine, the unsung hero of your neck. Made up of seven vertebrae (C1–C7), this flexible column supports your head (which weighs about as much as a bowling ball—10–12 pounds!) and lets you move it in all directions. It’s like the ultimate swivel chair, but with bones, muscles, and ligaments working together to keep things stable. The vertebrae are cushioned by intervertebral discs, which act like shock absorbers, while ligaments and muscles provide support and movement.

In an MVA, the cervical spine takes a beating. The rapid back-and-forth motion can cause:

• Muscle and ligament strains: The soft tissues get overstretched or torn, leading to pain and stiffness.
• Facet joint injuries: These small joints between vertebrae can get jammed or inflamed, causing sharp pain.
• Disc injuries: The discs can bulge or herniate, pressing on nerves and causing radiating pain or numbness.
• Nerve irritation: The spinal nerves in the neck can get pinched or inflamed, leading to symptoms like tingling or weakness in the arms.

These injuries are the building blocks of WAD, and they can range from mild (a few days of soreness) to chronic (pain that sticks around like an unwanted guest). The tricky part is that symptoms may not show up right away—sometimes it takes hours or days for the pain to crash the party (Jimenez, 2016).

References

• Jimenez, A. (2016). Recovering from whiplash-associated disorders. El Paso Chiropractor Blog. www.elpasochiropractorblog.com/2016/08/recovering-from-whiplash-associated.html

How WAD Affects Your Life

Imagine waking up with a neck so stiff you can barely turn your head to check your phone. Or getting headaches that make you feel like your skull is hosting a rock concert. That’s the reality for many people with WAD. Beyond the physical pain, WAD can mess with your daily life in ways you might not expect:

• Work woes: If your job involves sitting at a desk, driving, or lifting, neck pain can make it tough to get through the day. Studies show that WAD is a leading cause of work-related disability (Peolsson et al., 2021).
• Mental health struggles: Chronic pain can lead to anxiety, depression, or even post-traumatic stress disorder (PTSD), especially if the crash was traumatic (Kuch et al., 1996).
• Social shutdown: When you’re in pain, going out with friends or playing with your kids can feel like climbing Mount Everest.

And let’s not forget the financial hit. Medical bills, lost wages, and insurance battles can add up faster than a speeding ticket. That’s where personal injury cases come in, especially in a place like El Paso, where experts like Dr. Alexander Jimenez help victims navigate the medical and legal maze.

References

• Kuch, K., Cox, B. J., & Evans, J. R. J. (1996). Posttraumatic stress disorder and motor vehicle accidents: A multidisciplinary overview. Canadian Journal of Psychiatry, 41(7), 429–434. doi.org/10.1177/070674379604100704
• Peolsson, A., Hermansen, A., Peterson, G., & Strid, E. N. (2021). Return to work a bumpy road: A qualitative study on experiences of work ability and work situation in individuals with chronic whiplash-associated disorders. BMC Public Health, 21(785), 1–11. doi.org/10.1186/s12889-021-10794-2

Dr. Alexander Jimenez: El Paso’s Personal Injury Superhero

Enter Dr. Alexander Jimenez, DC, APRN, FNP-BC—a chiropractor and board-certified family nurse practitioner who’s like the Avengers of personal injury care in El Paso. With over 25 years of experience, Dr. Jimenez combines the best of chiropractic care and medical expertise to help MVA victims recover and reclaim their lives. His clinic, Injury Medical & Chiropractic Clinic, is a one-stop shop for advanced diagnostics, personalized treatments, and legal support (Jimenez, 2024).

What makes Dr. Jimenez stand out? His dual-scope approach—think of it as having a Swiss Army knife for healthcare. As a chiropractor, he’s a pro at fixing spinal misalignments and relieving pain through non-invasive techniques like spinal adjustments and manual therapy. As a nurse practitioner, he can dive deeper into systemic issues, using advanced diagnostics to uncover hidden injuries and create comprehensive treatment plans. This combo lets him tackle both the biomechanical (bones and muscles) and physiological (nerves and organs) sides of WAD.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Increase awareness about texting and motor vehicle accidents and their consequences for drivers and pedestrians alike.

Introduction

Picture this: you’re cruising down the highway, your phone buzzing with a new text. You glance down to reply, thinking, “It’ll just take a second.” But in that moment, the car in front of you stops, and before you know it, you’re in a fender-bender. Your neck feels stiff, and the pain lingers for days. This scenario is all too common, highlighting the dangers of distracted driving, particularly texting while driving. Not only can it lead to motor vehicle accidents (MVAs), but it can also cause serious injuries like whiplash, which may result in chronic neck pain.

In this comprehensive guide, we’ll explore why texting while driving is so risky, how it leads to whiplash injuries, and why these injuries can become a long-term problem. We’ll also spotlight the work of Dr. Alexander Jimenez, DC, APRN, FNP-BC, a leading practitioner in El Paso, Texas, who helps accident victims recover through advanced medical care and legal support. With a touch of humor to keep things light, we’ll conclude with a serious reminder about the importance of safe driving and seeking proper medical care. Let’s dive in!

Section 1: The Dangers of Distraction Driving

Why Texting While Driving is a Recipe for Disaster

Texting while driving is one of the most dangerous things you can do behind the wheel. The National Highway Traffic Safety Administration (NHTSA) reports that in 2023, distracted driving caused 3,275 deaths in the U.S., with texting being a leading culprit (NHTSA, 2023). Why is texting so bad? It’s a triple threat:

• Visual Distraction: Your eyes are off the road while you read or type.
• Manual Distraction: Your hands are off the wheel as you hold the phone.
• Cognitive Distraction: Your mind is focused on the text, not the road.

Sending or reading a text takes about 5 seconds. At 55 mph, that’s like driving the length of a football field blindfolded (NHTSA, 2023). The Centers for Disease Control and Prevention (CDC) adds that in 2019, distracted driving led to over 3,100 deaths and 424,000 injuries, with about 1 in 5 fatalities involving pedestrians or cyclists (CDC, 2024).

The Broader Impact

Distraction driving doesn’t just affect the driver. It puts passengers, pedestrians, and other motorists at risk. The National Safety Council estimates that 1.6 million crashes occur annually due to cell phone use, with 660,000 drivers using phones at any given moment (Edgar Snyder, 2024). Teens are particularly vulnerable, with vehicle collisions being a leading cause of death for 15- to 20-year-olds (California DMV, 2020).

Humor Break

Imagine texting your friend about that hilarious cat video, only to realize the car in front of you has come to a stop. Suddenly, you’re not laughing anymore—you’re dealing with a sore neck and a crumpled bumper. Maybe it’s time to let the cat video wait until you’re parked!

References

• Centers for Disease Control and Prevention. (2024). Distracted Driving. www.cdc.gov/distracted-driving/about/index.html
• Edgar Snyder. (2024). Texting and Driving Accident Statistics 2024. www.edgarsnyder.com/resources/texting-and-driving-accident-statistics
• End Distracted Driving. (2013). The Facts About Distracted Driving. www.enddd.org/the-facts-about-distracted-driving/
• National Highway Traffic Safety Administration. (2023). Distracted Driving Dangers and Statistics. www.nhtsa.gov/risky-driving/distracted-driving
• California Department of Motor Vehicles. (2020). Driver Distractions. www.dmv.ca.gov/portal/driver-education-and-safety/educational-materials/fast-facts/driver-distractions-ffdl-28/

Section 2: What is Whiplash and How Does It Occur?

Defining Whiplash

Whiplash is a neck injury caused by a sudden, forceful movement of the head, typically forward and backward or side to side. This motion strains or tears the muscles, ligaments, discs, and nerves in the neck, leading to pain and discomfort (Mayo Clinic, 2024). It’s most commonly associated with rear-end car accidents, which are often triggered by distracted driving.

How It Happens

When a distracted driver, such as one texting, fails to stop in time, they may rear-end the vehicle in front of them. This sudden impact causes the head to snap, overstretching the neck’s soft tissues. According to Rush University Medical Center, whiplash can occur at speeds as low as 5-10 mph, and its severity often depends on factors such as seatbelt use and headrest positioning (Rush University Medical Center, n.d.).

Symptoms of Whiplash

Symptoms may include:

• Neck pain and stiffness
• Headaches
• Dizziness
• Shoulder or arm pain
• Reduced range of motion

These symptoms can take hours or days to appear, making it tricky to diagnose without medical evaluation (Healthline, 2023). In some cases, cognitive symptoms such as irritability or difficulty concentrating may also occur, potentially indicating a poorer prognosis (Wikipedia, 2003).

The Distraction Driving Connection

Texting while driving delays reaction times, increasing the likelihood of rear-end collisions. The Governors Highway Safety Association notes that phone use is one of the most common distractions, with over 326,000 drivers holding phones during daylight hours (GHSA, n.d.). These collisions are a primary cause of whiplash, making distraction driving a key contributor.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Find out about auto injuries affecting the rotator cuffs. Understand symptoms, treatment options, and tips for managing your recovery.

Introduction

Shoulder pain is a frequent complaint following motor vehicle accidents (MVAs), often resulting from the intense forces experienced during a crash. Research suggests that nearly 2 million people in the United States seek medical attention annually for rotator cuff complications, many of which are linked to traumatic events like MVAs (May & Garmel, 2025). Understanding why shoulder injuries, particularly rotator cuff tears, are so common in these accidents is essential for both victims and healthcare providers. This blog post explores the clinical rationale behind these injuries, their impact on the rotator cuff, and the critical role of expert care, such as that provided by Dr. Alexander Jimenez in El Paso, Texas. We’ll also discuss the importance of personal injury cases and how proper medical documentation can make a significant difference.

Picture this: you’re driving along, minding your own business, when suddenly you hear the screech of tires. Your body, in a moment of pure instinct, decides your shoulders are the best airbags available. Spoiler alert: they’re not. This reflex to brace for impact often leads to the very injuries we’re discussing here—a grim reminder that our bodies aren’t always as clever as we’d hope in a crisis.

References

May, T., & Garmel, G. M. (2025). Rotator Cuff Injury. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/31613444

Jimenez, A. (2016, August 1). Rotator cuff tears resulting from auto accidents. El Paso Chiropractor Blog. www.elpasochiropractorblog.com/2016/08/rotator-cuff-tears-resulting-from-auto.html

Understanding the Rotator Cuff

The rotator cuff consists of four muscles—supraspinatus, infraspinatus, teres minor, and subscapularis—and their tendons that work together to stabilize the shoulder joint. These structures form a “cuff” around the head of the humerus (the upper arm bone), securing it within the shallow socket of the scapula (the shoulder blade). This design allows for an impressive range of motion, enabling you to lift, rotate, and reach overhead with ease. However, this flexibility comes at a cost: the rotator cuff’s complex structure makes it prone to injury, especially during sudden, forceful movements, such as those in an MVA (Fukuta et al., 2010).

Think of the rotator cuff as the shoulder’s overworked stage crew, holding everything together while the arm performs its starring role. When an accident throws a wrench into the production—say, a high-speed collision—it’s the rotator cuff that often takes the hit, leaving you with a painful and dysfunctional shoulder.

References
Fukuta, S., Jackson, J., & Bytomski, J. R. (2010). Prevalence and risk factors of a rotator cuff tear in the general population. Journal of Shoulder and Elbow Surgery, 19(1), 116–120. doi.org/10.1016/j.jse.2009.04.006

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Explore spinal prevention auto injury strategies to safeguard yourself and reduce the risk of serious harm in accidents.

Introduction

Motor vehicle accidents (MVAs) are a major public health concern, claiming countless lives and causing millions of injuries each year in the United States. From minor bruises to severe spinal injuries, the consequences of MVAs can be life-altering. Among the most common injuries are those affecting the neck, particularly whiplash, which can lead to chronic cervical pain and a range of debilitating symptoms. Fortunately, one simple action—wearing a seatbelt—can dramatically reduce the risk of serious injury or death.

In this comprehensive guide, we’ll explore the clinical reasons behind preventing auto injuries, with a focus on the critical role of seatbelts. We’ll also examine how these injuries contribute to cervical pain and related symptoms, drawing on insights from medical research and the expertise of Dr. Alexander Jimenez, a distinguished chiropractor and functional medicine practitioner in El Paso, Texas. With a touch of humor inspired by Herman Munster from The Munsters, we’ll keep the tone engaging while emphasizing the seriousness of auto safety. By the end, you’ll understand why buckling up and seeking expert care are essential steps to staying safe on the road.

Section 1: Understanding Auto Injuries and Their Consequences

What Are Auto Injuries?

Auto injuries refer to physical traumas sustained during motor vehicle accidents, ranging from minor soft tissue damage to severe fractures or neurological impairments. The neck and spine are particularly vulnerable due to the forces involved in crashes, such as sudden stops or impacts. One of the most common injuries is whiplash, a neck sprain or strain caused by rapid back-and-forth head movement, often seen in rear-end collisions.

Whiplash symptoms include neck pain, stiffness, headaches (often starting at the base of the skull), dizziness, fatigue, and occasionally neurological issues such as tingling or numbness in the arms (Mayo Clinic Whiplash). These symptoms may not appear immediately, sometimes taking days or weeks to manifest, which can delay diagnosis and treatment.

Other auto injuries include herniated discs, spinal fractures, and dislocations, which can lead to chronic pain or disability if not properly managed. The cervical spine, comprising seven vertebrae in the neck, is particularly susceptible due to its mobility and lack of protection during a crash (Sterling Medical Group).

Prevalence and Impact

The scale of auto injuries is staggering. In 2022, the National Highway Traffic Safety Administration (NHTSA) reported over 42,000 traffic fatalities in the U.S., with millions more sustaining non-fatal injuries (NHTSA Traffic Safety). Neck injuries, particularly whiplash, are among the most reported, with over 80,000 car crashes annually causing neck-related injuries (Integrity Spine & Orthopedics). These injuries not only cause physical pain but also emotional and financial burdens, including medical costs and lost wages.

Long-Term Consequences

If untreated, auto injuries like whiplash can lead to chronic pain, reduced mobility, and even psychological effects like depression or difficulty concentrating. Factors such as severe initial pain, limited range of motion, or pre-existing conditions can worsen outcomes (Mayo Clinic Whiplash). Early intervention by specialists, such as chiropractors or orthopedic experts, is critical to preventing long-term complications.

References

• Mayo Clinic. (2024). Whiplash – Symptoms and causes. Mayo Clinic Whiplash
• NHTSA. (2023). Traffic Safety Facts. NHTSA Traffic Safety
• Sterling Medical Group. (2018). 6 Back and Neck Injuries After a Car Accident. Sterling Medical Group
• Integrity Spine & Orthopedics. (2024). What Neck Injuries Do Car Accidents Cause? Integrity Spine & Orthopedics

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Discover how auto injuries contribute to TMJ disorders. Discover information on symptoms, treatment options, and prevention strategies.

Introduction

Imagine cruising down the road, humming to your favorite tune, when—bam!—you’re rear-ended. Your neck aches, your head throbs, and a few weeks later, your jaw starts clicking like an old typewriter. You might think, “What’s going on? I didn’t even hit my face!” Welcome to the sneaky world of temporomandibular joint (TMJ) disorders, a common but often overlooked consequence of motor vehicle accidents (MVAs). In this blog post, we’ll unravel the mystery of how MVAs can lead to TMJ disorders and neck pain, explore the clinical reasons behind this connection, and highlight nonsurgical treatments. We’ll also spotlight Dr. Alexander Jimenez, a leading chiropractor in El Paso, whose expertise in personal injury cases makes him a go-to for MVA victims. So, buckle up—let’s dive in, with a nod to Herman Munster’s creaky neck for a bit of levity!

What is a TMJ Disorder?

The temporomandibular joint (TMJ) is the hinge connecting your jaw to your skull, enabling you to talk, chew, and yawn. When it’s working smoothly, you barely notice it. But when it’s not, it can turn everyday activities into a pain in the… jaw.

Symptoms of TMJ Disorders

• Jaw Pain or Tenderness: Often worse in the morning or after chewing.
• Difficulty Chewing: Discomfort or pain while eating.
• Ear Pain: A dull ache or fullness around the ear.
• Restricted Jaw Movement: Trouble opening or closing the mouth fully.
• Clicking or popping: Sounds that occur when moving the jaw, sometimes accompanied by pain.

TMJ disorders can stem from arthritis, teeth grinding, or direct jaw injuries. However, trauma from MVAs, particularly whiplash, is a significant but underrecognized cause (Johns Hopkins Medicine).

References

• Johns Hopkins Medicine. (2021). Temporomandibular Disorder (TMD). www.hopkinsmedicine.org/health/conditions-and-diseases/temporomandibular-disorder-tmd

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Understand how a car accident may result in thoracic outlet syndrome and get insights on managing the condition effectively.

Introduction

Car accidents can turn your life upside down faster than you can say “fender bender.” Beyond the crumpled bumpers and insurance headaches, they can leave you with injuries that linger like an unwelcome guest. One such injury involves the cervical spine—your neck, the unsung hero that holds up your head while you binge-watch your favorite show. When a crash jolts your neck, it can damage ligaments, leading to a cascade of problems, including a condition called Thoracic Outlet Syndrome (TOS), which can make your arms feel like they’re auditioning for a zombie movie with all that numbness and tingling. In this post, we’ll delve into the clinical perspective of these injuries, highlighting how Dr. Alexander Jimenez in El Paso helps victims recover and why documenting these injuries is crucial for both your health and any potential legal claims.

What Happens to the Cervical Spine After a Car Accident?

Picture your neck as a tower of Jenga blocks carefully stacked to keep everything in place. Now, imagine a car rear-ending you, sending those blocks wobbling like a bad game night. Whiplash is a rapid back-and-forth motion of the neck that occurs in approximately 1 million car accidents annually in the U.S., costing society up to $29 billion and affecting individuals’ socio-economic lifestyles. Whiplash doesn’t just give you a sore neck; it can seriously mess with the ligaments that hold your cervical spine together.

The Anatomy of Your Neck

The seven vertebrae in the cervical spine are cushioned by discs and held together by ligaments, which are the anterior longitudinal ligament, posterior longitudinal ligament, capsular ligaments, interspinous ligaments, supraspinous ligaments, and ligamentum flavum. These ligaments are like the seatbelts of your spine, keeping everything secure. However, in a crash, the sudden force, ranging from 3.5 to 8 g’s in a rear-end collision, can stretch or tear these ligaments, thereby reducing their strength. A study found that whiplash decreases the force required for ligament failure by approximately 20% (149.4 N vs. 186.0 N) and energy absorption by roughly 22% (308.6 J vs. 397.0 J). (Tominaga et al., 2006). This damage can lead to cervical instability, where your neck becomes as wobbly as a bobblehead on a dashboard.

The Whiplash Effect

Whiplash is like your neck trying to do an impromptu dance move it wasn’t prepared for. The rapid motion overstretches ligaments beyond their normal range, sometimes causing micro tears or complete ruptures. This instability can lead to chronic pain, stiffness, and even more complex issues down the road, like Thoracic Outlet Syndrome. It’s as if your neck says, “I’m done holding it together!” and passes the problem to other parts of your body. It’s like a disaster with the neck and ligaments, which is no laughing matter, as it can significantly impact your daily life, from simply turning your head to lifting your arms.

Can Ligament Damage Cause Thoracic Outlet Syndrome?

Now, let’s discuss Thoracic Outlet Syndrome, or TOS, which may sound like something you’d find in a haunted mansion, but it is, in fact, a medical condition. TOS happens when the nerves or blood vessels in the thoracic outlet—the narrow space between your collarbone and first rib get compressed, causing pain, numbness, or tingling in your arms and hands, making you feel like your limbs are staging a protest. But how does a neck injury from a car crash lead to this?

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Learn about the possible delayed symptoms auto accident victims may experience and how to address them effectively.

Introduction

Auto accidents, even minor ones, can have a profound impact on both the body and mind. While some injuries are immediately apparent, others may not surface until days, weeks, or months later. Recognizing these delayed symptoms, understanding their impact, and knowing how to respond can significantly improve recovery and quality of life. This article examines seven common delayed symptoms, outlines steps to take during the symptom-free period, discusses the effects on the body and daily life, and explores effective treatments, including chiropractic care.

Seven Common Delayed Symptoms

Delayed symptoms often arise due to the body’s initial adrenaline surge, which can mask pain, or because soft tissue injuries take time to manifest. Here are seven symptoms to watch for:

1. Neck Pain or Stiffness: Whiplash, a common injury resulting from rear-end collisions, can cause neck pain, stiffness, or a reduced range of motion. Symptoms can emerge days or weeks after the accident. This common injury causes sudden biphasic movements, thus leading to injuries to the bony, muscular, and ligamentous structures of the body. (Alektoroff & Papanagiotou, 2021)
2. Headaches: Post-traumatic headaches, often linked to whiplash or mild traumatic brain injury, may start days later and range from tension-type to migraines. These cause the individual to have increased pain sensitivity and cervical musculoskeletal impairments. (Di Antonio et al., 2023)
3. Back Pain: Strains, sprains, or herniated discs in the lower or upper back may not cause immediate discomfort but can develop as inflammation builds. Additionally, back pain is associated with impaired movement coordination, which can affect the body’s sensory function. (Delitto et al., 2012)
4. Numbness or Tingling: Nerve damage or compression, such as from a pinched nerve or herniated disc; these musculoskeletal issues can lead to tingling or numbness in the arms, legs, or hands.
5. Fatigue or Sleep Issues: Physical trauma or stress from the accident can disrupt sleep patterns, leading to chronic fatigue or insomnia over time.
6. Cognitive or Emotional Changes: Symptoms like difficulty concentrating, memory problems, anxiety, or irritability may indicate a concussion or post-traumatic stress.
7. Joint Pain or Swelling: Joint injuries, such as those to the shoulders or knees, may cause delayed swelling, stiffness, or pain due to inflammation or damage to the cartilage.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Dealing with spine and back pain from a car accident? Explore treatment options and recovery tips in our guide.

Introduction

When a person has experienced a car accident, especially if it is minor, they can experience physical trauma to the spine and back as well as the upper and lower extremities. The sudden forces involved in a collision can cause injuries that result in acute or chronic pain. Do you experience stiffness in your neck, shoulders, and back?  Do you feel radiating pain down from your back? Or have you constantly experienced headaches that prevent you from doing your daily tasks? Today, we will look at and understand the causes of spine and back pain, recognize the symptoms, and explore how effective treatments like chiropractic care can help individuals recover and regain their quality of life.

Spine & Back Pain Causes After a Car Accident

The spine and back are vulnerable during a car accident due to the rapid acceleration, deceleration, and twisting motions that occur. Common causes of pain include:

1. Whiplash and Soft Tissue Injuries: A person in a rear-end collision will experience a common injury known as whiplash. This musculoskeletal injury occurs when the head and neck are forcefully jerked forward and backward. (Stroke, 2023) This can strain or tear muscle tissue structures in the neck and upper back, leading to the development of pain and stiffness throughout the body.
2. Herniated Discs: The impact of a car collision can cause the spinal segments to compress or displace the intervertebral discs, causing them to bulge or rupture. This may irritate nearby nerves, compressing them, resulting in back pain-associated numbness or weakness within the upper and lower extremities. (Ge et al., 2019)
3. Spinal Misalignment: The sudden jolts and movements the body experiences after a car collision can misalign the spinal vertebrae, disrupting the spine’s natural curvature. This can lead to numerous pain-like symptoms, such as muscle spasms, restricted movement, and pain.
4. Fractures or Dislocations: In severe accidents, the spinal vertebrae may fracture or dislocate, causing intense pain and potential nerve damage. These injuries can negatively influence an individual’s social and financial situation when being treated. (Fakharian et al., 2017)
5. Facet Joint Injuries: The facet joints, which connect the vertebrae, can become sprained or damaged during a collision, leading to pain.

Symptoms of Spine & Back Pain

Depending on the collision’s severity, the spine and back can develop symptoms depending on the type of injury the person is experiencing. Common signs include:

• Localized or Radiating Pain
• Stiffness
• Muscle Spasms
• Numbness or Tingling
• Headaches
• Fatigue or Weakness

Delayed onset of symptoms is common, with pain or discomfort appearing hours or days after the accident. Seeking prompt medical evaluation is critical to prevent complications.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Can bone growth stimulators help promote bone healing in cases where fractures or fusions fail to heal properly?

Bone Growth Stimulator

Individuals who sustain broken bones typically heal the fracture with appropriate treatment, which may include casts, realignment, and surgery. This type of surgery is performed on the spine and joints throughout the body; typically, the bone heals without a problem. Bone healing is a natural process, as bones are constantly replaced with new ones, and after an injury, the body can heal the damage to the bone. However, bone healing sometimes does not happen correctly and/or completely. Bone healing can take a long time, which is known as a delayed union, or it may not occur at all, or a nonunion. This is when a healthcare provider could recommend bone growth stimulation.

How They Work

Bone growth stimulators apply external or implanted electrical or ultrasonic energy to the fracture or fusion site, stimulating bone growth. These devices are often used when a fracture doesn't heal within the expected timeframe (a nonunion fracture) or when a spinal fusion has not successfully fused. (FDA, 2022)

• They come in various shapes, sizes, and technologies depending on the location of the fracture.
• The most commonly used bone stimulators in orthopedics are electrical and ultrasound stimulators.
• The stimulator emits a pulsed electromagnetic or ultrasonic impulse to the area where bone healing should occur.
• Most modern bone stimulators are attached near the fracture site or fused with a small battery pack and worn for a period each day that may last minutes or hours.

Electrical Stimulation

• Devices deliver low-level electrical pulses to the fracture site, which can stimulate bone cells to create new bone tissue.

Ultrasound Stimulation

• They emit low-intensity pulsed ultrasound waves, which are absorbed by the bone and can promote bone healing.

Implantable vs. External

• Some stimulators are surgically implanted, providing constant stimulation directly at the fracture site, while others are external and worn over the skin or cast.

The goal is to activate a series of receptors in the body to encourage a healing response. (Childs, S. G. 2003) The stimulator activates a pathway that releases chemicals within the body to promote fracture healing. This type of process in the body is called a cascade, and it happens when one signal stimulates another method, and so on until healing is complete. The bone stimulator ensures this cascade continues until the healing process is complete.

Effectiveness

Studies of bone stimulator effectiveness suggest two benefits:

1. Less pain is associated with the bone healing process.
2. Faster fracture healing.

However, these studies haven't shown that these differences lead to improved patient functional outcomes. It would seem that if there is less pain and faster healing, then the patient should recover without complications. However, some researchers have suggested this is probably because the differences in pain and healing times are small and not necessarily noticeable. (Aleem, I. S. et al., 2016)

• While bone growth stimulators can be effective, the results can vary, and their effectiveness is still under investigation.
• Some studies have shown that stimulators can reduce pain and speed up healing time, while others have shown mixed results.
• It's important to discuss the benefits and risks of bone growth stimulation with a doctor to determine if it's the right treatment option.

When Stimulation is Necessary

Bone stimulators are currently not used for routine fracture healing. It is certainly possible that bone healing stimulators will be used routinely in the future. They seem to show some benefit in non-healing fractures or fractures that are likely troublesome to heal. Some reasons individuals may have problems healing fractures are injuries to the blood supply to and around the fracture, injuries to specific bones, and overuse-related fractures. (Victoria, G. et al., 2009) These injuries may include (FDA, 2022)

Nonunion Fractures

• When a fracture doesn't heal within the expected timeframe.
• Open fractures
• Stress fractures
• Scaphoid bone fractures
• Talus fractures

Failed Fusions

• When a spinal fusion hasn't been successful.

High-Risk Patients

• For individuals with factors that can hinder bone healing, such as smoking, diabetes, or certain medications

Bone healing typically proceeds without much problem. However, there are situations where people have issues healing after fractures or surgery. Bone stimulators are not used for routine bone healing but in situations where steps may be needed to help stimulate the body. While the improvement may be small, it may be critical if it is the difference between healing and nonhealing.

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.

From Injury to Recovery with 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, and 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 that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

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

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

U.S. Food & Drug Administration. (2022). AccelStim Bone Growth Stimulator – P210035. Retrieved from https://www.fda.gov/medical-devices/recently-approved-devices/accelstim-bone-growth-stimulator-p210035#:~:text=What%20is%20it?,the%20transducer%20to%20the%20fracture

Childs, S. G. (2003). Stimulators of bone healing. Biologic and biomechanical. Orthopedic nursing, 22(6), 421–428. https://doi.org/10.1097/00006416-200311000-00010

Aleem, I. S., Aleem, I., Evaniew, N., Busse, J. W., Yaszemski, M., Agarwal, A., Einhorn, T., & Bhandari, M. (2016). Efficacy of Electrical Stimulators for Bone Healing: A Meta-Analysis of Randomized Sham-Controlled Trials. Scientific Reports, 6, 31724. https://doi.org/10.1038/srep31724

Victoria, G., Petrisor, B., Drew, B., & Dick, D. (2009). Bone stimulation for fracture healing: What's all the fuss?. Indian Journal of Orthopaedics, 43(2), 117–120. https://doi.org/10.4103/0019-5413.50844

What are the recommendations for a pulled muscle injury to fully recover?

Pulled Muscle Recovery Time

A pulled muscle, medically known as a strain, occurs when muscle fibers are stretched too far and sometimes tear. A pulled muscle injury typically starts to heal within days. Mild injuries can heal completely in one to three weeks, but more serious strains or tears, depending on the severity, can take six to 12 weeks or longer. (Fernandes T. L., Pedrinelli A., & Hernandez A. J. 2015)  Rest, hydration, healthy foods, and slowly returning to activity can help expedite healing time.

Timeline

The timeline for recovering from a pulled muscle depends on the injury's severity. Pulled muscles are typically categorized into three grades based on the degree and size of pulled muscle fibers, as follows (Hospital for Special Surgery, 2024)

Grade 1 (mild)

• Heals in a few days.
• A microscopic tear or stretch in the muscle fiber.
• It might feel sore, but you can still use the muscle.

Grade 2 (moderate)

• Heals in four to six weeks.
• A partial tear in the muscle causes noticeable pain and swelling, making it harder to move or use the injured muscle.

Grade 3 (severe)

• Heals in several months
• This type of muscle strain causes a complete tear, also known as a rupture.
• It results in intense pain, significant swelling, and inability to use the muscle.
• Surgery may be required in some cases.
• Larger muscles, such as the hamstrings and quadriceps, may take longer to heal than smaller muscles due to their increased size and greater weight-bearing loads.

Body Parts More Susceptible To Injury

The following are more susceptible to muscle strains, pulls, or tears (Nölle L. V. et al., 2022)

• Neck - levator scapulae and trapezius
• Shoulders - rotator cuff muscles
• Lower back - erector spinae
• Groin - adductors
• Front of the thigh - quadriceps
• Behind the thigh - hamstrings
• Calves - gastrocnemius and soleus

Healing Stages and Factors

Pulled muscles heal in three predictable stages, though the timing and progression may vary by individual and injury severity (Baoge L. et al., 2012).

Inflammatory Stage (zero to three days)

• When pulling a muscle, the body reacts instantly with an inflammatory response that may include swelling, redness, bruising, and pain.
• Rest is important during this stage to prevent the injury from getting worse.

Repair Stage (three to 21 days)

• Damaged muscle fibers are repaired and regrow during this stage.
• Collagen fills in any tears to rebuild damaged muscle tissue.
• Gentle movement and easy activity can help the fibers line up properly and reduce stiffness.
• Start slowly moving a pulled muscle as soon as possible, but avoid too much activity too soon, as it can delay and prolong healing.

Remodeling Stage (three weeks to one year)

• Repaired tissue gets stronger and adapts to regular movement.
• Scar tissue may form.
• Gradually adding more activity, stretching, and strengthening exercises helps treat a pulled muscle and return to full strength and function but should be done carefully to avoid re-injury.

Faster Healing

To help speed up recovery from a pulled muscle, try these simple strategies: (Baoge L. et al., 2012) (Laumonier T. & Menetrey J. 2016)

Rest

• Avoid activities that cause pain, but move the muscle gently to prevent stiffness.
• Prolonged rest can slow healing, so maintain a balance between rest and exercise.

Ice

• Add ice for 10–20 minutes for the first 48 hours to reduce swelling and pain.
• Ice helps control inflammation by limiting blood flow to the injured area.

Compression

• Use compression stockings or wrap the injured part in bandages to help reduce swelling.
• Ensure the binding is not too tight so circulation is not cut off.

Elevation

• Raise the injured area above heart level throughout the day.
• This helps reduce swelling by allowing fluids to drain away from the injury site.

Heat

• After the first two to three days, heat therapy increases blood circulation and improves flexibility, helping the muscle heal.

Eat Healthy

• Get enough protein for muscle repair.

Maintain Hydration

• Drink plenty of water to help with circulation and muscle lubrication.

Massage and Physical Therapy

• These hands-on interventions can improve circulation, help reduce scar tissue, and restore range of motion.

Over-the-counter Medications

• If needed, over-the-counter nonsteroidal anti-inflammatory medications like Advil or Motrin (ibuprofen) and Aleve (naproxen sodium) can help with pain and swelling.
• Only use as directed.

These steps can help promote faster healing and expedite returning to normal daily activities.

When to Resume Normal Activity

Individuals may need one to two weeks to recover before resuming normal activity for mild strains. However, for more severe injuries, it could take four to six weeks or longer to return to all daily activities. (Harvard Health Publishing, 2023) It's essential to gradually return to daily activities to avoid reinjury, which can delay and prolong healing. Follow these recommendations to recover from a pulled muscle safely and quickly (Kraemer W., Denegar C., & Flanagan S. 2009)

• Once the pain has subsided, the swelling has decreased, and the muscle feels better, start with low-impact exercises.
• Slowly resume normal activities, avoiding overexerting the injured area.
• Gradually increase activity levels and stop if there is any pain.
• Avoid strenuous activities that place excessive stress on the injured muscle until the muscle is completely healed.

Contact a Healthcare Provider

While most pulled muscles heal with home care, seek medical attention if: (Penn Medicine, 2023)

• Pain persists or worsens after seven to 10 days.
• This can indicate a more serious injury, such as a severe torn muscle.
• Significant pain, loss of motion and strength, and swelling disrupt daily activities or show signs of worsening despite rest and self-care.
• It is difficult to move the affected area, or the muscle cannot bear weight, suggesting a more severe injury.
• There are signs of infection, including redness, warmth, increased swelling, or fever, especially if the skin is cut or broken near the injured area.
• There is unusual bruising or a visible deformity, which could indicate a bone fracture requiring professional evaluation.

A healthcare provider may recommend imaging studies, such as MRI, ultrasound, or X-rays, to assess the extent of the injury, rule out fractures, or check for muscle tears.

Injury Medical Chiropractic & Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Say Goodbye to Pain with 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 that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Fernandes, T. L., Pedrinelli, A., & Hernandez, A. J. (2015). MUSCLE INJURY - PHYSIOPATHOLOGY, DIAGNOSIS, TREATMENT, AND CLINICAL PRESENTATION. Revista brasileira de ortopedia, 46(3), 247–255. https://doi.org/10.1016/S2255-4971(15)30190-7

Hospital for Special Surgery. J. N. R., MD. (2024). Muscle Strain: Causes, Symptoms, Treatment. https://www.hss.edu/conditions_muscle-strain.asp

Nölle, L. V., Mishra, A., Martynenko, O. V., & Schmitt, S. (2022). Evaluation of muscle strain injury severity in active human body models. Journal of the mechanical behavior of biomedical materials, 135, 105463. https://doi.org/10.1016/j.jmbbm.2022.105463

Baoge, L., Van Den Steen, E., Rimbaut, S., Philips, N., Witvrouw, E., Almqvist, K. F., Vanderstraeten, G., & Vanden Bossche, L. C. (2012). Treatment of skeletal muscle injury: a review. ISRN orthopedics, 2012, 689012. https://doi.org/10.5402/2012/689012

Laumonier, T., & Menetrey, J. (2016). Muscle injuries and strategies for improving their repair. Journal of Experimental Orthopaedics, 3(1), 15. https://doi.org/10.1186/s40634-016-0051-7

Harvard Health Publishing. (2023). Muscle strain. https://www.health.harvard.edu/staying-healthy/muscle-strain-a-to-z

Kraemer, W., Denegar, C., & Flanagan, S. (2009). Recovery from injury in sport: considerations in the transition from medical care to performance care. Sports Health, 1(5), 392–395. https://doi.org/10.1177/1941738109343156

Penn Medicine. (2023). Strains. https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/strains

Individuals who have fractured their scaphoid bone may experience pain and swelling in the wrist just below the thumb. Can immobilization with a cast and physical therapy help?

Scaphoid Fracture

A scaphoid fracture is a break in one of the wrist's small or carpal bones. This type of fracture occurs most often after a fall onto an outstretched hand. Symptoms typically include swelling and pain in the wrist just below the base of the thumb. These fractures can be difficult to diagnose since they don't always appear on an X-ray. If the X-ray is negative and the healthcare provider suspects a scaphoid fracture, an MRI may be necessary. Surgery may be required in more severe cases or when the injury is not healing correctly. (American Academy of Orthopaedic Surgeons, 2023)

A Break In The - Navicular Bone

The scaphoid is one of eight carpal bones in the wrist. It is located just below the thumb's base and is shaped like a kidney bean. This bone can be identified by holding a thumbs-up position and feeling for the hollow between the two tendons below your thumb. The scaphoid is located at the base of the hollow. A break in the scaphoid bone most commonly occurs in the middle of the bone but can also happen at either end. A scaphoid fracture can be displaced or non-displaced (American Academy of Orthopaedic Surgeons, 2023)

Displaced Fracture

• It is when the bone fragments have moved out of alignment.

Non-displaced Fracture

• It is when the fragments are still in their normal location in the hand.

The scaphoid’s blood supply comes from a small vessel that enters the most distant part of the bone and flows back through the bone. Because of this one small blood supply, a fracture in the center can stop the circulation to the proximal portion of the bone. Because of this, scaphoid fractures need immediate diagnosis and treatment.

Symptoms

Pain or deep aching on the thumb-side of the wrist, typically after a fall on an outstretched arm, could be a scaphoid fracture. Other symptoms experienced include: (American Academy of Orthopaedic Surgeons, 2023)

• Tenderness at the base of the hollow area.
• Pain at the base of the hollow area.
• Swelling in the wrist
• Difficulty gripping objects

Pain can become worse from: (American Academy of Orthopaedic Surgeons, 2023)

• Grasping
• Pulling
• Pushing
• Pinching

Diagnosis

A healthcare provider will evaluate the hand for tenderness and pain in the hollow and/or the bone. If a break is suspected, they will order an X-ray. (Clementson M., Björkman A., & Thomsen N. O. B. 2020) Many patients are diagnosed with a wrist sprain when they have a fracture. Diagnosis can be difficult because the fracture often doesn’t appear on X-rays until weeks after the healing process starts. Physicians commonly treat a wrist injury as a scaphoid fracture initially and then repeat X-rays within two weeks. (American Academy of Orthopaedic Surgeons, 2023) If the injury doesn't show on an X-ray, the provider may order an MRI, as these fractures can be easier to see on an MRI. An MRI can help ensure appropriate treatment immediately. (Wong S. B. S., & Peh W. C. G. 2019)

Treatment

If a wrist fracture is diagnosed, the wrist will be immobilized in a cast. However, a healthcare provider may also put the wrist in a cast if the X-ray is negative but they suspect a fracture. This will stabilize the injury until an MRI can be performed. With immobilization and follow-up treatment, scaphoid fractures often heal without surgery. Repeat X-rays are taken over several weeks or months so the provider can make sure the injury is healing correctly. If it is not healing correctly, surgery may be recommended. (Clementson M., Björkman A., & Thomsen N. O. B. 2020) If the fracture is displaced, healing correctly may be a challenge. In this case, a physician may recommend initial surgery to reposition the bones. (Clementson M., Björkman A., & Thomsen N. O. B. 2020) This type of surgery involves pinning the bone in place with screws.

Healing Time

• With treatment, non-displaced fractures can heal in 6 weeks, while most displaced fractures take 10 to 12 weeks. (Clementson M., Björkman A., & Thomsen N. O. B. 2020)
• Scaphoid fractures can take longer than this, and sometimes, they don't heal. (American Academy of Orthopaedic Surgeons, 2023)

Recovery

With the wrist in a cast, individuals will be instructed on activities to avoid placing even a small amount of strain (American Academy of Orthopaedic Surgeons, 2023)

• Lifting
• Pushing
• Pulling objects that weigh more than one pound.
• Sports activities
• Throwing
• Climbing
• Using tools or machinery that vibrate.

Rehabilitation is an important part of healing because immobilization takes a long time. Wrist range-of-motion exercises can be started, followed by strengthening exercises for the wrist flexors and extensors. Supination, pronation, and grip exercises are also part of physical therapy.

Complications

Scaphoid fractures can lead to serious complications, especially when not properly treated. These include: (American Academy of Orthopaedic Surgeons, 2023) (Almigdad A. et al., 2024)

Nonunion

• This describes a fracture that fails to heal.

Carpal Collapse

• This is a form of degenerative arthritis.

Osteoarthritis

• This condition causes degeneration of the cartilage in the joint.

Avascular Necrosis

• This is when the blood supply to the bone is reduced or cut off, causing the bone to die.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Skateboarding Injury 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 studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

American Academy of Orthopaedic Surgeons. (2023). Scaphoid fracture of the wrist. https://orthoinfo.aaos.org/en/diseases--conditions/scaphoid-fracture-of-the-wrist

Clementson, M., Björkman, A., & Thomsen, N. O. B. (2020). Acute scaphoid fractures: guidelines for diagnosis and treatment. EFORT open reviews, 5(2), 96–103. https://doi.org/10.1302/2058-5241.5.190025

Wong, S. B. S., & Peh, W. C. G. (2019). The role of magnetic resonance imaging in the evaluation of scaphoid fractures. Journal of Medical Radiation Sciences, 66(1), 3–4. https://doi.org/10.1002/jmrs.316

Almigdad, A., Al-Zoubi, A., Mustafa, A., Al-Qasaimeh, M., Azzam, E., Mestarihi, S., Khair, Y., & Almanasier, G. (2024). A review of scaphoid fracture, treatment outcomes, and consequences. International orthopaedics, 48(2), 529–536. https://doi.org/10.1007/s00264-023-06014-2

Can knowing about wrist sprains—their types, symptoms, causes, and diagnoses—help develop an effective treatment program?

Wrist Sprain

Wrist sprains are injuries that affect ligaments that attach bone to bone. They occur after a fall from work overuse, house tasks, during sports activities, or with other direct trauma. Symptoms of a wrist sprain include:

• Pain
• Swelling
• Bruising
• Decreased range of motion
• Weakness
• Tingling

The injury affects the ligaments and soft tissue structures connecting bone to bone. Mild wrist sprains typically heal within a few weeks; most heal without complications in six to 12 weeks. (National Health Service, 2020) However, severe injuries can require surgery, physical therapy, and months to recover fully.

Grades and Types

The three grades of sprains are graded by the severity of the injury (American Academy of Orthopaedic Surgeons, 2024)

Grade 1

• Ligaments are stretched; this is considered a mild sprain.
• The injury may heal in one to three weeks with standard care. (Mass General Brigham, 2025)

Grade 2

• Ligaments are partially torn; this is considered a moderate sprain.
• It may need a brace; healing can take three to six weeks. (Mass General Brigham, 2025)

Grade 3

• Ligaments are torn completely or have pulled away from the bone.
• Sometimes, a piece of bone comes off with it, a condition called an avulsion fracture.
• This is considered a severe sprain. It can take months to heal completely. (Mass General Brigham, 2025)

The wrist is made up of three joints (American Society for Surgery of the Hand, 2017)

Distal radioulnar

• This joint is between the two forearm bones.
• The radius on the thumb side.
• The ulna on the pinky side.

Radiocarpal

• This joint is between the radius and three small bones in the base of the hand.
• The scaphoid
• The triquetrum
• The lunate

Ulnocarpal

• This joint is between the ulna and the articular disc and cushions it from the carpal bones, the lunate, and the triquetrum.

Wrist sprains can affect any of these joints but more commonly affect the ligament between the scaphoid and lunate bone or the triangular fibrocartilage complex/TFCC on the pinky side of the wrist.

Symptoms

The primary symptom of a wrist sprain is pain, especially when moving or touching the injured area. Other symptoms can include: (National Library of Medicine, 2021) (American Academy of Orthopaedic Surgeons, 2024)

• Decreased range of motion
• Swelling
• Bruising
• Feeling instability in the wrist 
• Weakness
• Numbness/tingling
• Popping sensation
• Warm skin

Causes

The common cause of wrist sprain is falling on an outstretched hand. (American Academy of Orthopaedic Surgeons, 2024) Other common causes include:

• Repetitive overuse work injuries.
• Housework and tasks.
• Sports include skateboarding, gymnastics, basketball, snowboarding, hockey, and contact sports.

Diagnosis

A healthcare provider will diagnose a wrist sprain based on symptoms and injury causes. X-rays are the first imaging to rule out fractures. Other tests can include:

• Magnetic resonance imaging - MRI
• Computed tomography - CT scan
• Arthrogram -X-rays with contrast dye

Treatment

Nonsteroidal anti-inflammatory drugs, such as Aleve, Advil, Motrin, and aspirin, can treat pain and inflammation. The severity of the wrist sprain determines whether additional treatment is needed. Sprains should initially be treated with the RICE protocol (American Academy of Orthopaedic Surgeons, 2024)

Rest

• Minimize using the injured wrist for at least two days.
• Wear a splint for support.
• Avoid sudden movements.
• Avoid placing too much pressure on the wrist.

Ice

• Cold packs are recommended several times daily for 20 minutes to decrease pain and swelling.

Compression

• Wrap the wrist with an elastic bandage or Kinesio tape to help reduce swelling.

Elevation

• To decrease swelling, use pillows to elevate the wrist as much as possible above the level of your heart.

1. Grade 1 sprains usually heal with basic care within a week or two.
2. Grade 2 sprains often require wearing a brace for an extended period while the ligament heals, which can take up to six weeks. (American Society for Surgery of the Hand, 2018)
3. The removable brace or splint should be worn when using the arm.
4. It can be taken off at rest at night and when bathing. (National Health Service, 2020)
5. Individuals may need the brace for a week or more.

A healthcare provider may also recommend stretching exercises to overcome stiffness and regain mobility. (American Academy of Orthopaedic Surgeons, 2024) Physical therapy, occupational therapy, or treatment by a certified hand therapist can also reduce pain and improve range of motion and strength.

Treatment for grade 3 sprains often requires surgery. Grade 3 sprains, including avulsion fractures, often require a six-week cast for bones to heal. In some cases, the bones might also need a screw or temporary wires to hold them in the proper position. (Vannabouathong, C. et al., 2018) Severe wrist sprains may also require surgery to repair the injured ligament. If the original ligament cannot be repaired, a piece of the tendon can be used to reconstruct it. (American Society for Surgery of the Hand, 2020)

Healing Time

Mild to moderate sprains usually recover within a few weeks without long-term complications. (American Society for Surgery of the Hand, 2018) The prognosis for severe wrist sprains improves with early diagnosis and treatment. After surgery, ligaments usually heal within eight to 12 weeks but can take six to 12 months for function to return to normal. (American Academy of Orthopaedic Surgeons, 2024)

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

The Path to Healing Personal 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, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

National Health Service. (2020). Advice after spraining your wrist. https://www.ruh.nhs.uk/patients/patient_information/ORT_057_Advice_after_a_wrist_sprain.pdf

American Academy of Orthopaedic Surgeons. (2024). Wrist sprains. https://orthoinfo.aaos.org/en/diseases--conditions/wrist-sprains

Mass General Brigham. (2025). Wrist sprains. https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/sports-medicine/conditions/hand-arm/wrist-sprain

American Society for Surgery of the Hand. (2017). Anatomy 101: Wrist joints. https://www.assh.org/handcare/blog/anatomy-101-wrist-joints

National Library of Medicine. (2021). Wrist injuries and disorders. Retrieved from https://medlineplus.gov/wristinjuriesanddisorders.html

American Society for Surgery of the Hand. (2018). Sprained wrist. https://www.assh.org/handcare/condition/sprained-wrist

Vannabouathong, C., Ayeni, O. R., & Bhandari, M. (2018). A Narrative Review on Avulsion Fractures of the Upper and Lower Limbs. Clinical medicine insights. Arthritis and musculoskeletal disorders, 11, 1179544118809050. https://doi.org/10.1177/1179544118809050

American Society for Surgery of the Hand. (2020). Scapholunate torn ligament. https://www.assh.org/handcare/condition/scapholunate-torn-ligament

Understanding whiplash, cervical collars, and MVAs is crucial for effective recovery from neck injuries after an accident.

Introduction: The Whiplash Roller Coaster

Imagine you’re cruising down the road, singing along to your favorite tune, when—bam!—someone rear-ends your car. Your body lurches forward, but your head? It’s like it’s stuck in slow motion, snapping back and then forward like a whip. Welcome to the not-so-fun world of whiplash, a neck injury that’s all too common in motor vehicle accidents (MVAs). Whiplash isn’t just a catchy term; it’s a real condition that can leave you with pain, stiffness, and a whole lot of frustration.

Whiplash is one of the most frequent injuries from car accidents, accounting for about 83% of neck injuries in MVAs (Healthline, 2023). It’s caused by a sudden, forceful movement of the head, often in rear-end collisions, that causes the soft tissues in the neck to stretch or tear. While it may sound like a minor inconvenience, whiplash can potentially lead to long-term discomfort if not properly treated. In this blog post, we’ll explore why whiplash happens, how it affects your cervical spine, the role of cervical collars, and why Dr. Alexander Jimenez in El Paso, Texas, is a trusted expert for accident victims. Plus, we’ll sprinkle in a bit of humor to keep things light, because who said learning about neck injuries can’t be fun?

References

• Healthline. (2023). Whiplash: Causes, Symptoms, Treatments, and More. Retrieved from www.healthline.com/health/whiplash

The Cervical Spine: Your Neck’s Delicate Balancing Act

Your neck, or cervical spine, is like the unsung hero of your body. It’s composed of seven small bones called vertebrae, stacked like a tower of Jenga blocks, which helps protect your spinal cord and allow you to turn your head to check your blind spots. But this flexibility comes with a catch: it makes your neck vulnerable to injury, especially in car accidents.

Anatomy of the Cervical Spine

The cervical spine includes:

• Vertebrae (C1-C7): These bones form the structure of your neck, with joints that allow movement.
• Intervertebral Discs: Cushions between vertebrae that absorb shock.
• Muscles and Ligaments: These soft tissues support the spine and enable motion.
• Nerves: Part of the spinal cord, controlling sensation and movement.

When everything’s working smoothly, your neck is a marvel of engineering. But during an MVA, 

it’s like throwing a wrench into a finely tuned machine.

How MVAs Cause Whiplash

Picture this: you’re stopped at a red light when another car slams into you from behind. The impact pushes your car forward, and your body follows, pressed against the seat. But your head, not directly supported, lags, causing your neck to hyperextend (bend backward). Then, as your body rebounds, your head snaps forward, leading to hyperflexion. This rapid back-and-forth motion is what causes whiplash.

Johns Hopkins Medicine (2024) defines whiplash as “a serious injury caused by the neck bending forcibly forward and then backward, or vice versa.” This sudden movement can:

• Stretch or tear muscles and ligaments.
• Strain or sprain the facet joints (small joints between vertebrae).
• Damage to intervertebral discs, potentially leading to herniation.
• Irritated nerves, causing pain or numbness.

In severe cases, whiplash can even lead to spinal cord compression or fractures, though these are less common (Blue Cross Blue Shield, n.d.).

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Understanding the connection between auto injuries, whiplash, and weakened ligaments can help in effective treatment.

Introduction

Picture this: you’re driving along, singing to your favorite tune, when—bam!—someone rear-ends you. Your head snaps back and forth like a bobblehead in a windstorm. Ouch! That’s whiplash, and it’s no laughing matter. Whiplash injuries and chronic neck pain are common outcomes of motor vehicle accidents (MVAs), often leaving victims with lingering discomfort and a host of questions. Why does the pain persist? How are these injuries connected to car crashes? And what can be done about it?

In this in-depth guide, we’ll explore the clinical reasons behind the link between MVAs, whiplash, and chronic neck pain. We’ll dive into the role of weakened ligaments, the science of whiplash-associated disorders (WAD), and the expertise of Dr. Alexander Jimenez, a renowned chiropractor and nurse practitioner in El Paso, Texas. With a touch of humor to keep things light, we’ll also highlight the importance of personal injury cases and how Dr. Jimenez helps victims navigate the road to recovery. Buckle up—it’s going to be an informative ride!

Key Points

• Whiplash is common in MVAs: Research suggests whiplash occurs in about 1 per 1,000 people annually in Western countries, often due to rear-end collisions.
• Ligament damage is a key factor: evidence suggests that weakened or torn ligaments, such as the capsular and anterior longitudinal ligaments, contribute to cervical instability and chronic pain.
• Chronic pain affects many: Studies indicate up to 50% of whiplash victims may experience persistent neck pain for months or years.
• Advanced diagnostics are crucial: Standard X-rays may miss soft tissue injuries, but MRI and dynamic imaging can reveal ligament damage.
• Chiropractic care and prolotherapy show promise: These treatments may help stabilize ligaments and reduce pain, though outcomes vary.
• Dr. Alexander Jimenez is a leader; his expertise in diagnostics and personal injury cases supports victims in El Paso, although individual results depend on the specifics of each case.
• Personal injury cases matter: Proper medical documentation is essential for fair compensation, but legal outcomes can be complex and uncertain.

Why Whiplash Happens in MVAs

Whiplash occurs when a sudden force, like a car crash, causes your head to whip back and forth, straining the neck’s muscles, ligaments, and tendons (Mayo Clinic, 2024). Rear-end collisions are the most common culprits, as your body moves forward while your head lags, creating a rapid acceleration-deceleration motion. This can stretch or tear soft tissues, resulting in symptoms such as neck pain, stiffness, and headaches.

The Link to Chronic Neck Pain

While many recover from whiplash within weeks, research suggests that up to half of victims develop chronic neck pain, defined as pain lasting over three months (Wikipedia, 2023). This persistence is often due to ligament damage, which can cause cervical instability and excessive movement of the vertebrae in the neck. This instability may irritate nerves, strain muscles, and accelerate joint degeneration, leading to ongoing discomfort.

Dr. Alexander Jimenez’s Role

Dr. Alexander Jimenez, a chiropractor and board-certified nurse practitioner with over 30 years of experience, is a trusted expert in El Paso for treating whiplash and chronic neck pain. He utilizes advanced imaging techniques, including MRI and dynamic X-rays, to diagnose injuries and provides treatments such as chiropractic care and prolotherapy. His role in personal injury cases helps victims document injuries for legal claims, though success depends on individual circumstances.

Importance of Personal Injury Cases

After an MVA, seeking medical care and documenting injuries is vital for both recovery and potential legal claims. Chiropractors, such as Dr. Jimenez, provide detailed records that link injuries to the accident, which can support claims for compensation for medical costs and suffering. However, legal processes are complex, and outcomes vary based on evidence and jurisdiction.

Comprehensive Report on Chronic Neck Pain and Whiplash Injuries

Understanding Whiplash and Whiplash-Associated Disorders (WAD)

Whiplash is a neck injury caused by a rapid, forceful back-and-forth motion of the head, often occurring during MVAs, particularly rear-end collisions (Johns Hopkins Medicine, 2024). This motion, known as cervical acceleration-deceleration, strains or tears the neck’s soft tissues, including muscles, ligaments, and tendons. Whiplash-associated disorders (WAD) encompass a range of symptoms, such as:

• Neck pain and stiffness
• Headaches, often starting at the base of the skull
• Dizziness or vertigo
• Tinnitus (ringing in the ears)
• Cognitive difficulties, like trouble concentrating
• Arm pain or numbness

Symptoms may appear immediately or develop hours to days after the injury. While most people recover within weeks, research indicates that 30%–50% of whiplash victims experience chronic symptoms lasting over six months, with 5% facing significant disability (NCBI, n.d.).

Prevalence and Impact

Whiplash is a significant public health concern. Studies estimate an incidence rate of 0.7–1.8 per 1,000 people annually in Western countries, with variations due to reporting systems and insurance policies (NCBI, n.d.). For example, Saskatchewan experienced a 43% decline in reported whiplash cases after implementing a no-fault insurance system, suggesting that external factors influence reporting (NCBI, n.d.). In the U.S., millions experience whiplash yearly, contributing to substantial healthcare costs and lost productivity.

Chronic neck pain, a common outcome of whiplash, affects 30%–50% of the general population at some point, with women over 50 being particularly susceptible (NCBI, n.d.). Conditions linked to chronic neck pain include disc herniation, cervical spondylosis, and WAD, with MVAs being a leading cause.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Unlock the healing potential of chiropractic treatment to overcome pain and restore function after a motor vehicle accident.

Introduction: Surviving the Crash, Embracing the Crack

Picture this: you’re driving along, minding your own business, when—bam!—a fender-bender turns your day into a scene from a bad action movie. Your car’s a mess, your neck’s stiff, and you’re wondering if you’ll ever feel normal again. Welcome to the not-so-exclusive club of motor vehicle accident (MVA) survivors. But here’s the good news: chiropractic care might just be your ticket to feeling human again, and maybe even cracking a smile—pun intended.

Motor vehicle accidents are more common than we’d like to admit. In the U.S., over 6 million car accidents occur annually, with nearly 3 million people sustaining injuries (National Highway Traffic Safety Administration, 2023). Many of these injuries, like whiplash or back pain, can linger if not addressed properly. That’s where chiropractic care comes in, offering a non-invasive, drug-free approach to healing. In this guide, we’ll explore why chiropractic care is beneficial after an MVA, dive into the clinical rationale, and spotlight Dr. Alexander Jimenez, a leading chiropractor in El Paso, Texas, who’s helping victims get back on track. We’ll also sprinkle in a touch of dark humor—think Wednesday Addams smirking at a spine model—to keep things lively, but rest assured, we’ll end on a serious note.

References

• National Highway Traffic Safety Administration. (2023). Traffic safety facts. Retrieved from www.nhtsa.gov

Understanding Motor Vehicle Accidents and Common Injuries

The Physics of a Crash

When two vehicles collide, the forces involved can be brutal, even in low-speed accidents. The sudden acceleration and deceleration can jolt your body, especially your neck and spine, in ways that aren’t immediately obvious. It’s like your body’s playing a high-stakes game of whiplash roulette, and nobody wins without proper care.

Common Injuries

MVAs often result in musculoskeletal injuries, which affect muscles, ligaments, tendons, and bones. Here are some of the most common:

• Whiplash: Caused by the rapid back-and-forth motion of the neck, whiplash can lead to pain, stiffness, headaches, and even dizziness or blurred vision (Whiplash (medicine)).
• Back Pain: The impact can strain or sprain the lower back, sometimes causing herniated discs or sciatica.
• Shoulder and Arm Injuries: The force can cause shoulder dislocation or nerve irritation, leading to numbness or tingling.
• Soft Tissue Damage: Muscles and ligaments can stretch or tear, causing pain that may not be immediately apparent.

Symptoms like these can be sneaky. Adrenaline from the accident can mask pain, making you think you’re fine when you’re not. It’s like ignoring a creaky floorboard in a haunted house—sure, it seems fine now, but you might regret it later.

Why Symptoms Delay

The delay in symptoms is due to the body’s fight-or-flight response, which floods you with adrenaline and endorphins post-accident. This can mask pain for hours or even days, which is why seeking immediate medical attention is crucial (Metrowest Spine Clinic, 2018).

References

• Whiplash (medicine). (n.d.). In Wikipedia. Retrieved from en.wikipedia.org/wiki/Whiplash_(medicine)
• Metrowest Spine Clinic. (2018). 9 benefits of chiropractic care after an auto accident. Retrieved from metrowestspineclinic.com/9-benefits-of-chiropractic-care-after-an-auto-accident/

The Role of Chiropractic Care

What Chiropractors Do

Chiropractors specialize in the musculoskeletal system, with a particular focus on the spine. They use hands-on techniques, such as spinal adjustments, to realign joints and reduce pressure on nerves. Think of it as giving your spine a stern talking-to, convincing it to get back in line.

Benefits After an MVA

Chiropractic care offers several benefits for MVA victims:

• Pain Relief: Adjustments can help reduce nerve irritation and inflammation, thereby easing pain without the need for medication (Spine Chiropractic, 2019).
• Improved Mobility: By restoring joint function, chiropractic care helps you regain the freedom of movement.
• Faster Recovery: Early intervention can speed up healing and prevent chronic issues (Oviedo Chiropractic, 2024).
• Holistic Approach: Chiropractors often combine adjustments with massage, physical therapy, or exercises for comprehensive care.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Whiplash at work can be daunting. Uncover essential information and strategies to support your healing journey effectively.

Introduction: Whiplash and Motor Vehicle Accidents

Picture this: you’re driving along, singing to your favorite tune, when—BAM!—someone rear-ends you. Your head snaps forward and back like a cartoon character, but there’s nothing funny about the neck pain that follows. This is whiplash, a common injury from motor vehicle accidents (MVAs), especially rear-end collisions. Whiplash occurs when sudden force strains the neck’s muscles, ligaments, and sometimes spine, leading to a range of symptoms that can disrupt daily life, including work.

In the United States, about 1 million people suffer whiplash injuries each year, costing society up to $29 billion in medical expenses and lost productivity (Stoner & Gerdle, 2006). While many recover within months, some face chronic symptoms that make returning to work a challenge. This guide explores whiplash, its symptoms, nonsurgical treatments, and why getting back to work is both important and complex, with insights from El Paso’s own Dr. Alexander Jimenez, a leading expert in personal injury care.

References

• National Institute of Neurological Disorders and Stroke. (n.d.). Whiplash.
• Stoner, Y., & Gerdle, B. (2006). Acute and chronic whiplash disorders—a review. Journal of Rehabilitation Medicine, 38(4), 193-209. doi.org/10.1080/16501970600695035

Whiplash Symptoms: More Than Just a Pain in the Neck

Whiplash isn’t just about waking up with a stiff neck—it can feel like your head’s been through a rollercoaster without a seatbelt. Common symptoms include:

• Neck Pain and Stiffness: The hallmark of whiplash, often worse with movement.
• Headaches: Frequently starting at the base of the skull.
• Dizziness: Making it hard to focus or stay balanced.
• Shoulder or Arm Pain: Sometimes radiating from the neck.
• Cognitive Issues: Trouble concentrating or remembering things.
• Psychological Distress: Anxiety or depression from ongoing pain.

These symptoms can appear right after an accident or sneak up hours to days later, which is why whiplash is often underestimated (Spitzer et al., 1995). For 5-8% of patients, symptoms become chronic, severely limiting their ability to work (Stoner & Gerdle, 2006). Imagine trying to type at a desk or lift boxes when every head turn feels like a bad idea—that’s the reality for some whiplash sufferers.

References

• Spitzer, W. O., Skovron, M. L., Salmi, L. R., Cassidy, J. D., Duranceau, J., Suissa, S., & Zeiss, E. (1995). Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining “whiplash” and its management. Spine, 20(8 Suppl), 1S-73S. doi.org/10.1097/00007632-199504151-00001
• Stoner, Y., & Gerdle, B. (2006). Acute and chronic whiplash disorders—a review. Journal of Rehabilitation Medicine, 38(4), 193-209. doi.org/10.1080/16501970600695035

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Understand the nervous system and discover ways to alleviate symptoms from auto injuries and promote healing in your life.

Introduction

Imagine you’re cruising down the road when, out of nowhere, a car accident sends your head snapping back and forth like one of Uncle Fester’s wild experiments from The Addams Family. That’s whiplash, a neck injury that’s more than just a pain in the neck—it can affect your entire body, including your lower back. Research suggests that whiplash from motor vehicle accidents (MVAs) can impact the nervous system, leading to symptoms like low back pain, even though the initial injury is in the neck. In this blog post, we’ll explore how this occurs, the symptoms you may experience, and how experts like Dr. Alexander Jimenez in El Paso, Texas, assist victims in recovery using nonsurgical treatments. We’ll also highlight the importance of personal injury cases for those affected.

Key Points

• Whiplash Overview: Whiplash is a neck injury caused by rapid head movement, often resulting from rear-end car accidents, which affects the muscles, ligaments, and nerves.
• Nervous System Impact: Evidence suggests that whiplash can cause central sensitization, making the nervous system more sensitive to pain, which may lead to low back pain.
• Low Back Pain Connection: Studies suggest that about 40% of whiplash patients report low back pain, likely due to spinal forces or nervous system changes.
• Nonsurgical Treatments: Chiropractic care, physical therapy, and acupuncture are effective for managing symptoms, with Dr. Alexander Jimenez offering specialized care.
• Personal Injury Importance: Personal injury cases help victims get compensation, with Dr. Jimenez’s expertise in diagnostics aiding legal claims.
• Complexity Acknowledged: The exact mechanisms linking whiplash to low back pain are debated, but nervous system and biomechanical factors are key contributors.

Understanding Whiplash

Whiplash happens when your head is suddenly jerked forward and backward, stretching or tearing the soft tissues in your neck. It’s most common in rear-end collisions, but can also occur in other types of accidents. The cervical spine (neck) houses the spinal cord and nerve roots, which are critical for sending signals throughout your body. When these structures are injured, it can lead to more than just neck pain—it can affect your nervous system.

Nervous System and Pain

The nervous system is like the body’s control center. Whiplash can disrupt it, causing a condition called central sensitization, where the brain and spinal cord become overly sensitive to pain signals. This can make pain feel more intense and spread to areas like the lower back, even if they weren’t directly injured. Research shows that people with chronic whiplash often have this hypersensitivity, which might explain low back pain.

Low Back Pain Link

During a car accident, the forces can jolt your entire spine, not just your neck and head. This can injure the lumbar spine (low back), causing pain. Additionally, the nervous system’s heightened sensitivity can make the lower back hurt even without direct injury. Studies indicate that many whiplash patients report back pain, suggesting a strong connection.

Treatment Options

Nonsurgical treatments are often effective for whiplash and low back pain. Dr. Alexander Jimenez, a chiropractor in El Paso, specializes in treating accident victims with techniques such as spinal adjustments, acupuncture, and physical therapy. These methods aim to reduce pain, restore mobility, and calm the nervous system.

Personal Injury Support

If you’re injured in an MVA, a personal injury case can help cover medical costs and other losses. Dr. Jimenez uses advanced imaging and diagnostics to document injuries, making him a valuable ally in legal claims. His work ensures that your injuries are properly linked to the accident, supporting your case.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Explore the connection between whiplash, achilles tendinosis, and auto accidents for better injury management.

Introduction

Imagine you are driving along, singing to your favorite tune, when—bam!—another car rear-ends you. Your head snaps back and forth like a bobblehead on a bumpy road. This is known as whiplash, and despite its cartoonish appearance, it is a serious injury. Whiplash is a debilitating neck injury that can lead to ligament damage, chronic pain, and a whole lot of discomfort if not treated properly. In El Paso, where motor vehicle accidents (MVAs) are unfortunately common, understanding whiplash and its treatment is crucial.

This guide delves into whiplash, focusing on ligamentous injuries, their symptoms, diagnosis, and treatment protocols, particularly those resulting from motor vehicle accidents (MVAs). We will spotlight Dr. Alexander Jimenez, a distinguished chiropractor and nurse practitioner in family practice in El Paso, whose expertise helps personal injury victims recover. With a touch of humor to keep things light, we will delve into the clinical rationale behind these injuries and explore how Dr. Jimenez bridges the gap between medical care and legal support. Let us get started!

References:

• Cleveland Clinic. (2022). Whiplash (Neck Strain)

What is Whiplash and How Does It Happen?

The Mechanics of Whiplash

Whiplash, medically known as a cervical acceleration-deceleration injury, occurs when your head is forcefully whipped backward and then forward. Picture a Slinky toy being stretched and snapped back—that is, your neck during a rear-end collision. This rapid motion strains the neck’s soft tissues, including muscles, ligaments, and nerves.

MVAs, particularly rear-end crashes, are the most common cause, but sports injuries, amusement park rides, or even a slip-and-fall can also cause whiplash. The seat pushes your body forward during a rear-end collision, but your head momentarily lags, causing hyperextension (backward motion). Then, as your head rebounds forward, hyperflexion occurs. This double whammy can damage anterior structures, such as the anterior longitudinal ligament (ALL), during hyperextension and posterior structures during hyperflexion.

Why It Matters

Whiplash is not just a temporary ache. Research suggests it can lead to chronic pain in some cases, especially if untreated. The Cleveland Clinic notes that whiplash can damage bones, muscles, ligaments, and nerves, with recovery varying from weeks to years (Cleveland Clinic). It is important to have early intervention, which is key to preventing long-term complications.

References:

• Cleveland Clinic. (2022). Whiplash (Neck Strain)
• Wikipedia. (2003). Whiplash (medicine)

Understanding Ligamentous Injuries in Whiplash

What Are Ligaments?

Ligaments are like the duct tape of your body—tough, fibrous bands that hold bones together and stabilize joints. In the neck, ligaments such as the anterior longitudinal ligament (ALL), the transverse ligament, and others maintain the alignment and smooth movement of the cervical spine.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Understanding back problems after a fender bender is essential. Discover effective tips and treatments to manage your pain.

Introduction

A fender bender may seem minor; however, the sudden jolt can wreak havoc on the upper, middle, and lower portions of the back. Even low-speed collisions can cause injuries that lead to persistent pain and discomfort. Do you experience stiffness in your back that causes pain when you twist and turn? Do you experience tingling or numbing sensations in your extremities that are relieved by shaking them? Or do you get constant headaches that make you lie down in your bed constantly? Many of these pain-like symptoms are associated with these scenarios after being in a fender-bender accident. Today’s article will explore the five common back problems that can arise after a car accident, their symptoms, and effective non-surgical treatments, with a special focus on the role of chiropractic care in the recovery process for many individuals.

Whiplash-Associated Disorders

One of the most common injuries in rear-end or front-end collisions is whiplash, where the neck and upper back are forcefully jerked back and forth rapidly like a whip. (Stroke, 2023) This causes the muscles, ligaments, and soft tissues to strain, resulting in pain and discomfort for individuals.

Symptoms

• Neck and upper back pain or stiffness
• Reduced range of motion
• Headaches
• Shoulder pain or tingling in the arms
• Fatigue or dizziness

Non-Surgical Treatments

• Chiropractic Care: Chiropractors use gentle spinal adjustments to restore alignment in the cervical and thoracic spine, reducing tension and improving mobility. Chiropractors incorporate various techniques, such as spinal manipulation and soft tissue therapy, that can help alleviate pain-like symptoms and promote healing of the back.
• Physical Therapy: Individuals can incorporate various stretching and strengthening exercises to help restore flexibility and prevent stiffness.
• Ice and Heat Therapy: Applying a cold pack initially reduces inflammation, while heat later relaxes tight muscles.
• Pain Management: Over-the-counter anti-inflammatory medications (e.g., ibuprofen) can help manage discomfort.

Chiropractic care is particularly effective for whiplash because it addresses misalignments that may contribute to pain and restricted movement, offering a drug-free path to recovery.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Find out the best practices for pain management for auto accident survivors and take control of your healing journey today.

Introduction

Automobile accidents often result in various injuries that can affect the body. Among the most common, soft tissue injuries from auto accidents can lead to significant pain and discomfort in numerous body locations, impacting daily life and requiring a structured approach to pain management. Do you experience various headaches that cause you to be in a quiet, dark room? Do you feel the range of motion in your shoulders feels short? Or do you experience radiating pain in your shoulders and lower back? This article outlines guidelines for managing pain post-accident, focusing on soft tissue injuries, their symptoms, and surgical and non-surgical treatment options.

Understanding Soft Tissue Injuries

Soft tissue injuries damage muscles, tendons, ligaments, and fascia. Common examples include whiplash, sprains, strains, and contusions. These injuries frequently occur during automobile accidents due to sudden forces exerted on the body, such as rapid deceleration or impact. The mechanisms of soft tissue injuries can become an issue as they can affect a person’s functionality, especially if the area has overlapping risk profiles. (Arosarena & Eid, 2021)

Symptoms of Soft Tissue Injuries

Various symptoms of soft tissue injuries depend on where the injury is located and how severe it is, but often include:

• Pain and Tenderness: Localized or diffuse pain that worsens with movement or pressure.
• Swelling: Inflammation due to fluid buildup in the affected area.
• Stiffness: Reduced range of motion in joints or muscles.
• Bruising: Discoloration from damaged blood vessels beneath the skin.
• Muscle Spasms: Involuntary contractions causing discomfort.
• Weakness: Reduced strength in the injured area, often noticeable in sprains or strains.
• Neck or Back Pain: Common musculoskeletal pain associated with whiplash, where pain may radiate to the shoulders or arms due to a cracking sound within the cervical spine, causing pain to appear either hours or days. (Bannister et al., 2009)

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Explore the symptoms and treatment options for whiplash to ensure a smooth recovery and improve your quality of life.

Introduction

When a person is involved in a sudden impact, either from a car accident, sports injury, or fall, what may initially feel like a minor jolt can evolve into debilitating pain and functional limitation. One such injury that often goes underappreciated in its complexity is whiplash. Although frequently associated with rear-end collisions, whiplash is a multifactorial injury that can result in long-lasting effects on the cervical spine and musculoskeletal system if left unaddressed. Have you experienced stiffness in your neck and shoulders? Do you feel chronic headaches that won’t go away? Or do you feel that your range of motion in your neck feels shortened? In today’s article, we will discuss whiplash and its common causes, the associated symptoms, how it affects the cervical spine and the musculoskeletal system, and evidence-based treatment strategies to reduce the pain-like symptoms.

What Is Whiplash?

Whiplash is a type of neck injury associated with a rapid back-and-forth head-and-neck motion, mimicking the crack of a whip, hence the name. This causes persistent physical complaints and disability, and complaints when left untreated. (Mayou & Radanov, 1996) Medically, it is categorized under cervical acceleration-deceleration (CAD) injuries. This abrupt motion can damage muscles, ligaments, intervertebral discs, and even the neural structures of the cervical spine.

Common Causes Of Whiplash

While motor vehicle accidents are the most recognized cause, many mechanisms can precipitate a whiplash injury:

• Rear-end car collisions
• Contact sports (e.g., football, hockey, wrestling)
• Physical assault or shaken trauma
• Slips, trips, and falls
• Roller coaster rides or sudden jolts

Even minor collisions at speeds as low as 5–10 mph can produce enough force to cause whiplash symptoms in vulnerable individuals.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

What is a bone density test, how is it performed, and what do the results mean?

Bone Density Test

A bone density test examines bone mass, which indicates overall bone strength. Assessing bone density or mass is necessary for diagnosing osteopenia or osteoporosis, conditions that increase the risk of broken bones. The scan is performed through dual-energy X-ray absorptiometry (DEXA), which examines the thickness of the bones. Results from DEXA scans are compared to standardized values to determine whether bone density is lower than normal and whether osteopenia or osteoporosis is present.

Examination

The procedure examines bone density, or bone mass. The bones' density, or mass, is an overall indicator of bone strength. The greater the bone density, the thicker and stronger the bones are. The test is used to diagnose osteoporosis, a condition characterized by brittle bones at risk of breaking due to significantly low bone density. A bone density test can also diagnose osteopenia, a condition characterized by lower than normal bone mass that can lead to osteoporosis. (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2025) It is recommended that all women aged 65 and older and all men aged 70 and older have a bone density scan to screen for bone loss to help prevent fractures. (Kling J. M., Clarke B. L., & Sandhu N. P. 2014)

• Bone density scans can establish a baseline level of bone density and track changes over time.
• For individuals with osteoporosis or osteopenia, a bone density scan can help track how well their bones respond to treatment.

Procedure

The most common bone density test is a dual-energy X-ray absorptiometry, or DEXA, scan. A DEXA scan is similar to getting an X-ray taken, but it uses two beams to produce a more detailed and sensitive reading. (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2025)

• During a DEXA scan, the patient will lie on their back on a table with their legs elevated on a padded platform.
• An X-ray scanner will pass over the spine and hips while another scans beneath.
• While the scan takes place, the patient will be asked to hold very still to obtain an accurate image.
• The scan will obtain bone density readings from the spine and hip, the two most commonly fractured bones, and generally takes less than 30 minutes.

Results

A DEXA scan measures bone density in grams per centimeter squared (g/cm²). This number indicates how densely bone cells are packed together in a specific area of bone. This bone density reading is then compared to a standardized value to determine if bone density is within a normal range or lower than average.

For postmenopausal women and men aged 50 and older, bone density values are given a T score. The T-scores are then compared to a standardized bone density level of a healthy 30-year-old adult with peak bone density levels. (Kling J. M., Clarke B. L., & Sandhu N. P. 2014) Scores indicate the following: (Kling J. M., Clarke B. L., & Sandhu N. P., 2014)

• Equal to minus 1.0 or above: Normal bone density
• Between minus 1.0 and minus 2.5: Low bone density (osteopenia)
• Equal to minus 2.5 or below: Osteoporosis

1. Bone density values are reported as a Z score for women who have not undergone menopause and men under 50 years old.
2. Z scores are compared to bone density levels of individuals of the same age and sex.
3. A Z score of minus 2.0 or lower indicates low bone density, which can be caused by factors other than aging, such as medication side effects, nutritional deficiencies, or thyroid problems.

Arthritis Diagnosis 

Because a DEXA scan only measures the thickness of bones, it doesn't work to diagnose arthritis. An X-ray of the affected joint is currently the most accurate way to diagnose arthritis. The Kellgren-Lawrence classification system categorizes the extent of arthritis based on the severity of joint damage seen on an X-ray. According to this system, arthritis can be classified as: (Kohn M. D., Sassoon A. A., & Fernando N. D. 2016)

Grade 1 (minor)

• Minimal or no joint space narrowing, with possible bone spur formation.

Grade 2 (mild)

• Possible joint space narrowing, with definite bone spur formation.

Grade 3 (moderate)

• Definite joint space narrowing, moderate bone spur formation, mild sclerosis (abnormal thickening of bone), and possible deformation of bone ends.

Grade 4 (severe)

• Severe joint space narrowing, large bone spur formation, marked sclerosis, and definite deformation of bone ends.

Injury Medical Chiropractic & Functional Medicine Clinic

Exercise can be incredibly beneficial for improving bone density, joint mobility, and the strength of surrounding muscles, which support and protect joints and bones. Talk to a healthcare provider to learn what interventions and available treatment options would be the most effective. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Osteoporosis

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, and 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 that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2025). Bone mineral density tests: what the numbers mean. Retrieved from https://www.niams.nih.gov/health-topics/bone-mineral-density-tests-what-numbers-mean

Kling, J. M., Clarke, B. L., & Sandhu, N. P. (2014). Osteoporosis prevention, screening, and treatment: a review. Journal of women's health (2002), 23(7), 563–572. https://doi.org/10.1089/jwh.2013.4611

Kohn, M. D., Sassoon, A. A., & Fernando, N. D. (2016). Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clinical orthopaedics and related research, 474(8), 1886–1893. https://doi.org/10.1007/s11999-016-4732-4

Broken bones are common injuries. Because children's bones grow rapidly, they have increased flexibility. When injuries, specifically fractures, occur, they do not always break cleanly across the bone or into pieces. What type of fracture is this, and how are they treated?

Greenstick Fracture

A greenstick fracture is a partial break in a bone that occurs when a bone bends and cracks instead of breaking into separate pieces. (Wolfe J. A. et al., 2019) The term is based on a young green branch that bends and splinters but does not break into pieces when bent. Only one side of the bone is broken, while the other side gets bent. Many children experience at least one fracture during their growing years. This is one of multiple fracture types seen in children. They can happen in adults but are uncommon.

Causes

Greenstick fractures mostly occur in infants or toddlers, sometimes in children during their early adolescent and pre-adolescent years. They are partial-thickness fractures (a break in a bone that doesn't completely break it) characterized by a break on one side and a bend on the other. Buckle fractures and bow fractures are different types of partial-thickness fractures. Greenstick fractures commonly occur:

• In children under 10 years old
• Occurs when a child reaches out to break a fall
• During motor vehicle collisions
• Sports
• Direct impacts
• Non-accidental trauma

It is more common in long bones, including:

• Radius
• Ulna
• Humerus
• Fibula
• Tibia
• Clavicle

The fracture pattern often indicates a limb's bending or contortion.

Symptoms

Greenstick fracture symptoms can include:(Atanelov Z, & Bentley T.P. 2025)

• Localized swelling
• Localized bruising
• Pain
• Deformity, such as the affected body part looking crooked or out of alignment.

Treatment

If the bone is not significantly bent out of alignment, a splint or cast may be all that is necessary to treat the break. If the bone is visibly out of alignment, it must be manually straightened before the limb is put into a cast. If the break is severe, surgery may be required. Fortunately, a growing skeleton can remodel bone, so fractured bones can often realign themselves over time with minimal intervention. Healing depends on various factors, including:

• Age of the child
• The severity of the break
• Location of the break

The younger the child is, the faster the recovery will be. (Pountos I., Clegg J., & Siddiqui A. 2010)

Sometimes, the fracture must be bent back and repositioned in a fracture reduction procedure. The doctor may use an anesthetic while manually realigning the bone into the correct position. After the reduction, a cast or splint stabilizes the bone and maintains proper alignment. Depending on how quickly the bone heals, a cast may be necessary for a few weeks, months, or longer, depending on the patient and/or underlying conditions.

Healing

• Healing involves specialized cells that gradually rebuild and fine-tune the new bone.
• The average time for a greenstick fracture to heal completely may take four weeks.

Injury Medical Chiropractic & Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Building a Stronger Body

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 that are available to regulatory boards and the public upon request.

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Wolfe, J. A., Wolfe, H., Banaag, A., Tintle, S., & Perez Koehlmoos, T. (2019). Early Pediatric Fractures in a Universally Insured Population within the United States. BMC pediatrics, 19(1), 343. https://doi.org/10.1186/s12887-019-1725-y

Atanelov, Z., & Bentley, T. P. (2025). Greenstick Fracture. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/30020651

Pountos, I., Clegg, J., & Siddiqui, A. (2010). Diagnosis and treatment of greenstick and torus fractures of the distal radius in children: a prospective randomised single-blind study. Journal of children's orthopaedics, 4(4), 321–326. https://doi.org/10.1007/s11832-010-0269-3

For individuals with shoulder pain and problems, what are the stages of a frozen shoulder, how long do they last, and what can be done to relieve pain?

Frozen Shoulder Stages

A frozen shoulder, also called adhesive capsulitis, is a very common cause of shoulder pain. It causes severe pain and limited mobility. The condition progresses through stages and can take up to two years to resolve completely. The stages of frozen shoulder include pre-freezing, freezing, freezing, and thawing.

Stage 1

Pre-Freezing - 1 month to 3 months

Pre-freezing describes the earliest stage of a frozen shoulder. This is when individuals first start to notice pain in their shoulder. (Soussahn, S. et al., 2024) Many in this stage will first experience the pain at night while changing sleeping positions. As the condition progresses, individuals may notice pain when they move their shoulders, especially when raising their arms or reaching behind them. Individuals may also find reduced mobility in that shoulder and may ache even when not using it. Because motion may be only slightly restricted in this stage, an early frozen shoulder can be mistaken for a rotator cuff problem. (Chan H. B. Y., Pua P. Y., & How C. H. 2017)

Root Cause

A frozen shoulder happens when there is inflammation in the tissue that surrounds the shoulder joint. Although the specific causes aren't known, immobilization after an injury and other shoulder conditions, like bursitis, may play a role. (Johns Hopkins Medicine, 2025)

Stage 2

Freezing - 10 weeks to 8 months

The freezing stage is the most painful. The shoulder capsule becomes inflamed and can thicken and stiffen. As this happens, shoulder movements become increasingly difficult and painful. (Soussahn, S. et al., 2024)

Stage 3

Frozen - 4 months to 12 months

The third stage of a frozen shoulder is known as the frozen phase, where the shoulder is stiff. The examination finding confirming the frozen shoulder diagnosis is that neither the individual nor another person can move the shoulder. (UpToDate, 2024) With a rotator cuff issue, a patient cannot move their arm normally, but the healthcare provider can. This distinguishes between a frozen shoulder and a rotator cuff injury. The frozen stage is typically much less painful than freezing, but pain can result from simple activities. (Soussahn, S. et al., 2024) Rotation of the shoulder joint is limited, making activities like washing hair or reaching painful or difficult.

Stage 4

Thawing - 5 months to 2 years

In this phase, the shoulder joint capsule becomes thickened and stiff but gradually loosens with time. (Soussahn, S. et al., 2024) Stretching the shoulder capsule, even allowing for some discomfort, is important to ensure the shoulder joint's mobility continues to recover. Not having the extreme pain associated with freezing the joint and seeing gradual gains in mobility make this stage tolerable.

Treatment

Frozen shoulder treatment starts with physical therapy and joint stretching. Anti-inflammatory medications, ice and heat application, and alternative therapies can all help manage the discomfort. A healthcare provider may also recommend a corticosteroid injection to reduce inflammation, relieve pain, and expedite improved mobility. Redler L. H. & Dennis E. R. 2019)

Surgery is seldom needed but is an option for treating a frozen shoulder. It is usually only considered if prolonged efforts at therapy have failed to improve symptoms. One of the problems is that surgery could worsen shoulder problems. (Le H. V., Lee S. J., Nazarian A., & Rodriguez E. K. 2017)

Prognosis

The timeline for recovery can be long, measured in months and possibly years. (Le H. V., Lee S. J., Nazarian A., & Rodriguez E. K. 2017) Expecting a quick recovery can cause more frustration. However, individuals can take steps to speed their recovery and reduce discomfort. Physical therapy can be beneficial, and a healthcare provider can suggest treatments to help alleviate pain while recovering. Over time, almost all patients will find complete relief and a normal or near-normal range of motion in their shoulder joints.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Motion Key To Healing

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Soussahn, S., Hu, D., Durieux, J., Kosmas, C., & Faraji, N. (2024). Adhesive capsulitis: Utility of magnetic resonance imaging as a primary diagnostic tool and clinical management support. Current problems in diagnostic radiology, 53(4), 464–469. https://doi.org/10.1067/j.cpradiol.2024.03.005

Chan, H. B. Y., Pua, P. Y., & How, C. H. (2017). Physical therapy in the management of frozen shoulder. Singapore Medical Journal, 58(12), 685–689. https://doi.org/10.11622/smedj.2017107

Johns Hopkins Medicine. (2025). Frozen shoulder. https://www.hopkinsmedicine.org/health/conditions-and-diseases/frozen-shoulder

UpToDate. (2024). Patient education: Frozen shoulder (beyond the basics). https://www.uptodate.com/contents/frozen-shoulder-beyond-the-basics

Redler, L. H., & Dennis, E. R. (2019). Treatment of Adhesive Capsulitis of the Shoulder. The Journal of the American Academy of Orthopaedic Surgeons, 27(12), e544–e554. https://doi.org/10.5435/JAAOS-D-17-00606

Le, H. V., Lee, S. J., Nazarian, A., & Rodriguez, E. K. (2017). Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder & elbow, 9(2), 75–84. https://doi.org/10.1177/1758573216676786