Accidents and Injuries

Most individuals see their family physician or general practitioner after an automobile accident or other common personal injury/s. However, seeing a chiropractor is more beneficial. Chiropractors specialize in treating, rehabilitating, and strengthening the musculoskeletal system after different types of personal injuries. Auto accidents are the most common personal injuries. The next most common type of injury comes from slip and fall accidents. These accidents are a leading cause of hip and head injuries. A chiropractor can help with injuries that involve the:

• Muscles
• Tendons
• Joints
• Ligaments
• Hips
• Neck
• Shoulders
• Spine
• Nervous System

Chiropractors are specifically suited to help individuals recover after one of these accidents. Because of this individuals are turning to chiropractic treatment after an auto accident or a slip and fall accident.

Who pays for chiropractic treatment after an accident?

There are many different factors that determine who pays for chiropractic treatment after an accident. However, the party that is at fault or the insurance company usually handles the chiropractic care expenses. A chiropractor also provides records and reports detailing an individual's injuries. This is for the chiropractic care that the at-fault party will be covering. However, an individual must prove, with the help of the chiropractor, that they did suffer an injury as a result of the accident. Pre-existing injuries typically are not covered. Chiropractic personal injury specialists are well-versed/trained on accident and injury claims.

Injury claims and chiropractic expenses

An injury claim usually covers most if not all chiropractic treatment expenses following an accident. This often involves dealing with insurance companies and lawyers. It depends on the situation/circumstances of the accident. A personal injury chiropractic specialist keeps updated records and provides the individual with the assistance needed for a successful claim, as well as, for treating the injuries and getting the individual back to optimal health.

Lawyers and chiropractors

After an accident, talking to a lawyer about filing a personal injury claim means they may recommend seeing a chiropractor. This is a normal procedure for personal injury claims. Personal injury cases are rarely closed before the individual filing the claim is fully healed. If the individual is still being treated, the total cost of the medical expenses is still unknown. Only when the treatment is done can a lawyer present the total cost of the medical bills. This is because chiropractors are also specialists that can diagnose and treat injuries that general physicians or doctors can miss. Whiplash and back problems are two common injuries that happen as a result of auto accidents.

How long to wait before seeing a chiropractor after an accident

How long the individual waits to see a chiropractor after an accident is up to the individual. However, it is highly recommended to see a chiropractor as soon as possible following an accident to get treatment going before the injury/s worsens and inflammation sets in. The injuries can still be treated, but it could take longer to heal them properly if they have set in. For example, whiplash treatment can take anywhere from 2 to several sessions, depending on the severity of the injury to the muscles and ligaments of the neck.

The benefits of seeing a chiropractor after an accident

The benefits of chiropractic treatment after an accident includes:

Specialized treatment

Most personal injury claims involve injuries to the back, neck, muscles, and joints. Chiropractic treatment provides effective care immediately.

Reduced pain and inflammation

Chiropractic treats the root cause of the pain, which helps reduce swelling and inflammation. A chiropractor will utilize various techniques/methods that include:

• Heat and ice
• Ultrasound
• Cold laser therapy
• Massage
• Electrical therapy

An improved frame of mind and range of motion

Two major benefits from seeing a chiropractor are an improved frame of mind and range of motion. Stiff muscles and a low mood can become lifted with chiropractic treatment that helps produce positive hormones as muscle tension is worked out and released.

Non-invasive and drug-free

Chiropractors use non-invasive and drug-free treatment methods. They do not prescribe medications or perform surgical procedures that could worsen or cause further injury.

Chiropractors work with other doctors/specialists

A chiropractor might not be able to help with every injury or aspect of the injury/s. But doctors of chiropractic are members of the medical community. If they feel that they cannot help the individual, they will refer the individual to someone who can or work closely with the individual's doctor to ensure that safety, overall health, and well-being are the first priority.

Chiropractic is ideal for whiplash

Whiplash is a common and often debilitating injury suffered during a motor vehicle accident. One study showed that 93% of whiplash patients showed improvement after chiropractic treatment. Chiropractic for whiplash can help speed up the healing process and involves:

• Pain relief
• Inflammation reduction
• Spinal manipulation
• Chiropractic massage
• Trigger point therapy
• Stretches
• Exercises

Chiropractic can help with stress after an accident

One of the major benefits of chiropractic is stress relief. An accident or injury can generate intense stress and stress and make things worse. Chiropractic adjustments have been shown to improve the levels of beneficial chemicals in the body, that can reduce stress. Injuries along with the insurance companies, lawyers, court costs can contribute to sleep, and diet problems.

Conclusion

It is highly recommended to make an appointment with a chiropractor after an accident. They can provide a thorough diagnosis and treatment, reduce the pain and healing time for injuries, as well as provide the necessary records for a personal injury claim. Seeing a chiropractor as soon as possible after an accident is beneficial for rehabilitating and strengthening an individual's musculoskeletal health.

Body Composition

Body fat percentage

The body's fat percentage is a significant number but should not be relied upon as it does not provide an individual with a complete picture of their overall health. In order to maintain a healthy weight and understand the changes that the body experiences over time, an individual needs more specific values. If there is no comparison of body fat percentage to skeletal muscle mass, an individual will not be able to:

• Understand the increases and decreases in body fat percentage
• Maintain a healthy body fat percentage
• Maintain a healthy weight and muscle mass level
• Determine if the muscles are balanced

The body is a very complex system of many components that all work together. This is why it is important to get as much information as possible to understand, maintain a healthy weight and achieve optimal health.

Disclaimer

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

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

References

Jacobs, Craig L et al. “Musculoskeletal injuries and pain in dancers: a systematic review update.” Journal of dance medicine & science: official publication of the International Association for Dance Medicine & Science vol. 16,2 (2012): 74-84.

Plaza-Manzano, Gustavo et al. “Changes in biochemical markers of pain perception and stress response after spinal manipulation.” The Journal of orthopedic and sports physical therapy vol. 44,4 (2014): 231-9. doi:10.2519/jospt.2014.4996

While bruising, soreness, and scrapes are common, whiplash and chronic whiplash injuries may not show for several days or weeks. While today's vehicles are safer than ever, they can still only do so much when it comes to the body and musculoskeletal health. Being involved in an automobile accident, even a light tap can give a sudden jolt to the spine that although the individual might not have felt anything like discomfort or pain, it was enough to shift the disc/s out of place or set them up to shift out of place. No one wants to be involved in a car or motorcycle accident, but regardless of good driving habits, or how advanced the safety features on the vehicle might be, the average driver will be involved in three to four automobile accidents in their life.

Whiplash

Whiplash and chronic whiplash injuries are common in motor vehicle accidents. More than 3 million Americans will see a doctor and a chiropractor for automobile accidents and whiplash effects. It only takes a 2.5 mph hit to cause an injury. And whiplash doesn't only happen when hit from behind, there are several ways an individual can be subjected to whiplash, including being T-boned, amusement park rides, and falling off a bicycle or a horse.

Symptoms

Most whiplash symptoms develop in the first twenty-four hours, but this is not always the case. Common symptoms include:

• Neck pain
• A stiff neck
• Intense neck pain when moving, rotating
• Headaches that start at the base of the head
• Loss of range of motion
• Dizziness
• Fatigue
• Shoulder pain
• Arm pain
• Upper back pain
• Low back pain
• Blurred vision
• Anxiety
• Nausea
• Depression
• Difficulty with concentration
• Memory difficulties
• Sleep disorders

Facts and Stats

Most individuals realize they have whiplash a day or two after, but for others, it can take a few weeks or even months to present. Whiplash is classified by degree or grade:

Grade 0

The individual has no complaints and there are no symptoms/signs of physical injury.

Grade 1

There is neck pain but there are no physical signs of injury.

Grade 2

There are signs/symptoms of musculoskeletal damage and neck pain is presenting.

Grade 3

There are signs/symptoms of neurological damage and neck pain is presenting.

The average amount of time most individuals stay home from work is around 40 days. However, when whiplash pain lasts longer than a few weeks, it is deemed to be chronic whiplash.

Chronic Whiplash

Some individuals with whiplash experience painful symptoms for years. This is true of those that avoid or refuse medical attention and learn to live with it.

Treatment Options

There are very effective methods for treating whiplash and chronic whiplash injuries. Depending on the extent of the injury/s, developing the right treatment/rehabilitation plan requires individual consultation with a chiropractor to discuss options that can include:

Pain Relief

The pain can be excruciating. Over-the-counter pain relievers like ibuprofen for temporary relief. However, the individual will need extended treatment to ensure it does not become chronic pain.

Neck Brace

Neck braces help limit the pain, but should not be worn for more than three or four days. If worn for too long the neck muscles are prevented from gaining the strength needed to support the head.

Don't Sit For Too Long

Avoid keeping the head in any one position for too long. This includes sitting in bed, watching TV, or working at a desk. This places a large amount of pressure and stress on the neck, making the pain even more severe and longer-lasting.

Sleeping Properly and Comfortably

For many, it can be difficult to get into a comfortable position when sleeping. Sleeping on the back with the head turned to one side can worsen the pain. Try a high-quality ergonomic pillow that allows the individual to sleep on their side and takes the pressure off of the neck.

Spinal Alignment

Whiplash can cause the spine to shift out of alignment. This can lead to additional problems in the back or shoulders. It’s always a good idea to see a chiropractor that specializes in motor vehicle accident injuries to realign the spine and neck, as well as for rehabilitation to strengthen the muscles and prevent further injuries. See a chiropractor for an evaluation of the injuries and develop a customized treatment plan that works for the individual's condition.

Everyone is different

Some individuals can be stiff and sore for a few days and then are okay with not much pain. Some individuals experience severe pain immediately after the wreck, while others have no pain for days or even weeks. Both scenarios are pretty common. Soft tissue injuries can be very deceiving. Some don’t experience any pain for months after the accident. Many don’t think they need to see a doctor or chiropractor because there is no pain or symptoms. However, underneath serious problems could be getting ready to present including:

• Constant headaches
• Numbness or pins and needles in the hands or arms
• Pain between the shoulder blades
• Poor posture
• Chronic muscle tension
• Painful spasms
• Degeneration of the discs
• Painful inflamed arthritis
• The quick development of arthritis
• Sore, tight, or inflexible muscles
• Sleep disturbances
• Fatigue
• Dizziness

Body Composition

A decrease in physical activity

Physical inactivity is a primary factor in the progression of sarcopenia. Resistance exercise can help maintain muscle mass and help build muscular strength. Individuals that are more sedentary can exacerbate the effects of sarcopenia.

A decrease in motor neurons

Aging is accompanied by motor neuron loss resulting from cell death. This leads to a decrease in muscle fiber. This decrease in muscle fibers leads to:

• Impaired performance
• A reduction in functional capacity
• A decreased ability to perform everyday tasks

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

How the Neck Works: UpToDate. (2020) “Patient education: Neck pain (Beyond the Basics). https://www.uptodate.com/contents/neck-pain-beyond-the-basics

Symptoms: PLOS ONE. (2018) “Thoracic dysfunction in whiplash-associated disorders: A systematic review.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5865734/

Causes: Mayo Clinic. (N.d.) “Whiplash.” https://www.mayoclinic.org/diseases-conditions/whiplash/symptoms-causes/syc-20378921

Mental strategy exercises for chronic pain relief and improvement. Living with chronic pain is difficult especially if a doctor is saying that it is all taking place in an individual's head. However, the pain is very real and happening in the brain, literally. Neuroimaging studies show that certain areas of the brain become active when chronic pain presents. This is not the only way to know the brain's role in how an individual experiences pain. What is also known is:

• Anxiety, depression, and pain activate similar areas of the brain.
• Certain psychiatric drugs used to relieve pain can also alter an individual's mental state.
• Chronic pain can lead to depression.
• Clinical depression can cause physical symptoms, including back pain.

A health care provider could recommend/suggest psychological support for chronic pain. Psychological help and mental strategy exercises for chronic pain are not about how to reduce the pain, but more on how to reduce the dominance, interference, and impact of the pain and getting a healthy quality of life back. Consider a few evidence-based, psychological approaches to reduce back pain.

Cognitive-behavioral therapy

Cognitive-behavioral therapy or CBT trains an individual to modify specific thoughts and behaviors. Experts consider this approach a gold standard of psychological interventions for pain. It helps:

• Reduce pain
• Improves function
• Improves quality of life

Individuals work on:

• Pain coping strategies
• Relaxation skills
• Setting goals
• Shifting perspectives on pain

A study found that two years after a two-week, intensive course of cognitive-behavioral therapy, patients took fewer pain meds than they did before the therapy.

Mindfulness meditation

Meditation is not all about sitting with crossed legs, hands resting on the knees, although this is a recommended pose for meditative purposes. A modern approach can be done anywhere, in any position that’s comfortable and will help soothe back pain. By oneself or with help from a therapist mental strategies can include

• Incorporating breathing techniques
• Guided imagery
• Intense focus on thoughts and feelings

A study suggests that mindfulness meditation can be highly beneficial for older adults that are not as able to get an adequate amount of physical activity to improve pain levels. A group of older adults that participated in eight weeks of a mindfulness program, which consisted of four days a week for 30 minutes per session physical function and pain reduction improved.

Mindfulness stress reduction

Mindfulness stress reduction is a program that teaches individuals meditation techniques, that include basic stretches and postures. It teaches how to separate the physical and psychological aspects of pain. Medical centers across offer this treatment option for a range of disorders, including chronic back pain. It helps reduce pain intensity and improves function in individuals with arthritis as well as back and neck pain from various causes. It has also been found to be effective for fibromyalgia, which can cause intense widespread pain. A study found that mindfulness stress reduction improved:

• Wellbeing
• Pain episodes
• Sleep problems
• Fatigue in participants with fibromyalgia
• More than half reported significant improvement

Acceptance and commitment therapy

Acceptance and commitment therapy or ACT teaches acceptance and mindfulness strategies with commitment and behavior mental strategies, to change the way pain is experienced. Numerous studies along with the American Psychological Association validate this approach as an established treatment for chronic pain.

Changing expectations

In one study several chiropractic patients who expected their back pain to improve were 58% more likely to improve than those who did not expect favorable outcomes. This mental strategy of manifesting a positive outcome through the power of positive thinking and beliefs about pain influence an individual's actions.

For example, when thinking that physical activity will cause back pain, individuals are less likely to be active. This is known as fear avoidance. For most individuals with back and neck pain, gentle physical activity is essential because avoiding it will worsen the pain. Having the right mental strategy can go a long way in battling chronic pain, at Injury Medical Chiropractic and Functional Medicine Clinic we can help individuals experiencing/dealing with chronic pain.

Body Composition

Depression and physical health

Depression is debilitating and, in severe cases, a life-threatening disease that affects over 16 million people nationwide. Depression causes are not always clear and can be brought on by:

• Biological factors - genetics
• Individual brain chemistry
• Certain medications
• Stress
• Unhealthy diet/nutrition

Mental illness and becoming overweight or obese often happen in conjunction, whether as a result of each other or from common risk factors that include:

• Smoking
• Poor diet
• Lack of physical activity
• Alcohol consumption

Prescribed medications for depression and anxiety disorders are have been shown to be successful in maintaining mental health. However, a side effect of these medications is weight gain. Like genetics, being educated on the potential side effects will help in reducing the risk of, and controlling weight gain when taking medication.

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

Pain and Therapy. (Jun 2020) “Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203283/

Journal of Psychosomatic Research. (Jan 2010) “Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice.”

European Journal of Pain. (Jan 2019.) “Beliefs about back pain and pain management behaviors, and their associations in the general population: A systematic review.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6492285/

many people suffer from the occasional racing heart, pounding heart, skipping a beat, flipping, and irregular tones.

Consistency is what makes chiropractic care work. A common misunderstanding about chiropractic medicine is the number of follow-up treatments necessary after the initial adjustment. Every individual requires a unique customized treatment plan. There are a few general guidelines chiropractors use to determine how they schedule follow-ups. Here is some insight into the nature of corrective chiropractic adjustments.

Consistent Chiropractic

The critical nature of follow-up visits is that a single chiropractic adjustment is not an instant cure. It is an ongoing corrective process. Follow-up appointments are to ensure that the adjustments are on the right track and that whole-body wellness is maintained. Consistent chiropractic treatments maximize effectiveness and ensure proper functionality.

Types of Care

The need for consistent care can be placed in types or phases. Types of care are:

• Urgent
• Reparative
• Preventive
• Rehabilitative

Urgent

Individuals go to a medical clinic because they are experiencing discomforting symptoms, pain, etc. A chiropractor's responsibility is to alleviate those symptoms and address the root cause. Until the symptoms stop and no longer present an individual is in the urgent phase. During this phase, because the injury/condition is new to the chiropractor, they need to get it stabilized first, which consists of several adjustments that focus on various areas. In order to bring proper balance, each of those areas is worked on at follow-up treatment sessions.

Reparative/Rehabilitative

Reparative care does not require the need to see the individual as often. Instead, the treatment is now focused on the root cause of the symptoms, and getting back range of motion. Regular appointments are still important, but they are not as frequent as initial treatment.

Preventive

The preventive care phase is when the main issues have been addressed and can now work on strengthening the immune system through regular adjustments along with stretches, exercises, and diet recommendations that will optimize overall health. This phase includes regularly scheduled but more infrequent adjustment appointments.

Chiropractic Supplementation

A properly maintained regimen of treatment is going beyond the physical manipulation of the spine. Chiropractic clinics offer many other benefits that include:

• Massage
• Health coaching/counseling
• Physical therapy
• Fitness

Consistent chiropractic treatment approaches require time, patience, and energy. All of these help to deliver superior care that leads to optimal health.

Power and Rehab Chiropractic Care

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

Liebenson, C. “Rehabilitation and chiropractic practice.” Journal of manipulative and physiological therapeutics vol. 19,2 (1996): 134-40.

With intense automobile, work, and sporting/fitness accidents, and natural disasters, individuals can experience multiple traumas also known as polytrauma. Recovery and rehabilitation can be a difficult and challenging journey. Multiple traumas are serious medical emergencies only given to individuals going through a severe situation. Polytrauma references multiple severe traumas that occurred at the same time. An individual can experience a:

• Broken hip/s
• Skull fracture
• Broken arm/s, leg/s
• Nerve damage
• Concussion
• Variety of superficial wounds

Physical therapy and chiropractic rehabilitation could be part of a treatment program. This is to restore the body's mobility, function, and promote the body's natural healing abilities. The importance of creating the proper rehabilitation program can make all the difference and restoring the integrity of the spine is critical.

Spinal Stabilization

Any type of trauma despite its severity can have the potential to interfere/disrupt spinal functions.

• Suffering a concussive hit to the head could cause damage to the cervical spine.
• Falling off a ladder could shift the vertebral discs.
• Hitting the knee on an object can cause a spinal misalignment from shifting the weight to the other leg for a day or two.

Spinal misalignments and/or dysfunction are common in multiple trauma cases. Dealing with broken bones and substantial wounds often means the spine could need to be realigned. Even if there are no localized injuries to the back or neck. Spinal misalignment, translation/rotation, herniated discs, or other conditions can hinder the overall recovery process and present new health issues.

Nerve Damage

Often, a lasting issue from multiple traumas is nerve damage. The severity can completely destroy nerve endings making it impossible to regain feeling or movement in certain areas of the body. The nerve damage can be regenerated if the impediment is rooted in the spine and is addressed in time.

Correcting spinal discs that have shifted along with subluxations that can compress the nerves and interfere with signal communication can help restore the areas directly affected. Example: Broken arms or legs can lose sensations that can be regained by spinal realignment. There are arteries that follow the spinal pathway. When the spinal integrity is restored proper circulation/blood flow is achieved, which is essential in natural recovery.

Trauma Beyond the Injury

Developing the correct rehabilitation treatment plan could mean the difference in a speedy and healthy recovery. Chiropractic can be an integral part of the recovery process, especially for a body that has sustained severe musculoskeletal injuries. The spine is an extension of the central nervous system. This means that bringing relief to the spine can affect positive healing in the injured areas. The critical role of the spine in an individual's rehabilitation and whole well-being is why no matter the extent of the trauma, we deliver relief.

Car Accident Injury Chiropractor

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

Kroupa, J. “K definici polytraumatu a polytraumatismu” [Definition of "polytrauma" and "polytraumatism"]. Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca vol. 57,4 (1990): 347-60.

Axial neck pain is also known as uncomplicated neck pain, whiplash, and cervical/neck strain. They refer to pain and discomfort running along the back or posterior of the neck. Axial is defined as forming or around an axis. This type of pain stays around the neck and immediate surrounding structures. It does not spread/radiate out to the arms, hands, fingers, and other areas of the body. Axial neck pain differs from two other neck conditions. They are:

• Cervical radiculopathy
• Myelopathy

Cervical radiculopathy describes irritation or compression/pinching of the nerve as it exits the spinal cord. The nerves of the cervical spine are known as the peripheral nerves. They are responsible for relaying signals to and from the brain to specific areas of the arms and hands. The signals that are sent from the brain are for muscle movement, while signals going to the brain are for sensation.

When one of these nerve/s gets irritated, inflamed, or injured it can result in:

• Muscle pain
• Weakness
• Numbness
• Tingling sensation
• Burning pain
• Other types of abnormal sensations in the arms, hands, or fingers.

Cervical myelopathy describes compression of the spinal cord itself. The spinal cord is the information highway/pipeline to all parts of the body. There is a range of symptoms that can include:

• Same symptoms as cervical radiculopathy
• Balance problems
• Coordination problems
• Loss of fine motor skills
• Bowel and bladder incontinence

Axial neck pain

Axial neck pain is a quite common type of neck pain. It affects around 10% of the population. However, the majority of these cases do not involve severe symptoms that limit daily activity.

Symptoms

Pain in the back of the neck is the primary and most common symptom. Sometimes the pain travels to the base of the skull, shoulder, or shoulder blade. Other symptoms include:

• Neck stiffness
• Headaches
• Localized muscle pain
• Warmth
• Tingling

Developmental Risk factors

Poor posture, lack of ergonomics, and muscle weakness increase the chances of developing axial neck pain. Risk factors for development include:

• Age
• Trauma - Auto accident, sports, personal, work injury
• Headaches
• Depression
• Chronic neck pain
• Sleep problems

Diagnosis

Based on symptoms and physical exam findings are how a diagnosis is usually achieved. A doctor will typically order an x-ray, CT, or MRI of the cervical spine. There could be severe symptoms that could indicate something more dangerous causing pain like infection, cancer, or fracture. This calls for an immediate visit to a hospital/clinic for evaluation. These symptoms include:

• Prior trauma/injury from a fall, automobile accident, sports, work injury
• Fever
• Weight loss
• Night sweats
• Constant night pain

Rheumatic conditions/diseases that cause neck pain can include morning stiffness and immobility that gets better as the day progresses. If symptoms continue for more than 6 weeks, imaging of the spine could be recommended. Especially, for individuals that have had previous neck or spine surgery or if it could be cervical radiculopathy or myelopathy.

Treatment

There is a wide range of treatment options. Surgery is rarely required except for severe cases. Returning to normal activities almost right away is one of the most important things to do to prevent the pain from becoming chronic. First-line treatments typically begin with:

• Physical therapy
• Chiropractic
• Stretching routine
• Strengthening exercises
• Acetaminophen
• Anti-inflammatory medication/s
• Muscle relaxants are sometimes prescribed

If a cervical spine fracture has been diagnosed, a neck brace could be recommended for short term use. A soft collar could be utilized if the pain is severe but a doctor will usually discontinue use after 3 days. Other non-invasive treatment options include:

• TENS - transcutaneous electrical nerve stimulation
• Electromagnetic therapy
• Qigong
• Acupuncture
• Low-level laser therapy
• Cognitive-behavioral therapy

Invasive treatments like injections, nerve ablation, and surgery are rarely required. But if necessary it can be beneficial for those cases.

Causes

A variety of the neck's anatomical structures can contribute to the pain. Common causes include:

• Poor posture
• Age
• Degeneration
• Ergonomics
• Injury to muscles or ligaments
• Arthritis

All of these can affect vertebral bodies, discs, and facet joints. Shoulder arthritis or a rotator cuff tear can imitate axial neck pain. Dysfunction of the temporomandibular jaw joint or the blood vessels of the neck can cause axial pain but it is rare.

Prognosis

Symptoms are usually alleviated within 4-6 weeks from when the pain started. Pain that continues beyond this should encourage a visit to a chiropractic physician.

Prevention

• Keep neck muscles strong with exercise.
• Stretch the neck regularly.
• A healthy diet specifically for bone support.
• Proper sleep posture for example sleeping on the back or side with a pillow that supports the natural curve of the neck.
• If on a computer for work or a long period align the eyes with the top third of the screen.
• Avoid looking down when on the phone, reading, etc for a long time by keeping the arms supported on an armrest.
• Glasses should be pushed up on the bridge of the nose, if they slide down there is a tendency for the head to follow.
• Don't forget to look up frequently.

Optimizing posture, ergonomics, and muscle strengthening can help in the prevention of the onset of pain and help alleviate the symptoms.

Whiplash Injury Chiropractic Treatment

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Finding the right surgeon specializing in an individual's specific spinal conditions and physical health means doing some research. There are several types of procedures for spinal problems. The type of surgery depends on the condition and an individual's medical history. If surgery is recommended for a lumbar herniated disc or LHD combined with sciatica here are a few things to think about.

Researching a spine surgeon

First and foremost look for surgeons with:

• Medical credentials like are they board-certified or board-eligible
• Completed a fellowship in spine surgery
• Devotes at least 50% of their practice to spinal conditions
• Specializes in treating herniated disc/s and sciatica. This means they will have added/specialized knowledge and expertise.

It is extremely important that an individual feels comfortable and feels they are able to communicate freely with the surgeon. A professionally qualified surgeon should:

• Spend adequate time with the individual
• Answer all questions
• Provide all information needed about the condition and treatment
• Listen to what the individual has to say
• Is open-minded
• Is not hard to get in contact with
• Has experience in the latest methods and techniques

What to look at and think about

Individuals can feel uncomfortable asking questions, but thorough communication is key. Remember, it is your body, and it is your right to know the details of the spinal disorder, along with non-surgical and surgical approaches to treatment that are available. There is time to consider the options and make an informed decision about the treatment plan as most spinal procedures are elective. Ask the surgeon all the questions you have to help decide wisely and with confidence. Make sure they address all concerns, and any others not listed.

The surgeon's specialization/focus

Orthopedic surgeons and neurosurgeons perform spinal procedures. Each will have a specific interest and expertise in certain spinal condition/s. For example, some surgeons may specialize in treating adult or pediatric patients, and some may only treat either lumbar/low back or cervical/neck conditions. Within those groups, some focus on:

• Spinal deformities
• Tumors
• Myelopathy a spinal cord disease
• Specific spinal cord diseases

Minimal invasive surgery option

Minimally invasive spine involves tiny incisions, that reduces the recovery time needed to heal. With this type, individuals can be up and walking within hours after surgery. Unfortunately, not all conditions can take this approach.

Is the surgery absolutely necessary, or can it be treated non-surgically?

Sciatica and herniated discs can be quite painful and cause disability. Never rush into surgery just to relieve symptoms. As surgery can cause other types of pain symptoms and issues. Herniation and sciatica can be resolved with:

• Chiropractic
• Physical therapy
• Medications
• Injections
• Lifestyle changes
• Diet adjustments
• Regular exercise
• Weight loss

However, if there are neurologic symptoms, like weakness in the leg, foot, numbness, or loss of bladder or bowel control - this is considered a medical emergency - then surgery is absolutely needed.

The number of similar procedures performed

The surgeon’s experience is very important. The more experienced, the better. Ask if they can refer to other patients who have had similar procedures.

Recovery time

Every patient is unique, as is the type of surgery, and recovery times. They all vary accordingly. General health, physical condition, and the severity of the disorder play a role in how long and how involved recovery time will be. Experienced surgeons can provide more specific answers concerning recovery/healing time.

Complication rate

All surgeries carry some risk of complication. Complication rates that are more than 10% is a red flag. Possible post-surgery complications.

Infection rate

Surgeons should have an infection rate lower than 10%. However higher rates do not always mean that surgeon is at fault as higher rates can come from performing highly complex procedures. Another reason for high infection rates could be the patients themselves like smokers or individuals with diabetes have increased risks for infection. However, do not feel uncomfortable asking the surgeon to explain a high infection rate. 

Decide to not opt for spine surgery

As a surgeon produces a diagnosis, they should present a recommended treatment plan, including alternative treatments/therapies. Ask for another explanation of any part of the evaluation, diagnosis, or available treatment options.

Get a second opinion

A second opinion should be encouraged. A second opinion can reinforce the surgeon’s recommendations and offers a new perspective. The surgeon should be comfortable with a second opinion. This does not mean that the individual does not trust the surgeon. It does mean that there is considerable interest in achieving optimal health and making sure that surgery is the absolute right thing to do. Pass on surgeons that discourage or disapprove of second opinions and continue looking.

Whiplash Chiropractic Massage Therapy

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Whiplash injuries very rarely call for surgery. But with those rare occurrences, that are severe cases, surgery is considered appropriate when neck or shoulder pain worsens. Doctors recommend patients go through 4 to 6 weeks of non-surgical treatment. If there is no improvement or the condition is worsening then a doctor could recommend whiplash surgery as the best option.

A spine surgeon will recommend the best procedure for the specific injury. Ask all the questions you have to fully understand the exact process, the outcome, and the recovery time. Surgery is an individual's decision. The surgeon can recommend it, but the patient has the final say. The procedure depends on what area/s the cervical spine is injured/damaged.

Disc Herniation

Depending on the type of trauma individuals can rupture or herniate the intervertebral disc/s, located between the vertebrae. This can generate constant pain, numbness, and weakness. With cases like this sometimes removal of the disc is necessary.

A surgeon will remove all or portion of the damaged disc through a process called a discectomy. After the discectomy, a doctor may have to permanently stabilize the area. This is because the spine becomes unstable and can move in abnormal ways. This increases the risk of a serious neurological injury. Therefore a discectomy is usually followed with a re-stabilization of the spine. Spinal stabilization techniques used:

Artificial Disc Replacement

Cervical artificial disc replacement also known as ADR could be performed instead of standard discectomy combined with spinal fusion. An artificial disc is implanted into the empty space following the procedure. Artificial disc replacement preserves or restores movement of the neck.

Fusion and Spinal Instrumentation

This form of spine stabilization can be done on its own or in combination with decompression surgery. The bones in the spine fuse together over time usually several months or longer depending on how the surgeon set up the fusion process. The surgeon will use a bone graft or a biological chemical that stimulates bone growth. A surgeon could use spinal instrumentation. These are:

• Interbody device/s
• Screws
• Rods
• Plates

These all are used to increase stability and help fuse the bones properly. The fusion prohibits movement between the vertebrae for long-term stability.

Stenosis

Whiplash surgery could also be necessary if the injury caused the spinal canal in the neck to narrow. Here a cervical corpectomy could be performed to remove part of the vertebra and intervertebral disc/s. This reduces the added pressure on the spinal cord and nerves.

A surgeon could also do a laminectomy or a laminoplasty. Both focus on the lamina, which is the bony plate at the back of each vertebra. The lamina protects the spinal cord and canal. The lamina could also present added pressure on the spinal cord. This is where the surgeon will create extra space for the cord by removing all or part of the lamina. This is a laminectomy.

A laminoplasty re-shapes the lamina to create more room for the spinal cord. If there is a narrowing of the space where the nerve exits the canal, a cervical foraminotomy could be utilized. The foramen is the area where the nerve roots exit the spinal canal. This is removed to allow for more space for the nerves to move through. A larger pathway is less likely to pinch/compress the nerve.

Complications

A doctor will discuss all the potential risks before being asked to sign a surgical consent form. Complications can include:

• Injury to the spinal cord, nerves, esophagus, carotid artery, vocal cords
• The bone fusion does not heal known as pseudoarthrosis
• Improvement does not occur
• Instrumentation breaks or gets damaged
• Infection
• Bone graft site pain
• Pain and swelling in the leg veins known as phlebitis
• Blood clots in the lung
• Urination problems

Complications could lead to more surgery, so make sure there is a complete understanding of the surgery and the risks before proceeding. The final decision is up to the individual.

Whiplash Surgery Recovery

After surgery, things might not be great right away. More than likely individuals are out of bed within 24 hours, and on pain meds for 2 to 4 weeks. Individuals will receive instructions on how to sitting down, and standing up. The body needs time to heal, so the doctor will recommend restricting certain activities that involve moving the neck too much. Avoid sports, twisting, or heavy lifting during recovery. And report any problems like fever increased pain, or infection right away.

Whiplash Chiropractic Massage Therapy

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Minimally invasive surgical procedures can be used to treat spinal compression fractures. These procedures are utilized to reduce severe pain, stabilize the fracture itself, and restore lost height or shape of the broken vertebral body. These procedures are known as:

• Balloon kyphoplasty
• Vertebroplasty
• Vertebral body augmentation

A vertebral compression fracture is a type of spinal fracture that can be caused by osteoporosis. This is a metabolic disease that weakens bone density and increases the risk of fracture/s in the spine, wrist, and hip. Osteopenia and osteoporosis affect millions, according to the National Osteoporosis Foundation. If left untreated, it can progress without an individual knowing and painlessly until the bone/s fracture. A vertebral compression fracture is more frequent than hip fractures and can lead to extended disability.

Vertebroplasty

Vertebroplasty is a minimally invasive treatment done through the skin for painful vertebral compression fractures. It also helps with strengthening the surrounding vertebral bodies also at risk of fracturing. Orthopedic bone cement is injected into the fractured vertebral body.

How is it performed?

Under general anesthesia, a specialized needle for bone is slowly inserted through the soft tissues of the back towards the vertebral compression fracture. The surgeon sees the position of the needle at all times through a real-time x-ray. Once reached a small amount of orthopedic bone cement, called polymethylmethacrylate, is injected into the vertebral body. Polymethylmethacrylate is a medical-grade bone cement that'ss been used for years for various orthopedic procedures.

The cement can sometimes be combined with an antibiotic to reduce the risk of infection along with a powder that has barium or tantalum. This allows it to be seen on the x-ray. The cement is a thick paste that hardens quickly. The fractured body is injected on the right and left sides, the midline of the back. After a few hours, the patient is up and moving. Most go home on the same day.

Balloon kyphoplasty

Balloon Kyphoplasty is another newer minimally invasive surgery for vertebral compression fractures that can be associated with osteoporosis. Kyphoplasty utilizes a balloon that expands the compressed bone to help restore lost vertebral height while creating a space where bone cement is injected. Kyphoplasty stabilizes fractures, restores lost vertebral height, and reduces deformities.

How it is performed?

Balloon kyphoplasty is performed under local or general anesthesia. Using real-time x-ray two small incisions are made, and a probe is inserted into the vertebral body space. The bone is drilled and balloon/s, called a bone tamp is a pump that is inserted on each side.

These balloons are inflated with contrast medium so the surgeon can see on the real-time x-ray until each balloon expands to the correct height, and then are taken out. The balloon is used to create a space for the bone cement and helps expand the compressed vertebral body bone. The cement binds and stabilizes the fracture. The cement provides:

• Strength
• Stability
• Hardens rapidly
• Restores height
• Relieves pain

Vertebral augmentation implant

A vertebral augmentation implant is different from vertebroplasty and kyphoplasty. This minimally invasive procedure for middle and lower back spinal compression fractures utilizes a flexible loop spring style spinal implant. It is performed under local or general anesthesia. A real-time x-ray is used to visualize the spinal anatomy and guide the placement of the device. The implant is delivered through a small incision. Once the implant is in place, the bone cement is injected, and the implant is removed.

Potential benefits include:

• Reduction of new fractures above or below the existing fracture
• Improves the spine's angle
• Reduced spinal deformity
• Reduces bone cement leakage
• Reduces the amount of bone cement

Benefits of all

Vertebral compression fractures and the limited abilities of traditional surgical options led to the refinement of these surgical systems. Each procedure provides options, as to how the treatment helps relieve pain, reduce and stabilize fractures, reduce spinal deformity, and stop the progressive worsening of untreated osteoporosis.

Added benefits:

• Surgical time is minimal
• Local or general anesthesia is all that is needed
• Hospital stay is a day or only a few hours
• Patients can quickly return to normal activities
• No bracing required

A spine surgeon will explain the purpose and aims of the recommended procedure, including the benefits and risks to help make an informed decision.

The Difference Using Custom Foot Orthotics 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

An individual may need to wear a neck brace or cervical collar after cervical spine surgery, or after experiencing a traumatic injury to the neck, from an automobile accident, sports, work, or personal injury. Neck braces are some of the most common spinal braces. A doctor might call these orthoses or orthotics. There are different types of neck braces also called cervical collars, and function for different purposes.

• They can be utilized in stabilizing the neck after cervical/neck surgery.
• They can provide non-surgical relief after experiencing trauma or injury to the neck

Neck braces or collars are used to limit movement, support the head, and take the load off the neck. This gives the muscles time to rest, recover, and heal properly and thoroughly.

• Soft and Hard Collars
• Philadelphia Collar
• Sterno-occipital-mandibular Immobilization Device
• Halo brace 

Soft and Hard Neck Braces

Soft braces are made to be flexible and are made of a polyurethane foam rubber. They easily wrap around the neck and are secured with Velcro.

Soft collars are usually worn for a minor injury that just needs to be worn for a short time or to transition from wearing a hard brace from a more serious injury or surgery. Soft braces are worn typically at the end or completion of the healing process. The main purpose is to help with the gradual transition to remove the brace.

Hard neck braces look sort of like soft braces. The difference is that they are made of hard polyethylene and are rigid/stiff to really keep the neck from moving. These braces provide support and pain relief for spinal conditions like cervical spondylosis and acute neck pain.

Philadelphia

A Philadelphia brace is made of stiff foam and is made in two pieces that attach with Velcro. The upper portion supports the lower jaw with the lower brace extending down to cover the upper back.

This brace is made to protect more of the neck area than a soft or hard brace. However, it does place a higher restriction on the neck and body's range of motion. Because of its effectiveness for limiting movement, it is usually prescribed after cervical surgery for a healthy recovery. The Philadelphia neck brace is also used for stabilization of minor cervical fractures and to reduce pain brought on from neck muscle strain.

Sterno-Occipital-Mandibular Immobilization

The Sternooccipital mandibular immobilization brace is a highly rigid brace used to position the neck in straight alignment with the spine. This brace immobilizes the neck completely by preventing the head and neck from moving at all. This allows the injured/damaged structures to heal correctly and quickly. Sterno comes from the sternum. The brace has a front chest plate, and bars that go over the shoulder.

It is secured with straps that attach to the front chest plate. It also has a removable chin piece where the mandibular comes from, which is the lower jawbone. And there is an optional headpiece for added protection and support. Occipital is referring to the occipital bone at the back of the head. This type of brace is used for the treatment of severe neck injury/s or cervical pain caused by a chronic condition, like arthritis. It can also aid in recovery after cervical spine surgery.

Halo

The halo brace is the most rigid of the neck braces. It completely immobilizes the head and neck from moving. Sometimes it is necessary to immobilize the spine after a major neck procedure or for stabilizing fractures in the neck or middle back area. Halo bracing is considered a form of spinal traction. Traction pulls the spine in 2 different directions.

The tension reduces the abnormal curvature associated with spinal conditions, like scoliosis. A halo brace has a metal ring secured to the head using pins. The ring is connected to bars that are attached to a properly weighted vest. The weight of a halo brace is different depending on the individual wearing it. A halo brace is worn at all times until completely healed and recovered.

Effectiveness

Neck braces are the most effective when they are used as directed by a doctor, chiropractor, or spine specialist. Working with an orthotist, or a specialist that designs and custom fits spinal braces can be extremely beneficial. Any questions about how to wear and care for a spinal brace should be brought up with a doctor or orthotist. They will help ensure a full understanding of how to get the most benefit from the treatment.

Chiropractic Neck Pain Treatment

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Chiropractic works great for neck and back problems, but it is highly effective for the entire body. Carpal tunnel syndrome or CTS is becoming a widespread health issue with so many working on computers, devices, phones, etc. Chiropractic is perfect for treating CTS. It relieves pain, loosens/stretches the ligaments, and promotes healing without meds.

Carpal Tunnel

Carpal tunnel is diagnosed as a repetitive stress injury. This is a condition that affects the hands and wrists. The most common symptoms include:

• Tingling
• Numbness
• Weakness in the middle, index, and thumb
• Pain in the wrist/hand
• Gets worse at night

It is found in:

• Hairdressers
• Office workers - typing, writing, filing, etc.
• Mechanics
• Cashiers
• Those who perform repetitive hand motions throughout the day

It is estimated that around 3% of adults will deal with CTS at some time in their lives. Around 50 percent of workplace injuries are attributed to CTS. Research has shown that job occupation plays a large role in how it develops.

The carpal tunnel lies on the front side of the wrist. Here is where the blood vessels, nerves, and tendons necessary for the hand to move and work reside. The carpal tunnel can become inflamed, damaged, or strained with added pressure on the area compressing the arteries and nerves. This is when CTS develops. It starts slowly with symptoms gradually worsening as the condition progresses.

How chiropractic helps

There are 3 primary ways that chiropractors treat carpal tunnel syndrome. Manual Adjustment of the:

• Upper spine
• Arm
• Wrist

If the spine is out of alignment it could contribute and exacerbate the carpal tunnel. Chiropractic utilizes spinal manipulation to realign the spine to its correct position. These adjustments are performed by hand, but special devices, instruments, tools, rollers, etc, could be used during the treatments. A chiropractor will make adjustments to the arm and wrist, as well.

Ultrasound

Ultrasound uses low energy sound or high energy sound. The sound waves are highly focused and penetrate the body’s tissue at a very deep level. These waves are quite effective in reducing inflammation, alleviating pain, and relaxing the muscles. It could be used as a stand-alone treatment or along with chiropractic treatment.

Wrist Supports

Wrist supports are used to keep the wrist properly aligned with the rest of the arm to reduce pressure and compression. It can be used as a preventative measure against carpal tunnel. A chiropractor could go with this option if the individual does repetitive work that could contribute to the condition.

This is usually done in conjunction with regular chiropractic care. When treating carpal tunnel, a chiropractor could suggest certain therapeutic exercises and a dietary change to help promote optimal wellness. This is to help the individual get the most benefits from the treatment and to help prevent the condition from worsening, as well as, other conditions.

Posture

Proper posture is essential for optimal health, well being, can help avoid age-related conditions and allows the organs room to operate properly and efficiently. Posture can be affected in different ways. Sustaining an injury is one in which the body compensates by listing to one side or hunching over to relieve the pain.

Another reason is slouching. Those of us that just don’t stand and sit up straight through bad habits, lack of exercise, improper diet, medication, and the list goes on and on. Whatever the reason, poor posture will gradually lead to:

• Back pain
• Headaches
• Increased risk of injury
• Decreased flexibility
• Decreased mobility

It can cause the body to age quicker. However, in most cases, even those with extremely poor posture can find help and return to a high quality of life. Chiropractic has shown to help many regain a straight, healthy posture.

Postural Conditions

There are postural conditions that chiropractic is very helpful in alleviating, include:

• Pelvic unleveling
• Damage to the low back, mid-back, and neck
• Forward head posture - usually associated with mobile devices
• Kyphosis
• Scoliosis

Treatment

A chiropractor will:

• Discuss the problem/s you are experiencing
• Listen to the complaints
• Find out when the problem started
• Go through events or work that could have contributed to the problem
• Thoroughly evaluate the medical history
• Observe the way you sit, walk, bend, and move around

A chiropractor will request x-rays and assess the alignment of the spine. If necessary a neurological or orthopedic test could be done to ensure that there is no underlying condition or injury that is causing the problem.

They will ask you to stand straight and possibly take measurements to determine if there is any visible deviation from the optimum posture. They will then ask you to move and bend while they test the range of motion, mobility, flexibility along with muscle strength and length.

Posture Plan

Once the assessments are complete the chiropractor will discuss the best treatment option available. They will walk you through the adjustments that will be performed along with other therapies they might recommend. The best course of action to relieve any pain will be discussed, as well as get your spine into proper alignment improving posture. They will also talk to you about stretching exercises and things to do at home. They could also discuss:

• Sleep positions
• Diet
• Work area adjustments
• Exercise
• Weight loss

Chiropractic focuses on whole-body treatment. This means addressing lifestyle changes and getting the individual into optimal shape. Basic chiropractic adjustments can help improve posture within a few sessions.

After the body is in alignment you will feel more energetic, healthier, and happier. The body is an intricate machine and when one part is out of order it begins to affect all the other parts. Chiropractic can improve overall health and wellness. We want to get your body functioning more effectively and efficiently and feeling better.

Chiropractic Podcasting: Why Chiropractic Works

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Spinal stimulation is a treatment option that could help bring relief from pain and improve the quality of life for individuals dealing with chronic pain, like low back, and leg pain. Spinal stimulation can help reduce and manage chronic pain that does not alleviate or reduce with physical therapy, pain medications, injections, and other non-surgical treatments/therapies.

It is a form of neuromodulation that works by blocking pain signals that the nerves send out from reaching the brain. A spinal stimulator is a tiny device that is implanted underneath the skin. The device delivers a very low electrical impulse that masks/changes pain signals before they reach the brain.

A Spinal Stimulation System

Neurostimulator:

This is the entire device that is implanted and sends out electrical impulses through a lead wire to the nerves in the spine.

Lead:

The thin wire that delivers the electrical impulses from the neurostimulator.

Remote control:

This turns on/off the stimulator and increases or decreases the amount of stimulation.

Charger:

Stimulators are rechargeable and normally require recharging about one hour every two weeks.

Spinal Stimulator Types:

Traditional stimulators

These produce a gentle ringing/tingling sensation that masks the pain.

Burst stimulators

These send out random interval bursts of electrical impulses designed to copy the way the body sends out nerve impulses.

High-frequency stimulators

These reduce pain without generating tingling sensations.

Types of Pain Spinal Stimulation Treats

Spinal stimulation is approved by the U.S. FDA to treat chronic back and leg pain, including pain that doesn't go away after back surgery known as failed back surgery syndrome. Chronic neuropathic back and leg pain are the most common types that stimulation treats. This means back or leg pain caused by nerve damage from:

• Auto accident
• Injury - personal, sports, work
• Disease

Acute pain is like stepping on a sharp piece of glass, where the pain serves as protection letting you know something is wrong and not to continue. Whereas chronic neuropathic pain lasts for 3 months or more and does not help protect the body.

Spinal stimulation is also used to treat complex regional pain syndrome or CRPS. This is a rare condition that affects the arms/hands or legs/feet and is believed to be caused by damage or malfunction of the nervous system. It is also used in treating peripheral neuropathic pain. This is damage to the nerves outside of the spinal cord often in the hands/feet that is caused by an:

• Infection
• Trauma
• Surgery
• Diabetes
• Other unknown causes

Appropriate Treatment

Spinal cord stimulation should not be used in patients that are pregnant, unable to operate the stimulation system, went through a failed trial of spinal stimulation, and are at risk for surgical complications. The decision to use spinal stimulation is based on an individual's needs and risks. Talk to a doctor, spine specialist, chiropractor to see if spinal stimulation could be an option.

Benefits and Risks

The effects of stimulation are different for everyone. Therefore, it is important to understand that spinal stimulation can help reduce pain, but not completely eliminate it.

The Benefits of Spinal Cord Stimulation

In addition to reducing pain, other benefits of spinal stimulation include:

• Better sleep
• Improved body function
• Increased activity
• Improved mobility
• Reduced opioid medication/s use
• Less need for other types of pain meds
• Reduced dependence on braces/bracing

Risks

During the implantation, there is a risk for:

• Bleeding
• Infection
• Pain at the site of incision
• Nerve damage
• Rarely paralysis

For some individuals, scar tissue can build up over the electrode, which can block the stimulator's electrical impulse. The lead wire could move or shift out of position. This could lead to impulses being sent to the wrong location. The device itself could shift under the skin causing pain, making it hard to re-charge or communicate with the remote.

There is a risk that the lead wire could detach or break off causing a malfunction and require a replacement. Also, individuals could respond well to the stimulation at first, but later on, they develop a tolerance, and so the therapy no longer has the same impact and the pain could get worse because the nerves stop responding.

Take Precautions

Discuss with a doctor, spine specialist, or chiropractor what you can and can't do after the stimulator is implanted and activated. Here are a few precautions:

• Do not drive or operate heavy equipment when the stimulator is active.
• Stimulation systems could set off metal detectors, which could require manual screening.

MRIs, electrocautery, diathermy, defibrillators, and cardiac pacemakers could have a negative interaction with certain types of stimulators. This could result in injury or damage to the spinal stimulator. Talk to your doctor to determine if a spinal stimulator is a treatment option that will work for you.

Weight Loss Techniques - Push Fitness Center

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

After being involved in an auto accident, it could be weeks before the full effects of the trauma present. Visiting a chiropractor after an auto injury can help the body heal quicker and helps to prevent further injury. Benefits include:

• Inflammation is reduced
• It is non-Invasive
• It is highly effective for pain treatment
• Helps to lessen and avoid pain medications
• Treats whiplash effectively
• Reduces stress
• Promotes quicker healing and recovery time
• Reduces and prevents scar tissue

Especially for those that believe they are okay after an accident, it is highly recommended to get checked by a doctor of chiropractic just in case. This can help prevent more serious issues from developing.

Injury From An Accident

There could be a wide range of injuries that an individual can suffer after an accident. These include:

Soft and Hard Tissue Injuries

• Minor scrapes
• Bruising/Contusions
• Whiplash
• Neck/Back injuries
• Concussions
• Post-traumatic stress disorder
• Fractures
• Broken bones
• Internal Bleeding
• Traumatic brain injuries
• Spinal cord injuries and paralysis
• Burns

Chiropractic After Auto Injury

During an auto accident, the joints in various parts of the body are often jolted, shaken, and banged up. This damages the joints and the spine. Chiropractors specialize in treating these types of injuries. Chiropractic is a full-body approach that also includes inflammation alleviation and long-term injury therapy.

Reduce Inflammation

Inflammation is the body’s natural reaction to trauma. But inflammation and swelling that doesn't go away can be detrimental to an individual's health. Chiropractic treats the underlying injury reducing swelling for the body to heal in an optimal fashion. Because inflammation causes pain, chiropractic addresses inflammation, and pain in different ways. These include:

• Heat and ice therapy
• Massage
• Physical rehabilitation
• Anti-inflammatory diet
• Ultrasound therapy
• Cold laser therapy

The quicker chiropractic treatment is put into effect after an auto injury, the faster an individual can get back to normal.

Effective Pain Treatment

The spine can experience intense trauma after a car accident. This can cause it to slip out of alignment leading to pain in the back muscles. Auto injuries that result in a bulging or herniated disc that is pressing on a nerve can generate pain that can spread out to the:

• Head
• Neck
• Shoulders
• Arms
• Abdomen
• Legs

Chiropractic adjusting will bring the spine back into alignment, and treat the cause of the pain. This helps prevent/avoid long-term issues and complications that go with surgery or medications.

Whiplash Treatment

Whiplash is a common injury after an auto accident. The pain can take days or weeks to present. Without treatment, long-term whiplash injuries can become a chronic condition. Whiplash is an injury to the muscles and ligaments of the neck. Common treatment options include:

• Massage
• Spinal manipulation
• Trigger Point exercises
• McKenzie exercises
• Stretching

Reduce Stress and Promote Healing

Even minor auto injuries can cause massive stress in one’s life. Dealing with the insurance, getting the car fixed, and dealing with the pain can take a serious toll. Chiropractic can help reduce stress through therapeutic massage which promotes optimal blood flow, which helps flush toxins and speeds up the healing of damaged and stressed muscles.

InBody

Snack Benefits

Fullness and Satisfaction

• Snacking can help to stay full between meals
• Feeling satisfied between meals helps to avoid excessive hunger and prevents overeating
• Certain types of snacks will help avoid hunger between meals

An example is almonds have more influence on satisfaction when eaten as a snack, instead of with a meal. And high-protein yogurt promotes healthy satisfaction more than chocolate or crackers.

Metabolism

Eating a high-protein diet has shown to increase the body's Basal Metabolic Rate (BMR). This process uses a lot of energy, meaning the body burns more calories when eating a high-protein snack.

Body Composition

For those wanting to build muscle, a high-protein diet is recommended. This is because when exercising muscle is broken down. Protein from the diet has amino acids that repair and rebuild Skeletal Muscle Mass. High-protein snacks can help meet protein recommendations to build Skeletal Muscle Mass.

Post-Workout

A healthy snack is perfect for replenishing the body’s energy after a workout. Carbohydrates are the body’s preferred source of energy, and protein helps repair the muscle fibers that were broken down. For top results, look for a snack that offers a balance of carbohydrates and protein.

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

National Spinal Cord Injury Statistical Center. (2020) “Spinal Cord Injury: Facts and Figures at a Glance.” https://www.nspine injurysc.uab.edu/Public/Facts%20and%20Figures%202020.pdf

Kelsey L Corcoran, DC, Lori A Bastian, MD, Craig G Gunderson, MD, Catherine Steffens, Alexandria Brackett, MA, MLIS, Anthony J Lisi, DC, Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis, Pain Medicine, Volume 21, Issue 2, February 2020, Pages e139–e145, https://doi.org/10.1093/pm/pnz219

https://www.sciencedirect.com/science/article/pii/S1836955315000582

When individuals stop working on their back pain therapy, the pain can come back. Don't give up on the process and trust the therapists/providers. Many people experience their first episode of low back pain between the ages of 20 and 40. Often they are not sure what caused their back problems. There are a variety of factors that could be contributors like:

• Old running shoes
• A heavy box that was inappropriately lifted and carried
• Exercise strain
• Too much sitting
• Poor posture
• Work injury
• Personal injury
• Sports injury

After some time with the pain, a visit to the doctor is in order, hoping for clear answers and strong medicine. A diagnosis of non-specific back pain and a prescription for physical therapy is given. This is because doctors are now required to prescribe non-medication, non-invasive therapeutic approaches for any type of pain first. After three to four weeks of physical therapy, and there is still no improvement or signs of improvement will a doctor recommend medication/s and/or surgery.

Physical Therapy

Nonspecific back pain describes back pain that is not associated with a clear cause like:

• Osteoporosis
• Inflammatory arthritis
• Tumor
• Fracture
• Infection
• Structural deformity

Non-specific back pain is very common and often acute, meaning the symptoms usually go away on their own within a month. Physical therapy also known as PT can help expedite the healing process. Physical therapy can improve a variety of back-related problems, including those caused by disease and structural abnormalities. A study found that physical therapy works as well as surgery for lumbar spinal stenosis or the narrowing of the spinal canal in the low back.

Don't Give Up On The Program

Unfortunately, many individuals do not follow through with the full course of physical therapy. Reasons include:

• Time
• Cost
• Inconvenience
• Low level of physical activity before treatment
• Depression
• Anxiety
• Poor social support
• Increased pain during exercise

The problem with stopping physical therapy is that individuals can end up right where they began. Not following a treatment plan can have negative effects on outcomes and healthcare costs. Progress depends on how much follow-through an individual does on their own. Don't give up on the program and maintain rehabilitative progress.

Scientifically Backed Benefits

Scientific proof means measuring results objectively to determine if a treatment works. Physical therapy has consistently proven to be highly effective. Researchers found that physical therapy led to positive health benefits when treating back pain. Specifically, individuals that followed a physical therapy program to the end had:

• Less physical therapy visits
• Their length of care was shorter
• Prescription medications were used far less
• Fewer visits to the doctor
• Advanced imaging is used less
• Cost savings

For example, spine stabilization exercises during an episode of low back pain can decrease pain, disability, and the risk of another episode.

The Right Physical Therapy Clinic

Do research to find the best therapeutic clinic or professional. It is perfectly understandable to be picky about physical therapy. Several studies have shown that a healthy relationship between patients and physical therapists improves outcomes. When choosing a clinic, individuals should be aware that there are different models. The differences can influence the experience.

• Some therapists treat more than one person at a time. This means the exercises will be shown how to do them properly, then the individual will be expected to continue on their own with the therapist returning to see the progress and start the next exercise.
• Some therapists see the patient once, then an assistant takes over. Assistants will help with the exercise programs.
• There are some clinics that could be out of network or do not accept insurance. Individuals can pay more, but the benefit is more one-on-one time/care with a physical therapist.
• If an individual does not like the experience with one model, try another.
• Remember that individuals need to advocate for their own health, treatment, and progress.
• If an individual is not improving, then they need to have a discussion with the physical therapist.
• The therapist can then problem solve and try a new treatment or refer the patient for additional care like imaging, medications, or a different intervention altogether. Don't give up, relief from back pain is possible.

Don't Give Up On Body Health

Body composition analysis an effective tool during physical therapy

Body composition is essential for understanding physiological makeup and to help guide a treatment plan to target specific areas in physical therapy programs. InBody analysis is non-invasive and convenient, making it ideal when used in conjunction with physical therapy rehabilitation programs. The InBody test provides results that can be used to educate and engage individuals to help track improvements throughout the physical therapy course. In less than 60 seconds, the test results are easy-to-understand, accurate, and objective. This helps to evaluate and monitor progress during rehabilitation. With the test a physical therapist can:

• Assess muscle distribution
• Focus on areas weakened by injury or surgery
• Identify fluid imbalances related to inflammation
• Monitor changes to determine the efficacy of the therapy program
• Guide recommendations for long-term success
• Don't give up!

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

PLOS One. (Jun 2016) “The Influence of Physical Therapy Guideline Adherence on Healthcare Utilization and Costs among Patients with Low Back Pain: A Systematic Review of the Literature.” https://pubmed.ncbi.nlm.nih.gov/27285608/

Pain and Therapy. (Jan 2020) “Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.” https://link.springer.com/article/10.1007/s40122-020-00149-5

Spine. (Apr 2012) “Management Patterns in Acute Low Back Pain: the Role of Physical Therapy.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062937/

Fibromyalgia is a musculoskeletal condition that consists of pain symptoms and fatigue that can make diagnosis a challenge. Through chiropractic therapeutics, individuals can find relief from pain, fatigue, inflammation, and improve their quality of life. Individuals dealing with fibromyalgia and searching for answers should consider consulting a chiropractor to determine what treatment options will provide the most benefits. Treatment can be as much of a challenge without clear underlying issues. This often leads to frustration when trying to develop a treatment plan that works.

Fibromyalgia

Fibromyalgia is characterized by:

• Body aches and pain
• Tender points in muscles
• General fatigue

Accompanied issues include:

• Headaches
• Anxiety
• Depression
• Sleep issues
• Poor concentration

It is believed that fibromyalgia causes the brain and spinal cord to transmit amplified/overresponsive signals. The exaggerated response of the neural pathways in the spine and body generate chronic pain. This is where specific diagnostic tools for assessing symptoms, underlying cause/s, and treatment development are necessary. Risk factors include:

• Smoking
• Genetics
• Previous infections
• Autoimmune disorders
• Trauma
• Mental disorders
• Sedentary lifestyle

Treatment

Fibromyalgia treatment that is most effective consists of lifestyle adjustments. These usually include:

• Gentle exercise
• Nutritional adjustments
• Stress management
• Cognitive therapy

Treatment for chronic pain, swelling, and low energy includes:

• Massage therapy
• Physical therapy
• Medication
• Acupuncture
• Chiropractic therapeutics

Chiropractors have a significant advantage for addressing these symptoms.

Chiropractic Therapeutics

Chiropractic therapeutics is a safe, gentle, non-invasive treatment option that can help alleviate body pain and swelling. Options include:

• Spinal re-alignment
• Physical therapy/massage for improved nerve circulation
• Manual manipulation
• Soft tissue therapy
• Health coaching

When the body is rebalanced it can better manage symptoms because of the improved nerve circulation. Home treatments can include:

• Exercise
• Stretching
• Heat therapy
• Ice therapy

A full medical team consisting of the doctor, physical therapist, massage therapist, and chiropractor could be utilized to maximize results and ensure the highest quality of life.

Body Composition

Muscles and The Immune System

Increasing muscle mass is a great way to improve body composition and boost the immune system. Research shows that senior adults with greater skeletal muscle mass have an increased number of immune cells in the blood. This indicates that muscles and the immune system are interrelated.

When the muscles are worked out, myokines are released. These are hormone-type proteins that strengthen the immune system that helps protect against diseases. A study revealed that regular exercise increases the release of T lymphocytes/T cells. Regular exercise also helps reduce the risk of developing chronic diseases like type 2 diabetes, obesity, various cancers, and cardiovascular diseases.

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

Schneider, Michael et al. “Chiropractic management of fibromyalgia syndrome: a systematic review of the literature.” Journal of manipulative and physiological therapeutics vol. 32,1 (2009): 25-40. doi:10.1016/j.jmpt.2008.08.012

Injury prevention should be on everyone's mind. All jobs, sports, and activities have the potential to cause some form of injury/s. Sustaining an injury, no matter how big or small can take a toll on the body. It can force an individual to take a lengthy break from work, school, sports, etc, or stop completely.

Some form of rest is usually necessary to expedite the healing process but there are other ways to help with injury prevention. The most common type of injury that can be prevented is overuse/repetitive motion/s injuries. Many individuals realize that an underlying issue for injuries is spinal/body misalignment.

Injury prevention

A few ways that injury prevention can be optimized for various activities:

• Full body stretching regularly will keep the body flexible
• A nutrient-rich diet
• A regular strength training regimen
• Avoiding getting into a sedentary lifestyle
• Stress management methods/techniques
• Developing the body's ability to learn healthy movement/s
• Regular chiropractic, physical therapy
• Health coaching

Misalignment and injury

When the spine is out of alignment the entire body goes out of balance and begins to function improperly and eventually breaks down. The nerve, blood circulation energy is affected. This compromises:

• Tissue health
• The body’s natural healing abilities
• Normal body coordination and movement

This increases the risk of injury/s. Proper posture and body mechanics have a primary role in injury prevention. Proper spinal alignment allows the body’s ability to coordinate effective, pain/injury-free movement. Better coordination promotes optimal performance with less effort and corrects/improves muscle strain, tissue damage, and enhances bone health.

Proper spinal alignment

Chiropractic is a specialized expert approach that focuses on addressing core issues related to spinal alignment. Chiropractic treatment will locate and address spinal misalignments that individuals did not even know were there. The chiropractic approach will help establish a solid foundation for regular daily activities without injury. When the spine/body is properly-aligned nerve flow is restored and the body can move with reduced risk of injury or complication/s. Contact a chiropractic specialist and see what they can offer.

Body Composition Clinic

Too Much Sitting Health Consequences

When the body is in a seated position, the gluteal muscles, abdominal muscles, and legs remain static. When sitting for a long time day after day with no exercise/movement the muscles begin to degenerate/weaken and go into a pseudo form of atrophy from the lack of engaged movement/exercise.

Metabolism is linked with body composition meaning that more muscle increases metabolism and helps burn more calories. Muscle loss, especially from the lower body which is the largest muscle group, can lead to continued fat gain if exercise is not implemented and an unhealthy diet is not changed. Gradual muscle loss from the lower body can hurt functional strength and with age increases the risk of falls.

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

McClure, Roderick J. “What is this thing called injury prevention?.” Injury prevention: journal of the International Society for Child and Adolescent Injury Prevention vol. 24,3 (2018): 177. doi:10.1136/injury prev-2018-042838

The body's inflammatory response is a chemical one. It happens when the body's tissues are damaged/injured from:

• Bacteria
• Trauma
• Toxins
• Heat

The damaged cells release different chemicals that include:

• Histamine
• Bradykinin
• Prostaglandins

These chemicals cause the blood vessels to leak out into the tissues and cause swelling. Redness, swelling, and warmth/heat connected to an inflammatory response are secondary symptoms brought on from an increased blood flow that mobilizes the cells to the specific area to engage the healing process from illness or injury.

This process is vital in maintaining the body's optimal health. The inflammatory response can become debilitating when it becomes chronic and leads to the onset or aggravation of a condition or disease. Chiropractic treatment will restore the body's balance and reduce inflammation.

Inflammatory Response Causes

There are different causes for the body activating a full inflammatory response. When inflammation is caused by an acute injury, virus, or bacterial infection, inflammation is necessary to help restore the body’s homeostasis. Conversely, chronic inflammation leaves the body in a state of stress and imbalance. This depletes energy reserves making it impossible for the body to properly rejuvenate. Common causes of chronic inflammatory response include:

• Chronic stress/anxiety
• Poor sleep
• Unhealthy diet
• Sedentary lifestyle
• Being overweight
• Chronic diseases such as heart disease, cancer, and diabetes
• Sensitivity to chemicals, environmental triggers, foods
• Autoimmune diseases

Inflammation Reduction

While inflammation is necessary for proper body health, knowing how to manage symptoms can help reduce unnecessary pain. Inflammation can be reduced by:

• A nutrient-rich diet that focuses on fruits and vegetables
• Reducing processed foods specifically sugars
• Avoiding common food allergens like gluten and dairy products
• Weight loss
• Sleep hygiene
• Regular physical activity
• Stress management
• Body balance

Spinal Alignment

The nervous system plays a significant role in inflammatory response management. The system coordinates proper cellular processes and signals. It also helps with body regulation and restoration when inflammation is no longer needed. A spinal misalignment can throw the entire process into chaos and be an underlying cause that contributes to chronic inflammation. Spinal misalignments block vital nerve energy that helps the body self-regulate. With chiropractic nerve circulation is restored allowing the body to properly and optimally coordinate necessary functions.

Chiropractic Balance

Chiropractic is a science-oriented branch of medical care that focuses on optimizing spinal alignment. Addressing the root issue of spinal alignment will help restore the balance and energy needed to regulate the inflammatory response. Contact a chiropractic practitioner today and see what they can do for you and your health.

Auto Accident Injury Treatment

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

Medzhitov, Ruslan. “Origin and physiological roles of inflammation.” Nature vol. 454,7203 (2008): 428-35. doi:10.1038/nature07201

As individuals advance in age, the risk of falling starts to become a regular concern. An average of one in four adults over 65 suffers from a fall every year. Around twenty percent of falling accidents result in serious injury. However, experiencing one fall increases the risk of future falls significantly. The most common injuries sustained include:

• Hip fracture
• Head injury

These injuries usually necessitate hospitalization. Therefore minimizing the risks is important for increasing/enhancing an individual's quality of life and help minimize the financial burdens that can come with these types of accidents.

Risk Factors for Falling

Various factors can determine an increased risk of falling. If there are two or more at the same time, the risk goes up significantly. These factors include:

• Poor or improper walking gait mechanics
• Poor balance
• Vision impairment
• Low endurance
• Weakened muscle strength
• Sedentary lifestyle
• Blood pressure issues like hypotension
• Dizziness from certain movements like lying down to sitting/standing
• Medication side effects that cause brain fog, dizziness, sleepiness, etc
• Poor health/underlying conditions
• Anxiety and/or fear of falling

Reducing The Risk/s

There are simple ways to reduce risk while optimizing the body's health and vitality. These include:

• Discussing health concerns with a doctor and/or chiropractor
• Review medications with doctor or pharmacist, specifically those that cause sleepiness or dizziness
• Exercise regimen
• Balance exercises
• Core strengthening exercises
• A physical therapist or chiropractor can assess the home for safety and possible tripping hazards
• Regular vision check-ups at least every two years

Spinal Health

Restoring balance to the body will make the biggest difference in increasing overall health. However, pain, stiffness, and poor health can make getting started a difficult challenge. With the right chiropractic and physical therapy team, getting started does not have to be as challenging, with the transition being made as easily and as smooth as possible.

An essential building block for overall optimal health begins with spinal alignment. When the spine is misaligned it can lead to poor nerve circulation/energy. This slows down and interferes with the body's functions. This is often manifested with poor balance, weakness, and pain. Chiropractic spinal alignment addresses whole-body health. A chiropractic practitioner is specialized in non-invasively and systematically restoring not only the alignment of the spine but the entire body.

Chiropractic Health

Find a chiropractor and talk to them about any health concerns, including falls. A customized chiropractic adjustment treatment plan will be developed along with a fitness and stretching regimen, and dietary adjustments will significantly optimize health and help prevent falls.

Slip and Fall Injury Treatment

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

Hawk, Cheryl et al. “Pilot study of the effect of a limited and extended course of chiropractic care on balance, chronic pain, and dizziness in older adults.” Journal of manipulative and physiological therapeutics vol. 32,6 (2009): 438-47. doi:10.1016/j.jmpt.2009.06.008

Chiari malformation is a condition that causes brain tissue to extend out and settle into the spinal canal. It protrudes out where the skull and neck meet. It occurs because part of the skull is too small or shaped in a unique way that allows part of the brain to settle into the foramen magnum. The foramen magnum is a large opening at the bottom of the skull. The brain's nerves go through into the spinal canal and join the spinal cord. However, only the nerves should be present. The brain should not be able to push/press/leak through. When it does this is Chiari malformation.

Causes

Chiari malformation can be caused by structural problem/s with the:

• Brain
• Skull
• Spinal canal

Structural conditions/issues can be present at birth, which are congenital defects. This is also called primary Chiari malformation and is not caused by any other condition. Secondary Chiari malformations are caused by something else, most often through surgery. This is extremely rare, but it is possible to develop after having surgery to remove a tumor in the skull or neck region. A surgeon could have removed too much bone while removing the tumor. This allowed the brain to settle into the open space.

Types

There are 4 types and are categorized by how much brain tissue protrudes into the spinal canal.

Type I

This is the adult version and is also the most common.

It is usually first noticed and discovered from an examination for something else. Most individuals don't realize that they have Chiari malformation unless the symptoms are severe. With Type I a part of the brain, specifically the cerebellar tonsils settle into the foramen magnum.

Type II

Type II is also known as Arnold-Chiari malformation. This is the pediatric version. Symptoms are more severe with Type II because more brain tissue comes through. With this type, the cerebellar tonsils and some of the brainstem protrude. With Type II myelomeningocele, which is a form of spina bifida is a concern. What happens is the vertebrae and spinal canal do not close correctly before birth, so the spinal cord has no protection.

Type III

This type also affects children and is more severe than types 1 or 2. Here a significant portion of the brain, including the cerebellum and the brainstem protrude all the way through the foramen into the spinal canal.

Type IV

Type IV is the most severe form. With this type, the brain does not develop properly.

Symptoms

The symptoms vary based on the type and severity. The most common symptom is a headache. Individuals with a Chiari malformation usually have headaches in the occipital region of the brain. This is the back of the head, right where the skull joins the cervical spine/neck. The headaches can be aggravated being in certain positions and actions, tilting the head back, and coughing. Typical symptoms include:

• Balance problems
• Dizziness
• Difficulty with fine motor skills
• Trouble swallowing
• Vision problems
• Weakness

However, Chiari malformation can interrupt the flow of cerebrospinal fluid. Cerebrospinal fluid is necessary to protect the brain and spinal cord. If the normal flow is disrupted it becomes more difficult for the brain and spinal cord to send/receive nerve messages. The pressure built up can also cause nerve issues/problems. For some individuals, symptoms can come and go. This depends on how much cerebrospinal fluid has built up. Individuals with Type I sometimes don't have any symptoms. It all depends on the severity.

Diagnosis

Diagnosis is done with a magnetic resonance imaging test or MRI. The MRI will show the various parts of the brain, skull, spinal cord, and spinal canal. They will be able to see abnormalities that could point to Chiari malformation.

Treatment

The recommended treatment depends on the severity. If pain is presenting a doctor could recommend pain medications to help manage the pain. Non-steroidal anti-inflammatory meds could also be recommended to reduce inflammation. Analgesics or pain killers can be recommended. Often both non-steroidal anti-inflammatories and analgesics are available in over-the-counter and prescription. The doctor will figure out the best medication treatment plan.

Surgery can be used to relieve symptoms and is the only way to relieve the pressure on the spinal cord and nerves. The goal is to stop the malformation from worsening. Surgeons use a posterior fossa decompression procedure. The surgeon removes part of the skull to make more room for the brain to sit in. This takes the pressure off the brain and spinal cord, and should reduce the neurological symptoms and problems. The surgeon may increase the size of the dura or the sac around the brain.

Laminectomies at C1 and C2, which are the first and second levels of the neck and are utilized to make more room for the brain. The surgeon will place a patch that is made from animal or synthetic tissue that will grow into the dura. The patch makes the dura bigger, which allows more room for the brain. Not all surgeries involve the dural patch.

Neck Pain Chiropractic Care

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Using a neck brace or collar can be part of a treatment option for individuals dealing with a neck injury, pain, and recovery. Cervical-neck spinal conditions can go from mild to debilitating if left untreated and could progress to chronic pain. Whiplash and abnormal cervical lordosis, which is an unnatural curvature of the spine, can happen from looking down at a phone too long, known as text-neck. These are common but different neck disorders that can be helped with a neck brace.

Being prescribed a neck brace depends on the severity of the pain symptoms. Does it present with or without upper back pain, radiate into the shoulders, cause headaches/migraine? These details will help a doctor or chiropractor figure out the best treatment option. If the patient can benefit then a neck brace, also called a cervical collar or cervical orthosis could be used.

Neck Brace

Fortunately, spinal surgery is rarely necessary. There are plenty of non-surgical treatment options that can help manage and reduce neck pain. A neck brace or collar could be part of a treatment plan that includes:

• Chiropractic
• Physical therapy
• Massage
• Acupuncture
• Medications - over-the-counter and prescription if necessary

The treatment plan will be based on the outcome of:

• Physical examination
• Neurological examination
• X-rays
• Other imaging tests
• Severity of symptoms

These combined will confirm a diagnosis with the treatment focusing on:

• Neck stabilization
• Pain management
• Advanced healing
• Early mobilization

Brace Basics

There are a variety of soft and rigid neck braces available to help manage different cervical spine conditions. The type of brace prescribed is based on the diagnosis and treatment plan. Soft neck braces are flexible and offer the greatest range of motion. Rigid collars are for stricter immobilization/stabilization.

Stabilization refers to immobilizing the head and neck. Limiting or preventing motion helps to support the head while reducing weight from the cervical spine. Two of the most common neck pain disorders are whiplash and poor posture.

Soft Collar

Whiplash is a hyperflexion and hyperextension neck injury. It is caused when the neck quickly, forcefully and swiftly whips forward and backward. Whiplash injuries most commonly happen from auto accidents, work, personal, and sports injuries.

Whiplash symptoms are considered sprains and strains. This is when ligaments, in this case, those of the neck, and the muscles are stretched or torn. These include:

• Neck pain
• Stiffness
• Muscle spasms
• Headaches that start in the neck

However, all of the symptoms can radiate into the head and upper back. This is where a doctor could recommend a soft cervical collar as part of a treatment plan. This could be in conjunction with muscle relaxants and physical therapy. Soft collars provide neck support to help reduce soft tissue inflammation and the pain forty-eight to seventy-two hours after the injury.

Soft neck braces are usually made of foam and covered with cotton or other easily washable, comfortable wearable material. The brace wraps around the neck and is secured with Velcro straps. Be aware that over-using a neck brace can happen. A doctor will explain further and will prescribe/encourage performing daily motion exercises, and stretching exercises, as soon as the patient is able after a whiplash injury.

Rigid Collar

Lordosis means the normal forward curve in the neck. However, the normal curve can change negatively with time when the head regularly bends forward past the shoulders. An example is looking down at your phone. Most of us spend hours a day looking down at a phone pad, etc. This causes significant strain on the neck. The human head weighs around 12 pounds. This weight increases to about 60 pounds when the head and neck are extended forward and bent down.

A constantly increased load on the spine can lead to massive stress to the bones, ligaments, and muscles with the potential change in the normal curve and chronic neck pain. Text neck is another spinal disorder that a neck brace can help treat. Depending on the severity of the pain and injury a rigid neck brace or collar could be used.

All neck braces offer some degree of head and neck support. Another type of rigid neck brace has adjustable features that were developed to treat forward head posture caused by poor posture. This brace is called the Cervigard Forward Head Posture Neck Collar. It supports while correcting the alignment of the head and neck. Regular use can gradually restore the normal curvature by correcting head and neck posture.

Doctors recommend the brace be worn for 20 minutes a day or several hours, depending on the severity of pain and injury. The process of correcting the deformation can be compared to straightening teeth with braces, aligners, etc. This retrains the muscles and corrects the abnormal soft tissue tightness that develops from the condition.

Instructions

If a doctor prescribes a brace, follow their instructions for how to wear the neck brace. This will ensure the pain reduces and alleviates, while at the same time reducing the risk of the negative effects of overuse. Ask the doctor or chiropractor how to care for the brace.

Chiropractic Care Neck Pain Treatment

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Getting workers’ compensation for a back/spinal injury can be a daunting and overwhelming task. There are plenty of questions, and we have answers from both medical and legal professionals. Anyone can be affected by back pain at work.

• Truck drivers
• Manual laborers
• Construction workers
• Hairstylists
• Automotive technicians
• Teachers
• Healthcare workers
• Foodservice workers
• Hospitality workers
• Office workers

Work-related back injuries can be prevented by paying attention to posture, taking standing/moving breaks, stretching out, and lifting properly. However, if back pain at work stems from a work injury individuals could be entitled to workers’ compensation benefits.

Workers’ Compensation

Workers' compensation is an insurance program that helps with and provides benefits and medical care for workers that have been injured or fallen ill resulting directly from their job. This means if an individual is injured at work, employers have negotiated to free themselves of a majority of the liability by paying for the treatment and recovery.

Companies that employ five-hundred or more are able to manage their own workers’ compensation program. However, most workers’ compensation programs are managed by state governments. Every state has its own workers’ compensation program that employers pay into. The federal government handles the federal workers’ compensation program for federal employees. The program is funded by the employer with the cost not affecting an individual's paycheck.

Workers’ Compensation Coverage

Compensation programs are different throughout the country. Typically workers’ compensation pays for:

• Initial emergency department
• Urgent care visit
• Diagnostic testing recommended by the emergency department
• Follow-up physician
• Surgical intervention
• Rehabilitation

Under workers’ comp back injury treatment/s are completely covered, meaning an individual does not have to meet a deductible or pay premiums, copayments, or coinsurance. Individuals continue to receive regular health insurance benefits from the employer. This could require a deductible, premiums, copays, and coinsurance. This is for the treatment of other health issues while receiving workers’ compensation care.

If an individual is unable to work because of a workers' comp back injury, a worker can expect to be paid a base salary after taxes while being treated. Those whose salary is dependent on overtime creates a disadvantage. Workers’ compensation can mean a pay cut for these individuals. Workers’ comp pay depends on the state. Usually, there is a wage rate set by the state.

High Risk for Back Injury on the Job

Employees that are involved in physical labor like construction, factory work, and healthcare work have a higher risk of getting a back injury on the job. These injuries are often the result of:

• Improper lifting techniques
• Repetitively turning
• Twisting while lifting
• Holding something heavy
• Lifting heavy objects above the head
• Using the back muscles instead of the hips and legs when lifting bending of the knees and bringing heavy objects close to the core

Truck drivers also have a higher risk of back injuries. Sitting for long periods and reduced physical activity contributes to the back muscles losing their strength, endurance, and cardiovascular ability. Then when unloading the cargo the stress on the spine is doubled.

Injury Report

A back injury should be reported to the supervisor or the company’s human resources department. Depending on the state, there is a statute of limitations to file an injury claim. For example, an individual has one year from the date of injury to file a workers’ compensation claim with the supervisor or human resources department. However, it is best to report the injury and seek medical attention as soon as possible after being injured at work. The longer the wait, the more the employer could dispute the legal validity of a workers’ compensation claim.

Injury Qualification

If injured at work, assume the injury will be covered by workers’ compensation. However, it is not always completely clear. An individual could be injured at a work-related cookout or working from home and trip down the stairs. These are gray areas and are very new as more people working from home. These kinds of workers’ comp claims are now starting to be seen. Whatever the event, report injury/s to the employer. If the situation is untraditional, there could be some back and forth with the employer.

Spine Specialist Referal

To receive work comp treatment patients with back injuries will be referred to an occupational therapy clinic. An occupational therapist or clinic will set up the treatment. This could include:

• Chiropractic
• Medication
• Physical therapy
• Hydrotherapy
• MRI
• CT scan
• X-rays

For many that could be enough to get them back to work. If the initial treatments fail an individual could be referred to a spine specialist to set up an optimal treatment plan. A spine specialist could recommend additional therapy, medication, diagnostic imaging, spinal injections, or surgery.

Occupational therapy usually goes on for four to six weeks before the individual is referred to a spine specialist. This all depends on the situation. Individuals can be referred immediately for specific spinal treatment or be told to wait for a specific time. It all depends on the medical situation.

Employer and the Spine Specialist

In most states, employers will request a copy of the treatment plan and spine surgeon’s clinical notes written about the case during office or telemedicine appointments. Doctors have to provide clinic notes and treatment plans to the human resources departments along with the workers’ compensation insurance carrier.

Consistent, active communication goes on between the primary doctor, the company’s human resources department, and the insurance carrier. Note that workers’ compensation is exempt from HIPAA privacy regulations. Employers and the workers’ compensation insurance carrier have access to medical records related to the back injury. But medical information unrelated to the injury is restricted.

Obtaining Workers’ Compensation From a Doctor

Generally, no. Obtaining Workers’ comp is between the individual and their employer, not the doctor. Sometimes doctors are asked to determine if an individual's injury/s are work-related. This involves going through medical records but these requests are rare.

Benefits Duration

It depends on the case and where an individual lives. Every state is its own system. In some states, treatment can be ongoing for as long as treatment is needed and is consistent. What is highly recommended is meeting with a workers’ compensation attorney in your state when beginning the process to learn your rights and the process. This can help in preventing issues from popping up like an employer pressuring a worker to come back before a doctor has cleared them to return.

Making Most of Workers’ Comp

Keep appointments and be compliant with the doctor's treatment plan and recommendations. Be transparent with the doctor. Not telling them exactly what is happening will not help in their recovery. If there is an improvement from the treatment/s fantastic, but if there are minimal to no improvements be as descriptive as possible about what is happening and what does work. The goal is to work with a clinical team that can get an individual better back to work and normal activities.

Chiropractic Care Lower Back Pain

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Presenting Truide Torres Jimenez. 
Clinic Director: Injury Medical Clinic PA  &  Patient Relations Advocate  & WAY More)

Focused on patient care and medical-legal Issues, Trudie is ready and prepared to help all patients in need. "I will find a way to help you. No matter what!"

Truide has been working for the past 20 years in claims resolutions. She works hand in hand with patients and is available to resolve dispute resolutions. She also works as the patient liaison for clinical and legal matters.

Truide Torres Jimenez

(Brief Bio & Her Personal Message)
Driven by the passion of doing what is in the best interest of the patient, I wake up every morning with the drive to help those in need. The claims process for health care is full of pits, valleys, and difficult obstacles designed to strike fear in those in need. My duty is to do what is within the confines of the law, “whatever it takes” to get those involved to pay attention to those who need help. That is what I am honored to do for our patients.

My Purpose:
In finding my purpose, I find the bigger “Why” behind my business. This is essential in the challenges I have seen in these times. Each day, I search for God’s message in my purpose which I pray takes me to another level.
At the end of the day, I too do not want to work for the sake of working.  As humans and God-fearing individuals, we like to know we’re in alignment with what we feel we are called to do. So getting with my purpose and my “why” has always so important to me.  I love people and I want to help them, especially when they are in need.

My Commitment
As defined, commitment is “the state or quality of being dedicated to cause activity, etc”  Without commitment, it is difficult, if not impossible to push through challenges to reach our goals. My commitment is to serve my fellow person in their clinical needs and find the right solution for them.

My Dedication:
“The quality of being dedicated or committed to a task or purpose is what I strive daily for every day”.  I have always told my children, that once you have a purpose, you commit to it and you see it through. I too try to live my life by those words. Yes, its work, and there is no substitute other than to dig in and get it done. There is no substitute for practice and preparation.  Our success with our patients has always been dependent on the level of effort we as a team has been able to mutually focus on with our independent and prioritized tasks. I commit to being dedicated to our God-directed purpose.

Perseverance
I believe that to persevere, you must show continued effort to do or achieve something despite difficulties, failures, or oppositions. With our patients and those we assist, we face many challenges and at times need and pray for the ability to push through and pick ourselves up when down. I can only imagine how my clients feel. For that reason, I push harder to help them.  Simply put, each challenge we as a team overcomes, the closer we can help our patients and those in need. We stay the course and overcome the fear and struggles our patients have and help them clinically persevere.

Personally, I have seen great injustices transpire on those that do NOT have a voice in today’s world. Whether, a language barrier or just not knowing the rules. My job is to find out how I can help. If I personally can not help, I will find the right sources to open the possibilities. I get the job done.

As a wife and mother of 2 children, 2 dogs, and 3 cats. My passion is for God, Family, and the mission of serving my fellow man.

Call me if you need help with clinical matters:

Office 915-850-0900 / Cell: 915-252-6149

Truide Torres – Jimenez
Patient Advocate: Injury Medical Clinic PA

Accident/Collisions are seeing a rise and along with those crashes are spinal injuries. What you need to know about:

• Accident-related injuries
• Treatment
• Recovery
• Legal issues

We take a risk, however small, every time we get in the car/truck, of being involved in a car wreck that results in injuries and specifically a spinal injury/s. The National Spinal Cord Injury Statistical Center has seen that motor vehicle accidents/collisions with the majority being car/truck accidents.

However, with all the construction taking place nowadays, excavators, bulldozers, steamrollers, forklifts, and other vehicles are also seeing a rise in accidents. This is also generating a rise in spinal cord injury/s. Auto accidents are now ranked as the number one cause of spinal injury. The risk of an accident is small and the risk of a resulting serious spine injury is smaller still, it’s not anything. What you need to know about a motor vehicle accident/collision includes:

• Injuries
• Treatment
• Recovery
• Insurance
• Legal issues

Common Motor Vehicle Accidents/Collisions

Whiplash

Whiplash is one of the most typical injuries following an accident, especially when rear-ended or a rear-end collision. Its a neck injury that happens when the neck snaps suddenly back and forth causing trauma to the tissues in the neck. Symptoms often develop a few days after the accident including:

1. Limited neck movement
2. Stiffness and pain in the neck
3. Pain or tenderness in the upper back, shoulders, and arms
4. Numbness or tingling in the arms
5. Dizzyness
6. Headaches starting at the base of the skull
7. Problems with concentration or memory
8. Ringing in the ears
9. Sleep issues
10. Depression

Herniated Disc

The discs in the spine cushion the vertebrae by absorbing the weight, force, and overall impact of a regular day. They are made of a soft, gel-like substance in the center that behaves like the gel in foot orthotics, shoes, mattresses, etc made to feel soft and comfortable. It has a tough outer membrane.

A herniated disc happens when that soft gel springs a leak/s out from a tear, meaning the shock-absorbing cushion has been compromised and is not delivering the absorption it's supposed to and places added pressure on the surrounding nerve/s and roots. Herniations can happen naturally from age and from jobs that involve consistent and constant repetitive:

• Pushing
• Pulling
• Bending
• Twisting

Herniations also happen after going through some type of physical trauma like a motor vehicle accident/collision. Symptoms depend on where the herniation occurs and include:

• Muscle weakness around the affected nerve/s
• Sharp shooting pain that can spread out from the shoulders to the arms, legs and low back
• Tingling in arms or legs
• Numbness
• There could also be no symptoms and no discovery of a herniated disc until tested for something else.

Vertebral Fractures

The vertebrae are highly susceptible to fractures of all types and can appear at any spot along the spine. For many, the injuries are mild and heal with non-surgical treatment and time. Major trauma to the spine can cause severe injuries/conditions which include:

Burst fractures

This is where the vertebra fractures in multiple places into bony fragments that fall into the spinal cord getting lodged inside with the jagged edges of the bones creating tears, cuts, etc that can result in paralysis and even death.

Flexion fracture

This is an injury seen in head-on collisions where the upper part of the body gets thrown forward and the bottom part stays in place likely from the seatbelt. This tears the vertebra apart resulting in a flexion teardrop fracture.

Vertebral compression

These types cause the front of the vertebra to collapse while the back keeps its position that forms a wedge-like shape. However, more often it is associated with osteoporosis, healthy individuals can experience a vertebral compression fracture from a serious traumatic event like an auto accident. Fractures can cause mild to severe pain that is exacerbated with movement. If the spinal cord is injured the individual could experience:

• Tingling
• Numbness
• Weakness in the limbs
• Loss of bladder/bowel function

Because of the increased safety features in today's vehicles, fractures of the spine are rare except for severe motor vehicle accidents/collisions.

Diagnosis and treatment

A doctor will review medical history along with the accident information. Imaging tests will follow like:

• X-ray
• CT or computed tomography scan
• MRI or magnetic resonance imaging

The way these techniques of imaging are done depends on the accident and the state of the spine. Being brought into the hospital from a motor vehicle accident/collision with a suspected spinal injury means the imaging will be done first to rule out or not potentially life-threatening injury/s to the spine. Treatment for spinal injuries can range from:

• Soft collar
• Chiropractic
• Over-the-counter anti-inflammatory medications
• Corticosteroid injection/s
• Nerve blocks
• Physical therapy
• Surgery to correct certain injuries when all other forms of treatment are not working

Recovery

Every case, accident, and injury is different and depends on several factors, like age, health, and how severe the accident/collision was. Severe and extreme injures like a burst fracture can take a long time to heal.

Legal Issues

Individuals with a spinal injury can face thousands in medical bills. If there is medical equipment involved along with therapeutic services for long-term care, like physical therapy then bills will accumulate.

Also, a personal injury claim could be necessary to pay for everything, especially, if the accident/collision is no fault of your own. Compensation could help with:

• Loss of employment
• Employment benefits
• Wages lost
• Ability to work/earn income
• Medical expenses
• Pain
• Suffering
• Consult with a specialist when considering filing a personal injury claim

Work Compensation

If a spinal injury accident happens at work there could be worker's compensation. Workers’ compensation is insurance that replaces wages and medical benefits to workers that have been injured while doing their job. These are injuries that happened during the operation of a motor vehicle, like a truck, or forklift. 

The worker must file an injury report immediately so there is documentation supporting the injury claim. Waiting to file can make the employer question if there even was an injury. A workers’ compensation claim works differently than a personal injury claim, based primarily on what is covered under the job's insurance policies.

An example is the legal term pain and suffering. This is not covered by workers’ compensation. However, a work training accident would be covered by work comp in the event that the individual cannot return to their job/occupation after the injury. However, any injury/s after a motor vehicle accident/collision should never be taken lightly or ignored. Individuals must be proactive in their treatment after an accident/collision. This is to prevent and avoid further injury.

Auto Accident Doctors & Chiropractor Treatments

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

Pets have improved the lives of those living with chronic pain and can help alleviate the depression that comes with it. There's no doubt that having a pet or interacting with a trained therapy animal can help reduce and alleviate the pain and improve the quality of life.

Animals and the companionship they offer seems to be a natural pain reliever, and significant research supports this theory. Here are some ways that our pets can help us live optimal lives even with chronic pain.

Ways Pets Can Relieve Pain

Our pets allow us to feel less stressed out. Research has shown even for those that are not into pets, that petting a dog for ten-fifteen minutes reduces cortisol, which is a stress hormone. In a journal for pain, researchers studied the effects of quick therapy dog visits at a pain management clinic. Over 2-months they compared the individuals' feelings of:

• Pain
• Fatigue
• Stress

Tremendous improvements were reported for pain, state of mind, and other measures of stress among the individuals after the dog visit. Improvements were also seen in family, friends, and staff after the therapy dog visits.

They Generate More Activity

Specifically, dog owners seem to be healthier than those without a dog. Cats are great but when it comes to activity/fitness, dogs require regular walks, which makes owners get up, go outside and move around. Walking a dog can help:

• Improve balance
• Combat fatigue
• Improve flexibility
• Reduce joint pain
• Increase strength
• Manage weight

Being active combined with walking helps to get a better night's sleep and reduced pain.

They Make Us Feel Better Without Medication

Research has shown how the proper attitude impacts treatment outcomes. With a positive attitude, an individual is more likely to stick with a long-term pain treatment plan. Petting and playing with a furry friend can be the perfect medicine creating an improved mood literally relieving pain and reducing the need for pain meds.

They Distract The Pain Away

Individuals living with chronic pain are constantly thinking about it. Having a pet changes the focus from pain to joy and happiness. With a pet to care for gives the day structure and life purpose. Pets need attention and because of their lovability are hard to ignore.

Animal-Assisted Therapy

This type of therapy is a legitimate option for chronic pain management. With the problems associated with opioids, doctors and patients are looking for alternative ways to treat pain. The American Academy of Family Physicians reports that nonpharmacological therapies, like animal-assisted therapy, are now included in chronic pain treatment plans. Other options for pain relief include:

• Acupuncture
• Cognitive behavior therapy
• Chiropractic manual therapy
• Diaphragmatic breathing
• Hypnosis
• Guided imagery
• Mindfulness-based stress reduction

Example: An individual has a pain syndrome/condition. When the pain flares up the individual becomes irritable and upset. The individual has a dog that recognizes these feelings. The dog comes over and starts playing, licking, etc. The individual picks up the dog, calming the individual, helping change the mood, and ease the pain.

Pet Time

Owning a pet is a real responsibility, for those who are not interested in adopting, there are still benefits from pet medicine. Some ideas to consider:

• Perhaps a family member or friend owns a pet that could have regular visits. This would be a good way to get a feel for the experience and see what it's like to have a pet without committing.

• Cats are an option if dogs are not your cup of tea. This could be because of allergies or residing in a location that does not permit them. Cats offer companionship along with the same psychological benefits as dogs. However, there is not much activity since they don't need to be walked. But they still need to play/pretend hunt.

• Try spending time at a pain management clinic that has an animal therapy program. Some of these clinics allow individuals to spend time with a therapy dog a few times per week. These are usually 15-minute sessions.

• Unable to locate a clinic in the area, try looking into other organizations that could provide therapy animals and programs. Local vets and animal shelters can be a good source of information for animal therapy programs.

Therapy and Service Dogs Are Not the Same

When it's time you might be ready for a dog of your own. Before searching the local shelter's website, consider everything that comes with pet ownership. Factor in costs like:

• Veterinary care
• Behavior classes
• Food
• Shelter
• Toys
• Travel

Think about the size of the animal and if you can safely manage a small or large pet. Remember this is a therapy for individuals with a health condition of chronic pain. An individual needs to be able to see what they can take given their level of pain at any given time.

If you've never owned a pet, there needs to be an understanding that housebreaking a pet can be quite a time-consuming and exhausting task. This could add more stress and worsen the pain.

It is important to remember that therapy dogs do not have the same training as assistance or service dogs. Service dogs are trained to perform and assist with specific tasks to help an individual that has a disability. This could be a seeing-eye dog helping their blind owner. Also, service dogs live with their owners and are granted special access to public places like planes, restaurants, places of business, etc.

The American Kennel Club defines therapy dogs as dogs that can accompany their owners to volunteer in schools, hospitals, and nursing homes where they work together as a team to improve the lives of other people.

There are definitely medical benefits to having pets in our lives. However, don't expect them to remove chronic pain overnight. Pets are another tool that can bring relief and improve the quality of life for individuals living with pain.

Metabolic Syndrome & Inflammation

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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