Accidents and Injuries

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

Steroid injections into the cervical spine can help with radiating neck pain. Neck pain affects people all over the world. Although it is not as common as back pain, neck pain can really take a toll on a person’s quality of life and ability to work.  This comes in the form of:

• Sleep problems
• Radiating/Spreading pain
• Mental health issues and more

Much like back pain neck pain can be hard to treat effectively without identifying the root cause known as the pain generator. If natural treatments like chiropractic aren't working then injections could be the next phase.

Injections can help with:

• Identifying the source/root cause of the pain as a diagnostic
• Treats the pain as a therapeutic

The most commonly used are cervical epidural steroid injections, medial branch blocks (MBBs), and facet joint injections. Learn about what they are, what they treat, and the scientific research behind their risks and benefits.

Cervical Epidural Steroid

The phrase cervical epidural steroid injection:

• Injection means that medicine is delivered through a needle.
• Cervical means the cervical spine, which is the neck.
• Epidural means the dura or outer layer of the soft tissue that encases the spinal cord, nerve roots, and cerebrospinal fluid. Epidural means the medicine goes into the space around the dura.

Spine specialists use image guidance with a contrast dye called fluoroscopy ensuring the medicine gets delivered to the proper area.

2 Types

The needle enters the space through a transforaminal approach or interlaminar approach. Words like epidural just refer to where the needle goes. These injections also called nerve root blocks, are performed by entering the epidural space through the opening where the nerve roots branch out. This space is known as the intervertebral foramen.

When it is called a selective nerve root block, this is for cases where multiple nerve roots are being compressed and the injection is being used in a diagnostic purpose to identify which nerve is the pain generator. The needle in an interlaminar epidural injection goes through the opening that exists between two adjacent vertebrae.

Candidates

Cervical epidural steroid injections may be appropriate for someone who has severe neck pain with:

• Numbness
• Weakness
• Altered sensation in the arm, shoulder, or between the shoulder blades

Cervical epidural steroid injections are reserved as a second-line treatment for individuals that have neck pain that does not stop for more than 4 weeks despite conservative treatment like physical therapy, chiropractic, or medical pain management using NSAIDs or acetaminophen. The source of the pain is usually what determines if injections are appropriate.

With a patient’s:

• Past medical and surgical history
• Pain history
• Physical exam findings
• Imaging Results like CT computed tomography scan, MRI magnetic resonance imaging or a nerve test like an EMG electromyography test all can help in finding the source of the pain.

If a spine specialist thinks the nerve compression was brought on by a disc herniation, spondylolisthesis or the shifting of vertebral levels, scarring, or arthritic conditions is causing the pain, then an injection may be appropriate. If the pain comes from an infection or cancer, then this treatment is unlikely to be recommended.

Potential Benefits

The effects of injections are different for everyone, because of the variables:

• The Duration of symptoms
• The Cause of symptoms
• Any Additional treatment

More than 50% will have at least 50% improvement in their pain for around 4 weeks. Then there are individuals that experience relief, up to 6 months. There are no significant differences in outcomes between the transforaminal and interlaminar approaches.

Overall alleviation from the pain is enhanced/improved when the injections are combined with a full-on treatment plan that includes physical therapy/chiropractic and pain medications.

Possible Risks

Common complications associated with injections are usually minor and temporary. These are:

• Headache/s
• Facial flushes
• Light Headedness
• Rash
• Pain increase
• Extended Numbness

Major complications are rare, but they can happen. These include infection, paralysis, stroke, and death. However, this happens in less than 1% of individuals undergoing this treatment. These complications are thought to happen from direct spinal cord penetration of the needle, bleeding into the spinal canal, or the medicine inadvertently getting injected into the blood vessels. Surgical groups and facilities have strict guidelines to limit these complications.

This treatment is commonly used, and when done correctly can be a powerful tool in the treatment of persistent, severe neck pain. Everyone is different so if you are considering a cervical epidural spinal injection find a qualified spine specialist or consult with a chiropractor to find out if injections are necessary.

Neck Pain Treatment

Living in the desert means we don't have to deal with digging/shoveling through snow and ice, but there are still proper techniques, tools, body mechanics, posture, and core strength that we should pay attention to and apply to guard our spines and general health. It is no surprise that when shoveling many individuals experience muscle fatigue, low back strain, vertebral disc damage (herniated disc), and even spinal fractures.

A great deal of these injuries come from excessive stress to spinal structures by slip and fall accidents. Shoveling is a frequent cause of back pain and injuries. Injuries are not only limited to the musculoskeletal system but excessive shoveling can also place added stress on the cardiovascular system.  Any hint of shortness of breath or chest pain, stop shoveling immediately but if symptoms continue, seek medical attention.

A study published indicated when handling heavy material with a shovel, the L5-S1 disc has been identified as the weakest link in the body. The most severe injuries along with pain are likely to occur in the back. Here are some tips to prevent injury.

Shoveling Basics

Shoveling can be compared to weight lifting and intense aerobic exercise. To help your body function correctly consider the following tips:

• Eat long before shoveling so you have fuel but don't cramp up.
• Avoid caffeinated drinks/beverages. Stimulants can increase heart rate and cause blood vessels to constrict.
• If you experience pain, stop immediately and get assistance.
• Pace yourself when shoveling.
• Take plenty of breaks.
• Drink plenty of water to rehydrate your body.
• For snow, if the ground is icy or slick, throw sand or salt to help create traction. But still be aware that some areas can still be uneven and cause you to slip, trip, or fall.

Proper Clothing

• Consider the weather before beginning the job.
• When it's cold dress in layers, wear gloves, and a hat because a good amount of body heat is lost through the head. If icy cold, use a scarf.
• Wear clothing that is easy to move around in.
• Proper boots are essential for maintaining balance, traction and keeping feet warm/dry.
• Choose specialized work/blister-free gloves or thicker gloves, that allow for a good grip on the handle.

The Shovel That's Right for You and the Job

Shovels come in different materials, purposes, shapes, and sizes.

• Choose an ergonomic shovel with a curved handle. These shovels help keep your back straight and reduce spinal stress.
• Hardware stores stock ergonomically designed shovels of all types.
• For snow maybe try a shovel with a plastic blade instead of metal as it's lightweight.
• Sometimes a smaller blade is the way to go. You don't shovel as much per load, but it weighs less and puts less strain on the spine.
• Don't go for a cheap model if the job you are doing is heavy-duty. Your body will thank you.

Once you have your shovel take some time to learn the proper technique.

Technique is Key

• Take some time to stretch and prepare your body as warm muscles work better.
• Hand placement on the shovel is very important! Don’t grip with the hands close to each other.
• Keep some distance between the hands. This will give you more leverage and make it easier to lift.
• Think about proper posture and maintaining the natural curve of your spine.
• Address the task directly.
• Stand with your feet shoulder-width apart to stay balanced.
• Try to keep the shovel close to your body. Holding a shovelful with arms outstretched puts added weight on your spine.
• Bend at the knees and not the waist or back.
• Tighten your stomach muscles as you lift.
• Lift with your legs and not your back.
• Dump the material in front of you. If you need to move the material to the side, move your feet.
• Do not twist your body.
• Scoop small amounts into the shovel
• Walk to where you want to dump it.
• Do not throw over your shoulder.
• Go forward with the material.

Pace yourself. Take frequent breaks and stretch your back and body.

Power Equipment

Power equipment is terrific, but if it's not used correctly, you can still strain or injure your back.

Example: Snowblowers are designed to remove snow at a certain speed but pushing or forcing the equipment to go faster is defeating the purpose of the machine doing the work for you.

You may not realize that you hurt your back. But that little twinge you felt could change your life forever. Getting back to 100% of where you were before the injury could take time and treatment. So, do not take this activity lightly and remember prevention is the best defense.

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Physical therapy involves both passive and active treatments and is an effective treatment for whiplash, especially combined with other treatments, like bracing and chiropractic. Whiplash causes the soft tissues in your neck to get damaged. A physical therapist can work with you to restore proper function and movement of those tissues.

Passive treatments help to relax tension in the muscle tissues brought on during the accident in the neck and body. It is considered a passive treatment because the patient does not actively participate. Fresh from the injury acute pain sets in, therefore passive treatment is usually the first type of therapy used as your body begins to heal and adjusts to the symptoms.

The primary goal of physical therapy is to get the patient actively participating in active treatment until they can do the exercises on their own. The therapeutic exercises that physical therapists teach to a patient are for strengthening your entire body to ensure that your spine is optimally supported.

Passive Treatment

Deep Tissue Massage

This technique focuses on tight muscle tension that develops from the injury. Direct pressure is applied and massaged to release the tension in the soft tissues like the:

• Ligaments
• Tendons
• Muscles

This will help these tissues heal quicker and keep them loose.

Hot/Cold Therapy

Heat therapy is used by physical therapists to circulate more blood to the injured area. Increased blood flow allows more oxygen, and nutrients to the area. Blood also removes the waste products created by muscle spasms.

Cold therapy slows the blood's circulation, which helps to reduce inflammation, muscle spasms, and pain. Physical therapists alternate between hot and cold therapy depending on the patient's condition.

Whether in a car accident or other type of trauma hot and cold therapy can be used at home. Ice should be used first to bring down the inflammation. After 24 to 48 hours, switch between ice and heat. The heat helps relax tense muscles and increases blood circulation to the injured area. Never put ice or heat directly on the skin, wrap in a towel then apply.

Ultrasound

Ultrasound helps reduce muscle:

• Cramping
• Pain
• Spasms
• Stiffness
• Swelling

Sound waves are sent deep into the muscle tissues and create a gentle heat that circulates the blood that optimizes the healing process.

Active Treatment

When the active part of the therapy begins, the therapist will teach/train you a variety of exercises to work on strength and range of motion or how the joints move with ease or not. Each physical therapy program is customized to each patient's condition, health, and medical history.

Some exercises might not be appropriate for someone else with a whiplash injury as they could worsen their symptoms and exacerbate the injury. Learning how to correct your posture and utilizing ergonomics into your regular daily activities is part of the therapy program. Once recovered this posture work will continue to help because of the training/exercising you can prevent other forms of neck pain that develop from regular life.

Physical therapy for whiplash patients helps reduce muscle spasms, increase blood circulation, and promote healing of the neck tissues.

Spinal Bracing Another Treatment Option

Whiplash is very treatable, another option is using a cervical brace or cervical collar. The brace provides support to the neck while the soft tissues heal. The soft tissue's job is to support your neck, but when they're injured, they can't do their job. That's where the brace comes in.

Cervical devices limit the neck's movement and support your head, which takes the weight off the neck.

This allows the muscles to rest while they heal. Your doctor will inform you of how long you need to wear the brace. Generally, it is worn for two to three weeks. The doctor will explain how to wear the collar, which means how long to weary it each day, caring for the collar, handling daily activities like showering, sitting, sleeping, etc. Symptoms usually subside in two to three weeks. However, if there is still pain, soreness, or other symptoms, you may have to try other treatments.

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In today's workforce, many jobs place workers at a higher risk for a back injury. The list is pretty extensive and may surprise you! Individuals that have suffered a  neck or back injury at work know the cost goes beyond lost wages. The impact of these injuries on employees, employers, and the economy is staggering.

In a report published by the Bureau of Labor Statistics, there were 2.8 million cases of non-fatal occupational injuries and in 2018.  Of these cases, more than 50% lost time from work, transferred to a different job, or restricted work activity. Not all of these cases were spine-related injuries. However, 880,000 cases were back pain-related injuries.

The World Health Organization's International Labour Office says that the problem is global.

Musculoskeletal diseases are a very common part of 270 million non-fatal work/job accidents where employees missed at least 3 workdays.

Risky Jobs

Occupational safety experts gather all kinds of information that they factor. This includes job requirements, work environment, and work station set up. In compiling the list of risky occupations, here are some of the criteria:

• Heavy physical work
• Forceful lifting movements
• Bending
• Twisting
• Awkward work postures
• Whole-body vibration
• Static work postures like standing/sitting but never changing position compounds the risks to workers.

Two occupations that lead the list of jobs placing workers at the highest risk are construction and nurses/nursing home workers. Workers in both of these jobs tend to share the under-reporting of work-related injuries. This happens as the employees fear they will lose their job and cannot afford to take any time off.

Construction Workers

Employees at a construction site are repeatedly lifting, bending, carrying, pulling, and tugging. These repetitive movements lead to overuse injuries and back strain/sprains are a common part of this. More than 30% of workers have to miss job time. Those that must climb ladders or work on scaffolds have a greater risk of falling. This is where some serious spinal injuries can occur, causing disability and sometimes being fatal.

Nurses/Nursing Workers

Nursing homes and employment opportunities are growing from elderly population growth. These workers are at high risk for back pain and spine injury. This comes from transferring patients' from their beds, bathtub, and bathroom facilities. All these actions require lifting, carrying, holding, pulling, pushing, and turning. The Bureau of Labor Statistics reports nearly all back and shoulder injuries are the result of moving patients.

Warehouse Workers

This is another job that requires lifting, along with using forceful movements, bending, twisting, carrying, and placing the body in awkward positions. Sometimes these workers have to drive a truck or an industrial vehicle that creates whole-body vibration. Continual exposure to vibration can cause backache and soreness that can lead to lost work time.

Dentists and Surgeons

Both of these professions involve prolonged standing, stooping, bending, and awkward body positioning. Not to mention the mental strain that diverts the doctor's attention to proper posture and body mechanics that results in injury and pain.

Landscapers

The American Chiropractic Association puts landscapers in the top 10 list of jobs that cause back pain. This job puts these workers at a greater risk for cumulative trauma disorders. All the tasks that a landscaper has to do that include hedge trimming, tree pruning, and planting. These actions/movements involve lifting, reaching, bending, and stooping. This is a perfect set up for an overuse back injury.

Hand tools that get used over and over can cause painful conditions like carpal tunnel syndrome and thoracic outlet syndrome. Thoracic outlet syndrome is when the nerves and blood vessels become compressed between the neck and shoulder.

Store Cashier

Grocery and retail store cashiers require workers to stand in one place for a long time. This along with the repetitive motions of scanning, typing, opening, closing combined with bagging and lifting bags over and over can cause neck, shoulder, back, leg and foot pain. Over half of checkout workers complain of back pain.

Other High-Risk Jobs

• Airline crews meaning pilots, baggage handlers,
• Factory workers
• Bakers
• Bus
• Cab drivers
• Cable and telephone line installers
• Carpenters
• Electricians
• Hairstylists
• Plumbers
• Carpet installers/cleaners
• Dry cleaners
• Medical technicians
• Farmers
• Firefighters
• Police
• Maintenance workers
• Automotive technicians
• Office personnel
• Professional athletes

Job Injury Prevention

We may not be able to instantly change our occupation, but there are steps to help prevent neck and back injuries. The key is workplace ergonomics and safety. Be proactive to help reduce workplace risk for neck and back injury and share what you learn with co-workers.

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NCBI Resources

Injuries that are caused by repetitive movements often develop gradually. This is the time when the symptoms are mild and come and go, so the individual just works through it and doesn’t think about it. It’s not until the symptoms get very painful and debilitating that the individual realizes that something is wrong, and then they seek medical attention. Don’t wait, as soon as you feel a tingle, slight pinch, or a little soreness and you feel that it stems from your work’s repetitive movements, get in touch with a doctor or chiropractor before it becomes excruciating.

Head and neck injuries related to phone use are on the rise. Since the first iPhone was released, according to a study in JAMA Otolaryngology-Head & Neck Surgery.

Doctors are warning cell phone users to be especially careful when:

• Walking around and texting

It is a distraction and one of the leading causes of head and neck injuries.

2,501 reported cases of phone-related head and neck injuries that lead to emergency room visits between January 1998 and December 2017 found in a nationwide database. Injuries in teens and young adults aged 13 to 29 years old were about 40%, in women (55%) and men (45%).

Common Phone Injuries

Common injuries include:

• Cuts
• Bruises
• Abrasions
• Internal injuries usually happen around the eyes and nose
• Possible trauma to the brain

Over 41% of these injuries happened at home and were minor with little or no treatment needed. Around 50% of injuries were a result of distracted driving and 30% from distracted walking.

Any type of phone distraction in and out of the home puts you and others at risk for:

• Falls
• Slips
• Trips

All of which can lead to injuries and other possible consequences (e.g. a busted phone).

More individuals are getting injured because of phone use while moving around and not paying attention to what's around them.

Children

Children under the age of 13 were at higher risk to suffer a mechanical injury like parents accidentally dropping the phone on their child or children hitting themselves in the face. For example, ninety cases of injuries occurred while playing Pokemon Go.

Spending as little as two to four hours a day hunched over a smartphone is enough to make a serious impact on the body over time. And though two to four hours may not seem like a long time, it isn’t hard to arrive at two hours by adding several 15-minute or half-hour segments together.

For teenagers, specifically, two to four hours on a smartphone has changed as of now teenagers spend around seven to eight hours on their phones. Spending twice as much time on afternoons or the space between classes or lunch. Think about the impact of 1500 plus hours of bad posture throughout the year. There is no surprise that teenagers are at risk.

The lasting impact of text neck and distracted phone use on today’s young people will be costly. Therefore, the public needs to be educated about the risks of distracted phone use and reducing this distracted behavior.

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There are all kinds of tools for all kinds of jobs. However, using the correct tool can mean the difference between a job well done and a job that got done but also generated injuries and pain.

Examples:

• Long tools are best for when you need leverage, sparing the need for massive physical force.
• Vice grips and clamps can grip/stabilize objects rather than trying to hold objects with your hands.
• Tilt objects to avoid overbending the wrists.
• Use a cart/dolly/arm straps to carry heavy loads.

Take some time to think about how to make the job easier on yourself and look up youtube tutorials to find innovative ways to do these jobs making it less stressful both mentally and physically.

The National Institute for Occupational Safety & Health guidelines hand tool use

1. Keep the wrists straight &  Avoid bending/rotating the wrists.
   Instead bend the tool, not the wrist and there are a variety of bent-handle tools just for this reason. Using the handshake wrist position is a good way to approach a job, as it is a neutral position for the wrist.
2. Don't stand still in one place for an extended time when using a heavy tool.
   Instead, reduce the size and weight of the tool which will help avoid strain, keeping the elbows low and slightly bent.
3. Tools that place pressure on the base of the palm stress the soft tissues of the hands and fingers interrupting circulation and nerve function.
   Instead, opt for one with finger grooves that fit the hand. Short-handles help by reducing stress on the soft tissues.
4. Don't use tools that need a lot of grip force to use or hold.
   Instead, use one with a grip that compresses like memory foam and shapes to the hand. This is far better than hard plastic.
5. Don't use tools that need the fingers to grip.
   Instead, use tools that utilize a full-hand power grip.
6. Do not use tools that have sharp-edged handles or areas where the hands could get pinched.
   Instead, use tools that keep the hands/fingers safe.
7. Trigger-finger operational tools should be avoided as this can easily cause repetitive finger/hand/wrist injury from the constant on-off motion.
   Instead, use tools with large switches that can be operated using all four fingers.
8. Excessive temperatures affect manual dexterity, therefore keep hands free from extreme heat and cold.
   If possible, do a different job that's away from the extreme weather and if not wear properly insulated work gloves.
9. Keep excessive vibration to a minimum. Excessive vibration can affect circulation.
   Use tools with control features that limit vibration to the extremities and whole body.
10. Wear gloves that fit. If they are too tight they will place extreme pressure on the hands. Loose-fitting gloves reduce grip strength and the ability to grip properly.
    Instead have a selection that is designed for different jobs.

Safely Operating Tools that Cause Whole-Body Vibration  

There are power tools that vibrate no matter what and transmit vibration into the operator's arms and hands, legs, and feet. Using a tool like this can cause a condition called white finger or Raynaud's Phenomenon to present.

The symptoms include:

• Aching in the wrists and muscles of the forearm
• Tingling sensations
• Numbness
• Whiteness in the fingers from restricted circulation

This type of vibration from riveting tools, grinders, pneumatic hammers, drills, and chain saws will affect the whole body's well being. 

Suggestions to help reduce the risk of musculoskeletal disorders

• Choose power tools with anti-vibration controls and handles coated with suppressant/cushioned material to help with vibration.
• Maintenance power tools by making sure they are balanced, clean, and lubricated.
• Use gloves designed to absorb or reduce vibration.
• Ask for help if the job requires equipment or tools that vibrate.

Whether using a hand or power tool to get a job done, the whole body is involved. Executing proper posture and body mechanics, along with proper tool choice and how it is used is vital to injury prevention.

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Chiropractic care can help keep bodies flexible and help with range of motion. It is a very effective, non-invasive treatment for pain and can help with joint and muscular problems as well. Regular chiropractic treatments can help you better manage your body’s response to your work environment. It can also undo many of the ill effects that that type of work can cause.

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

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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 spine surgery known as M.I.S.S is an option to traditional open surgical procedures, as well as an alternative when non-surgical approaches are working but the pain or condition is becoming worse, regardless. These are performed to treat a variety of spinal disorders like:

• Bone spurs
• Degenerative disc disease
• Herniated disc
• Scoliosis
• Spinal instability
• Spinal stenosis
• Spinal tumors

Minimally invasive surgery can offer potential benefits. These include

• A small/tiny incision/s
• Minimal cutting through soft tissues like ligaments, and muscles
• Outpatient option/s
• Reduced post-operative pain
• Quicker recovery

The Focus of Spine Surgery

There are two main goals when it comes to spine surgery or rather the goal/focus of the surgery. These are decompressing and stabilizing the spine.

Decompression of the spine

Spinal decompression involves removing any tissue/s that are compressing/pinching the nerve structures like a spinal nerve root or the spinal cord itself. Bone spurs and fragments from a herniated disc are the types of tissue/s that can cause neural compression.

Stabilization of the spine

An abnormal movement of one or more levels/segments of the spinal cord can cause back pain, neck pain, or both. Surgeries that are meant to stabilize and stop these abnormal movements utilize spine instrumentation combined with fusion.

Spine Surgery Techniques

Minimally invasive spine surgery techniques include:

• Percutaneous or through the skin
• Mini-open or small incision procedure/s

Rather than cutting through soft tissues, a tubular retraction instrument generates a tunnel that expands and passes between the muscle/s to access the spine's column. Then an endoscope or a tiny video camera goes in and around the area, projecting a visualization of what's happening on a monitor during the procedure.

This is the surgeon's/team's eyes as they work to repair the damage. The surgery is run through the tubular retraction system along with any specially designed instruments that are needed. Types of surgical procedures performed with minimally invasive surgery include:

• Discectomy
• Microdiscectomy
• Foraminotomy
• Microforaminotomy
• Microlaminectomy
• Microlaminotomy

The micro means that the surgery is done using a special microscopic camera to view the disc/s and nerve/s. Imaging scans, systems, and image-guidance technologies, like fluoroscopy, which is a real-time x-ray are utilized during the surgery pinpointing the key aspects of the patient’s spinal anatomy. The surgical imaging shows 2D and 3D views, which guides the placement of any instrumentation, like pedicle screws.

Disorders Treated with Minimally Invasive Surgery

Degenerative disc disease

Degenerative disc disease is known as DDD often develops progressively in older adults and affects the intervertebral discs. The normal wear and tear of cellular age-related changes in the body can cause the spine's discs to:

• Stiffen
• Lose Flexibility
• Loss of Strength
• Loss of Height
• Lose shape, along with the ability to absorb/distribute the forces associated with moving

These structural changes increase the risk of disc herniation and subluxations.

Herniated discs

A herniated disc also called a slipped, bulging, and ruptured disc. This happens when the soft gel cushion of a disc breaks through the protective outer layer. Other than the damaged disc, the loose interior gel can also irritate and inflame the nerves causing back pain.

Scoliosis

Scoliosis is an abnormal sideways curve of the spine that can cause progressive spinal deformity. A scoliotic curve can look like an “S” or “C.” Most cases have no known cause, and while the condition is more commonly associated with children, adults can develop scoliosis, as well.

Spinal stenosis

Spinal stenosis happens when the spinal nerve roots and the spinal cord become compressed/pinched. These nerves branch off the spinal cord and exit the spinal canal through passageways called neuroforamen. Nerve and spinal cord compression can cause symptoms like:

• Pain
• Weakness
• Tingling sensations
• Numbness
• Sometimes, pain can travel into the arms or legs

Spine Surgery Risks

With any spine surgery there are potential risks and complications that can occur. Here are some possible complications that can happen during and after surgery, with both open and minimally invasive procedures.

• Bleeding
• Blood clots
• Failed fusion pseudarthrosis/non-union
• Nerve damage
• Symptoms come back
• Infection/s 

Candidate for Surgery

Minimally invasive spine surgery does offer many benefits:

• Tiny incision
• Less pain
• Reduced risk
• Faster recovery

Let's not forget that M.I.S.S is still surgery. Less than 5% of people with back or neck pain need spine surgery and, surgery is the last resort for treating pain and symptoms caused by a spinal condition/disorder.

It is only when non-surgical treatments like chiropractic, acupuncture, physical therapy, medication, or spinal injections do not reduce symptoms in 3 to 6 months. This is when you qualify to be a candidate for spine surgery. There are certain types of spinal disorders that require urgent or immediate surgical intervention.

Talk with your doctor, chiropractor, or spine specialist about the pain, the symptoms, and compare the results of the different therapies/treatments and go from there. With any type of surgery there are many considerations to discuss before making a decision to treat back or neck pain and if minimally invasive surgery could be an option.

Lower Back Pain Chiropractor

Fender benders/automobile accidents are the number one cause of spinal cord injuries. Auto accidents have accounted for more than a third of all reported cases of spine injuries. On average, individuals drive 30-40 miles every day. We love our cars, and we love to drive. Nothing throws us out of our normal world faster than a fender bender.

Auto accidents also account for other injuries like:

• Whiplash
• Spinal fractures
• Herniated discs

A crash causes bodily injury, stress, and, in some cases, ongoing legal matters. However, these injuries don't present symptoms until weeks or even months after the accident. With the vast number of automobiles on the road, as well as drivers being distracted, increases an individual's chances of being involved in an accident. If a fender bender happens to you, it is important to recognize and understand what has happened to keep you safe and your injuries to a minimum.

Understand the Situation

The way you react seconds after a crash can impact the situation tremendously. Determine where you are injured, and if you are in any immediate danger. If for example there is a fire get out fast. Otherwise, stay inside.

Analyze Injuries

How bad are the injuries? Even if you feel fine, your head, neck, and back could still have been impacted. Identify where you hurt, and the intensity of the pain.

Wait for the Ambulance/Police

Try to stay as calm as possible inside your car/truck and wait for the police and ambulance. If your vehicle has flipped and you are stuck from the seatbelt, stay put and wait for someone that knows what to do and can see what is happening. A good portion of head and neck injuries happen when the occupant/s release their seat belts after a crash, not realizing that it can exacerbate an injury or create new ones.

Inform EMT's

Once paramedics arrive, explain if you can, the areas of pain and injury. If you've previously suffered from injury or medical condition to the neck, back, or spine, let them know, as there is increased risk to individuals who already deal with medical conditions or bodily injuries.

This information helps formulate how they will take the individual out of the vehicle and what type of emergency treatment to utilize. Be specific when telling the paramedics, use simple language and the 1-10 pain scale to describe the level of pain and discomfort.

Chiropractor

If the injuries are minimal and you are released, be thankful. Still make an appointment with a chiropractor/physical therapist that specializes in fender bender treatment/therapy. Since some of these injuries can take a few days to show up, the fender bender could have impacted:

• Bones
• Joints
• Ligaments
• Nerves

This could have gone undiscovered at the initial post-crash examination. Therefore, ask for a complete examination, and talk with the chiropractor no matter how strange or insignificant the question may be. The chiropractor will understand what you are trying to explain. Your chiropractor may use a combination of spinal manipulation, manual therapy, and other techniques as part of a customized treatment program. 

Minimize the chances

While we cannot control when a fender bender takes place we can take measures to guard against the occurrence, and give ourselves a higher chance of avoiding injury.

• Always wear a seatbelt
• Get out of the habit of distracted driving
• Maintain your vehicle's brakes and tires
• Pay attention to traffic signs
• Plan ahead if you know of construction closures so you can avoid those highly congested areas

Drive the speed limit depending on the traffic and weather conditions. Be courteous and think about all the drivers and people all around you. Maintaining a clear head and following this little bit of advice, you can minimize the chance of being in an auto accident or being seriously injured. We all have to be somewhere, if we cooperate we can get there on time, safely, and efficiently.

Fender Bender Injury Chiropractic Care

Ultrasound is a passive therapy, which means this is a treatment that a physical therapist administers. It creates gentle pulsating, penetrating heat that soothes, and relaxes spinal and any other muscles that may be tight, knotted and sore.

It is an added supplemental therapy of the primary treatment like chiropractic, therapeutic stretching, and exercise. Ultrasound releases and warms the muscles and soft tissues thus increasing circulation that speeds recovery/healing.

How does ultrasound work?

The equipment creates high-frequency sound waves that flow through to the tight, knotted area with a round-headed probe. The sound waves flow deep into the muscle tissue and ligaments all the while creating a soothing heat that loosens up the tissues.

Treatment application

The therapist will apply a hypoallergenic gel to the skin, that makes for a smooth moveable surface. Then the therapist goes in gentle, circular motions with the probe, and performs the treatment, that can last several minutes.

Ultrasound can also be utilized when performing phonophoresis. This is a treatment that involves the application of topical anti-inflammatory medications that are mixed with ultrasound gel then applied to the area with the probe. The sound waves force the medicine into the tissues to help reduce inflammation.

Does it hurt?

Absolutely not, the patient will only feel a tingling sensation around the area being treated. There will also be a warming sensation from the sound waves.

Ultrasound results

The ultrasound probe is glided over the surface, all the while sound waves are penetrating through the skin's surface, which causes the soft tissues to vibrate, creates muscle tightness soothing/releasing heat. The heat induces vasodilation that draws blood into the tissues that are hurting. The increased blood flow delivers much needed:

• Oxygen
• Nutrients
• Removes the cell's waste

The heat relieves pain and inflammation, reduces muscle spasms, and accelerates healing. Depending on the area being treated, the range of motion will be increased.

Shoulder Pain Rehabilitation

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Physical therapists also instruct patients on the best way to exercise to enhance overall physical fitness, move about safely (biomechanics and ergonomics), and injury prevention. Physical therapists also help patients with long-term physical incapacity (eg, spinal cord injury).

As parents and grandparents, we first need to think about the activities that we will be doing throughout the day and consider how to protect yourself and loved ones from falls and falling injury/s.

Around the House

It is true that most accidents happen at the house. Add that to the increasing number of people both young and elder that work from home. Consider the following tips.

Home

If it is possible, hire a professional to clean the gutters or get one of those gutter washers that you can use from the ground. Falls from the roof results in multiple injuries, and some very serious.

Please don't stand on a chair to change lights or clean those out of reach areas. Always use a reliable heavy-duty step ladder with anti-slip steps and handrails. Doctors from emergency rooms report that falls from chairs are a common case they treat. 

Proper Lighting

Having the right lighting throughout the house is the best defense against tripping and falling. The stairways, hallways, and entrances are primary areas that should be adequately lit to be able to see everything around you. The light switches should be easy to find and activate. Inexpensive night-lights should be placed anywhere you go at night, like the kitchen or bathroom. A small flashlight should also be kept nearby, possibly a keychain or next to the bed in case of an emergency or if the power goes out.

Kitchen

Falling down on wood, or tile kitchen floors can have a serious impact on the body. A wet slippery floor can be another cause for a fall so clean up spills or fix a dripping refrigerator immediately. Using a no-slip floor wax rather than conventional floor wax will reduce accident probability. Keep a secondary heavy-duty step ladder with wide anti-slip steps and handrails for the kitchen. 

Bathroom

The bathroom has the potential to be one of the most dangerous rooms. The slick hard floor floors from bath/shower water along with the limited room to move around comfortably and metal towel rods can make for a dangerous space to fall in. 

However, bathrooms can be made safe by the following:

• Handrails/grab can be placed along the walls and in the shower/bath, near the toilet, and sink.  Make sure that the proper height is measured.
• Anti-slip bath/shower mats and anti-slip floormats can go a long way to help prevent falls. They provide traction and stability while standing and moving around.
• There are some top assisted bath devices in various drug stores and home centers. They include shower seats and walk-in baths.
• Raised toilet seats can be easily installed and shorten the distance needed to sit and more importantly get up comfortably from the toilet.

Elderly and physically challenged individuals could still need help. Make sure assistance is readily available. Elderly and physically challenged individuals could benefit by carrying an alarm or emergency contact system in case they fall or need help.

Stairways

The stairway is an area that can be another danger zone. One stairway danger is the use of canes, walkers and walkers with wheels. These can easily get snagged on a step, or the wheels can slip and quickly travel down the stairs. Safety railing and step mats with traction nibs can help prevent slips and falls. Outdoor stairs should have non-slip tape to prevent falling.

Carpeting/Rugs

Carpeting and rugs are great for warmth, foot care, and decoration, but they can also pose a danger.

Here are a few tips:

• Throw rugs that are not properly anchored to the floor should be anchored or used in an area that will not pose a potential for injury. Stores carry non-slip backing that can be cut and used between the floor and the rug. These rugs can be bought with a rubber backing to prevent slippage.
• Carpeting needs to be smooth and not wrinkled which can snag and cause tripping.
• Bent corners should be removed, and fixed to prevent unraveling or tacked down with non-slip tape.
• Loose fibers need to be cut off. 

Furniture

Individuals that don't use an assisted device like a cane or walker could find navigating through the house difficult. Furniture should be arranged and organized for easy maneuverability. Electrical cords should be safely placed out of the walking path. These cords can be tacked to the floorboard, placed behind/under furniture, or stored in special cord tubes/runners. Small tables, floor lamps, and plants should not be in the walking path as well as this can cause an easy bump to fall scenario. 

Footwear

Footwear should be nice but also practical. Flat-soled shoes, high heels, not properly structured, or ill-fitting shoes can lead to slips and falls. Unsupported feet will not provide a solid foundation to help prevent a fall.

If there are foot issues custom foot orthotics can really help stabilize balance, help the spine stay aligned and bring relief from pain. Orthotics are designed to fit inside shoes to relieve pain from various foot conditions/issues. Non-slip and anti-slip soled shoes can also help prevent a slip and fall. With these types of shoes, care needs to be taken to avoid sticking to floor surfaces. This can contribute to stumbling and tripping. Don't wear socks or hosiery on smooth tiled/wood floors, because there is no floor-foot traction the potential for slipping increases.

When walking outside, if the sidewalk is slippery, walk on the grass or dirt area. Try walking in an area that does not show iciness or wetness. Cat litter or rock/sidewalk salt can provide foot traction.

Assistive Devices for Balance and Stability

If you feel unstable while walking, ask your doctor about an assisted device, that includes canes and walkers. If using a cane, make sure the rubber grip tip is not worn down.

Conclusion

Here are a few tips that may help you to take a proactive approach to fall prevention. Depending on specific conditions, and needs, you may want to talk to your doctor, chiropractor, physical therapist, or other health care professional. They will create a customized individual plan to help prevent falls and enjoy life.

Our clinical focus and personal goals are to help your body heal itself naturally quickly and effectively.  At times, it may seem like a long path; nevertheless, with our commitment to you, it’s sure to be an exciting journey. The commitment to you in health is to, never lose our deep connection to each one of our patients on this journey.

*PLANTAR FASCIITIS* Reduce Foot Pain with Custom Orthotics

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As you move into your senior years, you may expect some discomfort and loss of mobility. Aging is hard on the body. But it is important to understand that there are things you can do to feel better. Regular exercise, a healthy diet, and chiropractic care can all make your senior years active and thriving.

Certain jobs or daily activities require us to do the same action over and over again. It can be enjoyable but these repetitive movements can cause serious injury to the body. Most affected are the:

• Hands
• Wrists
• Elbows
• Shoulders
• Neck
• Back

These injuries are quite common in the United States and are referred to as Repetitive Motion Disorders (RMDs).

Repetitive Motion Disorders

Repetitive motion disorders are musculoskeletal conditions caused by movements/motions done over and over. RMDs can be caused by:

• Muscle/ligament friction from unnatural or awkward motions like twisting the arm, wrist, hands or other areas of the body where repeated motions are used.
• Incorrect posture/positioning when doing these movements.
• Overdoing it, either trying to go faster or with added strength that really strains the muscles.

RMD's cause symptoms because of muscle fatigue, inflammation, and swelling or compression of the nerve's tissues. Examples include:

• Carpal tunnel syndrome happens when the tunnel of bones and ligaments in the wrist begin to pinch the nerves in the fingers and the muscles around the thumb.
• Bursitis is inflammation of the bursa that's between the tendon and skin, or between a tendon and bone/s.
• Tendonitis is inflammation, irritation, and swelling of a tendon/s.
• Epicondylitis (elbow pain) is inflammation, soreness, and pain on the outside of the upper arm around the elbow.
• Ganglion cyst occurs when tissues surrounding specific joints get inflamed and swell up with fluid.
• Tenosynovitis happens when the lining of the sheath that surrounds a tendon gets inflamed.
• Trigger finger can be a painful or painless clicking, snapping, or locking of a finger/s.

All of the above conditions can be caused by other means and not repetitive movement/s.

RMD Work Risk

Jobs vary all over, but if repetitive movements are how the job gets done those individuals have a higher risk to get a repetitive motion disorder. There are professions and activities that increase the risk that include:

• Assembly/factory linework
• Carpentry
• Computer work like typing, digital/graphic design where a digital pad/pen and mouse are the main tools that have to keep moving
• Gardening
• Lifting children like at daycare
• Meatpacking
• Playing musical instruments
• Sewing
• Sports

RMD Symptoms

Symptoms of these disorders can include:

• Pain, soreness, pinching and stiffness in the fingers, hands, wrists, forearms, elbows, shoulders, neck and back
• Tingling or numbness.
• Swelling or redness around the area.
• Loss of flexibility and strength.
• There could be no visible sign of injury or pain, but individuals find that the normal and easy tasks they're used to become more and more difficult to do.

Injuries that are caused by repetitive movements often develop gradually. This is the time when the symptoms are mild and come and go, so the individual just works through it and doesn't think about it. It's not until the symptoms get very painful and debilitating that the individual realizes that something is wrong, and then they seek medical attention. Don't wait, as soon as you feel a tingle, slight pinch, or a little soreness and you feel that it stems from your work's repetitive movements, get in touch with a doctor or chiropractor before it becomes excruciating.

Heel Spurs Treatment | El Paso, Texas (2020)

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Safely Operating Tools that Cause Whole-Body Vibration

There are power tools that vibrate no matter what and transmit vibration into the operator’s arms and hands, legs, and feet. Using a tool like this can cause a condition called white finger or Raynaud’s Phenomenon to present.

The symptoms include:

• Aching in the wrists and muscles of the forearm
• Tingling sensations
• Numbness
• Whiteness in the fingers from restricted circulation

This type of vibration from riveting tools, grinders, pneumatic hammers, drills, and chain saws will affect the whole body’s well being.

This is the season of the year that brings special time with loved ones, but it’s also a time when many un-merry mishaps and accidents can happen. From neck and back pain to sprains and strains to serious fractures that can put you in the emergency room. With a little care, preparation and precaution, you can be safe and enjoy the holidays to the fullest, while reducing the risk of experiencing a slip and fall injury.

The Garage

This is where holiday prep, go for tools and the like usually begin. However, the garage can be the first place where danger lurks during this season.

• Most of us store the big boxes at the top on overhead storage racks etc. A wobbly step ladder, not enough upper body strength, someone opening the door where the ladder stands and tipping it, etc, is a perfect setup for a fall.
• The first thing to ask is whether or not this is a job for you? If not then wait and ask for help from friends and family that can offer added strength and balance.
• Plan ahead and prepare ahead so that repacking the decorations, lights, and so on will be a clean safe process.
• Proper footwear that can grip a stable step ladder is a must.

Around the Tree

Anything can happen around the tree, ornaments fall and break, wire from the lights shorts out, trip and fall around it.

• Just be aware of your surroundings and maybe keep a safe perimeter around the tree so nobody trips, slips and falls around it.
• Focus on stability on a ladder if you have to add, adjust, the tree/ornaments, lights and what have you.
• If the tree starts to lean, make sure reinforcements are there just in case when you're ready to straighten it out.

Maybe Get Off the Floor

Wrapping gifts on the floor doesn't pose the greatest risk for a spine injury, but it can increase chances for a muscle strain and sore back and neck. Hours just hunched over on the floor is a sure-fire set up for back pain.

• Again plan ahead and knock out the trimmings and trappings little by little so there is plenty left in the tank when it's time for the main event.
• Maybe set up the wrapping station at a table and sit for a bit, stand for a bit,  take plenty of breaks, and move around and stretch out.
• Sitting in a chair will help posture and prevent slouching.

On the House

As a spine injury specialist, I can tell you falls from the roof while hanging lights are real, and can be life-changing. From severe spine injuries to paralyzing fractures.

Safe Equipment is of the utmost importance!

• Make sure the ladder you’re using is sturdy and on solid ground.
• Only hang the lights from the eaves, so you can stand on a ladder.
• Maybe think about using one of those projection kits that project various displays onto your house without the risk of injury.

No matter how you choose to decorate and entertain this holiday season, safety is priority one. From our team here at Injury Medical and Chiropractic Clinic Happy Holidays!

El Paso, TX Chiropractor Personal Injury Attorney Recommended

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 The connective tissues in and around the spine can get:

• Pulled
• Strained
• Sprained

Small tears in the disc can also contribute to back pain.

Basically, any number of activity and non-activity can cause damage to the spinal discs depending on the movement.

Manual tasks performed in an awkward posture

This includes:

• Lifting boxes with the back and not bending the knees
• Lifting something too heavy
• Moderate physical activity
• Vigorous physical activity

High intense strength training, long walks at the stores, handling people or animals, and picking up children can cause injury.