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- This is a brief review of some of the essential pediatric complaints encountered in clinical practice.
- Acute Trauma including acute head trauma
- Non-accidental Trauma in children (battered child)
- Musculoskeletal Complaints (Juvenile Idiopathic Arthritis, scoliosis,
- Common pediatric neoplasms (CNS & others)
- Infection
- Metabolic disease
Acute Pediatric trauma: - FOOSH injuries (e.g. fell off the monkey-bar)
- Supracondylar Fx, elbow. Always d/t accidental trauma. <10-y.o.
- Extra-articular Fx
- Gartland classification grades minimally displaced subtle injuries treated with simple immobilization vs. posterior elbow dislocation treated operatively
- A potential risk of ischemic compromise if care is delayed (Volkmann contracture)
- The Radiological exam is crucial: sail sign & posterior fat pad sign with anterior humeral line failed to intersect mid/2/3 of Capitellum.
Incomplete pediatric Fx: - most in <10 y.o. Greenstick, Torus, Plastic aka Bowing deformity
- Typically heal well, treated conservatively with immobilization
- Plastic deformity if >20-degrees requires closed reduction
- Ping pong skull fracture may develop following trauma, forceps delivery and complications of birth trauma. May need to be assessed by the pediatric neurosurgeon
- Salter-Harris types of physeal growth plate injuries
- Type 1-slip. e.g., Slipped Capital Femoral Epiphysis. Typically no bone fracture noted
- Type 2-M/C with good prognosis
- Type 3- intra-articular, thus carries the risk of premature osteoarthritis and may require operative care d/t being unstable
- Type 4- Fx through all regions about the physis. Unfavorable prognosis and limb shortening
- Type 5- often no evidence of actual bone fracture. Poor prognosis d/t crush injury and vascular damage with limb shortening
- Imaging evaluation is crucial
Non-Accidental Injury (NAI)in Children - There different forms of child abuse. Physical abuse may range from skin injuries to different MSK/systemic injuries affecting bones and soft tissues. Imaging is crucial and may identify definite signs alerting medical providers and informing child protection services and law enforcement agencies about physical abuse.
- In an infant: “shaken baby syndrome” may present with CNS signs d/t tearing of immature bridging vein and subdural hematoma which can be fatal. Retinal hemorrhaging often a clue. Head CT is crucial.
- MSK Radiological Red Flags:
- 1) major bone Fx in an un-ambulatory very young child (0-12 m.o.)
- 2) Posterior ribs Fx: naturally never occur d/t accidents. Most likely mechanisms: grabbing and squeezing a child or direct hit.
- 3) Multiple Fractures with different chronological healing rates, i.e., bone calluses indicating repeated physical trauma
- 4) Metaphyseal corner Fx aka Bucket handle Fx, often pathognomonic for NAI in children. Occurs when the affected extremity is held and violently twisted.
- 5) Spiral fracture of long bones in a young child is another example of NAI.
- Other important clues of NAI. Inconsistent history provided by guardians/caregivers. No evidence of congenital/metabolic bone abnormalities like Osteogenesis Imperfecta or Rickets/osteomalacia etc.
- N.B. When child’s guardians state a history that reports fall and accidents in the house, It is important to know that apparently most accidents/falls in the house are very rarely or unlikely result in major bone fractures.
- Reporting child abuse in Illinois:
- https://www2.illinois.gov/dcfs/safekids/reporting/pages/index.aspx
MSK Imaging Approach in Pediatrics - Juvenile Idiopathic Arthritis (JIA)-considered M/C chronic disease of childhood. Clinical Dx: joint pain/swelling for 6-weeks or longer in a child <16-y.o. Different forms exist: Early Dx is crucial to prevent delayed complications
- Most familiar forms of JIA:
- 1) Pauciarticular disease (40%)- m/c form of JIA. Girls are at greater risk. Presents as arthritis in <4 joints: knees, ankles, wrist. Elbow. This type shows high association with ocular involvement as iridocyclitis (25%) that may potentially lead to blindness. Labs: RF-ve, ANA positive.
- 2) Polyarticular disease (25%): RF-ve. Girls are at greater risk. Affects small and large joints often affect Cervical spine
- 3) Systemic form of JIA (20%): often presents with acute systemic manifestation as spiking fevers, arthralgias, myalgias, lymphadeno[pathy, hepatosplenomegaly, polyserositis (pericardial/pleural effusion). Important Dx features characteristic evanescent salmon pink rash on the extremities and trunk. The Systemic form has a distinct lack of ocular involvement. Joints typically shoe no erosions compared to other types. Thus joint destruction is not typically seen
Imaging in JIA - Joint effusion bone overgrowth squaring of patella cartilage/bone erosion superimposed DJD
- Fingers and long bones early physeal closure/limb shortening
- Rad DDx knee/ankle: Hemophilic arthropathy Rx: DMARD.
- Complications may occur joint destruction, growth retardation/limb shortening, blindness, systemic complications, disability.
Most Common Pediatric Malignant Bone Neoplasms - Osteosarcoma (OSA) & Ewing’s sarcoma (ES) are 1 st and 2nd M/C primary malignant bone neoplasms of childhood (peak at 10-20 y.o.) Clinically: bone pain, change in activity, early metastasis especially pulmonary mets may occur. Poor prognosis
- Ewing’s may present with bone pain, fever and elevated ESR/CRP mimicking infection. Early Dx with imaging and staging are crucial.
- Imaging of OSA & ES: x-ray, followed by MRI, chest CT, PET/CT. On x-rays: OSA may affect any bone but most present as aggressive bone forming neoplasms about the knee (50% cases) especially as osteoid forming an aggressive lesion in the metaphysis with speculated/sunburst periostitis & Codman triangle. Marked soft tissue invasion.
- ES may present in the shaft and show very early soft tissue spread. MRI is crucial to reveal the extent of bone and ST invasion, MRI required for surgical planning
- OSA & ES Rx: A combination of surgery, radiation, chemo. Limb salvage techniques are performed in some cases. Poor prognosis if detected late.
- Imaging of Ewing’s sarcoma
- Permeating bone distraction
- Early and extensive soft tissue invasion
- Aggressive periosteal reaction with laminated (onion skin) response
- Saucerisation of cortical bone (orange arrow)
- A Lesion is typically diaphyseal with some metaphyseal extension
- Known as Round cell tumor along with Multiple Myeloma and Lymphoma
Common Childhood Malignancies - Neuroblastoma (NBL) M/C malignancy of infancy. Derives from neural crest cells aka PNET tumors (e.g. sympathetic ganglia). Most occur in children <24-months. Some show good prognosis but >50% cases present with advanced disease. 70-80% at age 18-months or older present with advanced metastasis. NBL may develop in the adrenal medulla, sympathetic ganglia and other location. Presents as an abdominal mass, vomiting. >50% presents with bone pain d/t metastasis. Clinically: physical exam, labs, imaging: chest and abd x-rays, CT abdomen and chest is crucial to Dx. MRI may help. NBL may metastasize to the skull and infiltrate sutures with a characteristic presentation as pathological sutural diastasis.
- Acute Lymphoblastic Leukemia is the m/c malignancy of childhood. Pathology: leukemic cell infiltration of bone marrow leading to bone pain and replacement of other normal marrow cells with anemia, thrombocytopenia, neutropenia and associated complications. Leukemic cells may infiltrate other sites including CNS, spleen, bone and other regions. Dx: CBC, serum lactate dehydrogenase levels, Bone marrow aspiration biopsy is the key. Imaging may help but not essential to diagnosis. On radiography, leukemic infiltration of the bone may typically appear as radiolucent bands along the physeal growth plate. Rx: chemotherapy and treating complications
- Medulloblastoma: M/C malignant CNS neoplasm in children
- Majority develop before 10-y.o.
- M/C location: cerebellum and posterior fossa
- Histologically represents a PNET type tumor not a glioma as was originally thought
- MBL, as well as Ependymoma and CNS lymphoma, may lead to drop metastasis via CSF and additionally represent a unique that unlike other CNS tumors demonstrate metastatic spread outside CNS, m/c to the bone
- 50% of MBL may be fully resectable
- If Dx and treatment begin before metastasis, 5- year survival is 80%
- Imaging is crucial: CT scanning may be used but the imaging modality of choice is MRI that will additionally provide a more superior evaluation of the entire neuraxis for metastasis.
- MBL typically appears as heterogenous hypo, iso and hyperintense lesion on T1, T2 and FLAIR scans (top images) if compare to surrounding brain tissue. Often compressing 4th ventricle with obstructive hydrocephalus. The tumor typically shows contrast enhancement on T1+C gad (bottom left image). Drop metastasis from MBL with T1+C enhancing lesion in the cord
Important Pediatric Infections - In the neonate/infant <1month: fever >100.4 (38C) may indicate bacterial and some viral infection. Strep B, Listeria, E. Coli may lead to sepsis, meningitis. Approach: chest x-ray, lumbar puncture with culture, blood culture, CBC, urinalysis.
- In young children, Hemophilus influenza type B (HIB) may lead to Epiglottitis a rare but serious complication. The current vaccine helps to reduce the number of cases of Epiglottitis and other HIB related illnesses.
- Parainfluenza or RSV virus may lead to Croup or acute Laryngotracheobronchitis.
- Epiglottitis and Croup are Dx clinically but AP and lateral soft tissue neck x-rays are very helpful
- Epiglottitis presents with a characteristic “thumb sign” that is consistent with thickened epiglottis d/t epiglottic edema. This can be a life-threatening emergency compromising airways (top left)
- Croup may show a “steeple sign” or “wine bottle sign” with distended hypopharynx as acute narrowing of subglottic airway on AP and lateral neck soft tissue x-ray (top right)
- Respiratory Syncytia Virus (RSV) and influenza may lead to viral pneumonia potentially with life-threatening complications in the immunocompromised, very young and children with comorbidities. CXR is crucial (middle left)
- Streptococcal pharyngitis with GABHS infection may lead to some acute or delayed complications (e.g. Rheumatic fever)
- Peritonsillar abscess (above middle right) may develop in some cases and be complicated by spreading along soft tissue planes in the neck potentially leading to spread into sublingual/submandibular spaces (Ludwig Angina) when airways need to be controlled d/t base of tongue edema
- Development of a retropharyngeal abscess may potentially lead to spread of the infection through freely communicating neck fascia resulting in necrotizing mediastinitis, Lemmier syndrome and invasion of carotid spaces (all are potentially life-threatening complications)
- Griesel syndrome- (above bottom left) rare complication of regional tonsillar/pharyngeal oral infections that can spread to prevertebral space leading to C1-2 ligaments laxity and instability
- Other important infections in children are typical bacterial (Pneumococcal) pneumonia, Urinary tract infection and Acute Pyelonephritis (especially in girls) and Meningococcal Meningitis
- Pediatric Metabolic Disease
- Rickets: considered osteomalacia in skeletally immature. Zone of provisional calcification of the epiphyseal growth plate is particularly affected
- Clinically presents with growth retardation, extremity bowing, rachitic rosary, pigeon chest, depressed ribs, enlarged and swollen wrists, and ankles, skull deformity
- Pathology: Vit D and calcium abnormality is the m/c cause. Lack of sun exposure esp. dark-skinned individual, restrictive clothing to light exposure, prolonged exclusive breastfeeding, veganism, malabsorption syndromes of the gut, renal damage and others
- Imaging: frayed metaphysis aka paint brush metaphysis with flaring, widening of the growth plate, bulbous costochondral junction as a rachitic rosary, extremity bowing
- Rx: treat underlying causes, correct nutritional deficit, etc.
References
Core Anatomy - Note generations of the tracheal-bronchial tree, lobes, segments, and fissures. Note secondary pulmonary lobule (1.5-2-cm)-the basic functional unit of lungs observed on HRCT. Note important structural organization of the alveolar spaces with communications in between (pores of Kohn & canals of Lambert) that permit air drift and by the same mechanism allow exudative or transudative fluid to spread through the lung and stopped at the fissure. Note the anatomy of the pleura: parietal that is a part of the endothoracic fascia and the visceral that forms a lung edge. Pleural space in between.
- Mediastinum: surrounded by the pleura and the lung. Accommodates major structures contains numerous lymph nodes (see diagramme showing mediastinal nodes and their involvement in Lymphoma
General Approach to Investigating Chest Complaints - Radiographic examination (Chest X-ray CXR); excellent 1st step. Low cost, low radiation exposure, multiple clinical complaints evaluation
- CT scanning: chest CT, High-Resolution CT (HRCT)
- Chest pathology approach:
- Trauma
- Infection
- Neoplasms
- Pulmonary edema
- Pulmonary emphysema
- Atelectasis
- Pleural pathology
- Mediastinum
PA & Lateral CXR - Additional views may be used:
- Lordotic view: helps to evaluate apical regions
- Decubitus views right and left: help to evaluate subtle pleural effusion, pneumothorax and other pathology
- Normal CXR PA & Lateral views. Ensure good exposure: T-spine discs and vessels through the heart are visualized on PA view. Count 9-10 right posterior ribs to confirm adequate inspiratory effort. Begin a thorough survey using the following approach: Are There Many Lung Lesions A-abdomen/diaphragm, T-thorax wall, M-mediastinum, L-lungs individually, Lungs-both. Develop a good search pattern
- 1) Airspace disease aka alveolar lung disease? Filling of the lung's alveoli, acini and subsequently the entire lobe with fluid or substance of any composition (blood, pus, water, proteinaceous material or even cells) Radiographically: lobar or segmental distribution, airspace nodules may be noted, tendency to coalesce, air bronchograms and silhouette sign present. Batwing (butterfly) distribution indicated as in (CHF). Rapidly changing over time, i.e., increase or decrease (days)
- 2) Interstitial disease: infiltration of pulmonary interstitium (alveoli septum, lung parenchyma, vessel walls, etc.) by for example by viruses, small bacteria, protozoans. Also infiltration by cells such as inflammatory/malignant cells (e.g., lymphocytes) Presented as an accentuation of lung interstitium with reticular, nodular, mixed reticulonodular pattern. Different etiologies: inflammatory autoimmune diseases, fibrosing lung disease, occupational lung disease, viral/mycoplasma infection, TB, sarcoidosis lymphoma/leukemia and many other.
- Recognizing different patterns of pulmonary disease can help with DDx. Mass vs. Consolidation (left). Note different patterns of pulmonary disease: airspace disease as lobar consolidation indicative of pneumonia, diffuse consolidation indicative of pulmonary edema. Atelectasis (collapse and volume loss). Interstitial patterns of pulmonary disease: reticular, nodular or mixed. SPN vs. Multiple focal consolidations (nodules) likely representing mets infiltrates vs. septic infiltrates
- A = intraparenchymal
- B = pleural
- C = extrapleura
- Recognize important location of chest lesions
- Important signs: Silhouette sign: help with localization and DDx. Example: Bottom left image: radiopacity in the right lung, where is it located? Right MM because the right heart border that is adjacent to right middle lobe is not seen (silhouetted) Air bronchograms: air containing bronchi/bronchioles surrounded by fluid
Chest Trauma - Pneumothorax (PTX): air (gas) in the pleural space. Many causes. Complications:
- Tension PTX: continuous increase of air in the pleural space that rapidly compresses mediastinum and lung rapidly reducing venous return to the heart. It can be fatal if not treated rapidly
- Spontaneous PTX: primary (young adults (30 -40) especially tall, thin men. Additional causes: Marfan’s syndrome, EDS, Homocystinuria, a - 1 -antitrypsin deficiency. Secondary: older pts with parenchymal disease: neoplasms, abscess, emphysema, lung fibrosis and honeycombing, catamenial PTX d/t endometriosis and others.
- Traumatic pneumothorax: lung laceration, blunt trauma, iatrogenic (chest tubes, etc.) acupuncture, etc.
- CXR: note visceral pleural line aka lung edge. An Absence of pulmonary tissue/vessels beyond the visceral pleural line. Subtle pneumothorax can be missed. On erect position, air rises and PTX should be sought at the top.
- Rib fractures: v.common. Traumatic or pathological (e.g., mets, MM) Rib series x - rays are not very useful because CXR and/or CT scanning are more important to evaluate posttraumatic PTX (bottom left) lung laceration and another major path
Infection - Pneumonia: bacterial vs. viral or fungal or in the immunocompromised host (e.g., Cryptococcus in HIV/AIDS) Pulmonary TB
- Pneumonia: community-acquired vs. hospital-acquired. Typical bacterial pneumonia or Lobar (non-segmental) pneumonia with purulent material filling the alveoli and spreading to the entire lobe. M/C organismStreptococcus Pneumonia or the Pneumococcus
- Others: (Staph, Pseudomonas, Klebsiella esp. in alcoholics potentially leading to necroSIS/lung gangrene) Mycoplasma (20-30s) aka walking pneumonia, etc.
- Clinically: a productive cough, fever, pleuritic chest pain sometimes hemoptysis.
- CXR: confluent airspace opacity confined to the entire lobe. Air bronchograms. Silhouette sign help with location.
- Viral: Influenza, VZV, HSV, EBV, RSV, etc. presents as interstitial lung disease that can be bilateral. May lead to respiratory compromise
- Atypical pneumonia and Fungal Pneumonia: Mycoplasma, Legionnaire's disease, and some fungal/Cryptococcus pneumonia may present with interstitial lung disease.
- Pulmonary abscess: an infectious collection of purulent material in the lungs that often necrotizes. May lead to significant pulmonary and system complications/life-threatening.
- On CXR or CT: round collection with thick borders and central necrosis containing air-fluid level. DDx from empyema that distorts the lung and pleural-based
- Rx: antibiotics, antifungal, antiviral agents.
- Pneumonia needs to be followed up with repeat CXR to ensure complete resolution
- Lack of radiographic improvement of pneumonia may represent declined immunity, antibiotic resistance, underlying lung carcinoma or other complicating factors
Pulmonary TB - Common infection worldwide (3rd world countries). 1 in 3 persons worldwide is affected by TB. TB is caused by Mycobacterium TB or Mycobacterium Bovis. Intracellular bacillus. Macrophage plays a key role.
- Primary Pulmonary TB & Post-primary TB. Requires repeated exposure through inhalation. In most immunocompetent hosts, the active infection does not develop
- TB presents as 1) cleared by the host, 2) suppressed into Latent Tuberculosis Infection (LTBI) 3) cause active disease TB. Patients with LTBI are not spreading TB.
- Imaging: CXR, HRCT. Primary TB: pulmonary airspace consolidation (60%) lower lobes, lymphadenopathy (95%- hilar & paratracheal), pleural effusion (10%). The Spread of primary TB most likely in immunocompromised and children.
- Milliary TB: pulmonary and system complication dissemination that can be fatal
- Post-primary (secondary) or reactivation infection: Mostly in the Apices and posterior segments of the upper lobes )high PO2), 40%-cavitating lesions, patchy or confluent airspace disease, fibrocalcific. Latent features: nodal calcifications.
- Dx: Acid-fast bacilli (AFB) smear and culture (sputum). HIV serology in all patients with TB and unknown HIV status
- Rx: 4-drug regimen: isoniazid, rifampin, pyrazinamide, and either ethambutol or streptomycin.
Pulmonary Neoplasms (primary lung cancer vs. pulmonary metastasis) - Lung cancer: m/c cancer in men and 6th most frequent cancer in women. Strong association with carcinogens inhalation. Clinically: late discovery, depending on the location of the tumor. Pathology (types): Small cell (SCC) vs. Non-small cell carcinoma
- Small cell: (20%) develops from neuroendocrine aka Kultchitsky cell, thus may secrete biologically active substances presenting with paraneoplastic syndrome. Typically located centrally (95%) at or near the mainstem/lobar bronchus. Most show poor prognosis and unresectable.
- Non-small cell: Lung adenocarcinoma (40%) (M/C lung cancer), M/C in women and non-smokers. Others: Squamous cell (may present with cavitating lesion), Large cell and some others
- Plain film (CXR): new or enlarged focal lesion, widened mediastinum suggestive of lymph node involvement, pleural effusion, atelectasis, and consolidation. SPN-may represents potential lung cancer. Mainly if it contains irregular borders, feeding vessels, thick wall, in upper lungs. Multiple lung nodules are likely to represent metastasis.
- Best Modality: HRCT with contrast.
- Other chest neoplasms: Lymphoma is v. common in the chest especially in mediastinal and internal mammary notes.
- Overall M/C pulmonary neoplasms are a metastasis. Some tumors show a higher predilection for lung mets, e.g., Melanoma but any cancer can metastasize to the lungs. Some mets referred as “Cannonball” metastasis
- Rx: radiation, chemotherapy, resection
- Pulmonary edema: a general term defines abnormal fluid accumulation outside vascular structures. Broadly divided into Cardiogenic (e.g., CHF, mitral regurgitation) and Non-cardiogenic with a multitude of causes (e.g., fluid overload, post-transfusion, neurological causes, ARDS, near drowning/asphyxiation, heroin overdose, and others)
- Causes: increased in Hydrostatic pressure vs. decreased in oncotic pressure.
- Imaging: CXR and CT: 2-types Interstitial and Alveolar flooding. Imaging presentation depends on stages
- In CHF: Stage 1: redistribution of vascular flow (10- 18-mm Hg) noted as “cephalization” of the pulmonary vasculature. Stage 2: Interstitial edema (18-25-mm Hg) Interstitial edema: peribronchial cuffing, Kerley lines (lymphatics filled with fluid) A, B, C lines. Stage 3: Alveolar edema: airspace disease: patchy consolidations developing into diffuse airspace disease: Batwing edema, air bronchograms
- Rx: 3 main goals: Initial O2 to keep O2 at 90% saturation
- Next: (1) reduction of pulmonary venous return (preload reduction), (2) reduction of systemic vascular resistance (afterload reduction), and (3) inotropic support. Treat underlying causes (e.g., CHF)
- Lung atelectasis: incomplete expansion of pulmonary parenchyma. The term "collapsed lung" is typically reserved for when the entire lung is totally collapsed
- 1) Resorptive (obstructive) atelectasis occurs as a result of complete obstruction of an airway (e.g., tumor, inhaled objects, etc.)
- 2) Passive (relaxation) atelectasis occurs when contact between the parietal and visceral pleura is disrupted (pleural effusion & pneumothorax)
- 3) Compressive atelectasis occurs as a result of any thoracic space-occupying lesion compressing the lung and forcing air out of the alveoli
- 4) Cicatricial atelectasis: occur as a result of scarring or fibrosis that reduces lung expansion as in granulomatous disease, necrotizing pneumonia, and radiation fibrosis
- 5) Adhesive lung atelectasis occurs from surfactant deficiency and alveolar collapse
- 6) Plate-like or discoid often developed after following general anesthesia
- 7) Imaging features: lung collapse, migration of lung fissures, deviation of the mediastinum, rising of the diaphragm, hyperinflation of adjacent unaffected lung
- Mediastinum: pathology can be divided into those that result in a focal mass or those that occur in diffuse disease involving the mediastinum. Additionally, air may track into the mediastinum in pneumomediastinum. Knowledge of mediastinal anatomy helps the Dx.
- Anterior mediastinal masses: thyroid, thymus, teratoma/germ cell tumors, lymphoma, lymphadenopathy, ascending aortic aneurysms
- Middle mediastinal masses: lymphadenopathy, vascular, bronchial lesions, etc.
- Posterior mediastinal masses: neurogenic tumours, aortic aneurysms, esophageal masses, spinal masses, aortic chain adenopathy
- Pulmonary emphysema: loss of normal elastic tissue/elastic recoil of the lung with the destruction of capillaries and alveolar septum/interstitium.
- Destruction of lung parenchyma due to chronic inflammation. Protease-mediated destruction of elastin. Air trapping/airspace enlargement, hyperinflation, pulmonary hypertension, and other changes. Clinical: progressive dyspnea, irreversible. By the time the forced expiratory volume in 1 second (FEV1 ) has fallen to 50% the patient is breathless upon minimal exertion and adapts to lifestyles.
- COPD is the third leading cause of global death. Affects 1.4% of adults in the US. M:F = 1 : 0.9. Pts 45 years and older
- Causes: Smoking and a-1-Antitrypsin deficiency (divided into centrilobular (smoking) and panacinar.
- Imaging; signs of hyperinflation, air trapping, bullae, pulmonary hypertension.
An auto accident can cause injuries and aggravated conditions anywhere along the length of the spine, although these most commonly affect the neck and the low back. Chiropractic help is safe and effective, alternative treatment that focuses on the causes of a variety of health issues, including automobile accident injuries. Patients describe the symptoms they experienced after suffering an auto accident as well as how these ultimately affected their daily physical activities. The patients demonstrate their gratitude towards Dr. Alex Jimenez, chiropractor, and his staff for providing them with the pain relief they needed for their automobile accident injuries. The patients recommend Dr. Jimenez as the non-surgical choice for whiplash-associated disorders and other problems. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
Blanca suffered from heel spurs as a result of her occupation as a registered nurse. Her painful symptoms made it challenging for her to accomplish her daily tasks, both in the workplace and in her everyday life. Due to her unbearable heel spurs, Blanca considered finding a new job until she found Dr. Alex Jimenez, doctor of chiropractic. Blanca highly recommends Dr. Alex Jimenez as the non-surgical choice for heel spurs, among other sports injuries and health issues. A heel spur is a health issue which occurs when a bony-like expansion, known as a calcium deposit, develops between the heel arch and bone of the foot. Heel spurs frequently start in front of the heels and finally affect different elements of the foot. Indicators of heel spurs can include pain, soreness, swelling, and inflammation in the front of the foot. The affected area may also feel hot to the touch. The indicators can also spread to the back of the foot. Finally, a tiny bony protrusion could be observable if left untreated. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
Head and neck injuries are health issues commonly caused by automobile accidents. Due to the force of the impact, a moderate fender bender can sometimes even jerk a victim enough to make them hit their head inside the vehicle. The brain can be very susceptible to suffering damage after an auto accident, leading to neurological issues with lasting effects. Nerve damage is a prevalent consequence after a car crash, and it can cause debilitating symptoms, such as pain, headaches, and mental health issues, among others, ultimately making it difficult for anyone to go about their everyday activities. When it comes to nerve damage, the most common types of automobile accident injuries include: - Whiplash, an intense jerking motion of the head and neck which can cause the nerves to stretch or be pinched;
- Blunt-force trauma, hitting your head, arms, or legs on a hard surface inside or outside the vehicle, compressing the nerves; and
- Lacerations, deep cuts into the skin sustained during an automobile accident that can sever the nerves in the affected region.
Several signs and symptoms can help indicate when nerves are damaged. These include pain; partial or full paralysis of limbs and appendages like fingers and/or toes; muscular fatigue; twitching or uncontrolled movements of muscles; a prickling sensation; tingling or numbness on the skin or in limbs; or increased sensitivity to cold and hot temperatures on the surface. Below, we will discuss the effects of nerve damage after an auto accident.
Approximately a couple of years ago, Denise was the victim of a car accident that led to upper body problems, such as shoulder pain. As a result of her debilitating symptoms, Denise was not able to participate in her routine physical actions. While she continued to encounter issues with her automobile accident injuries, she made a decision to look for chiropractic shoulder pain therapy with Dr. Alex Jimenez. Since her very first treatment session, Denise noticed enormous modifications to her symptoms and she was once more able to go back to her original routines ahead of the episode. Denise positively advocates Dr. Alex Jimenez because he's the best the non-invasive pick for shoulder pain therapy since locating relief. Upper body problems, such as shoulder pain, are a few of the most frequent causes of physician visits. The shoulder is the most mobile joint in the human body, though, because of its increased range of movement, it's also a very unstable joint. This can raise the risk of joint injury, frequently resulting in the degeneration of these soft tissues surrounding the backbone. Shoulder pain may be categorized as localized, along with other health problems causing shoulder pain. The force in the effect of a crash, including an auto accident or a sports accident, is a popular trigger for shoulder problems. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
Gale Grijalva suffered from severe back pain as a result of an automobile accident injury. Where it was once very difficult to go about her regular daily tasks, Gale Grijalva is now able to participate in physical activities she wasn't able to engage in before thanks to Dr. Alex Jimenez, chiropractor in El Paso, TX. Gale Grijalva describes how patient Dr. Jimenez is and she discusses how thoroughly he's been able to help her, including answering any concerns she may have. Gale Grijalva also experienced results through rehabilitation. Severe chronic back pain is a serious, recurring condition which affects a person's everyday life. Back pain lasting over three months is considered chronic. The spine is an essential component of the body. Severe chronic back pain might be the backbone's manner of telling the body that there is an issue. The spine is composed of bony vertebrae, soft spinal discs, facet joints, tendons, ligaments and tendons. Within the bony vertebral artery lies the spinal cord, the delicate but effective nerve pathway of the central nervous system. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
Terry Peoples, relies on her ability to perform her day to day tasks on a regular basis as a beauty adviser in El Paso, TX. However, when she endured a car incident injury, she had no choice but to rely upon others to execute her daily pursuits. That is when Terry Peoples obtained a recommendation to seek chiropractic treatment with Dr. Alex Jimenez. Terry Peoples makes sure to visit Dr. Alex Jimenez's office as necessary, feeling better and refreshed each time. In accordance with the National Highway Traffic Safety Administration (NHTSA), more than three million people are injured each year in car accidents across the country. The several injuries brought on by an auto accident can be as varied as the individual requirements of each episode, but some automobile accidents are more prevalent than the others. The indicators of some automobile collisions may resolve by themselves, but most accidents and/or conditions caused by the effect of a vehicle crash might call for immediate medical care, such as chiropractic treatment, to ultimately help improve the symptoms. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
Jesus Rabelo makes a living as an 18 wheeler truck driver at El Paso, TX. After being involved in a crash, Mr. Rabelo sufferered from back and shoulder pain that influenced his private life and function, forcing him to need to start all over again. In reference to a highly appreciated recommendation, Jesus Rabelo found Dr. Alex Jimenez, chiropractor in El Paso, TX. Mr. Rabelo describes receiving outstanding service from the team and he highly recommends Dr. Alex Jimenez himself. In 2013, 54 million individuals sustained injuries from traffic crashes. This led in 1.4 million deaths in 2013, up from 1.1 million deaths in 1990. Automobile accidents can be grouped into various kinds, such as head-on, rear-end, side accidents, and rollovers. Psychological issues may happen because of auto accidents. A variety of injuries and ailments could result in the blunt force injury brought on by a crash, such as whiplash and back pain, among others. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
Chiropractor 79936: Truide Torres, office manager at Injury Medical Clinic, discusses several common questions regarding what type of insurance Dr. Alex Jimenez's chiropractic care office accepts, what is the process that the staff must go through when patients are involved in an automobile accident or a work accident. Finally, Truide Torres describes what is the best route to take if the patient's personal insurance is able to cover the damages and injuries to the individual. Truide Torres encourages patients to contact Dr. Alex Jimenez's chiropractic office to discuss any matter involving their insurance and she recommends Dr. Jimenez as the non-surgical choice for neck and back pain.. It is important to comprehend the expenses involved in chiropractic care, exactly what your insurance policy covers, and also what your fiscal responsibilities may be. Insurance coverage for chiropractic care may depend on a variety of factors. Most plans cover the cost of chiropractic care for severe (short-term) conditions. But many patients frequently have a co-pay in the time of the visit. When longer-term care is required for conditions that are chronic, severe, or occur together with another health problem, make sure you talk to your insurance company to find out your benefits. Overall prices for patients receiving treatment for back pain have been reported lower for people who receive treatment from a chiropractor. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us. Thank You & God Bless. Dr. Alex Jimenez DC, C.C.S.T Facebook Clinical Page: https://www.facebook.com/dralexjimenez/ Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/ Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/ Information: LinkedIn: https://www.linkedin.com/in/dralexjimenez Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Rehabilitation Center: https://www.pushasrx.com Fitness & Nutrition: http://www.push4fitness.com/team/ Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor
Injured: In 2014, there were 2.8 million occupational injuries. This crossed all industries, but 75 percent were in those that provided a service. These injuries can lead to time lost at work, decrease in production, depression, and temporary (or permanent) disability. These injuries can be caused by slip and fall, vehicle collisions, electrocution, struck by hazards, and caught in or between accidents. However, work related injury can also be caused by sitting at a desk or hunched over a computer for extended periods of time. Chiropractic has been shown to help workers who have been injured on the job, so they can return to work faster. Injured Common Occupational Injuries Occupational injuries are vast and varied with a host of causes and many different symptoms. They can range from minor annoyances to significant damage that can lead to temporary or permanent disability. Some may require surgery while others require extended physical therapy, braces, and intensive medical treatments. - Thoracic outlet syndrome – This injury is caused by flexing the shoulder, carrying loads on your shoulders, and extending your arms above shoulder height for a prolonged period of time. It is marked by swelling, pain, dull ache, weakness, or a burning sensation in the affected area.
- Elbow tendonitis (Epicondylitis) – This injury is caused by forceful or repeated forearm rotation while simultaneously bending the wrist. It is marked by swelling, dull ache, pain, burning, and weakness in the affected area.
- Carpal tunnel syndrome – This injury can be caused by several things including vibratory tools, repetitive motion, and secondary factors. It is marked by numbness, pain, tingling, wasting of muscles at the thumb base, and burning.
- DeQuervain’s disease – This injury is caused by forceful gripping and repetitive hand twisting. It is marked by pain at the thumb base.
- Tendonitis/tenosynovitis – This injury is caused by sustained hyperextension of the knee, repetitive motion, and prolonged load overuse. It is marked by numbness, pain, and swelling in the hands.
- Back and neck pain – This injury can have a wide variety of causes from repetitive motion to accident to improper equipment. It is the most common work related injury.
Preventing Workplace Injuries While a few work related injuries are unavoidable, many can be prevented with a little extra attention and care. The American Chiropractic Association recommends the following practices to reduce the risk of a workplace injury. - Get regular exercise. This helps prevent back injuries by keeping your body strong, fit, and flexible.
- If you do desk work, get a chair that fits you. This means that there should be two inches between the backs of your knees and the front edge of the seat. Your knees should be level with your hips or slightly below, never higher.
- When doing computer work, use a foot rest for support and keep your knees between a 90 degree and 120-degree angle.
- If your job requires you to sit for extended periods of time, take breaks at least every two hours to walk and stretch.
- When you lift something heavy or awkward, don’t bend over to do it. Bend at your knees and hips, squatting as you pick up the object and let your legs do the work and keeping the object close to your body while your back remains straight. Do not let your body twist while you are trying to lift.
Of course, you should also follow all recommended and required safety guidelines for your workstation and place of employment. Chiropractic For Workplace Injuries Chiropractic care can help speed your recovery, improve your posture, and restore your mobility and strength. Through various chiropractic techniques, many of the occupational injuries listed here can be effectively treated. Chiropractic is a proven method for managing pain for the back and neck, but it has also been proven to be very beneficial for conditions like carpal tunnel, elbow tendonitis, and knee injuries. Chiropractic’s whole body approach helps injured workers not only manage their pain and help heal their injury through adjustments, it can also help with soft tissue rehabilitation and other noninvasive therapies that improve range of motion. In short, chiropractic can help workers get back to work faster so less time is lost from work and the financial impact is greatly decreased.
Whiplash Injuries: If you have ever had to deal with the pain of whiplash you know how it can impact every aspect of your life. Daily tasks can be painful or even impossible to carry out. Even milder cases can make it difficult to turn your head from side to side. Whiplash can cause chronic pain and keep you from doing many of the activities that you enjoy. Chiropractic is a very effective treatment for whiplash injuries that not only helps with pain management; it also helps you heal faster. Your chiropractor can recommend exercises you can do at home between treatments and other lifestyle changes that will facilitate your healing and improve flexibility. Whiplash Injuries What Is Whiplash? Whiplash is a term that describes an injury that is typically focused in the neck and spine. It is caused when the head and neck is thrown in one direction very unexpectedly and quickly, then is thrust in the opposite direction. The head is whipped quickly, usually front to back. It can be whipped from side to side though. Most people associate whiplash with car accidents, but even just turning one way while a child tugs your arm in another direction can cause it. Anything that jerks your head suddenly has the possibility to cause whiplash. What Damage Does Whiplash Cause? The damage that is caused by whiplash is called a vertebral subluxation. It is the most common source of discomfort and pain that is caused by injuries due to whiplash. There are different kinds, caused by tension and emotional stress, poor sleeping positions, bad posture, weak muscles, and inadequate diet. This type of subluxation is caused by injury and a chiropractor can diagnose the injury and treat it. The injury from whiplash is in the neck and spine, but the pain can extend to the head, arms, shoulders, hips, and legs. You can experience frequent headaches, numbness and tingling in your hands, and have difficulty walking or moving about. The pain can range from stiffness and soreness to stabbing and sharp. The injury can affect various nerves, causing blurred vision, dizziness, low back pain, ear ringing, and even problems with your internal organs. Chiropractic Treatment For Whiplash Chiropractors will use different techniques to relieve the pain of whiplash and help with healing. - Chiropractic Adjustment – The chiropractor performs spinal manipulation to gently move the joints into alignment. This will help to align the body to relieve pain and encourage healing.
- Muscle Stimulation and Relaxation – This involves stretches the muscles that are affected, relieving tension and helping them to relax. Finger pressure techniques may also be combined with the stretching to relieve pain.
- McKenzie Exercises – These exercises help with disc derangement that whiplash causes. They are first performed in the chiropractor’s office, but the patient can be taught how to do them at home. This helps the patient have some degree of control in their own healing.
Each whiplash case is different. A chiropractor will evaluate the patient and determine the appropriate treatment on a case by case basis. Different cases of whiplash have different symptoms. The chiropractor will determine the best course of treatment that will relieve your pain and restore your mobility and flexibility. Any accident that causes whiplash injuries can result in the vertebrae moving out of alignment. This can damage and irritate the spinal nerves. Even whiplash from years ago can still affect you if you never saw a chiropractor. Your spine can still be out of alignment and injury or trauma from years ago can cause problems that seem unrelated. Whiplash can be far more serious than you may realize.
Sandra Rubio talks about personal injury rehabilitation, including stretches and exercises, which are provided by Dr. Alex Jimenez and his staff, aside from chiropractic care. Dr. Jimenez offers the services of personal trainers and physical therapists to help improve the patient's strength, mobility and flexibility to prevent further injury, as well as, to help speed up the patient's recovery process. Physical therapy (PT), also known as physiotherapy, is one of the allied health professions which, by utilizing mechanical force and motions (bio-mechanics or kinesiology), manual therapy, exercise therapy, and electrotherapy, helps treat injuries and conditions by promoting proper function. Physical therapy is used to improve a patient's quality of life through examination, diagnosis, prediction and physical intervention. It's generally performed by physical therapists (called physiotherapists in several nations). A personal injury doctor or chiropractor is an effective, alternative treatment option for a variety of injuries surrounding the spine. When an individual has suffered an injury as a result of an auto accident, work accident or home accident a personal injury doctor can positively influence the proper progress of their rehabilitation, helping the individual obtain the fair compensation they need and deserve for their injuries. An experienced and well-trained personal injury doctor can provide quality treatment as well as support patients throughout their injury claim procedures. We want you to live a life that is fulfilled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life. I have made a life of taking care of each and every one of my patients. I assure you, I will only accept the best for you… God Bless You & Your Health
If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us.
Thank You & God Bless. Dr. Alex Jimenez DC, C.C.S.T Facebook Clinical Page: https://www.facebook.com/dralexjimenez/ Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/ Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/
Information:
LinkedIn: https://www.linkedin.com/in/dralexjimenez Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Rehabilitation Center: https://www.pushasrx.com Fitness & Nutrition: http://www.push4fitness.com/team/ Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor
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Gale Grijalva was a victim of an automobile accident. As a result, she began to experience severe back pain symptoms which tremendously affected her ability to perform her everyday physical activities. Gale Grijalva describes the circumstances that lead to the auto accident as well as how her specific symptoms began to manifest after the incident. Gale Grijalva visited Dr. Alex Jimenez, chiropractor, to receive chiropractic care for her automobile accident injuries and she was grateful to receive the pain relief she deserved. Chiropractic care is a safe and effective, alternative treatment option which focuses on the diagnosis, treatment, and prevention of a variety of injuries and/or conditions, including auto accident injuries. Gale Grijalva highly recommends Dr. Alex Jimenez as the non-surgical choice for automobile accident injuries and whiplash, among other problems.
We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. We want you to live a life that is fulfilled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life. I have made a life of taking care of every one of my patients. I assure you, I will only accept the best for you… If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
Head Trauma: Skull Fractures - SKULL FX: COMMON IN THE SETTINGS OF HEAD INJURIES. SKULL FX OFTEN POINT TO OTHER COMPLICATING FACTORS: INTRA-CRANIALHEMORRHAGING, CLOSED TRAUMATIC BRAIN INJURY AND OTHER SERIOUS COMPLICATIONS
- SKULL X-RAYS ARE VIRTUALLY OBSOLETE IN EVALUATING HEAD INJURY. CT SCANNING W/O CONTRAST IS THE MOST IMPORTANT INITIAL STEP IN EVALUATION OF ACUTE HEAD TRAUMA. MRI HASA POOR ABILITY TO REVEAL SKULL FRACTURES, AND NOT TYPICALLY USED FOR AN INITIAL DX OF ACUTE HEAD TRAUMA.
- SKULL FX ARE IDENTIFIED AS FXS OF SKULL VAULT, SKULL BASE AND FACIAL SKELETON EACH ASSOCIATED WITH SPECIFIC FEATURES AND HELP TO PREDICT COMPLICATIONS.
- LINEAR SKULL FX: SKULL VAULT. M/C FX. CT SCANNING IS THE KEY TO EVALUATE ARTERIALEXTRADURAL HEMORRHAGING
- X-RAY DDX: SUTURES VS. LINEAR SKULL FX. FX IS THINNER, “BLACKER” I.E. MORE LUCENT, CROSSESSUTURES, AND VASCULAR GROOVES, LACKSSERRATIONS
- RX: IF NO INTRACRANIAL BLEEDS THAT NO TREATMENT. NEUROSURGICAL CARE IF BLEEDSDETECTED BY CT SCANNING
- DEPRESSED SKULL FX: 75% IN THE VAULT. CAN BE DEADLY. CONSIDERED AN OPEN FX. MOST CASES NEED NEUROSURGICALEXPLORATION ESPECIALLY IFFRAGMENTS DEPRESSED >1-CM.COMPLICATIONS: VASCULAR INJURY/HEMATOMAS, PNEUMOCEPHALUS, MENINGITIS, TBI, CSF LEAK, BRAIN HERNIATION ETC.
- IMAGING: CT SCANNING W/O CONTRAST
- BASILAR SKULL FX: CAN BE DEADLY. OFTEN ALONG OTHER MAJOR HEAD TRAUMA OF THE VAULT AND FACIALSKELETON, OFTEN WITH TBI AND MAJORINTRACRANIAL HEMORRHAGING. OFTEN OCCUR AS “HEADBAND” EFFECT OF IMPACT AND MECHANICAL TENSIONTHROUGH THE OCCIPUT AND TEMPORAL BONES THROUGH SPHENOID AND OTHER BASE OF SKULL BONES. CLINICALLY: RACCOON EYES, BATTEL SIGN, CSFRHINO/OTORRHEA.
Facial Fractures - NASAL BONES FX: 45% OF ALLFACEFXM/C IMPACT IS LATERAL(FIST BLOW ETC.) IF UNDISPLACEDNO TREATMENT, IF DISPLACED MAY COMPLICATE AIR FLOW AND RESPIRATORY PASSAGE, MAY BE ASSOCIATED WITH OTHER FACIAL/SKULL INJURY. X-RAYS 80%SENSITIVE, FOLLOWED BY CT INCOMPLEX INJURIES.
- ORBITAL BLOW OUT FX: COMMONORBITAL INJURY D/T IMPACT ON THE GLOBE AND/OR ORBITAL BONE. FX OF ORBITAL FLOOR INTOMAXILLARY SINUS VS. MEDIAL WALL INTO ETHMOID SINUS. COMPLICATIONS: ENTRAPPEDINFERIOR RECTUS M, PROLAPSEORBITAL FAT, AND SOFT TISSUES, HEMORRHAGING AND OPTIC NERVE DAMAGE. RX: CONCERNS OF GLOBE INJURY ARE IMPORTANT, GENERALLY TREATEDCONSERVATIVELY IF NO COMPLICATIONS PRESENT
- TRIPOD FX: 2ND M/C FACIAL FX#AFTER NASAL (40% OF MIDFACEFX) 3-POINT FX-ZYGOMATICARCH, ORBITAL PROCESS OF ZYGOMATIC BONE & SIDE OF MAXILLARY SINUS WALL, MAXILLARY PROCESS OF ZYGOMATIC BONE.COMPLICATED BY NERVE INJURY, TEMPORALIS M DAMAGE ETC. CT SCANNING IS MORE INFORMATIVE THAT X-RAYS (WATER’S VIEW).
- LEFORT FX: SERIOUS FX ALWAYS INVOLVES PTERYGOID PLATES, POTENTIALLY SEPARATINGMIDFACE AND ALVEOLAR PROCESS WITH TEETH FROM THE SKULL. CONCERNS: AIRWAYS, HEMOSTASIS, NERVE INJURIES. CT SCANNING IS REQUIRED. POTENTIAL RISK OF BASILAR SKULL FX
- PING-PONG FX: EXCLUSIVELY IN INFANTS. AN INCOMPLETE FX D/T FOCALDEPRESSION: FORCEPS DELIVERY, DIFFICULT LABOUR ETC. FOCALTRABECULAR MICROFRACTURIINGLEAVING DEPRESSION RESEMBLING APING-PONG. DX IS MAINLY CLINICALSEEN AS FOCAL DEFECT “DEPRESSION” IN THE SKULL. TYPICALLYNEUROLOGICALLY INTACT. CT MAY HELP IF BRAIN INJURY IS SUSPECTED. RX: OBSERVATIONAL VS. SURGICAL IN COMPLICATED INJURIES. SPONTANEOUSREMODELING HAS BEEN REPORTED
- LEPTOMENINGEAL CYST (GROWING SKULL FX)- ARE AN ENLARGING SKULL FRACTURE THAT DEVELOPS ADJACENT TO POSTTRAUMATIC ENCEPHALOMALACIA
- IT IS NOT A CYST, BUT AN EXTENSION OF THEENCEPHALOMALACIA THAT SEEN A FEW MONTHS POST-TRAUMA WITH PREVIOUS SKULL FX FOLLOWEDBY HERNIATION OF THE MENINGES AND ADJACENTBRAIN WITH PULSATIONS OF THE CSF. CT IS BEST ATDX THIS PATHOLOGY. INDICATES: GROWING FX AND ADJACENT ENCEPHALOMALACIA AS FOCALHYPOATTENUATING LESION.
- CLINICALLY: PALPABLE CALVARIAL ENLARGEMENT, PAIN, NEUROLOGICAL SIGNS/SEIZURES. RX: NEUROSURGICAL CONSULT IS REQUIRED
- DDX: INFILTRATING CELLS/METS/OTHER NEOPLASMSINTO SUTURES, EG, INFECTION ETC.
- MANDIBULAR FXS: COMMON. POTENTIALLYCONSIDERED AN OPEN FX D/T INTRA-ORALEXTENSION. 40% FOCAL BREAK DESPITEMANDIBLE BEING A RING. DIRECT IMPACT(ASSAULT) M/C MECHANISM
- PATHOLOGICAL FX D/T BONE NEOPLASMS, INFECTION ETC. IATROGENIC DURING ORAL SURGERY (TOOTH EXTRACTION)
- IMAGING: MANDIBLE X-RAYS, PANOREX, CT SCANNING ESP. IN CASES OF ASSOCIATEDFACE/HEAD TRAUMA
- COMPLICATIONS: AIRWAY OBSTRUCTION, HEMOSTASIS IS A MAJOR CONSIDERATION, DAMAGE TO MANDIBULAR N, OSTEOMYELITIS/CELLULITIS AND POTENTIAL SPREAD THROUGH FLOOR OF THE MOUTH (LUDWIGANGINA) AND NECK FASCIAL SOFT TISSUES INTOMEDIASTINUM. CANNOT BE NEGLECTED D/T HIGH MORTALITY RATES.
- RX: CONSERVATIVE VS. OPERATIVE
Acute Intracranial Hemorrhage - EPI AKA EXTRADURAL: (EDH) TRAUMATIC RAPTURE OF MENINGEAL ARTERIES (MMA CLASSIC) WITH RAPIDLY FORMING HEMATOMA BETWEEN THE INNER SKULL AND OUTER DURA. CT SCANNING IS THE KEY TO DX: PRESENTS AS “LENTIFORM” I.E. BICONVEX COLLECTION OF ACUTE (HYPERDENSE) BLOOD THAT DOES NOT CROSSSUTURES AND HELPS WITH DDX OF A SUBDURAL HEMATOMA. CLINICALLY: HA, LUCID EPISODE INITIALLY AND DETERIORATING IN A FEW HOURS.COMPLICATIONS: BRAIN HERNIATION, CN PALSY. O/A GOOD PROGNOSIS IF QUICKLY EVACUATED.
- SUBDURAL HEMATOMA (SDH): RAPTURE OF BRIDGINGVEINS BETWEEN INNER DURA AND THE ARACHNOID.SLOW BUT PROGRESSIVE BLEED. MAY PARTICULARLYAFFECT THE VERY YOUNG AND ELDERLY AND IN ALL AGES (MVA, FALLS ETC.) MAY DEVELOP IN “SHAKEN BABY SYNDROME”. DX MAY BE DELAYED AND WORSEN THE PROGNOSIS WITH HIGH FATALITIES. IN ELDERLY HEAD TRAUMA MAY BE MINOR OR NOT RECALLED. EARLYIMAGING WITH CT IS CRUCIAL. PRESENTS AS CRESCENTSHAPEDCOLLECTION THAT CAN CROSS SUTURES BUT STOPPED AT DURAL REFLECTIONS. DIFFERENTATTENUATION ON CT D/T DIFFERENT STAGES OF BLOODDECOMPOSITION: ACUTE, SUBACUTE, AND CHRONIC.MAY FORM A CHRONIC COLLECTION-CYSTICHYGROMA. CLINICALLY: VARIABLE PRESENTATION, 45-60% PRESENT WITH SEVERELY DEPRESSED CNS STATUS, PUPILLARY INEQUALITY. OFTEN WITH INITIAL BRAIN CONTUSION, THEN A LUCID EPISODE BEFORE SEVERELYDETERIORATING. IN 30% CASES OF FATAL BRAIN INJURY PATIENTS HAD SDH. RX: URGENT NEUROSURGICAL.
- SUBARACHNOID HEMORRHAGE (SAH): BLOOD IN THE SUB-ARACHNOID SPACE AS THE RESULT OF TRAUMATIC OR NON-TRAUMATIC ETIOLOGY: BERRY ANEURYSMS AROUND CIRCLE OF WILLIS.SAH 3% OF STROKES, 5% OF FETAL STROKES.CLINICALLY: PRESENTS AS A “THUNDERCLAP HEADACHE” DESCRIBED AS A “WORST HA INLIFE”. PT COLLAPSES MAY OR MAY NOT REGAIN CONSCIOUSNESS. PATHOGY: DIFFUSE BLOOD INSA SPACE 1)SUPRASELLAR CISTERN WITH DIFFUSE PERIPHERAL EXTENSION, 2) PERIMESENCEPHALIC, 3) BASAL CISTERNS. BLOOD LEAKED INTO SA SPACE UNDERARTERIAL PRESSURE INDUCES GLOBAL INCREASE IN INTRACRANIAL PRESSURE, ACUTE GLOBAL ISCHEMIA WORSENED BY VASOSPASM AND OTHER CHANGES.
- DX: IMAGING: URGENT CT SCANNING W/O CONTRAST, CT ANGIOGRAPHY MAY HELP TO RULE OUT 99% OF SAH. LUMBAR PUNCTUREMAY HELP IN DELAYED PRESENTATION. AFTER INITIAL DX: MR ANGIOGRAPHY HELPS TO FIND THE CAUSE AND OTHER IMPORTANT FEATURES
- IMAGING FEATURES: ACUTE BLOOD IS HYPERDENSE ON CT. FOUND IN DIFFERENTCYSTERNS: PERIMESENCEPHALIC, SUPRASELLA, BASAL, VENTRICLES,
- RX: INTRAVENOUS ANTIHYPERTENSIVE MEDS, OSMOTIC AGENTS (MANNITOL) TO DECREASEICP. NEUROSURGICAL CLIPPING AND OTHER APPROACHES.
CNS Neoplasms: Benign vs. Malignant - BRAIN TUMORS REPRESENT 2% OF ALL CANCERS. ONE THIRD ARE MALIGNANT, OF WHICH METASTATIC BRAIN LESIONS ARE THE MOST COMMON
- CLINICALLY PRESENT WITH LOCAL CNS ABNORMALITIES, INCREASED ICP, INTRACEREBRAL BLEEDING ETC. FAMILIALSYNDROMES: VON-HIPPEL-LANDAU, TUBEROUS SCLEROSIS, TURCOT SYNDROME, NF1 & NF2 INCREASE THE RISK. IN CHILDREN: M/C ASTROCYTOMAS, EPENDYMOMAS, PNETNEOPLASMS (E.G. MEDULLOBLASTOMA) ETC. DX: BASED ON WHO CLASSIFICATION.
- ADULTS: M/C BENIGN NEOPLASM: MENINGIOMA. M/C PRIMARY: GLIOBLASTOMA MULTIFORME (GBM)METSESPECIALLY FROM LUNG, MELANOMA, AND BREAST.OTHERS: CNS LYMPHOMA
- IMAGING IS CRUCIAL: INITIAL SYMPTOMS MAY PRESENT AS SEIZURE, ICP SIGNS HA. EVALUATED BY CT AND MRI WITH IV GADOLINIUM.
- IMAGING DETERMINES: INTRA-AXIAL VS. EXTRA-AXIALNEOPLASMS. METS FROM PRIMARY BRAIN NEOPLASMS MAYO CCUR VIA CSF AND LOCAL VESSELS INVASION
- NOTE AXIAL CT SLICE OF MENINGIOMA WITH AVIDCONTRAST ENHANCEMENT.
- AXIAL MRI ON FLAIR PULSE SEQUENCE REVEALED EXTENSIVE NEOPLASM AND MARKED CYTOTOXIC EDEMA OF THE BRAIN PARENCHYMA CHARACTERISTIC OF GRADE IV GLIOMA (GBM) WITH VERY POOR PROGNOSIS. ABOVE FAR RIGHT IMAGE: AXIAL MRI FLAIR: BRAIN METASTASIS FROM BREAST CANCER. MELANOMA IS COMMONLY METASTASIZESTO THE BRAIN (SEE PATH SPECIMEN) MRI CAN BE DIAGNOSTIC D/T HIGH SIGNAL ON T1 AND CONTRAST ENHANCEMENT.
- RX: NEUROSURGICAL, RADIATION, CHEMOTHERAPY, IMMUNOTHERAPY TECHNIQUES ARE EMERGING
Inflammatory CNS Pathology CNS Infections - BACTERIAL
- MYCOBACTERIAL
- FUNGAL
- VIRAL
- PARASITIC
Automobile accidents are a common cause of injuries and/or aggravated conditions, such as neck pain and back pain which can affect the victim's daily physical activities. Patients describe how their symptoms ultimately changed their quality of life. Dr. Alex Jimenez is a chiropractor who focuses on a variety of injuries and/or underlying conditions, including automobile accident injuries. Satisfied with the treatment and services they've received for their health issues, many patients highly recommend Dr. Alex Jimenez as the non-surgical choice for automobile accident injuries, among other health issues. Chiropractic care is a safe and effective alternative treatment option. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
When dealing with a sports injury or a similar type of injury, many people are familiar with the R.I.C.E. protocol for injury care. R.I.C.E. stands for Rest, Ice, Compression, and Elevation and has long been used when treating everything from sprained ankles to banged up knees. With acute injury patients, experts recommend adding “P” for protection because of the protection of the area is absolutely vital in the healing process. It is crucial that this is implemented as soon after the injury as possible and it should be maintained for anywhere from 24 hours to 72 hours afterward. Of course, this depends on the severity of the injury. P is for Protection: Injuries hurt and pain can be a good thing because it prevents you from further injuring that area. It encourages you to protect it. It is essential to listen to your body and protect the injured area through full or partial immobilization and restricted use. The way you do this depends on the body part. An arm or shoulder injury can be protected with the use of a sling. An ankle injury may require a brace or splint, and you may have to avoid or limit weight bearing for a while. This means using crutches a walker, or a cane. R is for Rest: The body needs rest to heal. This could mean complete rest, but in many cases, it means what is known as “relative rest.” This means that it allows for enough rest to heal but is not entirely restrictive which could slow or inhibit recovery. This means avoiding activities that are stressful to the area to the point that they cause pain or that they might compromise healing. Many times, though, some movement is a good thing, even beneficial. Some gentle movements can actually speed recovery. Isometric contractions of the muscles and joints that surround the injury and even some range of motion exercises can help. The key is to keep the movements gentle and to listen to your body for guidance on how much and how far to push. I is for Ice: Cryotherapy or cold treatments can come in the form of actual ice, or there can be other types such as a cold soak. When treating acute injuries at home, the best known, and probably the easiest way is to put some crushed ice in a freezer bag with a zip lock closure and wrap it in a small towel to keep the pack from directly touching the skin. Frozen vegetables, like green beans, peas, or edamame work well too – just remember to use the towel as a barrier between the skin and the pack. You should not use the pack more than 10 to 15 minutes at a time. The recommended cycle is 10 to 15 minutes on and 1 to 2 hours off. In some cases, you may not be able to apply ice directly to the site. In those cases, you can use the pack at the joint above the affected area. For instance, a tightly wrapped ankle can still benefit from ice, you just apply the ice pack to the back on the knee on the same leg. C is for Compression: A compression wrap can offer mild support and reduce swelling. Typically, an elastic bandage is used to compress or apply pressure to the injured tissue. When applying a compression bandage, start it several inches below the area that is injured. It should be applied directly to your skin. Use some tension as you wrap, but not to the point that it cuts off circulation (characterized by tingling or numbness and the soft tissue should not change color). Wrap the bandage in a figure eight configuration or spiral, depending on the area, stopping a few inches above the injury. E is for Elevation: When an injured joint or extremity is not elevated, fluid can pool in the area and swelling can occur. This can lead to increased pain and limited range of motion. Elevation helps prevent these things from happening and can even help to speed up recovery. The key to elevation is positioning the injured area at a level that is above the heart. The most effective way to accomplish this is to keep the area elevated as much as possible while awake and prop it up with pillows while sleeping for at least the first 24 to 48 hours. Some injuries may require more time though, so listen to your body.
You are sitting in your car, stopped at a traffic light. Suddenly, a vehicle traveling at low-speed rear-ends your car. The impact isn’t hard although it is unexpected. You take a look at your car and see that there is minor damage, or no damage at all, to either vehicle. The bumpers absorbed the bulk of the energy from the crash, so they protected the car. You feel a little pain in your neck, and upper back, perhaps a little dizzy or you have a headache, but you shrug it off, reasoning that it is from the unexpected jolt. After all, they didn’t hit you that hard. You exchange information with the other driver and go on your way. The next morning is a different story. Your neck is painful and stiff. You have pain in your shoulders and back as well. A visit to the doctor reveals a diagnosis of whiplash. Is Whiplash Real? Some people will tell you that whiplash is a made-up injury that people use to get more money in a settlement stemming from an accident. They do not believe it is possible in a low-speed rear-end accident and see it as a legitimate injury claim, mainly because there are no visible marks. Some insurance experts claim that about a third of whiplash cases are fraudulent, but that leaves two-thirds of the cases legitimate. There is also a great deal of research that supports the claim that low-speed accidents can indeed cause whiplash – and it is very, very real. Some patients suffer from the pain and immobility the rest of their lives. The Mechanics of Whiplash When a person is sitting in their vehicle, they are usually upright with their head directly over their shoulders, and the neck as the support. The key to whiplash is that it is unexpected. The vehicle gets struck, the torso of the person in the first car gets thrust forward. However, the head does not immediately follow but instead falls backward, behind the body for a split second. In this position, the neck is hyperextended for the first time (to the rear). As the torso snaps back against the back of the seat, the person’s head falls forward but is quickly yanked back as it follows the movement of the chest – then passes it. The second time the neck is hyperextended (to the front). The effects of this movement that lasts only a few seconds can cause debilitating pain and immobility. It gets compounded when the headrests are set too far back and are too low so that they do not provide adequate support. What To Do If You Are In A Low-Speed Rear End Collision If you are in an accident, especially if you get rear-ended, and experience whiplash, see a doctor that day – even if you don’t feel much pain. The sooner you get into a doctor, the sooner you can begin treatment should a problem develop. Often, people with whiplash don’t experience any effects until a day, or even two, later. The key is to stay ahead of the pain and take measures sooner rather than later to relieve it and keep it at bay. It also provides documentation should other issues arise, and you need the information for legal purposes. Seeing your chiropractor soon after your accident can help you heal faster and manage your pain more effectively. With techniques like gentle manipulation and deep tissue massage, your neck can begin to improve almost immediately. Then you can get back to life a lot faster.
Denise was unfortunately involved in an automobile accident that resulted in lower back pain. When she realized that she could not sit or sleep for lengthy periods of time without having debilitating symptoms, Denise discovered chiropractic care with Dr. Alex Jimenez at El Paso, TX. After she received therapy for her automobile accident injuries, Denise experienced relief from her symptoms and she managed to participate in her regular activities once more. As a result of the education and maintenance Dr. Alex Jimenez supplied, Denise recovered her initial health and overall wellness. Back pain is one of the most common health issues today, with approximately nine out of ten adults undergoing it at any time in their lifetime, where about five working adults will develop it annually. Some quote that about 95 percent of Americans will experience back pain at some point in their lifetime. It is undoubtedly the typical cause of chronic pain, since it's also a substantial contributor of missed work and handicap. In the USA alone, severe cases of lower back pain would be the fifth most frequent reason for doctor visits and triggers 40 percent of missed days off work. What's more, according to statistics, back pain is the only top cause of disability worldwide. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
Due to his significant craftsmanship in San Antonio, TX, Ottis Hamlet must largely rely on the use of his best tools: his hands. Unfortunately, Mr. Hamlet developed debilitating symptoms in both of his arms because of carpal tunnel syndrome, which dramatically impacted his capacity to participate in his occupation and therefore affecting his quality of life as a result. Ottis Hamlet was able to find relief for his hand and wrist pain with Dr. Alex Jimenez through a trip to El Paso, TX and he received chiropractic treatment for his carpal tunnel syndrome, preventing the need to undergo any surgical interventions. Carpal tunnel syndrome is a medical condition resulting from the compression of the nerve that travels via the wrist and in the lymph nodes. Typical symptoms include pain, tingling sensations and numbness, at the thumb, index finger, middle finger, and the thumb side of this ring fingers. Symptoms normally begin gradually and may continue throughout the day. Symptoms may stretch throughout the arm and also diminished grip power may also happen. Carpal tunnel syndrome may be diagnosed according to its symptoms. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and recommend us. Recommend: Dr. Alex Jimenez – Chiropractor Health Grades: http://www.healthgrades.com/review/3SDJ4 Facebook Clinical Page: https://www.facebook.com/dralexjimene... Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochirop... Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeurop... Yelp: http://goo.gl/pwY2n2 Clinical Testimonies: https://www.dralexjimenez.com/categor... Information: Dr. Alex Jimenez – Chiropractor Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Linked In: https://www.linkedin.com/in/dralexjim... Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor Recommend: PUSH-as-Rx ®™ Rehabilitation Center: https://www.pushasrx.com Facebook: https://www.facebook.com/PUSHftinessa... PUSH-as-Rx: http://www.push4fitness.com/team/
Based on information referenced by the National Highway Traffic Safety Administration, or NHTSA, approximately more than three million individuals are injured annually in automobile accidents throughout the United States alone. While the unique conditions of every car crash can ultimately result in a wide variety of injuries, some types of automobile accident injuries are more common than others. Fortunately, a majority of automobile accident injuries may resolve on their own without the need for treatment, however, more significant health issues caused by the auto collision may require some amount of treatment and/or rehabilitation and others may unfortunately become permanent if left untreated. It’s fundamental for the victim of an automobile accident to seek immediate medical attention in order for them to receive a proper diagnosis for their motor vehicle injuries before proceeding with the most appropriate treatment option for them.
Shane Scott was involved in an automobile accident when he heard about Dr. Alex Jimenez, chiropractor, from a friend. After experiencing headache, neck and low back pain, several days after the incident, Shane Scott's quality of life, especially as a new father, was tremendously affected. Thankfully, treatment with Dr. Alex Jimenez has helped Shane Scott return to his regular daily activities. Shane Scott highly recommends Dr. Alex Jimenez as the non-surgical choice for neck pain treatment, encouraging many others to visit him. Neck pain (or cervicalgia) is a frequent problem, where two-thirds of the populace will experience neck pain some time in their lives. Neck pain can be brought on by numerous other spinal issues. Neck pain may arise due to muscle tightness in either the neck and upper spine, or pinching of the nerves emanating from the cervical vertebrae. Joint disturbance in the neck generates pain, as does joint disruption in the top back. The head is supported by the lower neck and upper spine, and it is these places that commonly cause neck pain. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us. Thank You & God Bless. Dr. Alex Jimenez DC, C.C.S.T Facebook Clinical Page: https://www.facebook.com/dralexjimenez/ Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/ Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/ Information: LinkedIn: https://www.linkedin.com/in/dralexjimenez Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Rehabilitation Center: https://www.pushasrx.com Fitness & Nutrition: http://www.push4fitness.com/team/ Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor
Concussions are traumatic brain injuries that affect brain function. Effects from these injuries are often temporary but can include headaches, problems with concentration, memory, balance and coordination. Concussions are usually caused by a blow to the head or violent shaking of the head and upper body. Some concussions cause loss of consciousness, but most do not. And it is possible to have a concussion and not realize it. Concussions are common in contact sports, such as football. However, most people gain a full recovery after a concussion. Concussions Traumatic Brain Injuries (TBI) - Most often the result of head trauma
- Can also happen due to excessive shaking of the head or acceleration/deceleration
- Mild injuries (mTBI/concussions) are the most common type of brain injury
Glasgow Coma Scale Common Causes Of Concussion - Motor vehicle collisions
- Falls
- Sports injuries
- Assault
- Accidental or intentional discharge of weapons
- Impact with objects
Prevention Prevention of concussive injuries can be paramount Encourage Patients To Wear Helmets - Competitive sports, especially boxing, hokey, football and baseball
- Horseback riding
- Riding bicycles, motorcycles, ATVs, etc.
- High elevation activates such as rock climbing, zip lining
- Skiing, snowboarding
Encourage Patients To Wear Seatbelts - Discuss the importance of wearing seatbelts at all times in vehicles with all of your patients
- Also encourage use of appropriate booster or car seats for children to ensure adequate fit and function of seat belts.
Driving Safely - Patients should never drive while under the influence of drugs, including certain medications or alcohol
- Never text and drive
Make Spaces Safer For Children - Install baby gates and window latches in the home
- May in areas with shock-absorbing material, such as hardwood mulch or sand
- Supervise children carefully, especially when they’re near water
Prevent Falls - Clearing tripping hazards such as loose rugs, uneven flooring or walkway clutter
- Using nonslip mats in the bathtub and on shower floors, and installing grab bars next to the toilet, tub and shower
- Ensure appropriate footwear
- Installing handrails on both sides of stairways
- Improving lighting throughout the home
- Balance training exercises
Balance Training - Single leg balance
- Bosu ball training
- Core strengthening
- Brain balancing exercises
Concussion Verbiage Concussion vs. mTBI (mild traumatic brain injury) - mTBI is the term being used more commonly in medical settings, but concussion is a more largely recognized term in the community by sports coaches, etc.
- The two terms describe the same basic thing, mTBI is a better term to use in your charting
Evaluating Concussion - Remember that there does not always have to be loss of consciousness for there to be a concussion
- Post-Concussion Syndrome can occur without LOC as well
- Symptoms of concussion may not be immediate and could take days to develop
- Monitor for 48 post head injury watching for red flags
- Use Acute concussion evaluation (ACE) form to gather information
- Order imaging (CT/MRI) as needed if concussion red flags are present
Red Flags Requires imaging (CT/MRI) - Headaches worsening
- Patient appears drowsy or can’t be awakened
- Has difficulty recognizing people or places
- Neck pain
- Seizure activity
- Repeated vomiting
- Increasing confusion or irritability
- Unusual behavioral change
- Focal neurologic signs
- Slurred speech
- Weakness or numbness in extremities
- Change in state of consciousness
Common Symptoms Of Concussion - Headache or a sensation of pressure in the head
- Loss of or alteration of consciousness
- Blurred eyesight or other vision problems, such as dilated or uneven pupils
- Confusion
- Dizziness
- Ringing in the ears
- Nausea or vomiting
- Slurred speech
- Delayed response to questions
- Memory loss
- Fatigue
- Trouble concentrating
- Continued or persistent memory loss
- Irritability and other personality changes
- Sensitivity to light and noise
- Sleep problems
- Mood swings, stress, anxiety or depression
- Disorders of taste and smell
Mental/Behavioral Changes - Verbal outbursts
- Physical outbursts
- Poor judgment
- Impulsive behavior
- Negativity
- Intolerance
- Apathy
- Egocentricity
- Rigidity and inflexibility
- Risky behavior
- Lack of empathy
- Lack of motivation or initiative
- Depression or anxiety
Symptoms In Children - Concussions can present differently in children
- Excessive crying
- Loss of appetite
- Loss of interest in favorite toys or activities
- Sleep issues
- Vomiting
- Irritability
- Unsteadiness while standing
Amnesia Memory loss and failure to form new memories Retrograde Amnesia - Inability to remember things that happened before the injury
- Due to failure in recall
Anterograde Amnesia - Inability to remember things that happened after the injury
- Due to failure to formulate new memories
Even short memory losses can be predictive of outcome - Amnesia may be up to 4-10 times more predictive of symptoms and cognitive deficits following concussion than is LOC (less than 1 minute)
Return To Play Progression Baseline: No Symptoms - As the baseline step of the Return to Play Progression, the athlete needs to have completed physical and cognitive rest and not be experiencing concussion symptoms for a minimum of 48 hours. Keep in mind, the younger the athlete, the more conservative the treatment.
Step 1: Light Aerobic Activity - The Goal: Only to increase an athlete’s heart rate.
- The Time: 5 to 10 minutes.
- The Activities: Exercise bike, walking, or light jogging.
- Absolutely no weight lifting, jumping or hard running.
Step 2: Moderate activity - The Goal: Limited body and head movement.
- The Time: Reduced from typical routine.
- The Activities: Moderate jogging, brief running, moderate-intensity stationary biking, and moderate-intensity weightlifting
Step 3: Heavy, non-contact activity - The Goal: More intense but non-contact
- The Time: Close to typical routine
- The Activities: Running, high-intensity stationary biking, the player’s regular weightlifting routine, and non- contact sport-specific drills. This stage may add some cognitive component to practice in addition to the aerobic and movement components introduced in Steps 1 and 2.
Step 4: Practice & full contact - The Goal: Reintegrate in full contact practice.
Step 5: Competition - The Goal: Return to competition.
Microglial Priming After head trauma microglial cells are primed and can become over active - To combat this, you must mediate the inflammation cascade
Prevent repeated head trauma - Due to priming of the foam cells, response to follow-up trauma may be far more severe and damaging
What Is Post-Concussion Syndrome (PCS)? - Symptoms following head trauma or mild traumatic brain injury, that can last weeks, months or years after injury
- Symptoms persist longer than expected after initial concussion
- More common in women and persons of advanced age who suffer head trauma
- Severity of PCS often does not correlate to severity of head injury
PCS Symptoms - Headaches
- Dizziness
- Fatigue
- Irritability
- Anxiety
- Insomnia
- Loss of concentration and memory
- Ringing in the ears
- Blurry vision
- Noise and light sensitivity
- Rarely, decreases in taste and smell
Concussion Associated Risk Factors - Early symptoms of headache after injury
- Mental changes such as amnesia or fogginess
- Fatigue
- Prior history of headaches
Evaluation Of PCS PCS is a diagnosis of exclusion - If patient presents with symptoms after head injury, and other possible causes have been ruled out => PCS
- Use appropriate testing and imaging studies to rule out other causes of symptoms
Headaches In PCS Often “tension” type headache Treat as you would for tension headache - Reduce stress
- Improve stress coping skills
- MSK treatment of the cervical and thoracic regions
- Constitutional hydrotherapy
- Adrenal supportive/adaptogenic herbs
Can be migraine, especially in people who had pre-existing migraine conditions prior to injury - Reduce inflammatory load
- Consider management with supplements and or medications
- Reduce light and sound exposure if there is sensitivity
Dizziness In PCS - After head trauma, always assess for BPPV, as this is the most common type of vertigo after trauma
- Dix-Hallpike maneuver to diagnose
- Epley’s maneuver for treatment
Light & Sound Sensitivity Hypersensitivity to light and sound is common in PCS and typically exacerbates other symptoms such as headache and anxiety Management of excess mesencephalon stimulation is crucial in such cases - Sunglasses
- Other light blocking glasses
- Earplugs
- Cotton in ears
Treatment Of PCS Manage each symptom individually as you otherwise would Manage CNS inflammation - Curcumin
- Boswelia
- Fish oil/Omega-3s – (***after r/o bleed)
Cognitive behavioral therapy - Mindfulness & relaxation training
- Acupuncture
- Brain balancing physical therapy exercises
- Refer for psychological evaluation/treatment
- Refer to mTBI specialist
mTBI Specialists - mTBI is difficult to treat and is an entire specialty both in the allopathic and complementary medicine
- Primary objective is to recognize and refer for appropriate care
- Pursue training in mTBI or plan to refer to TBI specialists
Sources - “A Head for the Future.” DVBIC, 4 Apr. 2017, dvbic.dcoe.mil/aheadforthefuture.
- Alexander G. Reeves, A. & Swenson, R. Disorders of the Nervous System. Dartmouth, 2004.
- “Heads Up to Health Care Providers.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 16 Feb. 2015, www.cdc.gov/headsup/providers/.
- “Post-Concussion Syndrome.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 28 July 2017, www.mayoclinic.org/diseases-conditions/post- concussion-syndrome/symptoms-causes/syc-20353352.
Auto Accidents: Mr. and Mrs. Dominguez were involved in an automobile accident which left them with pain and discomfort. In their search to find relief from their symptoms, Manuel Dominguez and his wife found chiropractic care with Dr. Alex Jimenez. The couple expresses how much their lives have changed since receiving chiropractic care and rehabilitation at Push. Mr. and Mrs. Dominguez are happy and grateful for the help they've received for their automobile accident injuries and they highly recommend and invite others to seek chiropractic care. Chiropractic care helps the body recover optimal spinal alignment, which is often lost during traumatic episodes like automobile accidents. Throughout treatment, chiropractors frequently use a method called spinal manipulation or adjustment. This system entails the use of controlled power to re-align vertebrae and stop them from putting painful pressure on spinal nerves. The exact routine of physical therapy will be different depending upon the individual and type of injury sustained. Treatment may include hands-on stretching or strengthening exercises, ice and/or heat, or other techniques. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us. Thank You & God Bless. Dr. Alex Jimenez DC, C.C.S.T Facebook Clinical Page: https://www.facebook.com/dralexjimenez/ Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/ Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/ Information: LinkedIn: https://www.linkedin.com/in/dralexjimenez Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Rehabilitation Center: https://www.pushasrx.com Fitness & Nutrition: http://www.push4fitness.com/team/ Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor
A uto Accident Injuries: Alfonso J. Ramirez, retired, has been pursuing a life full of health and wellness. Before he began following this type of lifestyle, however, Mr. Ramirez was hit by a car and suffered many injuries. He was treated accordingly at the time but was then referred to Dr. Alex Jimenez for chiropractic care. Once he received his first spinal adjustment, Alfonso Ramirez experienced tremendous relief from his symptoms. Grateful for all the medical services he's been provided with, Mr. Ramirez expresses how Dr. Jimenez has helped restore his quality of life. Alfonso J. Ramirez recommends Dr. Alex Jimenez as the non-surgical choice for a variety of injuries and conditions. Millions of people are injured in automobile accidents every year, and many of these incidents can unfortunately result in long-term injuries and disability. Even if you are not in immediate pain following a car crash, seeking prompt chiropractic care may help prevent years of chronic pain. Chiropractic care is among one of the most popular ways for treating auto accident injuries. Chiropractic adjustments correct misalignments in the spine and help restore normal function to the nervous system so that the body can heal naturally. A chiropractor can help cure auto accident injuries without drug use. Also, chiropractic care can help with recovery without surgery. We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic. Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice include: Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sport Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries. As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us. Thank You & God Bless. Dr. Alex Jimenez DC, C.C.S.T Facebook Clinical Page: https://www.facebook.com/dralexjimenez/ Facebook Sports Page: https://www.facebook.com/pushasrx/ Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/ Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/ Information: LinkedIn: https://www.linkedin.com/in/dralexjimenez Clinical Site: https://www.dralexjimenez.com Injury Site: https://personalinjurydoctorgroup.com Sports Injury Site: https://chiropracticscientist.com Back Injury Site: https://www.elpasobackclinic.com Rehabilitation Center: https://www.pushasrx.com Fitness & Nutrition: http://www.push4fitness.com/team/ Pinterest: https://www.pinterest.com/dralexjimenez/ Twitter: https://twitter.com/dralexjimenez Twitter: https://twitter.com/crossfitdoctor
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El Paso, TX. Dr. Alex Jimenez examines and discusses various pediatric complaints and clinical diagnostic imaging approaches. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677