Accidents and Injuries

Today, we are constantly tapping, scrolling, clicking, using our hands, fingers, and thumbs on smartphones, tablets, computers, etc. Constant repetitive use has increased the development of carpal tunnel syndrome. If tingling, numbness, soreness, or electrical sensations have begun to develop in the hands, especially the index finger, thumb, or palm, carpal tunnel prevention measures can help before it becomes severe.

Pinched Nerve

Carpal tunnel syndrome is the medical terminology for a pinched nerve. It is the median nerve that passes through the narrow carpal tunnel passageway of ligaments and bones at the base of the hand. This tunnel houses the median nerve and the tendons that allow the fingers to bend. The median nerve generates physical sensation in the index, middle, ring finger, and palm near the thumb. Compression of the nerve or inflammation can cause tingling, numbness, and pain in any and/or all of the hand areas. It can also cause the fingers to bend awkwardly; however, this symptom develops over time. There are so many different causes of carpal tunnel syndrome that it is almost impossible to avoid with the constant overuse/repetition of the hands.

• Work - tasks, typing, mouse use, writing, scanning, etc.
• School
• Injury

Doctors recommended approach for carpal tunnel prevention is to take action at the first sign/symptom. The most effective preventative measures include:

Take Frequent Hand Breaks

At work, school, or when doing any repetitive hand movements like:

• Typing
• Using a computer mouse - moving, clicking, using the scrolling wheel, etc.
• Writing
• Cooking - chopping, slicing, mixing, squeezing, etc.
• Drawing
• Make sure to take frequent breaks from the motion.

Carpal tunnel is more likely to develop if the nerves and muscles are overused for a long time without stopping. When focused on a task, we often don’t realize how the repetitive motions cause strain until a sting or pinch makes us stop. Taking a hand break is essential to give the muscles, tendons, ligaments, and nerves time to relax and stay loose. The break only has to be a few minutes to be effective.

Repetitive Movements and Proper Hand Form/Posture

Repetitive hand or wrist motions in everyday activities sometimes cannot be helped. It is recommended to try to switch hands when performing the task, space it out over the day, take frequent breaks, stretch, and gently shake out the hands throughout the day. Make sure any pressure on the hands or wrists is as light as possible and evenly distributed. Keep the wrists straight or slightly bent and use light tools if possible. Proper posture is crucial for carpal tunnel prevention. Many individuals don’t realize the back, neck, and wrists are intricately connected. Poor posture like hunching over the computer, shoulders rolled forward, and forward neck posture can cause the nerves and muscles of the arm to become compressed, causing tingling, numbing, pain symptoms because they’re not properly aligned. The compression can run down the arms and affect the wrists and hands as well.

Carpal Tunnel Prevention Supportive Accessories

It is also recommended to consider integrating supportive accessories, like ergonomic keyboards, mice, wrist splints, keypad cushions, etc. These tools can support the body and keep the wrists and hands healthy, comfortable, and pain-free. Wrist splints can help by keeping the wrist in a straight, neutral position without thinking about it. This reduces stress on the area and absorbs the pressure of everyday tasks on the carpal tunnel and median nerve. Individuals can also wear the splint at night to support and train the wrist to stay straight throughout the day. Taking action before the symptoms become severe is highly recommended. Talk to a chiropractor or physical therapist for exercises, stretches, and general tips to help with carpal tunnel prevention.

Body Composition

A Snack and A Meal

Without proper planning, the calories an individual consumes from snacks can add up. A recent survey found that snacking contributes 586 calories for men and 421 calories for women per day. Weight loss, weight gain, and weight maintenance come down to calories in vs. calories out.

• Eating snacks that are too high in calories or snacking too much can disrupt and derail health goals.
• It’s essential to know what a snack consists of, what to look for on a label, and how to plan.
• Snacks come in a range of calories, depending on individual goals.
• For many, 100-200 calories are recommended for snacks.
• Individuals that need increased calories may require a higher calorie snack.
• The number of snacks eaten per day depends on individual needs and goals.
• It’s best to plan and factor snacks into the overall meal plan to avoid overeating.
• Be sure to check labels and measure out snack portions.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

LeBlanc, Kim Edward, and Wayne Cestia. “Carpal tunnel syndrome.” American family physician vol. 83,8 (2011): 952-8.

Page, Matthew J et al. “Splinting for carpal tunnel syndrome.” The Cochrane database of systematic reviews vol. 2012,7 CD010003. 11 Jul. 2012, doi:10.1002/14651858.CD010003

Shiri, Rahman, and Kobra Falah-Hassani. “Computer use and carpal tunnel syndrome: A meta-analysis.” Journal of the neurological sciences vol. 349,1-2 (2015): 15-9. doi:10.1016/j.jns.2014.12.037

Most if not all of us have probably used heat and/or ice on a sprain, strain, or sore area of the body. Having a pinched nerve, however, has a different feeling than a sprain or strain. Chiropractic treatment for a pinched nerve is recommended, but if the pain isn’t too bad, then home care can work. Which is better for a pinched nerve, heat or ice? Both. Using heat and ice helps reduce swelling, increases blood flow to the area, and relaxes the muscles around the pinched nerve. The objective is to know when to use ice and/or heat.

Applying Heat on a Pinched Nerve

Applying heat on a pinched nerve is fine. The general guideline for a pinched nerve is to use heat only after the pain has subsided/reduced.

• When pain presents or flares up, use ice before using heat.
• Do not apply heat to the area directly after applying ice.
• Wait 30 minutes to an hour.
• Keep the heat on the affected area for 10 to 20 minutes at a time.
• Take a minimum 30-minute break between sessions.
• If the heat helps, make the heat moderate and use it on the area for an hour or more.
• Extended heat therapy is beneficial for severe pain from a pinched nerve.
• The equivalent is like soaking in a hot bath.

Heat for a Pinched Nerve Benefits

• Heat soothes and relaxes both the muscles and the mind.
• Heat increases healing abilities by circulating new blood to the injured/affected area, helping to flush toxins away.
• Decreases tension and spasms in the muscles.
• Increases the range of motion in the joints.

When Not To Use Heat Therapy

It can be dangerous for individuals with pre-existing conditions. Conditions include:

• Deep vein thrombosis
• Diabetes
• Vascular disease
• Multiple sclerosis
• Consult a doctor if unsure.

Applying Ice

Tips to safely use ice on a pinched nerve.

• Keep the ice pack on for 15-20 minutes at a time, then remove.
• Take an hour break between icing sessions.
• Ice massage, apply ice directly to the affected area for 5 minutes at a time using circular, massaging motions.

Ice for a Pinched Nerve Benefits

• Relieves pain quickly by numbing the area.
• Reduces swelling by slowing blood flow to the area.
• Cools the muscle fibers.
• Reduces muscle spasms.

When Not To Use Ice

• Individuals, especially those who have difficulty feeling pain, can damage the skin with an ice pack.
• Those with diabetes should take special care, as nerve damage can make it hard to feel or discern pain.
• If trying to relieve soreness and/or stiffness in joints or muscles, use heat instead.

Making a Pinched Nerve Worse

A pinched nerve can become worse. Examples of things to avoid when managing a pinched nerve.

• Lifting heavy objects.
• Making sudden, twisting, shifting, jerking movements.
• Engaging in high-intensity or high-speed exercise.
• Engaging in contact sports.
• Sitting too much.
• Laying down too much.
• Not consulting a doctor or chiropractor if the pain continues.

Home Remedies and Prevention

A few other home remedies and prevention tips for a pinched nerve.

• Practice maintaining proper posture.
• Maintain a healthy diet and weight.
• Incorporate anti-inflammatory foods.
• Get 7 to 8 hours of healthy sleep.
• Get a professional therapeutic massage.
• Incorporate stretching and or yoga.
• If home remedies don’t work, know when to consult a chiropractor.

Doctors of chiropractic specialize in pinched/compressed nerves. A chiropractor is trained in different techniques to relieve the pressure and release the nerve back to its proper position.

Body Composition

Peripheral Artery Disease

Peripheral artery disease or PAD is the narrowing of the arteries that carry blood away from the heart to the other areas of the body. What to know about PAD:

• Peripheral artery disease risks increase with age.
• Over half of affected individuals do not present with symptoms.
• Around one-fourth of individuals with peripheral artery disease have diabetes mellitus.
• Smokers have an increased risk of developing PAD.
• This is why it’s important to monitor blood pressure.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Chandler, Anne, et al. "Using heat therapy for pain management. (clinical practice)." Nursing Standard, vol. 17, no. 9, 13 Nov. 2002, pp. 40+. Accessed 15 Sept. 2021.

Edzard Ernst, Veronika Fialka, Ice freezes pain? A review of the clinical effectiveness of analgesic cold therapy, Journal of Pain and Symptom Management, Volume 9, Issue 1, 1994, Pages 56-59, ISSN 0885-3924, https://doi.org/10.1016/0885-3924(94)90150-3.

Shu, Jun, and Gaetano Santulli. “Update on peripheral artery disease: Epidemiology and evidence-based facts.” Atherosclerosis vol. 275 (2018): 379-381. doi:10.1016/j.atherosclerosis.2018.05.033

The hands are a magnificent piece of work. Its intricate design and functional form follow the hand. However, any injury to the underlying structures of the hand can overlap with other injuries/conditions. Even the smallest hand injuries require a proper medical examination. The objective is a quick and accurate initial evaluation along with treatment. Early treatment is done quickly to minimize short and long-term effects.

Anatomy

The hand consists of 27 bones that include 8 bones in the wrist. If the associated structures:

• Nerves
• Arteries
• Veins
• Muscles
• Tendons
• Ligaments
• Joint cartilage
• Fingernails
• Get injured or damaged in some way; there is increased potential for various injuries.

Causes

The most common cause of injury/s is blunt trauma, followed by injury from a sharp object. Hand injuries are divided into categories:

• Lacerations/cuts
• High-pressure injection injuries - nail guns, staple guns
• Fractures
• Dislocations
• Soft tissue injuries
• Burns
• Infections
• Amputations

Other hand injuries include:

• Finger injuries
• Wrist injuries
• Broken hand
• Nail injuries
• Finger infection

Symptoms

Symptoms vary depending on the type of injury, how the injury occurred/mechanism, the depth, severity, and location. Common symptoms:

Lacerations

• Tenderness
• Pain
• Bleeding
• Numbness
• Decreased range of motion
• Difficulty moving
• Weakness
• Pale appearance

Fractures and Dislocations

• Swelling
• Discoloration
• Tenderness
• Deformity
• Reduced range of motion
• Numbness
• Weakness
• Bleeding

Soft Tissue Injuries and Amputations

• Swelling
• Discoloration
• Tenderness
• Deformity with or without tissue loss/bone loss
• Bleeding
• Weakness
• Numbness

Infection

• Tenderness
• Swelling
• Warmth/Heat around the area
• Redness
• Deformity
• Reduced range of motion
• Fever is rare in hand infections

Burns

• Redness
• Tenderness
• Blistering
• Complete numbness
• Discoloration
• Loss of tissue
• The texture of the skin change
• Areas of tissue blackened
• Deformity

High-pressure Injection Injury

• Pain
• Swelling
• Bleeding
• Skin discoloration
• Muscle, tendon, ligament tears
• Cracked/Broken bones

Medical Care

Anyone with a hand injury is recommended to call a doctor or seek medical attention. When medical attention is delayed, the possibility of worsening or creating further injuries increases. Even the smallest cut or what looks like a minor injury could require advanced treatment to prevent infection or loss of function. Any cut or laceration that requires stitches to repair should also have a medical evaluation to make sure the musculoskeletal system of the hands is functioning properly. Injuries causing the following symptoms require emergency medical attention at an emergency clinic.

• Severe bleeding
• Severe pain
• Numbness
• Loss of motion
• Loss of strength
• Deformity
• Signs of infection - tenderness, warmth/heat, redness, swelling, pus, or fever
• Exposure of structures - tendons, bones, joints, arteries, veins, or nerves

Diagnosis

A medical examination can include a medical history and physical examination.

Medical History

• Past medical history
• Does the patient have diabetes or arthritis?
• Is the patient right or left-handed?
• Occupation
• Extracurricular activities and hobbies
• How does the patient use their hands?
• How did the injury occur, mechanism of injury?
• Does the patient smoke?

Physical Exam

• Visual inspection look at the injury
• Sensory nerve exam feeling
• Vascular exam circulation of blood supply
• Muscular and tendon exam movement and strength
• Bone exam broken bones or dislocated joints

Tests

A doctor will order X-rays after the history and physical exam if necessary. Certain injuries will require imaging to identify fractures/dislocations or to rule out foreign bodies. Many types of injuries can lead to compartment syndrome. Compartment syndrome is a condition in which there is swelling and an increase in pressure within a limited space or a compartment that presses on and compromises blood vessels, nerves, and/or tendons that run through that particular area. Once the immediate injury is addressed, a personalized treatment plan can be developed .to rehabilitate the hand/s to optimal function quickly 

Body Composition

Artificial Sweeteners And Muscle Gain

Artificial sweeteners don't individuals that are trying to build lean body mass. The body needs carbs after a workout for replenishing the depleted glycogen stores. Many commercially prepared protein supplements are made with artificial sweeteners that don’t provide an adequate source of carbohydrates. If an individual consumes only protein made with sugar substitutes after a workout, they are missing essential components of post-workout recovery. A study found that supplementing with carbohydrates before and during strength training can increase performance, compared to participants that were taking the artificial sweeteners saccharin and aspartame. To properly refuel after a workout, remove the artificially sweetened protein powders and replace them with a snack packed with protein and high-quality carbohydrates. These include:

• Greek yogurt
• Fruit with nuts or nut butter
• Hummus with whole-grain crackers
• Tuna
• Hard-boiled eggs

 General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Banting, Joshua, and Tony Meriano. “Hand Injuries.” Journal of special operations medicine: a peer-reviewed journal for SOF medical professionals vol. 17,4 (2017): 93-96.

Fuhrer, Reto et al. “Tipps und Tricks in der Behandlung offener Handverletzungen in der Notfallpraxis” [Treatment of acute injuries of the hand]. Therapeutische Umschau. Revue therapeutique vol. 77,5 (2020): 199-206. doi:10.1024/0040-5930/a001177

Harrison, BP, and M W Hilliard. “Emergency department evaluation and treatment of hand injuries.” Emergency medicine clinics of North America vol. 17,4 (1999): 793-822, v. doi:10.1016/s0733-8627(05)70098-5

MedscapeReference.com. High-Pressure Hand Injury.

MedscapeReference.com. Soft Tissue Hand Injury Differential Diagnoses.

Siotos, C et al. “Hand injuries in low- and middle-income countries: a systematic review of existing literature and call for greater attention.” Public health vol. 162 (2018): 135-146. doi:10.1016/j.puhe.2018.05.016

WebMD.com. Finger, Hand, and Wrist Injuries.

Teenagers just like adults can experience back pain from accidents, sports injuries, a sedentary lifestyle, part-time jobs, chores, etc. However, sitting too long in school along with heavy backpacks can also contribute to compromised spinal health. Poor spinal health in adolescence can lead to chronic pain in adulthood. Chiropractic professionals can help these young individuals address and prevent spinal issues/injuries to maintain a healthy spine.

Teenagers Spine Issues 

If discomfort or pain presents many just push through, as they and their spines are young. There are common spinal dysfunctions that teens and parents should be aware of, these include:

Disc injuries

Teenagers can put a serious strain on the spine from various forms of physical activity, jumping, dancing, and playing. This pressure gets transmitted through the spine. During a teenager's development, this can result in permanent disc damage.

Scoliosis

A spinal deformity or exaggerated curvature of the spine is common and affects young children and teens. It usually happens during the growth spurt just before puberty. This is why it is important to have a teenager’s spine checked regularly and analyzed for signs/symptoms of scoliosis.

Spondylolysis

This condition is often associated with sports injuries. It happens when teenagers overextend/overreach their backs. It’s most common in gymnastics, weight lifting, tennis, football, diving, and other similar sports.

Protection and Prevention

There are several ways that parents and healthcare providers can help teenagers make healthy decisions to achieve and maintain optimal spinal health.

Sitting less, moving more

Children are taught to sit from a very young age. In school, watching t.v., or doing homework, teenagers spend more time sitting than their bodies should. Teenagers need to stand, walk and move around just like adults to protect their spines from degeneration and injury.

Maintaining healthy posture

Teens that learn how to maintain proper posture at a young age are better able to maintain it for the rest of their life. Learning proper posture at a young age.

Sports safety

Playing sports is healthy. However, there is a risk associated with teen sports. Although they are taught to play safely, encourage them to continue to educate themselves about sports injuries and know how to address them. 

Chiropractic Support

At Injury Medical Chiropractic and Functional Medicine Clinic, we’re committed to helping young adults and adolescents overcome and prevent spinal injuries that could turn into chronic pain conditions. We are continually developing our chiropractic and physical therapy treatment approaches to achieve optimal results.

Body Composition

Sleep and Growth Hormone In Children

Growth is primarily controlled by growth hormones. This hormone is regulated by the hypothalamus and the pituitary gland. Sleep plays an important role in the proper function of these glands. A review showed that:

• Growth hormone levels rise and peak at the onset of deep sleep
• Multiple but smaller peaks were seen during other sleep stages
• Individuals that have a delay in the onset of deep sleep have delayed peaks in growth hormone levels

For children to grow properly, they need to have adequate levels of growth hormone. This means they need to have a sufficient amount of sleep. The proper amount of sleep is vital for healthy body composition. A study measured the body composition of preschool-aged children. The study found that children that had proper levels of sleep had less overall fat mass and reduced body fat. Children and teenagers need to get the proper amounts of sleep for their bodies to grow healthily.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Clement, R Carter et al. “What are normal radiographic spine and shoulder balance parameters among adolescent patients?.” Spine deformity vol. 8,4 (2020): 621-627. doi:10.1007/s43390-020-00074-9

Driehuis, Femke et al. “Spinal manual therapy in infants, children and adolescents: A systematic review and meta-analysis on treatment indication, technique, and outcomes.” PloS one vol. 14,6 e0218940. 25 Jun. 2019, doi:10.1371/journal.pone.0218940

Manansala, Christian et al. “Change in young people's spine pain following chiropractic care at a publicly funded healthcare facility in Canada.” Complementary therapies in clinical practice vol. 35 (2019): 301-307. doi:10.1016/j.ctcp.2019.03.013

After an auto accident that might not have caused serious damage, individuals often believe that they're fine only to find out later that there is a serious injury. How do these hidden injuries happen?  It is because of the body's fight or flight response that it activates into high gear. It does whatever is necessary to get out of harm’s way. The result is that individuals might not realize/discover that they have been injured until after the dangerous circumstances have passed. Auto accident doctors and chiropractors are very familiar with these types of hidden injuries.

The injuries sustained from non-damage-causing auto accidents are often not visible. This can be internal injuries and joint and muscle misalignments that can often only be seen through extensive x-rays, MRIs, or detailed physical examination. However, a professional chiropractor can determine the root causes of an injury from a single consultation.

Hidden Injuries

Whiplash

Some injuries, like delayed whiplash, do not present immediately because it can take days for symptoms to develop. This is the most common injury caused by an auto accident. This is when the head snaps back and then forward rapidly/violently during a collision. The jolting back-and-forth motion causes muscle strain, sprain, which can stretch and/or tear the tendons and muscles in the neck. The injury can be worsened as the individual does not realize that they have this injury, and they turn, rotate, and crane their necks like normal. Symptoms include:

• A stiff/tight neck
• Dull neck pain
• Upper back pain
• Shoulder stiffness, aches, and pain

It is recommended to see a doctor or chiropractor as soon as possible for diagnosis and treatment.

Muscle, Tendon, and Ligament Injuries

Muscle, tendon, and/or ligament injuries can happen due to whiplash, but they can also happen in other parts of the body like the hands, elbows, knees, and ankles.

Contact Injuries Bruises and Swelling

Drivers and passengers can bruise and swell from contact with hard surfaces like the steering wheel, dashboard, and doors. Seat belts can also cause injury from quick/rapid braking or a crash.

Concussion

This is when the brain forcefully makes contact with the skull resulting in bruising/injury to the brain. It is recommended to see a doctor immediately if any of the following  are experienced after an auto accident:

• Dizziness
• Loss of balance/equilibrium when standing and walking
• Difficulty concentrating
• Difficulty remembering things

Spinal Trauma

The spine can sustain separate injury/s or trauma as a result of an auto accident. This includes:

• Dislocation/s
• Fractures
• Compressed vertebrae
• Crushed vertebrae
• More symptoms can present after the shock wears off.
• This often reveals severe, debilitating injury/s that affect the nerves and muscle control of different organs and body parts.

Bio-Chiropractic Treatment and Rehabilitation

One of the most effective and recommended ways to relieve pain and properly heal hidden injuries is chiropractic treatment and rehabilitation. A professional chiropractor can prevent further injuries from developing while easing and alleviating current pain.

No Medication Necessary

More people are becoming addicted to prescription medications following accidents and other trauma. Chiropractic care treats the cause of pain without medications. This allows the body to heal naturally and for movement to come back naturally.

Reduces Long Term Pain

Many continue to deal with back, neck, and other chronic pain conditions after an accident. Chiropractic gets to the root of the problem. A chiropractor will recommend exercises and stretches to keep the body strong and flexible to help prevent pain. The therapy sessions manipulate the body and help naturally restore the body's total range of movement.

Reduces Scar Tissue

After the body goes through a trauma like an auto accident, muscles and ligaments can be stretched and torn. This can cause areas of internal scar tissue can develop. This can limit movement. Chiropractic helps reduce scar tissue by keeping the tissues loose and relaxed. This allows a normal range of movement.

Inflammation Alleviation

Auto injury/s can lead to long-term inflammation that can make life miserable. Chiropractors are trained to spot hidden micro-tears that x-rays are not able to scan. However, it is microscopic tears inside the muscles that are often the leading cause of inflammation. With physical manipulation, the body will be able to rerelease IL-6 substances naturally. This is a vital anti-inflammatory.

Healthy Body Composition

Personalized Functional Medicine

Personalized functional medicine is a new model of medicine that considers an individualized approach when making health recommendations. The body works as an integrated system, not as individual parts. This form of medicine combines new technology approaches, including recent gene expression and life and behavioral sciences discoveries. Personalized functional medicine looks at the subject of nutrigenomics. 

Nutrigenomics is defined as the relationship between nutrients and gene expression. Like identifying individual body composition, nutrigenomics testing can help individuals understand how dietary components influence their genes. This can help prevent the development of chronic diseases.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico* 

References

Calil, Ana Maria et al. “Mapping injuries in traffic accident victims: a literature review.” Revista latino-americana de enfermagem vol. 17,1 (2009): 120-5. doi:10.1590/s0104-11692009000100019

Dindi, Kuru et al. “Road traffic injuries: Epidemiology, challenges, and initiatives in India.” The National medical journal of India vol. 32,2 (2019): 113-117. doi:10.4103/0970-258X.275355

Minich, Deanna M, and Jeffrey S Bland. “Personalized lifestyle medicine: relevance for nutrition and lifestyle recommendations.” TheScientificWorldJournal vol. 2013 129841. 26 Jun. 2013, doi:10.1155/2013/129841

Palmnäs, Marie et al. “Perspective: Metabotyping-A Potential Personalized Nutrition Strategy for Precision Prevention of Cardiometabolic Diseases.” Advances in nutrition (Bethesda, Md.) vol. 11,3 (2020): 524-532. doi:10.1093/advances/nmz121

Sims, J K et al. “Automobile accident occupant injuries.” JACEP vol. 5,10 (1976): 796-808. doi:10.1016/s0361-1124(76)80313-9

With the number of individuals/vehicles on the road today, automobile accidents are frequent and even minor ones can cause damage. The most obvious is the destruction of the vehicle during and after the collision. But these crashes and accidents also cause serious damage to the body that is not immediately visible or felt. Almost every accident and crash results in injuries to one or more of the individuals involved. Vehicle collisions both great and small involve force being applied as two or more vehicles collide. The direction and amount of force can cause damage to the body from twisting, bending, slamming, and jolting in ways the body was not meant to do. There is a 1 in 5 chance of being involved in an automobile accident that causes bodily injury. The most frequent injuries include:

Frequent Soft Tissue Injuries

Bruising/Contusions

Even a minor automobile accident can cause bruising. A collision can jerk/jolt the body from the seat belt, while it is doing its job of keeping the individual from flying out the window, it can leave bruises for days afterward. Bruises are rarely serious injuries that require medical attention and usually heal within a week or two.

Whiplash

The physical force from an accident can cause the head to move at speeds that it should not move at. Pain or discomfort in the neck and back after a collision can indicate a sustained whiplash strain to the muscles and ligaments. These strains can be painful and take weeks for a full recovery and if left untreated could result in chronic pain.

Neck and Spinal injuries

The intense force that the body endures from a collision can cause serious damage to the body that is not immediately apparent or present with inflammation/pain letting the individual know that something is not right. Herniations or ruptures of the discs in the spine can occur. This can lead to serious injuries that cause intense pain and limit mobility and flexibility. If pain continues after several days, or there is a history of neck/back injury/s  and/or condition/s, consult with an accident chiropractic specialist or spine specialist to see if there is an injury to the spine or surrounding muscles, tendons, and ligaments. Chiropractic treatment and physical therapy are important to return the body to optimal health. Surgery could be an option if there is sustained serious neck or spinal injury.

Frequent Head Injuries

Concussions

During a collision, hitting the head on the steering wheel, window, or roof is frequent and can cause a concussion. Individuals can experience problems with memory, like not remembering what happened before the collision, or feeling like brain function is not as quick. Treatment for any kind of head injury is crucial. Treatment will help alleviate headaches and help restore the brain to a healthy state.

Traumatic Brain Injuries

These injuries can cause life-altering effects. A traumatic brain injury can change:

• The way the brain functions
• Handles information
• Processes emotions

Recovery from a brain injury is possible but can take time, depending on the type and severity of the damage.

Frequent Mental and Emotional Injuries

Post-traumatic Stress Disorder

When the body goes through extreme stress like an automobile accident there is the potential to develop emotional and mental conditions like post-traumatic stress disorder or PTSD. Symptoms can include:

• Being scared of driving or riding in a vehicle
• Avoiding or responding fearfully to certain sounds or images that are associated with auto accidents
• Sleeping problems brought on by anxiety and/or nightmares

Treatment is vital and psychologists and therapists can help individuals express their feelings, and educate individuals on techniques to deal with stresses, anxieties, and fears to get them to a healthy life.

Internal Injuries

Broken Bones

The impact of a collision can cause the body to hit various areas of the vehicle, stressing the musculoskeletal system that it can't take. This can occur in a variety of ways, with the torso, arms, or legs getting pinned by a part of the vehicle causing fracture/s. Also, depending on the speed of the collision, the seatbelt could stop the body suddenly causing a fracture of the ribs. Broken bones are frequent in auto accidents/crashes, however, some fractures could require surgery and hardware to reset the bones to allow proper healing. Depending on the type of break, individuals could require a month or more of rest. Chiropractic care and physical therapy could help expedite recovery.

Internal Bleeding

The body's organs are delicate and fragile. The impact forces from an auto accident can cause all kinds of damage, causing them to bleed. These are serious injuries and are quite common in high-speed collisions.

Auto Accident Doctors & Chiropractic Treatment

Body Positivity

Body positivity is about every individual having a psychological representation of their body or body image. This includes:

• How an individual thinks about their body shape
• Size
• Emotions attached to their perception

Fitness and fashion industries used to promote what the perfect body should look like and those with a body image that did not fit these criteria could develop a sense of inferiority. In response to this, body positivity has become a rapidly growing movement on social media. The movement's objective is to challenge society to focus on an individual’s overall health, and not their body. It encourages acceptance of all body types, no matter the size or shape. The movement has a companion known as the Healthy at Every Size or HAES movement that focuses on health indicators other than weight. It encourages the focus on developing healthy habits that lead to improved health. HAES involves three components:

• Intuitive eating
• Encourages body acceptance
• Promotes physical activity through movement and health instead of a structured exercise regimen

These movements offer realistic and encouraging ways to recognize and achieve optimal health. They accept body and health at every stage of an individual's fitness and health journey.

Disclaimer

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

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

References

Duncan, G J, and R Meals. “One hundred years of automobile-induced orthopedic injuries.” Orthopedics vol. 18,2 (1995): 165-70.

Hamilton JB. Seat-belt injuries. Br Med J. 1968 Nov 23;4(5629):485-6. doi: 10.1136/bmj.4.5629.485. PMID: 5697665; PMCID: PMC1912721.

Sims, J K et al. “Automobile accident occupant injuries.” JACEP vol. 5,10 (1976): 796-808. doi:10.1016/s0361-1124(76)80313-9

Jaw pain can make chewing, yawning, and talking a painful experience. This is a syndrome known as Temporomandibular Joint syndrome or disorder or TMJ and TMD. What happens is the temporomandibular joint that connects the jaw to the skull becomes inflamed. It is part of the musculoskeletal system, which means that chiropractors can treat the syndrome with various chiropractic techniques that include soft tissue work and temporomandibular joint adjustments. Chiropractic can bring lasting relief from Temporomandibular Joint Syndrome/Disorder.

How to Tell if TMJ Is Present

Jaw pain is the most common symptom but there are other factors that can cause pain. To help determine if it is TMJ, here is a list of additional symptoms:

• Difficulty or pain moving the mouth such as when chewing
• Popping sensation sound when opening/closing the jaw
• Cracking sensation sound when opening or closing the jaw
• Headaches that radiate to the facial muscles
• Tooth pain
• Pain in the neck and shoulders
• Tightness in the jaw
• Facial muscles become fatigued
• Dizziness or ringing in the ears

Chiropractic and Dental

If it is TMJ should an individual see a dentist or a chiropractor? This depends on the situation and individual.

• If TMJ is caused by teeth grinding while sleeping, or there is pain/problems with the teeth then seeing a dentist is recommended.
• If TMJ pain is accompanied by joint or muscle pain, or there is neck and/or back pain, then chiropractic is recommended.
• Certain cases could require dental treatment and a chiropractor for the joint issues.

Chiropractic TMJ Treatment

Jaw Adjustment

One way chiropractic treats TMJ is through jaw adjustment/s. This varies from patient to patient. An example assessment and adjustment for TMJ.

• The chiropractor will utilize the most beneficial technique/s for each individual.
• The chiropractor will have the individual open and close their jaw while feeling each side.
• They will determine which side opens first and widest, and which opens last and not as wide.
• Then they will perform a jaw adjustment through gentle pressure applied to both sides of the jaw.

Soft Tissue Treatment

A contributor to jaw pain can be attributed to the muscles that are used to open and close. In this case, the chiropractor will perform soft tissue manipulation to loosen them up. This releases the jaw so it evens out. This also helps with headaches associated with TMJ. The focus is on three muscles:

• Masseter
• Pterygoid
• Temporalis

A chiropractor will mobilize these muscles applying pressure repeatedly as the individual opens and closes their mouth.

Jaw Exercise Therapy

The chiropractor will recommend exercises to help quicken the healing process and strengthen the muscles. These are simple exercises that can be done at home or work to help relieve any discomfort or pain and for prevention.

Mouth Opening

• Place one thumb under the chin
• Open the mouth and gently push against it with the thumb
• Hold for 5 to 8 seconds then close mouth
• Repeat a few times every day

Mouth Closing

• Open the mouth holding the chin with the index finger and thumb from both hands
• Close jaw with gentle resistance with the fingers
• Hold for 5 to 8 seconds
• Repeat a few times every day

A chiropractor may collaborate with a dentist to provide the best treatment plan.

Body Composition

Body Dehydration

Dehydration happens when the body loses more water than it can replace. This can come from frequent:

• Diarrhea episodes
• Vomiting episodes
• Too much alcohol the night before
• Excessive sweating
• Excessive urination

When dehydration sets in a wide range of symptoms can present. Early signs/symptoms include:

• Dizziness
• Headaches
• Dry mouth
• Cool skin

If dehydration is not addressed in the early stages, it can lead to not having the urge/need to urinate. There is potential for long-term health issues like high blood pressure. High blood pressure is common for individuals that are chronically dehydrated. When the body’s cells lack water, the brain sends a signal to secrete vasopressin, which is a chemical that constricts the blood vessels. This causes blood pressure to rise. This could eventually lead to heart failure. If the blood vessels continue to progressively narrow, oxygen, and blood circulation to the brain decreases. This results in migraine headaches and decreased ability to concentrate.

Disclaimer

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

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

References

Ibi, Miho. “Inflammation and Temporomandibular Joint Derangement.” Biological & pharmaceutical bulletin vol. 42,4 (2019): 538-542. doi:10.1248/bpb.b18-00442

Blum, Charles L. “Chiropractic and dentistry in the 21st Century.” Cranio: the journal of craniomandibular practice vol. 22,1 (2004): 1-3. doi:10.1179/crn.2004.001

Brantingham, James W et al. “Manipulative and multimodal therapy for upper extremity and temporomandibular disorders: a systematic review.” Journal of manipulative and physiological therapeutics vol. 36,3 (2013): 143-201. doi:10.1016/j.jmpt.2013.04.001

https://www.nidcr.nih.gov/health-info/tmj

Many individuals enjoy riding all-terrain vehicles, or ATVs. It is a fun pastime and it gets individuals outdoors. However, when driving/riding any type of motor vehicle there is potential for crashes and accidents that can result in severe injuries. Unfortunately, many individuals get on an ATV without properly understanding how the vehicle operates, safety measures, and what to do in an emergency. Several facts about ATV accidents, provided by the Consumer Product Safety Commission:

• 130,000+ individuals are injured every year from ATV accidents
• Over 700 individuals are killed in these accidents every year
• Around one-third of the individuals killed are under the age of 16.
• Many of the accidents could have been prevented if proper safety protocols were followed

Many of these accidents are based on negligence or recklessness of the driver or other individual/s doing the same in close proximity. The causes range from:

• Speeding recklessly
• Steep hill-climbing
• Rollovers
• Drunk driving
• Exceeding capacity

Many of these vehicles are designed to hold one passenger only. When a second or third passenger is on the vehicle, the accidents are usually of the secondary passengers falling or getting thrown off. In other cases, the passenger is not able to shift their weight with the driver, resulting in throwing the entire vehicle off-balance.

ATV

Today ATVs are used for various jobs including border patrol, construction, emergency medical response, snow plowing, and maintaining farmland. They can be fun, but they can also be extremely dangerous if not properly ridden. Every year faster, and more powerful ATVs arrive on the market for purchase. The first ATVs had around 7-horsepower, an 89 cc engine, and weighed about 200 pounds. Today, some have engines that are 600 ccs, with 50 horsepower, weigh over 400 pounds, and can go up to 100 miles per hour. These are powerful machines that can cause severe injuries.

• Injuries typically happen to men around 18 to 30 years of age
• 80 percent of injuries impact the driver and not the passenger
• The most common injury cause is associated with flips and/or rolls
• When this happens, both the driver and passenger can get thrown and in some cases, pinned underneath.

Symptoms and Injuries

Common ATV injuries include:

• All around body pain
• Muscle stiffness
• Fractures
• Broken bones
• Dislocation/s
• Whiplash
• Headaches
• Migraines
• Concussion
• Neurologic injuries
• Spinal cord damage
• Chronic pain
• Blurred Vision

Chiropractic and Physical Therapy

Just like automobile accident injuries, there can be delayed symptoms that begin to present over days or weeks. Seeking the proper treatment as soon as possible is important to decrease inflammation and swelling before the injury/s worsens, or leads to other debilitating conditions. Injury Medical Chiropractic and Functional Medicine Clinic can help restore mobility and flexibility after an ATV accident. A combination of physical therapy, chiropractic adjustments, and massage will help with:

• Accelerated recovery
• Decrease in chronic symptoms
• Injury rehabilitation
• Further injury/damage prevention
• Maintaining a level of improved function
• Acute and chronic pain alleviation
• Range of motion increase
• Overall health and wellness

Operation Safety Tips

• Always wear a DOT-approved helmet, proper footwear, and safety gear
• Make sure that all drivers are educated and understand how to operate the ATV
• Read the operating manual, watch safety videos
• Know the vehicle's limitations
• Know the terrain where it will be driven
• Check and know local and state regulations
• Never let young children operate the vehicle
• Never drive under the influence
• Keep a phone or other communication device in case of an emergency

Body Composition

Phase Angle values can determine what’s going on in the body

It can help identify health risks, address underlying health issues, and track the progress of lifestyle changes like diet and exercise. For many individuals phase angle analysis has helped them make data-driven health and wellness decisions. Many medical practices are using it to personalize a patient’s treatment plan. Lifestyle factors that are likely to impact phase angle include:

• Injuries
• Eating highly processed meals
• Lack of quality sleep
• Stress - physical, mental, and emotional
• Lack of regular physical activity
• Excess caffeine, alcohol, and refined sugars
• Toxicity exposure

Disclaimer

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

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

References

Spine Trauma. The Anand Spine Group Web site. http://www.infospine.net/condition-spine-trauma.html. Accessed October 18, 2018.

Wilberger JE, Mao G. Spinal Trauma. Merck Manual Professional Version. https://www.merckmanuals.com/professional/injuries-poisoning/spinal-trauma/spinal-trauma. Last reviewed November 2017. Accessed October 18, 2018.

Pelvic Fracture. Cedars-Sinai Web site. https://www.cedars-sinai.org/health-library/diseases-and-conditions/p/pelvic-fracture.html. Accessed October 18, 2018.

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

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

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

Injury From An Accident

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

Soft and Hard Tissue Injuries

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

Chiropractic After Auto Injury

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

Reduce Inflammation

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

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

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

Effective Pain Treatment

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

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

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

Whiplash Treatment

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

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

Reduce Stress and Promote Healing

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

InBody

Snack Benefits

Fullness and Satisfaction

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

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

Metabolism

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

Body Composition

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

Post-Workout

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

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

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

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

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

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

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

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

Physical Therapy

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

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

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

Don't Give Up On The Program

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

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

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

Scientifically Backed Benefits

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

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

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

The Right Physical Therapy Clinic

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

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

Don't Give Up On Body Health

Body composition analysis an effective tool during physical therapy

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

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

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

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

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

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

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

Fibromyalgia

Fibromyalgia is characterized by:

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

Accompanied issues include:

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

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

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

Treatment

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

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

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

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

Chiropractors have a significant advantage for addressing these symptoms.

Chiropractic Therapeutics

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

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

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

• Exercise
• Stretching
• Heat therapy
• Ice therapy

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

Body Composition

Muscles and The Immune System

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

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

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

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