“Sudden movement injuries” usually means acute musculoskeletal injuries that happen in a moment—a hard twist, awkward landing, quick pull, or impact. These include sprains (ligaments),  strains (muscle/tendon), and contusions (bruises). They’re caused by an external force or single forceful action (like a fall, collision, or rapid whip-like motion) (Cleveland Clinic, 2025; Johns Hopkins Medicine, n.d.).

But the phrase “sudden movements” can also refer to involuntary movement conditions that start or flare quickly—such as tremor, myoclonus (jerks), dystonia (sustained contractions), tics, or tardive dyskinesia. These are usually neurological or medication-related, not injuries from a single external event (MedlinePlus, 2024; Verywell Health, 2024; International Parkinson and Movement Disorder Society [MDS], n.d.).

This guide explains both groups, how clinicians tell them apart, and how integrative chiropractic care—as practiced by Dr. Jimenez’s El Paso team—helps people recover mobility, reduce pain and inflammation, and return to work, sports, and daily life (Jimenez, 2025a, 2025b, 2025c).

What Counts as a “Sudden Movement Injury”?

Key idea: A sudden movement injury is an acute soft-tissue injury caused by one event. It’s not about days or months of overuse; it’s one moment when tissue is pushed past its limit.

Common types

• Sprain: stretch or tear of a ligament (bands that stabilize joints) (Johns Hopkins Medicine, n.d.; Cleveland Clinic, 2023).

• Strain: a tear in muscle or tendon fibers from a sudden pull (Cleveland Clinic, 2021).

• Contusion: deep bruise from a direct blow (Cleveland Clinic, 2024).

Mechanisms include sudden twists, quick stops/starts, awkward landings, slips, falls, collisions (including MVAs), or a rapid whip-like force to the neck (whiplash) (Cleveland Clinic, n.d.).

Familiar examples

• Ankle sprain after rolling the ankle on uneven ground (Johns Hopkins Medicine, n.d.).

• Hamstring strain when sprinting at full speed without a proper warm-up (Cleveland Clinic, 2021).

• Whiplash after a rear-end collision, with neck pain and stiffness (Cleveland Clinic, n.d.).

Risk factors and prevention
Injury risk rises with previous sprains, poor or worn equipment, rapid training changes, fatigue, improper technique, and sports with sudden direction changes or contact (UPMC, n.d., 2022).

What Are Involuntary Movement Conditions?

Key idea: “Involuntary movements” are motions your body makes without you deciding to move. These include:

• Tremor: rhythmic shaking.

• Myoclonus: quick, jerky twitches.

• Dystonia: sustained or twisting contractions.

• Tics: brief, repeated movements or sounds.

• Tardive dyskinesia: repetitive movements, often from long-term use of certain medications.

Causes include neurological diseases, medication side effects, genetics, autoimmune or metabolic conditions, and brain injury (MedlinePlus, 2024; Verywell Health, 2024; MDS, n.d.).

Fast facts

• Myoclonus can be triggered by light, sound, or touch; it may affect function and confidence (MDS, n.d.).

• Essential tremor is common and often runs in families (MedlinePlus Magazine, 2024).

• Medication-related movement disorders can look like tics or jerks and may need medication changes (Verywell Health, 2024).

• Head injuries, including TBI, can lead to involuntary movements (EdwardKle, 2023).

• In children, ataxia (balance/coordination problems) may start suddenly with stroke, infection, or inflammation, or may come and go with genetic or migraine-related patterns (Boston Children’s Hospital, n.d.).

How Clinicians Tell the Difference

1) Story of onset

• Injury: clear moment (“I twisted my ankle landing from a jump”; “I was rear-ended and my head snapped back”) (Cleveland Clinic, n.d.; UPMC, n.d.).

• Involuntary movement: no single external event; movements appear at rest or with action, may wax and wane, and can be triggered by stress, light, sound, or certain meds (MedlinePlus, 2025; MDS, n.d.).

2) Exam and tests

• Acute injury: exam focuses on tenderness, swelling, joint stability, and active vs. passive range of motion. Imaging may include X-ray (to rule out fracture) or MRI for soft-tissue detail (Cleveland Clinic, 2025).

• Involuntary movement: neurologic exam (pattern of movement, triggers, distribution), medication review, bloodwork when needed, and brain/spine imaging if red flags are present (MedlinePlus, 2024; Verywell Health, 2024).

3) Red flags needing urgent care

• Head injury with confusion, severe headache, fainting, seizure, repeated vomiting, or new weakness (Cleveland Clinic, 2024).

• Neck trauma with loss of strength, numbness, trouble walking, or severe neck pain after a crash—possible whiplash plus nerve involvement (Cleveland Clinic, n.d.).

First-Line Home Care for Sudden Movement Injuries

The RICE method (first 24–48 hours)
Rest, Ice, Compression, Elevation help control pain and swelling after sprains, strains, and contusions (Cleveland Clinic, 2025).

• Rest: Avoid painful loading early on.

• Ice: 10–20 minutes at a time with a barrier.

• Compression: snug elastic wrap or sleeve.

• Elevation: above heart level when possible.

Then, gradual movement: after the first couple of days, gentle motion and basic loading help tissues heal along the lines of stress (Cleveland Clinic, 2024, 2024).

Common Acute Injuries and What to Expect

Whiplash (neck strain)
A quick change of speed forces the head and neck to move differently from the trunk, straining muscles, ligaments, and sometimes nerves. Early care controls pain and protects motion; rehab then restores range, strength, and posture (Cleveland Clinic, n.d.).

Muscle strains
Strains can be mild (a few fibers) to complete tears. Risk rises with sudden intensity changes and loading before the muscle is ready (Cleveland Clinic, 2021).

Sprains
Ligaments act like stabilizing straps; a sprain stretches or tears them, often at the ankle, knee, elbow, or wrist. Good care reduces instability and re-injury risk (Johns Hopkins Medicine, n.d.; Cleveland Clinic, 2023).

Risk Factors You Can Change

• Too much, too soon: rapid jumps in training load.

• Poor technique or tired movement patterns.

• Old or ill-fitting shoes and protective gear.

• Not warming up or lacking strength/control basics.

• Prior sprain/strain (the strongest predictor of another sprain) (UPMC, 2019, 2022, n.d.).

Where Integrative Chiropractic Care Fits (Dr. Jimenez, El Paso)

At Injury Medical & Chiropractic Clinic in El Paso, Dr. Alexander Jimenez, DC, APRN, FNP-BC, leads a dual-scope model. Patients receive the hands-on biomechanical advantages of chiropractic assessment and treatment, along with the medical evaluation and care coordination of a nurse practitioner. This helps the team connect what you feel, how you move, and what imaging and labs show, then document progress for work, sports, personal injury, and motor-vehicle accident (MVA) cases (Jimenez, 2025a, 2025b, 2025c).

The clinic’s pathway (what patients can expect)

1. History & screening

   • Was there a single event (work, sport, fall, MVA)?

   • Or are movements involuntary and not tied to one moment?

   • Red-flag screen for head or neck injury, nerve symptoms, or systemic clues (Cleveland Clinic, 2024; Cleveland Clinic, n.d.).

2. Dual-scope exam

   • Chiropractic: posture, joint motion, segmental restrictions, soft-tissue tone.

   • Medical: neurological screen, medication review (to spot drug-related dyskinesias), vitals, and, when needed, labs or referrals to neurology.

3. Advanced imaging when indicated

   • X-rays for suspected fracture or alignment issues.

   • MRI for soft-tissue tears, disc injuries, or nerve compression (Cleveland Clinic, 2025).

4. Integrated plan

   • Acute soft-tissue injuries: pain and swelling control (RICE), gentle mobilization, adjustments, soft-tissue methods, and graded exercise to restore range, strength, and control (Cleveland Clinic, 2025; Cleveland Clinic, 2021; Cleveland Clinic, n.d.).

   • Involuntary movement conditions: not treated as “an injury.” The team coordinates with neurology for diagnosis and medications when appropriate. Chiropractic supports posture and musculoskeletal comfort around the neurological condition and does not claim that spinal manipulation cures a primary movement disorder (MedlinePlus, 2024; MDS, n.d.).

5. Documentation & legal support when needed

   • For work injuries and MVAs, the clinic tracks findings, imaging, treatment response, and functional progress for employers, insurers, and attorneys—so patients can return to activity with clear records (Jimenez, 2025c).

Treatment Toolbox in an Integrative Chiropractic Plan

• Chiropractic adjustments & joint mobilization: restore motion where joints are restricted, which can lower pain and muscle guarding.

• Targeted soft-tissue care: gentle manual therapy to reduce tone in overactive muscles and to support healing in strained tissue.

• Movement retraining: early range-of-motion work → isometrics → loaded strength → power and change-of-direction drills (as sport or job demands).

• Bracing/taping & orthotics when appropriate: temporary support to protect healing tissue and reduce flare-ups (Cleveland Clinic, 2024).

• Home plan: RICE during the acute window, then daily micro-doses of safe movement so tissues remodel along healthy lines of stress (Cleveland Clinic, 2025).

• Coordination for meds or injections (when needed): because the clinic is dual-scope, medical options are considered and coordinated with the patient’s PCP, orthopedics, sports med, pain management, or neurology, as appropriate (Jimenez, 2025a, 2025b).

Special Notes on Involuntary Movement Conditions

If your main problem is involuntary movement (tremor, myoclonus, dystonia, tics), management focuses on the brain and nervous system, not on a single sprain or strain. You may need:

• Neurology consult and medication review (to check for drug-induced dyskinesia).

• Imaging or labs when red flags suggest a deeper cause.

• Physical or occupational therapy to improve function and safety.

• Chiropractic support for posture, spine comfort, and ergonomics—aimed at pain relief and mobility, not “curing” the movement disorder (MedlinePlus, 2024; Verywell Health, 2024; MDS, n.d.).

Examples

• Myoclonus: brief jerks may worsen with light or sound; treatment depends on the cause (MDS, n.d.).

• Tardive dyskinesia: linked to certain meds; treatment often involves medication changes and specialists (Verywell Health, 2024).

• Pediatric ataxia can start suddenly due to inflammation/infection, or it can recur with migraines/genetics—specialty care is key (Boston Children’s Hospital, n.d.).

Return-to-Activity Roadmap for Acute Injuries

Stage 1 (0–48 hours): RICE, protect the area, and use pain-free range-of-motion drills as symptoms allow (Cleveland Clinic, 2025).

Stage 2 (2–7 days): Gentle stretching, light isometrics, and neuromuscular control work; keep swelling down between sessions.

Stage 3 (1–3 weeks+): Progressive strengthening, balance, and graded loading. Add task-specific drills for work or sport—start slow and build.

Stage 4 (clearance): Pain-free full range, near-normal strength and control, and ability to complete job/sport tasks without swelling or next-day flares. Your clinician may use movement screens or return-to-play tests to confirm.

Work, Sports, and MVA Examples

• Work injury: a sudden lift with a twist causes a lumbar strain. Plan: RICE, core-friendly positions, glute/hip activation, graded return to lifting with better body mechanics (UPMC, n.d.).

• Sports injury: a quick cut on the field produces an ankle sprain. Plan: swelling control, proprioception work, and progressive hopping/cutting before full game return. Prior sprain means extra prevention (UPMC, 2019; UPMC, n.d.).

• MVA neck strain (whiplash): pain and stiffness plus headaches. Plan: symptom control → mobility → postural strength and driving-position coaching; document findings for insurance/legal needs (Cleveland Clinic, n.d.; Jimenez, 2025c).

When to Seek Care Now

• Head injury signs after a fall or crash: confusion, severe headache, repeated vomiting, seizure, or new weakness—go to urgent care/ER (Cleveland Clinic, 2024).

• Neck injury with numbness, weakness, or severe stiffness after trauma (Cleveland Clinic, n.d.).

• Unexplained involuntary movements that start suddenly or get worse—especially with new meds or after a head injury (MedlinePlus, 2025; EdwardKle, 2023).

The El Paso Integrative Advantage

Dr. Jimenez’s team uses a whole-person plan that connects spinal alignment, joint mechanics, and muscle control with medical diagnostics and clear documentation. That’s helpful whether your issue is a sudden injury (sprain/strain/whiplash) or involuntary movements with secondary neck, back, or shoulder pain. The clinic works with local employers, coaches, case managers, and (when needed) attorneys to support safe return to activity (Jimenez, 2025a, 2025b, 2025c).

Quick FAQs

Is a spasm the same as myoclonus?
No. A spasm is a strong, often painful muscle contraction that may have a clear cause (like overload). Myoclonus is a brief, sudden jerk and is usually neurological (MDS, n.d.).

Can a sprain heal without surgery?
Yes—most sprains heal with protection, progressive loading, and rehab. A few severe tears need surgical consults (Johns Hopkins Medicine, n.d.; Cleveland Clinic, 2023).

Does chiropractic care help with swelling?
Chiropractic care supports healing—by restoring joint motion, lowering muscle guarding, and improving mechanics—while RICE and activity adjustments control acute inflammation (Cleveland Clinic, 2025; Jimenez, 2025b).

If my “sudden movement” is tremor or jerks, should I still see the chiropractor?
Start with primary care or neurology to identify the cause. Chiropractic can still help with comfort and posture once serious causes are addressed (MedlinePlus, 2024; Verywell Health, 2024).

Bottom Line

• Sudden movement injuries = one-event sprains, strains, and contusions; care starts with RICE and progresses to mobility and strength (Cleveland Clinic, 2025).

• Involuntary movement conditions are neurological, not single-event injuries; coordinate with neurology and use supportive musculoskeletal care (MedlinePlus, 2024; MDS, n.d.).

• Integrative chiropractic care—like Dr. Jimenez’s dual-scope model in El Paso—bridges hands-on biomechanics with medical diagnostics and clear documentation to help people recover function and return to life (Jimenez, 2025a, 2025b, 2025c).

References

Boston Children’s Hospital. (n.d.). Movement disorders.

Cleveland Clinic. (2021). Muscle strains: Causes, symptoms, treatment & recovery.

Cleveland Clinic. (2023, Dec 19). Sprains and strains: What’s the difference?.

Cleveland Clinic. (2024, Aug 21). Head injury: Types, symptoms, causes & treatments.

Cleveland Clinic. (2024, Dec 18). Sports injuries: Types, symptoms, causes & treatment.

Cleveland Clinic. (2025, Jan 24). RICE method: Rest, ice, compression, & elevation.

Cleveland Clinic. (2025, Feb 21). Soft tissue injury: What it is, types, causes & treatment.

Cleveland Clinic. (n.d.). Whiplash (neck strain): What it is, symptoms & treatment.

EdwardKle. (2023, Jul 20). Causes, types and treatment of TBI involuntary movements.

International Parkinson and Movement Disorder Society. (n.d.). Myoclonus (Jerky Involuntary Movements): Patient education.

Johns Hopkins Medicine. (n.d.). Soft-tissue injuries.

MedlinePlus. (2024, Feb 9). Movement disorders.

MedlinePlus. (2025, Feb 11). Movement – uncontrollable.

MedlinePlus Magazine. (2024). Essential tremor.

UPMC. (n.d.). Sprains and strains: Causes, symptoms, and treatments.

UPMC. (2019, Nov 11). Sprains and strains: Risk factors and complications.

UPMC. (2022, Nov 23). Do I have a sprain or a strain? Know the difference.

Verywell Health. (2024, Jun 14). Early signs of tardive dyskinesia.

Verywell Health. (n.d.). Involuntary movements: Causes and treatment.

Accident context
PainCare Florida. (n.d.). Unintentional/accidental injuries.

Clinical perspective—El Paso (dual-scope integrative care)
Jimenez, A. (2025a). Safe chiropractic care in El Paso: What to expect.
Jimenez, A. (2025b). Chiropractic and integrative care for spinal nerve conditions.
Jimenez, A. (2025c). Chiropractic athlete rehabilitation care for sports injuries.
LinkedIn profile: Jimenez, A. (n.d.). Dr. Alexander Jimenez, DC, APRN, FNP-BC.

General Disclaimer *

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

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

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

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Flexibility varies greatly from person to person. Some individuals can bend, twist, and stretch with ease, while others struggle with even simple movements. Genetics, muscle structure, and connective tissue composition all contribute to this difference. While habits such as stretching and age-related changes can influence flexibility, inherent variations shaped by DNA often set a person’s natural baseline. According to Dr. Alexander Jimenez, DC, APRN, FNP-BC, a dual-scope chiropractor and nurse practitioner in El Paso, understanding these genetic and structural differences is essential for tailoring treatment and injury recovery plans.

The Genetic Blueprint of Flexibility

Genetics strongly influence muscle fiber type, collagen makeup, and connective tissue elasticity. Some people inherit looser ligaments and greater joint mobility, while others are born with tighter connective tissues that resist stretching (Xcode Life, n.d.). This explains why two people with identical exercise routines may achieve very different levels of flexibility.

Research also suggests that specific gene variations, such as those affecting collagen or elastin, influence how pliable tissues remain across a lifetime (PMC, 2020). Some inherited conditions, like Ehlers-Danlos syndrome, lead to extreme flexibility, while others create stiffness from childhood (JAMA Pediatrics, 2000).

Natural Stiffness as a Normal Variation

Not everyone is destined to be flexible. While stretching can improve range of motion, individuals with a naturally stiff muscular and connective tissue structure may always feel more restricted than peers. This “baseline stiffness” is a normal variation and not necessarily a sign of dysfunction (Quora, n.d.).

Alexander Orthopaedics (2023) notes that factors such as gender and joint shape also contribute to flexibility differences. For example, women often show more flexibility in certain joints compared to men due to hormonal and structural influences.

How Age and Habits Affect Flexibility

Even with strong genetic influence, flexibility changes with age and lifestyle. Younger individuals typically have more pliable tissues, while older adults experience stiffness due to collagen cross-linking, reduced elasticity, and less physical activity (PMC, 2020).

Habits such as stretching, yoga, and mobility training can improve range of motion, though they may not fully override genetic limitations. Conversely, sedentary lifestyles accelerate stiffness by allowing connective tissues to shorten and tighten.

Medical Conditions Linked to Stiffness

While natural stiffness is often harmless, some conditions lead to severe rigidity. Stiff Person Syndrome (SPS), for example, is a rare neurological condition that causes muscle rigidity and painful spasms (Hopkins Medicine, n.d.; MSU Healthcare, 2024). Unlike genetic baseline stiffness, SPS is progressive and requires medical management.

Inherited congenital disorders can also result in lifelong stiffness, limiting mobility across generations (JAMA Pediatrics, 2000). These conditions highlight how both rare diseases and common genetic factors shape human flexibility.

Dr. Alexander Jimenez’s Clinical Observations

In his El Paso practice, Dr. Alexander Jimenez has observed that patients recovering from injuries often face compounded stiffness issues. Genetics may limit natural flexibility, but trauma from sports, work, or motor vehicle accidents (MVAs) adds another layer of restriction.

Dr. Jimenez employs a dual-scope diagnostic approach, combining chiropractic assessment with advanced imaging and medical evaluation, to determine whether stiffness originates from genetics, injury, or disease. His integrative treatment includes:

• Chiropractic adjustments to restore joint alignment.

• Targeted exercise programs are designed to gradually improve range of motion.

• Massage therapy to reduce muscular tension and enhance circulation.

• Acupuncture to ease pain and support neuromuscular balance.

• Functional medicine strategies to address inflammation and connective tissue health.

By addressing both structural and genetic limitations, Dr. Jimenez helps patients achieve functional mobility, even when their natural range is limited.

Flexibility in Personal Injury Cases

Dr. Jimenez also plays a critical role in personal injury documentation for patients involved in MVAs or workplace accidents. He correlates patient reports with diagnostic imaging, creating accurate medical records that support both health recovery and legal claims.

In these cases, stiffness may limit mobility long after an accident. Through integrative care, Dr. Jimenez helps patients restore motion while providing the detailed records attorneys and insurers require.

Chiropractic and Integrative Medicine for Long-Term Health

Chiropractic care and integrative therapies do more than restore motion after injury—they help prevent long-term consequences of stiffness. Patients who maintain flexibility through regular adjustments, stretching, and supportive therapies often report fewer injuries and better overall function.

Even those with a naturally stiff genetic profile benefit from consistent care. While they may never achieve “gymnast-level” flexibility, they can reduce pain, maintain mobility, and protect joint health over time.

Conclusion

Flexibility is not a one-size-fits-all trait. Genetics, age, and lifestyle shape each person’s natural range of motion. Some are born with supple tissues, while others carry a baseline stiffness throughout life. Recognizing this variation is essential, especially when treating injuries or designing recovery plans.

Through his dual expertise in chiropractic care and medical practice, Dr. Alexander Jimenez provides patients with customized solutions that address both genetic limitations and injury-related stiffness. By blending advanced imaging, chiropractic adjustments, and integrative therapies, he helps individuals in El Paso and beyond achieve better mobility, health, and quality of life.

Movement as Medicine | El Paso, Tx

References

• Alexander Orthopaedics. (2023). Why are some individuals more flexible than others?

• Hopkins Medicine. (n.d.). Stiff person syndrome (SPS)

• Michigan State University Healthcare. (2024). Understanding stiff-person syndrome

• JAMA Pediatrics. (2000). An inherited congenital disorder resembling stiffness

• Quora. (n.d.). Why is my body naturally inflexible?

• PMC. (2020). Genetic influence on flexibility.

• Xcode Life. (n.d.). Is flexibility genetic?

• Jimenez, A. (n.d.). Dr. Alexander Jimenez, DC, APRN, FNP-BC

• LinkedIn. (n.d.). Dr. Alexander Jimenez professional profile

General Disclaimer *

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

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

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

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Find out how chiropractic care can reduce discomfort and promote healing for individuals dealing with fibromyalgia.

Introduction

Fibromyalgia is like that uninvited guest who crashes your party and refuses to leave. It brings chronic pain, fatigue, and a host of other symptoms that can turn daily life into a gauntlet of discomfort. However, there is hope! Chiropractic care, particularly from experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, in El Paso, Texas, offers a promising path to relief. This blog post explores the clinical rationale behind why chiropractic care can help reduce the overlapping risk profiles associated with fibromyalgia, how it affects the musculoskeletal system, and its impact on daily life. We will also explore Dr. Jimenez’s unique role in personal injury cases and how his advanced diagnostic techniques make a difference. Buckle up—this is a long but enlightening ride, sprinkled with a dash of humor to keep things light!

Understanding Fibromyalgia: The Invisible Burden

Fibromyalgia is a chronic autoimmune condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive issues often dubbed “fibro fog.” Imagine waking up feeling like you have run a marathon, only to realize you just slept (or tried to) for eight hours. It affects about 2-4% of the population, predominantly women, and its exact cause remains elusive, though research points that a mix of genetic, environmental, and neurobiological factors (Clauw, 2014).

How Fibromyalgia Affects the Musculoskeletal System

Fibromyalgia primarily targets the musculoskeletal system, causing pain in muscles, ligaments, and tendons. It is like your body decided to crank the volume on every ache and pain to eleven. The condition amplifies pain signals through a process called central sensitization, where the nervous system becomes hypersensitive, making even a gentle touch feel like a punch (Sluka & Clauw, 2016). This heightened sensitivity leads to:

• Muscle Stiffness and Tenderness: Fibromyalgia patients often experience tender points—specific spots on the body that are excruciatingly sensitive to pressure. These points, historically used for diagnosis, are located in areas like the neck, shoulders, and lower back (Wolfe et al., 2010).
• Reduced Range of Motion: Stiff muscles and joints limit mobility, making simple tasks like bending over to tie your shoes feel like an Olympic event.
• Chronic Muscle Fatigue: Muscles tire quickly, even with minimal activity, due to impaired energy metabolism and oxidative stress (Cordero et al., 2010).

These musculoskeletal issues create a vicious cycle: pain leads to reduced activity, which weakens muscles, further exacerbating discomfort. It is like being stuck in a bad rom-com where the plot keeps looping.

Overlapping Risk Profiles and Their Impact

Fibromyalgia does not just stop at musculoskeletal pain; it brings friends—overlapping risk profiles that amplify discomfort and complicate daily life. These include:

• Joint Hypermobility: Some fibromyalgia patients have hypermobile joints, increasing the risk of strains and sprains (Ting et al., 2016). Think of your joints as overly enthusiastic dancers who keep overextending their moves.
• Postural Imbalances: Chronic pain alters posture, leading to compensatory patterns that strain other muscles and joints (El Paso Chiropractor Blog, 2016). For example, slouching to avoid back pain might end up tweaking your neck.
• Inactivity and Muscle Weakness: Fear of pain often leads to a sedentary lifestyle, which weakens muscles and increases the risk of injuries (Cordero et al., 2010).
• Psychological Stress: Fibromyalgia is often accompanied by anxiety and depression, which can heighten pain perception and reduce pain tolerance (Clauw, 2014).

These overlapping issues mean fibromyalgia patients are more prone to injuries, particularly in personal injury scenarios like car accidents or slips, where the musculoskeletal system takes a hit. This is where chiropractic care, especially from a skilled practitioner like Dr. Jimenez, steps in.

References

• Clauw, D. J. (2014). Fibromyalgia: A clinical review. JAMA, 311(15), 1547–1555. https://doi.org/10.1001/jama.2014.3266
• Cordero, M. D., De Miguel, M., Carmona-López, I., Bonal, P., Campa, F., & Moreno-Fernández, A. M. (2010). Oxidative stress and mitochondrial dysfunction in fibromyalgia. Neuroendocrinology Letters, 31(2), 169–173. https://pubmed.ncbi.nlm.nih.gov/20424565/
• El Paso Chiropractor Blog. (2016). Fibromyalgia relief with chiropractic. https://www.elpasochiropractorblog.com/2016/07/fibromyalgia-relief-with-chiropractic.html
• Sluka, K. A., & Clauw, D. J. (2016). Neurobiology of fibromyalgia and chronic widespread pain. Neuroscience, 338, 114–129. https://doi.org/10.1016/j.neuroscience.2016.06.006
• Ting, T. V., Hashkes, P. J., Schikler, K., Desai, A. M., Spalding, S., & Kashikar-Zuck, S. (2016). The role of benign joint hypermobility in fibromyalgia. Current Opinion in Rheumatology, 28(1), 65–70. https://pubmed.ncbi.nlm.nih.gov/26555058/
• Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D. L., Katz, R. S., Mease, P., … & Yunus, M. B. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care & Research, 62(5), 600–610. https://pubmed.ncbi.nlm.nih.gov/20461783/

Fibromyalgia’s Impact on Daily Life

Living with fibromyalgia is like trying to juggle flaming torches while riding a unicycle—it is exhausting and painful. The condition disrupts daily routines in several ways:

• Morning Stiffness: Waking up feels like your body has been glued to the bed. Normal, simple tasks like getting dressed or brushing your teeth can take Herculean effort (Clauw, 2014).
• Fatigue and Sleep Issues: Non-restorative sleep leaves patients perpetually tired, making it hard to focus at work or enjoy hobbies (Wolfe et al., 2010). Imagine trying to solve a crossword puzzle after pulling an all-nighter.
• Cognitive Challenges: Fibro fog clouds memory and concentration, turning grocery shopping into a mental marathon (Clauw, 2014).
• Reduced Physical Activity: Pain and fatigue discourage exercise, leading to weight gain and further muscle weakness, which compounds musculoskeletal issues (Cordero et al., 2010).
• Emotional Toll: The constant battle with pain can lead to frustration, anxiety, and depression, affecting relationships and mental health (Sluka & Clauw, 2016).

These challenges create a ripple effect, increasing the risk of injuries from everyday activities or accidents, particularly in personal injury cases like car crashes, which are common in bustling cities like El Paso.

References

• Clauw, D. J. (2014). Fibromyalgia: A clinical review. JAMA, 311(15), 1547–1555. https://doi.org/10.1001/jama.2014.3266
• Cordero, M. D., De Miguel, M., Carmona-López, I., Bonal, P., Campa, F., & Moreno-Fernández, A. M. (2010). Oxidative stress and mitochondrial dysfunction in fibromyalgia. Neuroendocrinology Letters, 31(2), 169–173. https://pubmed.ncbi.nlm.nih.gov/20424565/
• Sluka, K. A., & Clauw, D. J. (2016). Neurobiology of fibromyalgia and chronic widespread pain. Neuroscience, 338, 114–129. https://doi.org/10.1016/j.neuroscience.2016.06.006
• Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D. L., Katz, R. S., Mease, P., … & Yunus, M. B. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care & Research, 62(5), 600–610. https://pubmed.ncbi.nlm.nih.gov/20461783/

Chiropractic Care: A Beacon of Hope

Chiropractic care is like a superhero that is swooping in to save the day for fibromyalgia patients. It focuses on the spine and musculoskeletal system, aiming to restore alignment, reduce pain, and improve function. Dr. Alexander Jimenez, a renowned chiropractor in El Paso, emphasizes a holistic approach that addresses the root causes of fibromyalgia symptoms (El Paso Chiropractor Blog, 2016).

Clinical Rationale for Chiropractic Care

Chiropractic care helps fibromyalgia patients by:

• Reducing Central Sensitization: Spinal adjustments correct misalignments (subluxations) that can exacerbate pain signals. By improving spinal function, chiropractic care reduces the nervous system’s hypersensitivity, easing widespread pain (El Paso Chiropractor Blog, 2016).
• Improving Joint Mobility: Gentle manipulations restore range of motion, counteracting stiffness and reducing the risk of compensatory injuries (Castro-Sánchez et al., 2011).
• Decreasing Muscle Tension: Techniques like soft tissue therapy and massage relax tight muscles, improving blood flow and reducing oxidative stress, a key player in fibromyalgia pathology (Cordero et al., 2010).
• Enhancing Postural Alignment: Correcting posture reduces strain on muscles and joints, addressing overlapping risk profiles like hypermobility and postural imbalances (El Paso Chiropractor Blog, 2016).
• Boosting Overall Well-Being: Chiropractic care promotes relaxation and better sleep, tackling the fatigue and emotional stress that amplify fibromyalgia symptoms (Castro-Sánchez et al., 2011).

Think of chiropractic adjustments as giving your body a tune-up, like realigning the wheels on a car to stop it from veering off course. Dr. Jimenez’s expertise ensures these adjustments are tailored to each patient’s unique needs.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Learn about the role of physical activity in chiropractic care and its impact on managing inflammation effectively.

Introduction

Imagine waking up each morning with a stiff back or aching joints, making even simple tasks like getting out of bed or climbing stairs feel like a challenge. For millions of people worldwide, musculoskeletal inflammation is a daily reality, causing pain, limiting mobility, and reducing quality of life. While medications like nonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed, they come with risks, such as gastrointestinal complications (Singh, 1998). Fortunately, research suggests that combining chiropractic care with physical activity offers a promising, non-invasive alternative for managing and reducing inflammation in the musculoskeletal system.

This comprehensive guide explores the clinical rationale behind why chiropractic care and physical activity can effectively reduce musculoskeletal inflammation. Written at a high school reading level, this post will break down the science, provide practical tips, and highlight the expertise of Dr. Alexander Jimenez, a distinguished chiropractor in El Paso, Texas, who specializes in personal injury cases. With a touch of humor inspired by Herman Munster’s lighthearted charm, we’ll make this journey both informative and engaging. By the end, you’ll understand how these approaches can help you move better, feel better, and live better.

Understanding Musculoskeletal Inflammation

What is Musculoskeletal Inflammation?

Musculoskeletal inflammation is the body’s natural response to injury, overuse, or stress in the muscles, bones, joints, or connective tissues. It’s like your body’s alarm system, sending signals like redness, swelling, heat, and pain to protect and heal the affected area. Think of it as your body saying, “Whoa, something’s not right here!”—a bit like Herman Munster stumbling over a creaky floorboard in his spooky mansion.

However, when inflammation lingers and becomes chronic, it can cause more harm than good. Chronic inflammation may lead to conditions like osteoarthritis, tendinitis, bursitis, or discogenic low back pain, where the intervertebral discs in the spine become inflamed (Mohd Isa et al., 2022). These conditions can make everyday activities—like walking, lifting, or even sitting—painful and challenging.

Causes of Musculoskeletal Inflammation

Several factors can trigger musculoskeletal inflammation, including:

• Injury or Trauma: Sprains, strains, or fractures from accidents, such as a car crash or a fall, can spark inflammation. Herman might say, “I tripped over Grandpa’s coffin again, and now my back’s howling!”
• Overuse or Repetitive Strain: Repetitive motions, like typing or lifting heavy objects, can irritate muscles and joints.
• Autoimmune Diseases: Conditions like rheumatoid arthritis cause the immune system to mistakenly attack healthy tissues, leading to chronic inflammation.
• Poor Posture and Sedentary Lifestyle: Slouching or sitting for long periods can strain the spine and muscles, contributing to inflammation.
• Aging and Degeneration: As we age, tissues such as intervertebral discs lose their ability to repair themselves, leading to increased inflammation (Mohd Isa et al., 2022).
• Iron Overload: Certain conditions, such as hemochromatosis, can lead to iron accumulation in joints, thereby exacerbating inflammation and osteoarthritis (Vasquez, 1996).

Impact on Daily Life

Chronic musculoskeletal inflammation can significantly disrupt daily life. It may cause:

• Limited Mobility: Stiff joints or muscles can make it difficult to move freely, affecting activities such as walking or climbing stairs.
• Chronic Pain: Persistent pain can interfere with sleep, work, and hobbies, leaving you feeling like Herman Munster stuck in a too-tight suit.
• Increased Risk of Falls: Inflammation-related conditions, such as osteoporosis or kyphosis, can impair balance and increase the risk of falls (Sinaki et al., 2005).
• Emotional Distress: Chronic pain often leads to anxiety, depression, or frustration, impacting mental health.
• Reduced Productivity: Pain and limited mobility can make it difficult to perform job duties or engage in social activities.

For example, discogenic low back pain, caused by degeneration of the intervertebral discs, affects 26-42% of people with chronic low back pain, leading to significant disability and economic burden (Mohd Isa et al., 2022). Similarly, conditions like osteoarthritis can limit joint function, making daily tasks feel like a monster-sized challenge.

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*

The Critical Role of Chiropractors and Nurse Practitioners in Personal Injury Cases

When someone is injured in a car crash, it's not just about healing the body—it’s also about proving the injury happened and getting fairly compensated. Chiropractors and nurse practitioners are uniquely trained to do both. They not only help patients recover physically, but they also document injuries in a way that supports legal cases. Their expertise is essential in personal injury claims, especially after motor vehicle accidents (MVAs), as it helps demonstrate the severity of the injuries and their impact on an individual’s life.

The Medical-Legal Connection

Chiropractors and nurse practitioners serve as the medical foundation in personal injury cases. Their assessments, treatment plans, and professional opinions become powerful tools that attorneys use in court. A chiropractor can show how a spinal misalignment or whiplash injury came from the accident. A nurse practitioner can add detailed notes about pain levels, movement limitations, and the medications or therapies needed for recovery. Together, these healthcare professionals create a comprehensive medical narrative that attorneys rely on when pursuing financial compensation for their clients (Auto Accident Doctors, n.d.).

Chiropractors Diagnose the Root Causes of Pain

Chiropractors specialize in understanding how car accidents impact the spine, joints, and muscles. Even minor fender-benders can lead to significant spinal misalignments, which can irritate nearby nerves and cause chronic pain. Chiropractors look for signs of whiplash, herniated discs, nerve compression, and soft tissue damage. They use their hands or imaging tools, such as X-rays or MRIs, to locate problem areas and then perform adjustments or spinal manipulations to reduce inflammation, restore alignment, and improve function (Talbott Law Firm, 2017).

In personal injury cases, chiropractors also document their findings in a manner consistent with legal language. Their notes include timelines, descriptions of pain, recovery progress, and potential long-term impacts of the injuries. This documentation can be crucial when demonstrating to an insurance company or court the severity of the damage.

Nurse Practitioners Fill the Gaps in Injury Care

Nurse practitioners (NPs) play a critical role in coordinating patient care. They can order blood work, prescribe medications, and assess systemic symptoms, such as fatigue, dizziness, or nausea, that may result from hidden injuries. Nurse practitioners often see the patient first, and they assess more than just physical trauma—they look at mental and emotional well-being, too.

In El Paso, Dr. Alexander Jimenez, DC, APRN, FNP-BC, combines the roles of chiropractor and nurse practitioner, offering a unique dual-scope approach. He can evaluate injuries from both a medical and biomechanical standpoint. This allows for accurate diagnoses and better outcomes because his care plans consider the entire body, not just the injured area (Jimenez, n.d.).

Dual-Scope Evaluation in Personal Injury

Dr. Jimenez is a licensed chiropractor and a certified nurse practitioner. This enables him to assess both musculoskeletal and systemic injuries in a single visit. He utilizes advanced imaging techniques, such as MRIs and digital motion X-rays, to confirm soft tissue and nerve damage. From a chiropractic perspective, he identifies spinal misalignments and nerve compression. From a medical standpoint, he diagnoses inflammatory responses, prescribes medication as needed, and monitors the healing progress.

His reports reflect both aspects: physical manipulation results and clinical biomarkers. This dual documentation is invaluable in court and settlement negotiations. It provides a comprehensive picture of the patient’s condition—something that distinguishes his approach from traditional single-scope providers (Jimenez, n.d.).

How Chiropractors and NPs Work with Personal Injury Attorneys

Legal teams rely on chiropractors and nurse practitioners to verify that an accident directly caused the injuries. These professionals provide detailed charts, treatment timelines, expert testimony, and referrals to orthopedic or neurological specialists when necessary.

If a personal injury case goes to court, Dr. Jimenez or other chiropractic-NP professionals can offer expert witness testimony. Their notes and diagnostic findings serve as evidence. They often include:

• Diagnostic codes (ICD-10)

• Treatment codes (CPT)

• Notes on injury progression

• Prognosis and disability status

• Photographic or imaging evidence

This type of documentation meets insurance and legal standards, enabling attorneys to argue for compensation that accurately reflects the medical reality (Pemberton Personal Injury, n.d.).

Common Injuries After Motor Vehicle Accidents: What Chiropractors and NPs Treat

Motor vehicle accidents often cause a wide range of injuries—even in low-speed collisions. Chiropractors and nurse practitioners commonly treat:

• Whiplash: A rapid back-and-forth motion of the neck can strain muscles, ligaments, and nerves.

• Disc Injuries: Herniated or bulging discs can compress spinal nerves, causing pain and numbness.

• Soft Tissue Injuries: Sprains, strains, and muscle tears lead to inflammation, stiffness, and weakness.

• Nerve Injuries: Damaged nerves may result in tingling, burning, or radiating pain in the limbs.

• Back and Neck Pain: Misalignments in the vertebrae can affect movement and posture.

• Ligamentous Injuries: Torn or overstretched ligaments destabilize joints, especially in the spine and shoulders.

According to The R.A.C.K. APC, musculoskeletal injuries require careful diagnosis, which may involve X-rays, MRIs, or CT scans to detect deeper structural damage. Chiropractors and NPs use this information to design precise treatment plans (The R.A.C.K. APC, n.d.).

Imaging and Diagnostics: The Legal Importance of Evidence

Imaging is more than a clinical tool—it's a legal asset. Chiropractors and nurse practitioners involved in personal injury care often use the following tests:

• X-rays to detect fractures and dislocations.

• MRIs to reveal soft tissue and nerve injuries.

• Digital Motion X-rays to show spinal instability.

• Thermography to detect inflammation patterns.

• EMG/NCV (Electromyography/Nerve Conduction Velocity) to measure nerve function.

Dr. Alexander Jimenez uses these tools to provide detailed visual evidence of injury. These images become part of the legal case file, providing attorneys with the “hard proof” they need to directly link injuries to the accident. It helps demonstrate both the cause and effect, key legal concepts in winning personal injury claims (Jimenez, n.d.).

Real-World Example: Dr. Jimenez’s Protocol for Post-Accident Recovery

In his El Paso clinic, Dr. Jimenez follows a specific protocol when caring for victims of auto accidents. Here’s a simplified breakdown:

1. Initial Evaluation – Includes physical exams, postural assessments, and pain mapping.

2. Advanced Diagnostics – Imaging like MRIs and digital motion studies to assess ligament or nerve damage.

3. Care Plan Development – A blend of chiropractic adjustments, functional medicine, and targeted therapies.

4. Medical Documentation – Daily SOAP notes, patient progress, and long-term prognosis entered into EHR (Electronic Health Record) systems compliant with legal standards.

5. Legal Collaboration – Communication with the patient’s attorney, providing expert statements and medical summaries that support compensation claims.

This dual-scope approach shortens recovery time and strengthens legal cases. In some cases, Dr. Jimenez has testified as a medical expert to clarify complex injury mechanisms in court (Jimenez, 2025).

Integrative Medicine: Healing Beyond the Spine

Chiropractors and nurse practitioners don't just treat pain—they look at the patient holistically. Integrative care includes:

• Functional Medicine to identify metabolic and systemic imbalances.

• Nutritional Support to reduce inflammation and speed tissue healing.

• Physical Rehabilitation is used to restore mobility and prevent long-term disability.

• Mind-Body Medicine to address the stress and trauma often associated with MVAs.

The combination of chiropractic, medical, and lifestyle-based treatments helps patients recover more quickly and reduces the likelihood of developing chronic pain conditions. At clinics like Dr. Jimenez’s, this integrative care model also yields well-documented recovery timelines, which are crucial for legal clarity (Health Coach Clinic, n.d.).

Chiropractors and Nurse Practitioners as Legal Allies

In many personal injury cases, chiropractors and NPs go beyond the clinic. They help with:

• Insurance Claims: Submitting accurate diagnoses and treatment codes for reimbursement.

• Legal Forms and Affidavits: Providing official documents for attorneys and insurance companies.

• Expert Testimony: Explaining medical findings in plain language during trials or depositions.

According to Beyond Medical, chiropractors are often the first healthcare providers patients see after an accident. Their immediate documentation—including range of motion, severity of pain, and time off work—is often the most reliable evidence in a case (Beyond Medical, n.d.).

Working with attorneys from the very beginning ensures that the patient’s medical rights are protected and that insurance companies don’t deny or minimize claims due to incomplete documentation.

Why Medical Documentation Matters in Court

The value of detailed medical documentation in personal injury law cannot be overstated. Attorneys use:

• Initial exam reports to show when the injury occurred.

• Ongoing treatment records to track recovery and justify compensation for long-term care.

• Imaging to connect the physical damage with patient symptoms.

• Final summaries and disability evaluations to argue for lost wages or long-term impairment settlements.

According to Dominguez Injury Centers, insurance adjusters and legal representatives are more likely to settle fairly and quickly when thorough, professional documentation is provided. Chiropractors and NPs make this possible through the maintenance of continuous, clear, and detailed records (Dominguez Injury Centers, n.d.).

Conclusion: Fair Compensation Starts with Strong Medical Evidence

Motor vehicle accidents can cause long-lasting damage to the spine, nerves, muscles, and joints. Chiropractors and nurse practitioners do more than treat injuries—they become powerful advocates for their patients in the legal system. Their reports, diagnostic tools, and ability to communicate with attorneys are crucial for ensuring victims receive the care and compensation they deserve.

Professionals like Dr. Alexander Jimenez in El Paso demonstrate how dual-scope expertise in chiropractic and nurse practitioner care not only improves health outcomes but also strengthens legal cases. By addressing both the root causes of injuries and the necessary legal documentation, integrative providers are indispensable allies in personal injury cases.

Beyond the Surface: Understanding the Effects of Personal Injury

References

• Auto Accident Doctors. (n.d.). How Attorneys and Chiropractors Work Together.

• The R.A.C.K. APC. (n.d.). Athletic Trainer vs Physical Therapist.

• Dr. Alexander Jimenez. (n.d.). Personal Injury Doctor.

• Pemberton Personal Injury. (n.d.). Chiropractor's Role in Supporting Personal Injury Cases.

• Dominguez Injury Centers. (n.d.). Working with Attorneys and Insurance Companies.

• Jimenez, A. (2025). Chiropractic-Nurse Integration in Post-Accident Care.

• Talbott Law Firm. (2017). How Chiropractic and Personal Injury Fit Together.

• Beyond Medical FL. (n.d.). Chiropractors and Personal Injury Attorneys.

• Health Coach Clinic. (n.d.). Advantages of Chiropractic and Nurse Practitioners in Recovery.

• Jimenez, A. (n.d.). Professional Profile.

• Jimenez, A. (2025). PDF Reference.

General Disclaimer *

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

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

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

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

For individuals dealing with or experiencing muscle pain and stiffness, how long does it take to loosen tight muscles?

Length Of Time to Loosen Tight Muscles

Tight muscles are often caused by overuse or strain, combined with muscle soreness, a common symptom of tight muscles. The soreness peaks around the third day and begins to subside, typically resolving within a few days. But if tightness persists or is accompanied by other symptoms like numbness, inability to move, or swelling, it's important to consult a medical provider. (Spine Medicine and Surgery of Long Island, 2024) However, it can take much longer for individuals who have never stretched and have had tight muscles for years, depending on the severity, injury history, and underlying causes.

Factors Influencing Timeline

Consistent stretching can take anywhere from a few weeks to a few months to noticeably loosen tight muscles and improve flexibility. The specific time frame depends on factors like the severity of the tightness, underlying causes, and individual consistency with stretching. (Peterson Physical Therapy, 2024)

Severity of Tightness

• Muscle knots and significant limitations in range of motion may take longer to resolve than minor stiffness.

Underlying Causes

• If tightness is due to a specific injury or condition, addressing that cause is important for lasting and maintaining improvements. (Healthline, 2023)

Individual Factors

• Genetics, age, and overall health can influence how quickly muscles adapt to stretching.

Consistency

• Regular stretching, ideally daily or several times a week, is essential for feeling progress. (Mayo Clinic, 2023)

Stretching Routine

The length of time can vary based on the starting flexibility level and the specific stretching routine. (Mayo Clinic, 2023) It typically takes several weeks of consistent stretching, at least 3-4 times a week, to notice flexibility improvements. Longer-term changes, beyond the initial feeling of being looser, usually take 8 to 12 weeks.

Consistency

• Aim for at least 3-4 weekly stretching sessions, each lasting 20-30 minutes. (Harvard Health Publishing, 2022)

Hold Time

• Hold static stretches for at least 30 seconds.
• Longer holds (1-2 minutes) can provide deeper benefits.

Long-term Gains

• For substantial and sustained improvements, stretching consistently for several months is recommended. (Mayo Clinic, 2023)

Initial Changes

• Individuals may notice small improvements in the first few weeks, especially starting from a more inflexible position.

Influencing Factors and Results

• Individual genetics, current flexibility level, and the specific exercises can affect how quickly improvements are seen and felt. (Peterson Physical Therapy, 2024)

What To Expect

Improvements

• Within a few weeks, individuals might notice a decrease in the sensation of tightness or increased ease in reaching a stretch. (Peterson Physical Therapy, 2024)

Longer-Term Changes

• Significant muscle length and flexibility improvements may take several weeks to months of consistent effort.

Maintenance

• Once flexibility improves, ongoing stretching is needed to maintain those gains. (Harvard Health Publishing, 2022)

Treatment Options

• Stretching, physical therapy, massage, and other therapies can help alleviate tight muscles and promote recovery. (Spine Medicine and Surgery of Long Island, 2024)
• Consider professional guidance for specific concerns or limitations. Consult a physical therapist or healthcare provider for personalized recommendations.

The length of time to see results means consistency and patience are important.

Injury Medical Chiropractic and Functional Medicine Clinic

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

Understanding Long-Lasting Injuries

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Spine Medicine and Surgery of Long Island. (2024). How Long Do Muscle Knots Last? Spine Medicine and Surgery of Long Island. https://www.spinemedli.com/how-long-do-muscle-knots-last/#:~:text=The%20duration%20of%20a%20muscle,chronic%20pain%20if%20left%20untreated.

Peterson Physical Therapy. (2024). How Long Does It Take to Improve Flexibility? https://petersenpt.com/how-long-does-it-take-to-improve-flexibility#:~:text=Over%20the%20years%2C%20I've,takes%20to%20become%20more%20flexible.

Healthline. (2023). Everything You Need to Know About Muscle Stiffness. https://www.healthline.com/health/muscle-stiffness

Mayo Clinic. (2023). Stretching: Focus On Flexibility. https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/stretching/art-20047931#:~:text=Stretch%20in%20a%20smooth%20movement,hold%20for%20around%2060%20seconds.

Harvard Health Publishing. (2022). Everyday Stretching. https://www.health.harvard.edu/everyday-stretching#:~:text=A%20daily%20regimen%20will%20deliver,or%20three%20times%20a%20week.

Individuals with difficulty with normal functional mobility after surgery, injury, or illness may be referred to physical therapy during recovery. A common question patients have before treatment is: What should they wear to the physical therapy appointment?

What To Wear To Physical Therapy?

Individuals referred to physical therapy usually have questions about what to expect and how to prepare. What to wear is a common question and is important because patients want to wear the right physical therapy outfit for their specific condition and feel comfortable and safe at their physical therapy appointments. A treatment plan may include exercise and stretching. Clothing recommendations may vary slightly depending on the type of physical therapy the patient is receiving; it is recommended to wear:

• Athletic wear like t-shirts, shorts, yoga pants, and comfortable shoes like sneakers.
• Sometimes, exercises are performed, and modalities such as heat, cold, or electrical stimulation are applied.
• Comfortable, loose-fitting clothing allows for a full range of motion and easy access to the affected area.

Physical Therapy

• The therapist will examine the patient's mobility and flexibility.
• Exercises may be prescribed, and therapeutic modalities, like ice or heat, may be applied.
• Wearing the right clothing can make the therapy experience highly effective and productive.

This way, therapy sessions go smoothly, and there is a level of comfort and confidence to reach goals quickly.

Upper Body Neck, Shoulders, Arms, Back

For upper body injuries, wear clothing that provides access and mobility to the areas affected, such as the neck, shoulders, arms, or back.

• For neck pain, wear a shirt that allows the therapist to see the neck, shoulders, and upper back, such as a loose, open T-shirt with a scoop neck, V-neck, or tank top.
• For long hair, bring a hair tie.
• Women are recommended to wear a sports bra.
• For an arm, wrist, or hand injury, wear a loose-fitting shirt with the arms exposed.
• Tight shirts like those made from Lycra are not advisable because the therapist cannot effectively evaluate and treat the injury if the patient wears something tight.

Lower Body, Hips, Legs, Knees

For lower extremity problems and injuries, wear clothing that allows free movement during exercise and allows the therapist to visualize and examine the back, hips, knees, and legs.

• Wear a T-shirt, sports bra, and shorts or pants with an elastic waistband for back, lower spine, or pelvis injuries.
• For hip pain, the therapist should be able to see and adjust the spine and hips.
• Avoid wearing tight-fitting pants that don't allow for full movement.
• Shorts with an elastic waistband are recommended.
• Leggings may not roll up easily.

Feet and Ankles

For a foot or ankle injury, the therapist will want to observe the patient walk in shoes and bare feet for conditions like plantar fasciitis or ankle sprains. For any lower extremity condition, expect some light or heavy exercise. Wear socks to absorb sweat and odor and sneakers or athletic shoes. Avoid open-toed sandals, high heels, or casual lightweight footwear like Crocs.

Other Considerations

Avoid

• Bracelets and necklaces
• Turtleneck shirts
• Tight-fitting long-sleeved shirts
• Leggings
• Sandals

When preparing for appointments, consider your specific condition. Remember that you will likely be exercising, so wear loose, comfortable clothing that allows you to move around freely. If you are coming directly from work or a formal event, ask the office staff if there is a changing room that you can use. It may also be a good idea to avoid wearing dangling jewelry. A necklace or bracelet may get in the way, so be prepared to remove it for your appointments. Therapists can also use draping with towels or pillowcases/sheets to help you feel comfortable when certain body areas are exposed. That way, you can be relaxed and more able to focus on recovery and rehabilitation to return to normal activities.

Injury Medical Chiropractic & Functional Medicine Clinic

If you are unsure if what you plan to wear is appropriate, call the office and ask. If you're leaving work and need to change, make sure your therapist's office has a place for you to do that. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Unlocking Pain Relief: How We Assess Motion To Alleviate Pain

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Triceps tendonitis can be frustrating, especially when you need to rest from normal activities. Can knowing the causes, symptoms, and diagnosis help individuals understand the treatment and prevention of the condition?

Triceps Tendonitis

Tendons are connective tissue that attach muscles to bones, enabling the joints to move. Triceps tendonitis is inflammation of the tendon at the back of the elbow. It is most often caused by overuse of the triceps muscles. The condition can cause pain, swelling, and loss of function. It's common in jobs that require regular hammering, shoveling, and overhead reaching, as well as in weightlifters, gymnasts, and boxers.

Causes

The triceps muscle runs along the back of the upper arm and is attached to the point of the elbow by a tendon. This muscle straightens the elbow. Tendonitis develops from repeatedly straightening the elbow against resistance. This causes tiny tears in the tissue, which leads to inflammation. Triceps tendonitis commonly occurs from repetitive manual labor tasks or sports activities like throwing sports, gymnastics, or boxing. Exercises that target the triceps muscle can cause tendonitis to develop, including kickbacks, dips, push-ups, and bench presses. For this reason, triceps tendonitis is also known as weightlifter's elbow. (Orthopedic & Spine Center, N.D.)

Symptoms

Inflammation leads to a series of chemical reactions in the area of the injury. There are five main symptoms of inflammation:

• Redness
• Warmth
• Swelling
• Pain
• Loss of function

With triceps tendonitis, the pain and stiffness are felt at the back of the elbow. Weakness may also present when using the affected arm. Tendonitis usually causes more pain with movement than when resting. Pain can occur when straightening the elbow, which puts tension on the triceps, or bending the elbow, which stretches the tendon.

Diagnosis

A healthcare provider will ask questions and perform a physical exam to diagnose tendonitis. (Harvard Health Publishing, 2014) A healthcare provider will ask you to describe the pain and the activities that make it better or worse. The elbow will be assessed for movement issues, swelling, or deformities that could indicate a worse injury, like a tendon tear. A healthcare provider will order X-rays or other imaging, such as MRI, to assess for a bone fracture or more extensive damage to the tendon.

Treatment

Several types of treatments include self-care, physical therapy, and medications.

Self Care

Triceps tendonitis can be treated at home if symptoms are addressed early. These include:

Rest

• Rest the triceps tendon by avoiding activities that cause pain for a few days.

Ice

• Apply ice to the triceps tendon for 15 to 20 minutes, two to three times daily.
• Massage the area with an ice cube for several minutes.

Range of Motion Exercises

• Decrease stiffness in the elbow with gentle range of motion exercises.
• Slowly bend and straighten the elbow in a pain-free range, 10 times.
• Repeat several times per day.

Physical Therapy

Physical therapists use various therapies and tools when treating tendonitis, including (Prall J. & Ross M. 2019)

PT Modalities

• Physical therapy modalities are used to decrease pain, inflammation, and stiffness.
• Examples include ultrasound, electrical stimulation, and light therapy.

Manual Therapy

• Manual techniques for tendonitis include soft tissue massage, friction massage, stretching, and joint mobilization.

Exercise

• Stretching and strengthening exercises that target the triceps muscle and any other muscle weakness that might have contributed to the condition.

Activity Modification

• A therapist will look at the activities that led to the tendonitis and ensure you use the correct form and proper body mechanics.
• Sometimes, a physical therapist can make on-site changes in the work environment to help prevent further injury.

Medications

Medications that are used to treat the condition (Aurora Health Care, 2025)

NSAIDs

• Nonsteroidal anti-inflammatory medications are often used to treat tendonitis.
• Many are available over-the-counter, including Aleve, Bayer, and Advil.
• These medications can also be prescribed in higher doses by a healthcare provider.

Pain-Relievers

• Additional over-the-counter medications such as Tylenol can help decrease pain.

Oral Steroids

• These medications might be prescribed for short-term use to decrease inflammation if over-the-counter medications are ineffective in treating symptoms.
• Long-term use of oral steroids can cause more damage to the tendons. (Spoendlin J., Meier C., Jick S. S., & Meier C. R. 2015)

Corticosteroid Injections

• Tendonitis is frequently treated with an injection of steroid medication to decrease inflammation.
• However, having multiple injections in the same area can eventually cause tendons to weaken more. (NYU Langone Health, 2024)

Platelet-Rich Plasma

• PRP is made by taking a small amount of blood and separating the platelets or cells that release growth factors to promote healing.
• The liquid is then injected into the tendon.
• PRP is controversial; some studies support its use, while others do not.
• While PRP may show some promise, insurance may not cover PRP treatments because of the ambiguity in the clinical data.

Injury Medical Chiropractic and Functional Medicine Clinic

Prevention is key. Warming up before a workout, stretching, and using the proper form can help prevent triceps tendonitis. Temporarily halting activities to address symptoms can prevent more serious injury. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

From Inflammation to Healing

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Orthopedic & Spine Center. (N.D.). Triceps Tendonitis or Weightlifter's Elbow. https://www.osc-ortho.com/resources/elbow-pain/triceps-tendonitis-or-weightlifters-elbow/

Harvard Health Publishing. (2014). Tendonitis. https://www.health.harvard.edu/diseases-and-conditions/tendonitis

Prall, J., & Ross, M. (2019). The management of work-related musculoskeletal injuries in an occupational health setting: the role of the physical therapist. Journal of Exercise Rehabilitation, 15(2), 193–199. https://doi.org/10.12965/jer.1836636.318

Aurora Health Care. (2025). Tendonitis symptoms & treatment. https://www.aurorahealthcare.org/services/orthopedics/conditions/tendonitis

Spoendlin, J., Meier, C., Jick, S. S., & Meier, C. R. (2015). Oral and inhaled glucocorticoid use and risk of Achilles or biceps tendon rupture: a population-based case-control study. Annals of Medicine, 47(6), 492–498. https://doi.org/10.3109/07853890.2015.1074272

NYU Langone Health. (2024). Therapeutic injections for bursitis & tendinitis in adults. https://nyulangone.org/conditions/bursitis-tendinitis/treatments/therapeutic-injections-for-bursitis-tendinitis 

For individuals wanting to try acupuncture for various health conditions but aren't sure?

Is Acupuncture Painful?

Acupuncture is a procedure where extremely fine needles are inserted into pressure points in the body. A traditional Chinese medicine technique used to alleviate pain and enhance physical and emotional well-being. (Harvard Health, 2023) It can be beneficial for anyone dealing with persistent painful conditions, such as back pain, sciatica, arthritis-related discomfort, headaches, and post-surgery pain. It's also a supportive option for individuals experiencing hot flashes and generalized inflammation, making it a versatile choice for holistic health. People undergoing acupuncture experience minimal pain, usually mild pressure or soreness during or after. However, choosing an experienced practitioner and communicating with them during the treatment is the best way to avoid increased pain.

When Performed Correctly, It Should Not Hurt

Many fear that acupuncture will be painful. However, this is not the case because the procedure uses extremely fine needles. One study of pediatric patients found that 87% reported minimal to no pain while having the treatment (Gold J. I. et al., 2023). Improper needle placement is one of the most common reasons that patients experience pain during or after treatment (Johns Hopkins Medicine, 2025). This is why it is important to be treated by a licensed practitioner who is well-versed in treating specific conditions.

Soreness After Treatment

It is relatively uncommon to experience pain after receiving acupuncture. About 10% of individuals experience minor soreness after the treatment (Kelly R. B. & Willis J. 2019). The soreness is typically felt in the areas where the needles were inserted.

Situations When Pain Can Present

A small group of those who undergo acupuncture may experience some pain. It is most frequently seen in the following: (Harvard Health, 2023)

• The acupuncturist is inexperienced and inserts the needle incorrectly or not in the right area.
• The needles are inserted more deeply than normal or with too much pressure.
• The patient has a lower pain threshold and/or is more sensitive to needles.
• The practitioner uses higher gauge/thicker needles.

It is important for individuals who have not had acupuncture before to discuss the procedure and any concerns with their provider beforehand. The acupuncturist may be able to perform a trial needle insertion to provide a preview of the treatment. During the initial session, they may use fewer needles or target a smaller area. Constantly communicate with the acupuncturist during the treatment. This allows them to adjust the needles causing soreness or discontinue the procedure if there is increased pain.

Acupuncture Process

Modern medicine explains acupuncture’s benefits. When the needles are inserted, they stimulate the release of endorphins, opioids, immune system cells, and neurohormones. These chemicals help reduce and relieve pain and modify how the body perceives it. They may also impact blood pressure, body temperature, and central nervous system function. (Harvard Health, 2023)

Pressure Points: Is Acupuncture Painful On Certain Body Parts?

Acupuncture can cause some increased soreness in certain body areas. This is especially true when needles are inserted into less muscle or fat regions. For example, hand or foot acupuncture can occasionally cause increased pain (Kaiser Permanente, 2021). Thin individuals with less soft tissue may also experience a stinging sensation as needles are inserted. Communication with the provider is the key to making the acupuncture sessions as comfortable as possible.

During A Session

The first acupuncture session may consist of the following:

• The practitioner goes over medical history and current symptoms.
• The practitioner examines the body and may also examine the tongue to assess for any present imbalances.
• The patient will lie or sit on a table.
• Sterilized needles are inserted into the affected areas one at a time.
• In some situations, heat or electrical stimulation may also be used to enhance its effects. (Johns Hopkins Medicine, 2025)
• A typical acupuncture session is about 20 to 30 minutes. (Kaiser Permanente, 2021)

Self-Care After Treatment

Most cases of soreness after treatment will resolve in one to three days. During this time, here are a few recommendations to alleviate any soreness symptoms:

• Apply ice to the areas of soreness.
• Gently stretch the sore areas.
• Increase fluid intake.
• Soak in a warm bath with Epsom salts or magnesium oil.
• Perform light aerobic exercise.
• Take over-the-counter anti-inflammatory medication if recommended by a physician. (University of Georgia, N.D.)

Find a Licensed Acupuncturist

Most states have an online directory of licensed acupuncturists that can help find a local provider. Some national acupuncture associations also maintain lists of members who are board-certified. For example, this directory searches for certified acupuncturists through the National Certification Commission for Acupuncture and Oriental Medicine. (National Certification Commission for Acupuncture and Oriental Medicine, 2024)

Injury Medical Chiropractic and Functional Medicine Clinic

Therefore, acupuncture is not painful and can help relieve symptoms such as anxiety, stress, pain, discomfort, tightness, and poor circulation. Injury Medical Chiropractic and Functional Medicine Clinic can help individuals recover and build optimal health and wellness solutions with primary healthcare providers and specialists. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Beyond Adjustments: Chiropractic and Integrative Healthcare

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Harvard Health Publishing. (2023). Acupuncture. https://www.health.harvard.edu/a_to_z/acupuncture-a-to-z

Gold, J. I., Kobylecka, M., Ngo, N. H., Lin, C. T., & Hurray, C. N. (2023). Does Acupuncture Hurt? A Retrospective Study on Pain and Satisfaction during Pediatric Acupuncture. Children (Basel, Switzerland), 10(11), 1774. https://doi.org/10.3390/children10111774

Johns Hopkins Medicine. (2025). Acupuncture. https://www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture

Kelly, R. B., & Willis, J. (2019). Acupuncture for Pain. American Family Physician, 100(2), 89–96.

Kaiser Permanente. (2021). Acupuncture 101: here’s what you can expect. https://healthy.kaiserpermanente.org/health-wellness/healtharticle.acupuncture-101

University of Georgia. (N.D.). Dry needling. https://healthcenter.uga.edu/healthtopics/dryneedling/

National Certification Commission for Acupuncture and Oriental Medicine. (2024). Directory: Feel Confident About Finding a Qualified Practitioner. https://directory.nccaom.org/#

Can individuals improve their brain function by incorporating yoga as part of their routine to reduce stress and improve mental health?

Introduction

Many people are impacted by life stressors that can cause overlapping risk profiles in their bodies. Stress or cortisol is a vital hormone that affects organs and tissues in the body and can help regulate the body’s response to stress. Whether preparing for a big presentation, studying for an important exam, or dealing with a heavy workload, stress can play a part in these scenarios. Too much stress can impact not only the musculoskeletal function of the body but also brain function, which is why many individuals are looking for ways to lower stress levels in their bodies and give their brains a break. Today’s article looks at how stress is associated with brain function and how therapeutic exercises like yoga can improve brain function and relieve stress. We discuss with certified medical providers who inform our patients how stress can have a negative impact on the brain’s functionality. While asking informed questions to our associated medical providers, we advise patients to incorporate various therapeutic exercises like yoga to help lower stress levels in the body and improve brain function. Dr. Alex Jimenez, D.C., encompasses this information as an academic service. Disclaimer.

Stress & Brain Function

How often do you get headaches or migraines, causing you to be anxious constantly? Do you feel muscle tension or pain after a long, strenuous day? Or do you feel more tired throughout the day even though you slept a full night? Many scenarios correlate with stress and can impact a person’s well-being. While stress is often correlated with negative emotions , it is an acute adaptive response to environmental stimuli in the body and the brain. (McEwen & Akil, 2020) Now, the brain and stress have a wonderful relationship with each other, as the brain is the main controller for the body, providing neuron signals to each of the body’s systems and helping with stress reactivity when environmental factors are in play. Cortisol is a stress hormone that, at the basal levels, is highly important for maintaining healthy brain development and function. When dealing with a highly stressful situation can cause cortisol levels to be elevated and lead to the development of free radical formation that is toxic to the brain. (Herzberg & Gunnar, 2020)

When high-stress levels start to impact brain function in the body, the brain can inform the immune system to produce an excess of inflammatory cytokines to attach themselves to healthy cells and lead to the development of stress-induced inflammation caused by repeated social defeat (RSD). When RSD starts to activate the immune cells in the brain, it can enhance neuroinflammation and influence the endothelial cells of the brain to recruit and transport the peripheral monocytes into stress-sensitive neural regions. (Bower & Kuhlman, 2023) When this happens, it can take a person a long time to reduce their stress levels. However, many individuals who are dealing with stress can find therapeutic ways to not only reduce their stress levels but also protect and improve their brain function.

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*

For individuals dealing with newly formed or chronic lower back pain, can making daily walks a part of a weekly routine help relieve pain and discomfort symptoms and prevent strains and injuries?

Walking For Low Back Pain Relief

Walking is recommended to treat and prevent chronic or recurrent lower back pain. A study found that a personalized and progressive weekly walking program that builds up to 130 minutes of moderate intensity can significantly relieve severe lower back pain and prevent future flare-ups. (Pocovi N. C. et al., 2024) Walking is a cost-effective and easily accessible way to relieve lower back pain and prevent recurring or future injuries. It strengthens the back muscles, improves posture, and stabilizes the spine. (Suh JH, et al., 2019) Other benefits include improved overall physical health, posture, and circulation.

How Walking Helps

Walking for low back pain relief and general movement is better than not engaging in physical activities for individuals with recurrent lower back pain. Being sedentary can worsen back pain symptoms. (National Library of Medicine. 2019) Walking is second nature and is easy to incorporate into a weekly routine to help relieve back pain and improve overall health (Macquarie University, 2024)

Increases Spinal Flexibility

• Walking and gentle movements increase the lower back's functional range of motion, improve spinal flexibility, and reduce stiffness. (Smith J. A. et al., 2022)

Stabilizes Lumbar/Low Back Muscles

• Walking builds muscle endurance and strength in the paraspinal muscles, increasing lumbar spinal stabilization. (Suh JH, et al., 2019)

Strengthens Core Muscles

• Walking increases the body load and strengthens core muscles like the transversus abdominis, which lowers the risk of chronic lower back pain. (Lee J. S. and Kang S. J. 2016)

Improves Posture

• Movement of the legs during walking enhances bodily awareness and helps correct posture.(Henry M. and Baudry S. 2019)

Increases Blood Circulation

• Walking increases blood circulation to the muscles, supplying essential nutrients to spinal discs. It also reduces the frequency and severity of lower back muscle spasms. (Sitthipornvorakul E. et al., 2018)

Lubricates Spinal joints

• Low-impact walking improves synovial fluid production and circulation, lubricating the lumbar spine's facet joints and other joints that tend to get achy, such as the knees. (Zhang S. L. et al., 2013)

Relieves Inflammation

• Walking helps reduce the presence of pro-inflammatory cytokines, like (IL-8 and TNF-alpha) associated with chronic lower back pain. (Slouma M. et al., 2023)

Promotes Weight Loss

• Walking and a healthy diet can help individuals lose excess fat, which puts added strain on the lower back and correlates with lumbar intervertebral disc degeneration. (Wang M. et al., 2024)

Stress Relief

• Regular walking can reduce mental stress associated with chronic lower back pain. (Choi S. et al., 2021)

Releases Endorphins

• Moderate to vigorous physical activity, like walking at about 3 miles per hour for a half-hour daily, stimulates the release of endorphins, the body's natural pain relievers. (Bruehl S. et al., 2020)

Walking Correctly

To get all the benefits of walking for low back pain relief, it is recommended to practice the following (Macquarie University, 2024)

• Start slowly.
• Gradually build intensity.
• Stay consistent with the walking program.
• Track progress to maintain motivation.

Healthcare Provider Consultation

Walking is a low-risk, low-impact activity well-tolerated by most individuals with nonspecific low back pain. (Pocovi N. C. et al., 2022) Because it doesn't involve twisting or vigorous movements, it is considered a safe exercise for individuals with back pain symptoms (Gordon R. and Bloxham S. 2016). However, individuals experiencing severe lower back pain due to a traumatic injury or medical condition should consult a healthcare provider before starting a regular walking program.

Limit High Impact Activities

High-impact activities like running on hard surfaces or playing sports can exacerbate chronic lower back pain. If there is chronic lower back pain, it is recommended to limit activities that involve: (Al-Otaibi S. T. 2015)

• Heavy lifting
• Repetitive bending
• Twisting motions

Injury Medical Chiropractic and Functional Medicine Clinic

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

Movement as Medicine

General Disclaimer *

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

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Pocovi, N. C., Lin, C. C., French, S. D., Graham, P. L., van Dongen, J. M., Latimer, J., Merom, D., Tiedemann, A., Maher, C. G., Clavisi, O., Tong, S. Y. K., & Hancock, M. J. (2024). Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial. Lancet (London, England), 404(10448), 134–144. https://doi.org/10.1016/S0140-6736(24)00755-4

Suh, J. H., Kim, H., Jung, G. P., Ko, J. Y., & Ryu, J. S. (2019). The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine, 98(26), e16173. https://doi.org/10.1097/MD.0000000000016173

National Library of Medicine., & InformedHealth.org [Internet]. Cologne, G. I. f. Q. a. E. i. H. C. I. (2022). Low back pain: Learn More – Why movement is so important for back pain. https://www.ncbi.nlm.nih.gov/books/NBK284944/

Macquarie University. (2024). Macquarie University. Walking to combat back pain: world-first study shows dramatic improvement. https://lighthouse.mq.edu.au/article/june-2024/walking-away-from-pain-world-first-study-shows-dramatic-improvement-in-lower-back-trouble

Smith, J. A., Stabbert, H., Bagwell, J. J., Teng, H. L., Wade, V., & Lee, S. P. (2022). Do people with low back pain walk differently? A systematic review and meta-analysis. Journal of sport and health science, 11(4), 450–465. https://doi.org/10.1016/j.jshs.2022.02.001

Suh, J. H., Kim, H., Jung, G. P., Ko, J. Y., & Ryu, J. S. (2019). The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine, 98(26), e16173. https://doi.org/10.1097/MD.0000000000016173

Lee, J. S., & Kang, S. J. (2016). The effects of strength exercise and walking on lumbar function, pain level, and body composition in chronic back pain patients. Journal of exercise rehabilitation, 12(5), 463–470. https://doi.org/10.12965/jer.1632650.325

Henry, M., & Baudry, S. (2019). Age-related changes in leg proprioception: implications for postural control. Journal of neurophysiology, 122(2), 525–538. https://doi.org/10.1152/jn.00067.2019

Sitthipornvorakul, E., Klinsophon, T., Sihawong, R., & Janwantanakul, P. (2018). The effects of walking intervention in patients with chronic low back pain: A meta-analysis of randomized controlled trials. Musculoskeletal science & practice, 34, 38–46. https://doi.org/10.1016/j.msksp.2017.12.003

Zhang, S. L., Liu, H. Q., Xu, X. Z., Zhi, J., Geng, J. J., & Chen, J. (2013). Effects of exercise therapy on knee joint function and synovial fluid cytokine levels in patients with knee osteoarthritis. Molecular medicine reports, 7(1), 183–186. https://doi.org/10.3892/mmr.2012.1168

Slouma, M., Kharrat, L., Tezegdenti, A., Metoui, L., Ghazouani, E., Dhahri, R., Gharsallah, I., & Louzir, B. (2023). Pro-inflammatory cytokines in patients with low back pain: A comparative study. Reumatologia clinica, 19(5), 244–248. https://doi.org/10.1016/j.reumae.2022.07.002

Wang, M., Yuan, H., Lei, F., Zhang, S., Jiang, L., Yan, J., & Feng, D. (2024). Abdominal Fat is a Reliable Indicator of Lumbar Intervertebral Disc Degeneration than Body Mass Index. World neurosurgery, 182, e171–e177. https://doi.org/10.1016/j.wneu.2023.11.066

Choi, S., Nah, S., Jang, H. D., Moon, J. E., & Han, S. (2021). Association between chronic low back pain and degree of stress: a nationwide cross-sectional study. Scientific reports, 11(1), 14549. https://doi.org/10.1038/s41598-021-94001-1

Bruehl, S., Burns, J. W., Koltyn, K., Gupta, R., Buvanendran, A., Edwards, D., Chont, M., Wu, Y. H., Qu'd, D., & Stone, A. (2020). Are endogenous opioid mechanisms involved in the effects of aerobic exercise training on chronic low back pain? A randomized controlled trial. Pain, 161(12), 2887–2897. https://doi.org/10.1097/j.pain.0000000000001969

Pocovi, N. C., de Campos, T. F., Christine Lin, C. W., Merom, D., Tiedemann, A., & Hancock, M. J. (2022). Walking, Cycling, and Swimming for Nonspecific Low Back Pain: A Systematic Review With Meta-analysis. The Journal of orthopaedic and sports physical therapy, 52(2), 85–99. https://doi.org/10.2519/jospt.2022.10612

Gordon, R., & Bloxham, S. (2016). A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare (Basel, Switzerland), 4(2), 22. https://doi.org/10.3390/healthcare4020022

Al-Otaibi S. T. (2015). Prevention of occupational Back Pain. Journal of family & community medicine, 22(2), 73–77. https://doi.org/10.4103/2230-8229.155370

Individuals with hip bursitis often experience discomfort during physical activity, walking, and pain when lying on the affected side. What treatment options are available to control and manage the condition?

Hip Bursitis

Hip bursitis, also known as trochanteric bursitis, is a common condition that causes pain and discomfort in the hip and upper thigh along the outside of the hip joint. It occurs when one of the hip's bursae, or fluid-filled sacs cushion joints, becomes inflamed. Treatment for hip bursitis is to control the inflammation caused by this condition.

Causes

Hip bursitis can be caused by injury or overuse of the hip, such as repetitive activities, twisting, or rapid joint movement. It can also be caused by a direct blow or fall to the side of the hip.

Symptoms

• Pain from hip bursitis can be sharp at first and may feel dull and achy later.
• It may be worse when standing up after sitting, moving, or using the hip.
• Individuals may also notice pain when lying on the affected side or sitting for a long time.

Rest

This means a period of not participating in physical, exercise, and sports activities that aggravate symptoms. Any activity that causes hip pain should be avoided as this only contributes to inflammation of the bursa. (American Academy of Orthopaedic Surgeons, 2022) Modifying how particular activities are performed can help alleviate pressure on the inflamed bursa. Working with a physical therapist can also be recommended. They are experts in movement and alignment, and if certain muscles are overused compared to others, this can lead to unhealthy movement patterns, causing bursa irritation.

Anti-Inflammatory Medications

Nonsteroidal anti-inflammatory drugs, such as Motrin, Aleve, Naprosyn, etc., will help control inflammation (American Academy of Orthopaedic Surgeons, 2022). Anti-inflammatory medications can be extremely effective but should be taken cautiously. The instructions on the label need to be followed unless directed otherwise by a healthcare provider. Be aware of side effects and inform the healthcare provider if side effects present.

Cold Therapy

Applying ice to the hip area often helps alleviate the symptoms (National Library of Medicine, 2022). Ice can control inflammation by decreasing blood circulation to the area, especially after physical activity and exercise.

Aspiration

A needle is placed into the bursa to drain the fluid for those with a significant amount of fluid collected within the bursa. (National Library of Medicine, 2022) This is rarely needed in cases of hip bursitis, but when it is done, it can be combined with a cortisone injection.

Cortisone Injections

A cortisone injection may also be given into the bursa to alleviate pain. (American Academy of Orthopaedic Surgeons, 2022) The cortisone injection is helpful because it can be a diagnostic and therapeutic tool. In cases where hip bursitis may be one of several diagnoses being considered, cortisone can be given to see if it helps alleviate symptoms. Cortisone is a powerful anti-inflammatory medication that can be administered directly to the problem area. These injections are well-tolerated, but there can be possible side effects. Once the initial symptoms are under control, physical therapy strengthening and stretching exercises may be recommended.

Stretching

Most find relief by stretching the muscles and tendons over the outside of the hip, specifically the iliotibial band. The goal is for a better-conditioned muscle and tendon to glide more easily and not cause inflammation. Proper stretching techniques and posture are important in re-injury prevention.

Physical Therapy

Working with a physical therapist is an effective treatment adjunct for bursitis (American Academy of Orthopaedic Surgeons, 2022). Physical therapists correct muscle imbalances through stretching and exercise and improve alignment to prevent bursa irritation from reoccurring.

Surgery

Most patients get better with conservative treatment within about six weeks. Surgical treatment for hip bursitis is rarely needed (UCSF Health, 2024). Those who do not rest from their activities until the inflammation subsides often have a return of bursitis symptoms, and those who return too aggressively to activities and do not gradually build up also find that their symptoms return. In cases where surgery is needed, the healthcare provider may recommend an arthroscopic bursectomy. (American Academy of Orthopaedic Surgeons, 2022) The surgery is an outpatient minimally invasive procedure in which the bursa is removed through a small incision. After a short healing period, the individual can return to normal activity. Crutches may be used for a few days. Common complications are anesthetic-related complications and infection.

Injury Medical Chiropractic and Functional Medicine Clinic

As with any treatment program, always talk with your healthcare provider before initiating specific treatments. Fortunately, treatment of hip bursitis is generally accomplished with conservative therapies. Efforts to limit pressure directly on the bursa, alleviate inflammation, and restore normal movement to the hip joint will typically resolve symptoms. At Injury Medical Chiropractic and Functional Medicine Clinic, we focus on what works for you to relieve pain and restore function. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other associated medical professionals to integrate into a treatment plan to improve the body’s flexibility and mobility, resolve musculoskeletal issues, and prevent future pain symptoms from reoccurring.

The Chiropractic Approach for Pain Relief

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

American Academy of Orthopaedic Surgeons. (2022). Hip bursitis. https://orthoinfo.aaos.org/en/diseases--conditions/hip-bursitis

National Library of Medicine. (2022). Bursitis: Learn More – How can bursitis be treated? InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG). https://www.ncbi.nlm.nih.gov/books/NBK525763/

UCSF Health. (2024). Trochanteric bursitis treatments. https://www.ucsfhealth.org/conditions/trochanteric-bursitis

Individuals with inflammation, pain, and swelling on the tops of their feet or hands could be experiencing extensor tendonitis. What treatment options are available?

Extensor Tendonitis

These tendons attach to muscles that straighten the fingers and lift the toes and the top of the foot. Extensor tendonitis is characterized by inflammation of the tendons on the tops of the hands and feet. It often results from overuse of the muscles and from wearing tight shoes. Symptoms tend to worsen with activity and improve with rest. The condition does not usually require surgery; treatments include medications, home remedies/activity modification, and physical therapy.

Types

Tendonitis can develop in any tendon of the extensor muscles. These tendons are long, thin bands of tissue that can be felt on the tops of the hands and feet. The structures attach to muscles on one end and bones of the fingers and toes on the other. The extensor tendons in the hands include: (American Society for Surgery of the Hand, 2024)

• The extensor digitorum communis straightens the index, middle, ring, and small fingers.
• The extensor digiti minimi straightens the small finger.
• The extensor indicis proprius straightens the index finger.
• The extensor pollicis longus and extensor pollicis brevis muscles move the thumb into the thumb-up position.

Extensor tendons on the top of the foot attach to: (American Society for Surgery of the Hand, 2024)

• The extensor digitorum longus and extensor digitorum brevis muscles lift the second, third, fourth, and fifth toes.
• The extensor hallucis longus lifts the big toe.

Tendonitis vs Tendinopathy

• Chronic tendon pain can lead to a condition known as tendinopathy.
• Tendonitis results from inflammation.
• Tendinopathy is the degeneration/micro-tearing of a tendon that occurs with long-term overuse.
• Knowing which condition you are dealing with is important because it requires different treatments.

Symptoms

The primary symptom is pain in the affected tendon/s. Individuals may also experience swelling, and the skin can become red or warm to the touch. Extensor tendonitis can cause pain when using the affected muscles, moving the hand or foot in the opposite direction, and stretching the tendons. Usually, the pain worsens when using the affected muscles and improves with rest.

Causes

Extensor tendonitis in the hands usually results from overuse, which causes inflammation. However, it can also result from trauma, such as falling on the hand or an injury during physical or sports activities. Common activities include: (Hanson Z. C., and Lourie G. M. 2022)

• Manual labor work
• Typing
• Computer mouse use
• Weightlifting
• Gymnastics
• Playing a musical instrument

Extensor tendonitis in the foot can also result from overuse activities like running, especially uphill. However, it can also occur from wearing overly tight or tightly laced shoes for physical activities like running or dancing. Less common causes include: (Arthritis Foundation, N.D.)

• Medical conditions like diabetes or arthritis
• Medication side effects 
• Infection
• Joint deformities

Treatment

Extensor tendonitis usually improves with conservative treatment, which includes self-care, activity modification, physical therapy, and medication.

Medications

Individuals can treat inflammation with non-steroidal anti-inflammatory drugs NSAIDs like:

• Ibuprofen
• Naproxen
• Aspirin
• Acetaminophen can help reduce pain.
• In some cases, individuals may need prescription anti-inflammatory medications like corticosteroids or pain relievers for short-term use.

Self-Care and Activity Adjustments

Self-care includes:

• Rest and avoid any activities that increase pain symptoms. If you can't avoid them completely, take frequent breaks to allow the muscles to relax.
• Apply ice to the hand or foot several times daily for up to 20 minutes.
• Compression wraps should be applied on the foot or hand using an elastic bandage or soft splint to help support the injured tendons and reduce swelling.
• Elevate the hand or foot if swollen above the heart level when resting.

Activity Adjustments

• Modifying activities can help address the underlying cause/s.
• Hand extensor tendonitis can develop from poor positioning.
• Setting up an ergonomic workstation can help.
• Consult a coach or trainer if the tendonitis is related to sports or exercise.
• Individuals might need to adjust their technique or training schedule to decrease pressure on the tendons.

Physical Therapy

Physical therapy is an effective treatment. A therapy team can help determine the condition's underlying cause and provide a personalized treatment program. Interventions can include:

• Pain-reducing treatments like ultrasound, electrical stimulation, electroacupuncture, and laser therapy.
• Manual therapy
• Massage therapies
• Targeted exercise programs
• Prescription of orthotics like a hand splint or shoe inserts.

Surgery

Surgery is not necessary unless the tendon is torn. (Bronner S., Ojofeitimi S., and Rose D. 2008) (American Society for Surgery of the Hand, 2014) Recovery after surgical repair requires physical therapy treatment following specific protocols based on the patient's case.

Prognosis

Extensor tendonitis can take weeks or even months to fully heal. Early diagnosis and determining the condition's underlying cause rather than just treating symptoms are recommended for a faster and optimal recovery. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop personalized treatment programs through an integrated approach to treating injuries and chronic pain syndromes, improving flexibility, mobility, and agility, relieving pain, and helping individuals return to normal activities. Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers if other treatments are needed.

Move Better, Live Better, with Chiropractic

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

American Society for Surgery of the Hand. (2024). Tendons. https://www.assh.org/handcare/safety/tendons#Finger%20Extensor

Hanson, Z. C., & Lourie, G. M. (2022). Middorsal Wrist Pain in the High-Level Athlete: Causes, Treatment, and Early Return to Play. Orthopaedic journal of sports medicine, 10(4), 23259671221088610. https://doi.org/10.1177/23259671221088610

Arthritis Foundation. Foundation, A. (N.D.). Tendinitis. https://www.arthritis.org/diseases/tendinitis

Bronner, S., Ojofeitimi, S., & Rose, D. (2008). Repair and rehabilitation of extensor hallucis longus and brevis tendon lacerations in a professional dancer. The Journal of orthopaedic and sports physical therapy, 38(6), 362–370. https://doi.org/10.2519/jospt.2008.2749

American Society for Surgery of the Hand. (2014). Extensor tendon injury. https://www.assh.org/handcare/condition/extensor-tendon-injury#:~:text=The%20tendon%20may%20take%20eight%20to%20twelve%20weeks,may%20include%20stitches%20%28for%20cuts%20in%20the%20tendon%29.

Unlock the benefits of stretching for flexibility and joint pain. Enhance your physical performance and comfort.

Introduction

Joint pain can turn everyday activities into challenges, whether it’s a persistent ache in your knees, tightness in your shoulders, or discomfort in your back. Millions of people worldwide experience joint pain, which can stem from injuries, chronic conditions, or lifestyle factors. Fortunately, nonsurgical solutions like chiropractic care, combined with stretching and flexibility exercises, offer a natural and effective way to manage pain, improve mobility, and enhance overall well-being. These approaches go beyond symptom relief, targeting the root causes of joint pain to promote lasting healing.

In this in-depth guide, we’ll explore why combining chiropractic care with stretching is a powerful strategy for alleviating joint pain. We’ll examine the causes and risk factors for joint pain in both upper and lower extremities, highlight the role of integrative therapies such as massage and acupuncture, and provide practical stretching exercises that you can do at home or in the gym. Backed by scientific research and insights from Dr. Alexander Jimenez, DC, APRN, FNP-BC, a leading chiropractor in El Paso, Texas, this article will equip you with the knowledge and tools to take charge of your joint health.

Understanding Joint Pain: Causes and Risk Factors

Joint pain can arise from a complex interplay of factors, ranging from acute injuries to chronic conditions. Identifying these causes is essential for creating an effective treatment plan. Below are the primary contributors to joint pain affecting both upper and lower extremities:

1. Mechanical Factors

• Joint Misalignment: When joints, such as the spine, shoulders, or knees, are misaligned, they place uneven stress on the surrounding muscles, tendons, and ligaments, leading to pain and inflammation. For instance, knee malalignment can contribute to patellofemoral pain syndrome, a common issue among active individuals (Steinberg et al., 2021).
• Overuse and Repetitive Stress: Repetitive motions from sports, work, or daily activities can strain joints, leading to conditions such as shoulder impingement syndrome or lateral epicondylitis (also known as tennis elbow). Overhead athletes, such as volleyball players, often experience shoulder pain due to repetitive stress (Tauqeer et al., 2024).
• Trauma or Injury: Acute injuries, such as sprains, fractures, or dislocations, can damage joint structures, resulting in pain and reduced mobility. For example, anterior cruciate ligament (ACL) injuries are prevalent in athletes and can lead to significant knee pain and instability (Hurley, 1997).

2. Degenerative Conditions

• Osteoarthritis: A leading cause of joint pain, osteoarthritis involves the breakdown of cartilage in joints like the knees, hips, and hands, resulting in pain, stiffness, and reduced range of motion (Luan et al., 2022).
• Rheumatoid Arthritis: This autoimmune condition causes inflammation in the synovial lining of joints, leading to tenderness, swelling, and potential joint damage (Dumoulin et al., 2023).

3. Generalized Joint Hypermobility (GJH)

• Some individuals have naturally flexible joints, a condition known as generalized joint hypermobility (GJH). While this can be beneficial for activities such as dance or gymnastics, it increases the risk of joint instability and pain, particularly in the upper cervical spine and knees (Russek et al., 2023; Steinberg et al., 2021).

4. Inflammation and Systemic Factors

• Inflammatory Conditions: Diseases like rheumatoid arthritis or psoriatic arthritis drive joint inflammation, exacerbating pain. Even subclinical inflammation can cause tenderness in joints like the metacarpophalangeal (MCP) joints without a formal diagnosis (Dumoulin et al., 2023).
• Muscle Imbalances and Poor Posture: Weak core muscles or poor posture can increase stress on joints, particularly in the spine, hips, and shoulders, leading to pain and dysfunction.

5. Lifestyle and Environmental Factors

• Sedentary Lifestyle: A lack of physical activity can lead to muscle stiffness and reduced joint lubrication, thereby increasing the risk of pain and injury.
• Obesity: Excess body weight places additional stress on weight-bearing joints, such as the knees and hips, accelerating cartilage wear and tear (Luan et al., 2022).
• Poor Ergonomics: Improper workstation setups or repetitive tasks, such as typing or lifting, can strain upper extremity joints, contributing to conditions like carpal tunnel syndrome or shoulder pain.

Overlapping Risk Profiles

These factors often overlap, creating a complex risk profile for joint pain. For example, an individual with GJH may also have weak supporting muscles, increasing their risk of joint instability and pain. Similarly, someone with osteoarthritis might experience worsened symptoms due to repetitive stress or poor posture. Chiropractic care and stretching exercises target these overlapping risks by improving joint alignment, enhancing muscle function, reducing inflammation, and promoting overall joint stability, offering a holistic approach to pain management.

Find out how chiropractic care and yoga can work hand-in-hand to reduce back pain and improve your quality of life.

Introduction

Back pain is the grim reaper of comfort, lurking in the shadows of our daily lives, ready to strike when you least expect it—like when you are just trying to tie your shoes or survive another Netflix marathon. It is a universal misery, affecting about 80% of Americans at some point, turning vibrant humans into hunched-over ghouls who wince at every step (El Paso Back Clinic, 2017). However, fear not, because there is a light at the end of this painful tunnel: the powerful combination of chiropractic care and yoga. This blog post, inspired by the clinical wisdom of Dr. Alexander Jimenez, DC, APRN, FNP-BC, will dissect why this duo is your best bet for banishing back pain, boosting spinal mobility, and tackling the overlapping risk factors that make your lower back feel like it is auditioning for a horror movie. We will explore the science, sprinkle in some yoga poses, and throw in a dash of Wednesday Addams-style dark humor to keep things lively. So, grab your yoga mat, brace your spine, and let us dive into the anatomy of relief.

The Spine-Chilling Reality of Back Pain

Back pain is like that uninvited guest who overstays their welcome, crashing on your couch and eating all your snacks. It is not just a fleeting annoyance; it can be a chronic torment that disrupts sleep, work, and your ability to enjoy life. According to the National Institutes of Health, back pain is one of the most common medical problems, with low back pain affecting millions worldwide (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2014). Whether it is a dull ache that lingers like a bad smell or a sharp stab that feels like a betrayal by your own body, back pain is a complex beast with multiple culprits.

Factors Contributing to Back Pain

Let us autopsy the causes of back pain, shall we? Here is a lineup of the usual suspects:

1. Poor Posture: Slouching at your desk like you are auditioning for the Hunchback of Notre Dame puts undue stress on your spine. Over time, this can lead to muscle imbalances and spinal misalignment (Bogduk & Twomey, 1991).
2. Sedentary Lifestyle: Sitting for hours, whether at a desk or binge-watching your favorite show, is like sentencing your spine to solitary confinement. Lack of movement weakens core muscles and stiffens joints (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2014).
3. Muscle Strain: Lifting heavy objects incorrectly or overexerting yourself during a workout can strain muscles and ligaments, leaving your back screaming for mercy (Sayed et al., 2022).
4. Herniated Discs: These are like the spine’s version of a popped balloon, where the disc’s inner gel leaks out, irritating nerves and causing pain that could make even a ghoul grimace (Bogduk & Twomey, 1991).
5. Spinal Stenosis: This narrowing of the spinal canal is like your spine trying to squeeze into skinny jeans, putting pressure on nerves and causing pain, numbness, or weakness (Lee et al., 2018).
6. Trauma from Personal Injury: Car accidents, slips, or falls can jolt your spine like a bad plot twist, leading to acute or chronic pain. In El Paso, personal injury cases are a significant concern, and Dr. Alexander Jimenez is a beacon of hope for victims, using advanced diagnostics to pinpoint injuries (El Paso Back Clinic, 2017).
7. Core Weakness: A weak core is like a house with a shaky foundation. Without strong abdominal and back muscles, your spine lacks the support it needs to stay aligned (Chou et al., 2023).
8. Stress and Tension: Emotional stress can tighten muscles like a vice, especially in the back, making you feel like you are carrying the weight of the world—or at least a really bad day (Wieland et al., 2022).

Each of these factors can overlap, creating a perfect storm of pain that makes you want to crawl into a coffin and call it a day. Nevertheless, before you surrender to the darkness, let us explore how chiropractic care and yoga can team up to slay this monster.

References

• Bogduk, N., & Twomey, L. T. (1991). Clinical Anatomy of the Lumbar Spine. Churchill Livingstone.
• El Paso Back Clinic. (2017). Yoga can provide relief from back pain. Retrieved from https://elpasobackclinic.com/yoga-for-you-back-pain/
• Lee, B. H., Moon, E. S., Kim, H. S., et al. (2018). Effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis. Journal of Physical Therapy Science, 30(6), 750-755. https://doi.org/10.1589/jpts.30.750
• National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2014). Back pain. Retrieved from https://www.niams.nih.gov/health-topics/back-pain
• Sayed, D., Grider, J., Strand, N., et al. (2022). The American Society of Pain and Neuroscience (ASPN) evidence-based clinical guideline of interventional treatments for low back pain. Journal of Pain Research, 15, 3729-3832. https://doi.org/10.2147/JPR.S386879
• Wieland, L. S., Skoetz, N., Pilkington, K., et al. (2022). Yoga for chronic non-specific low back pain. Cochrane Database of Systematic Reviews, 11(11), CD010671. https://doi.org/10.1002/14651858.CD010671.pub3
• Chou, R., Wagner, J., Ahmed, A. Y., et al. (2023). Assessment and nonsurgical management of low back pain: A narrative review. Journal of General Internal Medicine, 38(6), 1389-1399. https://doi.org/10.1007/s11606-023-08068-0

The Spine and Extremities: A Tangled Web of Pain

Your spine is the backbone of your existence—pun intended. It is a complex structure of 33 vertebrae, 220 ligaments, and a network of muscles and nerves that work together to keep you upright and moving. However, when one part of this intricate system goes rogue, it can drag the whole operation down with it, like a bad actor in a horror flick. The lumbar spine is particularly vulnerable, bearing the brunt of your body’s weight and movement (Bogduk & Twomey, 1991).

The Role of the Spine

The spine is like the central command center of a haunted mansion, directing movement and supporting the body’s framework. The lumbar spine, in particular, is responsible for:

• Weight-Bearing: It supports your upper body and transfers weight to your pelvis and legs, making it a prime target for stress and strain.
• Mobility: It allows you to bend, twist, and move, but improper mechanics can lead to pain that feels like a knife in the back.
• Nerve Protection: The spinal cord and nerves run through the spine, and any misalignment or pressure can cause radiating pain, numbness, or weakness (Bogduk & Twomey, 1991).

The Extremities Connection

Your arms and legs might seem like innocent bystanders, but they are deeply entangled with your spine’s drama. Tight hips, weak glutes, or imbalanced leg muscles can pull your pelvis out of alignment, creating a domino effect that stresses the lumbar spine. For example:

• Tight Hip Flexors: Sitting too long tightens these muscles, tilting the pelvis and straining the lower back (Chou et al., 2023).
• Weak Glutes: These muscles stabilize the pelvis, and when they are weak, the lumbar spine compensates, leading to pain (Sherman et al., 2011).
• Leg Length Discrepancies: Even slight differences can tilt the pelvis, causing uneven stress on the spine (Bogduk & Twomey, 1991).

It is like a dysfunctional family reunion—everyone is connected, and one misstep can ruin the whole party. By addressing these interconnected issues requires a holistic approach, which is where chiropractic care and yoga come in, ready to restore order like a pair of grimly efficient undertakers.

References

• Bogduk, N., & Twomey, L. T. (1991). Clinical Anatomy of the Lumbar Spine. Churchill Livingstone.
• Chou, R., Wagner, J., Ahmed, A. Y., et al. (2023). Assessment and nonsurgical management of low back pain: A narrative review. Journal of General Internal Medicine, 38(6), 1389-1399. https://doi.org/10.1007/s11606-023-08068-0
• Sherman, K. J., Cherkin, D. C., Wellman, R. D., et al. (2011). A randomized trial comparing yoga, stretching, and a self-care book for chronic low back pain. Archives of Internal Medicine, 171(22), 2018-2026. https://doi.org/10.1001/archinternmed.2011.524

Chiropractic Care: Aligning Your Spine, Not Your Misery

Chiropractic care is like a séance for your spine, calling it back to alignment and banishing the ghosts of pain. Dr. Alexander Jimenez, a distinguished chiropractor and family nurse practitioner in El Paso, uses advanced techniques to address back pain at its root. His approach, detailed on his website (Jimenez, n.d.), combines spinal adjustments, diagnostic evaluations, and a deep understanding of musculoskeletal dynamics.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Discover the role of chiropractic care in managing rheumatoid arthritis & inflammation for better health and comfort.

Introduction

Rheumatoid arthritis (RA) is like an uninvited guest who crashes your body’s party, causing chaos in your joints with pain, swelling, and stiffness. This autoimmune condition doesn’t just make mornings feel like you’re auditioning for a role as a creaky robot; it can disrupt your entire daily routine, from tying your shoes to enjoying a walk in the park. But don’t worry—there’s hope! Chiropractic care, paired with small changes to your routine like an anti-inflammatory diet, can help calm the inflammation storm and improve your mobility. In this comprehensive guide, we’ll explore the clinical rationale behind why chiropractic care and lifestyle tweaks can make a big difference for RA inflammation. We’ll also spotlight Dr. Alexander Jimenez, a renowned chiropractor and nurse practitioner in El Paso, Texas, whose expertise in personal injury cases and advanced diagnostics makes him a game-changer for patients. With a sprinkle of humor to keep things light—think of it as a friendly nudge from a cheerful coach—we’ll break down the science, share practical tips, and show you how to take charge of your health. Let’s dive in and kick RA’s inflammation to the curb!

Understanding Rheumatoid Arthritis and Inflammation

What Is Rheumatoid Arthritis?

Rheumatoid arthritis is an autoimmune disease where your immune system mistakenly attacks your joints, thinking they’re the enemy in a sci-fi blockbuster. Unlike osteoarthritis, which is caused by wear and tear (like your favorite sneakers getting worn out), RA is driven by an overactive immune system. This attack leads to inflammation in the synovium, the tissue lining your joints, causing pain, swelling, and stiffness. Over time, it can damage cartilage and bone, leading to joint deformities that make simple tasks feel like climbing Mount Everest in flip-flops.

RA affects about 1% of the global population, often striking people between 30 and 50 years old, with women being more likely to develop it than men (Aletaha, 2020). It commonly targets smaller joints like those in the hands, wrists, and feet, but it can also affect larger joints like the knees and hips. The inflammation doesn’t always stay local—it’s like a wildfire that can spread, causing systemic issues like fatigue, fever, and even heart problems.

The Role of Inflammation in RA

Inflammation in RA is like a cranky toddler throwing a tantrum in your joints. When the immune system attacks the synovium, it releases inflammatory chemicals called cytokines, which cause swelling, redness, and pain. This chronic inflammation can erode joint cartilage and bone, leading to reduced mobility and, in severe cases, permanent damage (Firestein & McInnes, 2017). Imagine your joints as a well-oiled machine—RA’s inflammation is like tossing sand into the gears, grinding everything to a halt.

Inflammation also messes with your proprioception (your body’s sense of where it is in space) and muscle function, making movements feel clumsy or weak (Sokka et al., 2007). This can turn everyday activities—like opening a pickle jar or typing an email—into a frustrating ordeal. Plus, RA’s inflammation can amplify pain sensitivity, making joints tender to the touch, as noted in studies on articular tenderness in RA (Choy et al., 2021).

How RA Affects Your Daily Routine

Living with RA is like trying to dance with a partner who keeps stepping on your toes. Morning stiffness can last for hours, making it tough to get out of bed or grip a coffee mug. Joint pain and swelling can limit your range of motion, so tasks like buttoning a shirt or walking the dog become Herculean efforts. Fatigue, a common RA symptom, can leave you feeling like you’re running on empty, even after a full night’s sleep. Over time, these challenges can affect your work, hobbies, and social life, making you feel like you’re stuck on the sidelines.

References

• Aletaha, D. (2020). Precision medicine and management of rheumatoid arthritis. Journal of Autoimmunity, 110, 102405. https://doi.org/10.1016/j.jaut.2020.102405
• Choy, E. H., et al. (2021). Role of joint damage, malalignment, and inflammation in articular tenderness in rheumatoid arthritis, psoriatic arthritis, and osteoarthritis. Annals of the Rheumatic Diseases, 80(5), 623-630. https://pubmed.ncbi.nlm.nih.gov/33127659/
• Firestein, G. S., & McInnes, I. B. (2017). Immunopathogenesis of rheumatoid arthritis. Immunity, 46(2), 183-195.
• Sokka, T., et al. (2007). The effects of joint damage on muscle function, proprioception, and rehabilitation. Clinical and Experimental Rheumatology, 25(4), 567-573. https://pubmed.ncbi.nlm.nih.gov/17949549/

Chiropractic Care: A Non-Surgical Solution for RA Inflammation

Why Chiropractic Care?

Chiropractic care is like a superhero swooping in to save the day for your aching joints. It’s a non-invasive, drug-free approach that focuses on restoring proper alignment and function to the musculoskeletal system. For RA patients, chiropractic care can help reduce inflammation, improve joint mobility, and ease pain without relying on medications that might upset your stomach or liver (Hawk et al., 2020). Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, Texas, emphasizes that chiropractic adjustments can calm the inflammatory response by correcting spinal and joint misalignments, allowing your body to heal more effectively (Jimenez, n.d.).

Chiropractors use hands-on techniques, like spinal manipulation or joint adjustments, to improve alignment and reduce nerve compression. These adjustments can enhance blood flow and reduce inflammatory mediators, helping to soothe irritated joints (Roy et al., 2010). Think of it as giving your joints a gentle pep talk to calm down and work together again. While chiropractic care isn’t a cure for RA, it can complement medical treatments by addressing biomechanical issues and supporting overall wellness.

The Clinical Rationale for Chiropractic Care in RA

The science behind chiropractic care for RA is like a well-choreographed dance—it’s all about balance. Misaligned joints or a spine that’s out of whack can amplify inflammation and pain, especially in RA, where the joints are already under attack (Gevers-Montoro et al., 2021). Chiropractic adjustments can:

• Reduce Joint Stress: By correcting misalignments (subluxations), chiropractic care reduces mechanical stress on joints, which can lower inflammation and tenderness (Choy et al., 2021).
• Improve Nervous System Function: Adjustments can enhance communication between the spine and nervous system, potentially reducing pain signals and improving muscle coordination (Hawk et al., 2020).
• Enhance Mobility: Gentle manipulations can improve range of motion, making daily tasks easier and less painful (Beasley, 2012).
• Support Vagus Nerve Function: Some research suggests that spinal adjustments may stimulate the vagus nerve, which plays a role in regulating inflammation in musculoskeletal diseases (Koopman et al., 2021).

A 2015 case study showed that chiropractic care provided limited relief for RA’s inflammatory pain but was highly effective for mechanical injuries caused by compensating for RA limitations (Zimlich, 2022). For example, if RA makes you limp, it can strain your hips or back—chiropractic care can address these secondary issues, reducing overall pain.

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*

Motor vehicle accidents (MVAs) can lead to devastating musculoskeletal injuries. From minor whiplash to spinal cord trauma and fractured bones, these injuries often disrupt a person’s ability to perform daily activities. To bridge the gap between injury and independence, many individuals rely on Durable Medical Equipment (DME) during their recovery. These tools, ranging from braces and walkers to specialized therapy machines, play a crucial role in restoring function and improving quality of life.

This post explores how DME supports recovery after MVAs, with clinical insight from Dr. Alexander Jimenez, DC, APRN, FNP-BC, an El Paso-based chiropractor and nurse practitioner who specializes in integrative rehabilitation and legal-medical documentation.

Understanding Musculoskeletal Injuries from MVAs

MVAs frequently result in musculoskeletal trauma involving bones, muscles, ligaments, tendons, and nerves. Common injuries include whiplash, herniated discs, spinal cord injuries, shoulder dislocations, pelvic fractures, and knee damage. These injuries can lead to chronic pain, weakness, decreased mobility, and impaired daily function (Power Liens, 2024).

The healing process varies based on severity, but most patients require both time and supportive interventions like physical therapy and assistive equipment. Without these resources, recovery can be prolonged or incomplete, potentially causing permanent disability or a decline in quality of life.

Power Liens, 2024

What Is Durable Medical Equipment (DME)?

Durable Medical Equipment refers to reusable medical devices that assist patients in managing their conditions at home or during rehabilitation. These devices include braces, wheelchairs, canes, crutches, walkers, TENS units, back supports, and rehab equipment like resistance bands and reformer machines.

The goal of DME is to promote healing, support mobility, and increase independence. Most DME is prescribed by a healthcare provider and customized to meet the needs of the individual. Properly selected DME not only enhances recovery but also prevents secondary complications, such as pressure ulcers or muscle atrophy.

University of Oregon Health, n.d.

Commonly Prescribed Equipment After Auto Accidents

Many MVA survivors depend on specific types of DME to restore function. Here are some examples:

• Mobility aids: Walkers, crutches, rollators, and wheelchairs support mobility during recovery. Patients with spinal, pelvic, or leg injuries rely heavily on these devices to avoid falls and prevent re-injury.

• Orthopedic supports: Neck collars, back braces, knee immobilizers, and wrist splints stabilize injured areas, reduce inflammation, and promote proper alignment.

• Therapy tools: Resistance bands, balance boards, and reformers aid in restoring strength, range of motion, and coordination during physical therapy sessions.

• Spinal supports and braces: These are essential for promoting posture and spinal alignment, especially for individuals with disc injuries, kyphosis, or scoliosis.

Cross Bay Physical Therapy, n.d.

How DME Improves the Rehabilitation Process

Rehabilitation involves rebuilding strength, improving movement, and managing pain. DME is essential in all stages of this process:

• Early recovery: Braces and supports minimize movement to allow tissues to heal.

• Mid-recovery: Exercise tools like foam rollers and resistance bands promote flexibility and muscle recovery.

• Late recovery: Advanced machines like reformers and electric stimulation units (TENS) improve function and reduce chronic pain.

Proper equipment ensures patient safety and builds confidence during recovery. Inadequate or incorrect use of DME, however, can worsen outcomes or lead to setbacks.

OakMed LLC, n.d.

Dr. Alexander Jimenez's Integrative Approach to Recovery

Dr. Alexander Jimenez, DC, APRN, FNP-BC, specializes in treating personal injury cases in El Paso. With dual licensure as a chiropractor and nurse practitioner, Dr. Jimenez provides both diagnostic and therapeutic care, helping patients recover fully from MVAs. His approach includes:

• Comprehensive assessments: He uses advanced imaging (MRI, CT scans, X-rays) and neurological exams to identify injuries.

• Dual-scope documentation: As a licensed medical provider and chiropractor, he completes the medical and legal documentation required in personal injury claims.

• Customized DME recommendations: He selects braces, orthotics, and rehab tools tailored to each patient’s needs, ensuring the equipment complements the recovery plan.

• Chiropractic and functional rehab: His treatments align the spine, reduce nerve pressure, and restore musculoskeletal balance.

Dr. Alexander Jimenez, n.d.

Spinal Cord Injury and Adaptive Equipment

Spinal cord injuries are among the most severe consequences of MVAs. Individuals may lose partial or total mobility. DME is life-changing for these patients. Examples include:

• Motorized wheelchairs for those with limited upper-body strength

• Hand controls for vehicle operation

• Transfer boards and mechanical lifts for transitioning between beds and chairs

These tools help patients reclaim independence, prevent injury to caregivers, and reduce hospital readmissions.

Healthwise, n.d.

Exercise Equipment in Physical Therapy

Recovering from a car accident often includes physical therapy. Therapists utilize specialized equipment to enhance results. Examples include:

• Resistance bands to build strength

• Foam rollers for myofascial release

• Balance boards to retrain proprioception and coordination

• Pilates reformers to stabilize the spine, reduce pressure, and improve posture

Using this equipment under professional supervision improves mobility, reduces chronic pain, and shortens the recovery timeline.

Flint Rehab, n.d.

Rehab Store, n.d.

Pilates Reformers Plus, n.d.

Posture and Back Support Tools

After MVAs, many individuals suffer from poor posture due to muscle weakness, spinal misalignment, or chronic pain. Back braces and supports are essential to:

• Correct posture

• Alleviate muscle strain

• Promote healing by keeping the spine in alignment

These devices can also reduce reliance on pain medication and support long-term spinal health.

PhysioRoom, n.d.

The Legal and Medical Importance of DME Documentation

In personal injury cases, documenting the use and necessity of DME is vital. Medical professionals like Dr. Jimenez not only recommend equipment based on clinical evaluations, but also:

• Provide evidence for insurance claims

• Assist attorneys in demonstrating the extent of injury

• Validate the cost and need for continued care

This dual-role documentation ensures patients receive appropriate compensation and support.

Dr. Alexander Jimenez, LinkedIn

Conclusion: DME as a Bridge Between Injury and Independence

Durable Medical Equipment serves as a critical link in the recovery journey after a motor vehicle accident. From helping patients walk again to restoring spine health, DME improves physical function, encourages independence, and supports long-term healing. With expert care from providers like Dr. Alexander Jimenez, individuals can receive precise diagnoses, personalized equipment plans, and integrative treatments that work in harmony with their legal and medical needs.

Chiropractic Secrets Exposed

References

Cross Bay Physical Therapy. (n.d.). Support & home health products to aid recovery, pain & injury treatment. https://www.crossbayphysicaltherapy.com/support-home-health-products-aid-recovery-pain-injury-treatment-howard-beach-new-york.html#:~:text=Mobility%20devices:%20These%20include%20walkers,elevated%20toilet%20seats%2C%20and%20ramps.

Dr. Alexander Jimenez. (n.d.). Clinical insights on personal injury recovery and integrative care. https://dralexjimenez.com/

Dr. Alexander Jimenez. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Flint Rehab. (n.d.). Physical therapy tools for stroke recovery. https://www.flintrehab.com/physical-therapy-tools/

Healthwise. (n.d.). Spinal cord injury: Overview. https://fhahermiston.com/patient-education/healthwise/?DOCHWID=ug2941#:~:text=Spinal%20Cord%20Injury-,Overview,four%2Dwheel%2Ddrive%20wheelchairs.

OakMed LLC. (n.d.). Medical equipment in physical therapy. https://oakmedllc.com/medical-equipment-in-physical-therapy/#:~:text=One%20of%20the%20most%20significant,in%20physical%20therapy%20exercises%20safely.

PhysioRoom. (n.d.). Back supports and braces. https://www.physioroom.com/back-supports-braces#:~:text=For%20upper%20and%20middle%20spine%20support%2C%20our,promote%20proper%20spinal%20alignment%20to%20improve%20posture.

Pilates Reformers Plus. (n.d.). Key features of a reformer machine for Pilates. https://pilatesreformersplus.com/blogs/news/key-features-of-a-reformer-machine-for-pilates#:~:text=Support%20and%20Alignment%20Shoulder%20supports%20help%20maintain,and%20spine%2C%20minimizing%20the%20risk%20of%20injury.

Power Liens. (2024, June 11). The vital role of durable medical equipment (DME) in personal injury recovery. https://blog.powerliens.com/the-vital-role-of-durable-medical-equipment-dme-in-personal-injury-recovery/#:~:text=11%20June%202024-,The%20Vital%20Role%20of%20Durable%20Medical%20Equipment%20(DME)%20in%20Personal,crucial%20for%20clients'%20recovery%20journeys.

Rehab Store. (n.d.). Exercise and fitness. https://www.rehab-store.com/c-exercise-and-fitness.html#:~:text=2.,examples%20of%20fitness%20exercise%20equipment.

University of Oregon Health. (n.d.). Durable medical equipment. https://health.uoregon.edu/durable-medical-equipment

General Disclaimer *

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

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

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

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Introduction

Motor vehicle accidents (MVAs) are a significant cause of injuries worldwide, with far-reaching effects on physical health and daily life. In 2023, Florida alone reported 391,428 crashes, contributing to over 6 million accidents nationwide (Catalyst Physical Therapy). These accidents often result in injuries that impair mobility and flexibility, such as whiplash, herniated discs, and joint damage. These conditions can cause pain, stiffness, and a reduced range of motion, making everyday tasks challenging and diminishing quality of life. This article explores how MVAs lead to these injuries, their impact on daily functioning, and the role of advanced diagnostics and treatments, particularly through the work of Dr. Alexander Jimenez, a renowned chiropractor and nurse practitioner in El Paso, Texas. By understanding these injuries and seeking timely care, individuals can improve their recovery and regain their quality of life.

Types of Injuries from Motor Vehicle Accidents

Soft Tissue Injuries

Soft tissue injuries involve damage to muscles, tendons, and ligaments, with whiplash being one of the most common injuries from MVAs. Whiplash occurs when the head is suddenly jerked forward and backward, often during rear-end collisions, straining the neck’s muscles and ligaments. Symptoms include neck pain, stiffness, and difficulty turning the head, which can severely limit mobility. For instance, a person with whiplash may struggle to check their blind spots while driving or perform simple tasks, such as looking over their shoulder.

Other soft tissue injuries include sprains and strains, which can affect areas like the back or shoulders. These injuries cause swelling, pain, and reduced flexibility, making movement uncomfortable. According to Catalyst Physical Therapy, these symptoms may not appear immediately after an accident, which underscores the importance of early medical evaluation to prevent long-term issues.

Citations:

• Catalyst Physical Therapy. (n.d.). Motor vehicle accident injuries. Catalyst Physical Therapy

Spinal Injuries

Spinal injuries from MVAs, such as herniated discs, fractures, or dislocations, can have a profound impact on mobility. A herniated disc occurs when the soft inner material of a spinal disc bulges or ruptures, pressing on nearby nerves. This can cause intense back pain, numbness, or weakness in the limbs, making it difficult to walk, sit, or stand for long periods. Cox Law Firm notes that severe neck and spine injuries from MVAs can lead to significant mobility loss, particularly when a herniated disc compresses nerves.

Spinal fractures or dislocations, often caused by high-impact collisions, can destabilize the spine, leading to pain and restricted movement. These injuries may require extensive rehabilitation or even surgery to restore function. The use of advanced imaging, such as MRI, is crucial for accurately diagnosing these injuries, as highlighted by Dr. Alexander Jimenez’s work. (El Paso Chiropractor Blog).

Citations:

• Cox Law Firm. (n.d.). How to adapt to mobility loss. Cox Law Firm
• Jimenez, A. (n.d.). El Paso chiropractor blog. El Paso Chiropractor Blog

Joint Damage

Joint injuries from MVAs, such as dislocations, fractures, or ligament tears, can lead to long-term mobility issues. For example, a knee hitting the dashboard during a collision can cause a dislocation or fracture, resulting in pain, instability, and limited movement. Over time, these injuries can contribute to conditions such as osteoarthritis, where the cartilage in the joint wears down, leading to stiffness and pain. Kitchel Law explains that such injuries often require prolonged rehabilitation to restore function and prevent the development of chronic conditions.

Shoulder injuries, such as rotator cuff tears, are also common in MVAs due to the force of the seatbelt restraint or impact. These injuries can limit arm movement, affecting tasks like lifting or reaching. Early intervention is essential to prevent permanent damage and maintain joint flexibility.

Citations:

• Kitchel Law. (n.d.). Long-term effects of car accident injuries. Kitchel Law

Effects on Mobility and Flexibility

Pain and Stiffness

The pain and stiffness caused by MVA injuries significantly hinder mobility and flexibility. Whiplash, for instance, can cause neck movements to be painful, limiting the ability to turn the head. Similarly, a herniated disc can cause back pain that worsens with movement, discouraging physical activity. LM Law NYC highlights that these physical consequences can lead to chronic pain, further restricting movement if not addressed promptly.

Reduced Range of Motion

Injuries from motor vehicle accidents (MVAs) often reduce the range of motion in affected areas. For example, whiplash can prevent full neck rotation, while joint injuries may limit bending or straightening of the knee or elbow. This reduced range of motion can make simple tasks, such as climbing stairs or reaching for objects, challenging. Wellness for Warriors CT notes that these limitations are common after car crashes and require targeted treatment to restore function.

Impact on Daily Activities

The combined effects of pain, stiffness, and reduced range of motion can disrupt daily activities. Tasks like driving, working at a desk, or exercising may become difficult or impossible. For instance, a person with a herniated disc may struggle to sit for long periods, affecting their ability to work or drive. These limitations can also lead to emotional challenges, such as frustration or anxiety, as noted by Michigan Auto Law, which discusses the emotional trauma following MVAs.

Psychological Effects

Beyond physical limitations, MVA injuries can cause psychological effects that further impact mobility. A fear of pain or reinjury may lead individuals to avoid movement, thereby exacerbating stiffness and weakness. This cycle of avoidance can contribute to chronic pain and reduced quality of life, emphasizing the need for comprehensive care that addresses both physical and emotional aspects.

Citations:

• LM Law NYC. (2024, January). Immobility caused by car accidents. LM Law NYC
• Wellness for Warriors CT. (n.d.). Motor vehicle accidents. Wellness for Warriors CT
• Michigan Auto Law. (2025, March 31). Trauma after a car accident. Michigan Auto Law

Clinical Observations and Treatments

Dr. Alexander Jimenez’s Expertise

Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, Texas, is a leading expert in treating motor vehicle accident (MVA) injuries. With over 34 years of experience, he specializes in conditions like whiplash, herniated discs, and chronic pain, using non-invasive approaches such as chiropractic adjustments, functional medicine, and acupuncture (Dr. Alex Jimenez). His clinic, Injury Medical & Chiropractic, focuses on restoring mobility and flexibility through personalized care plans that avoid unnecessary surgeries or medications.

Dr. Jimenez’s approach integrates advanced diagnostics with holistic treatments. He utilizes tools such as MRI and EMG/NCV testing to pinpoint the extent of injuries, ensuring accurate diagnoses. His work is particularly valuable in personal injury cases, where detailed documentation supports both medical treatment and legal claims for compensation (El Paso Back Clinic).

Advanced Imaging and Diagnostic Assessments

Advanced imaging techniques, such as MRI, play a critical role in diagnosing MVA injuries. For example, MRI can detect ligamentous injuries or herniated discs that may not be visible on X-rays, as noted in Dr. Jimenez’s blog (El Paso Chiropractor Blog). These diagnostics help correlate symptoms with specific injuries, guiding treatment plans. Additionally, dual-scope procedures, which combine imaging with clinical assessments, allow for a comprehensive understanding of the injury’s impact on mobility and flexibility.

Dr. Jimenez’s use of diagnostics also supports legal documentation in personal injury cases. By providing detailed reports based on imaging and assessments, he helps patients secure fair compensation for their injuries, ensuring that medical and legal needs are met.

Role of Physical Therapy

Physical therapy is a cornerstone of MVA recovery, helping to restore mobility and flexibility. Sage Hill Physio outlines how physiotherapy strengthens muscles, reduces pain, and improves range of motion through techniques like manual therapy, stretching, and joint mobilization. Early intervention is key, as it can prevent chronic conditions like degenerative disc disease, as supported by a Medscape study cited by Catalyst Physical Therapy.

Citations:

• Jimenez, A. (n.d.). Dr. Alex Jimenez, DC. Dr. Alex Jimenez
• Jimenez, A. (n.d.). El Paso chiropractor blog. El Paso Chiropractor Blog
• Sage Hill Physio. (n.d.). Motor vehicle accident recovery. Sage Hill Physio
• Catalyst Physical Therapy. (n.d.). Motor vehicle accident injuries. Catalyst Physical Therapy

Case Studies from El Paso

While specific case studies may not be publicly detailed, Dr. Jimenez’s clinic has treated numerous patients in El Paso with motor vehicle accident (MVA)- related injuries. For example, patients with whiplash often report significant pain and restricted neck movement. Through a combination of chiropractic adjustments, physical therapy, and functional medicine, many regain full range of motion and experience reduced pain. Testimonials on platforms like Medical News Today highlight Dr. Jimenez’s ability to explain conditions clearly and provide trustworthy care, with patients noting improved mobility after treatment.

In one hypothetical scenario, a patient involved in a rear-end collision suffered from whiplash and a herniated disc. Dr. Jimenez used MRI to confirm the injuries and developed a treatment plan involving spinal adjustments and physical therapy. Over several months, the patient regained the ability to drive and work without pain, demonstrating the effectiveness of his approach.

Citations:

• Jimenez, A. (n.d.). Dr. Alex Jimenez, DC. Medical News Today

Progression to Musculoskeletal Joint Pain

MVA injuries can contribute to musculoskeletal joint pain over time, particularly when untreated. For instance, joint injuries like ligament tears or fractures can lead to osteoarthritis, where cartilage degeneration causes chronic pain and stiffness. Simply PT notes that persistent pain from hidden injuries can affect areas like the arm or back, leading to long-term mobility issues. Similarly, spinal injuries can cause ongoing back or neck pain, limit movement, and require continuous management.

Dr. Jimenez’s use of advanced imaging helps identify these risks early, allowing for interventions that prevent progression to chronic conditions. His holistic approach, combining chiropractic care with lifestyle changes, addresses both the immediate injury and its potential long-term effects.

Citations:

• Simply PT. (n.d.). Hidden injuries from car accidents: Why you shouldn’t skip physical therapy. Simply PT

Conclusion

Motor vehicle accidents can have a lasting impact on mobility and flexibility, causing injuries like whiplash, herniated discs, and joint damage that lead to pain, stiffness, and reduced range of motion. These effects can disrupt daily life and contribute to the development of chronic conditions if not addressed promptly. Specialists like Dr. Alexander Jimenez in El Paso offer hope through advanced diagnostics and non-invasive treatments, helping patients recover while supporting legal claims. By seeking early medical care and adhering to rehabilitation, individuals can regain their mobility, enhance their quality of life, and prevent long-term complications.

Injuries and Chiropractic: The Road to Recovery

General Disclaimer *

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

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

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

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Key Citations

• Motor Vehicle Accident Injuries | Catalyst Physical Therapy Catalyst Physical Therapy
• How to Adapt to Mobility Loss | Cox Law Firm Cox Law Firm
• Long-Term Effects of Car Accident Injuries | Kitchel Law Kitchel Law
• Immobility Caused by Car Accidents | LM Law NYC LM Law NYC
• Motor Vehicle Accidents | Wellness for Warriors CT Wellness for Warriors CT
• Trauma After Car Accident | Michigan Auto Law Michigan Auto Law
• Motor Vehicle Accident Recovery | Sage Hill Physio Sage Hill Physio
• Dr. Alex Jimenez, DC | Personal Injury Doctor Dr. Alex Jimenez
• El Paso Chiropractor Blog | Dr. Alex Jimenez El Paso Chiropractor Blog
• Dr. Alexander Jimenez, DC | Medical News Today Medical News Today
• Hidden Injuries from Car Accidents | Simply PT Simply PT

Can understanding how leg cramps feel, their causes, and prevention help individuals with treatment options?

Leg Cramp Causes

A leg cramp is an involuntary contraction of the muscles in the leg, typically the calf muscle. It causes a sudden, sharp, and painful tightening of the muscle. They commonly occur from

• Dehydration
• Muscle overexertion
• They can be a symptom of an underlying health condition, such as type 2 diabetes or kidney failure.
• They can also be a side effect of certain medications.

Sensation

Leg cramps typically cause sudden, severe pain in the affected muscle. Individuals may also feel a hard knot or twitching of the muscle. The calf muscles are the most common site. (Harvard Health Publishing, 2024)

Causes

The underlying cause of leg cramps isn't always known. However, work, lifestyle factors, and medical conditions can play a role. Common causes include:

• Muscle fatigue from overuse
• Electrolyte imbalances (e.g., potassium, magnesium)
• Dehydration
• Poor circulation
• Nerve damage
• Certain medications (e.g., statins, diuretics)

Lifestyle Risk Factors

Certain lifestyle factors and other physical characteristics can increase the risk of leg cramps and can include: (Harvard Health Publishing, 2024) (National Library of Medicine, 2020)

• Age (those 60 and over are affected more often than younger individuals)
• Exercising in a hot environment
• Exercising for extended periods
• Obesity
• Pregnancy

Medical Factors

Leg cramps are also associated with certain medical conditions and treatments for illness. Examples include: (Maughan R. J. & Shirreffs S. M. 2019) (Garrison, S. R. et al., 2020)

• Pinched nerves in the lower back
• Decreased blood circulation in the legs
• Spinal cord injury
• Certain medications (such as statins and diuretics)
• Allergies
• Gastrointestinal disease (digestive tract disorders)
• Cardiovascular disease
• Liver failure
• Cancer
• Dialysis - treatment to remove excess fluid from the blood when kidneys fail.
• Respiratory diseases of the lungs and airways
• Amyotrophic lateral sclerosis (ALS, or Lou Gehrig's disease, a neurological condition affecting the brain, nerves, and muscles)

Self-Care

Leg cramps often go away on their own after a few minutes. However, other self-care can help. Recommendations: (Harvard Health Publishing, 2024)

Change Body Positions

• Moving can help relieve tension and pain.
• If the leg cramps happen at night, stand up and take a few steps.

Massage

• Gently rubbing the cramped muscle can help it relax.

Stretch

• Stretching the cramping muscle can help it relax.

Apply Heat

• If the leg cramp lasts more than a few minutes, apply a heating pad or take a warm shower to increase blood circulation to and around the muscle to help it relax.

Treatment

There are no medications specifically for treating leg cramps. However, if symptoms are caused by another medical condition, treating the underlying condition might help reduce cramp frequency. Dehydration or low electrolytes can cause leg cramps; in these cases, drinking water or electrolyte-infused beverages can help. If cramps are related to overexercising, consider reducing the intensity of your activity or exercising in a cooler environment. (Maughan R. J. & Shirreffs S. M. 2019) Magnesium supplements are usually marketed to relieve muscle cramps; they are not proven to alleviate them. (Garrison, S. R. et al., 2020)

Exercises and Stretches

It is important to know which muscle to target when stretching the leg. If the cramp does not resolve after the first stretch attempt, try again.

Hamstring Muscle

Pain in the back of the thigh. Here's how to stretch the hamstrings (American Academy of Orthopaedic Surgeons, 2018)

• Lie on your back.
• Bend both knees and rest your feet on the ground or mattress if the cramp occurs at night.
• On the leg that is cramping, bring the knee toward your chest.
• Interlock the fingers behind your knee.
• Slowly straighten the knee and pull your leg toward your head until you feel a stretching sensation along the back of the thigh.
• Hold for 30 to 60 seconds.

Calf Muscle

The calf muscle is the most common for leg cramps. To stretch the calf muscle (American Academy of Orthopaedic Surgeons, 2018)

• Stand facing a wall.
• Place palms flat against the wall at shoulder height.
• Step the cramping leg away from the wall around 12 to 18 inches.
• Keep your heels flat on the floor.
• Keeping the back leg straight, bend the front knee slowly and lean forward until you feel a stretch along the calf.
• Hold for 30 to 60 seconds.

Prevention

They can't always be prevented. However, if they are related to dehydration or other lifestyle factors, individuals may be able to prevent them from occurring or decrease the frequency. Try the following: (Harvard Health Publishing, 2024)

• Drink plenty of water.
• Stretch the leg muscles before you go to bed.
• Try drinking a beverage with electrolytes for longer workouts or activities in hot weather.
• Warm up before exercise, such as with a slow jog, before getting into more intense exercises.
• Properly cool down after a workout.
• Stretch the leg muscles before and after exercising.
• Maintain a healthy body weight.

Contact a Healthcare Provider

Leg cramps can sometimes signify something more serious than a Charley horse. See a healthcare provider if any of the following symptoms present (National Library of Medicine, 2020)