Mobility & Flexibility - Joint Movement

Many live with chronic discomfort and pain regularly in one or both knees. This could be from past injuries, being overweight, lack of physical conditioning, degeneration, or arthritis. Many take prescription or over-the-counter pain medication to deal with the discomfort. Pain medications only dull and mask the pain and discomfort associated with the symptoms. As a result, living with masked knee pain can worsen the condition, and the surrounding bones, joints, and tissues can begin to deteriorate. Chiropractic combined with massage, decompression, and traction therapy can significantly reduce or eliminate knee pain.

Knee Discomfort and Pain

The knee's joint and ligaments need to be strong and healthy to support activities. The most common issues that individuals develop include:

Acute Injuries

• Knee injuries can be caused by auto accidents, physical strain, playing sports, work accidents, workplace ergonomics, and walking up and down stairs.
• The most common acute knee injuries include:
• Knee contusions.
• Ligament sprain.
• Muscle strains.
• Puncture injuries.

Chronic Injuries

• Chronic or inflammatory medical conditions can wear down the cartilage cushion between the upper and lower leg bones.
• Most common include gout, septic arthritis, osteoarthritis, and rheumatoid arthritis.
• Unhealthy postures and obesity can also contribute to the chronic degradation of the knee joint.

Knee discomfort and pain can present in various ways. Some might hear an acute popping in the knee followed by swelling. Others might notice the gradual development of stiffness and weakness over time. When injured or compromised, localized pain is one of the first indicators. Chronic knee and joint pain can lead to weakness, nerve damage, or create new injuries/problems. Not all knee pain is caused by injury; in many cases, a triggering incident, like an awkward step or misstep, a stretch that went too far, or a walk, can create an injury. Even a sedentary lifestyle can contribute to knee degeneration as the surrounding muscles can lose strength, placing unnecessary strain on the joints when movement is necessary.

Chiropractic

A chiropractor will examine the knee through a series of analyses, including x-rays, digital imaging, and a physical exam. The chiropractor will develop a personalized treatment plan to treat, rehabilitate, and strengthen the knee. The treatment can include:

• Physical therapy
• Trigger point therapy
• Myofascial release
• Massage therapy
• Hip manipulation
• Knee manipulation
• Posture correction to distribute body weight evenly, lessening the stress on an affected knee.
• Targeted exercises and nutritional recommendations will ensure long-term healing.

Q Angle of the Knee

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care 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 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 directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Cimino, Francesca, et al. "Anterior cruciate ligament injury: diagnosis, management, and prevention." American family physician vol. 82,8 (2010): 917-22.

Donnell-Fink, Laurel A et al. "Effectiveness of Knee Injury and Anterior Cruciate Ligament Tear Prevention Programs: A Meta-Analysis." PloS one vol. 10,12 e0144063. 4 Dec. 2015, doi:10.1371/journal.pone.0144063

Hoskins, Wayne, et al. "Chiropractic treatment of lower extremity conditions: a literature review." Journal of manipulative and physiological therapeutics vol. 29,8 (2006): 658-71. doi:10.1016/j.jmpt.2006.08.004

Neogi, Tuhina, et al. "Sensitivity and sensitization in relation to pain severity in knee osteoarthritis: trait or state?." Annals of the rheumatic diseases vol. 74,4 (2015): 682-8. doi:10.1136/annrheumdis-2013-204191

Introduction

Many individuals have dealt with issues affecting their lives in some way or form. People with autoimmune diseases must learn to manage their immune system from constantly attacking their bodies to function normally. The immune system’s primary function in the body is to attack environmental factors that harm the cells, muscles, and organs. When a person has an autoimmune disease, either from their family history or environmental factors, their immune system will begin to attack the body’s normal cells because it thinks it is a foreign invader to the body. Some common autoimmune disorders that most people have include lupus, ankylosing spondylitis, and rheumatoid arthritis. Most of these common autoimmune disorders correlate to common symptoms that add to other issues that affect the body. Today’s article looks at rheumatoid arthritis, its symptoms, how it relates to fatigue, and how there are available treatments to manage rheumatoid arthritis as well as fatigue. We refer patients to certified providers specializing in musculoskeletal therapies to help those who suffer from rheumatoid arthritis and fatigue. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

What Is Rheumatoid Arthritis?

Have you been feeling stiffness and inflammation around your joints? have you experienced gut issues affecting your life? Or do problems of insomnia or fatigue seem to affect your quality of life? Many of these symptoms are associated with rheumatoid arthritis. Rheumatoid arthritis is an autoimmune disease that causes inflammation and swelling in the joints. The video above explains how to manage rheumatoid arthritis and its associated symptoms. Fatigue is one of the symptoms associated with rheumatoid arthritis as the inflammatory cytokines could be a co-morbidity in altering brain function that can lead to an overlap of pain and fatigue in the body, as studies reveal. While there hasn’t been a cure for rheumatoid arthritis, various treatment approaches can help people manage the symptoms of rheumatoid arthritis.

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*

Introduction

Everyone wants to be healthier at some point in their lives. Some individuals train to be athletes and must follow procedures to maintain their health. In comparison, others want to get healthier by eating the right food, exercising for at least 30 minutes to an hour, meditating or doing yoga to relieve stress, and maintaining a healthy weight. However, many environmental factors do affect the human body. They can alter how a person looks, weight, levels of physical activity, and how different foods affect the body’s metabolism. When environmental factors start to take hold of a person’s health, it can trigger unwanted issues that affect not only the muscles in the body but the associated internal organs that help provide the functionality to the body. Today’s article focuses on the musculoskeletal system, how different issues affect the musculoskeletal system and associate with other problems in the body, and various treatments to improve musculoskeletal health. We refer patients to certified providers specializing in musculoskeletal therapies that help those with musculoskeletal disorders. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

The Musculoskeletal System & Its Function

How does the musculoskeletal system play its role in the human body? The body is considered a complex being that consists of various organs, muscles, tissues, ligaments, and joints that help move a person from one place to another, resting while needed, and doing multiple activities in a casual relationship. Studies reveal that the musculoskeletal system is controlled by the central nervous system that interconnects the motor-sensory function for the body’s ability to move and rest.

The three main muscle groups that make up the musculoskeletal system are:

• Skeletal muscle- Muscle tendons that are connected to the bones
• Cardiac muscle- Muscles associated with the heart
• Smooth muscle- Muscles that line with blood vessels and specific organs (ex. intestines)

Each muscle group provides different functions that correlate to how the body moves. Skeletal muscles make the legs and arms move. Cardiac muscles help the heart pump blood to the various muscles, organs, and tissues. Smooth muscles help specific organs (intestines, stomach, and urinary tract) digest, collect nutrients, and eliminate toxins in the body.

Musculoskeletal pain and pain conditions are common at a chiropractic clinic. Sometimes it is not an apparent injury or illness but an underlying cause originating from an internal organ referring pain to the related somatic/bodily structures. This is known as a viscerosomatic reflex or disturbance. This reflex is a localized visceral stimulus that produces a response in segmentally related somatic structures. It affects the musculoskeletal system's bones, muscles, joints, ligaments, and tendons resulting from a visceral pathologic state or disease.

• An example of a viscerosomatic reflex is the arm hurting during a heart attack.
• Viscero means organ, and somatic refers to the body or muscular system.
• The concept of viscerosomatic reflex is an interrelationship between any organ/viscera and a closely related part of the body's structure/soma.
• Viscerosomatic reactions are essential to understanding how the body is interconnected.

A viscerosomatic reaction happens when a pain signal from an organ gets passed on through the spinal cord, where neurons and peripheral motor structures like the muscles, blood vessels, and skin are interconnected/linked. The life-saving techniques that include the Heimlich maneuver and CPR chest compressions are examples of how one part of the body/organ can get affected/injured/ill and is remedied by treating another part of the body.

Viscerosomatic Symptoms

Common signs and symptoms include:

• Hard to pinpoint general pain
• Skin changes include:
• Sweaty, dry, red, or pale/whitening
• Hypersensitive or chronic discomfort
• Paresthesia

• Rigid muscles and spasms.
• Deep, dull, aching pain that is difficult to reproduce.
• Pain with no pattern could be better or worse in the morning or night, better or worse after activity or resting.
• Chronic pain that lasts 90 days with little to no change.
• Medical history of gastrointestinal, liver, and lung disorders or infections.

Pathology is the study of the causes and effects of disease or injury. A disease or injury in an organ or organ system creates a response in the somatic system. Visceral reflexes produce non-skeletal muscular responses in internal organs like the heart, blood vessels, and organs.

Reflexes

Somatic and visceral reflexes are two types of neural circuits generated by systems within the peripheral nervous system. These are the somatic nervous system which produces bodily reflexes, and the autonomic nervous system, which creates visceral reflexes. Both are essential for coordinating the central nervous system and the affected organ/s. The difference between somatic and visceral reflexes is that somatic take place in skeletal muscles, and visceral occur in soft tissue organs.

Body Organ Links

Medical practitioners have accepted particular body organ associations/links, for example:

• The left shoulder can serve as an indicator of heat-related distress.
• Below the inferior scapular angle, pain presenting could indicate pancreatic dysfunction and relates to vertebral and rib dysfunction between the thoracic vertebra T5–T9.
• The pancreas usually refers to the left shoulder, as the ligaments interconnect to the stomach, spleen, and left hemidiaphragm muscle and suspend the descending colon.
• Left-sided organs, including the aorta, could be related to the left upper extremity dysfunction or the left-sided myofascial structures between the shoulder blades.

Another example is the right shoulder and upper back pain can indicate liver and gall bladder distress and disease.

What Viscerosomatic Reflexes Tell A Chiropractor/Therapist

Chronic somatic problems can originate from within the body unless an obvious result of a traumatic incident. It is essential to pay attention to viscerosomatic reflexes because if left untreated, it could lead to chronic problems with multiple issues.

• Chiropractic medicine specializes in the musculoskeletal system, combined with a healthy mind-body approach that generates differential diagnosis, including somatic dysfunction/s.
• Benefits include fewer imaging scans.
• Decreased use of prescription pain medications.
• Decreased time in physical therapy.
• Decrease in medical costs.

Chiropractic can bring natural pain relief through their understanding and developed medical skill sets that include the capacity to mobilize the viscera and joint structures, to restore body stability and health. This expanded understanding, combined with the chiropractic physician's knowledge of neuroendocrine reflex systems, can help develop a personalized plan to achieve better health.

Viscerosomatic Pain Reflexes

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Akinrodoye MA, Lui F. Neuroanatomy, Somatic Nervous System. [Updated 2021 Nov 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556027/

Bath M, Owens J. Physiology, Viscerosomatic Reflexes. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559218/

Christianson, Julie A., and Brian M. Davis. "The Role of Visceral Afferents in Disease." Translational Pain Research: From Mouse to Man, edited by Lawrence Kruger et al., CRC Press/Taylor & Francis, 2010.

Foreman, R D. "Integration of viscerosomatic sensory input at the spinal level." Progress in brain research vol. 122 (2000): 209-21. doi:10.1016/s0079-6123(08)62140-8

Sikandar, Shafaq, and Anthony H Dickenson. "Visceral pain: the ins and outs, the ups and downs." Current opinion in supportive and palliative care vol. 6,1 (2012): 17-26. doi:10.1097/SPC.0b013e32834f6ec9

Introduction

As part of the musculoskeletal system, the neck makes sure that the head stays upright and can move around. The neck is just like the lower back of the body as it is made up of ligaments and soft muscle tissues that can succumb to injuries and muscle strain. When this happens to the neck, the cervical area of the spine also gets affected, and it can cause pressure on the cervical nerve roots from herniation. This will cause the individual to suffer neck pain and muscle stiffness while also trying to find some relief. Thankfully, treatments that help alleviate neck pain have been effective by relaxing the tense muscles and taking the pressure off the cervical nerve roots. Today’s article will look at the neck’s function in the body, how neck pain affects the body, and how cervical traction can relieve many individuals suffering from neck pain. By referring patients to qualified and skilled providers specializing in spinal decompression therapy. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions, please call Dr. Jimenez at 915-850-09

The Neck’s Function To The Body

Since the neck is part of the musculoskeletal system, it is essential to know that the ligaments, soft tissue muscles, joints, nerve roots, and discs are located in the cervical area of the body. The neck can keep the head upright while also making it move around, turn, and rotate without feeling any pain. Sometimes the neck joints make a “popping sound” when the head is tilted on either side, causing a sense of relief. The neck structure has two primary regions that make up the neck: the anterior and posterior cervical regions. Research studies have shown that the posterior cervical region is located at the front and sides of the neck that encompasses the lymph nodes and blood vessels that provide motor functions for the jaw to move. 

Research studies have stated that the anterior cervical region of the neck is located on the side and back of the neck where the cervical area of the spine is located. The anterior cervical region provides lymphatic drainage and various roles for the cranial nerves and protects them from injuries. These two regions help the structure and functionality of the neck and head as they’re responsible for providing a supportive connection to the brain and cervical spine, regulating metabolism, and amongst other necessary functions for the body; as other research studies explained, the neck’s purpose to the body. 

Body Flexibleness: The body loses a small amount of flexibility during normal aging. Decreased body flexibility can negatively impact everyday life by preventing normal function. If the muscles are not taken through their full range of motion to maintain length, strength is lost, and decreased flexibility increases. This can happen from:

• Water loss in the tissues and spine.
• Increased stiffness in the joints.
• Loss of elasticity throughout the muscle tendons and surrounding tissues.

Body Flexibleness

Individuals of all ages struggle with flexibility, but there is a difference in age stiffness. However, a sedentary lifestyle can make everyday activities feel more strenuous than before. Less flexibleness can also cause pain. For example, if the muscles in the front of the legs become tight, it can limit movement in the pelvis and hips, leading to low back pain.

Several problems can result from decreased flexibility, including:

• Shorter steps while walking.
• Slower walking speed.
• Back pain.
• Increased risk of falls.

Flexibleness improves overall movement and helps prevent simple strains and injuries, including:

• Back injury.
• Muscle strains.
• Shoulder injury.
• Hip injury.
• Leg injury.

A stretching program for the hip muscles can improve walking speed and step length. This will result in improved walking function with improved and increased control, decreasing the risk of injury. Step length is also critical in preventing injuries. More distance while walking and longer steps mean better balance, making it essential to maintain flexibility in the leg muscles.

Chiropractic Decompression

Routine chiropractic adjustments and spinal decompression can slow the progression of joint degeneration, improve movement, and decrease the risk of injury. When the vertebrae are properly aligned, the entire body operates at its optimal level. There is proper lubrication of joints and muscles, improving mobility and function and removing stress on the nerves, muscles, ligaments, and tendons. Chiropractic treats the joints, bones, and muscles to improve body flexibleness through manual and motorized decompression, adjustments, and massage, combined with health coaching, nutrition, stretching, and exercises to do at home.

DRX Spinal Decompression

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

“American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults.” Medicine and science in sports and exercise vol. 30,6 (1998): 975-91. doi:10.1097/00005768-199806000-00032

Choi, Jioun, et al. “Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation.” Journal of physical therapy science vol. 27,2 (2015): 481-3. doi:10.1589/jpts.27.481

Giraud, Karine et al. “Raideur matinale” [Morning stiffness]. Presse medicale (Paris, France : 1983) vol. 33,12 Pt 1 (2004): 803-7; discussion 825. doi:10.1016/s0755-4982(04)98750-7

Tseng, Shiuan-Yu, et al. “Effect of Two Frequencies of Whole-Body Vibration Training on Balance and Flexibility of the Elderly: A Randomized Controlled Trial.” American journal of physical medicine & rehabilitation vol. 95,10 (2016): 730-7. doi:10.1097/PHM.0000000000000477

Healthy sleep plays a vital role in the body's overall health, as it ensures muscle growth, recovery, and illness prevention. This is especially true for home D.I. Yers' fitness enthusiasts, weekend warriors, athletes, and physically active individuals. When sleeping, the body goes into recovery mode, releasing hormones and other chemicals to repair and restore muscle. A healthy night's sleep provides the rest the mind and body need to perform at optimal levels.

Healthy Sleep

Sleep is vital for recovering from workouts. This could be construction work, exercise, gardening, sports, landscaping, any activity that uses bodyweight or works against some form of resistance. The muscles cannot repair themselves properly without proper sleep. Sleep aids the muscles in releasing protein-building amino acids, helping them grow in size and strength.

• Growth hormone is released during non-REM sleep that stimulates tissue growth and repairs muscle.
• During REM or rapid eye movement sleep, blood pressure drops, breathing slows and deepens, the brain relaxes, and blood supply to the muscles increases, feeding them oxygen and nutrients.

Unhealthy Sleep

Sleep maintains the muscles' sharpness, coordination, function, and muscle movement patterns that improve physical performance. The body needs to sleep for at least 7 hours a night for muscles to grow properly. Not getting healthy sleep decreases protein synthesis activity and increases the activity of degradation that leads to muscle loss.

Less Sleep Leads To Eating More

Hormonal changes occur when the body sleeps less, causing individuals to feel hungry more often, increasing the amount of food taken in because after eating, the body does not feel full right away, so the individual continues to eat. Without sleep, the body decreases the production of a hormone that indicates when the body is full and activates a hormone that causes hunger. 

Insufficient sleep also lowers the body's sensitivity to insulin. Because of this, the muscle fuel glycogen is not adequately replenished. Without the regular restoration of glycogen, individuals have less energy, insulin sensitivity decreases, increasing the risk of diabetes.

Physical Health

Unhealthy sleep also impacts overall physical health. Individuals that do not get healthy sleep have an increased risk of developing:

• Irritability
• Anxiety
• High blood pressure
• Obesity
• Kidney disease
• Heart disease
• Stroke
• Mental health issues
• Depression

Body Composition

Nutrition Before Bed

Nighttime Snacks

• Research has found that certain foods that contain tryptophan or melatonin can help with sleep.
• These include turkey, bananas, milk, rice, grapefruit, oats, cherries, walnuts, and almonds.

Cut Back on Carbohydrates Before Bed

• Consuming carbohydrate-rich foods before bed can impair growth hormone activation during sleep.

Reduce or Remove Afternoon and Evening Caffeine

• Caffeine can impair sleep, sometimes without knowing it.
• Avoid caffeinated foods or beverages before bed.

Eliminate Energy Drinks

• These drinks can contain elevated levels of caffeine and other substances that can result in overstimulation.
• This hyper-active state can cause individuals to decline in performance.
• Overconsumption of energy drinks has been linked to adverse effects, including strokes, seizures, and death.

Eliminate Sugar

• Sugar raises blood sugar, which triggers the pancreas to release insulin, fueling the cells causing overstimulation.
• Eliminating sugar after dinner can help the body fall asleep.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Dattilo, M et al. "Sleep and muscle recovery: endocrinological and molecular basis for a new and promising hypothesis." Medical hypotheses vol. 77,2 (2011): 220-2. doi:10.1016/j.mehy.2011.04.017

Morselli, Lisa et al. "Role of sleep duration in the regulation of glucose metabolism and appetite." Best practice & research. Clinical endocrinology & metabolism vol. 24,5 (2010): 687-702. doi:10.1016/j.beem.2010.07.005

Murray, Bob, and Christine Rosenbloom. "Fundamentals of glycogen metabolism for coaches and athletes." Nutrition reviews vol. 76,4 (2018): 243-259. doi:10.1093/nutrit/nuy001

Flexibility and range of motion are essential elements for an individual's overall health, physical fitness, and quality of life. Healthy flexibility helps the body:

• Maintain a physically active lifestyle.
• Maintain strength.
• Improve endurance.
• Prevent injury.

Flexibility and Range of Motion

Joint stiffness and pain can make it challenging to engage in everyday activities and maintain mobile, physical, emotional, and internal health. To keep the body flexible and moving, individuals need to use their entire body and range of movement. Becoming sedentary affects the body's flexibility, leading to slowed/blocked blood circulation, nerve energy signal disruption, and sickness. To improve flexibility and range of motion, it is recommended to include:

• Stretching the body
• Regular exercise and physical activity
• Yoga
• Healthy diet
• Healthy weight
• Proper sleep

For individuals with stiffened muscles and joints, chiropractic medicine can increase the body's flexibility, improving the range of motion in the joints. Chiropractic optimizes the function of the joints, improving mobility with less pain. When living with arthritis, chiropractic is an excellent therapy to decrease pain and activate the body's natural healing abilities. Chiropractic adjustments align the spine and improve nervous system function.

Nerve Pressure

Nerve pressure can cause pain or tingling sensations that can become difficult to manage. A shifted misaligned spine can compress nerve endings, causing pain that presents with or without movement. Getting the body in motion and moving around is essential to treat stiffness and joint pain. The objective of chiropractic is to align the spine and body and relieve pressure on the nerves helping the body gain back its flexibility and range of motion. Once the body is adjusted, the nerve endings are no longer irritated, relieving the pain. Chiropractic uses various techniques to deal with areas of compression, including stretching, percussive massage, low-laser therapy, ultrasound, and strengthening exercises.

• Chiropractic adjustments relieve pain and improve mobility.
• Strengthening exercises to keep the spine in proper alignment.
• Exercising keeps the adjustments in place.

A careful assessment of the condition will determine the cause of stiffness and joint immobility. Chiropractic can treat the joints, bones, and muscles to improve flexibility manage muscle spasms and soft tissue tenderness to alleviate symptoms restoring and improving range of motion. Chiropractic adjustments are combined with therapeutically designed stretches and exercises to perform at home, along with an anti-inflammation diet and supplements.

Body Composition

Zinc

Zinc is an essential nutrient that provides overall immune function. It is a powerful antioxidant that helps prevent and reduce oxidative stress and inflammation responses. Various bodily chemical reactions require Zinc. Zinc is necessary for muscle protein synthesis and hormone regulation. Zinc deficiency is common in older individuals and has been connected with degenerative diseases that include:

• Rheumatoid arthritis
• Atherosclerosis
• Age-related macular degeneration
• Weight loss
• Muscle atrophy

Sources of Zinc include:

• Nuts
• Legumes
• Chicken
• Red meat
• Oysters

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Green, S et al. "Physiotherapy interventions for shoulder pain." The Cochrane database of systematic reviews vol. 2003,2 (2003): CD004258. doi:10.1002/14651858.CD004258

Hartvigsen, Jan et al. "What low back pain is and why we need to pay attention." Lancet (London, England) vol. 391,10137 (2018): 2356-2367. doi:10.1016/S0140-6736(18)30480-X

Kavuncu, Vural, and Deniz Evcik. "Physiotherapy in rheumatoid arthritis." MedGenMed: Medscape general medicine vol. 6,2 3. 17 May. 2004

Page, Carolyn J et al. "Physiotherapy management of knee osteoarthritis." International journal of rheumatic diseases vol. 14,2 (2011): 145-51. doi:10.1111/j.1756-185X.2011.01612.x

Wessels, Inga et al. "Zinc as a Gatekeeper of Immune Function." Nutrients vol. 9,12 1286. 25 Nov. 2017, doi:10.3390/nu9121286

Calf pain is common in individuals who spend a lot of time on their feet, whether standing at work, school, or training athletes. The calf muscle/s take on a tremendous amount of load throughout the day. Climbing stairs, jogging, running, and hiking increase strain on the muscles. In most cases, calf pain results from an overuse injury of the calf muscles. Improper footwear can also contribute to issues around the foot and ankle that include:

• Tightness
• Loss of strength of the foot
• Decreased mobility

Short or tight calves can lead to dysfunctional movement, cramping symptoms, chronic pain, and stiffness. A combination of chiropractic active release treatment and physical therapy can help quickly eliminate calf pain.

Anatomy

The calves are comprised of two muscles, the gastrocnemius, and soleus.

• The gastroc originates just above the knee.
• The soleus is below the knee.

They both insert on the back of the ankle as they join to form the Achilles tendon. The gastrocnemius is the power muscle used for explosive movements like jumping. The soleus muscle is predominately a slow-twitch muscle. This means it is very active during extended activities, like standing, walking, exercising, and running. When dealing with calf and ankle issues, other muscles can also contribute. These include:

• The posterior tibialis lies deep in the inner portion of the calf and plays a role in foot and ankle function.
• The posterior tibialis is heavily involved with Medial Tibial Stress Syndrome or MTSS, also called shin splints.

Calf Muscle Pain

Most commonly, calf pain is caused by the overuse of the calf muscles. This is often the result of the consistent pounding of the feet and lower legs from standing, walking,  and working. Over time, the repetitive pounding can cause tiny tears in the muscles of the lower legs and calves. If detected, early rest and recovery are recommended to allow the muscles to relax, loosen, and heal. However, repeated use can lead to more severe injury without proper treatment, like compartment syndrome. Certain types of calf pain can signify a medical emergency that requires immediate treatment.

Compartment Syndrome

A tough and fibrous covering surrounds the calf called the fascia. During physical activity or exercise, blood flows into these muscles, causing them to increase in size. If the fascia cannot stretch enough when these muscles enlarge, pain and tightness can develop. This is known as chronic posterior compartment syndrome. The discomfort typically goes away when the activity stops but is likely to return without proper treatment.

Calf Overuse Injury

Soreness, tightness, and pain are usually felt along the back or inside of the lower leg. The calf muscles are generally not painful to touch but maybe tender when deep pressure is applied. Calf pain and tightness often come with extended physical activity, exercise and disappear once the activity is stopped. If the injury becomes chronic, calf stiffness can present even when not active, along with numbness and/or tingling in the lower leg or foot.

Treatment

It is recommended not to ignore any discomfort, pain, and stiffness in the calves. Continued overuse can lead to scar tissue formation and chronic pain potential without proper care. Active Release - ART, and chiropractic effectively treat this type of injury. ART breaks up scar tissue, returning normal function to the calf muscles. And chiropractic loosens up stiff joints in the hips, ankles, and feet that may be contributing to wear and tear on the calves. Together they can quickly and eliminate calf pain. Part of a treatment plan includes:

• Joint manipulation or mobilization
• Soft tissue mobilization
• Nutritional recommendations
• Rehab-based exercises and stretches

Body Composition

Metabolic Adaptations

Aerobic exercise substantially impacts the body's muscles' energy production system and cardiovascular adaptation. The blood delivers oxygen to the muscle cells to produce energy that powers all the exercise being done. Aerobic exercise primarily relies on oxidative energy production, which takes place within the cells called mitochondria. Aerobic exercise also breaks down fat molecules for energy, which can only happen within mitochondria.

• Aerobic exercise training improves the muscle cells' ability to burn fat by generating more mitochondria and enhancing their functionality. Specifically, the body burns more fat than usual in the hours following each training session.
• With more precise quality and quantity of fat-burning machinery, aerobic training can increase the resting metabolic rate, resulting in more calories burned.
• High-intensity aerobic exercise also increases the excess post-exercise oxygen consumption - EPOC, resulting in increased calorie burn in addition to what was burned during the exercising.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Alfredson, H et al. "Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis." The American journal of sports medicine vol. 26,3 (1998): 360-6. doi:10.1177/03635465980260030301

Bright, Jacob Michael et al. "Ultrasound Diagnosis of Calf Injuries." Sports health vol. 9,4 (2017): 352-355. doi:10.1177/1941738117696019

Campbell, John T. "Posterior calf injury." Foot and ankle clinics vol. 14,4 (2009): 761-71. doi:10.1016/j.fcl.2009.07.005

Green, Brady, and Tania Pizzari. "Calf muscle strain injuries in sport: a systematic review of risk factors for injury." British journal of sports medicine vol. 51,16 (2017): 1189-1194. doi:10.1136/bjsports-2016-097177

Introduction

In today’s podcast, Dr. Alex Jimenez talks with Juan Corona and Valeria Altamirano about their product, The Leg Length Regulator, and how their device can help individuals with leg length discrepancies as well as improve their overall wellness. 

The Leg Length Regulator

[00:00:02] Dr. Alex Jimenez DC*: Today, we’re going to be presenting an impressive young group of individuals where we’re going to be discussing really what’s unique in El Paso. We got a lot of talent here in this town, and one of the things that we’re going to be talking about is actual professionalism, and science is what college engineering does. Dr. Natalicio is an amazing dynamic principal who’s left a legacy of engineering in the school of UTEP. And one of the things that we have is we have an amazing desire for our youth to want to stay. Now I’ve been here for 30 years, and I’ve been practicing for quite a bit a long time. And what I’ve noticed is that when I first came to El Paso in 1991, many young individuals wanted to leave. It was a very common desire that you wanted to leave if you lived out here. You wanted to go to Washington state, Washington, Harvard, but you didn’t want to return. Today we have a school that is recognized worldwide, and the science department is one of the most amazing departments and well-respected. And it’s always in the top 10 with MIT and schools that are very high in engineering value. So I’ve met many of the students out here over the years, specifically engineering students, and the amazing minds they have and how intelligent they are doesn’t stop the baffle me. It makes me very proud to present certain talents as an individual, parent, and community individual. And today, we’re going to be presenting a group of individuals that have begun a new process, a new endeavor in their lives, and a new beginning. This beginning is one that that is full of mystery, wonder, and amazing science endeavors. So one of the things is that the program that we’re going to discuss will focus on leg length regulations or what they call the leg length regulator. That’s the idea of one Dr. Thomas Sarkodie, who is their teacher, is one of the lead individuals and the one that is is spearheading this program. And now I have to add the privilege of having these two young individuals. I have Juan Corona and Valeria Altamirano. So today I want to do is I want to talk to you guys about these two individuals and specifically about the leg length regulator. This leg length regulator is a new dynamic that is their baby. These guys are master’s students. That means they’ve gone through a long-level education and are in pre Ph.D. programs, which, if they choose to, can become the future in this new design. So I want to present you guys, I’m going to talk first with Mrs. Valeria, and she’s going to go ahead and tell me a bit about this program, as she’s one of the leads and the second chair is Juan. I want to discuss these things and why Genesis is this new product. Genesis, or begun here in El Paso, is about, so Valeria talk to me. Hello. How are you doing?

[00:03:14] Valeria Altamirano: I am doing good. Thank you for having me here.

[00:03:17] Dr. Alex Jimenez DC*: So you guys have started a new product, and is this leg length regulator? Tell me a bit about it because I think El Paso wants to know what we’re doing in the engineering department. What is it?

[00:03:26] Valeria Altamirano: So the likely regulator is a new device that we’re trying to develop, and it’s to focus on patients with leg length discrepancy. And what that is is when your lower limbs are of unequal size. So many people don’t know that they have this kind of illness until they notice that they have a lot of back pain. It’s hard for them to stand right. It’s hard for them to walk, and they just experience a lot of uneasiness when they’re doing things. So for a class project, we were assigned to do research and make a device of our choosing. And Dr. Sarkodie had mentioned if we wanted to look into leg length discrepancy. So I looked into it, and I noticed that many people are affected, especially children and elderly patients. So we went ahead and decided, OK, let’s build something for it, for this cause. And that’s how it came to be the leg length regulator. So what it does is we’re trying to use an LVDT, which is a linear variable differential transformer, and it uses that along with a PD controller and programed into an Arduino. And it’ll help regulate the amount of pressure put on to the foot to help lift it back up to where it is supposed to be so that the patient doesn’t feel pain. The main goal here is to eliminate pain so that children and adults can go on with their everyday lives without having this issue.

The ankles provide an essential role in total body function. They work as a complex system within the feet to carry the body's weight and support movement. Any imbalance can cause ankle instability that can cause other areas of the body to go out of balance. This is most often caused by an injury, like an ankle sprain. If not properly addressed, it can lead to chronic instability and long-term health issues throughout the musculoskeletal system. Chiropractic treatment can rehabilitate ankle injuries, strengthen the muscles to prevent instability.

Ankle Instability

The entire body is an extensive, complicated, and interconnected system. Every part influences the next as individuals go about their everyday routines. Imbalances can occur in the spine, hips, legs, and knees, leading to limping, ankle pain, or injury. The most common causes of ankle instability include:

• Poor foot or ankle mechanics
• Knee or hip imbalances
• Ankle sprains
• Muscle strain
• Tendonitis
• Arthritis
• Fractures
• Chronic inflammation from illness or injury.

Finding The Imbalances

Understanding where the imbalances are and systematically addressing them is the recommended course of action. If an ankle injury is present, local symptoms and dysfunction need to be addressed. However, it is important to assess other body areas to ensure any other dysfunctions are also addressed. This prevents unnecessary re-injury, aggravation, and other problems.

Chiropractic

One or more treatment options will be utilized for proper recovery when dealing with ankle instability.

• Joint adjustments of the lower body and spine to support nerve and blood circulation.
• Foot and ankle compression wraps.
• Ultrasound.
• Electrical stimulation. 
• Therapeutic massage of the injured and sore tissues.
• Recommendations for activity modification to prevent unnecessary aggravation and increase stability.
• Exercise and stretch training.
• Health coaching on an anti-inflammatory diet and foods to promote recovery.

Chiropractic is recommended for determining any body imbalances that need to be addressed with high-quality research-based care and can expedite the recovery process.

Body Composition

Compression Garments and Socks

These were only used to treat individuals with circulatory problems but are now available to the public. Recovery is about giving the body a chance to relax, recuperate, and recover from swelling, with the objective to resume physical activity. Compression garments come in shirts, pants, sleeves, and socks. The garments and socks are used for quicker recovery time, improved circulation and oxygen delivery to the muscles, and to reduce lactic acid build-up.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Anguish, Ben, and Michelle A Sandrey. "Two 4-Week Balance-Training Programs for Chronic Ankle Instability." Journal of athletic training vol. 53,7 (2018): 662-671. doi:10.4085/1062-6050-555-16

Czajka, Cory M et al. "Ankle sprains and instability." The Medical clinics of North America vol. 98,2 (2014): 313-29. doi:10.1016/j.mcna.2013.11.003

Gribble, Phillip A. "Evaluating and Differentiating Ankle Instability." Journal of athletic training vol. 54,6 (2019): 617-627. doi:10.4085/1062-6050-484-17

Lubbe, Danella et al. "Manipulative therapy and rehabilitation for recurrent ankle sprain with functional instability: a short-term, assessor-blind, parallel-group randomized trial." Journal of manipulative and physiological therapeutics vol. 38,1 (2015): 22-34. doi:10.1016/j.jmpt.2014.10.001

Psoriatic arthritis can develop in individuals who have psoriasis, affecting various joints, especially the knees. Psoriasis is a skin condition that causes skin cells to build up and form patches of itchy, dry skin known as plaques. Psoriatic arthritis is a long-term inflammatory disease that can cause inflammation, stiffness, and pain. Symptoms can progressively worsen over time without treatment. Early diagnosis is vital to minimize damage to the joints and slow the condition's progress with treatment. 

Psoriatic Arthritis

Psoriatic arthritis symptoms like stiffness and swelling can present differently from person to person. For example, some individuals with psoriatic knee arthritis will experience stiffness or pain in one knee, while others experience symptoms in both knees. Psoriatic arthritis in the knee can also cause swelling in the surrounding:

• Ligaments
• Tendons
• Synovial membranes
• Symptoms can also present in the:
• Elbows
• Feet
• Hands

Symptoms

Symptoms usually begin between the ages of 30 and 50. Common symptoms include:

• Stiffness after resting or sleeping.
• Swelling.
• Inflammation in the knee and surrounding area.
• Warm or hot skin on the knee from the inflammation.
• Pain in and around the joints, tendons, or ligaments.
• Joint sticking, difficulty moving, or reduced range of motion.

Other symptoms include:

• Back pain
• Fatigue
• Pain and redness in the eyes
• Swollen fingers or toes
• Difficulty walking from pain in the feet or Achilles tendon.
• Nail pitting or separation.

The severity of psoriasis does not determine psoriatic arthritis symptoms. Symptoms can go through a pattern of relapses and remissions. Individuals can have a sudden attack where symptoms get worse over a short time. After the flare-up, symptoms can improve as the condition goes into remission. Symptoms may not present for a long time until another flare-up. For example, an individual may have severe psoriasis but only mild psoriatic arthritis.

Causes

Psoriatic arthritis develops when the body's immune system mistakenly attacks healthy cells and tissues. The faulty immune response causes the body to quickly generate new skin cells that stack on top of each other forming plaques. When the condition affects the joints, it leads to inflammation. While there is no apparent cause for psoriatic arthritis, researchers have found connections to genetics and the environment, as well as, individuals with close relatives that have psoriatic arthritis could be more likely to develop the condition. Other factors that could influence the development include:

• Severe psoriasis
• Traumatic injury/s
• Obesity
• Nail disease
• Smoking

The condition can happen at any age, but according to the National Psoriasis Foundation, most individuals first notice symptoms about ten years after their psoriasis begins. However, only 30% of individuals with psoriasis develop psoriatic arthritis.

Diagnosis

Doctors use imaging tools to diagnose psoriatic arthritis in the knee. They will use:

• MRI
• X-rays
• Ultrasound
• To help them check for irregularities or signs of inflammation in the joint and surrounding tissues.
• Additional tests are used to rule out other common forms of arthritis like rheumatoid and osteoarthritis.
• Blood tests check for inflammation and specific antibodies.
• In some cases, a small amount of fluid from the joint is taken to help eliminate the possibility of other underlying conditions like an infection.

Treatment

There is currently no cure for psoriatic arthritis, but treatments are being developed and show promise for long-term management. Current treatments focus on managing symptoms and improving the quality of life for the individual.

Biologics

Biologic medications like tumor necrosis factor or TNF inhibitors are recommended as the first-line therapy for most individuals with a new diagnosis of psoriatic arthritis. These meds help block TNF, which plays a crucial role in inflammation. They have shown to be effective at reducing the severity of symptoms and the frequency of flare-ups. Biologics can cause unwanted side effects, especially in individuals that experience frequent infections and need routine monitoring.

Small Molecule Medications

Individuals that cannot use biologic medications may be recommended a new class of medication called oral small molecules or OSMs. Examples include apremilast - Otezla and tofacitinib - Xeljanz.

Disease-modifying Antirheumatic Drugs

Disease-modifying antirheumatic drugs - DMARDs are a long-term option. They are used to slow the progression of psoriatic arthritis, and examples include methotrexate and cyclosporine. DMARDs work best when an individual begins taking them as early as they can take time to work. However, individuals are encouraged to continue taking them, even if symptoms do not improve right away.

Easing Inflammation

A doctor may prescribe nonsteroidal anti-inflammatory drugs - NSAIDs and corticosteroid injections when knee symptoms flare-up. These are short-term treatments that provide immediate relief, as long-term use can lead to side effects. Individuals can find relief with combined self-care that includes:

• Taking over-the-counter NSAIDs like ibuprofen/Advil or naproxen/Aleve.
• Applying ice and heat packs.
• Gentle exercise to promote a full range of motion.
• Gentle stretching or yoga can help relax tight muscles.
• Chiropractic.
• Acupuncture.
• Therapeutic Massage.
• Anti-inflammatory diet.
• Electrical stimulation.

Chiropractic treatment can help to:

• Relieve soreness.
• Prevent muscle spasms.
• Realign joints.
• Improve mobility.

However, chiropractic is not the primary treatment for arthritis but is intended to be used in combination to relieve pain, loosen and stretch the muscles and balance the body.

InBody

Strength, Balance, and Improved Body Composition

Functional fitness is the ability to move comfortably every day. The benefits of physical activity also contribute to improved body composition. Working to reach a certain level of functional fitness can help the aging process that has been shown to reduce metabolic rate. Inactivity is why individuals lose Lean Body Mass as they age, leading to increased body fat. Lean Body Mass contributes to the body's overall Basal Metabolic Rate or BMR, also known as metabolism. This is the number of calories the body needs to support essential functions. Everyone is encouraged to engage in strength training or resistance exercises, but specifically older adults. This can help regain muscle loss which can lead to an increase in lean body mass. The increase in Lean Body Mass increases BMR, which helps prevent fat gain.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Chang, K. L., et al. (2015). Chronic pain management: Nonpharmacological therapies for chronic pain [Abstract]. https://www.ncbi.nlm.nih.gov/pubmed/25970869

Chiropractic care for arthritis. (n.d.). arthritis.org/health-wellness/treatment/complementary-therapies/physical-therapies/chiropractic-care-for-arthritis

Chiropractic: In-depth. (2019). nccih.nih.gov/health/chiropractic-in-depth

How to achieve remission in psoriatic arthritis. (n.d.). arthritis.org/diseases/more-about/how-to-achieve-remission-in-psoriatic-arthritis

Living with psoriatic arthritis. (n.d.). psoriasis.org/living-with-psoriatic-arthritis/

Sankowski, A. J., et al. (2013). Psoriatic arthritis. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3596149/

The shoulder is a ball-and-socket joint. The shoulder has several muscles that help it move and allow a wide range of motion. A strain or pulled shoulder muscle can affect the slightest movements, making simple activities difficult and painful. Pulling a muscle in the shoulder can be caused by an injury, overuse, and general wear and tear. Minor shoulder injuries usually heal on their own with rest and self-care. Severe shoulder muscle injuries should be addressed by a medical professional.

Pulled Shoulder Muscle Causes

Pulling a muscle in the shoulder can happen quickly. This could be from falling on the shoulder, an auto accident, or a work accident. It can develop after weeks, months, and years of repetitive motion and overuse. It is common among individuals that play certain sports or jobs that require repetitive activities with the shoulders. They can also happen with no apparent cause. Treatment and recovery depend on the type and severity of the injury.

How to Tell If It's a Pulled Muscle

It can be hard to tell the cause unless the individual has experienced the specific type of pain before. Otherwise, it is recommended to consult a medical professional like a physical therapist or chiropractor. This is because shoulder pain can be caused by inflammation of the tendons and joints and/or the joint itself.

Pulled Muscle Shoulder Symptoms

Pain due to a pulled muscle is characterized by:

• Tenderness  
• Dull, sore, or aching pain.
• Sometimes it can cause shooting pain between the shoulder blades in the front or back.
• Pain when the shoulder is at rest.
• Pain when the specific muscle is used.
• Swelling of the area.
• Shoulder instability.
• The shoulder feels fragile.
• Movement causes pain.
• A bump may develop at the top of the shoulder near the end of the collarbone.
• Inability to use the muscle at all.
• If the pain is persistent, it could signify that there is something other than a pulled muscle like a pinched nerve or a joint issue.

Treatment and Recovery Options

Treatment and recovery vary and depend on the severity of the pull and the individual's overall health. Many find that their pain is reduced with self-care in 2 or 3 weeks. Chiropractic treatment for a pulled shoulder muscle can provide relief within 1 or 2 weeks.

Self Care

Depending on the severity of the pull and how much pain is being experienced, individuals could be recommended to take an NSAID like Ibuprofen to reduce pain and swelling. Self-care can include:

Ice To Reduce Swelling

• Applying ice or a cold pack to the area can help reduce swelling.
• Place a cloth or towel between the skin and the cold pack.
• Apply it for 20 minutes an hour.
• The swelling should reduce in a day or two.

Rest

• It is recommended to rest the shoulder for no more than 2 or 3 days.
• This begins the healing process and prevents worsening the injury.

Wrap or Sling

• During rest days, it can be hard to keep the shoulder from moving.
• To avoid this, use a shoulder wrap or a sling to support the arm.
• However, they should not be used for more than 2 or 3 days.

Gentle Stretching

• It is essential to get the muscle working again after 2 or 3 days of rest.
• Stretches will help the muscle group heal and gain strength.
• Not stretching the muscle could prolong recovery and worsen the injury, and possibly cause new injuries.

Stretches For a Pulled Shoulder

Stretching a pulled shoulder muscle after a few days of rest is recommended because not working out the injured muscle can cause more problems. Not using the muscle can cause it to atrophy, which will take longer to heal, and the surrounding muscles become weak.

Pendulum Stretch

• Slightly bent support the body by placing the unaffected arm on a table or chair.
• Let the injured arm hang straight down.
• Swing the arm in small circles clockwise as far as the pain or discomfort allows.
• Perform for 1 minute.
• Go counterclockwise for one minute.
• Repeat 4 to 8 times throughout the day.

Chiropractic

If self-care is not providing sufficient relief, then chiropractic treatment is recommended. A doctor of chiropractic can advise on the best treatment options and get to the root of the issue. Chiropractors have a treatment arsenal of modalities and approaches to help treat pulled muscles. These include:

• Chiropractic adjustments
• Physical therapy
• Cold laser therapy
• Electrical stimulation
• Manual stretching
• Correction exercises
• Ultrasound 
• Health coaching

Body Composition

Three Somatotypes - Body Shapes

A somatotype is the overall shape and composition of the human body. Body types based on physique have three generalized divisions:

• Endomorph
• Mesomorph
• Ectomorph

However, it is rare for someone to fall entirely into one somatotype. Individuals can have a combination of qualities from two somatotypes, like an ectomorph-endomorph hybrid or an endomorph-ectomorph, for example.

Ectomorphs

• Naturally lean with long limbs, ectomorphs typically possess a slender look no matter what type of diet.
• A lot of endurance runners and swimmers are ectomorphs.
• Ectomorphs may have a decent amount of muscle but may appear to have less muscle development because of their long limb length.
• Body fat also seems to get hidden by the long, slender figure, which means they can get away with a few extra pounds of fat.
• However, if ectomorphs do not watch their health, they can become skinny fat.

Mesomorphs

• Mesomorphs have a natural athletic look.
• They can achieve a muscular physique without really trying.
• The physiology tends to include:
• Narrow hips
• Wide back
• A large frame contributes to a muscular appearance.
• Many professional fighters, football, and basketball players are mesomorphs.

Endomorphs

• Endomorphs have a larger structure with wide hips and shoulders.
• Shorter arms and legs.
• This type of body shape is excellent for activities that require a lot of strength.
• Rugby players, strength athletes, and powerlifters are endomorphs.
• This body type is considered to be a contributing performance factor in Ironman athletes.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Blache, Y et al. “Superficial shoulder muscle co-activations during lifting tasks: Influence of lifting height, weight, and phase.” Journal of electromyography and kinesiology: official journal of the International Society of Electrophysiological Kinesiology vol. 25,2 (2015): 355-62. doi:10.1016/j.jelekin.2014.11.004

Brantingham, James W et al. “Manipulative therapy for shoulder pain and disorders: expansion of a systematic review.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 314-46. doi:10.1016/j.jmpt.2011.04.002

Kandel, Michel et al. “Somatotype, training and performance in Ironman athletes.” European journal of sports science vol. 14,4 (2014): 301-8. doi:10.1080/17461391.2013.813971

McFarland, Daniel C et al. “Spatial dependency of shoulder muscle demand during dynamic unimanual and bimanual pushing and pulling.” Applied ergonomics vol. 73 (2018): 199-205. doi:10.1016/j.apergo.2018.07.011

Introduction

The hips in the lower extremities of the body help stabilize the weight of the upper half while providing movement to the lower half. The hips also allow the body to twist, turn, and bend back and forth. The hip joints connect to the inside of the pelvic bone, while the pelvic bone is connected to the sacroiliac joint, which connects to the spine. When natural wear and tear affects the joints as the body ages, issues like hip pain and osteoarthritis associated with low back pain occur, causing various symptoms to arise in the body. Today’s article looks at osteoarthritis, how it impacts the hips, and how to manage hip osteoarthritis. We refer patients to certified providers specializing in musculoskeletal therapies to help those with hip pain and osteoarthritis. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

What Is Osteoarthritis?

Have you been experiencing pain in your hips or lower back? How about muscle stiffness near the groin? Do symptoms associated with sciatica seem to flare up near your hips and the back of your leg? Many of these symptoms are signs that you could be at risk of developing osteoarthritis near your hips. While arthritis refers to inflammation of the body’s joints, osteoarthritis is a type of arthritis that causes degeneration of the joint cartilage, triggering joint pain and functionality loss. Even though there are several hundred types of arthritis, osteoarthritis is one of the most common types that many people, especially older adults, are affected by. As the body becomes older naturally through age, the repairs from an injury begin to slow down, and the cartilage (the connective tissue that protects the bones from each other) will start to thin out, triggering bone rubbing together, causing inflammation to occur, bone spurs, and inevitable pain. Osteoarthritis is often associated with old age and is multifactorial as factors that can increase the risk of developing osteoarthritis include:

• Sex 
• Age
• Obesity
• Joint injuries
• Genetics
• Bone deformities

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*

Introduction

Maintaining healthy joints is crucial to preventing injuries from affecting the body. Incorporating physical activities, eating healthy foods, staying hydrated, and getting a routine check-up are ways to ensure that the body is functional, including the joints. The joints in the body act like shock absorbers that soften the impact of any injuries that the body has sustained. However, as the body ages, so do the joints, causing them to become hardened and cause problems in the body. In today’s article, we will look at sacroiliac dysfunction, what issues it affects besides back pain, and how chiropractic care manages sacroiliac dysfunction. We refer patients to certified providers specializing in musculoskeletal therapies to help those with sacroiliac dysfunction. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

What Is Sacroiliac Dysfunction?

Are you experiencing pain in the pelvis? Do your hips seem tighter than usual? Do you feel muscle stiffness when you twist from side to side? Some of these issues are signs that you might be experiencing sacroiliac dysfunction. Around the pelvic region lies the sacroiliac joint, a weight-bearing solid joint connecting the pelvis to the sacrum. It is surrounded by tough ligaments that support the body as it distributes the weight from the upper body to the lower body. However, like all the other joints in the body, any injury or condition can cause this joint to be unstable and succumb to the pain, causing sacroiliac dysfunction. Sacroiliac dysfunction or sacroiliac joint pain is defined as one of the potential causes of axial low back pain. When there are issues affecting the sacroiliac joints, it’s associated with about a quarter of most low back pain cases. This is due to the problems that overlap with pain associated with the low back. Studies reveal that dysfunction in the sacroiliac joint can relate to leg or back pain, making diagnosing the problem difficult. Back pain associated with sacroiliac dysfunction causes the pelvis to be hypermobile, causing the risk of developing radiating groin pain. Leg pain associated with sacroiliac dysfunction causes muscle tension and stiffness to the low back, legs, or buttock region, mimicking sciatica-like symptoms.

What Other Issues Does It Affect?

Many individuals may not realize that when they are experiencing sacroiliac dysfunction, symptoms show that they overlap with lumbar spine pathologies. However, sacroiliac dysfunction can also affect the pelvic region of the body. Studies reveal that when the muscles around the body’s pelvic area become inflamed or irritated, it can cause stiffness in the sacroiliac joints, thus developing the risk of pelvic pain. Pelvic pain is usually defined as non-menstrual pain that causes functional disability to the lower extremities. Around the pelvic region, the lower sacral nerves provide extensive neurologic connections to the structures throughout the pelvic area that maintain normal pelvic organ function. When issues like sacroiliac dysfunction become the risk of pelvic pain, it may potentially involve pelvic symptoms like constipation. Studies reveal that constipation is significantly associated with a high prevalence of pelvic organ prolapse and low urinary tract symptoms. Other issues that sacroiliac dysfunction correlates with are:

• Ankylosing spondylitis
• Rheumatoid arthritis
• Inflammatory issues
• Hip pain
• Pelvic pain
• Low back pain
• Piriformis syndrome

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*

After traveling, body/musculoskeletal aches and pains can present from continual standing in line, sitting, staying in the same position, carrying a heavy bag or pulling a suitcase, and sleeping in an unfamiliar bed with different pillows, on a plane or car can cause body imbalances, jerking the spine out of alignment, straining the neck, shoulders, and back causing headaches, soreness, stiffness, back pain, and compression. Chiropractic massage and decompression will relieve travel pains, loosen stiff and sore joints, soothe aching muscles, realign the spine, and restore body health and comfort.

Musculoskeletal Health

The musculoskeletal system is comprised of:

• Muscles
• Tendons
• Ligaments
• Bones
• Joints
• Tissues that move the body and help maintain structure and form.

The health of the musculoskeletal system is defined as the absence of injury, disease, or illness within the system. Keeping this system healthy is crucial for the health of the other body systems.

Common Muskuloskeletal Conditions

• Musculoskeletal injuries - work-related, personal, automobile, sports, or physical activity
• Neck pain
• Back pain
• Hip pain
• Osteoarthritis
• Crystal arthritis
• Inflammatory arthritis
• Osteoporosis
• Fractures

Chiropractic Massage Therapy After Traveling

Musculoskeletal health is enhanced by increased circulation that increases oxygen flow that relaxes the mind and body. Overworked sore, tired muscles after traveling can keep the body tense which could lead to chronic stress symptoms. Chiropractic massage therapy effectively reduces stress and anxiety by manipulating the body tissues like the muscles, tendons, connective tissues, and ligaments, increasing blood circulation and improving flexibility.

Jet-Lag

• The body is weak after traveling into different time zones, which can cause jet lag, stress, and relaxation problems.
• Jet lag can cause sleep problems, leading to extreme fatigue, headaches, and nausea.
• Chiropractic can alleviate jet lag effects quickly by working/massaging/stretching out the muscles, increasing blood flow, flushing out toxins, and calming the body.

Travel Stress

• The stress starts right before the trip when preparing, packing, and setting up the house while away.
• The body tenses up when traveling to maintain focus, stay alert, and be ready for surprises.
• When on vacation, having fun and doing all kinds of activities can make individuals forget to relax.
• Waking up early and going to bed late can contribute to travel stress.
• Chiropractic therapy will relieve all the strain and return the body to a relaxed state.

Relieve Back Pressure

• Sitting for hours can increase pressure on the spine.
• The muscles become stiff from the immobility accumulating pressure on the body and the mind, increasing the risk for other pains.
• Chiropractic therapy will help lower heart rate and blood pressure relieving discomfort and stiffness.

Relax and Sleep

• The internal body clock can get thrown off when traveling, resulting in little to no sleep and irritability.
• Driving or flying will drain the body and mind, which can cause fatigue and anxiety.
• Chiropractic will restore body and mind functions resulting in sleep and relaxation.

Spinal Decompression Texas

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Crofford, Leslie J. “Chronic Pain: Where the Body Meets the Brain.” Transactions of the American Clinical and Climatological Association vol. 126 (2015): 167-83.

Nichols B, Nova P, Jacobs, K. Ergonomic Strategies for Using a Suitcase. The American Occupational Therapy Association. https://www.aota.org/About-Occupational-Therapy/Patients-Clients/Adults/Ergonomic-Strategies-Suitcase.aspx. August 2018. Accessed May 2019.

Sadler, Sean G et al. “Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: a systematic review of prospective cohort studies.” BMC musculoskeletal disorders vol. 18,1 179. 5 May. 2017, doi:10.1186/s12891-017-1534-0

Waterhouse, J et al. “The stress of travel.” Journal of sports sciences vol. 22,10 (2004): 946-65; discussion 965-6. doi:10.1080/02640410400000264

Introduction

The body is a marvelous functional machine that requires constantly moving worldwide. The body can do everyday movements from the head to the feet and be in weird positions without feeling pain. However, ordinary factors like natural aging, wear and tear, and issues affect the body over time. When these factors start to affect the body, they can cause unwanted symptoms that can inflict pain on specific areas around the body. Some areas that suffer pain include the hips, lower back, neck, the body’s internal systems, and the spine, causing the individual to be miserable. Luckily many treatments do relieve pain in the body and help dampen the effects of the unwanted symptoms that are hindering the individual. Today’s article focuses on hip pain, its symptoms, and how decompression therapy can help many individuals suffering from hip pain. By referring patients to qualified and skilled providers specializing in spinal decompression therapy. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions, please call Dr. Jimenez at 915-850-0900.

What Is Hip Pain?

Are you feeling stiffness from your lower back and hips? Do your hips hurt after falling due to playing sports? How about pain from the lower back to the hips down to the feet? You might be experiencing hip pain. Research studies have stated that hip pain can be associated with many factors that can cause many individuals to be in distress, impair their daily activities, and affect their quality of life. Hip pain can be associated with simple movements that are damaged, like sitting and standing, which can be hard after a while. Other associations that hip pain can occur can be lower back pain, neuropathies, herniation, or chronic pain. According to research studies, hip pain is considered a musculoskeletal disorder. It shows that posterior hip pain in adults is caused by osteoarthritis or traumatic causes like sacral stress fractures that can affect the hips. This musculoskeletal disorder can become a problem for many older adults suffering from hip issues. 

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*

Introduction

The body functions throughout the world in a variety of scenarios. Whether the person is doing a sports activity, doing physical therapy, or commuting to get to their destination, the body has to be able to do these things without being in pain. However, things tend to affect the body, like a pulled muscle, an injury caused by an accident, autoimmune diseases, and others that can affect the body and the back. Today’s article focuses on muscle strains in the lumbar area of the back, their symptoms, and how decompression therapy can help alleviate lumbar muscle strains in the back. By referring patients to qualified and skilled providers specializing in spinal decompression therapy. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions, please call Dr. Jimenez at 915-850-0900.

What Are Lumbar Muscle Strains?

Have you felt a pinched nerve on your lower back? How about feeling a gradual, dull ache in your lower back muscles? Or how about tenderness in certain muscle areas of the lower back? You could be suffering from lumbar muscle strains on your lower back. The lower back of the body helps it move, twist, turn, and supports the weight of the upper body, keeping it upright. Research studies have stated that when the lower back is under an excruciating amount of stress, it can cause the soft tissues to become injured and painful to the touch. When the soft tissues in the low back are under a lot of stress and are over-stretched, the surrounding area where the soft tissue resides is inflamed. This will cause the area to be tender to the touch, cause muscle cramps, or cause intense pain when it contracts tightly.

The Symptoms

Since the soft tissues on the lower back help support the body and can be succumbed to injuries, it is essential to know that low back pain is one of the most common issues for many individuals worldwide. As one of the causes of disabilities and the highest healthcare expenses, many people who suffer from low back pain or muscle strains call off work. Research studies have shown that muscle strains are acute low back pains that can turn chronic over time. Some of the symptoms that muscle sprains do cause in the lower back include:

• Muscle weakness
• Profound decrease in tendon reflexes
• Decreased range of motion of the joints
• Muscle inflammation 
• Stiffness
• Low back pain

Other research studies have found that individuals with musculoskeletal disorders have noticed that they complained about radicular pain in their lower back and suffer muscle spasms. This is due to the overstretched lower back muscles, causing the spine to become herniated and pressing on the nerve roots spread out in the lower back.

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*

Restaurant work takes a toll on the body with the repetitive moving, bending, twisting, reaching, prepping, cutting, serving, and washing. This is especially true of the shoulders, arms, and hands. When individuals avoid treating their aches and pains, this can lead to chronic pain conditions that can cause severe and permanent damage to the musculoskeletal system. Chiropractic can alleviate the tingling and pain by removing the compression, re-stretching/lengthening, and strengthening the muscles and nerves to perform at optimal levels.

Restaurant Work

The arms and hands are designed to accomplish various tasks. When functioning normally, tasks can be performed flawlessly. Repetitive/Overuse or trauma can cause nerve compression, stiffness, and pain, decreasing function and affecting daily routines.

Carpal Tunnel

• Carpal tunnel syndrome is one of the most common disorders that affect the arm and hands.
• The carpal tunnel is a space where a nerve and several tendons pass. If the nerve becomes compressed, it can cause numbness, tingling in the fingers, pain, and muscle weakness, making it difficult to grip objects.
• Discomfort and pain start gradually in one or both hands.
• It can cause tightness and pain in the shoulder, forearm, wrist, and hand.
• It can also cause numbness in the palm and fingers.
• It can cause swelling and burning sensations.
• Individuals often shake out the numbness and tingling sensations throughout the day or night.

Tendonitis

• Tendonitis can present with carpal tunnel symptoms except for the gradual starting pain.
• Tendonitis comes from Overuse and repetitive motions.
• The pain will be tender directly on the affected area.
• To help prevent and avoid, ask about exercises that stretch the affected tendons.
• Ask a doctor or chiropractor which exercises and stretches are the safest for the specific condition.
• Depending on the severity of the condition, individuals may need corticosteroid injections, physical therapy, or surgery.

Injury Prevention Tips Restaurant Work

• Learn to stop trying to carry everything in one trip.
• Ask for help/support staff to servers who deliver large orders and for clearing.
• Recommend changes if body posture increases injury risk.
• Heavy trays and plates should be balanced on the palm for better weight distribution.
• Healthy rotation ensures that one worker does not always have the chopping and cutting duties for hours.
• Take frequent breaks from tasks that require repetitive motions.
• Find various stretches and exercises to build strength and flexibility in the arms, wrists, and hands.
• Avoid scheduling multiple consecutive long shifts for jobs that require repetitive hand motions.

Body Composition

Sticking To A Meal Plan

Identify personal motivation to stick to a meal plan other than improving body composition. To keep motivation high, individuals need to identify other reasons behind goals. This could be:

• Saving money from the food budget.
• Spending time with loved ones preparing a healthy recipe.
• Setting an example to family and friends.
• It can be whatever motivates you.
• Reassess and tweak the meal plan as needed.
• Nutritional needs or dietary preferences change.
• Meal planning should be a dynamic process.
• Don't get disappointed if not going as planned.
• Refocus by making changes as needed.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Gentzler, Marc D, and Janan A Smither. "Using practical ergonomic evaluations in the restaurant industry to enhance safety and comfort: a case study." Work (Reading, Mass.) vol. 41 Suppl 1 (2012): 5529-31. doi:10.3233/WOR-2012-0872-5529

Laperrière, Ève et al. "Work activity in foodservice: The significance of customer relations, tipping practices and gender for preventing musculoskeletal disorders." Applied ergonomics vol. 58 (2017): 89-101. doi:10.1016/j.apergo.2016.05.013

Masear, V R et al. "An industrial cause of carpal tunnel syndrome." The Journal of hand surgery vol. 11,2 (1986): 222-7. doi:10.1016/s0363-5023(86)80055-7

https://www.osha.gov/etools/hospitals/food-services/work-related-musculoskeletal-disorders

Szabo, R M. "Carpal tunnel syndrome as a repetitive motion disorder." Clinical Orthopedics and related research,351 (1998): 78-89.

Post spine surgery physical therapy or PT is the next phase after a discectomy, laminectomy, fusion, etc., to gain optimal mobility and ease the transition for a full recovery. A chiropractor and physical therapist team will help with proper muscle training and activation, pain and inflammation relief, postural training, exercises, stretches, and educate the individual on an anti-inflammatory diet. Physical therapy post spine surgery reduces:

• Scar tissue
• Inflammation
• Muscle weakness
• Muscle tightness
• Joint stiffness

The therapy also identifies and treats any issues that caused or contributed to the spinal damage/injury. A study found physical therapy to improve postoperative ambulation, pain, disability, and decreased surgical complications.

Post Spine Surgery Physical Therapy Goals

Physical therapy goals are to return the individual to full function before chronic pain or injury. These include:

• Decrease pain and stress around the surgical site.
• Loosen and stretch the muscles surrounding the surgical site. 
• Strengthen the back and neck muscles.
• Stabilize the back and neck muscles.
• Learn to move around safely.
• Prepare for everyday physical activities like standing up or sitting down, lifting, and carrying objects.
• Improve posture.

The therapy team will develop a customized treatment/rehabilitation plan as well as post-surgical recovery at home to help the individual and family to understand what to expect, including psychological factors like not wanting to perform the exercises or stretches to avoid pain, frustration, anger, depression, and wanting to give up. However, individuals can maximize the benefits to ensure an optimal outcome before surgery by pre-conditioning identifying structural and functional issues contributing to the injury.

Physical Therapy Involves

Therapy can be done at home, in a hospital or rehab setting, or at a chiropractic/physical therapy clinic. Therapists use:

• Massage
• Heat or cold therapy
• Thermotherapy
• Electrotherapy
• Ultrasound

Also included are active therapies like:

• Therapeutic stretches
• Therapeutic mobility exercises
• Therapeutic resistance training 

A physical therapy session can last 45 minutes to an hour. It’s essential to discuss hopes and expectations post-surgery and after the therapy has finished. The therapists will explain the healing process, the treatment progression, and any questions a patient may have. Understanding the treatment process will help the individual want to engage in the treatment plan. The therapist team will also interface with the surgeon to prevent adverse outcomes.

Optimal Health

The physical therapy team will help the individual feel better with each session and stay motivated. Having a solid relationship with the therapy team makes it easier to share goals, worries, and challenges that the team can adapt to as progress is made. To gain the most from the therapy:

• Try working with a therapist that the surgeon recommends can be helpful as they already have a working relationship.
• Keep communication open between the surgeon and team.
• Adhere to any precautions and restrictions set by the surgeon and therapy team.
• Maintain recommended exercises at home between sessions.
• Ease into activity and avoid overexertion.

Post spine surgery physical therapy helps accelerate the healing process and serves to help individuals regain their quality of life.

Body Composition

Power Of Protein

Protein is an essential component of muscle development, bone density, muscle mass, and lean tissue when building a healthy body. Protein is necessary for all the body’s physiological functions.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Adogwa, Owoicho et al. “Assessing the effectiveness of routine use of postoperative in-patient physical therapy services.” Journal of spine surgery (Hong Kong) vol. 3,2 (2017): 149-154. doi:10.21037/jss.2017.04.03

Atlas, S J, and R A Deyo. “Evaluating and managing acute low back pain in the primary care setting.” Journal of general internal medicine vol. 16,2 (2001): 120-31. doi:10.1111/j.1525-1497.2001.91141.x

Gellhorn, Alfred Campbell et al. “Management patterns in acute low back pain: the role of physical therapy.” Spine vol. 37,9 (2012): 775-82. doi:10.1097/BRS.0b013e3181d79a09

Jack, Kirsten et al. “Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review.” Manual therapy vol. 15,3 (2010): 220-8. doi:10.1016/j.math.2009.12.004

Lindbäck, Yvonne et al. “PREPARE: Pre-surgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial protocol.” BMC musculoskeletal disorders vol. 17 270. 11 Jul. 2016, doi:10.1186/s12891-016-1126-4

The temporomandibular (tem-puh-roe-man-dib-u-lur) joint TMJ acts as a sliding hinge that connects the jawbone to the skull. There is one joint on each side of the jaw. TMJ jaw disorders are also known as temporomandibular disorders - TMD. These disorders affect the connecting point between the jaw and the skull that causes swelling and pain in the joint and the muscles that control movement. The disorder can be caused by a combination of factors, like stress, genetics, arthritis, or injury. The symptoms, pain, and discomfort are often temporary and can be relieved with self-care and nonsurgical treatment like chiropractic.

Jaw Disorders

If the jaw is not moving correctly or becomes imbalanced, it can stress the temporomandibular joint. If this happens, the jaw muscles and the neck and shoulder muscles can tense up and over time become fatigued as they overwork to compensate and keep the jaw balanced. The bones that interact in the joint are covered with cartilage and are separated by a small shock-absorbing disc to maintain smooth movement. Jaw disorders can happen if:

• The disc erodes or moves out of alignment.
• The joint's cartilage is damaged by arthritis.
• The joint is damaged by impact trauma like hitting the head from a fall or sports accident.
• Individuals that have been in an automobile accident.

Other factors include:

• Tension or stress can cause individuals to grind or clench their teeth, known as bruxism.
• Dental work
• Misaligned spine
• Arthritis
• Autoimmune diseases

Symptoms

Symptoms of TMJ vary from case to case. These symptoms might include:

• Problems with opening or closing the mouth
• Difficulty or pain while chewing
• Pain or tenderness of the jaw
• Pain in one or both of the temporomandibular joints
• Aching facial pain
• Neck and shoulder pain
• Headaches
• Aching pain in and around the ear
• Dizziness
• Locking of the joint
• Clicking sound
• Grating sensation

Chiropractic Relief

Chiropractors can help with TMJ by alleviating tension and dysfunction in the shoulder, neck, and jaw. Once the dysfunction is relieved, it reduces the pressure on various nerves. Treatment includes:

• Manipulation of the jaw joint so it can move easily
• Relief of the muscle tension near the jaw
• Eating soft foods
• Reducing stress and tension
• Wearing dental splints
• Physical therapy rehabilitation
• Jaw release exercises

Body Composition

The Glycemic Index

Not all carbs are equal, with some having a more significant effect on insulin levels than others. For individuals with diabetes or insulin resistance, this is important. A food's Glycemic Index - ranging from 0 to 100 - indicates how a particular carbohydrate will affect blood sugar and insulin levels.

• Foods that digest quickly are high on the index.
• Foods that digest slowly are lower on the index.

Foods high on the GI scale, include potatoes and white bread, are quickly broken down. This is what happens when going through a sugar rush that comes crashing down minutes later. Foods low on the GI scale, include sweet potatoes and whole oats, are digested gradually. This results in a steady rise in blood sugar levels. The following factors may influence the GI scale:

Food processing

• The more processed the food, the higher the GI.

Fat and acid content

• Foods high in fat, acid, or carbs eaten with fat or acid tend to have a lower GI.

Fiber content

• Fiber slows down the rate of digestion, leading to a gradual, healthy rise in blood sugar levels.

Ripeness

• Ripened fruits tend to have a higher GI than unripened fruit.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Alcantara, Joel et al. "Chiropractic care of a patient with temporomandibular disorder and atlas subluxation." Journal of manipulative and physiological therapeutics vol. 25,1 (2002): 63-70. doi:10.1067/mmt.2002.120415

DeVocht, James W et al. "A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder." Journal of the American Dental Association (1939) vol. 144,10 (2013): 1154-63. doi:10.14219/jada.archive.2013.0034

Pavia, Steven et al. "Chiropractic Treatment of Temporomandibular Dysfunction: A Retrospective Case Series." Journal of chiropractic medicine vol. 14,4 (2015): 279-84. doi:10.1016/j.jcm.2015.08.005

Rubis, Lisa M et al. "A collaborative approach between chiropractic and dentistry to address temporomandibular dysfunction: a case report." Journal of chiropractic medicine vol. 13,1 (2014): 55-61. doi:10.1016/j.jcm.2013.10.003

Individuals turn to chiropractic care neck adjustments to help ease neck problems and alleviate pain. Some of the different types of neck-cervical conditions that chiropractic treats include:

• Cervical intervertebral disc injuries
• Cervical sprain injuries
• Degenerative joint syndrome of the neck
• Facet joint sprain
• Whiplash

A chiropractor will evaluate the whole spine because other regions may be affected and/or contribute to the problems. They will determine areas of restricted movement and will look at walking gait, overall posture, and spinal alignment. Before deciding which approach to use, the chiropractor will thoroughly examine the specific cause of the problems. Neck adjustments consist of various techniques and methods.

Neck Adjustments

Cervical Mobilization

• Cervical mobilization focuses on using gentle motions around the neck.
• It incorporates the high-velocity low-amplitude technique, which uses quick pressure to release an area.
• This adjustment is best for reducing pain and increasing the neck's range of motion.

Cervical Drop

• The cervical drop technique requires the individual to lie on their stomach or side as the chiropractor adjusts the neck, and to prevent any added pressure around the neck, the headrest drops.
• After the chiropractor prepares the neck for the adjustment, they will work on specific points, release the headrest, and quickly twist the neck.
• All of this is done within seconds.
• A standard cervical drop is flexion-distraction.
• This will release tension in the spine.
• This technique improves spinal flexibility by placing the vertebrae in their correct position.

Manual Traction

• The patient sits in a chair for this neck adjustment.
• Manual traction allows the chiropractor to move the neck at different angles and helps them determine the right amount of force during the adjustment.
• A chiropractor will cradle the head in the palms of their hands and quickly move it from side to side.

Soft Tissue Massage

• This technique is often used after a complete adjustment.
• A chiropractor will gently massage the neck and apply pressure to any inflamed areas.
• This increases blood circulation and prevents muscles from tensing and contracting.

Chiropractic Benefits

The benefits that come with using chiropractic neck adjustments include.

Improves Flexibility

• One benefit of chiropractic neck adjustments is that they improve your flexibility.
• Tight muscles or joints out of place make it harder for the neck to move, limiting its range of motion.
• Chiropractic works to reduce poor flexibility by ensuring the bones and muscles are in their proper position.

Prevents Tension

• Individuals that deal with severe tension often notice their neck and upper back feeling sore.
• Tension tightens the muscles and can cause them to press on nerves.
• If too much pressure is on them, the nerves can send out painful pulses.
• A chiropractor will feel around the neck and shoulders to identify areas of concern. After the examination, they will make the proper adjustments to reduce pressure on the nerves and calm inflamed muscles.

Prevents Arthritis

• Arthritis causes inflammation throughout the body. If not treated, this inflammation can increase the wearing down of bones.
• Worn-down bones reduce strength and can irritate nerves.
• Chronic neck pain could indicate that the joints in the neck are misplaced.
• If these joints are not correctly realigned, the constant friction can begin to break down the bones leading to arthritis.
• Chiropractic neck adjustments prevent this by ensuring the joints are in place and maintaining joint health by flushing toxins in and around them.

Anti-Inflammatory Food

Most neck pain is the result of inflammation. Individuals can take synthetic medications to reduce inflammation, but they have side effects. It is recommended to add natural anti-inflammatory foods to one's diet. These won't only reduce inflammation but can increase energy levels and help the body heal quicker. A few recommended foods include:

• Avocados
• Peppers
• Strawberries
• Blueberries
• Turmeric
• Salmon

Body Composition

Heart Disease

Heart disease is the leading cause of death of adults in the United States. Many factors can contribute to heart disease, and research has pointed to inflammation caused by obesity as one of the most significant factors contributing to the development. The main culprits are cytokines produced by excess fat in the body. These cytokines cause inflammation of the walls of the arteries, causing damage and increasing blood pressure. Blood pressure is the force of blood pushing against the walls of the blood vessels. When high blood pressure is present, the heart does not pump blood effectively, causing the heart to enlarge. An enlarged heart is a significant risk factor for heart failure if steps are not taken to remedy it.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Bradley S. Polkinghorn, Christopher J. Colloca, Chiropractic treatment of postsurgical neck syndrome with mechanical force manually assisted short-lever spinal adjustments, Journal of Manipulative and Physiological Therapeutics, Volume 24, Issue 9,
2001, Pages 589-595, ISSN 0161-4754, https://doi.org/10.1067/mmt.2001.118985. (https://www.sciencedirect.com/science/article/pii/S0161475401836915)

Haldeman S. Principles and Practice of Chiropractic. York, PA: McGraw-Hill; 2005.

Hawk, Cheryl et al. "Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline." Journal of alternative and complementary medicine (New York, N.Y.) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181

Eric L. Hurwitz, Hal Morgenstern, Philip Harber, Gerald F. Kominski, Fei Yu, and Alan H. Adams, 2002: A Randomized Trial of Chiropractic Manipulation and Mobilization for Patients With Neck Pain: Clinical Outcomes From the UCLA Neck-Pain Study American Journal of Public Health 92, 1634_1641, https://doi.org/10.2105/AJPH.92.10.1634

Wang, Zhaoxia, and Tomohiro Nakayama. "Inflammation, a link between obesity and cardiovascular disease." Mediators of inflammation vol. 2010 (2010): 535918. doi:10.1155/2010/535918

With a growing belly and changes in connective tissue, many pregnant women are unable to stay comfortable. A pregnancy chiropractor is safe and effective in helping manage pain in the back, hips, legs, joints and establish pelvic balance. This can provide the baby with space to grow and move throughout the pregnancy and lead to faster, easier labor and delivery. Relief and better symptom management are possible with a pregnancy chiropractor.

Chiropractic Is Safe During Pregnancy

Before engaging in any treatment during pregnancy, consult a doctor. For the most part, non-invasive chiropractic is considered safe for healthy, low-risk pregnancies and even higher-risk pregnancies once cleared by a doctor. Because pregnant women cannot take medications or undergo other invasive treatment options for pain, chiropractic treatment is recommended for sore, tight muscles, irritability, and pain management.

How A Pregnancy Chiropractor Can Help

What a chiropractor can offer includes:

• Restore pelvic balance.
• Improve mechanics for standing, sitting, and walking that could otherwise cause pain.
• Pain management through therapeutic massage and adjustments.
• Spinal alignment is restored.
• Improved blood perfusion.
• Energy levels improve.
• Reduce symptoms of nausea.
• Better positioning and movement for the baby.
• Optimize the pelvic position to allow for an easier birth; evidence indicates a shorter labor time thanks to an optimal pelvic position.

Clinic Appointment

The pregnancy chiropractor begins with an initial consultation. Here the patient asks questions, discusses any concerns, along with a full assessment of medical history. They will suggest various treatment options to restore the body to its optimal balance. The chiropractor will continually monitor the patient to tailor the treatments to their specific needs and achieve the most relief.

Body Composition

Impact of Breastfeeding and Body Composition

It turns out that breastfeeding and weight loss are showing that there could be a relationship. A study suggested that breastfeeding could eliminate weight gain during six months. These findings are corroborated by another study comparing body fat loss between exclusively breastfeeding and mixed feeding mothers. The researchers found that exclusively breastfeeding promotes more significant body fat loss than mixed feeding among mothers during the first 12 weeks after childbirth. A weight loss of approximately about a pound per week between 4 and 14 weeks after delivery in overweight, lactating women who were exclusively breastfeeding showed no adverse effect on the growth and development of their newborns.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Bernard, Maria, and Peter Tuchin. “Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study.” Journal of chiropractic medicine vol. 15,2 (2016): 129-33. doi:10.1016/j.jcm.2016.04.003

Borggren, Cara L. “Pregnancy and chiropractic: a narrative review of the literature.” Journal of chiropractic medicine vol. 6,2 (2007): 70-4. doi:10.1016/j.jcme.2007.04.004

Weis, Carol Ann et al. “Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review.” Journal of manipulative and physiological therapeutics vol. 43,7 (2020): 714-731. doi:10.1016/j.jmpt.2020.05.005