Neuropathy "The Painful Enigma"

Neuroregeneration could become an option for spinal cord injury treatments in the future. A spinal cord injury or SCI is when there is damage to the bundle of nerves and cells that send and receive signals from the brain and body. A spinal cord injury can be caused by direct trauma/injury to the cord or damage to the tissue and vertebrae. The damage can result in temporary or permanent changes in:

• Sensation
• Movement
• Strength
• Body function/s below the injury site.

There are incomplete and complete injuries. Injuries that cause limited or no cell death can achieve a full recovery. Injuries that are more serious and/or are higher on the spinal cord can cause permanent damage and/or paralysis. Automobile crashes, accidents, and serious falls are the most common causes of spinal cord injuries.

• An incomplete injury means the cord can still transmit messages, but there is interference/disturbance.
• A complete injury means communication and motor function/voluntary body movement is not transmitting.

Symptoms

Symptoms of a spinal cord injury include:

• Unnatural or awkward positioning of the spine or head.
• Pain or pressure in the head, neck, or back.
• Numbness
• Tingling
• Loss of or changes in sensation in the hands and feet.
• Problems with walking.
• Weakness or inability to move parts of the body.
• Loss of movement.
• Paralysis can occur immediately or develop over time as swelling and bleeding affect the cord.
• Loss of bladder and bowel control.
• Changes in sexual function.
• Difficulty breathing.

SCI Damage Control

A spinal cord injury affects the central nervous system, the body's central headquarters. Damage can cause complications through what's called the secondary injury cascade, which is a series of chemical reactions the body activates to help the situation. However, if the chemical response does not stop and stays active, it can worsen the injury. The body recognizes that an emergency has occurred and tries to go into a shut-down mode that kills off some of the cells in the central nervous system.

When a spinal injury happens, treatment focuses on stopping the damage as quickly as possible to stop the injury cascade and prevent as much cell death as possible. This act is called neuropreservation, meaning that the team is trying to preserve and save as many nerve cells as possible.

Injury Neuroregeneration Treatment Studies

While current treatment primarily focuses on stopping as much damage as possible then going through physical therapies to maintain spinal alignment and rehabilitate the body, the future of injury treatment is looking towards regrowing and repairing the damaged nerve cells through a process known as neuroregeneration. Repairing nerves that have been damaged could change life for many. Neuroregeneration Treatments being studied include:

Surgery

• A study in The Lancet Neurology presents how getting surgery as soon as possible after an injury can provide significant benefits.
• The findings could change all of the guidelines for spinal cord injury.

Medication

• A study on Riluzole, a medication that has shown promise to slow down nerve cell damage.
• A team completed a randomized controlled trial for the medication; soon, the final results will be available.

Antibody treatment

Antibodies are being studied in two ways.

• To stop nerve cells from being damaged.
• To help damaged nerve cells regenerate.

Stem cells

• Scientists are studying ways to grow new nerve cells from an individual's stem cells without the need for embryonic stem cells.
• Specialized stem cells could also be used to help other nerve cells regenerate.

Electrical stimulation

• Another approach is using electrical stimulation to restore function in the spinal cord.
• Therapy that could help a paralyzed individual walk again.

The Future of Neuroregeneration

Aside from early surgery intervention, most neuroregenerative treatments are not ready or accessible yet. There's still much more research before it can become a mainstream treatment option. Treatment that involves regenerating nerve cells will take longer than a treatment designed to protect nerve cells. However, more clinical trials are expected to be done in the next few years, with stem cell therapies taking the longest. Some of these therapies could be ready to be used on actual patients in 5-10 years.

Body Composition

The Importance of Measuring Body Composition

Most diet and fitness programs focus on weight loss or gain. However, they tend to overlook that individuals have completely different body compositions. Body composition describes the amount of:

• Fat
• Bone
• Water
• Muscle
• In the body.

Measuring body composition can tell a body's unique makeup and help identify areas to work on to improve overall health and wellness. Body composition analysis provides a snapshot of an individual's health/fitness levels to help achieve health goals from the inside out.

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

Aguilar, Juan et al. "Spinal cord injury immediately changes the state of the brain." The Journal of neuroscience: the Official Journal of the Society for Neuroscience vol. 30,22 (2010): 7528-37. doi:10.1523/JNEUROSCI.0379-10.2010

Badhiwala, Jetan H; Wilson, Jefferson R; Witiw, Christopher D; et al. (February 2021). The Lancet Neurology Vol. 20, No. 2, P. 117. The Influence of Timing of Surgical Decompression for Acute Spinal Cord Injury: A Pooled Analysis of Individual Patient Data. DOI: 10.1016/S1474-4422(20)30406-3

Chari, Aswin et al. "Surgical Neurostimulation for Spinal Cord Injury." Brain sciences vol. 7,2 18. 10 Feb. 2017, doi:10.3390/brainsci7020018

A nerve injury is often caused by a sudden traumatic event, like a slip and fall, personal or work injury, an automobile accident, or a sports injury. Overall stresses of the body from poor posture and being overweight can also lead to nerve pain over time, known as cumulative trauma. Where ligaments and bones are not aligned correctly, nerve pain and damage can occur. When nerve pain presents, there is pressure being placed on that nerve/s. Nerve pain symptoms include burning, tingling, or numbness-type sensations in the tissues controlled by that nerve. Orthopedic and neurologic testing will determine what specific nerve is affected. Chiropractic adjustments realign the spine and relieve the pressure on the nerve, thus eliminating the pain and correcting the problem.

Nerve Injury

Too much pressure from surrounding tissues compresses and irritates the nerve and interrupts its ability to function correctly. Pinched nerves are most vulnerable at points in the body where they pass through narrow spaces and have little to no soft tissue protection. Symptoms include:

• Pins and Needles Sensation
• Numbness
• Pain
• Weakness

A pinched nerve can decrease the range of motion and cause muscle spasms. If left untreated, a nerve injury can leave an individual with chronic pain and lead to permanent nerve damage.

Tingling and Numbness

Tingling and numbness are unusual or unpleasant physical sensations, most commonly experienced in the arms, hands, fingers, legs, feet, and toes. Tingling and numbness come in two forms:

Paresthesia

• A feeling of pins and needles on the skin or the sensation of the hand or arm having fallen asleep.
• Paresthesia can be a result of reduced blood flow to the region. This can be caused by external pressure that constricts the blood vessels.

Dysesthesia

• This is a more persistent sensation resembling itching, burning, electric shock, or tightening pain.

Injuries to the nervous system can also produce numbness and tingling, even in areas nowhere near the actual injury. Examples include:

• Neck pain from a neck injury can cause numbness or tingling in the hand or arm.
• A low back injury can result in tingling in the back of the leg.

Other possible causes include:

• Inflammation that puts pressure on nerves
• Trigger points in the muscles
• Enlarged blood vessels
• Tumors
• Myofascial adhesions
• Scar tissue
• Infection
• Lesions on the spinal disc/s
• Diabetes
• Calcium deficiency
• Vitamin B12 deficiency
• Liver disease
• Kidney disease
• Alcoholism
• Drug abuse

Chiropractic Treatment

To determine the appropriate course of treatment, a doctor of chiropractic must diagnose the cause of the nerve injury. Depending on the nature or severity of the sensation, the examination will include:

• Muscle tests
• Range-of-motion tests
• Neurological tests
• Orthopedic tests

The chiropractor will palpate the effective areas and order imaging tests like X-rays if necessary. If further testing is needed to diagnose the source of the nerve injury, the doctor may order an MRI or CT scan. Once the underlying condition is diagnosed, a chiropractor will develop a treatment plan to eliminate irritation, correct misalignments causing pressure, and restore proper nerve function. Treatment plans vary from case to case but can include:

• Therapeutic Massage
• Body adjustments
• Spinal manipulation
• Heat and Ice

The objective is to relieve/release the pressure on the nerves. Chiropractic adjustments help reposition the muscles and nerves. Deep-tissue massage helps to release tension and eliminate toxins that worsen the sensations. Treatment improves circulation and relieves pressure on the neural pathways necessary to restore normal neural signaling between the body and the brain.

Body Composition

Why The Brain Needs Sugar

The brain needs half of all the body's energy supply because of its complex nerve cell system. The brain requires glucose for brain cell energy. Because neurons can't store energy, they need a continuous fuel supply to function correctly from the bloodstream. The ability to think, learn and recall information is closely associated with glucose levels. When blood glucose levels are low, the ability to think is inhibited as the production of chemical messengers/neurotransmitters, are reduced, disrupting communication between the neurons. Natural sugar can boost brain health because it requires glucose for functioning. Sugar is released slowly into the bloodstream when taken naturally from sources like apples and bananas, keeping the energy levels steady, without craving more sugar.

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

Ameh, Victor, and Steve Crane. "Nerve injury following shoulder dislocation: the emergency physician's perspective." European journal of emergency medicine: official journal of the European Society for Emergency Medicine vol. 13,4 (2006): 233-5. doi:10.1097/01.mej.0000206190.62201.ad

Nichols, J S, and K O Lillehei. "Nerve injury associated with acute vascular trauma." The Surgical clinics of North America vol. 68,4 (1988): 837-52. doi:10.1016/s0039-6109(16)44589-5

Ruggiero, S L. "Trigeminal nerve injury and repair." The New York state dental journal vol. 62,8 (1996): 36-40.

Welch, J A. "Peripheral nerve injury." Seminars in veterinary medicine and surgery (small animal) vol. 11,4 (1996): 273-84. doi:10.1016/s1096-2867(96)80020-x

WOODHALL, B. "Peripheral nerve injury." The Surgical clinics of North America (1954): 1147-65. doi:10.1016/s0039-6109(16)34299-2

Neuropathy is a painful condition that causes tingling, numbness, burning sensations in the hands and feet, and other symptoms throughout the body. Neuropathy can make life difficult. There is no cure for neuropathy, but symptoms can be managed with medications, antidepressants, anticonvulsants, and pain relievers. Another treatment option to help relieve neuropathy symptoms is chiropractic.

Symptoms

Symptoms vary from individual to individual depending on their health condition and how the nerves have been impacted. Common symptoms include:

• Pain
• Numbness
• Tingling
• Pins-and-needles feeling when touching something hot or cold.
• Some individuals lose the sense of feeling like clothing on their body, even though it's rubbing against the skin but feel as if it is not there.
• Other changes can be familiar objects looking different than usual.
• Lessened or heightened sense of smell.
• Negative impact on mood.

Protective Sheathing Of The Nerves

Neuropathic pain is caused by damage and degeneration to the nerves or the protective covering/sheathing of the nerves. Various causes include:

• Diabetes.
• Injury.
• Infections.
• Medication side effects.
• Exposure to toxins.

Stages

The symptoms of neuropathy depend on the location and severity of the nerve damage. The stages include:

Numbness and Pain

• Stage one consists of numbness and pain.
• Some individuals describe a tingling or numbing sensation.
• What feels like pinpricks in the hands and/or feet.
• This stage can last for months, but most individuals recover within a year.

Constant Pain

• Stage two is characterized by continuous pain.
• Some individuals may experience shooting pains that come and go.
• Intense burning sensations around the waistline.
• Numbness on one side of the body with stabbing pain.
• This stage can last for a year or more and worsen until the individual is incapacitated.

Nerve Degeneration

• Stage three is when nerve degeneration sets in.
• Loss of feeling on both sides of the body.
• Loss of motor skills like walking and falling over.
• Doctors treat the symptoms so they don't get worse.

Loss Of Sensation

• The final stage is the loss of sensation.
• This occurs when the nerve endings are destroyed and can no longer send messages to the brain.

Treatments To Help Relieve Symptoms

Treatments usually involve:

• Antidepressants.
• Pain medications.
• Anti-seizure medications.
• Pain-relieving creams.
• All can help manage pain and inflammation.

Chiropractic Can Also Help Relieve Symptoms

Chiropractors use hands-on methods to adjust and realign joints, muscles, spinal discs, and ligaments to function more efficiently and bring relief from pressure on the nerves. Neuropathies are often caused by nerve compression in body areas that have been altered by injury or disease that affects ligaments, discs, spinal muscles, sacroiliac joint dysfunction, hip adhesions, leg length discrepancies, etc. These can contribute to pain and numbness in the peripheral nerves that supply the legs, feet, arms, hands, and neck. While a chiropractor cannot cure neuropathy, they can help relieve symptoms, make it much more manageable, and improve quality of life.

Body Composition

Common Cold

The common cold, also known as upper respiratory tract inflammation, is the most common infectious respiratory disease because of its effect on the nose and throat. The average adult will catch 2–3 colds a year, according to the CDC. A virus that causes a cold can enter the respiratory tract directly when inhaling droplets expelled from an infected person or by direct skin contact, like touching the face with a hand that came in contact with the virus. Cold symptoms vary but usually include:

• Runny or stuffy nose
• Sneezing
• Coughing
• Headaches
• Body aches

The duration of a cold differs; however, most individuals with a healthy immune system recover in 7–10 days. However, individuals with a compromised immune system, asthma, or COPD have an increased risk of developing more serious illnesses like bronchitis or pneumonia. Hundreds of viruses can cause colds. Human Rhinoviruses are common culprits and are constantly mutating, which is why there is no cure. Several medications or natural treatments help alleviate cold symptoms; it is recommended to combat the illness effectively through a healthy immune system response. Doctors recommend proper rest, eating a nutrient-rich diet, and maintaining proper H2O hydration to boost the immune system.

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

D'Angelo, Kevin et al. "The effectiveness of passive physical modalities for the management of soft tissue injuries and neuropathies of the wrist and hand: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration." Journal of manipulative and physiological therapeutics vol. 38,7 (2015): 493-506. doi:10.1016/j.jmpt.2015.06.006

Kissel, Jaclyn A, and Cristina Leonardelli. "Isolated musculocutaneous neuropathy: a case report." The Journal of the Canadian Chiropractic Association vol. 63,3 (2019): 162-170.

Passioti, Maria et al. "The common cold: potential for future prevention or cure." Current Allergy and asthma reports vol. 14,2 (2014): 413. doi:10.1007/s11882-013-0413-5

T Francio, Vinicius. "Chiropractic care for foot drop due to peroneal nerve neuropathy." Journal of bodywork and movement therapies vol. 18,2 (2014): 200-3. doi:10.1016/j.jbmt.2013.08.004

Around the world, pain, especially chronic pain, is widespread to an individual. When the body goes through a tremendous amount of activity, the muscle tissues will rip and tear to strengthen the body for the next activity it overcomes. But when the muscle tissues tear and cause pain to the body, it can take a week or even months for the tissue to recover. Many recovery treatments can help alleviate the pain that a person is in, and one of the recovery treatments that most physicians use is low laser therapy.

Doctors have used low laser therapy to help patients alleviate pain and repair muscle tissue in the affected area of the body. Studies have found that the effects of low laser therapy had a positive impact on the treated area. The study showed that the low laser treatment has helped with relieving pain and has promoted tissue repair. The effects of the low laser wavelength have enhanced the healing process by promoting cell proliferation, causing pain relief. One of the efficient ways that low laser therapy is beneficial to the body is to alleviate musculoskeletal pain. 

Musculoskeletal pain is a variety of issues in the body. From muscle pain to fibromyalgia, it can render a person miss out on everyday activities, causing them to miss work or school. Studies have shown that when a patient is going in for low laser therapy, the effects from the laser wavelength can reduce inflammation and edema in the affected area. The studies even show that the laser light effects are photochemical and not thermal. The laser light will trigger a biochemical change in the body, causing the photons from the affected area to be absorbed, thus triggering a chemical change in the area.

Other studies even show that the low laser wavelength triggers chemical alterations and potential biochemical benefits to the human body. This means that if a person is suffering from chronic pain when going for low laser treatment, the laser can relieve chronic pain symptoms and even osteoarthritic conditions. Another efficient use of low laser therapy is that it can suppress the MMP or mitochondrial membrane potential in the DRG neutron while reducing adenosine triphosphate or ATP production in the body. In other words, the effects of low laser therapy can suppress and reduce inflammation receptors in the body, thus causing long-term results that last for years, improving tissue healing.

Another efficient way low laser therapy is beneficial is that it can be combined with light exercises as a staple of rehabilitation. Studies have found that the combination of low laser therapy and exercise has merit. When an individual combines stretches and low laser therapy as part of their rehabilitation, the data shows a reduction in pain symptoms and fatigue in the body.

All in all, the efficient effects of low laser therapy are beneficial by reducing inflammation and damping the pain receptors in the body. Since chronic pain is worldwide and can cause harmful effects to the body, using low laser therapy can dampen the pain receptors. Having low laser therapy treatments as part of their daily regime and light exercises for anyone with chronic pain can get their body moving pain-free. Since the body goes through so much, having low laser therapy is one of the many recovery treatments that can provide long-lasting results and promote overall wellness. 

References:

Cotler, Howard B., et al. “The Use of Low-Level Laser Therapy (LLLT) for Musculoskeletal Pain.” MOJ Orthopedics & Rheumatology, U.S. National Library of Medicine, 9 June 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4743666/.

Dima, Robert, et al. “Review of Literature on Low-Level Laser Therapy Benefits for Nonpharmacological Pain Control in Chronic Pain and Osteoarthritis.” Alternative Therapies in Health and Medicine, U.S. National Library of Medicine, 24 Sept. 2018, pubmed.ncbi.nlm.nih.gov/28987080/.

Enwemeka, Chukuka S., et al. “The Efficacy of Low-Power Lasers in Tissue … – Medical Laser.” Medical Summus Laser, 2004, medical.summuslaser.com/data/files/77/1585165534_SpHfd8kFyVara63.pdf.

Kingsley, J. Derek, et al. “Low-Level Laser Therapy as a Treatment for Chronic Pain.” Frontiers, Frontiers, 19 Aug. 2014, www.frontiersin.org/articles/10.3389/fphys.2014.00306/full.

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*

Fibromyalgia is a condition that causes pain throughout the whole body. It causes sleep problems, fatigue, and mental/emotional distress. It affects around four million adults in the United States. Individuals with Fibromyalgia tend to be more sensitive to pain. This is referred to as abnormal/altered pain perception processing. Research currently leans towards a hyperactive nervous system as one of the most plausible causes.

Symptoms and Related Conditions

Individuals with fibromyalgia/fibromyalgia syndrome/FMS may have:

• Fatigue
• Sleep issues
• Headaches
• Concentration, Memory issues, or Fibro Fog
• Stiffness
• Tender points
• Pain
• Numbness and tingling in hands, arms, legs, and feet
• Anxiety
• Depression
• Irritable bowel syndrome
• Urinating issues
• Abnormal menstrual cramps

Altered Central Pain Processing

Central sensitization means that the central nervous system, made up of the brain and spinal cord, processes pain differently and more sensitively. For example, individuals with Fibromyalgia could interpret physiological stimuli, like heat, coldness, pressure, as pain sensations. Mechanisms that cause altered pain processing include:

• Pain signal dysfunction
• Modified opioid receptors
• Substance P increase
• Increased activity in the brain where pain signals are interpreted.

Pain Signal Dysfunction

When a painful stimulus is felt, the brain signals the release of endorphins, the body's natural painkillers that block the transmission of pain signals. Individuals with Fibromyalgia could have a pain-blocking system that is altered and/or not functioning correctly. There is also the inability to block repetitive stimuli. This means that the individual keeps feeling and experiencing the stimuli even as they try to block them out, suggesting a failure in the brain to filter out irrelevant sensory information.

Modified Opioid Receptors

Research has found that individuals with fibromyalgia have a reduced number of opioid receptors in the brain. Opioid receptors are where endorphins bind so the body can use them when necessary. With fewer available receptors, the brain is less sensitive to endorphins, as well as opioid pain medication like:

• Hydrocodone
• Acetaminophen
• Oxycodone
• Acetaminophen

Substance P Increase

Individuals with fibromyalgia have been found to have elevated levels of substance P in their cerebrospinal fluid. This chemical is released when a painful stimulus is detected by the nerve cells. Substance P is involved with the body's pain threshold, or the point when a sensation turns into pain. High levels of substance P could explain why the pain threshold is low in individuals with fibromyalgia.

Increased Activity in the Brain

Brain imaging tests, like magnetic resonance imaging or MRI, have shown that fibromyalgia is associated with greater than regular activity in areas of the brain that interpret pain signals. This can suggest that pain signals are overwhelming those areas or that the pain signals are being processed dysfunctionally.

Triggers

Certain factors can trigger a flare-up. These include:

• Diet
• Hormones
• Physical stress
• Too much exercise
• Not enough exercise
• Psychological stress
• Stressful events
• Sleep Patterns changed
• Treatment changes
• Temperature changes
• Weather changes
• Surgery

Chiropractic

Chiropractic focuses on whole-body wellness. 90% of the central nervous system goes through the spinal cord. A misaligned vertebral bone can create interference and irritation on the nerves. Fibromyalgia is a condition related to the hyperactivity of the nerves; therefore, any vertebral subluxations will complicate and aggravate fibromyalgia symptoms. By realigning the misaligned vertebrae releases the stress off of the spinal cord and spinal nerve root. That is why individuals with fibromyalgia are recommended to add a chiropractor to their healthcare team.

Body Composition

Dietary Supplement Quality Guide

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

Clauw, Daniel J et al. "The science of fibromyalgia." Mayo Clinic proceedings vol. 86,9 (2011): 907-11. doi:10.4065/mcp.2011.0206

Cohen H. Controversies and challenges in fibromyalgia: a review and a proposal. Ther Adv Musculoskelet Dis. 2017 May;9(5):115-27.

Garland, Eric L. "Pain processing in the human nervous system: a selective review of nociceptive and biobehavioral pathways." Primary care vol. 39,3 (2012): 561-71. doi:10.1016/j.pop.2012.06.013

Goldenberg DL. (2017). Pathogenesis of fibromyalgia. Schur PH, (Ed). UpToDate. Waltham, MA: UpToDate Inc.

Kamping S, Bomba IC, Kanske P, Diesch E, Flor H. Deficient modulation of pain by a positive emotional context in fibromyalgia patients. Pain. 2013 Sep;154(9):1846-55.

According to chiropractic physiological concepts, the body is in a state of relaxation when the body’s natural intelligence can properly function. With regular movement, work, school, chores, tasks, the body takes a beating getting pushed, pulled, and twisted. This results in loss of function, disharmony, chronic conditions, and disease. Chiropractic assistance restores the communication flow with various types of adjustments.

Like a vehicle that has something loose or is out of place, but can still move, so do individuals continue to work despite their body telling them that something is wrong or out of place. As they continue the body can start to break down. Even with a minor vertebral subluxation. A subluxation is when a vertebra/spine's bones interfere with the transmission of information along the spine and throughout the central nervous system. The messages/transmissions to and from the brain disrupt the body’s ability to function properly resulting in health issues. A chiropractor adjusts the body to correct the subluxation. This facilitates the body’s natural ability to:

• Adapt
• Regulate
• Heal itself through its own natural intelligence.

Chiropractic is based on principles of physiology. These principles have a significant impact on individuals:

• Overall health
• Vitality
• Well-being

Self-healing and Regulating

When individuals cut themselves, or when a bone gets broken, the body will heal itself. No thought or practice is needed. The body breathes, digests food, the heart continues to beat and the kidneys filter out waste products.

Brain, Nervous System, and Body Health

The brain and nervous system are what controls and coordinate the body's ability to heal and self-regulate. The brain sends out information through the nervous system to the organs of the body. The information tells the organs what to do and when to do it. The organs reply to the brain through the nervous system letting the brain know everything is operating correctly. To function properly and maintain optimal function, the body depends on the proper circulation of nerve transmissions/information traveling through the nervous system.

Spinal State

The condition or state of the spine if out of place even just a little could interfere with the transmission of information via the nerve pathways. Misalignments and subluxations don’t always hurt so individuals don't know this is happening. The nervous system is protected by the skull and spinal bones, known as the vertebrae. The spinal bones allow for free movement. Subluxations and misalignments:

• Stretch
• Pinch
• Irritate
• Choke
• Rub the nerve fibers.

This alters the information/messages traveling and interferes with the body’s ability to function as it should.

Chiropractic Assistance

Chiropractic assistance will diagnose and correct misalignments and subluxations, restoring proper nerve circulation. These spinal adjustments unlock and realign the bones allowing for optimal movement and the communication pathways are fixed. A healthy spine and nervous system are vital to healthy body function. This is the body's natural state. How to know if you have a subluxation, have your spine checked by a chiropractor.

Body Health Assistance

Body Composition Goals

For individuals that fall within the extremely overweight and obese body fat percentage category, an effective strategy is to lose fat while preserving the existing Lean Body Mass. Individuals with high body fat percentages often have existing muscle developed from carrying the added weight when moving. Preserving this muscle is important. Having more muscle means increased metabolism and more strength.

• To start losing body fat it is recommended to cut down/cut out processed foods and reduce caloric intake.
• Consult with a health coach and nutritionist to find out about different types of diets and types of physical activity.

One study showed that obese individuals could quickly improve body composition by:

• Reduce calorie intake by 500-1000 calories
• Consume a low-fat - low calorie - moderately high protein diet
• Physical activity that can be considered aerobic training 3 to 5 times a week
• Resistance exercise 2 days a week

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

Maltese, Paolo Enrico et al. “Molecular foundations of chiropractic therapy.” Acta bio-medica : Atenei Parmensis vol. 90,10-S 93-102. 30 Sep. 2019, doi:10.23750/abm.v90i10-S.8768

Pickar, Joel G. “Neurophysiological effects of spinal manipulation.” The spine journal: official journal of the North American Spine Society vol. 2,5 (2002): 357-71. doi:10.1016/s1529-9430(02)00400-x

Rosner, Anthony L. “Chiropractic Identity: A Neurological, Professional, and Political Assessment.” Journal of chiropractic humanities vol. 23,1 35-45. 20 Jul. 2016, doi:10.1016/j.echu.2016.05.001

Vining, Robert et al. “Assessment of chiropractic care on strength, balance, and endurance in active-duty U.S. military personnel with low back pain: a protocol for a randomized controlled trial.” Trials vol. 19,1 671. 5 Dec. 2018, doi:10.1186/s13063-018-3041-5

More individuals are reporting extreme levels of stress. Studies indicate that an increasing number of individuals are feeling worried, anxious, or depressed regularly from various stressors. Maintaining the body's health includes:

• Following a balanced diet
• Getting enough exercise
• Taking vitamins or supplements to ensure the body gets what it needs for optimal function.

However, research has found that a sudden increase in stress, specifically stress associated with anger, can trigger:

• Arrhythmias
• Heart attacks
• Sudden death

This type of stress can affect individuals that did not know they had heart disease. Intense short-term stress can have dangerous effects on the body's health, leading to chronic stress. Chronic stress continues at a low level for weeks, months, or years. It can significantly change the way the body functions. Stress management is crucial for overall well-being. Learning how to handle stress properly is the goal.

Poor Stress Management

When stress hits, it triggers the brain to release various hormones. These hormones increase heart rate and raise blood pressure. This comes from evolution that helped early humans escape from predators and stay safe from different types of physical danger. This same stress reaction is what we go through; however, it is not to escape danger but to deal with work, family, school, commuting, social issues, etc. And when the stress response happens regularly, it can have serious and long-term effects on the body's ability to function properly. Stress includes mental, behavioral, and physical symptoms. The most familiar effects of stress are related to mood. Mood changes that can result from chronic low-level stress include:

• Feelings overwhelmed
• Increased anxiety
• Generalized anxiety that is not connected with anything specific
• Unmotivated or unfocused
• Sadness
• Depression
• Irritability
• Impatience
• Unusually quick to anger
• Restlessness

These mood changes can be tied to changes in behavior. The following behaviors are associated with increased stress levels:

• Alcohol and/or drug abuse
• Starting or increasing tobacco use
• Eating changes - undereating or overeating
• Withdrawing from friends and family
• Avoiding social interaction
• Little to no physical activity

Physical effects that are associated with long-term stress.

Chronic stress that lasts for a long period can affect the whole body. The immune system, digestive system, sleep cycles, etc. Physical symptoms include:

• Tension in the neck and back
• Persistent headaches
• Stomach aches
• Constant fatigue, even after waking up
• Sleeping pattern changes
• Insomnia
• Muscle pain
• Changes in libido
• Being more prone to infections because of a weakened immune system
• Chest pain

Learning Healthy Stress Management

Mental health is now an important part of living a healthy life. Stress comes from all kinds of different places. We can’t always change these moments, but we can change our reactions to reduce the negative effects and results. To manage stress, it is important to know what is causing it.

• It could be an argument with a boss, co-worker, family member, or significant other.
• Work deadlines
• School grades, teachers, kids, etc
• Bills
• Repairs

Clearly identifying the main stressors will help individuals anticipate them and form a plan. There are different ways of dealing with it. The different strategies need to be researched and tried by individuals to see what works for them. Think about what helps the mind and body relax and unwind. A few recommended ways include:

• Watching favorite shows or movies
• Listening to music
• Breathing techniques
• Spend time with friends or family
• Make time for yourself to do something you love - alone time
• Unplug from devices like phones, tablets, or computer
• Play a sport
• Practice yoga
• Physical activity
• Take a nature hike
• Write, paint, sculpt, knit, sew, crafts, make music, play instrument/s - real media, or digital.
• Meditate and practice mindfulness techniques

These are strategies that can be incorporated into regular daily life. Be sure to set time aside to focus on mental wellbeing. Learn to recognize the signs when getting overwhelmed. Don’t hesitate to ask for help when needed. This can be a support system or mental health professional. This is to empower individuals to take better care of themselves in both body and mind.

Body Composition

Setting Attainable Goals

Individuals that have trouble achieving health goals might want to look at the goals themselves. Individuals typically have a general idea of their fitness journey. However, it is hard to reach those goals without a map. Losing weight or getting healthy is the goal, but these goals are not measurable. This is too broad that can be different things to different people. Trying to accomplish a vague goal makes it hard to plan, making it happen, or seeing progress. A recommended strategy for goal setting is to use the SMART system. The acronym stands for:

• Specific
• Measurable
• Attainable
• Realistic
• Timed

When goals fall into these parameters, it provides a clear picture of what is trying to get accomplished and plan accordingly. An example could be: An individual will work out at home or the gym for one hour, five days a week for one month. This is a specific and measurable goal when compared to I’m going to work out more. This provides clear guidelines of what needs to happen to achieve success.

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Bailey, Ryan R. “Goal Setting and Action Planning for Health Behavior Change.” American journal of lifestyle medicine vol. 13,6 615-618. 13 Sep. 2017, doi:10.1177/1559827617729634

Carlson, Linda E et al. “Integrative Approaches to Stress Management.” Cancer journal (Sudbury, Mass.) vol. 25,5 (2019): 329-336. doi:10.1097/PPO.0000000000000395

Jamison, J R. “Stress management: an exploratory study of chiropractic patients.” Journal of manipulative and physiological therapeutics vol. 23,1 (2000): 32-6. doi:10.1016/s0161-4754(00)90111-8

Jamison, J. “Stress: the chiropractic patients' self-perceptions.” Journal of manipulative and physiological therapeutics vol. 22,6 (1999): 395-8. doi:10.1016/s0161-4754(99)70085-0

Although it is not officially summer, the past few weeks sure feels like it. Especially for those with joint discomfort and pain. As the body ages, individuals may notice their joints have some mobility/flexibility issues in the summer heat. Again, the heat and humidity are the culprits. The hotter it is, the more the body is susceptible to inflammation and swelling. 

The more prone an individual's body is to swelling, the more pain can present. Barometric pressure can also have some form of impact on joint health. The pressure changes can cause the joints to become more sensitive. When the pressure changes, individuals often speak of their joints feeling tighter combined with stiffness, leading to a cycle of swelling and pain.

Joint Anatomy

Whether it’s the hip, knee, elbow, or hand, all of the body's joints have fluid in them. It is a gel-like substance known as synovial fluid. This is what lubricates the joints and keeps them functioning smoothly. However, the temperature and humidity levels can change the thickness of the fluid in the joints. This means that the synovial fluid can become inflamed with the weather changes. This is a symptom when the joints begin to feel like they cannot move and/or are becoming stiff. Joint inflammation can become more common and chronic as the body gets older.

Weather and the joints

The summer heat and humidity can affect the joint because:

• The tendons, ligaments, and muscles expand in this type of weather
• The heat can restrict individuals from moving around. Non-use stiffens the joints
• Joints that have worn down cartilage could have exposed nerves that are reacting to the temperature changes
• Humidity causes the body to lose water by sweating. This can reduce the fluid around the joints leading to stiffness, immobility, and pain.

However, not everyone has joint problems in the summer heat. Many have joint issues when it's cold, damp, or raining. Other's are at their best in cool, dry weather. It depends on an individual's body and how their joints react when the temperature changes.

Maintaining joint health for the summer heat

When joint discomfort or pain presents in the summer, there are a few easy ways to gain relief.

Properly Hydrate the Body

Water and sports drinks maintain the fluid levels in the body, specifically, it keeps the joints moving. One way to hydrate the body can be achieved by eating healthy fruits and vegetables. Water-rich fruits and vegetables include:

• Watermelon
• Oranges
• Strawberries
• Tomatoes
• Cucumbers
• Spinach
• Celery

Over-The-Counter pain ointments and creams

Arthritis and anti-inflammatory creams/ointments can ease joint pain by allowing more blood circulation in the affected areas.

Dressing for the heat

Wear loose, natural fiber, breathable clothing that allows the body to move freely while maintaining a cool temperature.

Relax in the air conditioning

Get into the air conditioning. The cool air can help reduce joint inflammation.

Get in the Water

Swimming or just wading through doing some light exercise in the water cools the body’s core. In addition, the buoyancy of the water relieves pressure on the joints.

Body Composition Testing

Body Water

The body is made up of as much as 2/3's water. Even though much of the body is made up of water, body composition changes based on functional needs. Essential functions of water include:

• Water is the building block to almost every cell in the body
• It regulates the body's temperature through sweating and respiration
• Carbohydrates and proteins for energy are transported via the water in the blood
• Water assists in the removal of metabolic waste through urination
• It is part of the shock-absorbing system that protects the brain and spinal cord
• Water is part of the saliva and fluid that lubricates the joints

The amount of water in the body depends on various factors. This includes:

• Age
• Gender
• Physical activity
• It is referred to as Total Body Water or TBW.

TBW is constantly changing with gains and losses of fluid in healthy adults. The body can detect irregularities and compensate for losses and/or gains to ensure that the systems are balanced.

General Disclaimer *

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

Morton, Darren, and Robin Callister. “Exercise-related transient abdominal pain (ETAP).” Sports medicine (Auckland, N.Z.) vol. 45,1 (2015): 23-35. doi:10.1007/s40279-014-0245-z

Peeler, Jason et al. “Managing Knee Osteoarthritis: The Effects of Body Weight Supported Physical Activity on Joint Pain, Function, and Thigh Muscle Strength.” Clinical journal of sports medicine: official journal of the Canadian Academy of Sports Medicine vol. 25,6 (2015): 518-23. doi:10.1097/JSM.0000000000000173

Quick, D C. “Joint pain and weather. A critical review of the literature.” Minnesota medicine vol. 80,3 (1997): 25-9.

Timmermans, Erik J et al. “The Influence of Weather Conditions on Joint Pain in Older People with Osteoarthritis: Results from the European Project on OSteoArthritis.” The Journal of rheumatology vol. 42,10 (2015): 1885-92. doi:10.3899/jrheum.141594

The diabetic disease processes can be a contributor to chronic back pain. Diabetes can damage the human body from the eyes to the feet if left untreated, and the spine/back is a prime target. Data from 11 studies consisted of individuals over 18 years of age diagnosed with type 1 or type 2 diabetes. The results showed individuals with diabetes had a 35% increased risk of experiencing lower back pain. According to the Centers for Disease Control and Prevention, around 34 million people were found to have diabetes in 20201. Diabetes primarily impacts blood sugar/glucose levels. However, the disease can affect several of the body's systems. It is a state of chronic inflammation.

Diabetic Back Pain Connection

The connection between diabetes and back pain include:

Neuropathy

Diabetic neuropathy happens when constant high glucose levels damage/injure the nerves. The result is symptoms like pain, tingling, and numbness. It affects up to 50% of individuals with diabetes and can lead to severe chronic back pain. High sugar levels damage various organ systems including the nervous system that results in neuropathy that causes pain/discomfort.

Bone Health

A complication that diabetes can cause is compromised bone health. High glucose levels can damage the collagen that makes up bone. This creates an increased risk of vertebral and other types of fractures. The high-risk compounds fractures that do not heal properly or correctly. Diabetics have an increased risk of fracture because of the accumulation increase of advanced glycation products. This substance forms when proteins or lipids combine with sugar. With time these products can cause damage to various tissues that include bone.

Obesity

Obesity contributes to the development of type 2 diabetes and is also a complication that results from incorrect glucose level management. Regardless of which came first, the added weight is a major contributor to back pain because of the added pressure/load on the spine. Excess weight and physical inactivity can result in serious issues of the musculoskeletal system.

Additional Factors

Poorly controlled diabetes also reduces muscle blood flow and increases cartilage inflammation. Other types of tissue damage can occur like degeneration of intervertebral discs and spinal canal stenosis. Disc degeneration and spinal stenosis are common causes of back and neck pain. Diabetics are prone to infection/s. This can cause back pain if it is in the bone known as osteomyelitis.

Diabetic Back Pain Management

There are steps that can help ease pain and discomfort.

Getting Involved In Physical Activity

Exercising/physical activity is a must. The body needs to move to get all the systems flowing improving diabetes and back pain. A sedentary lifestyle can take back pain to new levels with time. Even though when pain presents the first instinct is to stop and rest. Simple ways to get moving include:

• Walks
• Stretches
• Gentle laps in a pool
• All can help with:
• Improved blood flow
• Aids in weight loss
• Recommended for both conditions
• Exercising releases endorphins, which are the pain relief chemicals that the body produces naturally.

Reducing Stress

Reducing stress will help manage back pain. A few ways to decompress and reduce stress include:

• Meditating
• Listening to relaxation/soothing music
• Stress therapy
• Yoga can reduce physical pain and discomfort throughout the body

Quitting Bad Habits

Smokers have a significantly higher risk for low back pain compared to non-smokers. Nicotine can alleviate pain short term, but over time the nerves become more sensitive and can increase the pain. Alcohol use can help numb the pain short term, but it can cause muscle spasms and dehydration intensifying the pain. Complications can arise if taking pain medication. The most important thing is managing diabetes effectively. Injury Medical Chiropractic and Functional Medicine Clinic will help the individual feel better, move better, and keep back pain away.

Body Composition

Vitamin D and Healthy Blood Sugar Levels

Vitamin D benefits muscle health, muscle mass, and blood sugar. Insulin is the hormone that lets blood sugar into the muscles. Individuals with adequate blood vitamin D levels significantly lower the risk of hyperglycemia than those with below-recommended levels. Research shows daily vitamin D supplements used in combination with calcium decelerate the gradual rise in blood sugar in those with prediabetes. Adequate vitamin D levels can prevent the progression of hyperglycemia. Supplementation is beneficial for individuals going through a deficiency. Adults should aim for a dietary intake of 600 – 800 IU per day. However, supplements are never a substitute for a healthy and diverse diet.

Disclaimer

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

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

References

Pozzobon, Daniel, et al. “Is There an Association between Diabetes and Neck and Back Pain? A Systematic Review with Meta-Analyses.” PLOS ONE, vol. 14, no. 2, 2019, doi:10.1371/journal.pone .0212030.

“Diabetic Neuropathy.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 3 Mar.

2020, www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/symptoms-causes/syc-20371580.

Murray, Cliodhna E, and Cynthia M Coleman. “Impact of Diabetes Mellitus on Bone Health.” International Journal of Molecular Sciences, MDPI, 30 Sept.

2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6801685/. 

Groen BBL, Hamer HM, Snijders T, van Kranenburg J, Frijns D, Vink H, et al. Skeletal muscle capillary density and microvascular function are compromised with aging and type 2 diabetes. Journal of Applied Physiology. 2014;116(8):998–1005. pmid:24577061

Eivazi M, Abadi L. Low Back Pain in Diabetes Mellitus and Importance of Preventive Approach. Health Promotion Perspectives. 2012;2(1):80–8. pmid:24688921

Fibromyalgia or FM is a condition that increases an individual's sensitivity to pain. It causes extensive body pain among other issues including:

• Anxiety
• Depression
• Fatigue
• Numbness
• Poor sleep
• Bladder issues
• Bowel problems

Fibromyalgia includes multiple tender points at specific areas of the body and widespread musculoskeletal pain. Research suggests that the nervous system is the key factor in the pathology of fibromyalgia. This condition affects around four million adults in the United States and roughly two percent of the adult general population. Like most chronic disorders symptoms can extend far beyond the defining criteria. There are chances that a physical examination and tests appear normal.

About Fibromyalgia

The condition is a chronic syndrome that is associated with arthritis. The major statistics and facts about fibromyalgia include:

• Muscle tenderness is the primary syndrome
• There is widespread pain that is arthritis-related
• It can manifest as a primary or secondary condition
• It can present unrecognized symptoms that can be difficult to identify
• A high percentage of individuals suffer from sleep problems and fatigue
• It affects physical and mental health
• There are no specific tests to diagnose the condition

Causes

There are several theories or triggers that contribute to the progression of fibromyalgia. They are:

Peripheral Sensitization

Injury or trauma to the nervous system or musculoskeletal system can lead to peripheral sensitization of the sensory nervous system. This tends to be the case with arthritis and peripheral nerve damage. Peripheral sensitization leads to increased sensitivity to sensory nerve stimuli. This results in increased sensitivity to touch and heat and can potentially lead to primary allodynia.

Central Sensitization

Central sensitization refers to changes in the central nervous system, specifically the brain and spinal cord. The condition amplifies pain. Individuals with fibromyalgia have a reduced threshold for pain. This is caused by amplified brain sensitivity to pain indicators with repeated nerve stimulation leading to changes in the brain.

Sleep Disturbance

Sleep disturbances have been associated with fibromyalgia. Studies show that sleep pattern disturbance could be a cause and not just a symptom of fibromyalgia. Poor sleep quality accounts for the majority between pain and fatigue. Major disturbances include:

• Shorter sleep time
• The beginning of sleep is delayed
• Waking right after sleep has begun starts to increase
• Sleep efficiency decreases
• Stirred/Waking out of sleep starts to increase
• Nighttime activity increases

Post-traumatic Stress

This could be a trigger of fibromyalgia. Patients are recommended to get examined for PTSD. Studies suggest that women suffering from chronic pain that is spread throughout the body and fibromyalgia have an increased risk for posttraumatic stress. Patients also show a reduced function of the HPA hormone. This is proof of an impaired transmitter system. An altered transmitter system in individuals with fibromyalgia interferes with the body’s stress regulators.

Hormones

Fibromyalgia is more common in women than men. Studies have found that many women find their symptoms improve during pregnancy. Individuals with fibromyalgia tend to yield less cortisol when responding to stress compared to individuals that do not have fibromyalgia. The condition is mirrored when the body is deficient in cortisol.

Changes in Muscle Metabolism

According to NCBI Resources, fibromyalgia is associated with altered skeletal muscles. Decreased blood flow and deconditioned muscles can lead to fatigue along with reduced endurance that can lead to fibromyalgia.

Genetics

There are some studies that suggest that pain can be influenced by environmental and genetic factors. The condition does not get passed down directly from the parents. But the ailment can present to a group of individuals within a family.

Chiropractic

Most reports suggest that fibromyalgia is a chronic condition. When it is related to trauma, the condition tends to be chronic and severe. Reduced pain and improved function can be achieved with the proper treatment. There are treatment options in place that can help individuals alleviate symptoms and prevent flare-ups.

Body Composition

Calorie Restriction and Fasting

Calorie restriction and fasting are traditional ways of losing weight and fat. While calorie restriction is self-descriptive, intermittent fasting and alternate-day fasting involves going for long stretches of the day and night without eating, then getting all of the nutrition in a shorter time. Alternating day fasting alternates days of eating normally, and then not eating at all. Calorie restriction will help an individual lose weight and fat in most cases. It is more effective than intermittent fasting, and not as difficult to maintain. Alternate Fasting results in the same amount of weight loss as calorie restriction. What makes maintaining Alternate Fasting long-term difficult is being able to fight off the hunger on the fasting days.

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

American College of Rheumatology. Fibromyalgia. 2013. http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Fibromyalgia/. Accessed December 5, 2014.

Wolfe F, Clauw DJ, Fitzcharles M, et al. The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity. Arthrit Care Res. 2010;62(5):600-610.

The body's functionality, circulation, and communication are significantly affected by the health of the nervous system. The brain, spinal cord, and nerve roots connect every part of the body into a massive communication highway. If circulation and communication are interrupted, interfered with, or completely blocked then the body's health begins to breakdown. Chiropractic treatment and spinal alignment will clear the pathways and get the nerve energy flowing restoring overall health.

Nervous System Operations

The nervous system regulates all areas of the body in communication, coordination, and it functions in the control of all major bodily functions. This includes:

• Basic cellular function
• Organ processes
• Higher-level brain functions that include

1. Learning
2. Thinking
3. Memory

The nerves within the nervous system communicate via chemical and electrical messages. Nerve cells primarily communicate through quick electronic pathways and signals.

Nerve Energy Compromised

The signals that pass between the brain, spinal cord, nerves, and rest of the body maintain connectivity, coordination, and proper organ function. The electrical energy necessary to keep the circulation/signals flowing smoothly happens with optimal nerve strength. Causes that can affect nerve integrity include:

• Chronic inflammation
• Injury
• Mental health factor
• Spinal misalignment

If the circulation/communication highway in the nervous system is compromised, it can rapidly turn into misinterpreted, crossed, false, or no signals being sent. Ultimately, the signals can turn into total confusion, making the body fall into a state of total dysfunction. The lines of communication need to remain clear and uninhibited. This allows the body to function with ease as all systems cooperate.

Spinal Misalignment Affects Nerve Energy

With all the signals traveling through the spinal cord, any misalignment will affect circulation. Common causes of misalignment include:

• Poor posture
• Sedentary lifestyle
• Poor body mechanics
• Injuries
• Weight factors

Misalignment can be addressed with professional chiropractic adjustments. A chiropractor will pinpoint any subtle changes, address them, and restore the nerves' circulation, as well as restore the body's balance.

Restore and Maximize Nerve Circulation

Chiropractic is a research-based systematic approach to whole-body care and is designed to yield optimal results non-invasively. Contact Injury Medical Chiropractic to see what they can offer in helping to achieve health goals.

The Body's Composition

Stress is hard enough to handle, but chronic stress can have complex, detrimental effects on emotional health. Over time, stress can wear away at both mental and physical health. And it does not take weeks or months to start seeing the effects.

It can take as little as four days to notice a significant impact on energy, fatigue, and soreness levels. Remember that achieving healthy body composition is more than just building muscle and losing fat. Maintaining a proper diet and getting enough sleep is necessary to make consistent progress.

Dr. Alex Jimenez’s Blog Post Disclaimer

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

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

References

Lorei, M P, and E B Hershman. “Peripheral nerve injuries in athletes. Treatment and prevention.” Sports medicine (Auckland, N.Z.) vol. 16,2 (1993): 130-47. doi:10.2165/00007256-199316020-00005