Neuropathy "The Painful Enigma"

The body's nerves are the communication system that carries messages between the brain and the rest of the body. Some nerves transmit messages from the brain to muscles to make the body move, while others relay pain, pressure, or temperature signals. Tiny fibers bundled inside each nerve carry the messages with an outer layer/sheathing that insulates and protects the nerves. The brachial plexus is a network of nerves that send signals from the spinal cord to the shoulders, arms, and hands. A brachial plexus nerve injury occurs when the nerves are over-stretched, compressed, torn, cut, or ripped from the spinal cord.

Brachial Plexus Nerve Injury

The injury involves the head or neck hitting or getting hit and shifting to one side while the shoulder is stretched/pulled in the opposite direction.

• Minor brachial plexus injuries are commonly known as stingers or burners and are common in sports like football, wrestling, hockey, soccer, and basketball.
• Severe brachial plexus injuries can cause arm paralysis and usually result from vehicle or motorcycle accidents.
• Other conditions like inflammation or tumors can affect the brachial plexus.
• Sometimes babies can sustain brachial plexus injuries during birth.
• Pressure and stretching injuries do not physically sever the nerve but can disrupt communication.
• Cutting injuries vary depending on the severity of the cut and because the nerves are in a protective canal that can also be fractured or broken. If the canal remains intact, the nerve fibers could grow back with time.
• However, surgery is necessary to repair the damage if the canal is broken.
• A neuroma/scar tissue can develop if left unrepaired, causing pain.

Symptoms

Signs and symptoms of a brachial plexus nerve injury can vary, depending on the severity and location of the injury. Usually, only one arm is affected.

Minor Injuries

Minor damage comes from over-stretching or mild compression.

• An electric or burning sensation shoots down the arm.
• Numbness and weakness in the arm.
• Neck pain.
• These symptoms usually last for a few seconds or minutes but can linger for days or longer.

Severe Injuries

More-severe symptoms result from injuries that impact, tear, or rupture the nerves.

• The most severe injury occurs when the nerve root is torn from the spinal cord.

Symptoms include:

• Intense pain.
• Writhing neck pain.
• Weakness or inability to use specific shoulder, arm, and/or hand muscles. 
• Complete lack of movement and feeling in the shoulder, arm, and/or hand.
• Symptoms in both arms.

Complications

With time, most brachial plexus injuries in children and adults heal with minimal long-term damage. But some injuries can cause long-lasting problems that include:

Joint Stiffness

• The joints can stiffen, making movement difficult.
• Healthcare providers often recommend ongoing chiropractic and physical rehabilitation during recovery.

Atrophy

• Nerves regrow slowly and can take some time to completely heal after the injury.
• During that time, lack of use can cause the muscles to break down.

Chronic Pain

• Nerve damage can cause pain signals to be constantly firing.

Numbness

• It can occur in the arm or hand, increasing the risk of worsening the injury or causing new injuries.

Disability

• Recovery from a severe brachial plexus injury depends on age, damage, location, and severity.
• Even with surgery, individuals can experience long-term muscle weakness or paralysis.

Chiropractic Treatment and Rehabilitation

Treatment depends on the severity of the damage. Chiropractic can help realign, rehabilitate, stretch, and strengthen the muscles, nerves, tendons, joints, and ligaments to expedite recovery. For less severe injuries:

• Muscle strengthening and posture exercises help maintain motion.
• Transcutaneous electrical nerve stimulation for pain control.
• Therapeutic massage will stimulate circulation and keep the muscles loose.

For severe injuries:

• Surgery
• Continued chiropractic and physical rehabilitation to maintain thorough circulation, range of motion, and relaxed muscles.

The Brachial Plexus

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 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

Brucker, J et al. “Brachial plexus birth injury.” The Journal of neuroscience nursing: Journal of the American Association of Neuroscience Nurses vol. 23,6 (1991): 374-80. doi:10.1097/01376517-199112000-00006

Gutkowska, Olga, et al. “Brachial plexus injury after shoulder dislocation: a literature review.” Neurosurgical review vol. 43,2 (2020): 407-423. doi:10.1007/s10143-018-1001-x

Joyner, Benny, et al. “Brachial plexus injury.” Pediatrics in review vol. 27,6 (2006): 238-9. doi:10.1542/pir.27-6-238

Noland, Shelley S et al. “Adult Traumatic Brachial Plexus Injuries.” The Journal of the American Academy of Orthopaedic Surgeons vol. 27,19 (2019): 705-716. doi:10.5435/JAAOS-D-18-00433

Introduction

Everyone has dealt with acute or chronic pain at some point in their lives. The body’s response tells many of us where the pain is located and can leave the body sore as the immune system begins to heal the affected area. When disorders like autoimmune diseases start to attack the body for no reason, then that is when chronic issues and disorders begin to overlap in risk profiles on other various problems that affect both the muscles and organs. Autoimmune diseases like fibromyalgia can affect a person’s body; however, they could be associated with different issues affecting the body. Today’s article looks at fibromyalgia, how it affects the musculoskeletal system, and how chiropractic care helps manage fibromyalgia in the body. We refer patients to certified providers specializing in musculoskeletal treatments to help those with fibromyalgia. 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 Fibromyalgia?

Have you experienced excruciating pain that is spread all over your body? Do you have trouble sleeping and feel exhausted every day? Do you experience brain fog or other cognitive disturbances? Many of these issues are signs and conditions of fibromyalgia. Fibromyalgia is defined as a chronic condition that is characterized by widespread musculoskeletal pain. Symptoms like fatigue, cognitive disturbances, and multiple somatic symptoms often overlap and accompany this disorder. Around two to eight percent of the world population suffers from fibromyalgia, and it affects women more than men. Sadly though, fibromyalgia is a challenge to diagnose, and the pain can last several months to years. Some of the main symptoms that fibromyalgia does to the body include:

• Muscle and joint stiffness
• General sensitivity
• Insomnia
• Cognitive dysfunction
• Mood disorders

Fibromyalgia could also potentially be associated with specific diseases like diabetes, lupus, rheumatic diseases, and musculoskeletal disorders.

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*

Even though it is not officially summer, the heat says otherwise. Individuals with neuropathy can experience flare-ups when out in the heat for extended periods. Avoiding discomfort and having fun with family and friends can be stressful. This could be graduations, park festivals, family gatherings, weddings, etc. Here are some neuropathy summer tips/recommendations to maintain a healthy, fun, and pain-free season.​

Neuropathy

Neuropathy results from damaged or destroyed nerve cells and is often a side effect associated with diabetes, autoimmune diseases, infections, tumors, and/or hereditary conditions. Also known as peripheral neuropathy, symptoms range from tingling sensations, burning pain, muscle spasms, difficulty moving the arms or legs, feelings of light headiness, and sometimes atrophy. The symptoms depend on the damaged nerves, ranging from autonomic, motor, and sensory nerves. As neuropathy progresses, individuals may begin to feel a loss of balance.

Neuropathy Summer Tips

Research and Prepare

Preparation and planning are highly recommended to prevent a flare-up. For long outdoor ceremonies:

• Wear sunscreen
• Stay fully hydrated
• Dress in cool clothes
• Make sure footwear has proper arch/sole support and breathing room.
• Wear a hat and sunglasses
• Stand periodically to ensure proper circulation if sitting for a while.
• Shift weight back and forth during the event to pump circulation throughout the body.
• Bring snacks like fruits, veggies, or gluten-free bars.
• Know where cool resting areas are located.

If cooling down accommodations are not available, get there early to find a place in the shade, or in the case of bleachers, bring a more comfortable chair, umbrella, and misting fan.

​Listen to the body

• Listen to the body when engaged in activities, don’t try to push through where you don’t feel comfortable.
• Take breaks
• The goal is to ensure comfort during the activity, as being uncomfortable can exacerbate symptoms. ​

Self-care

The body needs thorough rest after a long day in the sun. It is recommended to ice any areas where pain presents to decrease inflammation and neuroplasticity and help with any symptoms of itching, pressure, numbness, or pins and needles.

• Start with icing for three minutes, take the ice off and see how it feels.
• If the area feels better, continue icing for a full ten minutes.
• Remove the ice if irritation occurs or do not feel a difference.

Foods

Watching what you eat can be difficult at summer events. Specific foods like bread, gluten, and high-sugar products can cause symptoms.

• If it causes an upset stomach or swelling, it is recommended to avoid it.
• Go with fresh seasonal fruits and vegetables.
• A little planning can ensure you eat the food that’s best for you.
• Call ahead to let friends/family know of any food sensitivities.
• Gluten apps allow the ability to scan an item to see if it contains gluten.
• Consult a nutritionist to set up an enjoyable diet.

Chiropractic Care and Prevention

Chiropractic care for neuropathy focuses on the underlying conditions causing nerve pain and inflammation.

• Treating the inflammation alleviates the pain in the joints and extremities.
• Each treatment plan is personalized to meet the needs of every patient.
• Treatment will focus on massage, adjustments, decompression, exercises, therapies, and nutrition that expedite healing throughout the body.

Spinal Decompression Non-Surgical

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

Campbell, James N, and Richard A Meyer. “Mechanisms of neuropathic pain.” Neuron vol. 52,1 (2006): 77-92. doi:10.1016/j.neuron.2006.09.021

Peripheral Neuropathy Fact Sheet https://www.ninds.nih.gov/health-information/patient-caregiver-education/fact-sheets/peripheral-neuropathy-fact-sheet

Spinal stress can affect nerve health. Neuropathy happens when disease or damage is sustained in the nerves that transmit messages from the brain through the spinal cord to the whole body. The source of the damage can be inside the spine, where a herniated disc could be squeezing the nerves, impeding or completely blocking blood circulation until deterioration begins to disease or damage nerve receptors. Removing the pressure from the spine and reversing the stress on the nerves can be done through manual or motorized spinal decompression.

Spinal Stress and the Nerves

The peripheral nervous system is comprised of three types of nerves that are directly influenced by the central nervous system, each with a distinct function which is why there is a wide range of symptoms associated with neuropathy. The types of nerves include:

• Autonomic nerves regulate respiration, heart rate, blood pressure, digestion, bladder function, etc.
• Motor nerves control muscle movement.
• Sensory nerves receive sensations from the skin like heat, cold, pleasure, and pain.

Spinal nerves contain sensory and motor fibers giving them sensory and motor functions. The spinal nerves receive sensory messages from the skin, internal organs, and bones. Any disruption from a bent, crushed, or entangled nerve group will not allow proper blood circulation and message transmission, causing delayed responses, tingling, numbness, and pain. If left untreated, it could cause permanent damage that can lead to chronic pain. Decompression therapy accelerates healing as it floods the spine with blood, oxygen, and nutrients.

Peripheral nerves originate from the spinal cord and extend a network of lines throughout the body called dermatomes. Injury to one dermatome can radiate/spread out to other dermatomes and the peripheral areas like the hands and feet. Once communication with the brain is compromised, results can lead to sensations like numbness and severe pain. Several factors can result in peripheral neuropathy, including:

• Diabetes.
• Genetics.
• Infection.
• Disease.
• Unhealthy dietary habits.

Nerve Root Pain Causes

Nerve root pain is usually caused by underlying conditions that have caused compression or damage to the nerve root; these include:

• Herniated discs.
• Spinal injury.
• Bone spurs.
• Arthritis.
• Infection.
• Inflammatory disease.
• Degenerative spinal conditions, like spinal stenosis and spondylosis.
• Tumors, cysts, hernias, and hematomas

DRX 9000

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

Gordon, Tessa. “Peripheral Nerve Regeneration and Muscle Reinnervation.” International journal of molecular sciences vol. 21,22 8652. 17 Nov. 2020, doi:10.3390/ijms21228652

Menorca, Ron M G et al. “Nerve physiology: mechanisms of injury and recovery.” Hand clinics vol. 29,3 (2013): 317-30. doi:10.1016/j.hcl.2013.04.002

Wang, Mark L et al. “Peripheral nerve injury, scarring, and recovery.” Connective tissue research vol. 60,1 (2019): 3-9. doi:10.1080/03008207.2018.1489381

Introduction

In the body, there are trillions of nerves that inhabit the body and are connected to the central nervous system. The nervous system is split off into two parts which are the central nervous system which consists of the brain and spinal cord, and the peripheral nervous system which consists of the nerves that are branched out throughout the body from the spinal cord. The nervous system’s function to the body is to send out neuron signals all over the body to and from. When there are unwanted factors that start to affect the nerves in the body, it can disrupt the signals from transporting throughout the body and affect a person’s ability to function. In this 2 part series, we will be taking a look at understanding what is polyneuropathy and looking at the different types of polyneuropathies that can affect the body. In Part 2, we will look at what is neuropathy pain and its symptoms. By referring patients to qualified and skilled providers who specialized in neurological services. 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, in case 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 Polyneuropathy?

Polyneuropathy or peripheral neuropathy is experienced by approximately 40 million people in the US, as research shows that it is a result of nerve damage that is located outside of the brain and the spinal cord. Many peripheral neuropathies are mixed neuropathies with both large fiber and small-fiber involvement and are increasingly recognized in the demonstration of specific involvement of small myelinated or unmyelinated fibers, e.g. small fiber neuropathies. This refers to a disorder of numerous peripheral nerves at a given time and is often characterized by a distal, symmetric sensory deficit (“glove and stocking” distribution). Since the peripheral nervous system sends out sensory information to and fro to the brain and spinal cord, polyneuropathy can occur through many factors like exposure to toxins, metabolic problems, and traumatic injuries that can affect the body. Polyneuropathies can also be further subclassified as primarily axonal or demyelinating in nature.

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*

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

Introduction

The brain and the spinal cord have a casual relationship in the nervous system as they help transport neuron signals to the rest of the body. These neuron signals travel through the various nerve pathways that provide motor-sensory functions to the arms, legs, neck, and back that help keep the body upright and function properly. When natural causes or traumatic issues affect the spinal cord, it can cause pain symptoms associated with nerve compression that overlaps with different chronic problems. When there is spinal nerve compression in the back, it may potentially involve low back or neck pain. Today’s article looks at a condition known as Chiari malformation, its associated symptoms with the spine, and how decompression and chiropractic care manage Chiari malformation. We refer patients to certified providers specializing in neurological treatments to help many individuals with Chiari malformation. 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 Chiari Malformation?

Have you been experiencing chronic headaches that are triggering neck stiffness? What about uncontrollable bladder issues? Are you feeling tingling sensations down your fingers and toes? Some of these symptoms are signs that you might risk developing Chiari malformation. Chiari malformation is uncommon when parts of the brain tissue extend into the spinal canal. This condition is a cluster of abnormalities that involves parts of the brain and cervical cord. The brain consists of 6 pieces that have different functions; they are:

• Frontal lobe (Problem-solving, emotions, attention & concentration, etc.)
• Parietal lobe (Sense of touch, visual perception, differentiation, etc.)
• Temporal lobe (Memory, understanding languages)
• Occipital lobe (Vision)
• Cerebellum (Balance, motor activity, coordination)
• The brain stem (spinal cord, breathing, sleep and wake cycles, etc.)

These different brain sections have a casual relationship with their correlated organs and muscles to keep the body moving. When there are deformities affecting the brain from Chiari malformation, studies reveal that the cerebellum is leaking out of the skull and pressing against the surrounding spinal canal, triggering symptoms along the spine.

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*

Reflex pain is a complex condition that involves the body’s pain withdrawal reflex failing to turn off after the event that triggered the pain, so the pain sensations continue. This is a neurological condition known as the withdrawal reflex. It occurs when the body and brain undergo a chain of reactions to remove an affected body part from dangerous situations/stimuli. A typical example is a vehicle crash or accident. During the process, the body’s reflex muscle\s in the injured area tighten to protect the specific body part/s from further damage.

The reflex can feel like a muscle spasm that goes away over time. However, in the case of reflex pain, the signals keep firing. Reflex pain can occur all over the body as the muscles overcompensate to handle the prolonged pain; secondary injuries often develop. An example could be reflex pain in the ankle caused by injury or problems in the hips and back, where the individual tries to avoid moving the ankle in a specific way to prevent and avoid the pain symptoms. Individuals with reflex pain also experience headaches and referred spine and extremity pain. Reflex pain can become a cycle of symptoms that include:

• Unusual tightness
• Stiffness
• Pain
• Contracture - hardening or shortening of the affected muscles, tendons, or other tissues.
• Decreased functional abilities.

Somatic Pain

Somatic pain causes receptors in tissues including the skin, muscles, connective tissues, joints, and skeleton to be activated. Stimuli like force trauma, vibration, extreme temperature, or inflammation/swelling activate these receptors. The pain is often described as:

• Aching
• Gnawing
• Cramping
• Sharp

Somatic pain is often localized to a particular area that is constant and stimulated by movement. There are two types.

• Superficial pain occurs when everyday injuries activate pain receptors in the skin and mucous membranes.
• Deep somatic pain occurs when stimuli activate pain receptors deeper in the body, including the tendons, joints, bones, and muscles. Deep body pain usually feels more like aching.
• Pain can be confined to a local area or radiate to other areas of the body, depending on the extent of the injury.

Somatic pain can come from a variety of different potential causes that include:

• Injury to joints or bones.
• Trauma.
• Fall or collision that damages connective tissues.
• Strained muscles from overuse.
• Bone fracture.
• Arthritis that causes swelling in the joints.
• Diseases that affect connective tissues.
• Bone or skin cancers.

Sometimes these reflexes can stay in the on position and keep the body from achieving full relaxation.

In the nervous system, a body part is stimulated, and the message travels through the spinal cord and into the brain. The information is processed, then sent back through the spinal cord to the level that activates the specific body part. The reflexes transmit faster staying at the same spinal level without having to travel to the brain and back again.

During reflex pain, the body’s muscles are unable to relax, which is necessary for motion/movement. This prolonged contraction generates added pain and causes imbalances that can decrease excitability in the muscles. This can increase the activation of brain receptors that receive pain signals to respond by telling them to shorten and contract.

Therapy

Body misalignment can cause muscles to spasm, causing the nerves to stretch in an awkward way, compress, and get twisted and tangled around other nerves or other tissues. This disrupts communication resulting in pain, illness, and ailments that can lead to other health problems. Chiropractic care can address reflex pain by realigning the spine and improving joint motion and nerve conduction.

Chiropractic restores the body to its full and proper function by activating the natural healing abilities. Manual and mechanical spinal decompression realigns the vertebrae, reducing swelling, blockages, and nerve stress. A comprehensive examination will identify potential dysfunctional areas of the body using palpitations to identify which muscles are involved. Once identified, chiropractic, massage, and physical therapy options can be prescribed to rebalance the body’s muscles, and restore their ability to contract and relax normally.

• Patient education will be provided concerning self-assessment techniques, instruction on how to treat pain, and an anti-inflammatory diet.
• An exercise and stretching program will help maintain the adjustments, keep the body flexible, and strengthen the body.
• Patients are helped to understand how to take control of their pain.

Spinal Decompression Testimonials

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

Biurrun-Manresa J, Neziry A, Curatolo M, Arendt-Nielson L, Anderson O. Test-retest reliability of the nociceptive withdrawal reflex and electrical pain thresholds after single and repeated stimulation in patients with chronic low back pain. Eur J Appl Physiol. 2011;111:83-92

Derderian C, Tadi P. Physiology, Withdrawal Response. [Updated 2021 Nov 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544292/

Muir, J M, and H Vernon. “Complex regional pain syndrome and chiropractic.” Journal of manipulative and physiological therapeutics vol. 23,7 (2000): 490-7. doi:10.1067/mmt.2000.108816

Neziri A, Haesler S, Steen P, et al. Generalized expansion of nociceptive reflex receptive fields in chronic pain patients. Pain. 2010;151(3):798-805

Szynkowicz, Peter, and Anthony Petrucci 4th. “Chiropractic Care of a Patient With Complex Regional Pain Syndrome Type 1 (CRPS-1): A Case Report.” Journal of chiropractic medicine vol. 19,2 (2020): 145-151. doi:10.1016/j.jcm.2020.05.001

Yezierski R, Vierck C. Reflex and pain behaviors are not equivalent: Lessons from spinal cord injury. Pain. 2010;151(3):569-577

Sciatica is a radiculopathy, which is irritation of the nerve as it exits the spine and is typically caused by compression/pinching along the nerve's path. Most sciatica cases improve within a few weeks of the injury incident. Left untreated, it can become chronic sciatica and can have long-term repercussions and effects. A herniated disc is the most common cause if it bulges next to the nerve; it can pinch off the nerve or leak fluid onto the nerve, causing inflammation, swelling, pain, numbness, and weakness. Another common cause is spinal stenosis. As the body ages, the canal through which the nerve and spinal cord run can begin to narrow, placing pressure on the nerves. Then there are muscle spasms, spinal fractures, and spinal cancer. Anything that changes the curvature of the spine, including pregnancy, can cause sciatica.

Repercussions From Sciatica

The repercussions can vary or be a combination that includes:

Chronic Pain

The pain can be anywhere along the nerve; typically, it travels from the lower spine through the buttocks, down the back of the leg, and into the foot.

• The condition can cause various types of pain: Burning, electrical, or shooting pain in the low back.
• Symptoms can come and go and may present only when sitting, standing, lying, or engaged in a particular activity.
• The severity of the pain can vary from mild to severe, mildly uncomfortable, to limiting function.

Posture Problems

• When the body experiences chronic pain in a localized area, the body's natural reaction is to avoid placing pressure, twisting or bending, or using a specific body part, manipulating healthy posture or walking gait to protect the low back or legs from pain.
• This is referred to as muscle/posture guarding, which removes pressure from the site but alters the body's natural alignment, affecting the spine's characteristics and causing adverse side effects, like upper back and neck pain, headaches, and fatigue.
• Unhealthy and awkward postures can negatively affect digestion, organ function, and breathing.

Loss of Balance

• Sciatica commonly causes numbness and tingling in the leg, calf, foot, and toes.
• The hidden danger behind numbness; it alters the body's proprioception or awareness of its position.
• When proprioception becomes inhibited or altered, communication signals from the body to the brain/vice versa get jumbled/interrupted, confusing the brain, throwing the body off balance.
• This can result in falling injuries.

Numbness or Weakness

• Sciatica is more problematic if the pain comes with neurological symptoms like numbness, muscle, or leg weakness.
• This means there is an increased level of possible nerve damage if muscular weakness, which requires aggressive treatment.

Declining Reflexes

• Depending on where the nerve is compressed, pain and numbness can affect the lower leg area and feet.
• Damage to the nerve can cause the inability to flex the foot up.
• The knee-jerk reflex, known as the patellar reflex, is the kicking motion of the lower leg when tapped on the patellar tendon.
• Sciatica can numb the area, causing a delayed reaction or severe unresponsiveness to stimulation.

Permanent Nerve Damage

• If left untreated, neurological symptoms like numbness and leg weakness can progress to permanent nerve damage.
• However, this happens rarely but explains the importance of taking the injury seriously so full recovery is achievable.

Non-Surgical Sciatica Relief

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