Neuropathy "The Painful Enigma"

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

Licensed in: Texas & New Mexico*

References

Berry, James A et al. "A Review of Lumbar Radiculopathy, Diagnosis, and Treatment." Cureus vol. 11,10 e5934. Oct 17 2019, doi:10.7759/cureus.5934

Davis D, Maini K, Vasudevan A. Sciatica. [Updated 2022 Feb 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507908/

Giuffre BA, Jeanmonod R. Anatomy, Sciatic Nerve. [Updated 2021 Jul 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482431/

Nori, Subhadra L. and Michael F. Stretanski. "Foot Drop." StatPearls, StatPearls Publishing, Dec 15, 2021.

Introduction

With trillions of nerves that are inhibiting the body, the nervous system is consist of the central nervous system and the peripheral nervous system, and its job is to make sure that the neuron signals are traveling to and fro from the brain to the entire body. When there is an unwanted pathogen that enters the body and starts to disrupt the neuron signals, it can cause a variety of neurodegenerative disorders and neuropathic problems to affect the body over time. In this 2 part series, we will be taking a look at what is neuropathic pain and its symptoms. In Part 1, we discussed and understand what is polyneuropathy and how different polyneuropathies can affect the body. 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 Neuropathic Pain?

When there is pain that is radiating from the nerves, the spinal cord, or the brain, it is known as neuropathic pain. This type of pain doesn’t originate in the bones, muscles, or organs but is a direct consequence of diseases that is affecting the somatosensory system. Research studies have shown that neuropathic pain is caused by various central and peripheral nerve disorders that cause lesions in the nervous system. This can be problematic for individuals who have neuropathic pain because it can cause the body to appear normal but can be experienced in other parts of the body. Other research studies have found that neuropathic pain can cause mild to severe pain symptoms that can distort existing neuron signals, create new ones, or even prevent the neuron signals from transferring throughout the entire body.

The Symptoms

Since neuropathic pain in the body is chronic and is due to damaged nerves, research shows that even though neuropathic pain is a chronic progressive nerve disorder that can occur from injuries or infections that affect the body, it can send unprompted signals to the brain causing it to be dysfunctional. Other symptoms that neuropathic pain can cause to the body include:

• Numbness
• Burning pain
• Sleep difficulty
• Hypoalgesia
• Allodynia( cold pain)
• Metabolic disorders
• Inflammatory 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*

A pinched nerve may not feel like it is healing. This is because of the soreness, aches, discomfort, and tingling feelings/sensations around the affected area. This could be the neck, shoulder, arm, hands, back, legs, and feet. However, when the achiness and tingling move around and shift, it is a sign of the pinched nerve healing.

Amount of Time For Pinched Nerve Healing

Waiting for the nerve to heal is not a recommended treatment option, as most pinched nerves do not fully recover on their own. A pinched nerve usually takes around six weeks to heal with proper treatment. The longer the nerve stays pinched, the more likely there will be permanent damage. To keep the pinched nerve from returning and getting worse, individuals are recommended to incorporate a pre-habilitation plan that involves continuing rehabilitation exercises to strengthen and keep the muscles, ligaments, and nerves loose, and adjusting posture, work, exercise, and diet habits to prevent re-injuring the nerve or cause new injury/s. 

Common Nerve Sites

Nerves run throughout the body, so it’s possible to experience a pinched nerve anywhere. The most common pinched nerve sites occur at joints where there is constant movement. These areas include:

• Neck
• Shoulders
• Lower Back
• Arms
• Hands
• Feet

Healing Signs

Individuals often believe that their pinched nerve is getting worse because of soreness, aches and pains, and weird sensations. When the pain stays in one area, that could be a sign that the nerve has not been fully stretched/released and/or that there is still compression taking place. Treatment and healing include feeling the symptoms but in a different way. 

The symptoms will move up, down, or around depending on where the pinched nerve is. Treatment takes the nerve/s and stretches/elongates them, but the pinch created a nerve crimp, crease, fold that wants to return to the pinched position. 

This is why continued treatment and stretching are recommended, as a spasm, trauma, or some awkward movement can cause the nerve to re-fold to the pinched position or cause a whole new pinch.

Chiropractic Release

Chiropractic treats pinched/compressed nerves with several therapeutic modalities. These include:

• Body Adjustments
• Flexion-distraction
• Therapeutic massage
• Traction
• Inversion
• Laser therapy
• Ultrasound

Combined, these methods can help heal pinched nerves and keep them from recurring.

Body Composition

Skeletal Muscle

Skeletal muscle is a major muscle group. These muscles are attached to the bone by the tendons. Skeletal muscles incorporate nerves, blood vessels, and connective tissue to operate as a unit. Each skeletal muscle consists of cells that come together that form bundles of skeletal muscle fibers.

• Strength training stimulates the muscle fibers. When combined with proper nutrition causes hypertrophy/muscle growth.
• Muscles contract and shorten to pull bones and joints, allowing body movement.
• The nervous system signals the nerves in the muscle/s and triggers these contractions.
• Skeletal muscle helps the body:
• Maintain posture
• Generate body heat
• Stability to the bones and joints

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

Bowley, Michael P, and Christopher T Doughty. “Entrapment Neuropathies of the Lower Extremity.” The Medical clinics of North America vol. 103,2 (2019): 371-382. doi:10.1016/j.mcna.2018.10.013

Campbell, W. “Diagnosis and management of common compression and entrapment neuropathies.” Neurologic clinics vol. 15,3 (1997): 549-67. doi:10.1016/s0733-8619(05)70333-9

England, J D. “Entrapment neuropathies.” Current opinion in neurology vol. 12,5 (1999): 597-602. doi:10.1097/00019052-199910000-00014

Kane, Patrick M et al. “Double Crush Syndrome.” The Journal of the American Academy of Orthopaedic Surgeons vol. 23,9 (2015): 558-62. doi:10.5435/JAAOS-D-14-00176

Back pain and soreness are widespread conditions that affect all genders, races, and lifestyles. The causes for back pain are varied from injury, poor posture, arthritis, age, overuse, etc. If back pain is frequent, perhaps the last assumption is that the pain could be caused by cancer. While it’s far from the most common causes, cancer back pain is possible, which makes consulting a doctor that will figure out the root cause, especially if there are other non-related symptoms, and treat the back pain very important.

Cancer Back Pain

Back pain that could be caused by cancer usually occurs with other symptoms and include:

• Back pain that is not related to movement.
• Pain does not get worse with activity.
• Back pain usually presents at night or early in the morning and fades away or improves as the day progresses.
• Back pain persists even after physical therapy or other treatments.
• Changes in bowel movements or blood in urine or stool.
• Unexplained, sudden weight loss.
• Unexplained fatigue/exhaustion.
• Weakness, tingling, or numbness in the arms or legs.
• Back pain does not have to be severe to be cancer, as it can range in severity.
• Having a family history of cancer and these symptoms can increase the risk.

Types of Cancer That Can Contribute To Back Pain

Types of cancer that can form around, in, and near the spine can cause back pain. These include:

Spinal Tumor

• A spinal tumor can grow in the spinal bone or the membranes around the spinal cord.
• The spine is a common source for bone metastasis, where cancer starts in one location and spreads to others.
• 30 to 70 percent of individuals with cancer spreads to the spine, according to the American Association of Neurological Surgeons - AANS.

Lung

• Lung cancer is one of the most common cancers that can spread to the spine.
• A lung tumor can press on the spine, affecting nerve transmissions.
• An individual with lung cancer may notice becoming tired/fatigued more easily, shortness of breath, coughing up blood, and back pain.

Breast

• Rare but possible breast cancer symptom.
• Breast cancers can metastasize to the back.
• Like lung cancers, some breast cancer tumors can press on nerves connected to the spine, causing discomfort and pain.

Gastrointestinal

• Cancers of the stomach, colon, and rectum can cause back pain.
• The pain radiates from where the cancer is to the back.

Tissue and Blood Cancers

Blood and tissue cancers like:

• Multiple myeloma
• Lymphoma
• Melanoma
• Can cause back pain.

Diagnosing Cancer and Back Pain

Medical treatments for back pain-related cancer depend on its type and how advanced it is. A doctor will consider symptoms and medical history when diagnosing possible back pain causes. Because cancer is a rare cause of back pain, a doctor may recommend various treatments before a full cancer work-up. The doctor may order imaging studies and blood testing if the pain persists after chiropractic, physical therapy, or anti-inflammatory medications. These tests will help identify potential cancer markers causing back pain.

• Treatments usually include chemotherapy and radiation to shrink a tumor.
• A doctor will recommend surgery to remove a tumor.

Chiropractic

Cancer patients have found chiropractic treatment to be effective for:

• Pain management.
• Flexibility improvement.
• Mobility improvement.
• Strengthening muscles.
• Helping to reduce stress.
• Helping the body function more efficiently.

Chiropractic physiotherapy benefits patients undergoing chemotherapy, as it helps the body withstand the debilitating effects of the treatment based on the whole-body approach.

Body Composition

Don’t Hate Dieting

Individuals hate dieting, usually because they go about it the wrong way. Individuals do not need to starve themselves and live at the gym. Reaching quick weight loss goals might sound appealing; however, going through it for an extended time can make individuals feel:

• Tired
• Depressed
• Unmotivated

Individuals can find a nutrition plan/exercise balance that works for them and their lifestyle. For some individuals, dieting alone is effective, but more than likely, they have increased metabolisms. Trying to lose fat by only cutting calories can be difficult for individuals with smaller metabolisms. The goal is to find a balance between diet and exercise. This does not mean having to go on an extreme diet, skip meals, or cut out entire macronutrient groups like fat or carbs, as the body needs both of these nutrients. Finding a sustainable long-term nutrition plan takes planning and support. A dietician, nutritionist, or health coach can offer a variety of nutrition and exercise plans customized to the individual.

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

Downie, Aron et al. “Red flags to screen for malignancy and fracture in patients with low back pain: a systematic review.” BMJ (Clinical research ed.) vol. 347 f7095. 11 Dec. 2013, doi:10.1136/bmj.f7095

Mabry, Lance M et al. “Metastatic cancer mimicking mechanical low back pain: a case report.” The Journal of manual & manipulative therapy vol. 22,3 (2014): 162-9. doi:10.1179/2042618613Y.0000000056

Vasser, Melinda, and Matthew Koroscil. “When Back Pain Turns Deadly: An Unusual Presentation of Lung Cancer.” Respiratory medicine case reports vol. 29 101009. 28 Jan. 2020, doi:10.1016/j.rmcr.2020.101009

Verhagen, Arianne P et al. “Red flags presented in current low back pain guidelines: a review.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 25,9 (2016): 2788-802. doi:10.1007/s00586-016-4684-0

Arthritis can be a debilitating disease that interferes with everyday life. There are over 20% of adults aged 65 and older that have arthritis along with all the symptoms like pain, stiffness, swelling, and decreased range of motion. The most commonly affected joints include the shoulders, hands, spine, hips, and knees. Arthritis results from damage to joint cartilage from various factors such as age, wear and tear, injury, being overweight, and disease. Medication and surgery are the most common treatment options. An arthritis chiropractor can offer a conservative, natural, non-invasive option to manage symptoms.

Arthritis Chiropractor Helps By

While arthritis, either caused by wear and tear - Osteoarthritis or disease - Rheumatoid Arthritis cannot be cured. An arthritis chiropractor can help manage symptoms and prevent progression. Chiropractors are trained to use various techniques to help alleviate pain and tension, including arthritis. Chiropractic treatment aims to alleviate pain by adjusting, massaging, and realigning the musculoskeletal system to relieve stress, stretch the muscles, ligaments, tendons, and restore balance within the body. They open the body to allow proper/optimal nerve energy and blood circulation. This is beneficial for arthritic joints to reduce unnecessary strain, translating to reduced wear on the joints and keeping the body active.

Benefits

There are significant benefits that regular chiropractic treatment can offer. These include:

• Restored range of motion
• Joint pain relief
• Inflammation alleviation
• Improved nerve function for optimal tissue healing
• Improved biomechanics
• Improved flexibility

Treatment

After an in-depth assessment, the chiropractor will recommend the best treatment options. Treatments include:

Pain Management

• Pain relief is possible without medications with options like:
• Electrical stimulation
• Percussive massage
• Traction therapy
• Heating pads

Chiropractic Adjustments and Physical Therapy

• Regular adjustments will keep the body optimally aligned and functioning smoothly.
• Arthritis chiropractors can recognize the most subtle changes.

Lifestyle Adjustments

• Healthy lifestyle adjustments help manage arthritis.
• Guidance on healthy habits that include:
• Anti-inflammatory foods
• Weight loss
• Proper sleep habits
• Exercise training
• Stress management

The sooner chiropractic care is sought out, the better to prevent symptoms from worsening. Chiropractic can generate great results with less need for medication/s or surgery.

Body Composition

Identifying The Risk of Sarcopenia and Decreased Mobility

As the body ages, it begins to lose muscle mass, and as more sedentary behavior is adopted, the rate of loss increases along with age-related injury. Identifying these age-related changes in muscle and how they relate to frailty risk can be challenging to identify and track. By accurately measuring fat-free mass in each region of the body, Skeletal Muscle Index - SMI quickly specifies muscle mass and frailty risk. Sarcopenia and frailty specifically affect the elderly population, affecting mortality, cognitive function, and quality of life. Loss of muscle in the arms and legs is associated with:

• Reductions in mobility
• Increased risk of falls
• Frailty
• Extended hospital stays

Falls and fractures frequently result in a cycle of muscle deterioration. Analysis tools can help track body composition changes to minimize muscle wasting and the risk of impaired mobility. Assessing skeletal muscle mass in outpatient and hospital settings can decrease debilitating outcomes before they happen. The InBody analysis is quick and easy, providing a calculation for skeletal muscle index and the sum of the lean mass in the arms and legs. The ease of performing the InBody test provides physicians more time to work with and educate individuals on adopting lifestyle changes to help prevent sarcopenia.

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

Aletaha, Daniel. “Precision medicine and management of rheumatoid arthritis.” Journal of autoimmunity vol. 110 (2020): 102405. doi:10.1016/j.jaut.2020.102405

Beasley, Jeanine. “Osteoarthritis and rheumatoid arthritis: conservative therapeutic management.” Journal of hand therapy: official journal of the American Society of Hand Therapists vol. 25,2 (2012): 163-71; quiz 172. doi:10.1016/j.jht.2011.11.001

Demoruelle, M Kristen, and Kevin D Deane. “Treatment strategies in early rheumatoid arthritis and prevention of rheumatoid arthritis.” Current rheumatology reports vol. 14,5 (2012): 472-80. doi:10.1007/s11926-012-0275-1

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

Moon, Jeong Jae et al. “New Skeletal Muscle Mass Index in Diagnosis of Sarcopenia.” Journal of bone metabolism vol. 25,1 (2018): 15-21. doi:10.11005/jbm.2018.25.1.15

Muscle spasms also referred to as muscle cramps, are painful contractions and tightening of the muscles. They are common, involuntary, and unpredictable. Temperature drops and cold weather can cause the muscles and joints to contract and tighten, leading to spasms and pain. Chiropractic, physical therapy massage, exercises, stretching, and an anti-inflammatory diet can bring relief and help strengthen the muscles to prevent future episodes.

Muscle Spasms

Spasms are common and can affect any of the muscles. They can involve part of a muscle, all of a muscle, or several muscles in a group. Spasms occur when the muscle/s involuntary and forcibly contract uncontrollably and are unable to relax. The most common sites for muscle spasms include:

• Hands
• Arms
• Abdomen
• Back
• Legs
• Thighs
• Calves
• Thighs
• Feet

How Cold Affects the Muscles

As the weather gets colder, this causes the muscles in the body to lose heat, causing them to contract. As a result, the muscles and joints become tighter, stiffer, and decrease mobility and range of motion. This forces the muscles to work harder than usual to compensate. This can increase the fatigue of the muscles, leading to more prolonged bouts of pain and discomfort after physical activity, movement, exercise, etc.

Symptoms and Causes

 A cramp can last a few seconds or last up to 15 minutes. During a muscle spasm, the following may be experienced:

• Twitching in the muscle.
• Pain in the muscle.
• Throbbing.
• Hardness and/or stiffness.
• The muscles appear physically distorted.

Because the muscles have to work harder, the cold weather can increase muscle spasms. One of the most common causes of muscle spasms is overuse and fatigue. However, exact causes vary from person to person. Some experts believe that one or more of the following contribute to the spasms/cramps, and they include:

• Dehydration.
• Stress.
• Not stretching the body regularly.
• Muscle fatigue.
• Restricted blood circulation.
• Involuntary nerve discharge/s.
• Over-exercising.
• Exercising in the heat.
• Exhaustion of salts and minerals:
• Potassium
• Magnesium
• Calcium

Possible causes for leg cramps at night or nocturnal leg cramps specifically include:

• Sitting for too long without moving around to keep circulation healthy.
• Sitting with unhealthy posture.
• Overusing the muscles.
• Standing or working on hard floors.

Dealing With The Cold

One way to deal with the cold is to warm up before any physical activity. Taking a few minutes to get the heart rate up can increase the blood flow and flexibility of the muscles. This will ensure the muscles are functioning correctly and avoid the need to work harder to stop spasms. When a cramp strikes, there are a few steps to try to alleviate the spasm:

• Stretching the affected area.
• Massaging the affected area manually with a massage roller, percussive massager.
• Stand up.
• Move around.
• Apply heat or ice.
• A warm bath, shower with massage setting if possible.
• Ibuprofen and acetaminophen.
• Vitamin B12 complex can help prevent cramps.

Body Composition

Getting Back To Fitness

Get back into regular exercising with a few tips for making the transition as smooth as possible.

Start Slow

• Don't try to jump back into exercise in attempting to crush out a challenging workout.
• Commit to a few light workouts a week that integrate stretching pre and post-exercise.
• Over-exerting the body increases the risk of injuries, motivation loss, and prolonged exhaustion.

Create a Workout Schedule That Works For You

• Routines and habits can help stay on track.
• Build a sustainable exercise routine to stay focused and committed.
• Find times that work.

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

American Academy of Orthopaedic Surgeons. Muscle Cramp. (http://orthoinfo.aaos.org/topic.cfm?topic=A00200) Accessed 3/1/2021.

American Association of Osteopathy. Muscle Cramp—A Common Pain. (http://www.osteopathic.org/osteopathic-health/about-your-health/health-conditions-library/general-health/Pages/muscle-cramp.aspx) Accessed 3/1/2021.

Herzberg J. Stevermer J. Treatments for Nocturnal Leg Cramps. (https://www.aafp.org/afp/2017/1001/od3.pdf) Am Fam Physician 2017;96(7):468-469. Accessed 3/1/2021.

Young G. Leg Cramps. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4429847/) BMJ Clin Evid 2015; May 13;1113. Accessed 3/1/2021.

Polymyositis is a disease that causes the body's muscles to become irritated and inflamed. It can affect the muscles all over the body. The muscles gradually begin to break down and weaken, making everyday movements difficult. This disease falls into a category known as inflammatory myopathies.

Polymyositis Unknown Causation

The causes of polymyositis are currently unknown. However, experts believe it could be associated with or triggered by a virus or an autoimmune reaction. An autoimmune response is when the body attacks itself along with the body's tissues. It's seen in individuals ages 31 to 60 and is rarely seen in individuals younger than 18. In some instances, medication can lead to an allergic reaction/response that causes muscle irritation and damage. But in most cases, healthcare experts are not able to find the exact cause.

Symptoms

The condition can affect the muscles all over the body. Physical activities like walking, getting up from a chair, or lifting objects can become difficult to perform. It can also affect the muscles that allow for eating and breathing. The muscles at the center of the body tend to be affected the most. Common symptoms include:

• Muscle pain.
• Muscle stiffness.
• Muscle weakness, specifically in the abdomen, shoulders, upper arms, and hips.
• Joint pain and stiffness.
• Breathing problems.
• Problems swallowing.
• Abnormal weight loss can become an issue if there are problems with swallowing.
• Irregular heart rhythms if the heart muscle/myocardium becomes inflamed.
• Individuals may notice they have trouble climbing stairs or lifting their arms.
• The inflammation can worsen, causing pain and weakness that affects the wrists, lower arms, and ankles.

Diagnosis

Diagnosis begins with the individual's medical history, family medical history if necessary, and a physical examination. The examination includes seeing and feeling the strength of the muscles. Tests will be required that include:

Blood Tests

• Blood tests allow the doctor to see if there are signs of muscle inflammation.
• They also show if there are abnormal proteins that form in autoimmune diseases.

Electromyogram EMG

• This test can be used to find abnormal electrical activity in the affected muscles.

MRI

• Magnets and computer graphic imagery are used to help the doctor inspect for inflammation in the body.

Muscle Biopsy

• A small piece of muscle tissue is removed to be analyzed with a microscope.

Treatment

Treatment depends on how severe the condition is, individual symptoms, age, and overall health. Currently, there is no cure for polymyositis, but symptoms can be managed. Individuals are recommended to utilize more than one type of treatment because the treatment plan may also need to be changed as treatment progresses. Treatments include:

Anti-inflammatory Medication

Steroid medication can help manage the disease and reduce symptoms, and corticosteroids can help ease inflammation in the body. The symptoms improve within 4 to 6 weeks, and a healthcare provider can lower the dosage after the symptoms decrease to reduce and ease any side effects.

Immunosuppressive Medication

• These medications block or slow down the body's immune system responses.
• Talk with a doctor about the risks, benefits, and side effects of all medications.

Chiropractic and Physical therapy

• Chiropractic treatment and physical therapy can help:
• Aligning the spine to provide optimal nerve energy and blood circulation.
• Therapeutic massage to stimulate and keep the muscles loose.
• Specific exercises to help stretch and strengthen the muscles.
• These can help keep the muscles from shrinking.

Heat therapy and Rest

• Heat therapy and allowing the body to rest thoroughly can help decrease pain symptoms.

Special Braces 

• Body, hip, and leg braces can help support the muscles and help with mobility.

Complications

Polymyositis left untreated can lead to severe complications. The muscles become weaker, increasing the risk of falling and limiting daily activities.

• If the chest muscles are affected, there could be problems with breathing that can lead to respiratory failure.
• If the digestive tract is affected, malnutrition and unintentional weight loss can result.
• Polymyositis poorly managed well can cause severe disability.

Body Composition

Nutrition and Muscle Growth

Protein

• Protein is the foundation for gaining muscle.
• This essential component is for all of the body's daily functions.
• It is essential to balance protein increase with overall diet.

Complex Carbs

• Carbs are the body's fuel source.
• Carbs should be a daily element of nutritional intake because they are the primary component.
• Acquiring energy
• Preventing muscle weakness and degradation

Consuming Carbs

• Understanding how accurate results only happen when both sides work together.
• Healthy consumption of protein and carbohydrates can help muscle growth and sustain optimal health for all body types.

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

Corrado, Bruno et al. “Supervised Physical Therapy and Polymyositis/Dermatomyositis-A Systematic Review of the Literature.” Neurology international vol. 12,3 77-88. 24 Nov. 2020, doi:10.3390/neurolint12030015

Findlay, Andrew R et al. “An overview of polymyositis and dermatomyositis.” Muscle & nerve vol. 51,5 (2015): 638-56. doi:10.1002/mus.24566

Sasaki, Hirokazu, and Hitoshi Kohsaka. “Current diagnosis and treatment of polymyositis and dermatomyositis.” Modern rheumatology vol. 28,6 (2018): 913-921. doi:10.1080/14397595.2018.1467257

Van Thillo, Anna et al. “Physical therapy in adult inflammatory myopathy patients: a systematic review.” Clinical rheumatology vol. 38,8 (2019): 2039-2051. doi:10.1007/s10067-019-04571-9

Optimal nervous system health is the key to maximum body function and overall health. Individuals don’t really think about their nervous system until symptoms from injury, disease, or nerve problems present. The nervous system consists of billions of neurons that connect/network the brain with the rest of the body.

Nervous System Health

All of the body's systems, organs, and tissues have nerves attached to them. The brain engages with this network to control and coordinate bodily functions. Functions include:

• Heart
• Lungs
• Immune system
• Digestive system
• Reproductive system

Every function the body performs requires brain-body communication through the nervous system. The brain communicates with the nervous system to regulate the body to the environment it is in. For example:

• If it’s hot, the body sweats.
• If it’s cold, the body shivers.
• If there is danger, the fight or flight response activates.
• All are directed by the brain transmitting signals and messages through the nervous system.

Body Function

Optimal body function means that all bodily functions are normal, active, and healthy. Everything is working as it should. When the body functions at less than 100%, it can develop into more serious problems little by little. Like a vehicle that starts making a little sound that seems like nothing, then after a few days, weeks, months, it becomes a massive popping, grinding, starting, stopping, emergency, when vital information that regulates function gets lost in transmission from the brain to the body, health declines.

Flowing Spinal Highway

The vital information/communication between the brain and the body flow through the spinal column. The super information highway/spinal cord travels down the spinal column. Branching off the spinal cord are spinal nerve roots that go to every system, organ, and tissue in the body. The spinal bones are lined up like an electrical conduit channel for the spinal cord. The vertebrae should be lined up and move properly, allowing optimal blood and nerve circulation without any obstruction or interference.

When the spine shifts out of place, creating misalignment, moving properly becomes hindered, causing discomfort and pain, along with the vital communication needed to regulate maximum function not able to get through. This leads to malfunction within the body and decreases health and well-being. Spinal misalignment that interferes with nerve message transmission is called a vertebral subluxation. Chiropractic healthcare professionals are trained to detect and correct spinal subluxations. They realign the spine's bones to restore nervous system health and internal communication for proper body function.

Body Composition

Prebiotics Can Help With

Inflammation

Inflammation is a normal function of the immune system; however, chronic inflammation can cause damage to the body. Chronic inflammation is associated with:

• Obesity
• Heart disease
• Cancer
• Other diseases and conditions.

Having a balance of healthy gut microbiota helps decrease chronic inflammation and the risk of disease.

Gastrointestinal Diseases and Conditions

Prebiotics also ferment in the colon producing short-chain fatty acids. These provide energy for the colon’s epithelial cells that line and protect the colon. Prebiotics increase the protection provided by the epithelial cells, reducing the risk for gastrointestinal conditions like:

• Irritable Bowel Syndrome - IBS
• Crohn’s disease
• Cancer.
• Prebiotics can also reduce symptoms of gastrointestinal conditions.

Neurological System

The central nervous system is also known as the brain and spinal cord. However, many do not know about the enteric nervous system, which includes the gastrointestinal tract. The link between the enteric and central nervous systems involves cognitive and emotional functions. Prebiotics increase and promote healthy gut microbiota to help manage:

• Mood
• Learning
• Memory
• Certain psychological 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*

References

Cerdó, Tomás et al. “Probiotic, Prebiotic, and Brain Development.” Nutrients vol. 9,11 1247. 14 Nov. 2017, doi:10.3390/nu9111247

Chu, Eric Chun Pu, and Michelle Ng. “Long-term relief from tension-type headache and major depression following chiropractic treatment.” Journal of family medicine and primary care vol. 7,3 (2018): 629-631. doi:10.4103/jfmpc.jfmpc_68_18

Kiani, Aysha Karim et al. “Neurobiological basis of chiropractic manipulative treatment of the spine in the care of major depression.” Acta bio-medica : Atenei Parmensis vol. 91,13-S e2020006. 9 Nov. 2020, doi:10.23750/abm.v91i13-S.10536

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

Wirth, Brigitte et al. “Neurophysiological Effects of High Velocity and Low Amplitude Spinal Manipulation in Symptomatic and Asymptomatic Humans: A Systematic Literature Review.” Spine vol. 44,15 (2019): E914-E926. doi:10.1097/BRS.0000000000003013

Tinnitus is defined as the perception of sound without an external acoustic stimulus. It is a prevalent complaint in ENT offices, but the etiology of this condition has not yet been elucidated fully. However, it is believed that the root cause of the sound is perceived without any external stimulation is due to abnormal neural activity along the hearing path from the cochlear apparatus to the auditory cortex. In addition, tinnitus accompanies a wide array of conditions like sleep disturbances, stress, and reduced work efficiency. Furthermore, its treatment is complex, and 5-15% of those patients with tinnitus report that the symptoms are still present. Therefore, alternative therapies such as supplements and acupuncture have been proposed to reduce tinnitus symptoms positively.

Acupuncture Therapy as Tinnitus Treatment:

Acupuncture as tinnitus treatment has been extensively reported in books. Indeed, acupuncture’s effectiveness in treating tinnitus relies on the electric stimulations promoted by the needles, which initiates action potentials to rebalance the body’s systems. 

A study to determine acupuncture efficacy to reduce tinnitus symptoms was performed in 105 patients. This study compared the effects of two types of acupuncture, verum acupuncture and sham acupuncture, for five weeks, twice weekly. In addition, the study used the Tinnitus Handicap Inventory (THI) questionnaire and the visual analog scale to measure the treatment’s efficacy.

THI: 

The Tinnitus Handicap Inventory is a survey of 25 questions that are answered by the patient with a scoring system of 3 options:

Yes (4 points)

Sometimes (2 points) 

No (0 points)

After answering the 25 items, the points are added, and the result classifies the degree of tinnitus as grade 1 (0–16 points), grade 2 (18–36 points), grade 3 (38–56 points), grade 4 (58–76 points), or grade 5 (78–100 points). This survey is associated with the quality of life of the patient.

VSA

The Visual Analog Scale is a verbally administered scale to determine the degree of discomfort caused by tinnitus. It is ranged by scores starting with 0, indicating no discomfort, up to 10, which means an unbearable amount of pain.

Furthermore, this study reported that the group with the lowest THI and VAS scores was the one who received verum acupuncture. Additionally, this study reported a three-month follow-up, which determined that the tinnitus symptoms increased after stopping the acupuncture sessions.

One of the most exciting findings in tinnitus acupuncture treatment is that the VAS score decreases from 9.56 to 2.88. This same finding is reported by many authors who used the THI score in their studies. Nevertheless, this study concluded that acupuncture therapy is highly effective in reducing tinnitus symptoms, and it can potentially increase the patient’s quality of life. However, the changes promoted by this treatment are temporary and seem to diminish over time. 

Ginkgo biloba:

Over time pharmaceutical treatments have been used to diminish the severity of tinnitus. Indeed, medications like calcium channel blockers, vasodilators, muscle relaxants, anticonvulsants, antihistamines, anesthetics, and even barbiturates form part of the tinnitus treatment. However, these medications have shown little to no effects when compared with placebo. 

Once again, the lack of an etiology makes tinnitus hard to treat. However, new research has pointed to oxidative stress as one of the proposed mechanisms for the development of tinnitus. In addition, the increase of glutamate as an excitatory neurotransmitter in combination with neurotoxicity leads to the inflammation and necrosis of dendrites. Consequently, dendrite damage and inflammation of the afferent cochlear Corti organ cells is due to the production of free radicals.

The literature strongly supports the use of Gingko Biloba to treat tinnitus due to its varied bioactive constituents such as phytochemicals including alkanes, lipids, sterols, benzoids, carotenoids, phenylpropanoids, carbohydrates, flavonoids, and terpenoids. Furthermore, the Gingko Biloba acts like a monoamine-oxidase inhibitor (MAOI), improving tinnitus symptoms caused by ischemia. This mechanism of action is mainly due to myricetin, quercetin, ginkgolide, and bilobalide terpenoids. In conclusion, Gingko Biloba can reduce tinnitus symptoms by regulating vascular tone, and it acts as a scavenging agent of primary and secondary free radicals.

Despite all the medical research in tinnitus, no recommended treatment can reduce all the symptoms. Indeed, this is associated with tinnitus being a multifactorial disease and should be carefully evaluated to determine its treatment. The conclusion of many experts on this topic determines that the treatment should be a combination of sustainable and secure treatments. Therefore, Ginkgo Biloba and acupuncture studies can be used together to improve tinnitus outcomes in a conservative measure. – Ana Paola Rodríguez Arciniega, MS

References:

Mahmoudian Sani, M. R., Hashemzadeh-Chaleshtori, M., Asadi-Samani, M., & Yang, Q. (2017). Ginkgo biloba in the treatment of tinnitus: An updated literature review. International Tinnitus Journal, 21(1), 58-62.

Kuzucu, I., & Karaca, O. (2020). Acupuncture Treatment in Patients with Chronic Subjective Tinnitus: A Prospective, Randomized Study. Medical acupuncture, 32(1), 24–28. https://doi.org/10.1089/acu.2019.1367

Additional Online Links & Resources (Available 24/7)

Online Appointments or Consultations: https://bit.ly/Book-Online-Appointment

Online Physical Injury / Accident Intake Form: https://bit.ly/Fill-Out-Your-Online-History 

Online Functional Medicine Assessment: https://bit.ly/functionmed

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*

Stress is part of our lifestyle, and it is also a phenomenon that is crucial for our development, survival, and “fight-or-flight” response. As a matter of fact, stress was developed as a protective mechanism to respond to a potentially dangerous situation or environment. However, stress is a constant factor in our daily lives.

It can establish complicated health issues that correspond with physiopathology of cardiovascular heart disease, panic attacks, impaired memory and cognition, hypertension, digestive problems, and even autoimmune disorders.

Furthermore, stress modulation by the hypothalamic-pituitary-adrenal (HPA) axis, heat shock proteins (Hsp70), stress-activated c-Jun N-terminal protein kinase (JNK-1), cortisol, and nitric oxide (NO) can be controlled with the use of adaptogens. Indeed, adaptogens such as Ashwagandha can interact with several molecular pathways to regulate the endocrinological balance and reduce the detrimental effects of stress on our wellbeing.

Mechanisms of the stress response.

Any form of external stimuli can initiate the stress response. However, the physiological mechanism is mediated by the HPA axis.

The physiological response to stress starts with stimuli that are perceived by the hypothalamus. These stimuli can be:

• Traumatic stimuli.
• Emotional or psychogenic stimuli.
• Diurnal rhythm.
• Pressure sensitivity.
• Pro-inflammatory cytokines or inflammation.

Once the hypothalamus recognizes these stimulants, the corticotropin-releasing hormone (CRH) secretion starts a downstream reaction through the HPA-axis. Following this first signal, the pituitary gland releases adrenocorticotropic hormone (ACTH) to promote the secretion of adrenal glucocorticoids like cortisol.

This mechanism is far more complicated since gamma-aminobutyric acid (GABA) and serotonin seem to have a critical role in releasing CRH from the hypothalamus. In addition, the interplay of an inflammatory milieu consisting o an elevated concentration of IL-1, IL-2, IL-6, and inflammatory mediators like TNF-a can influence the secretion of CRH.

Once the stress response starts, we can expect behavioral and physiological adaptation changes.

Behavioral Adaptation

• Altered cognition and attention span level 

• Increased alertness

• Altered sensory threshold

• Sharpened memory and sensation

• Stress-induced analgesia

• Suppression of feeding behavior

• Suppression of reproductive behavior 

Peripheral Adaptation

• Oxygen and nutrients directed to the CNS and stressed body sites 

• Detoxification from toxic products

• Altered cardiovascular tone

• Containment of the stress-response 

While the adaptative effects of stress might seem varied, they are too good to be true since a chronic state of stress might develop depression, accelerate cognitive aging, metabolic syndrome, impaired reproductive function, growth retardation, and interference of cell-mediated immunity. These before mentioned complications are due to an excess of circulating cortisol that impairs the role of multiple tissues and systems. Therefore, it is crucial to modulate cortisol secretion to prevent these stress-associated conditions.

Ashwagandha 

The Ashwagandha root is an adaptogen from traditional Ayurvedic medicine. This root is a member of the Solanaceae family and has a long history of use as a vitality improver, as it is used to eradicate fatigue. 

Nowadays, studies with Ashwagandha prove that it has multiple health benefits like reducing inflammation, neuroprotective, adaptogenic, memory-enhancing, sleep-inducing, and anxiolytic properties. Furthermore, in animal studies, the use of Ashwagandha improved the stress response, reduced free radical induced-oxidative stress while being safe and well-tolerated.

In human studies performed in obese adults, Ashwagandha improved mental wellbeing, eating behaviors, and reduced stress by maintaining endocrinological balance, including adequate testosterone concentrations.

Recently a study performed over eight weeks in patients with anxiety and stress treated with different concentrations of Ashwagandha root reported exciting results. Furthermore, this study used two different doses of Ashwagandha and compared the results to a placebo-controlled group. In this study, the group treated with Ashwagandha 250mg/day showed a statistically significant reduction in stress levels, better sleep patterns, and lower serum cortisol. However, when these results were compared against the placebo-controlled group, the anxiety reduction was not significant. In addition, those subjects receiving 600mg/day of Ashwagandha had substantial improvements in stress, anxiety, and a statistically significant improvement in sleep quality.

Improving stress management and sleep quality are basic mechanisms to enhance our wellbeing. Indeed, applying alternative aid to downregulate the stress mechanism doesn’t only make us feel good. Still, in the long run, it lowers anxiety, depression, improves hormonal transport and sensitivity, which translates to better reproductive mechanisms. Consequently, keeping cortisol levels under control results in better metabolic health and increases bone density and muscle mass, which is also improved by a healthy sleep pattern. These simple improvements ensure a good quality of life, promote mobility, and potentially have beneficial effects on back pain. – Ana Paola Rodríguez Arciniega, MS

References:

Salve, Jaysing et al. “Adaptogenic and Anxiolytic Effects of Ashwagandha Root Extract in Healthy Adults: A Double-blind, Randomized, Placebo-controlled Clinical Study.” Cureus vol. 11,12 e6466. 25 Dec. 2019, doi:10.7759/cureus.6466

Johnson, E O et al. “Mechanisms of stress: a dynamic overview of hormonal and behavioral homeostasis.” Neuroscience and biobehavioral reviews vol. 16,2 (1992): 115-30. doi:10.1016/s0149-7634(05)80175-7

Additional Online Links & Resources (Available 24/7)

Online Appointments or Consultations: https://bit.ly/Book-Online-Appointment

Online Physical Injury / Accident Intake Form: https://bit.ly/Fill-Out-Your-Online-History 

Online Functional MedicineAssessment: https://bit.ly/functionmed 

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*

When a machine isn't working correctly because the mechanism's parts have slipped, shifted, become loose, and are on the verge of breaking down, an expert/professional is called in to repair the damaged parts. The same can be said of the spine. From all the movement at home, work, shopping, activities the spine also compresses and falls out of place becoming misaligned. That's when individuals need to call a chiropractor to repair/realign the spine. The spine is an integral component of the body's functionality and health. This includes:

• Structure
• Support
• Flexibility
• Shock absorption
• Protection of the neural tissues

Healthy Spinal Alignment

For the spine to operate at its best proper alignment is necessary. The spine is impacted by everyday activities that shift, jolt, bounce, and stress the spine. Exacerbating the regular wear and tear includes:

• Poor posture
• Awkward movement
• Injuries
• A poor diet that causes inflammatory responses

Spinal misalignment disrupts the essential functions that can lead to illness/disease. Some simple ways to assess individual spinal alignment.

• The ears, shoulders, hips, and knees should be aligned with each other. From side to side when facing straight forward
• Spinal rotation can be assessed by bending forward and touching the toes. Have a mirror or someone to look for a rib hump that is also used in scoliosis screening
• The head, shoulders, and spinal curves align from the side in general creating an S shape

Every individual’s spine varies significantly. This is why a professional chiropractic examination, diagnosis, and customized treatment plan will maximize spinal alignment and overall health.

Chiropractors are the Expert Repair Specialists

Chiropractors are specially trained at spotting spinal misalignment/s and repair. This is done non-invasively through manual adjustments and mobilization techniques. When the spine is in optimal alignment it will prevent and activate the body's natural healing abilities. Once spinal alignment is achieved the chiropractor can help maintain proper alignment with exercise, health coaching, lifestyle adjustments, and nutrition to maximize individual health.

Body Composition

A partner, spouse, friend, co-worker, professional for maintaining health

Finding someone to share the highs and lows during an individual's health journey will significantly help relieve stress and continue to be motivated. It can be a spouse, best friend, coworker, or licensed professional. When an individual vocalizes their thoughts and feelings, they gain confidence in their ability to handle whatever comes their way. This is an individual that will help navigate the negative emotions by listening and providing advice and encouragement. Take some time every week to share successes, failures, goals, etc. Whatever comes to mind to just get it out there so it can be evaluated and broken down into manageable parts. The great thing about sharing is that it can inspire positive changes.

Disclaimer

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

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

References

Diebo, Bassel G et al. “Sagittal alignment of the spine: What do you need to know?.” Clinical neurology and neurosurgery vol. 139 (2015): 295-301. doi:10.1016/j.clineuro.2015.10.024

Caprara, Sebastiano et al. “Spinal sagittal alignment goals based on statistical modeling and musculoskeletal simulations.” Journal of biomechanics vol. 102 (2020): 109621. doi:10.1016/j.jbiomech.2020.109621

Senzon, Simon A. “The Chiropractic Vertebral Subluxation Part 10: Integrative and Critical Literature From 1996 and 1997.” Journal of chiropractic humanities vol. 25 146-168. 6 Apr. 2019, doi:10.1016/j.echu.2018.10.008