Sciatica "The Scourge & The Treatments"
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Sciatica "The Scourge & The Treatments"
At times the pain seems as if a scourge has befallen upon my back, hip and leg, its victim reveals...... For this very reason, Dr. Alex Jimenez discusses sciatica, a common and frequently reported series of symptoms affecting a majority of the population. Sciatica pain can vary widely. Sciatica occurs when there is pressure or damage to the sciatic nerve, a nerve found in the lower back which runs down the back of each leg as it controls the muscles of the back of the knee and lower leg. It also provides sensation to the back of the thigh, part of the lower leg, and the sole of the foot. Dr. Jimenez explains how sciatica and its symptoms can be relieved through the use of chiropractic treatment. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444. http://bit.ly/chiropractorSciatica  
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Sciatica Fitness and Chiropractic A Win-Win! | Wellness Doctor Rx | Call: 915-850-0900 or 915-412-6677

Sciatica Fitness and Chiropractic A Win-Win! | Wellness Doctor Rx | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Because sciatica is an inflammatory condition, with the sciatic nerve specifically being the target, sciatica fitness and exercise is one of the first recommendations from chiropractors. Sciatica is a series of symptoms from a variety of underlying medical causes and condition/s. This could be:

 

  • Too much sitting, which most of us are doing these days
  • Work injuries
  • Automobile accident injuries
  • Sports injuries
  • Awkward movements/motions that pulled the sciatic nerve in the wrong direction
  • Twisted sciatic nerve with other muscles
  • Back and leg muscle spasms
  • Herniated disc
  • Degenerative disc disease
  • Hernia

 

A Proper/Correct Diagnosis Is Essential

A correct diagnosis of the cause is essential to help the chiropractor formulate a customized optimal treatment plan. Individuals can experience the same symptoms across the board, however, despite the similarities, sciatica requires a careful, customized precision approach to treatment. An ideal treatment plan often requires a very specific exercise regimen and chiropractic adjustment schedule. Therefore, there is no one-size-fits-all solution.

 

Sciatica can be treated effectively with the right chiropractic approach with a high success rate for alleviated symptoms. Effectively treating sciatica requires direct treatment to the specific cause, rather than using techniques that only mask the pain. Example: If a herniated disc is the root cause, sciatica can be relieved by reducing the bulge of the disc, thus bringing down the irritation/inflammation and compression of the sciatic nerve.

 

Sciatica treatment/s depends on the cause

A stretching regimen for sciatica caused by a low back herniated disc will be different than stretches for treating low back spinal stenosis. Understanding how sciatica is the key to unlocking a treatment plan that will work to minimize pain and inflammation.

 

Exercise Can Help

Exercising and sciatica fitness will help relieve sciatic pain in various ways. These include:

 

  • Alleviates the pressure on the sciatic nerve
  • Helps reduce inflammation
  • An increase in cortisol produced during exercise can reduce inflammation
  • Improves the range of motion, which reduces stress on the spine
  • Higher activity levels generate adrenaline and endorphins, to help combat the pain

 

Specific exercises/stretches need to be done that target the sciatic nerve and the root cause. Working with a chiropractor will bring an understanding of specifically how the body should be worked out, the intensity of the workout, and where on the body the focus should be.

 

For example, if the nerve is irritated from a pelvic tilt and low back compression, a chiropractor could recommend a minimal cardio workout with combined strength exercises for the hamstrings, glutes, and lower body. A strength and conditioning regimen will increase stability in the lower body, prevent pelvic tilt, and reinforce the chiropractic adjustments/alignment.

 

Chiropractic Benefits

However, sciatica fitness and exercise on its own is not the complete solution for dealing with chronic sciatic pain. Chiropractic adjustments along with chiropractic prevention are necessary to restore the stability and integrity of the spine. When used in combination with exercise, the re-alignment and corrections can take effect sooner and maintain optimal spinal health. When individuals condition and strengthen their body, The musculature that supports the spine gets massive reinforcement. This minimizes the chances of a reoccurring pelvic tilt from weakened core muscles. The long-term effects of sciatica fitness/exercise and chiropractic spinal/hip manipulation work together to form a perfect combination.

 

Sciatica Fitness

For truly long-term effects of pain relief and a better quality of life, a chiropractic treatment plan is highly recommended. Specific targeted adjustments and re-alignment with a sciatica fitness program will promote optimal health and wellness.

 

Reduce Low Back Pain With Foot Orthotics 

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

 

References

 

Beavers, Kristen M et al. “Effect of exercise training on chronic inflammation.” Clinica chimica acta; international journal of clinical chemistry vol. 411,11-12 (2010): 785-93. doi:10.1016/j.cca.2010.02.069

 

Coulombe, Brian J et al. “Core Stability Exercise Versus General Exercise for Chronic Low Back Pain.” Journal of athletic training vol. 52,1 (2017): 71-72. doi:10.4085/1062-6050-51.11.16

Dr. Alex Jimenezs insight:

Sciatica is an inflammatory condition, with the sciatic nerve being the target, sciatica fitness is recommended from chiropractors. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677 

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Sciatica or Aneurysm, A Deadly Mistake! | Call: 915-850-0900 or 915-412-6677

Sciatica or Aneurysm, A Deadly Mistake! | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Sciatica or Aneurysm? Knowing how a missed diagnosis could be potentially fatal if not diagnosed accurately could be a deadly mistake! Doctors must not fall for a sciatica diagnosis when a possibly fatal iliac artery aneurysm lies looming and progressing.  

 

Sciatica or Aneurysm

An example is a patient who visited an emergency clinic after a few weeks for a non-painful pulsing mass on the buttock. There was no:

 

  • Trauma
  • Injury
  • Back pain
  • Leg pain
  • Prior presentations of pain or sciatica issues

 

physical examination found a small pulsing mass on the right buttockPalpation around the site found no issues with the sensory and motor nerves.  

 

An ultrasound scan of the affected area revealed a developing aneurysm. This was followed by a CT scan of the abdomen along with the pelvis using a contrast dye found the aneurysm developing from the left internal iliac artery. If the mass was not present a doctor could easily diagnose sciatica or persistent sciatic artery. If the iliac artery presents with pulsating lesions is a tip-off that a vascular issue could be impinging on the sciatic nerve. Vascular surgery was discussed with the patient. Surgery was necessary, and the patient underwent sciatic aneurysm repair. The patient was discharged without any complications.  

Persistent Sciatic Artery

This is a very rare congenital vascular condition. The sciatic artery runs along the sciatic nerve and functions as the major blood supply to the lower extremities. During human embryo development, the femoral artery begins to form while the sciatic arteries start to return to a less developed state. The process continues until the femoral artery takes over as the major blood supply, with only bits of the sciatic artery left.

 

Persistent sciatic artery can happen either from the sciatic artery not returning to its original size or during normal development the femoral artery developing properly. Most cases of persistent sciatic artery go unknown and are usually detected from another examination for another ailment. Aneurysms often develop based on the arteries/vessel's tendency for minor trauma/injury when sitting or some form of pressure is applied on the site. Complications include:

 

 

vascular surgeon should be consulted. Treatment options include:

 

  • Surgical exclusion of the aneurysm
  • Surgical excision of the aneurysm
  • Endovascular stenting
  • Endovascular coiling

Vascular Conditions In The Leg/s That Can Present As Sciatica

The legs' blood vessels can get infected, bulged, ruptured, or blocked. This can cause sciatica symptoms, like leg pain, weakness, tingling, and numbness. Severe cases could require medical emergency surgery to save the affected limb.

 

Acute Limb Ischemia

This condition occurs from a decrease or loss of blood supply to the legs. If there is leg pain, it could feel similar to sciatica pain. However, symptoms can progress rapidly and become severe. That's when it is not sciatica. Acute limb ischemia present one or more of the following symptoms:

 

  • Pain and/or numbness in the leg while walking and when resting
  • Severe pain at night
  • Sleep problems
  • Pain relief when sitting on a chair with the feet hanging down
  • Feet and ankles become swollen
  • pale color and lowered skin temperature over the toes and feet when compared to the legs

 

Acute limb ischemia can develop from an aneurysm, blood clot, or from the thickening of the vessel walls. Treatment should be prompt in order to preserve leg function. Differentiation diagnosis between vascular and other causes like spinal problems that can cause leg pain. A doctor may perform an Ankle/Brachial Index which is a comparison of blood flow in the arms versus the legs. This can be critical in determining if there is vascular insufficiency. 

 

Acute Compartment Syndrome

This places increased pressure in the muscle tissues of the leg. It can lead to loss of blood supply in and around the affected area. The sciatic nerve can also get compressed from the increased pressure in the buttock, thigh, or leg. The condition can cause pain, numbness, and weakness in the buttock, thigh, and leg. Individuals have also reported an unusual/altered sensation in the web of the great toe. This is similar to sciatica, as well as one or both legs can be affected. Differentiating symptoms include:

 

  • Leg becomes swollen
  • Pain and tenderness present when touching the leg
  • A pale color and lowered skin temperature over the leg
 

Acute compartment syndrome is a serious condition that is considered a medical emergency. It is possible for the condition to cause complete dysfunction of the limb if not addressed in time. There are risk factors that increase the chances of developing limb ischemia or compartment syndrome. These are:

 

  • Diabetes
  • Heart conditions
  • High cholesterol
  • Smoking
  • History of having the condition can also cause a recurrence. This can be from an injury or poor health.

 

Kidney stones, renal failure, or cysts in the kidney can also cause back and leg pain. Other symptoms can include blood in the urine or difficulty urinating. Any sign of distressing symptoms that present with sciatica can indicate the need for medical attention. This is to check for the possibility of a serious underlying condition or medical emergency. Medical emergencies that are treated in time can help preserve the tissue/s, restore function, and save an individual’s life.

 

It is essential for a chiropractor or physical therapist to be familiar with diagnosing in a way that will help identify sciatica or aneurysm in individuals presenting with musculoskeletal issues/problems. Knowledge of these risk factors, understanding how to screen for non-musculoskeletal symptoms, basic competence in palpation, and how to interpret findings will help discover sciatica or aneurysm if it is there and begin timely treatment. And if it is not there then a sciatica treatment plan can be developed before it worsens.

 

Sciatica Pain Treatment

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

References

 

  1. Javdanfar A, Celentano C. Sciatic artery aneurysm. West J Emerg Med. 2010;11(5):516-517.
Dr. Alex Jimenezs insight:

Sciatica or Aneurysm? Knowing how a missed diagnosis could be potentially fatal if not diagnosed accurately could be a deadly mistake! For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Sciatica Chiropractic Diagnosis Specialist and Abdominal Aortic Aneurysm | Call: 915-850-0900 or 915-412-6677

Sciatica Chiropractic Diagnosis Specialist and Abdominal Aortic Aneurysm | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Finding the right sciatica chiropractic specialist to diagnose the cause especially, when it is an abdominal aortic aneurysm can be a challenge. There can cause diagnostic confusion with the root cause never being discovered or identified. Fortunately, Dr. Jimenez is a sciatica specialist with over 30 years of experience in differential sciatica diagnosis, and treatment.

 

Sciatica Chiropractic Specialist Diagnosis

 

Diagnostic Tools

 

Abdominal aneurysms are usually discovered for another ailment like a hernia or for routine tests like an ultrasound of the heart or stomach. Diagnosis of an abdominal aneurysm depends on the condition, medical and family history, and the physical examination. If a doctor or sciatica chiropractic specialist suspects an aortic aneurysm, then specialized tests will help with a confirmation.

 

Ultrasonography

 

The simplest and most used diagnostic test is ultrasonography. It utilizes sound waves for diagnostic purposes that send the recorded images to a monitor. It gives an accurate assessment of the size and location of the aneurysm. The patient will lie on a table while a technician moves a wand around the abdomen.

 

Computed tomography CT scan

 

This test is often used in conjunction with ultrasonography if more data/info is needed. Usually, this is to determine the exact location of the aneurysm in relation to the visceral or renal arteries. It provides cross-sectional detail with clear images of the aorta and can detect the size and shape. The patient lies on a table inside a machine. A contrast dye could be injected into the blood vessels to make the arteries more visible on the images known as CT angiography.

 

Magnetic Resonance Imaging

 

Magnetic resonance imaging or MRI uses a magnetic field and radio wave energy pulses to record images of the body. The patient lies on a table that slides into the imaging compartment. Contrast dye can also be injected into the blood vessels to make the images more visible known as magnetic resonance angiography.

 

Emergency Symptoms

 

Certain symptoms can indicate an emergency. The conditions are rare, but it is very important to seek medical attention should any of these symptoms present with back pain:

 

  • Severe abdominal pain
  • Fever out of nowhere
  • Bowel and/or bladder incontinence
  • Loss of or an unusual sensation in the groin, as well as the legs and possibly into the foot
  • If back pain presents after an injury medical care is recommended to check for damage/injury to the spine.

 

Abdominal Aneurysm Symptoms

 

Abdominal aneurysms often don’t present any symptoms, which is why individuals go through their days unaware, and when back pain does present a doctor may only focus on the back pain symptoms and not the cause, leaving the aneurysm to continue to develop and worsen. Aneurysms do occur in women but are more common in men and those ages 65 and older. The main cause is atherosclerosis which is a hardening of the arteries. But injury and infection can also cause an aneurysm. Those with symptoms can include:

 

  • Throbbing pain around the back or side
  • Deep pain in the back or side
  • Pain in the buttocks, groin, or legs
  • Sciatica symptoms

 

The Sciatic Connection

 

diagnosis of the root cause of the sciatica is crucial for developing an effective treatment plan to alleviate the sciatic pain. If an aneurysm is present then referring the individual to the proper aortic aneurysm repair specialist is a top priority. If sciatica is suspected, a doctor or chiropractor will review medical history and perform a physical examination. Medical imaging tests and diagnostic nerve blocks could be used if necessary. Sciatica pain usually follows the dermatome or areas of the skin that is supplied by the sciatic nerve. The pain can also include deeper tissues called dynatomes.

 

Physical examination

 

During a physical examination, the sciatica chiropractic specialist will look for various responses when:

 

  • Straightening the leg with movements that elongate the nerve
  • Gently pressing the toes or calf area
  • Seeing if there is any type of pain associated with these movements in the low back, buttock, thigh, leg, and foot

 

Sciatica Clinical Tests

 

Two examples of clinical tests for sciatica include:

 

Straight leg raise - SLR

 

The patient lies on their back and the chiropractor lifts one leg at a time with the other leg remaining flat or bent at the knee. If pain presents while lifting the affected leg this is usually an indication of sciatica.

 

Slump

 

The patient sits upright with their hands behind their back. The patient then bends/slumps forward at the hips. The neck bends down with the chin touching the chest and one knee is extended as far as possible. If pain occurs in this position, sciatica could be present.

 


These tests could possibly be positive only when the nerve is mechanically compressed. Other causes like inflammation or chemical irritation of the nerve might not cause pain when performing these tests. This test could also help reveal a possible abdominal aneurysm as abdominal pain could present.

 

Chiropractic Sciatica Treatment

 

Manual manipulation improves the alignment of the spine. This technique helps address the underlying condition/s that can cause sciatic nerve pain, like herniated discs or spinal stenosis. Manual manipulation also creates an optimal healing environment. An aortic aneurysm specialist could work with a sciatica chiropractic specialist to help with spinal realignment if the aneurysm caused any kind of shifting or slipping of the discs along with releasing the sciatic nerve if it is compressed.

 

Massage Therapy

 

Massage therapy like deep tissue massage can also have benefits. Massage:

 

  • Improves blood circulation, which also creates an optimal healing response in the body
  • Releases toxins in the low back muscles that spasmed or knotted up
  • Relaxes tight muscles that could be contributing to the pain
  • Releases endorphins or the hormones that function as the body's natural pain relievers

 

Sciatica Specialist

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

Finding the right sciatica chiropractic specialist to diagnose the cause especially, when it is an abdominal aortic aneurysm. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Abdominal Aneurysm Can Present With Sciatica and Low Back Pain | Call: 915-850-0900 or 915-412-6677

Abdominal Aneurysm Can Present With Sciatica and Low Back Pain | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

An abdominal aortic aneurysm is an enlarging of the lower portion of the aortic artery that resides in the abdomen. The aorta is the body’s main artery that supplies blood to the body and stretches from the heart down into and through the abdomen. The abdominal aorta is the part that sits within the abdomen. It is below the kidneys and in close proximity to the front of the spine. Because of this closeness sudden intense pain can be felt in the lower back along with sciatica symptoms.

 

Abdominal Aorta Function

Its function is to deliver blood from the heart throughout the body. It circulates blood down through the chest and abdomen. Smaller arteries branch off the artery to the different organs and systems of the body.

 

Enlargement/Weakening

If it becomes weak or expands in size, the condition is known as an aortic aneurysm. This condition can cause severe abdominal pain, back pain, sciatica and can lead to artery leakage or rupture. This is when it becomes an emergency. Being the largest blood vessel in the body means that a rupture can cause life-threatening bleeding.

 

Aneurysms can develop anywhere on the artery, but most occur in the abdomen portion. Depending on the size and growth rate, treatment/therapies can vary from observation to emergency surgery. Abdominal aneurysms usually progress slowly without symptoms, making them difficult to detect. However, some abdominal aneurysms never rupture. They can start small and remain the same size while others can expand over time, and others faster.

 

Rupture

A weakened aorta can develop a leak known as a rupture. Blood can also begin to accumulate and pool up between layers in the arterial walls can also lead to rupture known as a dissection. Internal bleeding is the primary complication of an abdominal aneurysm. Loss of blood is considered a potentially fatal medical emergency. Mortality rates increase when the artery leaks. The risk for rupture depends on the:

 

Size

Aneurysms that are smaller than 5 cm in diameter are considered a low risk for rupture. Aneurysms larger than 5 cm are considered high risk. The size is often the best predictor for predicting the chance of rupture.


Growth Rate

Expansion of more than half a centimeter over 6 months is considered accelerated growth and is a high risk. A faster growth rate has been seen in individuals that smoke or have high blood pressureAbdominal pain, lower back pain, sciatica, or other symptoms usually do not present until the artery has ruptured. However, a significantly expanded aneurysm, symptoms similar to a rupture can occur.

 

Symptoms

 

In most cases, the aneurysm develops slowly with no symptoms or minor symptoms like a nagging/gnawing or throbbing sensation in or around the abdomen. This type of aneurysm can be detected from a standard physical exam or from the monitoring of another condition. Symptoms depend on the location and can include some combination of the following:

 

  • Deep, constant pain in the abdomen or on the side. It could also be a stabbing pain deep inside that is felt between the sternum and the belly button. The pain can be continuous with no relief from rest or adjusting positions. Severe pain can cause individuals to bend over and down.
  • Difficulty standing or the ability to straighten the upper body.
  • Low back pain caused by the abdominal pain radiating/spreading out into the lower spine from the aorta’s closeness to the spine. The pain can also spread to the groin, pelvis, and legs.
  • Sciatica symptoms typically come from low back pain.
  • pulse near or around the bellybutton. Tenderness, along with a pulsing sensation can be felt. The pulse can be felt through the skin and could be sensitive to touch or pressure.
  • Blood loss will result in low blood pressure, known as hypotension. This causes lightheadedness, dizziness, nausea/vomiting, blurred vision, and confusion. Symptoms are exacerbated when standing generating the feeling for the need to sit or lie down.
  • Shock symptoms from the internal bleeding. This includes:

 

  1. Sudden and rapid heartbeat
  2. Shallow breathing
  3. Clammy skin
  4. Cold sweats
  5. General weakness
  6. Confusion
  7. Agitation
  8. Anxiety
  9. Loss of consciousness

 

Causes

 

Various causes can be involved in developing an abdominal aneurysm, including:

 

  • Hardening of the arteries known as atherosclerosis. It happens when fat along with other substances build up on the lining of blood vessel/s.
  • High blood pressure can damage and weaken the walls of the aorta.
  • Blood vessel diseases can cause blood vessel inflammation.
  • Aortic infection is rare but a bacterial or fungal infection could cause an abdominal aneurysm.
  • Trauma like being in an automobile accident can cause an aneurysm.

 

Risk Factors

The pathology principally stays asymptomatic until a rupture occurs. This pathology affects mostly men with quite a few risk factors. Risk factors include:

 

  • Men develop abdominal aneurysms more often than women.
  • Smoking is the strongest risk factor. It weakens the aortic walls and increases the risk of developing an aneurysm, and rupture. The longer an individual smokes or chews tobacco, the higher the chances.
  • Individuals aged 65 and older are the most targeted group for this condition.
  • family history of abdominal aneurysms increases the risk.
  • Aneurysm in another blood vessel, like the artery behind the knee or the chest aortic region, could increase the risk.

 

Sciatic Nerve Compression

 

Sciatica is usually caused by compression on the nerve. Spinal and non-spinal disorders are known to cause pain include:

 

  • Low back misaligned vertebral body/s
  • Herniated/bulging/slipped discs
  • Pregnancy/childbirth
  • Spinal tumors
  • Diabetes
  • Constipation
  • Sitting too long

 

Sciatic nerve compression can cause a loss of feeling known as sensory lossparalysis of a limb, or group of muscles known as monoplegia, and insomnia.

 

Proper Diagnosis Is Essential

Because of the many disorders that can cause sciatica, a doctor's first step is to determine the cause. This involves forming a diagnosis based on a thorough review of an individual's medical history, a physical and neurological examination. The sciatic nerve has several smaller nerves that branch off. These smaller nerves enable movement motor function and feeling sensory functions in the thighs, knees, calves, ankles, feet, and toes.

 

If a chiropractor determines the patient's disorder requires treatment by another specialist, then the individual will be referred to the proper doctor. In some cases, the chiropractor could be called upon to continue spinal therapy and help manage the individual's treatment plan with the other specialist/s.

 

Rehabilitation For Sciatica Pain

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

An abdominal aortic aneurysm is an enlarging of the lower portion of the aortic artery that resides in the abdomen. Intense pain can be felt. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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When Sciatica Is Not Spine Related | Call: 915-850-0900 or 915-412-6677

When Sciatica Is Not Spine Related | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

There are other causes of sciatica that are not spine-related. It is sometimes called non-spinal pathology, which means not related to the spine. The most common cause of sciatic pain is a herniated disc. Non-spine-related causes of sciatica can imitate/copy the symptoms of a herniated disc in the low back. When a lumbar herniated disc causes sciatica, people typically report a sudden onset of pain with leg pain worse than any back pain that might be present. In addition to pain in the leg, there are also reports of leg weakness, numbness, and tingling. Leg pain becomes worse after:

 

  • Long periods of sitting/standing
  • Forward bending
  • Body maneuvers that increase pressure in intervertebral discs
  • Coughing
  • Sneezing

 

Individuals also report when lying down and the spine is extended the back pain reduces and alleviates the pain. Determining the source of sciatica pain correctly means that it is important to:

 

  • Characterize the activities leading up to when the symptoms first presented
  • Location of the pain
  • Associated factors that reduce and worsen the pain
  • Medical history

 

Because there are quite a few non-spine-related causes, it can be helpful to keep in mind:

 

  • The way the sciatic nerve runs through the lower body. It starts in the lower lumbar and upper sacral nerve roots. It exits through the pelvis and runs down the back of the thigh to the knee where it branches out into nerves that provide the motor and sensory functions to the legs and feet.

 

  • Non-spinal sciatica causes. Non-spinal causes usually are the result of irritation of the nerve itself. The most common ways to irritate the nerve is compression, traction, or injury.

 

  • Symptoms perceived as sciatica may not be related to the nerve at all. Injury/s to structures close to the nerve, like the hip, can copy symptoms caused by irritation of the nerve.

 

Hip joint disorders can emulate sciatica symptoms

Because the sciatic nerve is close to the hip joint, an injury to the hip could resemble symptoms of sciatica. Whatever the cause of the hip injury, those with hip pathology often report pain in the groin, upper thigh, and buttocks. The pain gets worse with activity, specifically bending, and rotation of the hip.

 

Leg pain that turns into a limp when walking means that more likely the hip, and not the lower back, is the cause of the leg pain. X-rays and if necessary MRIs of the hip can help in determining if the hip is the cause of leg pain. An example of hip pathology that mimics spine-related sciatica:

Hip Osteoarthritis

This is characterized by the loss of cartilage. This results in the narrowing of the ball and socket joint. Individuals with arthritis of the spine and hip, a doctor could use a steroid injection as a therapeutic providing pain relief and a diagnostic to help identify the root cause/pain generator.

Osteonecrosis

The femoral head can collapse from a lack of blood flow. Risk factors include:

 

  • Alcohol abuse
  • Sickle cell disease
  • Chronic steroid use
  • Femoral neck fracture
  • Hip dislocation

Femoroacetabular Impingement

This can stem from constant abnormal rubbing between the femoral neck and acetabulum from a bone deformity of the femur, or the acetabulum. Hip impingement at the joint can start the onset of arthritis along with tears of the labrum. This is cartilage that surrounds the hip joint and provides stability.

Trochanteric Bursitis

There are fluid-filled sacs called bursas/bursae that help decrease friction between the bones, surrounding tendons, and muscles. They are at multiple locations on the body. Bursitis means that the bursa is inflamed and can be quite painful. The greater trochanter is a bony outward bump that extends from the femur. Trochanteric bursitis refers to inflammation of the bursa that separates the greater trochanter with the muscles and tendons of the thigh. Common symptoms are pain on the outside of the thigh that worsens by pressing on the area and can interfere with proper sleep when lying on the affected side.

Femoral Neck Stress Fracture

Incomplete fracture/s of the femoral neck typically occur in individuals that walk or run long distances regularly like runners and soldiers. The pain is usually focused around the groin and can be subtle when it presents. Walking or running makes the pain worse.

Sacroiliac joints and fractures

The sacroiliac joints connect the spine to the pelvis. There are two joints, one on either side of the sacrum. While they are relatively immobile, they go through tremendous force doing routine daily activities. Sacroiliac joint pathology that can mimic spine-related sciatica include:

Sacroiliitis

This is inflammation of the sacroiliac joints. The pain presents in a slow fashion with no obvious injury or cause. The pain is usually localized to the buttocks and can radiate down the back of the thigh. It is believed to be caused by irritation of the sciatic nerve by the inflammatory molecules in the sacroiliac joint or could present as referred pain from the joint. This is pain that is detected in a location other than the area of the pain generator. The pain reduces with light walking.

Sacral Fracture

A fracture of the sacrum can occur in those with a weakened bone after a minor injury and without trauma. Risk factors include:

 

  • Advanced age
  • Osteoporosis
  • Chronic steroid use
  • Rheumatoid arthritis
  • Vitamin D deficiency.

 

The pain usually localizes in the low back that radiates to the buttocks, or groin, and worsens with activity.

Trauma-related

Trauma to the pelvis or thigh can definitely cause sciatica pain and symptoms. With high-energy injuries, it is possible for the nerve roots of the sciatic nerve to get pulled or torn. More common causes include:

 

  • Posterior hip dislocation
  • Pelvic fracture

 

The hamstring muscles are in close proximity to the sciatic nerve. A torn hamstring can irritate the sciatic nerve either through direct compression from the localized bleeding known as a hematoma or from an inflammatory response triggered when the injury happened.

Penetrating trauma

If some sharp object like a tool or shrapnel penetrates any area where the sciatic nerve is, it could cause sciatica by cutting the nerve. Or the object tears the nerve, known as a laceration. Most cases of trauma-induced sciatica result from a mild form of nerve injury known as neuropraxia. This is an injury that temporarily blocks nerve function. Neuropraxia can develop from the shock waves that surround the object as it travels through the tissue.

Benign tumors and metastatic cancer

Discovering cancer during diagnosis for sciatica is rare. Symptoms that increase the possibility of cancer being the cause include:

 

  • Cancer in medical history
  • 50 years and older
  • Leg pain that goes on through the night
  • No relief from lying on the back
  • Night sweats
  • Unexplained weight loss

 

When back pain presents in a subtle fashion without a history of trauma or injury and is not affected by activity or changes in position can also suggest cancer as the cause. Tumors usually cause sciatica by applying direct compression on the nerve. They can be benign or malignant. Tumor/s can arise from the sciatic nerve itself:

 

Shingles

Shingles is a painful rash that occurs on one side of the body. It is caused by the varicella-zoster virus, which is the virus that causes chickenpox. The virus can lie dormant in nerve cells for years without causing any symptoms. Older individuals and individuals with underlying conditions in an immunocompromised state can cause the virus to activate. If the virus reactivates around the buttock and thigh, it can feel like sciatica. The presence of a red rash with blisters around the painful area is consistent with shingles.

Childbirth and endometriosis

During pregnancy, the pelvis can become compressed between the growing baby and the bones in the pelvis. Also, having the hips and knees flexed and supported in stirrups too long can also cause sciatica. However, pregnancy-related sciatica is often temporary.

 

A less common cause that occurs in women is endometriosis. Endometriosis is the growth of tissue somewhere other than the uterus, usually the ovaries and fallopian tubes. In some cases, this tissue can accumulate around the sciatic nerve or the nerve itself. As the tissue responds to the changes taking place during a normal menstrual cycle, recurrent sciatica pain can present.

Vascular diagnoses

Arteries and veins in the pelvis and lower extremities that have become abnormal can cause sciatica. Either through compression or lack of oxygen from poor blood flow. An aneurysm can happen when the wall of the artery weakens and cannot withstand the pressure of the blood flowing through. This enlarges the artery and in some cases, the artery grows large enough to compress the nerve.

 

Peripheral artery disease can cause sciatica when not enough blood is circulated from the heart to the muscles in the legs. If not enough oxygen is delivered to the muscles, leg pain and numbness can occur. It's called claudication and is characterized by pain that is aggravated when walking and relieved when standing still. Risk factors for peripheral artery disease include:

 

  • Smokers both current and those who have quit
  • High blood pressure
  • High cholesterol
  • Diabetic

Diabetes/high blood sugar

Diabetic peripheral neuropathy happens from nerve damage caused by high blood sugar. Nerves that are exposed to chronic high blood sugar can get damaged from the disruption of proper blood flow or from an alteration of the cellular structure of the nerve.

Prescription meds

Nerve and muscle damage can happen as a side effect from prescription meds. Neuropathy and myopathy can cause symptoms that mimic sciatica brought on by disc herniation. Sometimes, if the medication is no longer taken the symptoms go away. The list of medications include:

 

  • Chemotherapy agents
  • Antibiotics
  • Statins medication to help lower cholesterol

Piriformis syndrome and back pocket wallets

The piriformis muscle originates on the sacrum, runs through the sciatic notch, shown above, and attaches the top of the femur. The sciatic notch also includes the sciatic nerve. Piriformis syndrome is caused when the piriformis muscle compresses the sciatic nerve. Individuals typically report pain in the buttocks that shoots down the same leg and is made worse when sitting. Piriformis syndrome can be difficult to diagnose, but physical exam maneuvers have been developed in aiding the diagnosis of the syndrome. They involve some form of hip abduction resistance and external rotation to cause a contraction of the piriformis muscle.

Back pocket wallet

Also known as wallet neuritis, and wallet sciatica are terms that have been used to describe compression of the sciatic nerve by a heavy/bulky wallet in a back pocket. It is similar to symptoms of piriformis syndrome and presents in the buttocks and the same leg that can get aggravated from sitting. Usually, if the wallet is the sole cause, taking the wallet from the back pocket to another pocket or other storage option often brings pain relief.

Conclusion non-spine related causes

While the majority of sciatica cases are caused by a back problem, injury, etc. There are various causes outside of the spinal column. Being able to describe the:

 

  • Location
  • Pain severity
  • Associated symptoms
  • Factors that aggravate and alleviate the pain

 

These can absolutely help your doctor, chiropractor, specialist accurately diagnose and generate an optimal customized treatment plan for spine-related or non-spine-related sciatica.

 

 

Chiropractors & Sciatica Syndrome Expose

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

There are causes of sciatica that are not spine-related. It is sometimes called non-spinal pathology, which means not related to the spine. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Times When Surgery for Sciatica Could Be Necessary | Call: 915-850-0900 or 915-412-6677

Times When Surgery for Sciatica Could Be Necessary | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Surgery for sciatica is sometimes necessary if medications, chiropractic, and physical therapy are not working to relieve sciatica symptoms, but don’t worry. Individuals sometimes have sciatica that just does not respond to conservative treatment can find relief through surgical procedures.

 

Questions begin to pop up, as to which procedure makes the most sense, what will the experience be like, and how long will it be until you can get back to a normal, pain-free life?

Sciatica

Sciatica is pain that runs down the longest nerve in the body, known as the sciatic nerve. Pain starts in the lower back and spreads down one leg, into the calf and possibly the foot. It is rare but sciatica can occur in both legs. The pain is mild to severe and feels worse when sneezing, coughing, bending, and standing/sitting in certain positions. The pain is often accompanied by numbness, tingling, or weakness in affected legs.

 

Sciatica a set of symptoms caused by other medical problems like an injury, tumor, or the most common cause around 90% of the time is a herniated disc in the lower back. The soft-gel center of the disc pushes through the tough exterior, where it can pinch or press on the sciatic nerve causing pain.

 

Research shows that sciatica affects 1% to 5% of the population, and around 40% will experience sciatica at some point in their lifeMen between the ages of 30 and 50 have a higher risk along with smokers, individuals that sit for a long time, and those that perform physically strenuous work. Doctors and chiropractors can diagnose cases of sciatica with a medical history and physical exam. Diagnostic imaging can also be used in some cases.

When it's Time to Consider Surgery for Sciatica

Most individuals with sciatica respond positively with non-surgical treatments like chiropractic, physical therapy, acupuncture, medication, spinal injection/s, etc. This makes spine surgery a rarely needed treatment for low back and leg pain caused by sciatic nerve compressionBut there are situations when surgery for sciatica could be beneficial.

 

  • With bowel or bladder dysfunction, this is also rare, but it can happen with spinal cord compression and cauda equina syndrome.
  • Spinal stenosis, where the doctor believes that surgery is the best approach.
  • There are neurologic dysfunctions like severe leg weakness
  • Symptoms become severe and non-surgical treatment is no longer effective

 

There are different types of surgical procedures for spine surgery. A spine surgeon will recommend the best approach for each patient's sciatica. Which procedure they recommend will be based on the disorder causing sciatica with the entire procedure clearly explained so that you understand completelyAsk any questions to better understand the surgeon's recommendation. Remember, the final decision is always up to you. A second opinion is recommended before deciding.

 

Sciatica usually goes away on its own with the majority of cases managed with conservative treatment. Depending on the cause, this could be heat or ice packs, chiropractic, therapeutic massage, pain medication, stretching exercises, physical therapy, or injections.

Sciatica for Surgery Options

Surgery for sciatica is performed to relieve the added compression/pressure on the nerves and relieve the pain. Options include a microdiscectomy and laminectomy. Each has its similarities and differences when it comes to the preparation, process, and recovery for the operation.

Microdiscectomy

During a microdiscectomy, part or all of the herniated disc is removed. Research has shown the effectiveness of relieving pain to be around 80 to 95 percent of patients. The operation is done in a hospital or surgery center and requires about one hour to complete. General anesthesia is administered during this procedure.

 

  • A surgeon will make an incision over the affected disc.
  • Skin and tissue covering the disc will be opened and moved for better access. Some of the bone could be taken out as part of the procedure called a laminotomy.
  • The surgeon will use various tools to remove all or part of the herniated disc.
  • Once the removal is done, the surgeon will close the incision and send you to a recovery room.
  • To quicken the healing process patients are encouraged to start walking within hours of the procedure.
  • Most go home the same day. Some patients will have to stay at the hospital for observation. This could be from other conditions present.
  • You will not be allowed to operate a vehicle the same day. Therefore a designated driver will be necessary.

Laminectomy

Preparation for a laminectomy is similar to a microdiscectomy. The lamina is the back part of the vertebrae, which protects the spinal canal. This procedure relieves pain by creating space for the nerves to move around.

 

  • The procedure takes about one to three hours from start to finish.
  • Both sides of the laminae are removed, along with the spinous process in the middle.
  • The patient lies face-down as the surgeon makes an incision near the affected vertebrae.
  • Skin and muscles are moved around and various tools/instruments are used to remove all or part of the lamina. Overgrowth of bone or spinal disc could also be removed.
  • The incision is stitched or stapled, bandaged, and sent to a recovery room.
  • Just like a microdiscectomy the individual will be encouraged to begin walking the same day.
  • Most individuals leave the hospital after surgery, however, a one to possible three-night could be required for others.
  • A driver does need to be designated for the ride home.

 

microdiscectomy is recommended for stenosis caused by a herniated disc. However, if the stenosis is caused by another health issue/condition like bone spurs developed from arthritis, then a laminectomy could be the best approach. Laminectomies are usually performed on individuals in their 50s or 60s. While micro discectomies vary when it comes to age but are usually performed on younger individuals.

Recovery

At home, post-op rules need to be followed no matter what surgery for sciatica was performed. The incision area needs to stay clean and no lifting of heavy objects, bending and sitting for extended times. Surgery for sciatica is considered safe with complications being uncommon. All operations come with risks. These include nerve damage, blood clots, and infection.

 

The provider needs to know about unusual symptoms after the procedure. This could be fever, excess drainage, or pain around the incision area. Pain meds could be prescribed to ease the post-surgery pain, and chiropractic along with physical therapy could be implemented to speed recovery. Individuals are typically cleared to return to work two to four weeks after the procedure. It could be six to eight weeks if their job/occupation is physically demanding and strenuous.

 

Depending on how complex the spine surgery is an individual could be sitting upright the same day and walking within 24 hours. A course of pain meds could be prescribed to help manage postoperative pain. Instructions will be given on how to sit, rise, get out of bed, and stand in a careful manner. The body needs time to heal, so a doctor could recommend activity restriction. This could be anything that moves the spine too much. For sure contact sports, twisting, or heavy lifting during recovery are to be avoided. Report any problem/s like fever, increased pain, infection right away.

Spine Surgery Relief

Many individuals benefit from sciatica surgery, but it doesn’t work for everyone. A small percentage of individuals continue to feel discomfort in the weeks/months after. And sciatica can return in the future and in a different location. Your healthcare provider can help you decide if surgery for sciatica is the right choice for you.

 

 

Treating Severe & Complex Sciatica Syndromes

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

Surgery for sciatica is sometimes necessary if medications, chiropractic, and physical therapy are not working to relieve sciatica symptoms. Individuals sometimes have sciatica that just does not respond to conservative treatment can find relief through surgical procedures. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Auto Accidents Caused by Sciatica Delayed Braking Time Part 1 | Call: 915-850-0900 or 915-412-6677

Auto Accidents Caused by Sciatica Delayed Braking Time Part 1 | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Research has found that individuals with disc herniation/s can have a delayed braking time when driving. After undergoing surgery these individuals showed significant improvement in braking time.

 

Based on this information Dr. Jimenez looks at how individuals with functional sciatica, (often caused by a herniated disc) meaning they can move and operate a vehicle to a certain point without generating pain, however they often put themselves in extreme/awkward positions just to operate, could also have a delay in brake reaction time

Sciatic Nerve

The sciatic nerve is a large nerve that travels from the lower back down both of the legs and into the feet. Sciatica begins in the low back. The nerve roots in the lower spine come together and turn into the sciatic nerve. Sciatica happens when these nerves get pinched/compressed. This usually occurs from a herniated disc or when the spinal canal narrows called stenosis.

Symptoms

Typically, sciatica causes:

 

  • Pain in the leg/s
  • Shooting pain that goes down from the low back, through the leg, calf and sometimes into the foot
  • Electrical pain running/shooting down the leg
  • Burning pain
  • Pain from slight movement
  • Numbness
  • Weakness

 

A car accident can cause sciatica, but now it seems that sciatica can cause an automobile accident because of delayed braking reaction time. People with sciatica that is present without pain often say there is a constant non-painful tingling, numbness, or numbing sensation along the leg that lets them know the sciatica is still there.

 

This could be insufficient blood flow from wherever the impingement is happening. Keep in mind that there could be multiple areas of impingement. Just like the slow blood flow, they may find when they drive the impingement slows the motor-sensory signal and braking time to depress the brake pedal fast enough to avoid a collision.

Nerve Treatment

Sciatica can be treated non-surgically with:

 

  • Chiropractic
  • Physical therapy
  • 24 to 48 hours of rest
  • Over the counter pain relievers like ibuprofen or acetaminophen
  • Muscle spasms can be treated with heat or ice

 

Patients with sciatica feel better with time, usually a few weeks. However, if pain continues, other forms of treatment can be discussed. A doctor or chiropractor may advise light exercise and therapeutic stretching. As recovery progresses they may give you exercises to strengthen the back and core.

 

With new automobiles implementing automatic braking systems has helped significantly reduce accidents, however, there are still bugs to sort out. This is normal with these computerized systems. Reliance upon these systems, especially those with sciatica, herniated, or bulging disc/s, could be a dangerous combination, specifically when it comes to braking reaction time.

 

 

Sciatica Pain Chiropractor

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

Research has found that individuals with disc herniation/s can have a delayed braking time when driving. People with sciatica may find when they drive the impingement slows the motor-sensory signal and braking time to depress the brake pedal fast enough to avoid a collision. For answers to any questions you may have please call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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Spinal Injection or Nerve Block For Neck and Back Pain | Call: 915-850-0900 or 915-412-6677

Spinal Injection or Nerve Block For Neck and Back Pain | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Spinal injections are exactly what the name says. They are administered direct injections of medicine/s in a specific location of the spine. These are used to treat various conditions affecting the spine when non-invasive treatment/s are not working.

 

This could be an area along the upper cervical/neck spine all the way down to the sacrum. Injections are also utilized in helping to diagnose neck or back pain that radiates or spreads into an individual’s arms and legs. These are known as:

 

  • Cervical radiculopathy
  • Lumbar radiculopathy

 

Spinal injection/s for diagnostic or treatment purposes could be a part of an overall treatment plan along with chiropractic/physical therapy and possible medication.

The medicine in the injection

The medicine could be comprised of a local anesthetic on its own, steroid on its own, or a combination of the two. Steroids are short for corticosteroid, which is a strong anti-inflammatory medication. contrast dye like an x-ray dye could be added to the injection mix. This dye acts as a guide for precise placement of the needle using image guidance.

Spinal disorders that could benefit

Proceeding with an injection treatment plan is based on an individual's unique factors that apply to their condition/state. This decision will be made after consultation, and diagnosis with your doctor, spine specialist, or chiropractor.

 

Healthcare providers recommend conservative treatment first. A treatment plan typically runs around 4-6 weeks. If there is no change or improvement in the individual's condition from the conservative therapy then injection treatment/s could be recommended. Conditions, where injection/s are used, include:

 

  • Disc herniation
  • Facet joint pain
  • Failed back syndrome
  • Sacroiliac joint pain
  • Sciatica
  • Spinal stenosis

Spinal injection and nerve block difference

Spinal injections are a general term that could mean any type of injection involving the spine. Nerve blocks are a precise type of injection that targets a specific nerve. As the medicine is injected into the target nerve/s, it blocks or creates a blockade of the pain signals being sent from the area (ex. neck, low back, etc.) that is generating the pain.

Injection types

Epidural

An epidural means an injection on the dura. The dura is the outermost layer that encloses the spinal cord.

 

3 types of epidurals. They are named according to the direction and angle the needle takes to get to the dura.

 

  • Caudal epidural:

 

The spinal canal ends at an opening at the end of the sacrum called the spinal hiatus. The medicine is injected into the epidural space through the sacral hiatus. This is the method that is used to provide anesthesia to pregnant women when they're in labor.

 

  • Transforaminal epidural:

 

There are nerve roots that come out of the spinal canal at each level through a bony opening called the intervertebral foramen or neuroforamen. The medicine is injected into the epidural space in these areas.

 

  • Interlaminar epidural:

 

The lamina is a section that forms the arch of each level and forms the spinal canal. The lamina at each level lays on top of the lamina right below. The needle is inserted between the lamina for delivery of the medicine into the epidural space.

Selective Nerve Root Block - SNRB

These involve the injection of a local anesthetic onto a targeted nerve. They are typically used for diagnostic purposes. For individuals with multi-spinal compression/s, these combined with:

 

  • Medical history
  • Physical exam
  • MRI

 

These can help identify the pain generator such as spinal stenosis.

Medial Branch Block - MBB

The facet joints are bony projections that connect a vertebral level to the levels above and below. These can become arthritic and is responsible for different forms of back pain.

 

This type of spinal injection is local anesthetic injected on the medial branch nerves. These are the nerves that send pain signals from the facet joint/s. They are useful in determining if the facet joint is the pain generator.

Facet Joint

These are injections directly into the facet joint itself. Much like injecting anti-inflammatory and pain meds into a knee with arthritis.

Sacroiliac Joint

The two sacroiliac joints help connect either side of the sacrum to the hip joint. Like other joints, these can get inflamed and cause painful symptoms. This is an injection directly into one or both of the sacroiliac joints.

Administration of the spinal injection or nerve block

Injections are only to be performed by doctors trained specifically in spinal injections. Injections are usually performed by an:

 

  • Anesthesiologist
  • Neurologist
  • Neurosurgeon
  • Orthopedic surgeon
  • Physiatrist
  • Radiologist

Role of these procedures

Reasons why an injection could be used:

 

  • Help as a diagnostic to identify the pain generator
  • Therapeutically to provide pain relief
  • As a prognostic pain predictor of the relief, an individual could expect from a more invasive procedure like nerve ablation

How often

maximum of 6 injections for one year is the recommended treatment protocol. Each injection should be based on the effect/s of the previous injection.

Potential benefits

The main benefit is to bring pain relief and the ability to function.

Potential risks

Spinal injections are considered safe with a low rate of complications. The most common include:

 

  • Bleeding
  • Headache
  • Facial flushing

 

Major complications include:

 

  • Puncture of the dura
  • Infection
  • Nerve damage

 

Major complications happen in less than one percent of those undergoing the treatment. Individuals with diabetes could see a temporary elevation of their blood sugar.

Lasting effects

How long the medicine lasts is different for everyone and comes with variables like:

 

  • Type of injection
  • Type of pathology
  • Diagnosis
  • Cause
  • How long the symptoms last

 

Most can expect to have one and a half to three months of relief. However, with some, they may only provide minimal relief, while others may see improvements for up to a year.

 

 

Treating Severe & Complex Sciatica Syndromes

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

Spinal injections are administered direct injections of medicine/s in a specific location of the spine. These are used to treat various conditions affecting the spine when non-invasive treatment/s are not working. Spinal injection/s for diagnostic or treatment purposes could be a part of an overall treatment plan along with chiropractic/physical therapy and possible medication. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Sciatica Chiropractic Solution Pain Relief El Paso, Texas | Call: 915-850-0900 or 915-412-6677

Sciatica Chiropractic Solution Pain Relief El Paso, Texas | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

The sciatic nerve can be compressed, pinched, twisted, moved out of position by a variety of things, including injury/s and spinal conditions, diseases, and the most common a herniated disc. This could be time to try the chiropractic solution that can treat sciatica symptoms and bring relief quickly. If you are experiencing a shooting, electrical, tingling, numb pain down one of your legs could be a presenting of sciatica symptoms.

Sciatica

Sciatica is really a symptom itself caused by lumbar radiculopathy. Lumbar radiculopathy is a medical term referring to a low back condition/injury/disorder that is affecting the nerves in this area. The sciatic nerve travels from the lower back down both of the legs and into the feet. Added pressure placed on the nerve from a herniated disc can lead to common symptoms.

 

Symptoms

Sciatica symptoms include:

 

  • Pain in the leg/s
  • Shooting pain that goes down from the low back, through the leg, calf and sometimes into the foot
  • A feeling of electricity down one leg
  • Burning pain
  • Pain from moving
  • Numbness
  • Weakness

Causes

Causes of sciatica include:

Vertebrae Out of Alignment

Misaligned vertebrae, referred to as subluxations can put pressure on nerves in the spine – including the sciatic nerve.

 

Disc Herniation

The discs that cushion the vertebrae are made up of a tough outer layer and a softer inner layer. When the outer layer is damaged and the inner layer comes out into the spine, it is referred to as disc herniation.

A herniated disc means that the inner layer of the disc is putting pressure on nerves in the spine. A herniated disc impacts the sciatic nerve and can lead to sciatica.

Car Accidents

A car accident can easily damage the spine and soft tissues. An accident can cause a misalignment of the spine, a herniated disc, or other injuries that cause symptoms of sciatica.

Sports Injury/s

Even the fittest athletes are susceptible to back injuries, which in turn can cause sciatica. The spine and discs can be damaged due to a large impact, repetitive motion injuries, or even twisting the wrong way.

Work Injuries

Many sufferers of sciatica do not realize that their workplace activities – including repetitive motions and sitting or standing in one position for long periods of time – can lead to sciatica.

How Chiropractic Solution Helps

Prevention found that sixty percent of individuals with sciatica failed to find relief from other treatments found their symptoms improved after chiropractic treatment.

The chiropractic solution works because it gets to the source of the problem and relieves pressure on the sciatic nerve. Chiropractic treatments include:

Realignment

Spinal misalignments are often the cause of sciatica can be corrected through careful chiropractic adjustments. The chiropractor analyzes the misalignment, then applies pressure to the area to correct the misalignment. The pressure is removed from the sciatic nerve, and this is done on and off to get the correct position and massaging the inflamed tissues until symptoms improve.

Spine Decompression

For those whose sciatica is caused by a herniated disc, spinal decompression can bring real relief. Using a specially designed table, the chiropractor can gently stretch the spine – creating space for the disc to heal and pull back from the sciatic nerve.

Find Relief

Please contact our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet againWe focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. We do this so that we may reach as many El Pasoans who need us, no matter the affordability issues.

 

 

Severe*Sciatica* Pain Relief | El Paso, Tx (2020) El Paso, TX.

Dr. Alex Jimenezs insight:

The sciatic nerve can be compressed, pinched, twisted, moved out of position by a variety of things, including injury/s and spinal conditions, diseases, and the most common a herniated disc. This could be time to try the chiropractic solution that can treat sciatica symptoms and bring relief quickly. If you are experiencing a shooting, electrical, tingling, numb pain down one of your legs could be a presenting of sciatica symptoms. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Inversion Therapy for Back Pain and Sciatica El Paso, TX. | Call: 915-850-0900 or 915-412-6677

Inversion Therapy for Back Pain and Sciatica El Paso, TX. | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Inversion tables and inversion treatment/therapy could help with low back/leg pain and sciatica. It’s non-surgical and an option your doctor, or chiropractor could recommend to you before looking into more invasive options. Individuals with low back pain, sciatica or both found inversion therapy with an inversion table provided relief from symptoms, and continued use has kept them and their spines healthy.

 

With an inversion table, you don’t have to use gravity boots or completely hanging upside down. There are inversion boots and hanging racks that also offer inversion therapy, this type is not for beginners. With experience, you can move on to this type but for now, leave it to individuals in top health and athletic condition. This type of inversion table therapy is an alternative that doesn't require being completely upside down.

An Ancient Therapy Brought Back

Inversion therapy is nothing new. Hippocrates, the father of medicine, saw what inversion therapy could do and the benefits around 400 BC. The goal is to use gravity to release compression in the spine. The downward force pulls everything toward the earth's center. 

How It Works

Inversion therapy works in a way like spinal traction.For example, when we stand and sit gravity pulls the spine downward and this is what compresses the discs, vertebral bodies, nerves, and other spinal structures. The physical dynamics along with gravity helps relieve spinal compression. As the spine is stretched out the pressure on your back is reduced.

 

The theory behind inversion therapy sounds like a fantastic non-surgical option to back pain. However, the research going into inversion therapy is a bit more mixed. One study found that almost 77% of patients that were candidates for surgery no longer needed the surgery after using inversion therapy. For patients that didn’t use inversion therapy, only 23% avoided surgery.

 

But like all back pain/sciatica treatment plans, it's what works for you. Ask your doctor/chiropractor about the pros and cons of this type of treatment as it relates to your condition to make an informed decision.

Other Benefits

Many patients report that inversion therapy is a great way to:

 

  • Stretch the muscles and ligaments
  • Reduce muscle spasms
  • Improve circulation

 

Stretching stimulates the lymph glands which increases the flow of lymphatic fluids, that are part of the body's waste disposal. Cellular health depends on healthy blood circulation to be delivered, to nourish and remove waste.

 

The therapy also helped to relieve motion sickness and stress. This is because the body is more aware of its spatial orientation along with balance as the inner ear gets stimulated while inverted. As stated earlier it is not necessary to be positioned completely upside down to benefit from this therapy. Inversion tables are adjustable and offer the flexibility to find the best angle.

Discuss Inversion Therapy with A Doctor

Before you start using an inversion table talk to your doctor. Certain medications and health conditions could make using an inversion table unsafe.

 

It could be recommended against inversion table therapy if you have:

 

  • Detached retina
  • Eye infection
  • Glaucoma
  • Fracture
  • Heart condition
  • Hernia
  • Implanted device
  • Middle ear infection
  • Obese
  • Osteoporosis
  • Pregnant
  • Spine injury

 

There could be other medical conditions that are not listed but could interfere with inversion therapy, so make sure your doctor knows all your medical history/conditions and current health state before beginning.

Starting Inversion Therapy

How to start an inversion therapy program? Take it very slow, easy, taking your time and have someone there to help and assist until you are comfortable doing it on your own. The tables can be set at different angles and it is recommended you start at the first and work your way to the last. At the 15-degree angle, your body will feel a stretch along with the benefits of increased blood circulation.

 

Most people don't have to go beyond 60-degrees, as the spine decompresses at this angle. But you might want to completely invert yourself as you work through the different degrees and go for the full inversion. But don't overdo it and listen to what your body tells you.

 

The tables come in a variety of styles, so be sure to research the different brands. Some tables can include a sliding backrest and foot lock that lets you work in gentle stretching exercises during inversion. This could include head movements from side-to-side, stretching the arms overhead, and doing abdominal sit-ups or crunches.

 

But first, find out from your doctor how often you should invert and the kinds of movements that will help with your condition and enhance your inversion program. Inversion therapy is another option for a back, sciatic pain treatment plan. For the different forms of spine pain, a doctor will try several non-surgical treatment options before discussing surgery. Inversion therapy could be part of a conservative treatment plan and could help prevent the need for spine surgery.

 

 

Get Rid of Sciatica Pain! El Paso, Texas

 

NCBI Resources

The spine is the primary support for the body. When it breaks down, the body suffers. Regular chiropractic treatment ensures that the spinal column remains in proper alignment which, in turn, keeps the body in proper alignment. It helps with joint health as well as the health of the related muscles and ligaments.

 

Your chiropractor can also recommend stretching and strength-building exercises to help keep your spine healthy and supple. Chiropractic helps to keep the back flexible which aids in preventing injury. A healthy spine is also less likely to become misaligned or experience pain. It can significantly improve your quality of life as you are more flexible and mobile.

Dr. Alex Jimenezs insight:

Inversion tables and inversion treatment/therapy could help with low back/leg pain and sciatica. It’s non-surgical and an option your doctor or chiropractor could recommend to you before looking into more invasive options. Individuals with low back pain, sciatica, or both found inversion therapy with an inversion table provided relief from symptoms, and continued use has kept them and their spines healthy. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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House Sciatica Self-Care Therapies El Paso, Texas | Call: 915-850-0900 or 915-412-6677

House Sciatica Self-Care Therapies El Paso, Texas | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Most of us know what sciatica means and that is low back pain that radiates/spreads into the buttock down into the leg and sometimes into the foot. The pain can be mild to excruciating, but fortunately, if it is mild sciatica can usually be alleviated in 3 months. These are a few non-invasive conservative treatment therapies that can be done at the house

 

Here are a few at the house sciatica remedies for people who started experiencing sciatic nerve pain or whose pain is not severe. But you should get a doctor’s approval before trying any of these at the house therapies.

 

If sciatica has been present for a few weeks or the low back and leg pain has become debilitating you should see a doctor.

House Tip 1. Exercise is OK & Beneficial

It might seem strange to exercise when you’re in pain, but research has shown that too much rest can aggravate back and leg symptoms.

 

Remember this is not a hardcore burning massive calories exercise, but a gentle exercise routine that you can work into your day.

These Exercises should not be painful or strenuous.

A walk around the house is a great form of physical activity that keeps your spine strong without worsening the injury.

 

Make your spine stronger with core exercises, but make sure they will not exacerbate your sciatica symptoms. And remember that exercise triggers the release of endorphins to reduce the pain.

House Tip 2. Start Stretching

Start doing gentle stretches regularly. Stretching will improve your spinal flexibility and motion range and also builds core strength. Most stretches can be done while watching your favorite show/movie.

House Tip 3. Ice Packs and Heating Pads Help

Alternating heat and ice therapy can bring relief from nerve pain. Ice helps reduce inflammation, and heat generates blood flow to the areas of pain that speeds up healing. Both help reduce muscle spasms that usually come with sciatica.

 

Apply the ice pack for 15 minutes once every hour, and then bring the heat for 15 minutes every 2 or 3 hours. Remember to protect your skin when using these pads, and never sleep with the heat or ice pads.

House Tip 4. Change Your Posture

If you are working at your desk or just relaxing, don't stay in the same position too long, as it can make the pain spike.

 

Therefore move around and change your posture every 20 minutes. Using the correct posture for various activities will help take the pressure off your spine and reduce symptoms.

House Tip 5. If You Need To Use Medication Properly

Over-the-counter non-steroidal anti-inflammatory medications can help ease symptoms when they present. These medications can relieve inflammation and pain, whereas acetaminophen (Tylenol) only reduces pain.

 

However, there are health risks, so make sure to discuss their safety with your doctor.

 

Examples include:

 

  • Ibuprofen (Advil, Motrin)
  • Aspirin (Ecotrin)
  • Naproxen (Aleve)

The Remedies Are Not Working

Recognize when at the house remedies are not reducing your symptoms. When the treatments aren't helping, it could be time to see a doctor, chiropractor or spine specialist.

 

People including myself want to avoid the doctor. It could be knowing how to use your health insurance or if you don’t have any. Whatever the reason do not opt for the ignorance is bliss and hope it will all go away.

 

If you need help figuring out how to use your insurance here at Injury Medical our staff are trained to help guide you through the process. And if you don't have insurance we can still help and work out different types of plans.

 

Now there are sciatica symptoms that warrant immediate medical attention. In these rare cases, holding off medical care could cause permanent nerve damage.

 

If any of the following occur, please see your doctor as soon as you can:

 

  • There is severe throbbing/stinging pain in your low back and legs
  • Nerve associated symptoms like:
  1. Weakness
  2. Numbness
  3. Tingling
  4. Electric shock-like pain
  • The pain is not improving after 2 weeks
  • The pain gets worse, even with house therapies
  • Loss of bowel or bladder control

 

At the end of the day reducing sciatica symptoms doesn’t always mean having to use an extreme treatment approach. Relieving sciatica symptoms at the house with light exercise, ice/heat therapy, correct posture, and medication can help speed up recovery. 

 

The most important thing you can do is to take it seriously and call your doctor or chiropractor if relief is not happening.

 

Please contact our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet again!

 

 

Get Rid of Sciatic Pain! (2020) | El Paso, Tx

 

NCBI Resources

A study cited by the health magazine Prevention found that sixty percent of sciatica sufferers who failed to get relief from other treatments found their symptoms improved after chiropractic care. In fact, they got the same level of relief as those who went through surgery – without any of the serious side effects that so often come with surgical procedures.

 

Chiropractic is effective for treating sciatica because it gets to the source of the problem – relieving pressure on the sciatic nerve.

Dr. Alex Jimenezs insight:

At the end of the day, reducing sciatica symptoms doesn’t always mean having to use an extreme treatment approach. Relieving sciatica symptoms at the house with light exercise, ice/heat therapy, correct posture, and medication can help speed up recovery. The most important thing you can do is to take it seriously and call your doctor or chiropractor if relief is not happening. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Sciatica and Nerve Related Back and Leg Pain El Paso, TX. | Call: 915-850-0900 or 915-412-6677

Sciatica and Nerve Related Back and Leg Pain El Paso, TX. | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Do you have lower back pain or pain literally in the rear that runs down into one thigh or below the knee into the leg and even the foot? A doctor may diagnose these symptoms as sciatica, which describes compression of the sciatic nerve.

 

Sensations include:

 

  • Numbness
  • Tingling
  • Pins and needles
  • Electric like shock running through the leg

 

Depending on the nerve that is affected pain could radiate only into the buttock or all the way down to the foot. A common cause is a lumbar disc herniation or bone spur that presses down on the spinal nerve. 

 

Sciatic pain radiates along the nerve, usually from the low back, down the buttocks, into the thigh and leg, below the knee and sometimes into the foot and big toe.

 

Sciatica usually affects one side of the body.

 

Radicular Pain

A doctor may use the terms radicular pain or radiculopathy when talking about sciatica. Radiculopathy is pain/adverse sensation that travels along a nerve. When a spinal nerve root is compressed, pinched or injured, it becomes inflamed. Low back conditions that can contribute to this type of problem are spinal stenosis, foraminal stenosis or herniated disc.

Proper Diagnosis & Proper Treatment

The doctor will ask about your symptoms:

 

  • When did the pain begin?
  • Where is the pain most intense?
  • What activities worsen the pain?
  • What activities reduce pain?
  • Does the pain go all the way down the leg or stops at the knee?
  • Do you feel weakness or tingling in your legs or feet?

 

A doctor might perform a straight-leg test to see if there is an inflamed nerve. This is a simple exam where you lie on your back and the doctor lifts each leg. If this causes or produces pain and sensations, it can indicate there is a bulging/slipped or ruptured disc.

 

The compression of the nerve can also cause muscle weakness in the foot. Another exam may be to walk like you normally do, then on your heels and finally on your toes. This checks your balance and lower-body strength. 

 

A doctor will:

  • Check your posture
  • Range of motion
  • Movements that cause pain
  • Check the curvature and alignment of your spine
  • Check for muscle spasms
  • Note your sensations
  • Test your reflexes and muscle strength

 

A doctor may order x-rays, CT scan or MRI. The CT scan or MRI provides doctors with various images of your spine which can help in diagnosing whatever is causing your symptoms. These tests are then compared to what the doctor took note of during your medical history interview and the physical and neurological examinations. An accurate diagnosis is the first step in figuring out the best treatment plan. 

Could something else be causing the nerve pain?

Only a doctor can tell if your symptoms are sciatica. There are other structures in the spine that can cause similar types of pain.

 

  • The sacroiliac joint between the pelvis and sacrum is the lowest part of the spine can cause sciatic pain.
  • The facet joint which connects the joints in the back of the spine gets sprained, it can also cause sciatica-like pain.
  • A tear in a spinal disc can cause pain down into the leg.
  • The hip joint can also cause pain in the thigh, that can radiate outward.

Sciatica Nerve Treatment

Sciatica can be treated non-surgically with:

 

  • Chiropractic care
  • Physical therapy
  • 24 to 48 hours of bed rest
  • Over the counter pain relievers like ibuprofen or acetaminophen

 

Patients with sciatica feel better with time, usually a few weeks. If pain continues, other treatment modalities can be discussed. Muscle spasms can accompany sciatica symptoms and can be treated with heat or ice therapy. A doctor may advise light exercise like short walks and once recovery is established they may give you exercises to strengthen your back and core.

 

Please contact our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet again.

 

Severe*Sciatica* Pain Relief El Paso, TX. (2020)

Dr. Alex Jimenezs insight:

Please contact our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet again. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Exercises for Sciatica from Herniated Disc El Paso, TX. | Call: 915-850-0900 or 915-412-6677

Exercises for Sciatica from Herniated Disc El Paso, TX. | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

The discs that cushion the vertebrae are made up of a tough outer layer and a softer inner layer. When the outer layer is damaged and the inner layer comes out into the spine, it is referred to as disc herniation.

 

Often the symptoms of a herniated disc include back pain, as the inner layer of the disc puts pressure on nerves in the spine. A herniated disc can impact the sciatic nerve, leading to sciatica.

 

If you know that your sciatica was caused by a herniated disc then try these exercises and stretches to help reduce back and leg pain.

Exercises that help relieve sciatica from a herniated disc

If your spine specialist or chiropractor informed you that a herniated disc is what caused the pain also known as lumbar radiculopathy they may recommend  three sciatica exercises:

 

  • Prone on elbows into Press-up
  • Upper back extension
  • Opposite arm and leg extension

 

These stretches can help provide relief when the root cause of sciatica from herniated or bulging disc.

 

Prone Elbows/Press-Up

This exercise is to ease sciatica from herniated disc pain and pressure in the lumbar spine/low back.

How to:

  • Lay on stomach
  • Slowly push up until rested on forearms
  • Beginners hold for 30 seconds
  • Once strength is gained and you feel comfortable then hold for 3 to 5 minutes
  • Gently lower to the floor
  • Repeat 10 times
  • Once comfortable holding for 5 minutes then perform an extended arms version, which is like push-ups raising your arms to the point where your elbows lock

 

Upper Back Extension

This exercise is to strengthen and stabilize the low back muscles.

How to:

  • Lay on your stomach with a small pillow or rolled towel under your hips
  • Rest your arms at your sides
  • Slowly lift your upper body up off the floor, contracting your low back muscles as you rise
  • Hold the lifted position for 3 seconds
  • Slowly lower your body to the ground
  • Repeat 10 times

 

Throughout this exercise, keep movements fluid and controlled.

Opposite Arm and Leg Extension

This exercise is to stabilize your spine and strengthen your low back, hamstring and gluteus muscles.

How to:

  • Lay on your stomach with a small pillow or rolled towel under your abdomen
  • Extend both arms in front of you
  • Contract your abdominal muscles as you slowly lift both your right arm and left leg
  • Hold for 3 seconds. Lower your leg and arm down
  • Repeat with your left arm and right leg
  • Hold for 3 seconds
  • Repeat the exercise 5 to 10 times on each side

 

As you alternate the lifts, make sure to keep abdominal muscles contracted to get the full benefit.

How do these exercises relieve sciatica from a herniated disc

These exercises and stretches are designed to move the pain from the leg and into the low back.

 

This is centralization/localization.

 

This is a good thing, as the goal is to get the pain centralized and back at the source.

 

When the leg pain goes away, it means the pressure on the sciatic nerve and related nerves has been removed.

 

If sciatic pain stretches down to the foot, you will feel these exercises, meaning that the pain and electrical sensations will move through the ankle and knee. Which means you're doing it correctly.

 

This does not mean that the pain is immediately going to centralize to the low back, it does take time because you are trying to stretch and straighten out this long nerve.

 

But you will notice sciatica pain does not go as far down the leg.

 

Therefore these exercises need to be done consistently and be made a part of your routine. 

What to know before exercising

Before starting these stretches, consider three recommendations:

Get a doctor’s approval

A spine specialist should clear you to perform these stretches and exercises before you start.

 

While these exercises are safe, get a doctor’s permission before starting physical activity.

Know the cause so your exercise program helps and not makes the condition worse

Sciatica from herniated disc means a different type of exercise than sciatica caused by piriformis syndrome.

 

Knowing this information will help you choose an exercise plan that provides maximum relief.

Don’t push too hard

Don't aggravate sciatica, listen to your body and go slow.

 

Experience any pain or symptoms:

 

  • Weakness
  • Tingling
  • Numbness

 

Contact a spine specialist immediately!

 

Sciatic nerve pain caused by a herniated or bulging disc is a common problem.

 

But incorporating these exercises and stretches can provide sustained relief.

 

The sciatic nerve is a large nerve that travels from the lower back down both of the legs and into the feet. When pressure is placed on the nerve, such as from a herniated disc, it can lead to the symptoms commonly referred to as sciatica.

 

The sciatic nerve can be impacted by a number of different things, including injury and degenerative diseases.

 

 

Difference Custom *FOOT ORTHOTICS* Make to Control Posture & Mobility | El Paso, TX (2019)

 

Custom foot orthotics can help control foot motion and posture. Healthcare professionals prescribe custom foot orthotics to help patients focus on the control of their foot posture and mobility. Research studies have determined that utilizing custom foot orthotics for posture and mobility control can help correct excessive foot pronation and supination to prevent a variety of foot health issues. The following video describes how custom foot orthotics can help control foot posture and mobility to improve health and wellness.

Dr. Alex Jimenezs insight:

If you know that a herniated disc caused your sciatica, then try these exercises and stretches to help reduce back and leg pain. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Sciatica or Osteonecrosis of Femoral Head? A Common Misdiagnosis | Call: 915-850-0900 or 915-412-6677

Sciatica or Osteonecrosis of Femoral Head? A Common Misdiagnosis | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Osteonecrosis is a condition that causes the death of bone tissue from temporary or permanent loss of blood supply to the affected area. It is commonly known as Avascular necrosis and can lead to miniature/tiny breaks in the bone and the bone/s eventually collapsing. Specifically, it affects the upper part of the femur or femoral head and surrounding joints.

 

It can occur in any bone however, osteonecrosis typically affects the hip/s. Pain associated with osteonecrosis of the hip can be localized to the center of the groin, thigh, or buttock. Because of the hip joint's close proximity to the sciatic nerve, misdiagnosis for sciatica is common.

 

Mimicking Sciatica Symptoms

Unfortunately, many health care providers can misdiagnose osteonecrosis hip pain as sciatica. Whatever the cause of the hip injury, most individuals with hip pathology report pain in the groin, upper thigh, and buttocks.

 

That is why a trained medical professional that knows the differences in the symptoms of each condition can make all the difference in making a proper diagnosis. And a proper diagnosis leads to proper and complete treatment of whichever condition it may be. With osteonecrosis, misdiagnosis often delays the proper treatment and continues to progress. Common symptoms of sciatica:

 

  • Leg pain is the primary symptom can be mild to severe
  • Low back pain is secondary can be mild to severe
  • Nerve-related symptoms
  • Numbness
  • Tingling
  • Shooting pain
  • Pins-and-needles sensation
  • Muscle weakness
  • Hip pain especially flexion and internal rotation of the hip.
  • Leg or foot weakness

 

Osteonecrosis Symptoms and Similarities

For many, there are no symptoms in the early stages of osteonecrosis. As the condition worsens, the affected joint could present pain symptoms only when weight is placed on it. Eventually, individuals begin to feel the pain even when lying down. Pain can be mild to severe with a gradual development. Other symptoms that mimick sciatica:

 

Walking Inability

Walking gait is complicated with both conditions which is a major cause behind the misdiagnosis.

 

Limping

Individuals often limp with osteonecrosis of the hip and spinal disc problems. This is another reason that the condition is misdiagnosed as a spinal disc problem or nerve root compression of the sciatic nerve.

 

Hip Pain

The tributaries/veins of the sciatic nerve also supply the hip area and often cause confusion between the two conditions.

 

Differences

Despite all of the similarities. There are differences in both conditions.

Nature of The Pain

 

  • With sciatica, the pain is related to the nervous system. Movement can complicate the pain. While rest helps to reduce the pain.

 

  • With Osteonecrosis the pain is geared toward the muscular. Rest does not help reduce the pain. In fact, the pain increases at night.

 

Location

 

  • Sciatica pain can radiate through the whole leg from the low back to the toe.

 

  • Osteonecrosis pain is confined to the hip joint, groin, and radiates to the knee joint only. Osteonecrosis pain does not radiate below the knee joint.

 

Restricted Movement

 

  • Osteonecrosis of the hip joint, means the movements involving the hip joint are restricted. Individuals cannot rotate the leg to the right and left. Individuals cannot bend or fold from the hip.

 

  • With sciatica, the rotation of the leg is not affected. Movements involving stretching the sciatic nerve can cause relief or pain.

 

Walking Gait Differences

 

Gait is the way an individual stands and walks.

 

  • Osteonecrosis of the hip joint causes individuals to not be able to open the hip joint properly or to step properly.

 

  • With sciatica, an individual tends to lean on their side to relax the compression on the nerve.

 

Risk Factors

More than 20,000 people enter hospitals for the treatment of osteonecrosis of the hip yearly. Other than the hip, areas of the body likely to be affected are the shoulder, knee, hand, and foot. The condition can occur for a variety of reasons. A few of these include:

 

  • Fracture - a broken bone can interrupt the blood flow to other sections of the bone.
  • Dislocation of bone or joint/s
  • Alcoholism
  • Trauma
  • Radiation damage
  • Steroid use

 

Some individuals can have more than one condition or injury that contributes to hip flexor pain. An example is that it is possible to have both hip osteoarthritis and hip impingement. Without proper treatment, the condition can worsen, causing joint or hip pain from the degradation of the bone.

 

Anyone can be affected, but osteonecrosis is most common in individuals aged 30 to 50. Treatment options include a total replacement of the hip known as arthroplasty. And if it is sciatica then chiropractic treatment is a first-line treatment protocol. However, a chiropractor can make the distinction between the two and treat the sciatica or refer the patient to the proper specialist.

 

Lower Back Pain

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

 

References

Li, Wen-Long et al. “Exploring the Risk Factors for the Misdiagnosis of Osteonecrosis of Femoral Head: A Case-Control Study.” Orthopaedic surgery, 10.1111/os.12821. 16 Oct. 2020, doi:10.1111/os.12821

Dr. Alex Jimenezs insight:

A trained medical professional that knows the difference between osteonecrosis and sciatica can make the difference for a proper diagnosis. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Underlying Causes Of Abdominal Aortic Aneurysm and Sciatica Risks | Call: 915-850-0900 or 915-412-6677

Underlying Causes Of Abdominal Aortic Aneurysm and Sciatica Risks | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Underlying causes for an abdominal aortic aneurysm can be challenging to diagnose and identify. Combined with sciatica symptoms, doctors could misdiagnose the ailment and prescribe the wrong treatment protocol. Then an individual has to deal with two conditions that were not properly diagnosed, continue to develop, and worsen. This is why finding the right sciatica specialist that can also identify an abdominal aneurysm is so crucial to developing the right treatment plan. There can be a variety of factors that can lead to the development of an abdominal aneurysm. They include:

 

 

Abdominal Aneurysm Contributing Health Conditions

 

Health conditions associated with an increased risk for an abdominal aneurysm include:

 

Atherosclerosis

 

This condition occurs when there is a buildup of fats, cholesterol, and other substances that create plaque buildup in the bloodstream. This causes vessels to harden and narrow. Atherosclerosis can develop during the young adult stage and becomes an issue later in life.


High Cholesterol

 

Cholesterol is a waxy, fat-type substance that is found in all the cells in the body. The body needs some cholesterol for the production of hormones, vitamin D, and substances to help digest foods. The body makes all the cholesterol it needs. Too much can build up in the blood vessels, which narrows the bloodstream and hardens the arterial walls.


High Blood Pressure

 

High blood pressure or hypertension refers to a sustained increased force of blood moving through the aorta that can weaken artery walls. It is a common condition that is widespread among individuals that are older, those that smoke, and those that are overweight. There is an estimated 60-70% of individuals over 60 that are diagnosed with high blood pressure.

 

Inflamed Arteries

 

When the arteries become inflamed, it can cause blood flow constriction and cause the arterial walls to weaken. This increases the risk of an aneurysm. Arteries can get inflamed through:

 

  • Genetics
  • High cholesterol
  • Trauma/injury to the abdomen
  • Arterial Disease/s like:

 

  1. Abdominal Aortic Aneurysm
  2. Thoracic Aortic Aneurysm
  3. Peripheral Arterial Disease
  4. Thoracic Outlet Syndrome
  5. Vasculitis


Connective Tissue Disorders

 

There are hereditary conditions that can weaken the body’s connective tissues. This can lead to degeneration of the aortic walls and raise an individual’s risk for an aneurysm. Two of the most common connective tissue disorders are Ehlers-Danlos syndrome, which affects collagen production, and Marfan Syndrome. This condition increases the production of fibrillin, which is a protein that helps to build the elastic fibers in connective tissue.

 

Other Risk Factors

 

Additional health factors can strain the cardiovascular system. This increases the risk of weakening or damaging blood vessels. This significantly raises the chances of developing an abdominal aortic aneurysm. Risk factors include:

 

Smoking and Tobacco

 

All types of tobacco use can contribute to diminished cardiovascular health. Individuals that smoke or use some tobacco product pose a significantly higher risk of developing an abdominal aneurysm.

 

Age

 

Aneurysms occur most often in older adults. This is because they are more likely to have cardiovascular issues and are more likely to have higher levels of plaque buildup.

 

Genetics and Family History

 

Immediate relatives of an individual with an abdominal aneurysm often have a 12-19% chance of developing the condition.

 

Lack of Physical Activity

 

Not getting adequate physical activity puts an individual at a higher risk for heart and cardiovascular disease. Aerobic activity done on a regular basis increases the heart rate and blood flow through the body. This keeps the tissues and blood vessels strong and flowing properly.

 

Gender

 

Both men and women can develop an abdominal aortic aneurysm. However, the majority of those that do develop the condition are men. This is because men are more likely to go through heart and cardiovascular issues.

 

Diagnosis

 

Underlying conditions that can cause sciatic pain can vary or be a combination of several conditions. The most important action to take is to consult a doctor or chiropractic sciatica specialist for a clinical diagnosis. While rare, sciatica-type pain could be caused by medical conditions like:

 

  • Spinal tumor
  • Spinal infection
  • Cauda equina syndrome

 

These factors can contribute to an increased chance of developing an abdominal aortic aneurysm. However, individuals can have unknown risk factors and still develop the condition. Treatments may range from regular monitoring, lifestyle changes, and physical therapy/chiropractic to urgent or emergency surgery. If you feel symptoms of pain in the buttocks, leg, numbness, tingling, or other neurological symptoms in the back and/or leg, it is very important to see a doctor or chiropractor for clinical diagnosis that identifies the cause of the symptoms.

 

 

Stop Sciatica

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

Finding the right sciatica specialist that can also identify an abdominal aneurysm is so crucial to developing the right treatment plan. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Treatment For An Abdominal Aortic Aneurysm | Dr. Jimenez D.C. | Call: 915-850-0900 or 915-412-6677

Treatment For An Abdominal Aortic Aneurysm | Dr. Jimenez D.C. | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

An abdominal aortic aneurysm refers to an enlargement of the abdominal aorta. If the blood vessel is enlarged and starts to leak blood or rupture, it will cause severe abdominal and lower back pain. This is a serious medical emergency that necessitates emergency surgery. Unfortunately, there is no way to reverse the damage. A prominent symptom from a rupture is severe, persistent low back pain, and pain in and around the abdomen. Treatment for an abdominal aortic aneurysm depends on the possible complications that could develop. Approaches for treatment:

 

  • Nonsurgical treatments like anti-biotics calcium channel blockers and exercise along with monitoring are used for individuals that have a low risk of rupture.
  • If an aneurysm is not found until it becomes an emergency, then surgery to repair the ruptured artery is absolutely necessary. If ruptured or there is a high risk of rupturing is considered an emergency.
  • If a rupturing aneurysm has been diagnosed, some treatment/management will be implemented to prevent severe/fatal bleeding.

 

Cardiac

 

For low-risk cases, lifestyle changes and possible medication/s may be recommended to slow the development. Small aneurysms are monitored using ultrasound. This can be every 6 to 12 months depending on the size and growth rate of the artery.

 

Medications for lowering blood pressure and cholesterol could be prescribed. This is to limit the amount of plaque buildup in the aorta and reduce any pressure on the arterial walls. Quitting smoking and removing tobacco altogether whether dip, chew, vape is a significant action an individual can do to minimize the risk of aortic rupture. Other lifestyle changes involve maintaining a healthy diet and regular exercise will help lower blood pressure and cholesterol levels decreasing the chance of rupture.

 

Surgery

Surgical treatment when necessary is to stop a rupture if leaking blood or to prevent a rupture. Surgery requires replacing the damaged portion of the aorta with a stent-graft. This is an artificial artery made from a high-tech mesh/fabric. There are two standard surgical treatments:

 

Open Repair

Open repair is the most common surgical treatment. It takes the enlarged portion of the aorta removes it and replaces it with a stent-graft. Open surgery repair consists of the following:

 

  • The incision is made in the abdomen at the site of the aneurysm.
  • The aorta gets clamped with the blood temporarily blocked from flowing through the damaged portion.
  • The damaged part is removed.
  • A tube graft is placed where the damaged portion was.

 

If the damage was not severe and does not require the removal and complete replacement, then less invasive options will be offered.

 

Endovascular Aortic Aneurysm Repair

EVAR endovascular aneurysm repair surgery is a minimally invasive procedure. There is no need for a large abdominal incision or removal of the damaged portion of the artery. This procedure does not require blood flow stoppage, which places less stress on the heart. Endovascular surgery involves:

 

  • fluoroscopy or live X-ray is used. This is so the surgeon can look at the repair, and guide the stent into place.
  • 2 small incisions are made in the groin.
  • A catheter is inserted into the femoral artery in the groin and guided to the abdominal aorta.
  • Through the catheter, the stent is guided to the aneurysm.
  • Once it reaches the aneurysm, it is compressed and closed.
  • The stent is placed in position, and the wireframe is expanded to fit the artery.
  • The stent is sewn/secured into place at both ends.
  • Once in place, the blood gets redirected from the enlarged area and flows only through the stent-graft. This takes the pressure off the artery's walls and allows for size reduction over time, and decreases the risk of rupture.

 

The procedure is not an option for individuals with an aorta that cannot be accessed safely through the femoral arteries. Or if the artery is severely damaged that the aneurysm portion needs to be replaced. And if the aneurysm is too big or complex where an open repair is a more favorable option.

 

Follow Up

Follow-up monitoring is necessary after any aortic aneurysm surgical procedure. This is to ensure the stent works and the aorta is functioning without a high risk of rupture. Individuals will be advised to maintain a healthier heart and cardiovascular system. A surgeon/doctor will suggest:

 

  • Diet adjustments
  • Regular exercise
  • Quitting smoking/tobacco intake
  • Taking cholesterol and blood pressure medication
  • Chiropractic/Physical therapy for any spinal misalignment, herniation, sciatic nerve compression back pain relief.

 

Sciatic Pain Relief

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

Treatment for an abdominal aortic aneurysm depends on the possible complications. A prominent symptom is severe low back pain. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Medication For Sciatica and Natural Chiropractic Medicine | Call: 915-850-0900 or 915-412-6677

Medication For Sciatica and Natural Chiropractic Medicine | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

The use of prescription medication for sciatica is being discouraged while natural treatments/therapies are becoming the new standard. This is currently happening in the United Kingdom and its National Institute for Health and Care Excellence. The focus is to reduce the use of medication for sciatica and aim for natural treatments unless absolutely necessary. This is to help reduce the opioid epidemic, along with reducing the use of medications and their negative side effects that cause other conditions and illnesses.

 

The National Institute for Health Care Excellence has updated its guidelines with specific language that discourages the use of multiple classes of drugs for various ailments/conditions like sciatica. The United States has already set up similar guidelines limiting the use of prescription medications for sciatica until after a regimen of non-pharmacological treatment/therapies like physical therapy, chiropractic, acupuncture, massage, etc. If no improvement is seen in four to six months then medication can be administered.

 

The guidelines say that individuals with acute or chronic sciatica should not be given gabapentinoids, this is a class of drugs designed to treat seizures, other antiepileptics, oral corticosteroids, and opioids. They also report that there is no evidence on the use of antidepressants for sciatica. However, it is recognized that it can benefit some individuals but should not just be handed out for every case

Medication for Sciatica

 

Medication does work for sciatica. It's the side effects and addiction issues they are trying to avoid. Options include:

 

  • Nonsteroidal anti-inflammatory drugs
  • Gabapentinoids
  • Corticosteroids
  • Benzodiazepines

 

Opioids have been overprescribed for all types of pain. However, they don’t help in repairing the damaged/pinched nerves and only relieve/sedate the pain symptoms. In addition side effects like confusion, dizziness, and sleep problems are increased leading to more health issues.

Treatment Options

When it comes to acute pain over the counter medications, NSAIDs, oral steroids, and gabapenitoids can be recommended for a brief period and not long term. This is just to settle the pain until a non-medication treatment plan is developed to realign, adjust, and restore the sciatic nerve to its proper position. A physician or physical therapist/chiropractor can diagnose the difference between actual sciatica and low back pain

Physical Therapy and Chiropractic

Chiropractic treatment and physical therapy for sciatica first look to determine the cause of the condition and how the individual spends their day as far as do they sit or stand for a good portion of the day along with the types of activities like lifting, bending, stretching, twisting, etc.

 

The nerves are irritated and send signals to the brain. This could be tingling with pain, numbness, or a combination. The body wants to protect itself. Once the source of irritation is identified the chiropractor or physical therapist works with the patient to workout/massage/release the muscles, ligaments, joints to work the sciatic nerve back to full health and function.

 

The chiropractor/therapist challenges the nerve to get back into proper form in a safe fashion. How the condition resolves depends if it’s acute or chronic. In acute cases, the pain level is higher but is easier to treat. The faster chiropractic and physical therapy intervention are sought out the better the odds additional treatment will not be required. The first sessions of chiropractic and physical therapy are designed to calm the system downThen the body will begin to heal itself within about four weeks without medication.

Conservative Therapy

Preference for non-surgical treatment is the way to go whenever possible. Only when significant weakness in the leg or foot from nerve compression, surgery could be necessary. It can become an emergency situation if there is numbness around the groin and if it affects bowel or bladder function. Six to eight weeks of conservative treatment is the key. And if no improvement correlated with an MRI is achieved, then surgical treatment could be the next phase of treatment.

 

Education About Sciatica

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

The use of prescription medication for sciatica is being discouraged while natural treatments/therapies are becoming the new standard. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Lumbar Stenosis Surgery for Sciatica | Dr. Jimenez D.C. | Call: 915-850-0900 or 915-412-6677

Lumbar Stenosis Surgery for Sciatica | Dr. Jimenez D.C. | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Lumbar stenosis surgery for sciatica, like any type of surgical procedure does not always yield the most successful results. This is why it’s important to carefully and methodically assess all of the personal risk factors.

 

Sciatica causes severe pain and surgery could be an option and hopefully of last resort. However, it’ is important to first attempt non-surgical/non-pharmacological treatment/s for six to twelve weeks before surgery to relieve symptoms and root cause. A full course of conservative treatment could include:

 

  • Physical therapy
  • Chiropractic
  • Aerobic exercise
  • Pain meds
  • Epidural steroid injection

 

Sciatica and Stenosis

Sciatica can be caused by stenosis. This is when the spinal canal narrows, constricting, and pinching the nerves specifically the sciatic. Around ninety percent of cases stem from a herniated disc compressing the nerve roots. The damaged disc extends out and pinches the roots of the sciatic nerve. This pinching causes:

  • Pain
  • Numbness
  • Tingling
  • Muscle weakness

 

If it stays like this for a long time an individual can experience incontinence, along with permanent nerve and muscle damage.

Lumbar Stenosis Surgery Options

  • Lumbar stenosis surgery depends on the cause of sciatica: A single herniated disc could be pressing the nerve, which would only require the removal of just that portion of the disc that’s causing the compression. This procedure is known as a discectomy or microdiscectomy.

 

  • If the stenosis is caused by a bone problem like an arthritic bone spur, then space has to be made in the canal. This means a portion of the lamina or the back of the spinal column. This is called a hemilaminectomy. Sometimes the whole lamina has to be removed. This is known as a laminectomy

 

  • If there is the instability of the spinal column, some of the lumbar vertebrae will be fused together to prevent further instability and added nerve compression.

 

A non-operative treatment course lasting a few weeks to months could reduce swelling in the nerve and improve sciatica symptoms. What happens is sometimes the disc gets reabsorbed over time and does not irritate the sciatic nerve.

Surgical Success

If the non-surgical options yielded minimal positive results or completely failed and surgery is the last resort talk with your surgeon to discuss the risks and benefits. The discussion will focus on factors like:

 

  • Age
  • Health status - levels of wellness and illness
  • Underlying conditions
  • Bodyweight
  • Smoker
  • Type of work

 

Individuals sixty-five and older, multiple health problems, being overweight or a smoker will place an individual at a higher risk of post complications from surgery. Studies found individuals who underwent surgery for sciatica from lumbar stenosis, identified added risk factors that could affect the outcome including:

 

  • Depression: this was because there were patients that continued to have sciatica symptoms after surgery. This means they are more likely to take antidepressants or anticonvulsants.
  • Quality of life from health perspective was low.
  • Previous spine surgery

 

Knowing about these factors and the possible success of sciatica surgery is something to keep in mind. The best way to understand what and how the surgery will be beneficial is to understand the risks and to remember that the risks are not the same for everybody.

Optimization

Surgical success depends on making sure patients are optimized before surgery. Increasing the chances of successful surgery after conservative treatment/s a surgeon will ask the patient to take these steps:

 

  • Weight loss is difficult, but it has been shown to improve surgical outcomes.
  • A healthy but sensible diet with a moderate calorie deficit is essential.
  • Light aerobic exercise, such as stationary or recumbent cycling can help keep the body's blood flowing properly.
  • Exercising with pain is difficult but it will increase the cardiovascular system along with keeping the heart and lungs healthy enough to undergo surgical stress.
  • If the exercising causes too much pain ask the doctor about anti-inflammatory, muscle relaxants, or steroid medication along with the non-surgical treatment that can provide relief allowing exercise to resume.

Quit smoking

Smoking increases the rate of spinal degeneration and impairs the body’s ability to heal properly and optimally after surgery. If the surgery is elective, meaning it is not a medical emergency, then it is strongly encouraged to quit smoking before surgery. This will increase the chances of eliminating the habit. Don't be afraid to get support. cancer.org/smokeout.

Pro-activeness

If taking antidepressant/s for depression, do not quit taking the medication thinking it will improve sciatica surgery success. Mental health is extremely important. The same goes for anticonvulsant meds as well. Stopping anticonvulsant medication for spinal surgery will more than likely cause extended damage or pre/post-surgical complications. Pre-existing conditions like depression means bringing the mental health provider and other specialists into the pre-surgical discussion.

 

 

Sciatica Pain Chiropractic Therapy

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

Lumbar stenosis surgery for sciatica, like any type of surgical procedure does not always yield the most successful results. This is why it’s important to carefully and methodically assess all of the personal risk factors. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Auto Accidents Caused by Sciatica Delayed Braking Time Part 2 | Call: 915-850-0900 or 915-412-6677

Auto Accidents Caused by Sciatica Delayed Braking Time Part 2 | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Part 2 delayed braking reaction time caused by sciatica, we continue with the spinal cord, nerves, and how they communicate with the brain. A herniated disc can cause sciatica, which is a compressing of the nerve/s in and around the spinal cord. This compression causes a pinching of the nerve/s like bending a water hose cuts off the flow and damages the hose, is what happens to the spinal nerve/s cutting proper blood flow, and proper synapse/signal flow.

 

This occurs from the damage to the nerve/s and could delay braking signals for a split second. But that is all that is needed for an auto accident to happen. A delay in braking time has been found in individuals with herniated/bulging/ruptured/slipped discs. Fortunately, through chiropractic and physical therapy, the nerves can be re-stimulated and brought back to optimal function.

Communication

The spinal cord is about one inch across at its widest and around eighteen inches long. The spinal cord is a type of tube that is filled with nerves and cerebrospinal fluid. This protects and nourishes the cord. Spinal cord added protection includes:

 

 

There are three types of membranes surrounding the spinal cord referred to as meninges. The outer membrane is known as the dura mater, the middle membrane is the arachnoid mater and the innermost membrane is the pia mater.

 

These membranes can become inflamed and damaged by disease or trauma. Arachnoiditis is caused by inflammation of the arachnoid lining that results in intense stinging and burning pain. This can happen post-surgery and can cause the scarring of nerve/s.

 

The nerves exit the spinal column and branch out to the rest of the body. All parts of the body are controlled by specific spinal nerves. The nerves are placed in and around the area they control. Like the nerves in the neck area branch out into the arms. This is why a neck ache/pain issue can lead to pain spreading into the arms and hands.

 

  • Thoracic spine controls the middle of the body,
  • The lumbar spine extends into the outer legs controlling that area
  • Sacral nerves control the middle of the legs and organ functions of the pelvis

The brain

Two major types of nerves: sensory and motor. Sensory nerves send information like:

 

  • Touch
  • Temperature
  • Pain

 

These get sent to the brain via the spinal cord. Motor nerves relay signals from the brain back to the muscles making them contract voluntarily or reflexivelyPeripheral nervous system - the PNS has nerves that extend down the spinal canal and branch out at openings in the vertebrae called foramina.

 

Signals/messages get sent to and from the brain aka the central nervous system. It sends all types of signals including pain and initiates movement. For example, the nerves reflexively make the spine twist and turn when driving to keep balance when turning and braking. The peripheral nervous system is a collection of millions of nerves throughout the torso and limbs. This system conveys messages to the central nervous system.

Referred pain

When a health problem/issue/condition takes place in one part of the body with pain being felt in another or several areas, pain specialists call it referred pain.

Nerves

Nerves exiting the spinal cord is done in pairs with one being a sensory nerve, and the other a motor nerve. Motor nerves initiate movement and bodily function. Damage to a motor nerve could cause a weakness in a muscle or loss of function. For example, a prick in the foot that is not felt could mean there is some sensational loss, indicating a problem with the sensory nerves and or possible nerve damage. These are the nerves that control pain, temperature, etc. Sensory nerve issues can feel like shooting electrical pain Continuing with activities could exacerbate the nerve damage.

Cauda Equina

The spinal cord ends at the lumbar low back, where the nerves extend in a bundle of strands called cauda equina, called this because it looks like a horsetail. These nerves provide motor and sensory function to the:

 

  • Legs
  • Intestines
  • Genitals
  • Bladder

 

Therefore, based on this knowledge there is adequate information displaying how sciatica could cause a delayed braking reaction time based on the nerves' dysfunctional signal firing. Chiropractic treatment could be an option to help an individual realign their spinework out tight musclesnervesligaments preventing any further damage, and getting the individual back in top form.

 

 

Chiropractors & Sciatica Syndrome Expose

 

 

NCBI Resources

 

 

Dr. Alex Jimenez’s Blog Post Disclaimer

 

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

 

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

Dr. Alex Jimenezs insight:

Part 2 delayed braking reaction time caused by sciatica, we continue with the spinal cord, nerves, and how they communicate with the brain. A herniated disc can cause sciatica, which is a compressing of the nerve/s in and around the spinal cord. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Spinal Conditions That Affect Long-Haul Truck Drivers | Call: 915-850-0900 or 915-412-6677

Spinal Conditions That Affect Long-Haul Truck Drivers | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Chiropractor Dr. Alexander Jimenez of Injury Medical and Chiropractic Clinic focuses on long-haul truck drivers and non-invasive spinal treatments. Truck drivers are at a much higher risk of developing degenerative spinal disorders from the stress that constant driving and repetitive lifting can place on the spinal muscles of the lower back.

 

Driving a huge truck for eight to ten hours every day/night means the person sits in a stationary position for a long time. The muscles, joints, and ligaments tend to become stiff, and proper blood circulation is affected over time. Ailments can last for weeks, even up to several years if drivers don’t take time to focus on their health and find the right treatment.

 

Teams are in a truck that never stops. Even sleeping in the bunk, these drivers are subject to constant vibration and bouncing as the truck moves. Roads that are poorly maintained can cause impact trauma to both the driver and the person in the bunk. Various factors can cause musculoskeletal pain like:

 

  1. Awkward sitting posture/s
  2. Constant body vibration
  3. Extended sitting
  4. Lifting and loading
  5. Repetitive motions
  6. Strained muscles, nerves, discs, and joints
  7. Improper mechanics
  8. No exercise
  9. Improper Diet

 

Having limited mobility can lead to structural problems like pain in the back, hip, knee, shoulder, arms, and legs. This is compounded by the fact that prescription medications are the norm for these issues and can be dangerous. 

Long Haul

These individuals are taught proper lifting techniques but with time forget to follow them during the rush to make the delivery/s on time. Driving for extended periods regularly places added strain on the back. This is due in part because these individuals can't use their feet to support the lower part of their bodies while working the pedals of the truck.

 

The continuous instabilityvibrations, and positional changes that come with long haul driving can cause tension in the spine and surrounding muscles in the area. Research has shown that vibration of the body while driving increases the load on the lower back and driving on roads that are not maintained can exacerbate the condition.

 

The continuous bouncing can lead to spinal disc compression, which in turn causes degeneration pain in the spine and nerves. This continuous strenuous routine can lead to herniated/bulging discs, which can cause pain and lead to the development of other spinal conditions like sciatica. Improper alignment of the spine can lead to dysfunction and pain in one or several areas of the body. Other conditions that could develop include:

 

  • Facet joint syndrome - the cartilage wears away making the spinal joints stiff and swollen. This syndrome can lead to reduced mobility.
  • Vertebrae rubbing together
  • Spinal compression from sitting in a single position for a long time places pressure on the spinal column. As the spinal column compresses, it causes tightness in the lower and upper back muscles.
  • Sciatica is a combination of symptoms and pain that travel from the lower back to the knee and even into the foot. Usually, caused by a herniated disc that compresses the sciatic nerve, it can cause shooting electrical pain down the leg. Drivers with sciatica can also have tight gluteal muscles that place pressure on the nerve.
  • Neck pain from tight and tender muscles can affect the middle back and cervical/neck area of the spine causing soreness.
  • Tension headaches begin with the muscles at the base of the skull. When these muscles are tight, they can pinch the nerves, beginning a headache.
  • Shoulder pain can be caused by overuse when loading, along with rotator cuff injuries and bicep tendonitis. An inflamed bicep can cause inflammation and pain in the shoulder. 

Preventable and Treatable

Prevention and proper treatment are key. Here are a few simple ways to improve the drive:

 

  • Better seating to reduce vibration
  • Correct sitting posture
  • Chiropractic/physical therapy
  • Exercise
  • Proper diet
  • Ice therapy
  • Proper sleep support

Proper Seat

The seats that are standard in a truck do not offer proper support for a driver's back, shoulders, neck, and legs. A seat pad for extra comfort or a memory foam seat with a massage base can relax the muscles. For quick lumbar support roll up a pillow, towel or t-shirt and place it behind the lower back.

 

An ergonomic truck seat helps fight the discomfort and awkward positions, that result in positive posture. A proper seat will force the back into its healthy arch. Driving with less strain helps:

 

  • Boost circulation
  • Distribute the body weight evenly
  • Helps drivers operate longer
  • Reduces the vibrations running through the body

 

These long haul drivers can choose to bypass invasive procedures that can take months to heal. This is because of the inability to drive means they don't earn a check. And being taken out of a driving job for any period can cause financial difficulties.

 

Chiropractic provides long haul truck drivers with a non-invasive, drug-free way to treat injuries, manage conditions, and relieve pain. Regular chiropractic can help correct postural habits that expose the body to injury or move the body and the spine out of alignment. It can identify emerging issues before they become a severe condition.

 

Larger truck stops offer drivers access to medical and chiropractic services allowing them to get treatment when they need it. Long haul drivers can be out for weeks and may not be able to get their regular adjustments. But it is still a good idea to have a regular chiropractor at home so you can stay healthy and on the road.

 

 

18 Wheeler Accident Chiropractic Treatment

  

Dr. Alex Jimenez’s Blog Post Disclaimer

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

 

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

Dr. Alex Jimenezs insight:

Chiropractor Dr. Alexander Jimenez of Injury Medical and Chiropractic Clinic focuses on long-haul truck drivers and non-invasive spinal treatments. Truck drivers are at a much higher risk of developing degenerative spinal disorders from the stress that constant driving and repetitive lifting can place on the spinal muscles of the lower back. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Spinal Stenosis Symptoms Early Diagnosis and Treatment | Call: 915-850-0900 or 915-412-6677

Spinal Stenosis Symptoms Early Diagnosis and Treatment | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Recognizing and understanding common and not so common neck and low back spinal Stenosis symptoms can help in getting an early diagnosis and beginning a preventative treatment plan. Symptoms develop when the spinal canal begins to narrow. The nerve roots become compressed/pinched causing:

 

  • Neural irritation
  • Inflammation
  • Pain

 

The low back and neck are commonly affected by this age-related and progressive disorder. Symptoms can inhibit the ability to move without discomfort, pain, and neurological issues like tingling sensations and numbness that spreads out or radiates into other parts of the body.

Low Back Spinal Stenosis Symptoms

The most common symptom of spinal Stenosis is pain in the:

 

  • Low back
  • Buttock area
  • Back of the thigh that gets worse when standing and walking

 

These symptoms are called neurogenic claudication. Some individuals with low back spinal stenosis experience symptoms only when standing or moving/walking around. Discomfort usually eases up when bent forward and goes away when the individual sits down. Example: Grocery shopping feels a lot better when leaning forward on the handle of the cart, with pain reduced. This is common for people with spinal stenosis in the low back. Pain that goes away and reduces when bending forward, sitting down, or lying down is common of low back spinal Stenosis.

 

Understanding that claudication is not neurogenic or pseudo claudication is important. The symptoms of claudication are similar to pseudo claudication, however, the cause is different. Claudication is caused by the blood not circulating properly in the leg muscles. Other symptoms are low back pain and low back spreading pain or radiculopathy.

Better known as sciatica, lumbar radiculopathy involves:

 

  • Pain
  • Numbness
  • Weakness
  • Tingling/numbing sensations that travel down from the low back into the buttock/s and leg/s.

 

Some individuals experience pain in both legs, with one leg having worse pain than the other.

Bowel/Bladder emergency:

There can be severe cases of lumbar spinal Stenosis where the nerves that control the bladder or bowel can get compressed, leading to partial or complete incontinence. If there are problems controlling the bladder or bowel seek immediate medical attention.

Neck Spinal Stenosis Symptoms

Spinal Stenosis symptoms in the neck can cause cervical radiculopathy. This can include pain along with:

 

  • Tingling sensations
  • Numbness
  • Weakness

 

These symptoms may radiate downward from your neck into one or both shoulders, arms, and/or hands. The pain caused by cervical spinal Stenosis has been described as:

 

  • Acute
  • Episodic
  • Occasional
  • Chronic

 

The intensity can go from mild to severe along with other symptoms that include:

 

  • Headache/s
  • Balance issues with a higher risk of falling
  • Fine Motor skills like writing, buttoning up a shirt/blouse, computer keyboarding skills can become affected

 

With severe cervical spinal stenosis, symptoms can be associated with cervical myelopathy. Cervical myelopathy happens when the spinal canal narrows so much that it compresses the spinal cord in the neck. Pinched nerves in the neck can affect the shoulders, arms, and hands. Myelopathy can affect both the arms and legs.

 

Symptoms of cervical myelopathy can include:

 

  • Neck pain
  • Stiffness
  • Tingling sensations
  • Numbness
  • Weakness
  • Clumsiness
  • Balance issues
  • Difficulty walking
  • Bowel and Bladder problems
  • Sexual dysfunction

Symptoms Don't Always Present

Imaging studies like MRI and CT scans can detect a spinal disorder from an individual that has no symptoms. This is why imaging tests are performed to confirm a diagnosis. This is supported by results from the physical/ neurological exams, medical history, and symptoms.

 

Those who have undergone an x-ray or other imaging test for a non-spinal related issue could have discovered they have spondylosis, osteophytes, and a herniated disc. However, they never knew it because they showed no symptoms. Spinal Stenosis of the spine is usually an age-related and gradual process of physical change. It can take time for symptoms to show themselves. If you have neck or low back pain symptoms that are becoming worse, speak with your doctor.

 

 

Why Choose Functional Medicine

Dr. Alex Jimenezs insight:

Recognizing and understanding common and not so common neck and low back spinal Stenosis symptoms can help in getting an early diagnosis and beginning a preventative treatment plan. Symptoms develop when the spinal canal begins to narrow. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Unusual Causes of Sciatica El Paso, Texas | Dr. Jimenez D.C. | Call: 915-850-0900 or 915-412-6677

Unusual Causes of Sciatica El Paso, Texas | Dr. Jimenez D.C. | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Sciatica is not only caused by a spinal injury, although this is the primary cause, sciatica can also surprisingly be caused by your clothes and shoes. Sciatica is defined as symptoms that include back, leg, and foot pain caused by the compression of the sciatic nerve. Other symptoms can include shooting electrical rays of pain, weakness, and numbness from your low back all the way down your legs into your feet.

 

Because of the intensity, many assume it has to be something serious like a work/car accident, sports injury or severe trauma. All of this can lead to sciatica, but there are also everyday things that we do daily that can also cause it. Here are some lesser-known ways of developing sciatica.

 

Items in Your Back Pocket

Many of us put our phones or wallets into our back pockets. When we carry these items in our pocket and then sit down on them, this can become a gradual trigger to sciatica. When we sit with these items begin to irritate the piriformis muscle. The sciatic nerve is right underneath this muscle and can get compressed. This cause has not been defined by the medical community, but a few names floating around include (back-pocket sciatica and cell-phone sciatica). 

Wearing High Heels

High heels push your weight forward and so your body wanting to remain upright responds by flexing the hips to keep you straight. The risk of sciatica happens when this flexing at the hips stretches the hamstrings that can irritate the sciatic nerve running alongside the hamstrings. And besides sciatica high heels can cause a bevy of other spinal problems.

Wearing Tight Jeans and Underwear

Overly tight-fitting pants and underwear might look and feel great, however, they can also contribute to sciatic nerve pain. Wearing tight clothing is not bad but realize that wearing this type of clothing every day will start to compress the muscles, ligaments, and nerves. Mix it up with clothing that allows you to move freely. If your clothing cuts off circulation absolutely do not wear it. And when it comes to tight pants, change postures and don't stay in the same position for too long, especially sitting.

Excess Weight

Research has found an association between being overweight and having sciatica. Excess body weight puts stress on your spine. This added pressure combined with sedentarism can cause spinal disorders that include sciatica. Being able to maintain a healthy weight will greatly reduce your risk of developing sciatica symptoms.

The Impact of Sciatica

Even if just gradual weakness develops down your leg or a sudden burst of pain comes and goes, do not ignore it and make an appointment with your doctor or chiropractor to understand the issue and underlying cause/s and set up a preventative treatment plan before it gets out of hand. There are many sciatica treatments/therapies to reduce or eliminate low back and leg pain. Your doctor/chiropractor will work with you to develop a custom sciatic preventive exercise treatment plan.

 

 

Severe*Sciatica* Pain Relief | El Paso, Tx (2020) | El Paso, Tx

 

NCBI Resources

A study cited by the health magazine Prevention found that sixty percent of sciatica sufferers who failed to get relief from other treatments found their symptoms improved after chiropractic care. Please contact our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet again.

Dr. Alex Jimenezs insight:

A spinal injury does not only cause sciatica, although this is the primary cause, sciatica can also surprisingly be caused by your clothes and shoes. There are many sciatica treatments/therapies to reduce or eliminate low back and leg pain. Your doctor/chiropractor will work with you to develop a custom sciatic preventive exercise treatment plan. For Answers to any questions you may have please call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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Sciatica and Chiropractic Non-Surgical Care El Paso, TX. | Call: 915-850-0900 or 915-412-6677

Sciatica and Chiropractic Non-Surgical Care El Paso, TX. | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Sciatica is pain that can be accompanied by numbness, tingling and occasionally weakness along the course of the sciatic nerve. The sciatic nerve is the thickest in the body and is formed from nerve roots exiting the spine, and extend into the buttocks and down the back of the legs to the toes. Common causes of sciatica along with non-surgical treatment options are presented by a chiropractor and a physical therapist.

Causes of Sciatica and Non-Surgical Care

Compressed Lumbar Disc also called lumbar radiculopathy

Probably one of the most common causes of sciatica that I treat. About 90% of patients have a positive response to alternative/conservative treatment. I use x-rays as a guide to follow where the nerve is compressed and where the best manipulation areas are for me to adjust. Spinal manipulation is a very safe procedure and most cases will heal without surgery.

 

Dr. Alex Jimenez D.C. and a practicing physical therapist  “Combined with chiropractic treatment and massage, we may use a topical steroid combined with electric stimulation or ultrasound to adjust/release the area where the nerve is compressed."

 

Lumbar traction is also used to reduce the size of the disc herniation and combine this with exercises, which are customized to the patient. Extending back and flexing exercises are also incorporated into the treatment plan and each is made specific to the patient. Patients may experience muscle spasms or joint stiffness, which is also relieved by massage therapy and joint mobilizationsPatients could also be trained on Kinesio tape application to relieve pressure and relax muscles.

 

 

Remember that strengthening the core is the key to reduce the risk of worsening the injury and getting new ones.

 

Lumbar Spinal Stenosis

This is a condition that can be difficult to treat because of the mechanical nature of the compression on the nerves. The cause is often a combination of osteoarthritis, disc bulging and spinal holes that have narrowed called neuroforamenPhysical therapy consists of traction, stretching, exercises, and chiropractic to lessen pain and inflammation.

 

Spondylolisthesis

This condition can be caused by trauma or degeneration of the spine. Conservative care is highly beneficial.

 

Extending the spine can worsen symptoms, therefore flexion-based exercises are what we recommend. Therapeutic exercises are utilized for abdominal strengthening and core stabilization. We get the patient to increase hip extension to reduce stress on the lumbar spine.  Manual therapies can also be used to control inflammation and alleviate muscle tightness or spasms.

 

Piriformis Syndrome

Piriformis syndrome also responds positively to conservative treatment. We look for the main cause when we see piriformis syndrome. This type of injury happens when a patient has a job or play a sport where they shorten and overuse the muscle.

 

We create a custom treatment/exercise program based on what is found structurally. Most of the time the piriformis muscle gets over-used because the hips are weak, so strengthening the hips and the core is key. Sciatic nerve mobilization can also help increase sciatic nerve mobility. This can be achieved with instrument-assisted soft tissue mobilization/Graston technique along with deep tissue massage will get optimal results.

 

Pregnancy

Sciatic symptoms often do present in pregnant women, which can make the pregnancy miserable. Our goal is to reduce symptoms and restore normal function with gentle exercise, massage, and hot/cold therapy.

 

The pelvic girdle is what we focus on, along with core stabilization, and Kinesio tape application to stabilize the girdle because of ligamentous laxity or loosening of the hips.

 

Trauma

Any kind of trauma that hits the gluteal area can become inflamed and spasm and bind around the sciatic nerve. We focus on relieving the pain and inflammation with manual therapies, and gentle exercises. These are based on what is found from the examination and how intense/extensive the trauma was.

 

Light spinal mobilization and massage have been proven to activate the body's natural painkillers to alleviate and release the tight muscles. More rigorous exercises are brought in to the treatment plan as the patient gets stronger. These will strengthen their core and get them back to regular activities, job, and their sport.

 

 

Get Rid of Sciatica Pain Non-Surgical El Paso, Texas

 

NCBI Resources

You may be suffering from sciatica if you have ever experienced a shooting, nerve-like pain down one of your legs. The sciatic nerve can be impacted by a number of different things, including injury and degenerative diseases, that can lead to sciatica. Fortunately, chiropractic can be an effective non-surgical treatment for sciatica.

 

A car accident can easily damage the spine and soft tissues. An auto accident may cause a misalignment of the spine, a herniated disc, or other injuries that cause symptoms of sciatica.

Dr. Alex Jimenezs insight:

The sciatic nerve can be impacted by several different things, including injury and degenerative diseases, that can lead to sciatica. Sciatica is pain that can be accompanied by numbness, tingling, and occasionally weakness along the course of the sciatic nerve. The sciatic nerve is the thickest in the body and is formed from nerve roots exiting the spine and down the back of the legs to the toes. A chiropractor and a physical therapist present common causes of sciatica along with non-surgical treatment options. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Pregnancy Back Pain Can Lead to Sciatica El Paso, TX. | Call: 915-850-0900 or 915-412-6677

Pregnancy Back Pain Can Lead to Sciatica El Paso, TX. | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Being pregnant is one of life's many joys, however, with the added weight comes normal back pain that can lead to severe back pain that can lead to sciatica.

 

Expecting mothers have much to look forward to but when back pain and sciatica take hold, it can be exhausting, frustrating and extremely painful. Women experiencing pregnancy back pain varies from woman to woman. To help prevent and alleviate back pain/sciatica, here are some answers as to how and why symptoms develop and what to do to make the pregnancy a joyful occasion.

Pregnancy Back Pain and Sciatica

Changes to the body throughout pregnancy affect more than its physical appearance.

 

  • The most common change is weight gain. Increased body weight, especially when bending puts pressure on the spinal discs. The most pressure is placed on the low back. Back, leg pain and sciatica are common complaints.
  • Weight gain can cause piriformis syndrome and sciatica. The piriformis muscles help with thigh movement. Piriformis syndrome can develop if the muscle compresses the sciatic nerve, which causes a pinching or electrical shock feeling in the buttocks and back of the leg.
  • What some might not know is that as the uterus grows, the body's center of gravity gets thrown off. What happens is the uterus expands inside the pelvis, and the spinal nerves in the low back that flow into the sciatic nerve gets compressed and irritated.
  • Hormones like relaxin, which is a hormone that relaxes the pelvic ligaments and helps prepare the mother's body for birth. Relaxin loosens the ligaments in the other areas of the body, but primarily the joints in the pelvis, low back, and knees. When exercising or lifting objects it is easy to strain these relaxed areas. Therefore, move slowly, and avoid any sudden movements. 

What Steps To Take

Work with a:

  • Doctor
  • Chiropractor
  • Midwife
  • Health care provider to keep body weight in check

Take note of posture:

  • Stand up straight
  • Shoulders back
  • Avoid leaning backward

Try a pillow:

  • A standard-sized pillow
  • Body pillow to help make sleeping comfortable
  • A pillow can be positioned between the knees and under the abdomen for support.

Prenatal yoga helps:

  • Stretch and tone muscles
  • Maintain flexibility
  • Improve balance and circulation
  • Relieves tension

Deep breathing plays a major role in yoga and is an added benefit as it can help expecting mothers relax during labor.

 

Simple cardiovascular exercises like walking or swimming can help keep weight under control and the body in shape. Ask a doctor or chiropractor if these types of exercises are right for you.

Prenatal massage is another option to help relieve pain and tension.

 

This type of massage eases:

 

  • Anxiety by stabilizing hormone levels
  • Back pain
  • Pelvic pain
  • Hip pain
  • Improves circulation and digestion
  • Helps reduce fatigue 

A warm shower or bath can helps ease back pain.

Expectant mothers should avoid aromatic oils or aromatherapy candles like:

 

  • Basil
  • Juniper
  • Peppermint
  • Rosemary
  • Star anise

 

Some of these oils can cause contractions.

 

Acupuncture is another form of alternative therapy that can treat back pain and sciatica. Sterile, millimeter thin disposable needles are inserted into points on the body that are known as energy channels. The needles help to restore the balance of energy in the body. However, expectant mothers need to be past six months to receive this type of treatment as the energy flow can cause contractions.

Ergonomics At Work & Home

Expectant mothers should avoid:

 

  • Awkward postures
  • Over-exercising
  • Heavy lifting
  • Repetitive work

 

Especially during the third trimester.

 

The low back and leg muscles have to work harder to keep the body balanced. Just basic standing or walking can be a challenge. Swelling is common. Make sure to take constant breaks and full-body rest combined with elevating the feet can be very helpful.

 

Adding an ergonomic and adjustable chair with a lumbar support backrest and footrest is worth the investment. A chair like this can helps take the pressure off of the spine and working at a desk much more comfortable. It benefits to frequently stand and sit continually changing the body's posture and working the various muscles, joints, and ligaments to keep the body loose. And it can be a form of exercise.

 

Light walking also helps to reduce any swelling through increased circulation.

 

Hopefully, you will not have to go through any kind of back pain or sciatica. But if pregnancy back pain and sciatica starts to creep in, talk to your doctor, chiropractor, midwife, or health care professional first.

 

When your body is truly healthy, you will arrive at your optimal fitness level proper physiological fitness state.  We want to help you live a new and improved lifestyle. Over the last two decades, while researching and testing methods with thousands of patients, we have learned what works effectively at decreasing pain while increasing human vitality.

 

We focus on what works for you. We also strive to create fitness and better the body through researched methods and total wellness programs. These programs are natural and use the body’s own ability to achieve goals of improvement.

 

 

Lower Back Pain During Pregnancy Treatment El Paso, TX.

Dr. Alex Jimenezs insight:

If pregnancy back pain and sciatica start to creep in, talk to your doctor, chiropractor, midwife, or health care professional first. When your body is truly healthy, you will arrive at your optimal fitness level.  We want to help you live a new and improved lifestyle. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Ergonomic Tips To Help Manage Sciatica At Work El Paso, TX. | Call: 915-850-0900 or 915-412-6677

Ergonomic Tips To Help Manage Sciatica At Work El Paso, TX. | Call: 915-850-0900 or 915-412-6677 | Sciatica "The Scourge & The Treatments" | Scoop.it

Ergonomics involves the study and engineering of improving work tools/products to help employees and improve the physical demands of their jobs.

How does sciatica fit into this?

People that have to sit or stand for long periods in their jobs can develop back/hip conditions that can lead to:

 

  • Back
  • Buttock
  • Leg
  • Foot pain

 

And this can make working painfully difficult if not impossible contributing to lost workdays.

 

Check out these tips and apply ergonomic principles to everyday activities like:

 

  • Using a sit-to-stand up desk
  • Adjust sitting posture
  • Adjusting standing posture
  • Proper movement

 

These tips can help get you through the workday and the workweek with less pain.

Have a Seat

Sitting for long periods is not good for the spine or sciatic pain.

 

  • Try to stand up every 20 minutes and walk around the workspace.
  • Choose a well-designed ergonomic chair.
  • Add low back support with a lumbar pillow or even a rolled-up towel at the base of the chair.

Added tips to reduce sciatica while sitting:

  • Do not cross your legs
  • Keep feet flat on the floor
  • Keep hips and knees bent at a 45-degree angle

 

If the chair has wheels, roll around and make it an exercise, instead of twisting/turning the body in an awkward position that can exacerbate the pain.  Use the chair to move as a single unit.

 

Stand Up

Changing up posture is a wise way to exercise the spine on the job.

 

Mix it up when it comes to sitting and standing.

 

Sitting all day is connected to a variety of health problems that go beyond back pain. These include:

 

  • Obesity
  • Type 2 diabetes

 

There are great benefits when you can sit and stand at work. This can help the work routine immensely.

 

  1. Standing lowers the risk of type 2 diabetes: Studies have shown people that sit for long periods at work had higher levels of fasting blood sugar.
  2. Standing lowers the risk of cardiovascular problems: Research has linked people who spend even just two hours a day sitting have an increased risk for cardiovascular health problems by one-hundred percent.
  3. Standing helps burn extra calories: A study found regular use of sit-stand desks at work can help burn calories and prevent weight gain when combined with proper diet and exercise.

 

An easy way is to use a sit-stand desk or sit-to-stand desk.

 

A sit-stand desk allows adjusting desk height to work seamlessly from sitting to standing.

 

Before purchasing this type of equipment, research the different styles and types to find the right model for you.

 

Although standing is important, don't stand in one place or position for an extended time. Move around and stretch out.

 

If the job requires standing, rest one foot on a box or stool. and alternate every 10 to 15 minutes.

When standing with sciatica:

Take care when getting up from sitting to a standing position.

  • When getting up try not to bend at the waist, as this can stretch and aggravate the nerve.
  • Slide to the front of the seat and stand up by straightening the legs. 

Keep Work Within Arms Reach

Keep your work close to avoid bending forward, as this also aggravates the nerve.

 

Keep your shoulders relaxed, and rest the elbows and arms on the desk or chair arms.

Computer Ergonomics

Create a sciatica-friendly workstation.

 

  • Position the monitor at eye level
  • Keep the keyboard and mouse close
  • Avoid reaching too far
  • Choose a proper ergonomic chair
  • Avoid leaning or slumping forward

Muscle Smarts

Don't move or lift objects that require great muscular force, like pushing a sofa or picking up a table.

 

Carrying a:

 

  • Purse
  • Briefcase
  • Groceries
  • Luggage

 

It can be challenging, so carry an equal amount of weight to keep the body balanced.

 

Anything you don't need, leave at home. You don't need the extra weight.

Sleeping On The Proper Mattress Matters

After a long day, get off your feet and rest.

 

However, if the mattress you sleep on does not support your spine, then sciatica can become a permanent condition.

 

A soft and lumpy mattress does not properly support the spine, which leads to muscle fatigue and restless sleep.

 

If these measures:

 

  • Time
  • Ice
  • Heat
  • Over-the-counter medications

 

Don't help reduce the back and leg pain, definitely call a doctor or chiropractor.

 

They can determine what is causing sciatica and will create a custom treatment plan to get you working at your best in the shortest amount of time possible.

 

 

El Paso, TX Sciatica Pain Chiropractic Therapy

 

Sandra Rubio discusses how Dr. Alex Jimenez and his staff can help relieve your sciatica symptoms. Chiropractic care can improve pain and discomfort as well as reduce irritation and inflammation caused by sciatica. In addition, a chiropractor like Dr. Jimenez can also provide nutritional and fitness advice for sciatic nerve pain. Other treatment methods, like deep-tissue massage, can help relieve sciatica symptoms. Dr. Jimenez is the homeopathic, non-surgical choice for sciatic nerve pain and its associated symptoms.

Dr. Alex Jimenezs insight:

A chiropractor can determine what is causing sciatica and will create a custom treatment plan to get you working at your best in the shortest amount of time possible. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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