Sports Injuries

Driving is one of the most common daily activities, but it is also one of the most stressful. Tight traffic, unexpected delays, or even the lingering effects of past accidents can trigger anxiety and nervous system overload. When stress levels rise behind the wheel, decision-making, reaction time, and focus all suffer, increasing the risk of motor vehicle accidents. A powerful but often overlooked tool for safer driving is deep, slow breathing—specifically diaphragmatic breathing, also called belly breathing.

This article explores why diaphragmatic breathing is the recommended technique for drivers, how it calms the nervous system, and how chiropractic care combined with integrative medicine can enhance breathing capacity. By addressing structural, neurological, and functional aspects of respiratory health, this approach not only supports safer driving but also improves overall well-being. Clinical insights from Dr. Alexander Jimenez, DC, APRN, FNP-BC—a dual-licensed chiropractor and nurse practitioner in El Paso—are included to demonstrate how integrated care addresses both medical and legal aspects of personal injury recovery.

Why Deep Breathing Matters Behind the Wheel

The human body is built to respond to stress with “fight or flight” reactions. While useful in dangerous situations, this response increases heart rate, raises blood pressure, and tightens muscles, none of which are ideal for driving calmly. Shallow chest breathing reinforces this stress cycle, leaving drivers tense and less attentive.

Diaphragmatic breathing, which expands the belly rather than just the chest, activates the parasympathetic nervous system—the body’s natural calming mechanism. This lowers heart rate, reduces cortisol levels, and improves oxygen delivery to the brain, enhancing focus and decision-making (Wim Hof Method, n.d.; Medical News Today, 2019).

Techniques such as the 4-7-8 method or steady 4-second inhalations and exhalations can help drivers quickly regain composure during stressful traffic moments (Calm Clinic, n.d.; Bocsit, n.d.). Studies also show that controlled breathing can help manage panic attacks and anxiety while driving, further supporting safety (AMFM Treatment, 2023). By making diaphragmatic breathing a routine practice, drivers can create a buffer between stress and reaction, improving both emotional regulation and physical control behind the wheel.

References: Wim Hof Method, n.d., Medical News Today, 2019, AMFM Treatment, 2023, Calm Clinic, n.d., Bocsit, n.d..

Mindfulness, Breathing, and Driving Performance

Mindfulness techniques that focus on breathing are increasingly recommended for drivers as a way to lower stress and prevent unsafe driving behaviors. By consciously slowing the breath, drivers can maintain a calm state of mind even during high-pressure conditions like traffic jams or long commutes (Driving to Independence, n.d.).

Breathwork also helps regulate thoughts. Racing thoughts often make drivers distracted, leading to missed signals or unsafe lane changes. Deep breathing can reduce these thoughts, allowing drivers to stay present and aware of their surroundings (Amen Clinics, 2021).

References: Driving to Independence, n.d., Amen Clinics, 2021.

Chiropractic Care and Breathing

While breathing exercises are crucial, structural alignment also plays an important role. Misalignments in the spine, especially in the thoracic region, can limit rib expansion, compress lung capacity, and alter nerve signals that regulate breathing. Chiropractic adjustments can relieve these restrictions, improving both the physical and neurological components of respiration (Ignite Chiro TX, n.d.; Kaden Chiropractic, n.d.).

Many patients report easier, deeper breathing after chiropractic adjustments because proper spinal alignment allows the diaphragm and lungs to move more freely (Paragon Integrated Medical, n.d.; RX Wellness, n.d.). Chiropractic care has also been linked to improvements in conditions like asthma, COPD, and other breathing difficulties (Orr Chiropractic, n.d.; Dr. David Scoppa, n.d.).

References: Ignite Chiro TX, n.d., Kaden Chiropractic, n.d., Paragon Integrated Medical, n.d., RX Wellness, n.d., Orr Chiropractic, n.d., Dr. David Scoppa, n.d..

Integrative Medicine for Respiratory Support

Integrative medicine combines traditional therapies with complementary approaches like acupuncture, massage, and nutrition. For breathing health, this may include yoga, tai chi, or mindfulness practices that improve lung function and calm the nervous system (Lung.org, 2021).

Acupuncture has shown benefits in treating respiratory disorders, helping balance the body’s energy systems while supporting lung efficiency (Medical Acupuncture Group, n.d.; Dantian Health, n.d.). Functional medicine also emphasizes root causes—looking at inflammation, diet, and lifestyle factors that influence breathing (Rupa Health, 2023).

Together, these therapies create a well-rounded support system for drivers and patients recovering from injuries, enhancing both lung capacity and emotional regulation.

References: Lung.org, 2021, Medical Acupuncture Group, n.d., Dantian Health, n.d., Rupa Health, 2023.

Dr. Alexander Jimenez: A Dual-Scope Approach

Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a chiropractor and nurse practitioner in El Paso who specializes in treating injuries from work, sports, personal incidents, and motor vehicle accidents. His dual licensure allows him to provide both medical and chiropractic care while also assisting patients with legal documentation in personal injury cases (Jimenez, 2025).

Dr. Jimenez emphasizes the clinical correlation between injuries, diagnostic imaging, and integrative treatment protocols. For patients experiencing breathing difficulties after trauma, he applies spinal assessments, lung function evaluation, and advanced imaging to identify structural or neurological barriers. He then designs a care plan that combines chiropractic adjustments, breathing exercises, massage, acupuncture, and nutritional guidance to restore function. This dual-scope model ensures patients not only receive comprehensive physical care but also the medical documentation needed for legal claims, bridging a gap many providers cannot fill.

References: Jimenez, 2025, Jimenez LinkedIn, 2025.

The Power of Combining Breathing Training with Chiropractic and Integrative Medicine

The strength of an integrative approach lies in addressing both structure and function. Chiropractic care restores spinal alignment and nerve signaling, while breathing techniques train the body to regulate stress responses. Meanwhile, acupuncture, mindfulness, massage, and functional nutrition reduce inflammation, balance energy, and improve oxygen flow.

When combined, these therapies create a system that not only makes driving safer by calming the nervous system but also improves long-term respiratory health. Patients recovering from injuries can breathe easier, think more clearly, and return to daily life with greater confidence.

Conclusion

Breathing may seem automatic, but how we breathe matters—especially while driving. Deep, diaphragmatic breathing reduces stress, sharpens focus, and lowers the risk of accidents. Chiropractic care enhances breathing by correcting spinal and neurological issues, while integrative medicine adds therapies that support lung health, reduce inflammation, and improve resilience.

Dr. Alexander Jimenez’s dual-scope expertise shows how chiropractic and integrative medicine together create powerful outcomes for patients recovering from injuries and managing respiratory health. By addressing both structural and functional root causes, patients can achieve not just symptom relief but also long-term wellness.

Recovering After a Car Accident | El Paso, TX

References

• Wim Hof Method. (n.d.). Breathing exercises.

• Medical News Today. (2019). How to do 4-7-8 breathing.

• AMFM Treatment. (2023). How to manage a panic attack while driving.

• Calm Clinic. (n.d.). 5 tips for driving anxiety.

• Bocsit. (n.d.). Breathwork for drivers: calming techniques.

• Driving to Independence. (n.d.). Mindfulness stress reduction techniques for drivers.

• Amen Clinics. (2021). 5 natural ways to calm racing thoughts.

• Ignite Chiro TX. (n.d.). Breathing difficulty and chiropractic care.

• Kaden Chiropractic. (n.d.). The respiratory system and chiropractic care.

• Paragon Integrated Medical. (n.d.). Breathe easy: The respiratory system and chiropractic care.

• RX Wellness. (n.d.). How chiropractic care can improve breathing.

• Orr Chiropractic. (n.d.). Chiropractor for respiratory issues.

• Dr. David Scoppa. (n.d.). Does chiropractic care improve asthma symptoms?

• Lung.org. (2021). Yoga, tai chi, and your lungs.

• Medical Acupuncture Group. (n.d.). Respiratory issues treatment.

• Dantian Health. (n.d.). Respiratory health with Chinese medicine.

• Rupa Health. (2023). Breathing techniques and lung health: A functional medicine approach.

• Jimenez, A. (2025). Dr. Alex Jimenez chiropractic and functional medicine insights.

• Jimenez, A. (2025). LinkedIn profile.

General Disclaimer *

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

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

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

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

When a bicycle and a motor vehicle collide, the cyclist almost always suffers the greater loss. With little more than a helmet and thin clothing for protection, riders are vulnerable to spinal, musculoskeletal, and nerve injuries—even in what drivers might consider a “minor” crash. Understanding how these accidents happen helps you prevent them. Knowing what to do medically can speed recovery and protect your legal rights.

This comprehensive guide explains the most common types of bicycle–motor vehicle accidents (MVAs): intersection crashes, rear-end impacts, dooring incidents, and unsafe passing/sideswipes. You’ll learn the top causes (driver negligence is a big one), what injuries to watch for, and how a team approach that includes chiropractic care, nurse practitioners, and integrative medicine can help you heal. We’ll also highlight the dual-scope work of Dr. Alexander Jimenez, DC, APRN, FNP-BC, a chiropractor and nurse practitioner in El Paso who treats auto- and bicycle-related injuries while helping patients navigate the medical–legal process.

Bicyclists, Traffic, and Injury Risk: A Quick Overview

Even confident riders are at risk when sharing the road with heavier, faster vehicles. Most bicycle–motor vehicle crashes happen in predictable environments: busy intersections, urban curb lanes lined with parked cars, and multi-lane roads where impatient drivers try to squeeze by. Injury severity doesn’t always match vehicle speed; awkward angles and ejections can produce fractures, spinal strain, and nerve injuries at surprisingly low speeds. Legal case reviews from multiple injury law practices show repeat patterns—drivers failing to yield, distracted driving, and poor scanning behavior before turns. These patterns appear across urban, suburban, and mixed-traffic communities. (Christensen & Hymas, n.d.; The Champion Firm, n.d.; Foster Wallace, n.d.)

References (Section 1)

• Christensen & Hymas. (n.d.). Different types of bike accidents.

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

• Foster Wallace. (n.d.). Different types of bike accidents.

Crash Mechanics: Why Cyclists Get Hurt Even at Low Speeds

Unlike car occupants, cyclists lack a protective structure, seat belts, or airbags. When struck, two collisions occur: first, the vehicle (or door, or ground) hits the rider; second, the rider’s body hits the pavement or surrounding objects. Rotational forces during a fall can twist the spine, strain ligaments, and cause disc injuries. Hand-out reactions often lead to wrist and shoulder trauma. If the front wheel is clipped, the cyclist may somersault, producing cervical hyperflexion or hyperextension—similar to whiplash. These injury pathways are frequently described in post-crash medical casework and law firm accident summaries involving serious cyclist claims. (Bay Area Bicycle Law, n.d.; Varner Faddis, n.d.; Lorenz & Lorenz, n.d.)

References

• Bay Area Bicycle Law. (n.d.). Bicycle accidents.

• Varner Faddis. (n.d.). Most common types of bicycle accidents.

• Lorenz & Lorenz. (n.d.). What are most common types of bicycle accidents?

Intersection Collisions: Left Cross, Right Hook, and Failure to Yield

Intersections are the most common environment for serious bicycle–vehicle conflicts. A left cross collision happens when a driver turns left across the path of an oncoming cyclist, and the driver either didn’t see or misjudged the speed. A right hook occurs when a motorist passes a cyclist traveling in the same direction and then turns right across the rider’s line, cutting them off. Both are often rooted in scanning errors, speed misjudgment, or failure to yield. (Christensen & Hymas, n.d.)

Busy multi-approach intersections also create exposure when drivers roll through stop signs, accelerate on yellow lights, or focus on other vehicles while overlooking cyclists in designated lanes. Intersection-related crashes resulting from distracted or reckless behavior are widely cited in injury claims and crash investigations. (The Champion Firm, n.d.; Langston & Lott, n.d.; The Hawk Firm, n.d.)

Injuries from intersection crashes range from clavicle and rib fractures to lumbar strain, cervical sprain, and traumatic brain injury (TBI), depending on the angle and speed of impact. Sudden deceleration plus sideways ejection raises concussion and shoulder dislocation risk. (Reinartz Law, n.d.; Hawn Walsh Law, 2024)

References

• Christensen & Hymas. (n.d.). Different types of bike accidents.

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

• Langston & Lott. (n.d.). What are the most common types of bicycle accidents?

• The Hawk Firm. (n.d.). What are the most common types of bicycle accidents?

• Reinartz Law. (n.d.). Common types of bicycle accidents.

• Hawn Walsh Law. (2024, July). What are the most common bicycle accidents?

Rear-End Collisions: Struck From Behind

A rear-end crash happens when a motorist follows too closely or fails to notice a cyclist stopped or slowing at a light, sign, or lane obstruction. Texting, looking at in-car screens, speeding, impaired driving, or low-light conditions frequently contribute. (Clarke Esq., n.d.; Gallagher & Kennedy Injury Law, n.d.)

Because the force is delivered from behind, the cyclist may be thrown forward off the bike, producing a head-first impact, upper spine strain, or whiplash-like cervical injury. If the front wheel locks or the bike frame collapses, the rider can sustain wrist fractures, shoulder separations, or thoracic contusions from bracing. In severe cases—especially with pickup trucks or SUVs—the rider may be run over. (Clarke Esq., n.d.; Foster Wallace, n.d.)

Reflective gear, daytime running lights for bikes, and assertive lane positioning in narrow lanes can reduce risk, but they cannot fully compensate for a distracted or impaired driver. (Varner Faddis, n.d.)

References

• Clarke Esq. (n.d.). Bicycle accidents.

• Gallagher & Kennedy Injury Law. (n.d.). What are the most common types of bicycle accidents?

• Foster Wallace. (n.d.). Different types of bike accidents.

• Varner Faddis. (n.d.). Most common types of bicycle accidents.

“Dooring” Accidents: The Opening-Car-Door Hazard

A driver or passenger parked along a curb opens a door into the cyclist’s immediate path—sometimes called being “doored.” Cyclists either collide directly with the door or swerve into traffic, risking a secondary crash with a moving vehicle. Dooring is common in dense downtown or mixed-use corridors where curbside parking lines bike routes. (CBPW Law, n.d.; Lorenz & Lorenz, n.d.; The Hawk Firm, n.d.)

Impact with a door at even modest cycling speeds can produce facial injuries, dental trauma, AC (acromioclavicular) shoulder sprains, rib bruising, thoracic spine strain, and wrist fractures from a forward brace. Secondary impacts—if the rider is thrown under moving traffic—can escalate to pelvic fractures or spinal cord involvement. (CBPW Law, n.d.; Bay Area Bicycle Law, n.d.)

Prevention tactics include riding outside the “door zone,” scanning for occupied vehicles, and using bike lanes with painted buffer stripes when available. Some regions promote the “Dutch Reach,” a technique that forces drivers to look back before opening the door. (Christensen & Hymas, n.d.)

References

• CBPW Law. (n.d.). What are the most common types of bicycle accidents?

• Lorenz & Lorenz. (n.d.). What are most common types of bicycle accidents?

• The Hawk Firm. (n.d.). What are the most common types of bicycle accidents?

• Bay Area Bicycle Law. (n.d.). Bicycle accidents.

• Christensen & Hymas. (n.d.). Different types of bike accidents.

Unsafe Passing & Sideswipes: Not Enough Space

When a driver attempts to pass a cyclist without leaving adequate lateral clearance, the result may be a sideswipe (contact with the vehicle’s side, mirror, or trailer) or a panic swerve leading to a solo crash. These incidents are common on rural two-lane roads, narrow city streets, and areas lacking clearly marked bike lanes. (Langston & Lott, n.d.; Reinartz Law, n.d.)

State and local traffic laws increasingly specify a minimum passing distance—often 3 feet (or more for higher speeds)—but drivers may ignore or be unaware of these rules. Close passes can destabilize a rider through wind blast alone, while mirror strikes can cause sudden handlebar deviation and crash. Injury potential includes lateral hip contusions, tib-fib fractures, lumbar torsion injuries, and peripheral nerve trauma if the cyclist is dragged or pinned. (Gallagher & Kennedy Injury Law, n.d.; The Champion Firm, n.d.)

Assertive lane positioning and signaling can deter risky passes, but enforcement and driver education remain critical. (Foster Wallace, n.d.)

References

• Langston & Lott. (n.d.). What are the most common types of bicycle accidents?

• Reinartz Law. (n.d.). Common types of bicycle accidents.

• Gallagher & Kennedy Injury Law. (n.d.). What are the most common types of bicycle accidents?

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

• Foster Wallace. (n.d.). Different types of bike accidents.

Other High-Risk Bicycle-MVA Scenarios

While intersection, rear-end, dooring, and unsafe passing events make up the core patterns, several additional crash types often appear in injury reports:

• Driveway or Parking-Lot Pull-Outs: Drivers exiting driveways or alleys into the roadway without checking for cyclists. (The Hawk Firm, n.d.; The Champion Firm, n.d.)

• Backing Vehicle Collisions: Motorist reverses out of a parking space into a passing cyclist. (Reinartz Law, n.d.)

• Right-Turn Lane Merges & Lane Drifts: Confusion about lane priority leads to side contact. (Varner Faddis, n.d.)

• Intoxicated or Impaired Drivers: Reduced reaction time and poor judgment greatly increase crash risk. (Gallagher & Kennedy Injury Law, n.d.)

• Night / Low-Visibility Crashes: Headlights, reflective gear, and proper lane lighting reduce but don’t eliminate risk. (Clarke Esq., n.d.)

• Roadway Debris or Poor Pavement Combined With Traffic Avoidance: Cyclists swerving to avoid potholes or debris may be struck by passing vehicles. (Bay Area Bicycle Law, n.d.)

References

• The Hawk Firm. (n.d.). What are the most common types of bicycle accidents?

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

• Reinartz Law. (n.d.). Common types of bicycle accidents.

• Varner Faddis. (n.d.). Most common types of bicycle accidents.

• Gallagher & Kennedy Injury Law. (n.d.). What are the most common types of bicycle accidents?

• Clarke Esq. (n.d.). Bicycle accidents.

• Bay Area Bicycle Law. (n.d.). Bicycle accidents.

Driver Negligence: Behaviors That Put Cyclists in Harm’s Way

Across jurisdictions, certain driver behaviors repeatedly show up in crash narratives and legal filings:

• Failure to Yield at Intersections – Turning across bike lanes, rolling through stop signs, or assuming the cyclist will slow. (Christensen & Hymas, n.d.; The Champion Firm, n.d.)

• Distracted Driving (Texting, Screens, Food) – Momentary inattention leads to rear-end and lane-departure crashes. (Gallagher & Kennedy Injury Law, n.d.; Foster Wallace, n.d.)

• Unsafe Lane Changes / Passing Too Close – Crowding cyclists, clipping handlebars, or forcing evasive maneuvers. (Reinartz Law, n.d.; Langston & Lott, n.d.)

• Driving Under the Influence (DUI) – Impaired drivers misjudge distance and speed. (Gallagher & Kennedy Injury Law, n.d.)

• Speeding and Aggressive Driving – Reduced stopping distance, harsher impact forces. (Varner Faddis, n.d.)

These behaviors account for the majority of driver-at-fault scenarios in many bicycle injury claims, underscoring the need for thorough evidence gathering after a crash. (The Hawk Firm, n.d.)

References

• Christensen & Hymas. (n.d.). Different types of bike accidents.

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

• Gallagher & Kennedy Injury Law. (n.d.). What are the most common types of bicycle accidents?

• Foster Wallace. (n.d.). Different types of bike accidents.

• Reinartz Law. (n.d.). Common types of bicycle accidents.

• Langston & Lott. (n.d.). What are the most common types of bicycle accidents?

• Varner Faddis. (n.d.). Most common types of bicycle accidents.

• The Hawk Firm. (n.d.). What are the most common types of bicycle accidents?

Shared Responsibility: When Rider Behavior Contributes

Although drivers cause many bicycle-MVAs, cyclists can contribute to collisions through risky or unlawful behavior. Examples include riding against traffic, ignoring traffic signals, sudden unsignaled lane changes, crossing mid-block, or making an unsafe left turn outside designated intersections. Poor visibility (no lights at night) also raises risk. Some legal cases show shared liability when a cyclist leaves a bike lane without checking for overtaking vehicles or rides in the blind spot of turning traffic. (1-800-THE-LAW2, n.d.; Gallagher & Kennedy Injury Law, n.d.; Hawn Walsh Law, 2024)

Cyclists must also yield to pedestrians in crosswalks and follow local traffic codes; failure to do so can weaken an injury claim even when the driver bears primary fault. (Gallagher & Kennedy Injury Law – Fault, n.d.)

References

• 1-800-THE-LAW2. (n.d.). Bike accident.

• Gallagher & Kennedy Injury Law. (n.d.). What are the most common types of bicycle accidents?

• Hawn Walsh Law. (2024, July). What are the most common bicycle accidents?

• Gallagher & Kennedy Injury Law. (n.d.). Understanding fault in pedestrian accidents involving bicycles.

Common Injury Patterns in Bicycle-MVA Survivors

Because cyclists absorb impact forces directly, injury patterns often involve multiple body systems:

Spinal & Axial Injuries – Cervical sprain/strain (whiplash), thoracic compression, lumbar facet irritation, and in severe crashes, vertebral fractures or disc herniation. Sudden rotational forces are common in sideswipes and right hooks. (Bay Area Bicycle Law, n.d.; Christensen & Hymas, n.d.)

Musculoskeletal Trauma – Clavicle fractures, wrist/forearm fractures from bracing falls, shoulder dislocations, knee ligament injury, and pelvic trauma in run-over or high-side ejections. (Varner Faddis, n.d.; The Champion Firm, n.d.; Lorenz & Lorenz, n.d.)

Peripheral Nerve Injury – Brachial plexus stretch from handlebar yank, ulnar neuropathy from impact, sciatic irritation from pelvic or lumbar trauma, and nerve compression from swelling or malalignment. (Dr. Alexander Jimenez, n.d.; PushasRx, n.d.)

Head & Concussion – Rotational brain injury can occur even with helmets; secondary neck strain may complicate recovery. (Reinartz Law, n.d.; Hawn Walsh Law, 2024)

References

• Bay Area Bicycle Law. (n.d.). Bicycle accidents.

• Christensen & Hymas. (n.d.). Different types of bike accidents.

• Varner Faddis. (n.d.). Most common types of bicycle accidents.

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

• Lorenz & Lorenz. (n.d.). What are most common types of bicycle accidents?

• Dr. Alexander Jimenez. (n.d.). Clinical observations and dual-scope care.

• PushasRx. (n.d.). Integrative performance & recovery insights.

• Reinartz Law. (n.d.). Common types of bicycle accidents.

• Hawn Walsh Law. (2024, July). What are the most common bicycle accidents?

Emergency Red Flags: When to Seek Immediate Care

Call emergency services or go to an ER/urgent care immediately if any of the following occur after a bicycle–vehicle crash:

• Loss of consciousness, confusion, or amnesia

• Neck pain with numbness, tingling, or weakness in arms/legs

• Severe back pain, especially with bowel/bladder changes

• Obvious deformity (fracture) or inability to bear weight

• Persistent vomiting, severe headache, or vision changes after a head impact

• Rapid swelling at a joint or suspected internal bleeding

Legal and clinical case reviews emphasize the importance of quick evaluation—delays can worsen outcomes and complicate insurance claims. Document symptoms early, even if they seem minor at the scene; adrenaline can mask injury. (The Champion Firm, n.d.; Varner Faddis, n.d.; Dr. Alexander Jimenez, n.d.)

References

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

• Varner Faddis. (n.d.). Most common types of bicycle accidents.

• Dr. Alexander Jimenez. (n.d.). Clinical observations and dual-scope care.

Diagnostic Pathway: Imaging and Functional Evaluation

Accurate diagnosis guides effective treatment—and strengthens legal documentation. Clinicians typically follow a staged approach:

1. History & Mechanism Review: Direction of impact, speed, protective gear use, immediate symptoms.

2. Physical Examination: Neurological screening (sensation, reflexes, motor strength), spinal palpation, range of motion, orthopedic stress tests.

3. Imaging Selection:

   • X-rays for suspected fracture, dislocation, or alignment.

   • MRI for disc injury, ligament damage, spinal cord involvement, and persistent radiculopathy.

   • CT for complex fractures or head injury evaluation.

4. Functional Outcome Baselines: Pain scales, disability indices, balance, and gait testing.

5. Reassessment Over Time: To track healing, detect delayed complications (e.g., nerve entrapment), and update impairment ratings for personal injury cases.

Providers with dual training in chiropractic biomechanics and advanced practice nursing—like Dr. Jimenez—are well-positioned to correlate symptoms with imaging and functional status, creating unified treatment plans and medico-legal reports. (Dr. Alexander Jimenez, n.d.; PushasRx, n.d.; LinkedIn Profile – Jimenez, n.d.)

References

• Dr. Alexander Jimenez. (n.d.). Clinical observations and dual-scope care.

• PushasRx. (n.d.). Integrative performance & recovery insights.

• Jimenez, A. (n.d.). Professional profile [LinkedIn].

Chiropractic Care After a Bicycle Crash

Chiropractic care focuses on restoring alignment, joint motion, and neuromuscular function after trauma. Common post-crash therapeutic goals include:

• Reducing spinal joint restrictions caused by impact or defensive bracing

• Relieving nerve pressure from postural distortion or inflammation

• Improving biomechanics to reduce compensatory pain in shoulders, hips, and knees

• Supporting disc and facet joint health through mobilization, decompression, and targeted exercise

Cyclists recovering from dooring, right hook, and rear-end crashes frequently report mid-back stiffness, neck pain, and altered shoulder mechanics—patterns that respond well to staged chiropractic interventions combined with rehab exercise. (Lorenz & Lorenz, n.d.; Bay Area Bicycle Law, n.d.; Dr. Alexander Jimenez, n.d.)

Chiropractors also collaborate with legal teams by documenting objective findings (range of motion deficits, neurologic changes) that can corroborate injury severity. (Clarke Esq., n.d.)

References

• Lorenz & Lorenz. (n.d.). What are most common types of bicycle accidents?

• Bay Area Bicycle Law. (n.d.). Bicycle accidents.

• Dr. Alexander Jimenez. (n.d.). Clinical observations and dual-scope care.

• Clarke Esq. (n.d.). Bicycle accidents.

Nurse Practitioners in Bicycle Injury Care

Nurse practitioners (NPs) bring a whole-person, continuity-focused lens to crash recovery. In many clinics, NPs:

• Perform initial triage and comprehensive exams

• Order imaging and lab work

• Prescribe pain control, anti-inflammatory medications, and neuropathic pain agents when appropriate

• Manage wound care and soft tissue recovery

• Monitor red-flag symptoms over time (e.g., worsening radiculopathy)

• Coordinate referrals to chiropractic, physical therapy, neurology, orthopedics, or mental health providers

Because they straddle acute care and long-term management, NPs help keep post-crash care organized—critical for patients juggling insurance, rehab, and work restrictions. (Hawn Walsh Law, 2024; 1-800-THE-LAW2, n.d.; Dr. Alexander Jimenez, n.d.)

References

• Hawn Walsh Law. (2024, July). What are the most common bicycle accidents?

• 1-800-THE-LAW2. (n.d.). Bike accident.

• Dr. Alexander Jimenez. (n.d.). Clinical observations and dual-scope care.

Integrative Medicine: A Team-Based Recovery Model

Healing from a bicycle crash rarely depends on one therapy alone. An integrative approach blends conventional and complementary care to improve outcomes:

• Chiropractic Adjustments & Spinal Decompression: Restore alignment and nerve flow.

• Physical Rehabilitation & Corrective Exercise: Rebuild strength, balance, and joint stability.

• Massage / Soft Tissue Therapy: Reduce muscle spasm, break up adhesions, and improve circulation.

• Acupuncture: Modulate pain signaling and inflammation.

• Nutrition for Tissue Repair: Protein, anti-inflammatory fats, and micronutrients support tissue repair and recovery.

• Mind–Body Strategies: Stress and trauma processing matter—crash survivors often ride with fear.

Dr. Jimenez’s clinics integrate multiple disciplines under one umbrella, coordinating care plans that connect imaging findings, functional deficits, and personalized rehab. (PushasRx, n.d.; Dr. Alexander Jimenez, n.d.; The Champion Firm, n.d.)

References

• PushasRx. (n.d.). Integrative performance & recovery insights.

• Dr. Alexander Jimenez. (n.d.). Clinical observations and dual-scope care.

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

Legal–Medical Documentation: Protecting Your Health and Your Case

Accurate and timely medical records are crucial to both recovery planning and personal injury claims. Important elements include:

• Mechanism of injury narrative (who, what, where, speed, impact direction)

• Immediate and delayed symptoms (pain, numbness, headaches, mobility limits)

• Objective exam findings (swelling, neurologic deficits, range of motion)

• Imaging results linked to clinical symptoms

• Treatment plan, progress notes, and functional limitations (work, sport, ADLs)

Providers who understand both clinical practice and legal standards—like Dr. Jimenez—are able to produce documentation that supports fair insurance valuation and, when needed, courtroom presentation. Law firms repeatedly emphasize that consistent medical follow-up and well-organized records strengthen cases and demonstrate injury legitimacy. (Christensen & Hymas, n.d.; Clarke Esq., n.d.; Gallagher & Kennedy Injury Law – Fault, n.d.; Jimenez, A., n.d.)

References

• Christensen & Hymas. (n.d.). Different types of bike accidents.

• Clarke Esq. (n.d.). Bicycle accidents.

• Gallagher & Kennedy Injury Law. (n.d.). Understanding fault in pedestrian accidents involving bicycles.

• Jimenez, A. (n.d.). Professional profile [LinkedIn].

What to Do After a Bicycle–Motor Vehicle Crash: Step-by-Step

Follow these steps to protect your health and your rights after a crash:

1. Get to Safety: Move out of traffic if able.

2. Call 911: Report injuries—even if you think you’re okay. Police reports matter later. (The Hawk Firm, n.d.)

3. Document the Scene: Photos of vehicle position, skid marks, damage, traffic controls, and lighting. (Foster Wallace, n.d.; The Champion Firm, n.d.)

4. Exchange Information: Names, license numbers, insurance, witness contacts. (Christensen & Hymas, n.d.)

5. Seek Medical Evaluation Promptly: Some injuries (concussion, soft tissue strain, internal trauma) show up hours or days later. (Varner Faddis, n.d.; Dr. Alexander Jimenez, n.d.)

6. Follow Through With Recommended Care: Missed appointments can be used to question injury seriousness in claims. (Clarke Esq., n.d.)

7. Track Symptoms Daily: Use a notebook or app; share with your provider.

8. Consult Injury-Savvy Providers: Especially those experienced in both treatment and documentation for personal injury matters. (Jimenez, A., n.d.)

References

• The Hawk Firm. (n.d.). What are the most common types of bicycle accidents?

• Foster Wallace. (n.d.). Different types of bike accidents.

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

• Christensen & Hymas. (n.d.). Different types of bike accidents.

• Varner Faddis. (n.d.). Most common types of bicycle accidents.

• Dr. Alexander Jimenez. (n.d.). Clinical observations and dual-scope care.

• Clarke Esq. (n.d.). Bicycle accidents.

• Jimenez, A. (n.d.). Professional profile [LinkedIn].

Prevention: Practical Safety Strategies for Riders and Drivers

While no strategy eliminates risk, a layered approach helps reduce crash likelihood and injury severity:

For Cyclists

• Take the lane in narrow roads to discourage unsafe passing. (Langston & Lott, n.d.)

• Use front and rear lights day and night; add reflectors and high-visibility clothing. (Clarke Esq., n.d.)

• Ride outside the door zone; scan parked cars for occupants. (CBPW Law, n.d.)

• Communicate clearly with hand signals and eye contact at intersections. (Christensen & Hymas, n.d.)

• Obey traffic controls; predictable riding reduces surprises. (1-800-THE-LAW2, n.d.)

For Drivers

• Perform a mirror-and-shoulder check before opening doors (Dutch Reach). (Christensen & Hymas, n.d.)

• Give at least 3 feet—or more at speed—when passing cyclists. (Reinartz Law, n.d.)

• Slow and scan carefully before turning across bike lanes. (The Champion Firm, n.d.)

• Put devices away; distracted seconds cause lifelong injuries. (Gallagher & Kennedy Injury Law, n.d.)

References

• Langston & Lott. (n.d.). What are the most common types of bicycle accidents?

• Clarke Esq. (n.d.). Bicycle accidents.

• CBPW Law. (n.d.). What are the most common types of bicycle accidents?

• Christensen & Hymas. (n.d.). Different types of bike accidents.

• 1-800-THE-LAW2. (n.d.). Bike accident.

• Reinartz Law. (n.d.). Common types of bicycle accidents.

• The Champion Firm. (n.d.). What are the most common types of bicycle accidents?

• Gallagher & Kennedy Injury Law. (n.d.). What are the most common types of bicycle accidents?

Putting It All Together: Integrated Recovery and Advocacy

Bicycle–motor vehicle crashes are multi-layered events: physics, human behavior, medical complexity, and legal accountability all intersect. That’s why a collaborative recovery plan is most effective. Early evaluation identifies red-flag injuries. Imaging anchors diagnosis. Chiropractic care restores alignment and function. Nurse practitioners coordinate medical management and referrals. Integrative therapies support tissue repair, reduce pain, and help riders return to activity with confidence. Accurate and timely documentation preserves your story when it matters most—during insurance negotiations or legal proceedings.

Clinicians who straddle both medical and legal worlds—like Dr. Alexander Jimenez in El Paso—help patients connect the dots between crash mechanics, exam findings, imaging, and functional recovery goals. Whether you’re an everyday commuter, a recreational rider, or a competitive cyclist, building a trusted care team after a crash can shorten recovery time, lower long-term disability risk, and protect your rights. (Dr. Alexander Jimenez, n.d.; PushasRx, n.d.; Christensen & Hymas, n.d.)

Our quick patient initiation process | El Paso, Tx

References

Christensen & Hymas. (n.d.). Different types of bike accidents. https://christensenhymas.com/utah-bicycle-accident-attorney/different-types-of-bike-accidents/

The Champion Firm. (n.d.). What are the most common types of bicycle accidents? https://www.thechampionfirm.com/blog/what-are-the-most-common-types-of-bicycle-accidents/

CBPW Law. (n.d.). What are the most common types of bicycle accidents? https://cbpw-law.com/what-are-the-most-common-types-of-bicycle-accidents/

Clarke Esq. (n.d.). Bicycle accidents. https://clarkesq.com/practice-groups/bicycle-accidents/

Gallagher & Kennedy Injury Law. (n.d.). What are the most common types of bicycle accidents? https://www.gallagherkennedyinjury.com/what-are-the-most-common-types-of-bicycle-accidents/

Foster Wallace. (n.d.). Different types of bike accidents. https://www.fosterwallace.com/blog/different-types-of-bike-accidents/

Bay Area Bicycle Law. (n.d.). Bicycle accidents. https://bayareabicyclelaw.com/bicycle-accidents/

Varner Faddis. (n.d.). Most common types of bicycle accidents. https://www.varnerfaddis.com/most-common-types-of-bicycle-accidents/

Reinartz Law. (n.d.). Common types of bicycle accidents. https://reinartzlaw.com/common-types-of-bicycle-accidents/

Langston & Lott. (n.d.). What are the most common types of bicycle accidents? https://langstonlott.com/what-are-the-most-common-types-of-bicycle-accidents/

The Hawk Firm. (n.d.). What are the most common types of bicycle accidents? https://thehawkfirm.com/what-are-the-most-common-types-of-bicycle-accidents/

Lorenz & Lorenz. (n.d.). What are most common types of bicycle accidents? https://www.lorenzandlorenz.com/blog/what-are-most-common-types-of-bicycle-accidents/

Hawn Walsh Law. (2024, July). What are the most common bicycle accidents? https://www.hawnwalsh.com/blog/2024/07/what-are-the-most-common-bicycle-accidents/

1-800-THE-LAW2. (n.d.). Bike accident. https://www.1800thelaw2.com/resources/vehicle-accident/bike-accident/

Gallagher & Kennedy Injury Law. (n.d.). Understanding fault in pedestrian accidents involving bicycles. https://gallagherkennedyinjury.com/understanding-fault-in-pedestrian-accidents-involving-bicycles/

Dr. Alexander Jimenez. (n.d.). Clinical observations and dual-scope care. https://dralexjimenez.com/ | https://pushasrx.com/ | https://www.linkedin.com/in/dralexjimenez/

General Disclaimer *

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

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

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

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

How can one effectively manage the early signs of bunions?

Bunions

Visual Signs of Early Symptoms

Stages

Stop the Progress

Early-stage nonsurgical treatment

What are some leg-strengthening exercises that will expedite recovery for athletes and physically active individuals who have undergone leg surgery?

Post Surgery Leg Strengthening

Leg muscles may weaken after hip, knee, ankle, or foot surgery. This happens because those muscles are not used as much during recovery. Gaining back strength and muscle endurance after an injury or surgery is an important step in recovery. Leg exercises can help regain mobility and prevent complications like blood clots and pressure sores after surgery or an injury, which is why engaging in post-surgery leg strengthening is important once the doctor gives the ok.

Benefits

Post-surgery leg strengthening exercises have several benefits, including

• Rebuilds strength and confidence
• Retraining for optimal mobility and flexibility
• Prevents pressure sores
• Prevents blood clots

When the leg muscles are contracted, they move blood like a pump, maintaining proper circulation. Moving in a bed after surgery also helps prevent pressure sores from forming and blood clots. A physical therapy team will determine the right leg exercises for each individual and their injury/condition. This is an important step when moving forward after surgery. (Hoogeboom T. J. et al., 2014)

Starting Out

The first exercises should target all the major muscles of the leg. (Madara K. C. et al., 2019)

Gluteal Sets

This isometric exercise means the muscles contract while no motion occurs at the hip joints. To perform:

• Lie on your back and tighten your buttock muscles.
• Hold the muscles tight for 5 seconds, then relax.
• Repeat 10 or 15 times.
• Gluteal sets can be done several times per day.

Heel Slide

Heel slides can help regain strength in the major muscles of the leg. To perform:

• Lie on your back.
• Bend the knee of the surgical leg and slowly slide the heel toward your butt.
• Slide as far as possible and hold for 5 seconds.
• Slowly return to the starting position and repeat.

Short Arc Quad

The short arc quad, or SAQ, is a simple way to get the quadricep muscles working. To perform:

• Lie on your back with a towel roll, small ball, or something similar under the knee.
• Slowly straighten the knee.
• Tighten the quad muscle on the top of the thigh.
• Hold for 3 seconds, then relax.
• Repeat 10 to 15 times.

Quad Set

This exercise helps get the quad muscles working. It also helps control the position of the kneecap. To perform:

• Lie on your back.
• Place a small towel roll under the knee.
• Try to press the back of the knee flat against the floor.
• Hold for 10 seconds and release.
• Repeat 10 to 15 times.

Individuals can complete quad sets bilaterally or with both knees simultaneously. This makes the stronger leg help strengthen the weaker side.

Straight Leg Raise

To perform:

• Lie on your back.
• Lift your leg straight off the floor until it is at the height of the opposite bent knee.
• Hold for 10 seconds and slowly lower.
• Repeat 10 to 15 times.

Be sure to keep the knee straight for the entire exercise. Keep the opposite knee bent for comfort. To ensure the knee is straight, individuals can complete a quad set first and then the straight leg raise. The exercise can be more challenging by increasing repetitions or adding a 2- to 3-pound ankle weight on the thigh. For even more challenge, add the ankle weight to the ankle.

Hamstring Strengthening

Working out the hamstrings after injury or surgery is important. The hamstring muscles bend the knee and extend the hip backward. To perform:

• Lie on your stomach.
• Bend one knee to raise the lower limb straight in the air.
• Hold for 5 seconds and lower slowly.
• Repeat 10 to 15 times.

Once the exercise is easy to do, increase the repetitions to 30. Individuals can also add a 2- to 3-pound ankle weight.

Physical therapy can help individuals regain mobility after injury or surgery. A therapist may prescribe exercises as part of an at-home exercise program. Over time, progress will go from simple exercises to more challenging ones to improve balance and mobility. (Madara K. C. et al., 2019)

Injury Medical Chiropractic & Functional Medicine Clinic

Before starting this or any other exercise program, consult a doctor and a physical therapist to find the right exercises for your situation. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Are You Recovering From Ankle Sprains?

General Disclaimer *

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

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Hoogeboom, T. J., Dronkers, J. J., Hulzebos, E. H., & van Meeteren, N. L. (2014). Merits of exercise therapy before and after major surgery. Current opinion in anaesthesiology, 27(2), 161–166. https://doi.org/10.1097/ACO.0000000000000062

Madara, K. C., Marmon, A., Aljehani, M., Hunter-Giordano, A., Zeni, J., Jr., & Raisis, L. (2019). PROGRESSIVE REHABILITATION AFTER TOTAL HIP ARTHROPLASTY: A PILOT AND FEASIBILITY STUDY. International Journal of Sports Physical Therapy, 14(4), 564–581.

In females, hernia symptoms are often smaller and deeper without a noticeable lump and can mimic gynecological issues, with misdiagnoses being common. Can knowing the risk factors and how female hernias are treated help women get relief?

Female Hernia

A hernia occurs when an internal structure pushes through a weak spot in the abdominal wall, the muscles, and the tissue covering the front of the torso. The more common include:

• Groin hernia, known as an inguinal hernia.
• Upper thigh or femoral hernia.

However, a hernia can develop anywhere from the ribcage to the upper thigh. Hernias are less common in women, have different symptoms than in men, and are often misdiagnosed. Lower abdominal and pelvic hernias present differently in women than men, who typically have a visible bulge. Instead, female hernias tend to be smaller, deeper, and less noticeable. They can also cause chronic pelvic pressure or pain that can be mistaken for gynecological problems.

Hernia Symptoms For a Woman

Hernias in women tend to be smaller and deeper than male hernias, with no lump showing. Instead, female hernias can cause chronic, deep pelvic pain and occasional sharp, stabbing pain that comes on fast and lingers. (Köckerling F., Koch A., & Lorenz R. 2019) Hernia pain worsens with exercise, laughing, coughing, or straining to evacuate the bowels. The pain is often described as:

• Dull
• Aching
• Pinching
• Sharp
• Shooting
• Burning

Inguinal hernia pain is usually felt at or above the groin and may radiate to the hip, lower back, vulva, or thigh. Many women find the pain increases during their menstrual cycle. The pain can also be exacerbated by any activity that generates extra pressure on the pelvic floor, including:

• Prolonged sitting or standing.
• Bending
• Getting in or out of bed.
• Getting in or out of a car.
• Sexual intercourse

Emergency

Hernias in the pelvic area are at risk of becoming incarcerated hernias. An incarcerated hernia occurs when a portion of the intestine or other abdominal tissue becomes trapped in the hernial sac, making it impossible to push it back into place. If this gets trapped or strangulated, it can cause tissue death. Strangulated hernias are a medical emergency. Symptoms include:

• Deep red or purple tissues.
• The hernia bulge does not shrink when you lie down.

Other  symptoms that warrant immediate medical attention include: (Johns Hopkins Medicine, 2025)

• Worsening pain
• Bloating
• Difficulty with bowel movements
• Nausea
• Fever
• A fast, racing heartbeat.

Contact a healthcare provider or the emergency room if experiencing any of the above symptoms.

Types

Hernias can occur anywhere on the abdominal wall. They may be caused by:

• Internal pressure, such as during pregnancy.
• A sports injury
• Tissue weakness

Hernias in the lower abdomen or groin are typically indirect inguinal hernias. The inguinal canal comprises multiple layers of muscles and fascia that the thin round ligament threads through. Other groin and pelvic hernias include:

• A direct inguinal hernia
• A femoral hernia at the top of the inner thigh.
• An obturator hernia in the front upper thigh, although this type is rare.

Other common hernias in women are:

• Incisional hernia - at the site of a surgical incision
• Umbilical hernia - around the belly button
• Ventral hernia - abdominal midline

Less common hernias include:

• Hiatal hernia - diaphragm
• Perineal hernia - pelvic floor

Risk Factors

Risk factors for developing a hernia include: (Johns Hopkins Medicine, 2025)

• Obesity
• Frequent constipation
• Abdominal or pelvic surgery.
• Allergies with chronic sneezing.
• A chronic cough.
• Collagen defects or connective tissue disorders.

Pregnancy and repeated pregnancies are linked to an increased risk of hernia. Types that are more common in pregnancy include:

• Umbilical hernia
• Ventral hernia
• Inguinal hernia

Umbilical hernias are the most common. However, only a small percentage of pregnant individuals get them. (Kulacoglu H. 2018)

Diagnosis

A hernia diagnosis is made with a physical examination and, if needed, imaging studies. Patients are asked to describe their symptoms precisely, where the pain is located, and any activities that exacerbate it. To check for a hernia, the healthcare provider will palpate for a hernia while the patient sits, stands, or coughs. Imaging tests can include:

• Ultrasound
• CT scan
• Endoscopy - a camera is used to see inside the esophagus and stomach.

Misdiagnoses

Female hernia symptoms can be vague, which often points healthcare providers in the wrong direction. Female hernias are commonly misdiagnosed as: (Köckerling F., Koch A., & Lorenz R. 2019)

• Cysts in the reproductive organs
• Endometriosis
• Fibroid tumors

Treatment

A small hernia that does not cause problems or pain may be treated with a wait-and-evaluate protocol. A hernia often worsens over time and could eventually require surgery. (University of Michigan Health, 2024) Self-care treatments include:

• Rest (American Academy of Orthopaedic Surgeons, 2022)
• Compression wraps (American Academy of Orthopaedic Surgeons, 2022)
• Ice (Northeast Georgia Health System, 2022)
• Over-the-counter pain medication (Northeast Georgia Health System, 2022)

Medical treatments usually start with conservative measures, including physical therapy, stretching, exercise, and rest. Physical therapists often use myofascial release techniques to relieve muscle spasms. Surgery may be needed to repair the weak area of the abdominal wall to relieve symptoms. (University of Michigan Health, 2024) Hernia repair surgery is typically performed as a laparoscopic surgery. (Köckerling F., Koch A., & Lorenz R. 2019) Most patients heal quickly from the surgery and can return to regular activities in a week or two.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Lumbar Spine Injuries in Sports: Chiropractic Healing

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Köckerling, F., Koch, A., & Lorenz, R. (2019). Groin Hernias in Women-A Review of the Literature. Frontiers in surgery, 6, 4. https://doi.org/10.3389/fsurg.2019.00004

Johns Hopkins Medicine. (2025). How to tell if you have a hernia. https://www.hopkinsmedicine.org/health/conditions-and-diseases/how-to-tell-if-you-have-a-hernia

Kulacoglu H. (2018). Umbilical Hernia Repair and Pregnancy: Before, during, after…. Frontiers in surgery, 5, 1. https://doi.org/10.3389/fsurg.2018.00001

University of Michigan Health. (2024). Inguinal hernia: Should I have surgery now, or should I wait? https://www.uofmhealth.org/health-library/za1162

American Academy of Orthopaedic Surgeons. (2022). Sports hernia. https://orthoinfo.aaos.org/en/diseases--conditions/sports-hernia-athletic-pubalgia/

Northeast Georgia Health System. (2022). Living with a hernia. Northeast Georgia Health System Improving the health of our community in all we do. https://www.nghs.com/2022/02/15/living-with-a-hernia

Can a knee brace relieve discomfort, provide support, and expedite recovery for individuals recovering from an injury or surgery?

Knee Brace

A knee brace is a medical device that supports and stabilizes the knee joint to help with pain and recovery after an injury or surgery. Many knee braces are made of various materials and offer a range of support levels. A healthcare provider or physical therapist can recommend the appropriate one for your condition and suggest the best one. Ask a healthcare provider if you're unsure, as wearing a knee brace correctly and for the recommended time is important for healing. They are generally safe. However, individuals with health conditions such as poor circulation should be cautious when using them and consult their healthcare provider.

What They Do

The knee joint comprises bones, cartilage, ligaments, tendons, and muscles. A knee brace stabilizes these structures, preventing them from moving too much or too fast. Some braces redistribute the knee joint's weight, decreasing the force the knee absorbs. (American Academy of Family Physicians, 2020)

Conditions

A knee brace is used after surgery to aid in healing and following an injury. This can be:

• Sprain
• Ligament injury
• Patellar/kneecap dislocation

They are also used to support the knee and relieve pain from some chronic conditions including: (Sprouse R. A., McLaughlin A. M., & Harris G. D. 2018)

• Tendonitis
• Patellar tendinopathy
• Chondromalacia patellae
• Patellofemoral stress syndrome
• Medial knee osteoarthritis

Types

Knee braces differ in function and support level. Some stabilize the knee, while others completely immobilize the joint. A healthcare provider and/or physical therapist will explain what support is needed and how to use it. They can also check the brace's fit and determine if adjustments or a different size are required.

Most Commonly Used

Prophylactic Brace

• This is a protective knee pad that shields the kneecap from direct impact.
• It's used by athletes who play contact sports, like football. (American Academy of Pediatrics, 2019)

Unloader

• This brace helps rebalance the weight and shift the pressure on the knee joint to other parts of the leg, reducing pain. (American Academy of Family Physicians, 2020)
• A knee unloader is typically used to control discomfort due to inflammatory conditions like tendonitis and osteoarthritis.

Functional

• This brace limits motion in the joint after an injury or prevents dislocation.

Bledsoe Brace

• This brace has straps to wrap around the thigh and shin and support brackets on the inside and outside of the knee joint.
• A small mechanism locks the knee into full extension or allows the knee to bend a specific amount.

Knee Immobilizer

• A knee immobilizer keeps the knee in one position.
• It is a long cloth brace that runs the length of the shin and thigh.

Knee Brace vs Knee Support

A knee support or sleeve is usually a tight-fitting fabric garment. It provides compression to help reduce swelling and discomfort. A knee brace offers more support and can also be set to limit mobility.

Wearing The Brace

Individuals may need to wear a knee brace all day or only when performing specific tasks and operations. It depends on the individual and the condition the brace is being used for. Some may only need a knee brace during certain activities or a flare-up of pain. (Mayo Clinic, 2022) Wearing a brace for unnecessarily long periods can cause skin abrasion, joint stiffness, and muscle atrophy. (American Academy of Family Physicians, 2020) Conversely, neglecting to wear it can cause more susceptibility to injury or extend and or impair healing time. Ask a healthcare provider when you should and should not wear the brace. This could be when:

• Sitting
• Walking
• Driving
• Sleeping
• Stretching

Contraindications

Some medical conditions can make an individual susceptible to injury and adverse effects from wearing a knee brace. These include: (Holden, M. A. et al., 2021)

• Poor circulation
• Superficial wounds on the knee
• Psoriasis
• Eczema
• Arterial insufficiency
• Severe varicose veins
• A history of thrombophlebitis

Injury Medical Chiropractic and Functional Medicine Clinic

If you have one of these conditions, a healthcare provider will decide if a knee brace is safe. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Best Knee Injury Chiropractor

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

American Academy of Family Physicians. (2020). Knee Bracing: What Works? https://familydoctor.org/knee-bracing-what-works/

Sprouse, R. A., McLaughlin, A. M., & Harris, G. D. (2018). Braces and Splints for Common Musculoskeletal Conditions. American Family Physician, 98(10), 570–576.

American Academy of Pediatrics. (2019). Knee pain: how to choose the right knee brace for your child. https://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Knee-Pain-and-braces.aspx

Mayo Clinic. (2022). To brace or not to brace: What's the best answer? https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/to-brace-or-not-to-brace#:~:text=If%20you%20have%20early%20onset%2C%20mild%20arthritis,below%20the%20knee%20for%20compression%20and%20comfort.

Holden, M. A., Callaghan, M., Felson, D., Birrell, F., Nicholls, E., Jowett, S., Kigozi, J., McBeth, J., Borrelli, B., Jinks, C., Foster, N. E., Dziedzic, K., Mallen, C., Ingram, C., Sutton, A., Lawton, S., Halliday, N., Hartshorne, L., Williams, H., Browell, R., … Peat, G. (2021). Clinical and cost-effectiveness of bracing in symptomatic knee osteoarthritis management: protocol for a multicentre, primary care, randomised, parallel-group, superiority trial. BMJ open, 11(3), e048196. https://doi.org/10.1136/bmjopen-2020-048196

Athletic individuals must train regularly, eat healthy, and rest properly to recover and perform their best. Is sleep different for athletes?

Athletes and Sleep

Physical activity is an important component of a healthy lifestyle. Regular exercise increases longevity and can also reduce the risk of anxiety and depression and improve sleep (Centers for Disease Control and Prevention, 2024). When one area is lacking for athletes, overall performance can suffer. Evidence shows that more or extended sleep can benefit athletes and their recovery and performance. (Bird, Stephen P. 2013) Recommendations for athletes range between seven and nine hours nightly, and elite athletes are encouraged to get at least nine hours of sleep nightly and to treat sleep as much as athletic training and diet.

Sleep is essential for overall health and well-being for both athletes and non-athletes. Everyone needs sleep to feel restored and function their best daily. (Richard J. Schwab, 2024) Other physical benefits include:

Cardiovascular Recovery

This allows the heart to rest and cells and tissue to be repaired. (MedlinePlus, 2017) This can help the body recover after physical exertion. As an individual progresses through the stages of sleep, the changes in heart rate and breathing throughout the night promote cardiovascular health (National Heart, Lung, and Blood Institute, 2011)

Illness Prevention 

The proper amount of sleep helps the body recover from illness. During sleep, the body produces cytokines/hormones that help the immune system fight off infections. These therapeutic effects are important for an athlete’s recovery and performance.

Lack of Sleep Affects Performance

Poor quality and quantity of sleep can lead to several negative effects. Sleep deprivation reduces the ability to react quickly and think clearly. A lack of sleep also increases irritability and risk for anxiety and depression. Sleep-deprived individuals are more likely to make poor decisions and take unnecessary risks. From a physical standpoint, a lack of sleep increases the risk for medical concerns, including type 2 diabetes, high blood pressure, kidney disease, and stroke. When athletes do not receive adequate sleep, it can:

Inhibit Ability

• In a study of sleep-deprived male team athletes, average and total sprint times decreased. (Skein, M. et al., 2011)

Decrease Accuracy

• In a study, male and female sleep-deprived tennis players had decreased serve accuracy by up to 53% compared to performance after normal sleep. (Reyner L. A. & Horne J. A. 2013)

Cause Quicker Exhaustion

• A study of male runners and volleyball players found that both athletes exhausted faster after sleep deprivation. (Azboy O. & Kaygisiz Z. 2009)

Decrease Reaction Time

• A study found that lack of sleep adversely affected reaction time in a group of male collegiate athletes. (Taheri M. & Arabameri E. 2012)

Difficulty Learning and Decision Making

• A lack of sleep negatively impacts cognitive skills and functions.
• Athletes can become distracted, and decisions like passing the ball or going for the smash can be difficult or made too late.

Increases Risk of Injury

• Research on middle—and high-school athletes showed that chronic lack of sleep was associated with increased rates of injury. (Milewski M. D. et al., 2014)

Increases The Risk of Illness or Immunosuppression

• Poor sleep habits are associated with lower resistance to illness like a cold. (Prather A. A. et al., 2015)

Athletic Sleep Hygiene

Common components to sleep well include:

Avoid alcohol and Caffeine

• Before bedtime, these can interrupt sleep or lead to more disturbed sleep.

Have a Wind-Down Routine

• Activities such as reading, bathing, or meditating can help the body relax and get ready for sleep.

Reduce Stressors

• Not only do mental stressors affect sleep quality, but they also impact performance overall.

Create an Optimal Sleep Environment

• A sleeping space should be dark and cool with little to no noise.
• The environment should be used only for sleep and sex.

No Electronics Before Bed

• This includes TVs, cell phones, and computers.
• The blue light that these devices emit can affect circadian rhythm.

Don't Stay Awake In Bed

• If you can’t fall asleep after 20 minutes of trying, get out of bed.
• Do a quiet activity in another space until you feel sleepy.

Avoid Overtraining

• Keep a consistent training schedule so as not to overexert yourself.

Quick Naps

• Keep naps brief. Naps should be longer than an hour and not after 3 p.m.

Injury Medical Chiropractic and Functional Medicine Clinic

The right bed and mattress contribute to overall health and can improve one's quality of life. Doctor Alexander Jimenez, DC, at Injury Medical Chiropractic and Functional Medicine Clinic, says a healthy mattress can improve sleep, reduce pain, increase energy levels, and elevate mood. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Lumbar Spine Injuries In Athletes

General Disclaimer *

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

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Centers for Disease Control and Prevention. (2024). Benefits of Physical Activity. Retrieved from https://www.cdc.gov/physical-activity-basics/benefits/?CDC_AAref_Val=https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm

Bird, Stephen P. PhD. (2013). Sleep, Recovery, and Athletic Performance: A Brief Review and Recommendations. Strength and Conditioning Journal, 35(5), 43-47. https://doi.org/DOI: 10.1519/SSC.0b013e3182a62e2f

Schwab, R. J. (2024). Overview of Sleep. Merck Manual Consumer Version. https://www.merckmanuals.com/home/brain-spinal-cord-and-nerve-disorders/sleep-disorders/overview-of-sleep

National Library of Medicine. MedlinePlus. (2017). Healthy Sleep Also called: Sleep Hygeine. Retrieved from https://medlineplus.gov/healthysleep.html

National Heart, Lung, and Blood Institute. (2011). Your guide to healthy sleep. Retrieved from https://www.nhlbi.nih.gov/resources/your-guide-healthy-sleep

Skein, M., Duffield, R., Edge, J., Short, M. J., & Mündel, T. (2011). Intermittent-sprint performance and muscle glycogen after 30 h of sleep deprivation. Medicine and science in sports and exercise, 43(7), 1301–1311. https://doi.org/10.1249/MSS.0b013e31820abc5a

Reyner, L. A., & Horne, J. A. (2013). Sleep restriction and serving accuracy in performance tennis players, and effects of caffeine. Physiology & behavior, 120, 93–96. https://doi.org/10.1016/j.physbeh.2013.07.002

Azboy, O., & Kaygisiz, Z. (2009). Effects of sleep deprivation on cardiorespiratory functions of the runners and volleyball players during rest and exercise. Acta physiologica Hungarica, 96(1), 29–36. https://doi.org/10.1556/APhysiol.96.2009.1.3

Taheri, M., & Arabameri, E. (2012). The effect of sleep deprivation on choice reaction time and anaerobic power of college student athletes. Asian journal of sports medicine, 3(1), 15–20. https://doi.org/10.5812/asjsm.34719

Milewski, M. D., Skaggs, D. L., Bishop, G. A., Pace, J. L., Ibrahim, D. A., Wren, T. A., & Barzdukas, A. (2014). Chronic lack of sleep is associated with increased sports injuries in adolescent athletes. Journal of pediatric orthopedics, 34(2), 129–133. https://doi.org/10.1097/BPO.0000000000000151

Prather, A. A., Janicki-Deverts, D., Hall, M. H., & Cohen, S. (2015). Behaviorally Assessed Sleep and Susceptibility to the Common Cold. Sleep, 38(9), 1353–1359. https://doi.org/10.5665/sleep.4968

Yips are involuntary wrist muscle spasms that affect athletes. They are often associated with golf, baseball, and sports that involve swinging and throwing motions, such as bowling, darts, cricket, and others. Can understanding the information and causes help diagnose and find the right therapy or training?

Yips

Yips are involuntary wrist spasms that athletes experience. The term is also used to refer to performance anxiety without physical spasms. Researchers believe they are caused by muscle overuse that leads to dystonia (a condition that causes muscles to contract involuntarily), and combined with psychological factors like performance anxiety and overthinking, can make them worse. (Beacon Health Systems, 2024)

Types

Researchers have identified three types of yips that affect athletes (Clarke P. Sheffield D. and Akehurst S., 2020)

Type I

• Muscle spasms
• Freezing up/choking

Type II

• Performance anxiety
• Psychological symptoms

Type III

• Muscle spasms
• Performance anxiety

A study of over a hundred experienced athletes found that nearly 68% of archers and 40% of golfers experienced yips. (Clarke P., Sheffield D. and Akehurst S. 2020)

Symptoms

The most common symptom is muscle spasms, often in the hands and wrists. That’s why it is the most common among athletes who play sports that require precision hand and wrist movements. Yips affect fine motor skills. (Aoyama, T. et al., 2021) In addition to muscle spasms, symptoms can also include: (Beacon Health Systems, 2024)

• Twitching
• Tremors
• Freezing up
• Psychological distress

Causes

Healthcare providers, trainers, coaches, and researchers know that psychological and physical factors cause yips. Underlying physical causes include overusing wrist muscles, which leads to dystonia or involuntary muscle movements. Also known as task-specific dystonia, it can also affect individuals who engage in repetitive muscle movements, like factory and assembly line workers, store check-out clerks, musicians, etc. (Clarke P., Sheffield D., and Akehurst S. 2020). Performance anxiety and psychological stress can worsen dystonia. (Aoyama, T. et al., 2021) Athletes can become so focused on their movements that they overthink their actions and perform worse. Individuals who have anxiety, self-consciousness, or stress about a game or performance often find that their involuntary wrist spasms are worse. (Clarke P., Sheffield D. and Akehurst S. 2020)

Increased Risk

Yips are most common in athletes who use their hands and wrists for their sport and are likely to impact more experienced, competing, and older athletes. (Beacon Health Systems, 2024) They are more common in athletes focused on smaller movements or shorter distances. For example, golfers commonly experience involuntary wrist spasms when putting, and baseball players are likelier to experience them when throwing less than 20 meters. (Clarke P., Sheffield D. and Akehurst S. 2020)

Diagnosis

There is no official diagnosis for yips. However, a coach, athletic trainer, sports doctors, and others can observe the pattern of symptoms and behavior and provide an informed diagnosis.

Treatment

Identifying triggers is important as yips can be triggered by: (Aoyama, T. et al., 2021)

• Psychological distress - anxiety and/or fear
• Abnormal sensations
• Symptoms of discomfort and pain
• Mechanical movement/motion adjustments or changes 

Once trigger/s are identified, they can be addressed. Treatments that can help include: (Beacon Health Systems, 2024)

Alternate Hand Positions

• This can provide relief from dystonia and overthinking.

Using Different Equipment or Stabilizers

• This allows the immobilization of certain muscles and the activation of different muscles.

Mindfulness

• Reducing anxiety and distress can help relax the body.
• Practicing mindfulness before games or tournaments can help reduce psychological triggers.

Botox Injections

• Botox injections can treat certain types of dystonia.

Sports Psychology

• A sports psychologist is a healthcare provider who studies individual athletes' sports performance and how it affects their minds and skills.
• A sports psychologist can help individuals create a program that reduces stress or anxiety around games and performance.

Injury Medical Chiropractic and Functional Medicine Clinic

Yips are common among athletes. It is important to address the physical and psychological components to treat the condition. Talking with a coach or a sports psychologist, other athletes, and supporting staff like trainers can help you find a solution. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Sports Injuries

General Disclaimer *

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

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Beacon Health Systems. (2024). Yips. https://www.beaconhealthsystem.org/library/diseases-and-conditions/yips/

Clarke, P., Sheffield, D., & Akehurst, S. (2020). Personality Predictors of Yips and Choking Susceptibility. Frontiers in psychology, 10, 2784. https://doi.org/10.3389/fpsyg.2019.02784

Aoyama, T., Ae, K., Souma, H., Miyata, K., Kajita, K., Kawamura, T., & Iwai, K. (2021). Difference in Personality Traits and Symptom Intensity According to the Trigger-Based Classification of Throwing Yips in Baseball Players. Frontiers in sports and active living, 3, 652792. https://doi.org/10.3389/fspor.2021.652792

For individuals dealing with finger injuries, which can occur from various causes, including overuse, jobs, sports, and more, can knowing the cause of finger pain help healthcare providers determine what steps to take for treatment?

Finger Injuries

Finger injuries are common and can range from minor to serious. (van Veenendaal L. M. et al., 2014) Symptoms can result from an acute injury, including broken fingers and sprains, or chronic conditions like arthritis.

Fractures

Finger fractures can vary and can be serious and lead to permanent damage, deformity, and loss of function if not treated properly. What is important is that fractures are appropriately diagnosed so the proper treatment plan can be initiated. Most finger fractures can be addressed with simple treatments, while others may require surgery. (Oetgen M. E., and Dodds S. D. 2008)

Sprain and Dislocation

Sprains and dislocations are common finger injuries. (Prucz R. B. and Friedrich J. B. 2015) Both damage the ligaments that support the finger joints. In more severe injuries, a dislocation can occur, necessitating the finger to be put back into place or reduced. Individuals with a sprain or dislocation often notice finger swelling or stiffness for months after the injury.

Ligament Damage

Some call this injury skier's or gamekeeper's thumb, which results from a specific type of thumb dislocation. Here, the ulnar collateral ligament of the thumb is damaged. This ligament helps keep the thumb stable and supports grip and hand strength. However, this type of ligament injury often requires surgery. (Christensen T. et al., 2016)

Arthritis

Arthritis causes damage to normal joint surfaces where two bones come together. Fingers are one of the most common locations where arthritis occurs. (Spies C. K. et al., 2018) Two types of arthritis commonly affect the fingers: osteoarthritis and rheumatoid arthritis.

Arthritis of The Thumb 

Arthritis of the thumb usually occurs at the joint where the thumb meets the wrist. This joint called the carpometacarpal/CMC joint, helps with gripping and pinching. Thumb arthritis is more common in women than men and increases in frequency over 40. (Deveza L. A. et al., 2017)

Trigger Finger

Trigger finger or stenosing tenosynovitis, is a common injury that causes pain and snapping of the fingers' tendons, resulting in a sensation of locking or catching when bending and straightening the digits. (Makkouk A. H. et al., 2008) Other symptoms include pain and stiffness in the fingers and thumb. Treatments can vary from observation, rest, splinting, injections, and surgery.

Tendon Injuries

Mallet finger

A mallet finger is an injury to the tip of the finger. Usually, it occurs when the end of a straightened finger or thumb is hit, jamming the finger. After the injury, the individual may notice that they cannot fully straighten the tip of the finger. Treatment almost always uses a splint that has to stay on for about six weeks without removal. (Alla, S. R., Deal, N. D., and Dempsey, I. J. 2014) Very rarely is a surgical procedure necessary.

Jersey Finger

This is an injury to the finger flexor tendon. The flexor tendon pulls the finger into the palm when contracting the forearm flexor muscles. The injury occurs at the tip of the finger; typically, the tendon snaps back to the finger's base or into the palm.

Ring Injuries

Injuries to the finger while wearing wedding bands or other finger jewelry can lead to serious complications. Even minor injuries can have devastating complications if the severity of the injury is not recognized and addressed. If an injury occurs while wearing the jewelry and there is soft tissue damage, including blood circulation being cut off, immediate medical attention is necessary.

Other Injuries

Bruises

The most common finger injury is caused by direct trauma to the skin and muscles. Symptoms include pain, swelling, tenderness, and discoloration of the skin.

Cuts and Scrapes

These can range from minor to more serious, such as injuries that cut through blood vessels, nerves, and tendons.

Injury Medical Chiropractic and Functional Medicine Clinic

After the initial inflammation and swelling have subsided, a doctor will recommend a treatment plan that usually involves physical therapy, self-performed physical rehabilitation, or supervision by a physical therapist or team. At Injury Medical Chiropractic and Functional Medicine Clinic, our areas of practice include Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Wellness & Nutrition, Functional Medicine Treatments, and in-scope care protocols. We focus on what works for you to relieve pain and restore function. If other treatment is needed, individuals will be referred to a clinic or physician best suited to their injury, condition, and/or ailment.

Sports Injury Rehabilitation

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

van Veenendaal, L. M., de Klerk, G., & van der Velde, D. (2014). A painful finger as first sign of a malignancy. Geriatric orthopaedic surgery & rehabilitation, 5(1), 18–20. https://doi.org/10.1177/2151458514522125

Oetgen, M. E., & Dodds, S. D. (2008). Non-operative treatment of common finger injuries. Current reviews in musculoskeletal medicine, 1(2), 97–102. https://doi.org/10.1007/s12178-007-9014-z

Prucz, R. B., & Friedrich, J. B. (2015). Finger joint injuries. Clinics in sports medicine, 34(1), 99–116. https://doi.org/10.1016/j.csm.2014.09.002

Christensen, T., Sarfani, S., Shin, A. Y., & Kakar, S. (2016). Long-Term Outcomes of Primary Repair of Chronic Thumb Ulnar Collateral Ligament Injuries. Hand (New York, N.Y.), 11(3), 303–309. https://doi.org/10.1177/1558944716628482

Spies, C. K., Langer, M., Hahn, P., Müller, L. P., & Unglaub, F. (2018). The Treatment of Primary Arthritis of the Finger and Thumb Joint. Deutsches Arzteblatt international, 115(16), 269–275. https://doi.org/10.3238/arztebl.2018.0269

Deveza, L. A., Hunter, D. J., Wajon, A., Bennell, K. L., Vicenzino, B., Hodges, P., Eyles, J. P., Jongs, R., Riordan, E. A., Duong, V., Min Oo, W., O'Connell, R., & Meneses, S. R. (2017). Efficacy of combined conservative therapies on clinical outcomes in patients with thumb base osteoarthritis: protocol for a randomised, controlled trial (COMBO). BMJ open, 7(1), e014498. https://doi.org/10.1136/bmjopen-2016-014498

Makkouk, A. H., Oetgen, M. E., Swigart, C. R., & Dodds, S. D. (2008). Trigger finger: etiology, evaluation, and treatment. Current reviews in musculoskeletal medicine, 1(2), 92–96. https://doi.org/10.1007/s12178-007-9012-1

Alla, S. R., Deal, N. D., & Dempsey, I. J. (2014). Current concepts: mallet finger. Hand (New York, N.Y.), 9(2), 138–144. https://doi.org/10.1007/s11552-014-9609-y

Individuals who engage in sports and physical activities that involve lunging forward while running or jumping can sustain a plantaris muscle injury. Can understanding the anatomy of the back of the leg and the symptoms help diagnose and treat plantar muscle injuries?

Plantaris Muscle

The plantaris muscle is a long, narrow muscle in the calf that runs along the back of the leg. It's part of the Triceps Surae, a group of muscles in the calf that, along with the gastrocnemius and soleus muscles, makes up the bulk of the back of the leg. It is located in the superficial posterior compartment of the leg. Strains or tears of the plantaris muscle at the back of the leg can cause pain and swelling, similar to a calf strain or Achilles tendon tear. Individuals may feel immediate pain, cramping, and other symptoms.

Anatomy

The gastrocnemius and soleus muscles are the major muscles, with the soleus located deeper in the leg. Together, they form the Achilles tendon, which blends into a tendon in the back of the heel and attaches to the heel bone/calcaneus. When the calf muscles contract, they point the foot downward, propelling the body forward when walking, running, and sprinting. The plantaris muscle and tendon sit more or less in the center of the calf, between the two heads of the gastrocnemius. Around 7% to 20% of the population are born without plantaris muscles. There are variations, such as having a double- or triple-headed plantaris muscle. (Olewnik Ł. et al., 2020) However, individuals that do not have the muscle or have a variation have not been shown to affect long-term or short-term mobility.

Symptoms

Plantaris muscle ruptures are the most common injury and occur often during running or jumping. (Spang C. et al., 2016) Many who sustain this injury are athletes who have to lunge forward. Common symptoms include:

• Sudden onset pain behind the calf.
• Swelling of the calf muscle.
• Muscle knots or myofascial trigger points of the calf muscle.
• Swelling and bruising in the back of the calf area.
• Cramping in the calf muscle.
• Spasm sensations of the calf muscle.
• Symptoms of a plantaris muscle strain are less severe, with the common signs being tightness and pain during and after physical activity.

Diagnosis

Plantaris muscle tears differ from Achilles tendon tears because the foot can be pointed downward following the rupture, whereas an Achilles tear cannot. Plantaris ruptures can also be confused with a blood clot in the large veins of the calf, called deep vein thrombosis/DVT. (Rohilla S. et al., 2013) Tests like MRI or ultrasound can be performed to confirm or exclude a plantaris rupture. Both can be useful for verifying whether the injury is a strain or tear and identifying other possible causes of calf pain.

Treatment

Treatment is typically non-surgical. While the injuries can cause pain and disability, the symptoms almost always resolve with conservative treatments and therapies. Rest, ice, compression, and elevation are the first line used and may be all that is needed for a muscle strain. Short-term use of NSAIDs may be recommended for a strain or tear to reduce pain and inflammation. (Morelli K. M. et al., 2018) If the pain is profound or there is a tear, patients may require short-term immobilization or the use of a crutch for the pain to subside. With the assistance of a physical therapist, sports chiropractor, and athletic trainer, gradual increases in mobility and strength can be obtained. Symptoms usually gradually resolve over several weeks. Full recovery may take up to eight weeks, depending on the severity of the injury.

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop customized treatment programs through an integrated approach to treating injuries and chronic pain syndromes, improving flexibility, mobility, and agility, relieving pain, and helping individuals return to normal activities. If other treatments are needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments.

Control Foot Motion with Custom Orthotics

General Disclaimer *

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

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, don't hesitate to contact Dr. Alex Jimenez or us at 915-850-0900.

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Olewnik, Ł., Zielinska, N., Karauda, P., Tubbs, R. S., & Polguj, M. (2020). A three-headed plantaris muscle: evidence that the plantaris is not a vestigial muscle? Surgical and radiologic anatomy: SRA, 42(10), 1189–1193. https://doi.org/10.1007/s00276-020-02478-8

Spang, C., Alfredson, H., Docking, S. I., Masci, L., & Andersson, G. (2016). The plantaris tendon: a narrative review focusing on anatomical features and clinical importance. The bone & joint journal, 98-B(10), 1312–1319. https://doi.org/10.1302/0301-620X.98B10.37939

Rohilla, S., Jain, N., & Yadav, R. (2013). Plantaris rupture: why is it important? BMJ case reports 2013, bcr2012007840. https://doi.org/10.1136/bcr-2012-007840

Morelli, K. M., Brown, L. B., & Warren, G. L. (2018). Effect of NSAIDs on Recovery From Acute Skeletal Muscle Injury: A Systematic Review and Meta-analysis. The American journal of sports medicine, 46(1), 224–233. https://doi.org/10.1177/0363546517697957

Can athletic individuals with ACL injuries find relief through non-surgical treatments to restore knee mobility?

Introduction

The body’s lower extremities help the individuals to be mobile but also help stabilize the body’s upper weight. From the hips to the feet, many people are on their feet and using every muscle group to allow functionality. Athletic individuals use their lower extremities to do various physical activities and are susceptible to injuries. An ACL injury is one of the most common and feared injuries that can impact an athletic person’s performance. These types of injuries affect the knees of the individual and can make a person feel miserable. However, numerous surgical and non-surgical treatments can help the recovery process of an ACL injury while helping the individual restore their motion to their lower extremities. Today’s article looks at what an ACL injury is, how it affects the knees, and how non-surgical treatments can help restore knee mobility from ACL injuries. We discuss with certified associated medical providers who consolidate our patients’ information to assess ACL injuries affecting their mobility. We also inform and guide patients while asking their associated medical provider intricate questions to integrate and provide them with numerous non-surgical treatments to be incorporated into their personalized treatment plan. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

What Is An ACL Injury?

Do you feel aches or pains around your knees after a long exercise regime? Do you feel or hear a loud popping sensation in your knees? Or do you experience pain and swelling affecting your ability to be mobile? Many of these pain-like scenarios are correlated with ACL injuries, that is amongst the most common and feared injuries for athletic individuals and non-athletic individuals. However, we must look at the ACL itself to better understand ACL injuries. The ACL (anterior cruciate ligament) plays an important role as it helps with knee joint stabilization, prevents excessive forward movements from the tibia (shin bone), and limits rotational knee movements. (Yoo & Marappa-Ganeshan, 2024) This ligament is one of the most injured structures affecting athletic performance. ACL injuries and tears can lead to many individuals having knee instability and an increased risk of future knee osteoarthritis. (Atik, 2024) This is because ACL injuries typically occur during physical activities involving sudden stops, jumps, or directional impacts to the knees.

General Disclaimer *

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

What are the healing times of common sports injuries for athletes and individuals who engage in recreational sports activities?

Healing Times for Sports Injuries

Healing time from sports injuries depends on various factors, such as the location and extent of the injury and the health of the skin, joints, tendons, muscles, and bones. It is also important to take the time to recuperate or not rush back into physical sports activities before the bones or tissues have fully healed. To prevent re-injury, ensure the doctor clears health before returning to sports or strenuous physical activity.

According to CDC research, an average of 8.6 million sports and recreation-related injuries occur annually. (Sheu, Y., Chen, L. H., and Hedegaard, H. 2016) However, most sports injuries are superficial or caused by low-grade strains or sprains; at least 20% of injuries result from bone fractures or more serious injuries. Bone fractures take longer than sprains or strains, and complete tendon or muscle ruptures can take months before one can fully return to activities. Individuals in decent physical shape with no underlying illness or impairment, here is what they can expect when recovering from the following sports injuries:

Bone Fractures

In sports, the highest rate of bone fractures occurs with football and contact sports. Most are centered around the lower extremities but can involve the neck and shoulder blades, arms, and ribs.

Simple Fractures

• Depends on the individual's age, health, type, and location.
• Generally, takes at least six weeks to heal.

Compound Fractures

• In this case, a bone is broken in several places.
• It may require surgery to stabilize the bone.
• Healing time can take up to eight months.

Fractured Clavicle/Collarbone

• It may require the immobilization of the shoulder and upper arm.
• It can take five to ten weeks to heal fully.
• Fractured fingers or toes can heal in three to five weeks.

Fractured Ribs

• Part of the treatment plan includes breathing exercises.
• Painkillers may be needed short term.
• Usually, it takes around six weeks to heal.

Neck Fractures

• It may involve any one of the seven neck vertebrae.
• A neck brace or a halo device that is screwed into the skull for stability may be used.
• It can take up to six weeks to heal.

Sprains and Strains

According to the CDC report, sprains and strains account for 41.4% of all sports injuries. (Sheu, Y., Chen, L. H., and Hedegaard, H. 2016)

• A sprain is the stretching or tearing of ligaments or the tough bands of fibrous tissue that connect two bones at a joint.
• A strain is the overstretching or tearing of muscles or tendons.

Sprained Ankles

• It can heal in five days if there are no complications.
• Severe sprains involving torn or ruptured tendons can take three to six weeks to heal.

Calf Strains

• Classified as grade 1 - a mild strain can heal in two weeks.
• A grade 3 - severe strain may require three months or more to heal completely.
• The use of calf suppression sleeves can expedite the recovery of strains and sprains in the lower leg.

Acute Neck Strain

• A tackle, impact, fall, quick shifting, or whipping motion can cause a whiplash injury.
• Healing time can take a couple of weeks to six weeks.

Other Injuries

ACL Tears

• Involving the anterior cruciate ligament.
• Usually, it requires months of recuperation and rehabilitation, depending on several factors, including the type of sports activity.
• Full recovery from surgery takes six to 12 months.
• Without surgery, there is no specific timeline for rehabilitation.

Achilles Tendon Ruptures

• It is a serious injury.
• These occur when the tendon is either partially or completely torn.
• Individuals will more than likely require surgery.
• Recovery time is four to six months.

Cuts and Lacerations

• Depends on the depth and location of the injury.
• It can take anywhere from a week to a month to heal.
• If there are no accompanying injuries, stitches can be removed within two to three weeks.
• If a deep cut requires stitches, more time is necessary.

Mild Contusions/Bruises

• Are caused by a trauma to the skin, causing blood vessels to break.
• In most cases, a contusion will take five to seven days to heal.

Shoulder Separations

• When treated properly, it usually takes around two weeks of rest and recovery before the patient returns to activity.

Multidisciplinary Treatment

After the initial inflammation and swelling have subsided, a doctor will recommend a treatment plan that usually involves physical therapy, self-performed physical rehabilitation, or supervision by a physical therapist or team. Fortunately, athletes and individuals who regularly exercise tend to have a faster healing time because they are in top physical shape, and their cardiovascular system provides a stronger blood supply that speeds up the healing process. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients' injuries and chronic pain syndromes. We focus on improving ability through flexibility, mobility, and agility programs tailored to the individual. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.

Our providers use an integrated approach to create personalized care plans that include Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine principles. Our goal is to relieve pain naturally by restoring health and function to the body.

If the chiropractor feels the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with the top surgeons, clinical specialists, medical researchers, and premier rehabilitation providers to provide the top clinical treatments for our community. Providing highly noninvasive protocols is our priority, and our personalized patient-based clinical insight is what we provide.

Lumbar Spine Injuries in Sports: Chiropractic Healing

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Sheu, Y., Chen, L. H., & Hedegaard, H. (2016). Sports- and Recreation-related Injury Episodes in the United States, 2011-2014. National Health Statistics Reports, (99), 1–12.

For athletes and sports enthusiasts, a torn triceps can be a serious injury. Can knowing their symptoms, causes, risk factors, and potential complications help healthcare providers develop an effective treatment plan?

Torn Triceps Injury

The triceps is the muscle on the back of the upper arm that allows the elbow to straighten. Fortunately, triceps tears are uncommon, but they can be serious. The injury affects men more often than women and usually occurs from trauma, sports, and/or exercise activities. Depending on the extent and severity of the injury, a torn triceps injury can require splinting, physical therapy, and possibly surgery to regain movement and strength. Recovery after a triceps tear typically lasts around six months. (The Ohio State University Wexner Medical Center. 2021)

Anatomy

The triceps brachii muscle, or triceps, runs along the back of the upper arm. It is named tri- because it has three heads - the long, medial, and lateral head. (Sendic G. 2023) The triceps originates at the shoulder and attaches to the shoulder blade/scapula and upper arm bone/humerus. At the bottom, it attaches to the point of the elbow. This is the bone on the pinky side of the forearm, known as the ulna. The triceps cause movement at the shoulder and the elbow joint. At the shoulder, it performs extension or backward movement of the arm and adduction or moving the arm toward the body. The main function of this muscle is at the elbow, where it performs extension or straightening of the elbow. The triceps work the opposite of the biceps muscle on the front of the upper arm, which conducts flexion or bending of the elbow.

Triceps Tear

Tears can occur anywhere along the length of a muscle or tendon, which is the structure that attaches the muscle to the bones. Triceps tears commonly occur in the tendon connecting the triceps to the back of the elbow. Muscle and tendon tears are graded from 1 to 3 based on severity. (Alberto Grassi et al., 2016)

Grade 1 Mild

• These small tears cause pain that worsens with movement.
• There is some swelling, bruising, and minimal loss of function.

Grade 2 Moderate

• These tears are larger and have moderate swelling and bruising.
• The fibers are partially torn and stretched.
• Up to 50% loss of function.

Grade 3 Severe

• This is the worst type of tear, where the muscle or tendon is completely torn.
• These injuries cause severe pain and disability.

Symptoms

Triceps tears cause immediate pain in the back of the elbow and upper arm that worsens when trying to move the elbow. Individuals might also feel and/or hear a popping or tearing sensation. There will be swelling, and the skin will likely be red and/or bruised. With a partial tear, the arm will feel weak. If there is a complete tear, there will be significant weakness when straightening the elbow. Individuals may also notice a lump on the back of their arm where the muscles have contracted and knotted together.

Causes

Triceps tears usually occur during trauma, when the muscle is contracted and an external force pushes the elbow into a bent position. (Kyle Casadei et al., 2020) One of the most common causes is by falling on an outstretched arm. Triceps tears also occur during sports activities like:

• Throwing a baseball
• Blocking in a football game
• Gymnastics
• Boxing
• When a player falls and lands on their arm.
• Tears can also happen when using heavy weights during triceps-targeted exercises, such as the bench press.
• Tears can also occur from direct trauma to the muscle, like a motor vehicle accident, but are less common.

Long-Term

Triceps tears can develop over time as a result of tendonitis. This condition usually occurs from repetitive use of the triceps muscle during activities like manual labor or exercise. Triceps tendonitis is sometimes referred to as weightlifter's elbow. (Orthopedic & Spine Center. N.D.) The strain on tendons causes tiny tears that the body typically heals. However, if more strain is placed on the tendon than it can keep up with, the small tears can begin to grow.

Risk Factors

Risk factors can increase the risk of a triceps tear. Underlying medical conditions can weaken tendons, increasing the risk of injury, and can include: (Tony Mangano et al., 2015)

• Diabetes
• Rheumatoid arthritis
• Hyperparathyroidism
• Lupus
• Xanthoma - fatty deposits of cholesterol under the skin.
• Hemangioendothelioma - cancerous or noncancerous tumors caused by abnormal growth of blood vessel cells.
• Chronic kidney failure
• Chronic tendonitis or bursitis in the elbow.
• Individuals who have had cortisone shots in the tendon.
• Individuals using anabolic steroids.

Triceps tears tend to occur more commonly in males between 30 and 50. (Ortho Bullets. 2022) This comes from participating in activities like football, weightlifting, bodybuilding, and manual labor, which also increases the risk of injury.

Treatment

Treatment depends on which part of the triceps is affected and the extent of the damage. It may only need resting for a few weeks, physical therapy, or require surgery.

Nonsurgical

Partial tears in the triceps that involve less than 50% of the tendon can often be treated without surgery. (Mehmet Demirhan, Ali Ersen 2016) Initial treatment includes:

• Splinting the elbow with a slight bend for four to six weeks allows the injured tissue to heal. (Ortho Bullets. 2022)
• During this time, ice can be applied to the area for 15 to 20 minutes several times daily to help decrease pain and swelling.
• Non-steroidal anti-inflammatory medications/NSAIDs - Aleve, Advil, and Bayer can help reduce inflammation.
• Other over-the-counter medications like Tylenol can help decrease the pain.
• Once the splint is removed, physical therapy will help restore movement and strength in the elbow.
• Full movement is expected to return within 12 weeks, but full strength will not return until six to nine months after the injury. (Mehmet Demirhan, Ali Ersen 2016)

Surgery

Triceps tendon tears that involve more than 50% of the tendon require surgery. In some cases, however, surgery may still be recommended for tears smaller than 50% if the individual has a physically demanding job or plans to resume playing sports at a high level. Tears in the muscle belly or area where the muscle and tendon join are typically sewn back together. If the tendon is no longer attached to the bone, it is screwed back on. Recovery and physical therapy after surgery depend on the specific surgeon's protocols. In general, individuals will spend a couple of weeks in a brace. Around four weeks after surgery, individuals will be able to start moving the elbow again. However, they won't be able to start doing heavy lifting for four to six months. (Ortho Bullets. 2022) (Mehmet Demirhan, Ali Ersen 2016)

Complications

Complications can occur after triceps repair, whether there was surgery or not. For example, individuals may have problems regaining full elbow extension or straightening. They are also at a higher risk of re-rupture if they try to use the arm before it's fully healed. (Mehmet Demirhan, Ali Ersen 2016)

Chiropractic Care for Healing After Trauma

General Disclaimer *

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

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

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

The Ohio State University Wexner Medical Center. (2021). Distal triceps repair: clinical care guideline. (Medicine, Issue. https://medicine.osu.edu/-/media/files/medicine/departments/sports-medicine/medical-professionals/shoulder-and-elbow/distaltricepsrepair.pdf?

Sendic G. Kenhub. (2023). Triceps brachii muscle Kenhub. https://www.kenhub.com/en/library/anatomy/triceps-brachii-muscle

Grassi, A., Quaglia, A., Canata, G. L., & Zaffagnini, S. (2016). An update on the grading of muscle injuries: a narrative review from clinical to comprehensive systems. Joints, 4(1), 39–46. https://doi.org/10.11138/jts/2016.4.1.039

Casadei, K., Kiel, J., & Freidl, M. (2020). Triceps Tendon Injuries. Current sports medicine reports, 19(9), 367–372. https://doi.org/10.1249/JSR.0000000000000749

Orthopedic & Spine Center. (N.D.). Triceps tendonitis or weightlifter's elbow. Resource Center. https://www.osc-ortho.com/resources/elbow-pain/triceps-tendonitis-or-weightlifters-elbow/

Mangano, T., Cerruti, P., Repetto, I., Trentini, R., Giovale, M., & Franchin, F. (2015). Chronic Tendonopathy as a Unique Cause of Non Traumatic Triceps Tendon Rupture in a (Risk Factors Free) Bodybuilder: A Case Report. Journal of orthopaedic case reports, 5(1), 58–61. https://doi.org/10.13107/jocr.2250-0685.257

Ortho Bullets. (2022). Triceps rupture https://www.orthobullets.com/shoulder-and-elbow/3071/triceps-rupture

Demirhan, M., & Ersen, A. (2017). Distal triceps ruptures. EFORT open reviews, 1(6), 255–259. https://doi.org/10.1302/2058-5241.1.000038