Sports Injuries
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Mid Foot Injuries in Athletes: Lisfranc Injuries

Mid Foot Injuries in Athletes: Lisfranc Injuries | Sports Injuries | Scoop.it

Athletes are subjected to experience a variety of injuries or conditions due to their exposure of rigorous activities. While they may be highly trained to warm up and exercise accordingly before engaging in their specific physical activity or sport, an accident during practice or training can often be unpredictable and inevitable. From landing incorrectly after a jump to simple degeneration, athletes who frequently utilize their feet in numerous exerting ways are more prone to suffer foot injuries than the general population.

 

Foot injuries occur frequently among athletes and they manifest in various forms. From stress fractures of the metatarsals and tarsal bones to chronic soft tissue injuries, such as plantar fasciitis and midfoot sprains to the joints between the tarsals and metatarsals. Although generally considered to occur infrequently, injuries to the midfoot, specifically the Lisfranc joint or the tarsometatarsal joint during Lisfranc injuries, these afflictions require special attention as they can be considerably devastating to most athletes.

 

Lisfranc injuries are high speed injuries which can result in serious deformity of the midfoot joints, commonly due to dislocations and/or fractures. Automobile or motorcycle accidents, violent falls onto the foot or a severe, crushing injury to the foot, are several of the most common circumstances which can lead to Lisfranc injuries. In sport settings, this form of foot injury is less severe, often resulting from a crushing and/or twisting means to the planted weight-bearing foot. But, when it does occur, Lisfranc injuries can cause overwhelming consequences for the athlete.

 

Approximately 16 percent of all sports injuries involve the foot. Although foot complications in athletes are reasonably common, Lisfranc injuries are quite rare. Researchers found that Lisfranc injuries account for up to 4 percent of all college level football injuries. Severe forms of the complication can unfortunately not only be season-ending but career-ending as well for the athlete.

Dr. Alex Jimenez's insight:

Due to the fundamental function of the feet during physical performance, injuries to the foot can greatly affect the lifestyle of an athlete, regardless of how minor or unusual these may be. Lisfranc injuries affect the middle area of the foot, creating issues and complications among the surrounding structures of the feet, such as the tendons and ligaments, among others. Athletes who repeatedly use their feet  can be at higher risk of developing Lisfranc injuries. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.

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Sports Injuries
Sports injuries occur when participating in sports or physical activities associated with a specific sport, most often as a result of an accident. Sprains and strains, knee injuries, Achilles tendonitis and fractures are several examples of frequent types of sport injuries. According to Dr. Alex Jimenez, excessive training or improper gear, among other factors, are common causes for sport injury. Through a collection of articles, Dr. Jimenez summarizes the various causes and effects of sports injuries on the athlete. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444. http://bit.ly/chiropractorSportsInjuries Book Appointment Today: https://bit.ly/Book-Online-Appointment
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How to Deal with Swimmer's Shoulder: Effective Strategies | Call: 915-850-0900 or 915-412-6677

How to Deal with Swimmer's Shoulder: Effective Strategies | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Competitive swimmers, recreational, and swimming enthusiasts who experience pinching and sharp shoulder pain while swimming may suffer from shoulder impingement. Can understanding symptoms can help healthcare providers develop an effective treatment program?

Swimmer's Shoulder

Swimmer's shoulder, medically known as rotator cuff impingement syndrome, is a common injury among swimmers. It can limit swimming ability and normal arm use for functional tasks. It is caused by persistent and abnormal rubbing and pinching of the structures in the shoulder, causing pain and irritation of the shoulder's rotator cuff tendons and the bursa. The injury affects 40% to 90% of swimmers at some point. (Wanivenhaus F. et al., 2012) Self-care treatment involves rest, anti-inflammatory medication, and exercise to restore normal shoulder mobility. Most cases resolve within a few months, but physical therapy may be needed along with continued exercises and stretches to maintain pain relief.

Anatomy

The shoulder is a complex joint with extreme mobility. It is comprised of three bones:

 

  • The scapula or shoulder blade.
  • The clavicle or collar bone.
  • The humerus or upper arm bone.

 

These three bones combine at various places to make up the joint. Several muscles attach to and move the joint. (Kadi R. et al., 2017) The rotator cuff is one group of four muscles deep in the shoulder surrounding the joint. When lifting the arm, these muscles contract to hold the ball in the joint's socket, allowing the arm to be raised in a fluid and smooth motion. Several ligaments hold the shoulder joint together and connect the various bones of the shoulder, giving the joint stability when moving. (Kadi R. et al., 2017)

Symptoms

Common symptoms include: (Wanivenhaus F. et al., 2012)

 

  • Swelling in the front or top of the shoulder
  • Difficulty reaching up overhead
  • Shoulder pain
  • Shoulder pain when bearing weight through the arm.
  • Symptoms tend to be worse during or immediately after swimming.

 

This is due to the position of the arms and upper extremities while swimming. (Wanivenhaus F. et al., 2012) Reaching overhead and turning the hand inward can cause the rotator cuff tendons or shoulder bursa to become pinched underneath the acromion process of the shoulder blade, similar to the motion that occurs during the crawl or freestyle stroke. When pinching/impingement occurs, the tendons or bursa can become inflamed, leading to pain and difficulty with normal arm use. (Struyf F. et al., 2017) The condition may also occur due to the laxity of the shoulder ligaments. (Wanivenhaus F. et al., 2012) It is theorized that the ligaments in swimmers become stretched and lax, leading to shoulder joint instability. This can cause the shoulder joint to become loose and compress the shoulder structures.

Diagnosis

A clinical examination can diagnose cases of swimmer's shoulder. (Wanivenhaus F. et al., 2012) The exam can include:

 

  • Palpation
  • Strength test
  • Specialized tests

 

One shoulder test that is often used is called Neer's test. A physician elevates the arm overhead to the maximum degree during this examination. If this results in pain, the rotator cuff tendons may be compressed, and the test is positive. Individuals may begin treatment after the examination, but a doctor may also refer them for diagnostic testing. An X-ray may be taken to examine the bone structures, and an MRI may be used to examine the soft tissue structures, such as the rotator cuff tendons and the bursa.

Treatment

Appropriate treatment of swimmer's shoulder involves managing pain and inflammation in your shoulder and improving the way your shoulder moves so you avoid pinching structures inside the joint. (Wanivenhaus F. et al., 2012) There are various treatments available and can include:

 

  • Rest
  • Physical therapy
  • Acupuncture
  • Non-surgical decompression
  • Targeted exercises and stretches
  • Medications
  • Injections
  • Surgery for serious cases

Physical Therapy

A physical therapist can treat shoulder impingement. They can assess the condition and prescribe treatments and exercises to improve mobility and strength. (Cleveland Clinic, 2023) They may use various treatment modalities to decrease pain and improve circulation to facilitate and expedite healing. Physical therapy treatments can include:

 

  • Ice
  • Heat
  • Trigger point release
  • Joint mobilizations
  • Stabilization
  • Stretching
  • Exercise
  • Electrical stimulation
  • Ultrasound
  • Taping

Medication

Medication may include over-the-counter anti-inflammatory medicine to help decrease pain and inflammation. A physician may prescribe stronger medication to manage inflammation if the condition is severe. While taking medication, the shoulder will need rest, so avoiding swimming or other shoulder movements for a week or two may be necessary.

Injections

Cortisone is a powerful anti-inflammatory medicine. Individuals may benefit from cortisone injections into their shoulders. (Wanivenhaus F. et al., 2012) When injected, cortisone decreases pain, reduces swelling in the rotator cuff and bursa, and improves shoulder mobility.

Surgery

If symptoms are persistent and fail to be alleviated with conservative treatments, surgery may be recommended. An arthroscopic procedure called subacromial decompression may be performed. (Cleveland Clinic, 2023) This type of surgery is done with small incisions, inserting a camera, and tiny tools. During this procedure, inflamed tissue and bone spurs are removed from the underside of the acromion process of the shoulder blade, allowing more space to the shoulder joint. Post-surgery, individuals can gradually return to swimming and all other activities in about eight weeks.

Recovery

Most episodes last about eight to ten weeks, and severe cases last up to three months. (Struyf F. et al., 2017) Often, the symptoms slowly resolve with rest and gentle stretching. As symptoms improve, individuals can slowly return to normal activity and swimming. However, performing prescribed exercises two to three times a week may be necessary to maintain shoulder strength and mobility and help prevent future episodes of shoulder impingement. Individuals experiencing any of these symptoms should visit their physician for an accurate diagnosis of their condition to begin proper treatment. Discuss goals with a healthcare professional and physical therapist.

Sports Injuries 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 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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Wanivenhaus, F., Fox, A. J., Chaudhury, S., & Rodeo, S. A. (2012). Epidemiology of injuries and prevention strategies in competitive swimmers. Sports Health, 4(3), 246–251. https://doi.org/10.1177/1941738112442132

 

Kadi, R., Milants, A., & Shahabpour, M. (2017). Shoulder Anatomy and Normal Variants. Journal of the Belgian Society of Radiology, 101(Suppl 2), 3. https://doi.org/10.5334/jbr-btr.1467

 

Struyf, F., Tate, A., Kuppens, K., Feijen, S., & Michener, L. A. (2017). Musculoskeletal dysfunctions associated with swimmers' shoulders. British journal of sports medicine, 51(10), 775–780. https://doi.org/10.1136/bjsports-2016-096847

 

Cleveland Clinic. (2023). Swimmer's shoulder. https://my.clevelandclinic.org/health/diseases/17535-swimmers-shoulder

Dr. Alex Jimenez's insight:

A prevalent injury in the swimming community. Learn about its causes, symptoms, and effective self-care and treatments. For answers to any questions you may have, call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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The Risks and Injuries Associated with Wrestling | Call: 915-850-0900 or 915-412-6677

The Risks and Injuries Associated with Wrestling | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

For wrestling athletes or those thinking about getting into the sport, can knowing about common injuries help in rehabilitation and prevention?

Wrestling Injuries

Wrestling is an intense and demanding sport. Studies have found that football and wrestling are the two high school sports with the highest risk of serious injury to athletes (Center for Injury Research and Policy, 2009). The injury rate for college wrestlers is 9 injuries per 1,000 athlete exposures. (Kroshus, E. et al., 2018) While most wrestling injuries include strains and sprains, there can also be serious traumatic and unusual injuries. Using proper safety gear and learning correct techniques can significantly reduce the risk of injuries. The majority occur during competition.

Common

The most common wrestling injuries are similar to those in other sports and include:

Muscle Soreness

  • Muscle soreness that is experienced 12 to 48 hours after an intense workout or competition.
  • Resting is often all that is needed to recover.

Bruises and Contusions

  • Sparring, take-downs, and hard landings can result in various bruises and contusions.

Sprains and Strains

  • Rest, ice, compression, and elevation are recommended to treat sprains and strains immediately.

Ankle Sprains

  • Ankle sprains occur when surrounding ligaments stretch and tear around the joint.

Wrist Sprains

  • Typically, it occurs when stretching or tearing the ligaments.
  • Falling or landing on the hands is a common cause.

Overtraining Syndrome

  • Frequently occurs in athletes who train beyond the body's ability to recover.

Dehydration

  • When trying to make weight, dehydration can be a serious health problem that many wrestlers experience.

Other Injuries

Other injuries common in wrestling:

 

  • Wrist tendinitis
  • Finger fractures
  • Iliotibial band syndrome
  • Meniscus tears
  • Groin pull
  • Hamstring pull or tear
  • Pulled calf muscle
  • Achilles tendonitis
  • Achilles tendon rupture
  • Clavicle/Collarbone fracture
  • Concussion

Serious

The forcing of a joint beyond its normal range of motion is the most common cause of serious injuries. The most serious wrestling injuries affect the neck, shoulder, elbow, and knee and include:

Neck

  • The cervical vertebrae are often forced into vulnerable positions during various techniques and movements, which can result in a neck injury. Common types include:
  • Neck Strain
  • Whiplash
  • Cervical Fracture

Shoulder

  • A combination of leverage and twisting causes most upper body and shoulder injuries during competition. Types of shoulder injuries include:
  • Rotator cuff injury
  • Shoulder separation
  • Shoulder dislocation

Elbow Dislocation

  • Elbows are under tremendous strain when maneuvering.
  • Dislocations of the radial head are often related to the athlete bracing for a fall on an outstretched arm during take-downs.

Knee

  • Most knee injuries occur to the ligaments of the knee joint.
  • These include anterior and posterior cruciate ligament or ACL/PCL injuries.

Safety

Wrestling requires flexibility, strength, and proper technique to prevent injury, combined with thorough instruction and coaching and following basic safety precautions. Some tips include.

Safety Gear

  • Wear appropriate headgear and mouthguards during practices, meets, and tournaments.

Improving Joint Flexibility

  • Wrestlers with a high degree of shoulder flexibility have fewer injuries.
  • The flexibility of the lower back, hamstrings, elbows, and cervical spine should also be worked on.​

Gain or Lose Weight Safely

  • Avoid dramatic weight loss and weight-gaining strategies by maintaining healthy nutrition and hydration during the season.

Avoiding Dangerous Holds and Slam Moves

  • Safe wrestling techniques need to be followed as these can generate severe injuries.

 

Regardless of how common or seemingly not serious an injury or medical condition is, it's important to rest and recover and tell a coach and health care professional, as some injuries and conditions can become serious if left untreated. Injury Medical Chiropractic and Functional Medicine Clinic focuses on and treats injuries and chronic pain syndromes through personalized care plans that improve ability through flexibility, mobility, and agility programs to relieve pain. Our providers use an integrated approach to create personalized care plans for each patient, including 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 other treatment is needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments.

Perseverance and Power

 

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 get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Nationwide Children’s Hospital. (2024). Center for Injury Research and Policy. https://www.nationwidechildrens.org/research/areas-of-research/center-for-injury-research-and-policy

 

Kroshus, E., Utter, A. C., Pierpoint, L. A., Currie, D. W., Knowles, S. B., Wasserman, E. B., Dompier, T. P., Marshall, S. W., Comstock, R. D., & Kerr, Z. Y. (2018). The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Wrestling (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Men's Wrestling (2004-2005 Through 2013-2014). Journal of athletic training, 53(12), 1143–1155. https://doi.org/10.4085/1062-6050-154-17

Dr. Alex Jimenez's insight:

Discover the risks and rewards of wrestling, an intense and demanding sport. Learn about common injuries and how to prevent them. For answers to any questions you may have, call Dr. Jimenez at 915-850-0900 or 915-412-6677

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The Importance of Wrist Protection for Weightlifting | Call: 915-850-0900 or 915-412-6677

The Importance of Wrist Protection for Weightlifting | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

For individuals who lift weights, are there ways to protect the wrists and prevent injuries when lifting weights?

Wrist Protection

The wrists are complex joints. The wrists significantly contribute to stability and mobility when performing tasks or lifting weights. They provide mobility for movements using the hands and stability to carry and lift objects securely and safely (National Library of Medicine, 2024). Lifting weights is commonly performed to strengthen and stabilize the wrists; however, these movements can cause wrist pain and lead to injuries if not performed correctly. Wrist protection can keep wrists strong and healthy and is key to avoiding strains and injuries.

Wrist Strength

The wrist joints are set between the hand and forearm bones. Wrists are aligned in two rows of eight or nine total small bones/carpal bones and are connected to the arm and hand bones by ligaments, while tendons connect the surrounding muscles to the bones. Wrist joints are condyloid or modified ball and socket joints that assist with flexion, extension, abduction, and adduction movements. (National Library of Medicine. 2024) This means the wrists can move in all planes of motion:

 

  • Side to side
  • Up and down
  • Rotate

 

This provides a wide range of motion but can also cause excessive wear and tear and increase the risk of strain and injury. The muscles in the forearm and hand control finger movement necessary for gripping. These muscles and the tendons and ligaments involved run through the wrist. Strengthening the wrists will keep them mobile, help prevent injuries, and increase and maintain grip strength.  In a review on weightlifters and powerlifters that examined the types of injuries they sustain, wrist injuries were common, with muscle and tendon injuries being the most common among weightlifters. (Ulrika Aasa et al., 2017)

Protecting the Wrists

Wrist protection can use a multi-approach, which includes consistently increasing strength, mobility, and flexibility to improve health and prevent injuries. Before lifting or engaging in any new exercise, individuals should consult their primary healthcare provider, physical therapist, trainer, medical specialist, or sports chiropractor to see which exercises are safe and provide benefits based on injury history and current level of health.

Increase Mobility

Mobility allows the wrists to have a full range of motion while retaining the stability necessary for strength and durability. Lack of mobility in the wrist joint can cause stiffness and pain. Flexibility is connected to mobility, but being overly flexible and lacking stability can lead to injuries. To increase wrist mobility, perform exercises at least two to three times a week to improve range of motion with control and stability. Also, taking regular breaks throughout the day to rotate and circle the wrists and gently pull back on the fingers to stretch them will help relieve tension and stiffness that can cause mobility problems.

Warm-Up

Before working out, warm up the wrists and the rest of the body before working out. Start with light cardiovascular to get the synovial fluid in the joints circulating to lubricate the joints, allowing for smoother movement. For example, individuals can make fists, rotate their wrists, perform mobility exercises, flex and extend the wrists, and use one hand to pull back the fingers gently. Around 25% of sports injuries involve the hand or wrist. These include hyperextension injury, ligament tears, front-inside or thumb-side wrist pain from overuse injuries, extensor injuries, and others. (Daniel M. Avery 3rd et al., 2016)

Strengthening Exercises

Strong wrists are more stable, and strengthening them can provide wrist protection. Exercises that improve wrist strength include pull-ups, deadlifts, loaded carries, and Zottman curls. Grip strength is vital for performing daily tasks, healthy aging, and continued success with weightlifting. (Richard W. Bohannon 2019) For example, individuals who have difficulty increasing the weight on their deadlifts because the bar slips from their hands could have insufficient wrist and grip strength.

Wraps

Wrist wraps or grip-assisting products are worth considering for those with wrist issues or concerns. They can provide added external stability while lifting, reducing grip fatigue and strain on the ligaments and tendons. However, it is recommended not to rely on wraps as a cure-all measure and to focus on improving individual strength, mobility, and stability. A study on athletes with wrist injuries revealed that the injuries still occurred despite wraps being worn 34% of the time prior to the injury. Because most injured athletes did not use wraps, this pointed to potential preventative measures, but the experts agreed more research is needed. (Amr Tawfik et al., 2021)

Preventing Overuse Injuries

When an area of the body undergoes too many repetitive motions without proper rest, it becomes worn, strained, or inflamed faster, causing overuse injury. The reasons for overuse injuries are varied but include not varying workouts enough to rest the muscles and prevent strain. A research review on the prevalence of injuries in weightlifters found that 25% were due to overuse tendon injuries. (Ulrika Aasa et al., 2017) Preventing overuse can help avoid potential wrist problems.

Proper Form

Knowing how to perform movements correctly and using proper form during each workout/training session is essential for preventing injuries. A personal trainer, sports physiotherapist, or physical therapist can teach how to adjust grip or maintain correct form.

 

Be sure to see your provider for clearance before lifting or starting an exercise program. Injury Medical Chiropractic and Functional Medicine Clinic can advise on training and prehabilitation or make a referral if one is needed.

Fitness Health

 

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 get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Erwin, J., & Varacallo, M. (2024). Anatomy, Shoulder and Upper Limb, Wrist Joint. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/30521200

 

Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Injuries among weightlifters and powerlifters: a systematic review. British journal of sports medicine, 51(4), 211–219. https://doi.org/10.1136/bjsports-2016-096037

 

Avery, D. M., 3rd, Rodner, C. M., & Edgar, C. M. (2016). Sports-related wrist and hand injuries: a review. Journal of orthopaedic surgery and research, 11(1), 99. https://doi.org/10.1186/s13018-016-0432-8

 

Bohannon R. W. (2019). Grip Strength: An Indispensable Biomarker For Older Adults. Clinical interventions in aging, 14, 1681–1691. https://doi.org/10.2147/CIA.S194543

 

Tawfik, A., Katt, B. M., Sirch, F., Simon, M. E., Padua, F., Fletcher, D., Beredjiklian, P., & Nakashian, M. (2021). A Study on the Incidence of Hand or Wrist Injuries in CrossFit Athletes. Cureus, 13(3), e13818. https://doi.org/10.7759/cureus.13818

Dr. Alex Jimenez's insight:

Avoid wrist pain and injuries while weightlifting with proper wrist protection. Learn techniques to keep your wrists stable and strong. For answers to any questions you may have, call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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Improving Eye Health with Acupuncture | Call: 915-850-0900 or 915-412-6677

Improving Eye Health with Acupuncture | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

For individuals experiencing eye problems, can acupuncture treatment help and benefit overall eye health?

Acupuncture For Eye Health

Acupuncture is an alternative medical practice that involves inserting thin needles at specific points on the body. The objective is to restore balance and health by restoring and balancing energy circulation through pathways throughout the body. These pathways, known as meridians, are separate from nerve and blood pathways.

 

  • Studies have shown that the insertion of needles manipulates local accumulations of certain neurotransmitters by nearby nerves, which causes beneficial health effects of acupuncture. (Heming Zhu 2014)
  • Scientists are not sure exactly how acupuncture works, but it has been shown to provide pain relief and alleviation of cancer treatment nausea. (Weidong Lu, David S. Rosenthal 2013)
  • Studies have shown that acupuncture can help treat eye conditions like dry eye syndrome. (Tae-Hun Kim et al., 2012)

Eye Problems

For some individuals, a body imbalance can be caused by eye problems or disease. With acupuncture, imbalance-causing symptoms are addressed. Acupuncture promotes the circulation of energy and blood around the eyes.

 

  • Acupuncture has been used as an alternative treatment for chronic dry eye syndrome. (Tae-Hun Kim et al., 2012)
  • Studies have shown acupuncture helps reduce the eye surface's temperature to reduce the evaporation of tears.
  • The procedure is also sometimes used to treat glaucoma.
  • Glaucoma is an optic nerve disease usually caused by above-normal eye pressure levels.
  • One study found eye pressure significantly decreased after acupuncture. (Simon K. Law, Tianjing Li 2013)
  • Another study showed successful reduced allergic and inflammatory eye disease symptoms. (Justine R. Smith et al., 2004)

Eye Acupoints

 The following acupoints are for eye health.

Jingming

  • Jingming - UB-1 is located in the inner corner of the eye.
  • This point is thought to increase energy and blood and to help with problems such as blurry vision, cataracts, glaucoma, night blindness, and conjunctivitis. (Tilo Blechschmidt et al., 2017)

Zanzhu

  • The Zanzhu point - UB-2 is in the crease at the inner end of the eyebrow.
  • This acupoint is used when individuals complain of headaches, blurred vision, pain, tearing, redness, twitching, and glaucoma. (Gerhard Litscher 2012)

Yuyao

  • Yuyao is in the middle of the eyebrow, above the pupil.
  • This point is used for treating eye strain, eyelid twitching, ptosis, or when the upper eyelid droops over, cloudiness of the cornea, redness, and swelling. (Xiao-yan Tao et al., 2008)

Sizhukong

  • The Sizhukog - SJ 23 area is in the hollow area outside the eyebrow.
  • It is thought to be a point where acupuncture can help with eye and facial pain, including headaches, redness, pain, blurred vision, toothache, and facial paralysis. (Hongjie Ma et al., 2018)

Tongzilia

  • The Tongzilia - GB 1 is located on the outside corner of the eye.
  • The point helps brighten the eyes.
  • Acupuncture also helps treat headaches, redness, eye pain, light sensitivity, dry eyes, cataracts, and conjunctivitis. (GladGirl 2013)

 

Early studies with acupuncture have shown promise for improving eye health. Individuals considering acupuncture are recommended to consult their primary healthcare provider to see if it can be an option for those who have not found a resolution by traditional means.

Neck 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 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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Zhu H. (2014). Acupoints Initiate the Healing Process. Medical acupuncture, 26(5), 264–270. https://doi.org/10.1089/acu.2014.1057

 

Lu, W., & Rosenthal, D. S. (2013). Acupuncture for cancer pain and related symptoms. Current pain and headache reports, 17(3), 321. https://doi.org/10.1007/s11916-013-0321-3

 

Kim, T. H., Kang, J. W., Kim, K. H., Kang, K. W., Shin, M. S., Jung, S. Y., Kim, A. R., Jung, H. J., Choi, J. B., Hong, K. E., Lee, S. D., & Choi, S. M. (2012). Acupuncture for the treatment of dry eye: a multicenter randomised controlled trial with active comparison intervention (artificial teardrops). PloS one, 7(5), e36638. https://doi.org/10.1371/journal.pone.0036638

 

Law, S. K., & Li, T. (2013). Acupuncture for glaucoma. The Cochrane database of systematic reviews, 5(5), CD006030. https://doi.org/10.1002/14651858.CD006030.pub3

 

Smith, J. R., Spurrier, N. J., Martin, J. T., & Rosenbaum, J. T. (2004). Prevalent use of complementary and alternative medicine by patients with inflammatory eye disease. Ocular immunology and inflammation, 12(3), 203–214. https://doi.org/10.1080/092739490500200

 

Blechschmidt, T., Krumsiek, M., & Todorova, M. G. (2017). The Effect of Acupuncture on Visual Function in Patients with Congenital and Acquired Nystagmus. Medicines (Basel, Switzerland), 4(2), 33. https://doi.org/10.3390/medicines4020033

 

Litscher G. (2012). Integrative laser medicine and high-tech acupuncture at the medical university of graz, austria, europe. Evidence-based complementary and alternative medicine : eCAM, 2012, 103109. https://doi.org/10.1155/2012/103109

 

Tao, X. Y., Sun, C. X., Yang, J. L., Mao, M., Liao, C. C., Meng, J. G., Fan, W. B., Zhang, Y. F., Ren, X. R., & Yu, H. F. (2008). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 28(3), 191–193.

 

Ma, H., Feng, L., Wang, J., & Yang, Z. (2018). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 38(3), 273–276. https://doi.org/10.13703/j.0255-2930.2018.03.011

 

GladGirl The Lash & Brow Expert Blog. Acupuncture for Eye Health. (2013). https://www.gladgirl.com/blogs/lash-brow-expert/acupuncture-for-eye-health

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Staying Safe Against Achilles Tendon Ruptures | Call: 915-850-0900 or 915-412-6677

Staying Safe Against Achilles Tendon Ruptures | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Individuals who participate in physical and sports activities could suffer an Achilles tendon tear. Can understanding the symptoms and risks help in treatment and return the individual back to their sports activity sooner?

Achilles Tendon

This is a common injury that occurs when the tendon attaching the calf muscle to the heel gets torn.

About the Tendon

  • The Achilles tendon is the largest tendon in the body.
  • In sports and physical activities, intense explosive movements like running, sprinting, quickly shifting positions, and jumping are exerted on the Achilles.
  • Males are more likely to tear their Achilles and sustain a tendon rupture. (G. Thevendran et al., 2013)
  • The injury often occurs without any contact or collision but rather the running, starting, stopping, and pulling actions placed on the feet.
  • Certain antibiotics and cortisone shots can increase the likelihood of Achilles tear injuries.
  • A specific antibiotic, fluoroquinolones, has been shown to increase the risk of Achilles tendon problems. 
  • Cortisone shots are also associated with Achilles tears, which is why many healthcare providers don't recommend cortisone for Achilles tendonitis. (Anne L. Stephenson et al., 2013)

Symptoms

  • A tendon tear or rupture causes sudden pain behind the ankle.
  • Individuals may hear a pop or a snap and often report the feeling as being kicked in the calf or heel.
  • Individuals have difficulty pointing their toes downward.
  • Individuals may have swelling and bruising around the tendon.
  • A healthcare provider will examine the ankle for continuity of the tendon.
  • Squeezing the calf muscle is supposed to cause the foot to point downwards, but in individuals with a tear, the foot will not move, resulting in positive results on the Thompson test.
  • A defect in the tendon can usually be felt after a tear.
  • X-rays may be used to rule out other conditions, including ankle fracture or ankle arthritis.

Risk Factors

  • Achilles tendon ruptures are most seen in men around 30 or 40. (David Pedowitz, Greg Kirwan. 2013)
  • Many individuals have symptoms of tendonitis prior to sustaining a tear.
  • The majority of individuals have no history of previous Achilles tendon problems.
  • The majority of Achilles tendon tears are associated with ball sports. (Youichi Yasui et al., 2017)

 

Other risk factors include:

 

  • Gout
  • Cortisone injections into the Achilles tendon
  • Fluoroquinolone antibiotic use

 

Fluoroquinolone antibiotics are commonly used for the treatment of respiratory infections, urinary tract infections, and bacterial infections. These antibiotics are associated with Achilles tendon rupture, but further research is needed to determine how they affect the Achilles tendon. Individuals taking these medications are advised to consider an alternative medication if Achilles tendon problems begin to develop. (Anne L. Stephenson et al., 2013)

Treatment

Depending on the severity of the injury, treatment can consist of non-surgical techniques or surgery.

 

  • The benefit of surgery is there is usually less immobilization.
  • Individuals can often return to sports activities sooner, and there is less chance of re-rupturing the tendon.
  • Non-surgical treatment avoids the potential surgical risks, and the long-term functional results are similar. (David Pedowitz, Greg Kirwan. 2013)

Treating 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, 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 discuss the subject matter above further, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Thevendran, G., Sarraf, K. M., Patel, N. K., Sadri, A., & Rosenfeld, P. (2013). The ruptured Achilles tendon: a current overview from biology of rupture to treatment. Musculoskeletal surgery, 97(1), 9–20. https://doi.org/10.1007/s12306-013-0251-6


Stephenson, A. L., Wu, W., Cortes, D., & Rochon, P. A. (2013). Tendon Injury and Fluoroquinolone Use: A Systematic Review. Drug safety, 36(9), 709–721. https://doi.org/10.1007/s40264-013-0089-8

 

Pedowitz, D., & Kirwan, G. (2013). Achilles tendon ruptures. Current reviews in musculoskeletal medicine, 6(4), 285–293. https://doi.org/10.1007/s12178-013-9185-8

 

Yasui, Y., Tonogai, I., Rosenbaum, A. J., Shimozono, Y., Kawano, H., & Kennedy, J. G. (2017). The Risk of Achilles Tendon Rupture in the Patients with Achilles Tendinopathy: Healthcare Database Analysis in the United States. BioMed research international, 2017, 7021862. https://doi.org/10.1155/2017/7021862

Dr. Alex Jimenez's insight:

From running to jumping, find out how Achilles tendon tears occur due to explosive physical movements. Learn more about this common injury. For answers to any questions you may have, call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Identifying & Treating Turf Toe Injuries | Call: 915-850-0900 or 915-412-6677

Identifying & Treating Turf Toe Injuries | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

For individuals experiencing a turf toe injury, can knowing the symptoms help athletes and non-athletes with treatment, recovery time, and returning to activities?

Turf Toe Injury

A turf toe injury affects the soft tissue ligaments and tendons at the base of the big toe under the foot. This condition usually occurs when the toe is hyperextended/forced upward, such as when the ball of the foot is on the ground and the heel is lifted. (American Academy of Orthopaedic Surgeons. 2021) The injury is common among athletes who play sports on artificial turf, which is how the injury got its name. However, it can also affect non-athletes, like individuals working on their feet all day.

 

  • Recovery time after turf toe injury depends on the severity and the type of activities the individual plans to return to.
  • Returning to high-level sports activities after a severe injury can take six months.
  • These injuries vary in severity but usually improve with conservative treatment. In severe cases, surgery could be required.
  • Pain is the primary issue that stops physical activities after a grade 1 injury, while grades 2 and 3 can take weeks to months to heal completely.

Meaning

A turf toe injury refers to a metatarsophalangeal joint strain. This joint comprises ligaments that connect the bone on the sole of the foot, below the big toe/proximal phalanx, to the bones that connect the toes to the larger bones in the feet/metatarsals. The injury is usually caused by hyperextension that often results from a pushing-off motion, like running or jumping.

Grading

Turf toe injuries can range from mild to severe and are graded as follows: (American Academy of Orthopaedic Surgeons. 2021)

 

  • Grade 1 - The soft tissue is stretched, causing pain and swelling.
  • Grade 2 - The soft tissue is partially torn. Pain is more pronounced, with significant swelling and bruising, and it is difficult to move the toe.
  • Grade 3 - Soft tissue is completely torn, and symptoms are severe.

Is This What's Causing My Foot Pain?

Turf toe can be an:

 

  • Overuse injury - caused by repeating the same motion repeatedly for an extended period, that causes symptoms to worsen.
  • Acute injury - that occurs suddenly, causing immediate pain.

 

Symptoms can include the following: (Mass General Brigham. 2023)

 

  • Limited range-of-motion.
  • Tenderness in the big toe and surrounding area.
  • Swelling.
  • Pain in the big toe and surrounding area.
  • Bruising.
  • Loose joints can indicate there is a dislocation.

Diagnosis

If experiencing turf toe symptoms, see a healthcare provider for a proper diagnosis so they can develop a personalized treatment plan. They will perform a physical exam to assess pain, swelling, and range of motion. (American Academy of Orthopaedic Surgeons. 2021) If the healthcare provider suspects tissue damage, they may recommend imaging with X-rays and (MRI) to grade the injury and determine the proper course of action.

Treatment

A healthcare provider will determine the best treatment based on the severity of the injury. All turf toe injuries can benefit from the RICE protocol: (American College of Foot and Ankle Surgeons. Foot Health Facts. 2023)

 

  1. Rest - Avoid activities that worsen symptoms. This can include using an assistive device like a walking boot or crutches to reduce pressure.
  2. Ice - Apply ice for 20 minutes, then wait 40 minutes before reapplying.
  3. Compression - Wrap the toe and foot with an elastic bandage to support and reduce swelling.
  4. Elevation - Prop the foot above the level of the heart to help decrease swelling.

Grade 1

Grade 1 turf toe is classified by stretched soft tissue, pain, and swelling. Treatments can include: (Ali-Asgar Najefi et al., 2018)

 

  • Taping to support the toe.
  • Wearing shoes with a rigid sole.
  • Orthotic support, like a turf toe plate.

Grades 2 and 3

Grades 2 and 3 come with partial or complete tissue tearing, severe pain, and swelling. Treatments for more severe turf toe can include: (Ali-Asgar Najefi et al., 2018)

 

  • Limited weight bearing
  • Using assistive devices like crutches, a walking boot, or a cast.

Other Treatment

  • Less than 2% of these injuries require surgery. It is usually recommended if there is instability in the joint or when conservative treatments are unsuccessful. (Ali-Asgar Najefi et al., 2018) (Zachariah W. Pinter et al., 2020)
  • Physical therapy is beneficial for decreasing pain and improving the range of motion and strength after injury. (American Academy of Orthopaedic Surgeons. 2021)
  • Physical therapy also includes proprioception and agility training exercises, orthotics, and wearing recommended shoes for specific physical activities. (Lisa Chinn, Jay Hertel. 2010)
  • A physical therapist can also help ensure that the individual does not return to physical activities before the injury is fully healed and prevent the risk of re-injury.

Recovery Time

Recovery depends on injury severity. (Ali-Asgar Najefi et al., 2018)

 

  • Grade 1 - Subjective as it varies depending on the individual's pain tolerance.
  • Grade 2 - Four to six weeks of immobilization.
  • Grade 3 - Eight weeks minimum of immobilization.
  • It can take up to six months to return to normal function.

Returning To Normal Activities

After a grade 1 turf toe injury, individuals can return to normal activities once the pain is under control. Grades 2 and 3 take longer to heal. Returning to sports activities after a grade 2 injury can take around two or three months, while grade 3 injuries and cases that require surgery can take up to six months. (Ali-Asgar Najefi et al., 2018)

Sports Chiropractic Treatment

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

American Academy of Orthopaedic Surgeons. (2021). Turf toe.

 

Mass General Brigham. (2023). Turf toe.

 

American College of Foot and Ankle Surgeons. Foot Health Facts. (2023). RICE protocol.

 

Najefi, A. A., Jeyaseelan, L., & Welck, M. (2018). Turf toe: A clinical update. EFORT open reviews, 3(9), 501–506. https://doi.org/10.1302/2058-5241.3.180012

 

Pinter, Z. W., Farnell, C. G., Huntley, S., Patel, H. A., Peng, J., McMurtrie, J., Ray, J. L., Naranje, S., & Shah, A. B. (2020). Outcomes of Chronic Turf Toe Repair in Non-athlete Population: A Retrospective Study. Indian journal of orthopaedics, 54(1), 43–48. https://doi.org/10.1007/s43465-019-00010-8

 

Chinn, L., & Hertel, J. (2010). Rehabilitation of ankle and foot injuries in athletes. Clinics in sports medicine, 29(1), 157–167. https://doi.org/10.1016/j.csm.2009.09.006

Dr. Alex Jimenez's insight:

Recovering from a foot injury? Learn how to recover properly and understand the lengths of the healing process. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Burning Feet: Reasons and Solutions Beyond Workouts | Call: 915-850-0900 or 915-412-6677

Burning Feet: Reasons and Solutions Beyond Workouts | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Individuals' feet will heat up when walking or running; however, burning feet could be a symptom of medical conditions like athlete's foot or a nerve injury or damage. Can awareness of these symptoms help identify solutions to relieve and heal the underlying condition?

Burning Feet

Walkers and runners often experience heat in their feet. This is natural from the increased circulation, heart rate, warm or hot sidewalks, and pavement. But the feet could experience an abnormal hot or burning sensation. Usually, the overheating is caused by socks and shoes and fatigue after a long workout. The first self-care steps include trying new or specialized footwear and workout adjustments. If burning feet persist or there are signs of infection, tingling, numbness, or pain, individuals should see their healthcare provider. (Mayo Clinic. 2018

Footwear

The shoes and how they are worn may be the cause.

 

  • First, look at the material of the shoes. They could be shoes and/or insoles that don't circulate air. They can get hot and sweaty without proper air circulation around the feet.
  • When choosing running shoes, consider a mesh material that allows airflow to keep the feet cool.
  • Consider getting fitted for shoes that are the right size, as the feet swell when running or walking.
  • If the shoes are too small, air can't circulate, creating more friction between the foot and the shoe.
  • Shoes that are too large can also contribute to friction as the feet move around too much.
  • Insoles could also contribute.
  • Some insoles can make the feet hot, even if the shoes are breathable.
  • Swap the insoles from another pair of shoes to see if they are contributing, and if so, look into new insoles.

 

Tips to help prevent hot feet:

Topical Ointments

  • Use an anti-blister/chafing topical cream to lubricate and protect the feet.
  • This will reduce friction and prevent blisters.

Lace Properly

  • Individuals may be lacing the shoes too tight, constricting circulation or irritating the nerves at the top of the foot.
  • Individuals should be able to slide one finger under the knot.
  • Remember that the feet will swell as walking or running commences
  • Individuals may need to loosen their laces after warming up.
  • Individuals are recommended to learn lacing techniques that will ensure they are not too tight over the sensitive areas.

Cushioning

  • Fatigue from long workouts or long days standing/moving can result in burning feet.
  • Individuals may need added cushioning in the shoes.
  • Look for work and athletic shoes that have added cushioning.

Shoe Allergies

 Individuals may have an allergic reaction or a sensitivity to the fabric, adhesives, dyes, or other chemicals. (Cleveland Clinic. 2023) The chemicals used in production vary for leather compared to fabric and are different by brand and manufacturer.

 

  • A shoe material allergy may also result in burning, itching, and swelling.
  • It's recommended to note whether symptoms only happen when wearing a specific pair of shoes.
  • Recommendations are to try different kinds and brands of shoes.

Socks

The sock fabric could be contributing to hot or burning feet. Steps to take can include:

Avoid cotton

  • Cotton is a natural fiber but is not recommended for walking and running as it holds sweat that can keep the feet wet.
  • It is recommended to use socks made of Cool-Max and other artificial fibers that wick sweat away and cool them down.

Wool

  • Wool socks can also cause itching and burning sensations.
  • Consider athletic socks made from itch-free wool.

Mindfulness

  • Individuals could be sensitive to other fabrics or dyes in socks.
  • Take note of which socks cause hot or burning feet symptoms.
  • Individuals could also be sensitive to laundry products and are recommended to try a different brand or type.

Medical Conditions

In addition to shoes and socks, medical conditions could cause and contribute to symptoms.

Athlete's Foot

  • Athlete's foot is a fungal infection.
  • Individuals may feel a burning sensation in the affected area.
  • Typically, it is itchy, red, scaling, or cracking.
  1. Rotate shoes.
  2. The fungus grows in damp places, therefore, it is recommended to rotate shoes to allow them to dry out between workouts.
  3. Wash and dry the feet after walking or running.
  4. Try home and over-the-counter solutions, powders, and remedies to treat athlete's foot.

Peripheral Neuropathy

Individuals frequently experiencing burning feet apart from when they have been exercising could be due to nerve damage known as peripheral neuropathy. (National Institute of Neurological Disorders and Stroke. 2023) Peripheral neuropathy symptoms include pins and needles, numbness, tickling, tingling, and/or burning sensations.

Examination

  • Diabetes is one of the most common causes of peripheral neuropathy.
  • Diabetes can come on at any age.
  • Individuals need to learn how to protect their feet, as exercise is recommended for diabetes.

 

Other conditions that can produce peripheral neuropathy include:

 

  • Vitamin B-12 deficiency
  • Alcohol abuse
  • Circulatory disorders
  • AIDS
  • Heavy metal poisoning

Massage and Movement

  • Massaging the feet also increases circulation.
  • Exercise such as walking is recommended for peripheral neuropathy as it improves circulation to the feet.

Other Causes

Symptoms could also be caused by other conditions including: (Cleveland Clinic. 2023)

Nerve Entrapment

  • Degenerative changes in the spine or back trauma can cause injury/damage to the nerves that can cause pain, tingling, and numbness in the feet.

Tarsal Tunnel Syndrome

  • Compression of the posterior tibial nerve in your lower leg can cause tingling and burning in your feet.

Morton’s Neuroma

  • Morton’s neuroma, which is caused by thickened nerve tissue, can cause pain and burning at the base of the toes.

Autoimmune Diseases

  • Diseases such as multiple sclerosis or Lupus can also cause burning feet.

Self-Care

Adjustments or additions to routines and habits can help.

 

  1. Don't walk or run in worn-out shoes.
  2. Protect the feet by using the right socks, foot powder, and ointments, and cover any areas where rubbing and friction occur.
  3. Immediately change out of shoes and socks after exercise, allowing thorough air drying.
  4. This will help reduce the risk of the athlete's foot fungus growth.
  5. Soak the feet in cool water. Do not use ice, as it could damage the skin.
  6. Soak the feet in Epsom salts to relieve pain and inflammation and dry up blisters.
  7. Elevate the feet after exercising.
  8. Rotate the shoes and socks between workout sessions and during the day.
  9. Try different shoes, socks, and insoles.
  10. Overtraining can worsen symptoms.
  11. Try gradually building on distance while monitoring symptoms.

 

See a doctor or specialist healthcare provider if symptoms continue and are not associated with walking or running exercise.

Exploring Integrative Medicine

 

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 get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Mayo Clinic. (2018). Burning Feet.

 

National Institute of Neurological Disorders and Stroke. (2023). Peripheral Neuropathy.

 

Cleveland Clinic. (2023) Burning Feet Syndrome.

Dr. Alex Jimenez's insight:

Suffering from burning feet during your workouts? Learn how to make the right footwear & workout adjustments with this guide. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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September 13, 2023 9:06 PM
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Diagnosing and Treating Foot Nerve Pain: An Overview | Call: 915-850-0900 or 915-412-6677

Diagnosing and Treating Foot Nerve Pain: An Overview | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Individuals that experience nerve pain in the foot could be caused by a number of different conditions, can recognizing the most common causes help in developing an effective treatment plan?

Nerve Pain In The Foot

These sensations can feel like a burning, shooting, electrical, or stabbing pain and can happen while in motion or at rest. It can occur on the top of the foot or through the arch. The area closest to the nerve may be sensitive to the touch. A number of different conditions can cause nerve pain in the foot, including:

 

  • Morton's neuroma
  • Pinched nerve
  • Tarsal tunnel syndrome
  • Diabetic peripheral neuropathy
  • Herniated disc

Morton's Neuroma

Morton's neuroma involves the nerve that runs between the third and fourth toes, but can sometimes occur between the second and third toes becoming thicker. Typical symptoms include a burning or shooting pain in the area, usually while walking. (Nikolaos Gougoulias, et al., 2019) Another common symptom is the sensation of pressure beneath the toes like the sock is bunched up underneath. Treatments can include:

 

  • Arch supports
  • Cortisone injections to decrease swelling
  • Footwear modifications - can include lifts, orthotics combined with metatarsal pads, and rocker soles, to provide cushion where needed.

 

Things that increase the risk of developing the condition include:

 

  • Regularly wearing high-heels - the condition occurs more frequently in women.
  • Shoes that are too tight.
  • Participating in high-impact sports like running.
  • Having flat feet, high arches, bunions, or hammertoes.

Pinched Nerve

A pinched nerve can feel like shooting or burning pain. Nerve entrapment can occur in various regions of the foot or the area on top of the foot may feel sensitive. Causes can be caused by: (Basavaraj Chari, Eugene McNally. 2018)

 

  • Trauma that causes swelling.
  • Blunt impact.
  • Tight shoes. 

 

Treatment can include:

 

  • Massage
  • Physical therapy
  • Rest
  • Footwear modifications
  • Anti-inflammatories.

 

Things that increase the risk of developing a pinched nerve in the foot include:

 

  • Poor-fitting footwear.
  • Repetitive stress injury.
  • Trauma to the foot.
  • Obesity.
  • Rheumatoid arthritis.

Tarsal Tunnel Syndrome

Another type of nerve entrapment is tarsal tunnel syndrome. Tarsal tunnel syndrome is "anything that produces compression on the posterior tibial nerve." (American College of Foot and Ankle Surgeons. 2019) The tibial nerve is located near the heel. Symptoms include numbness and foot cramps, burning, tingling, or shooting sensations that often radiate from the instep/arch. Both can worsen while the foot is at rest, like when sitting or sleeping. Treatment can consist of:

 

  • Placing padding in the shoe where the foot is being compressed to relieve the pain.
  • Custom foot orthotics.
  • Cortisone shots or other anti-inflammatory treatments.
  • Surgery may be necessary to release the nerve.

 

Conditions that compress the tibial nerve and can lead to tarsal tunnel syndrome include:

 

  • Flat feet
  • Fallen arches
  • Ankle sprain
  • Diabetes
  • Arthritis
  • Varicose veins
  • Bone spurs

Diabetic Peripheral Neuropathy

Long-term high blood sugar/glucose associated with diabetes can lead to a form of nerve damage known as peripheral neuropathy. (Centers for Disease Control and Prevention. 2022) Neuropathy pain feels like burning or shooting pain, or the sensation of walking on bubble wrap that usually shows up overnight. The pain can come and go as well as a gradual loss of feeling in the feet that begins in the toes and moves up the foot. It's estimated that around half of individuals with diabetes will eventually develop neuropathy. (Eva L. Feldman, et al., 2019) Treatments can include:

 

  • Physical therapy massage to increase circulation.
  • Topical treatments with capsaicin.
  • Vitamin B.
  • Blood sugar management.
  • Alpha lipoic acid.
  • Medication.

 

Individuals with diabetes have an increased risk of developing peripheral neuropathy if:

 

  • Blood sugar is not well-controlled.
  • Diabetes has been present for many years.
  • Kidney disease.
  • Smoke.
  • Overweight or obese.

Herniated Disc

Nerve pain in the foot can be caused by spinal issues. A herniated disc in the lower back can irritate and compress the nerves, causing pain that radiates down the leg and foot. Additional symptoms usually include muscle weakness in the legs and/or numbness and tingling. Most herniated discs don't require surgery and get better with conservative treatment. (Wai Weng Yoon, Jonathan Koch. 2021) If symptoms don't improve or worsen, a healthcare provider may recommend surgery. Herniated discs are most common in young and middle-aged adults. Increased chances of developing a herniated disc can come from:

 

  • Degenerative changes in the spine from normal age wear and tear.
  • Physically demanding job.
  • Lifting incorrectly.
  • Overweight or obese.
  • Genetic predisposition - family history of herniated discs.

Spinal Stenosis

Spinal stenosis occurs when the spaces in the spine begin to narrow, creating pressure on the spinal cord and nerve roots. It is usually caused by wear and tear on the spine as the body ages. Stenosis in the lower back can cause burning pain in the buttocks and leg. As it progresses pain can radiate into the feet along with numbness and tingling. Conservative treatment consists of physical therapy exercises and non-steroidal anti-inflammatory medications/NSAIDs. (Jon Lurie, Christy Tomkins-Lane. 2016) Cortisone injections can be beneficial and if the condition worsens, surgery may be an option. Risk factors include:

 

  • Age 50 or older.
  • A narrow spinal canal.
  • Previous injury.
  • Previous spinal surgery.
  • Osteoarthritis that is affecting the back.

Other Possible Causes

Other conditions can result in nerve damage and pain symptoms and sensations. Examples include: (Nathan P. Staff, Anthony J. Windebank. 2014)

 

  • Vitamin deficiencies (Nathan P. Staff, Anthony J. Windebank. 2014)
  • Physical trauma - after surgery or an automobile or sports accident.
  • Certain cancer, antiviral medications, or antibiotics.
  • Complex regional pain syndrome.
  • Tumors that irritate and/or compress a nerve.
  • Liver or kidney disease.
  • Infectious diseases - Lyme disease complications or viral infections.

 

Nerve pain in the foot is definitely a reason to see a healthcare provider. Early diagnosis can help prevent symptom progression and future problems. Once the cause of the pain has been identified, the healthcare team can work together to develop a personalized treatment plan to release compressed nerves and restore mobility and function. See a healthcare provider right away if the pain and symptoms worsen, or if there are difficulties standing or walking.

Chiropractic After Accidents and 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 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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Gougoulias, N., Lampridis, V., & Sakellariou, A. (2019). Morton's interdigital neuroma: instructional review. EFORT open reviews, 4(1), 14–24. https://doi.org/10.1302/2058-5241.4.180025

 

Chari, B., & McNally, E. (2018). Nerve Entrapment in Ankle and Foot: Ultrasound Imaging. Seminars in musculoskeletal radiology, 22(3), 354–363. https://doi.org/10.1055/s-0038-1648252

 

American College of Foot and Ankle Surgeons. Tarsal tunnel syndrome.

 

Centers for Disease Control and Prevention. Diabetes and nerve damage.

 

Feldman, E. L., Callaghan, B. C., Pop-Busui, R., Zochodne, D. W., Wright, D. E., Bennett, D. L., Bril, V., Russell, J. W., & Viswanathan, V. (2019). Diabetic neuropathy. Nature reviews. Disease primers, 5(1), 42. https://doi.org/10.1038/s41572-019-0097-9

 

Yoon, W. W., & Koch, J. (2021). Herniated discs: when is surgery necessary?. EFORT open reviews, 6(6), 526–530. https://doi.org/10.1302/2058-5241.6.210020

 

Lurie, J., & Tomkins-Lane, C. (2016). Management of lumbar spinal stenosis. BMJ (Clinical research ed.), 352, h6234. https://doi.org/10.1136/bmj.h6234

 

Staff, N. P., & Windebank, A. J. (2014). Peripheral neuropathy due to vitamin deficiency, toxins, and medications. Continuum (Minneapolis, Minn.), 20(5 Peripheral Nervous System Disorders), 1293–1306. https://doi.org/10.1212/01.CON.0000455880.06675.5a

Dr. Alex Jimenez's insight:

If you feel burning, shooting, or electrical pain in your feet, learn more about the common causes and possible treatment options. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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August 7, 2023 9:35 PM
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Golfing Wrist Injuries | Call: 915-850-0900 or 915-412-6677

Golfing Wrist Injuries | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Golfing wrist injuries are common with treatment requiring 1-3 months of rest and immobilization and if tears are present surgery. Can chiropractic treatment help avoid surgery, expedite recovery, and rehabilitation?

Golfing Wrist Injuries

Golfing Wrist Injuries: According to a study, there are over 30,000 golf-related injuries treated in American emergency rooms every year. (Walsh, B. A. et al, 2017) Nearly a third are related to a strain, sprain, or stress fracture.

 

  • One of the most common causes of wrist pain is overuse. (Moon, H. W. et al, 2023)
  • Repeated swinging generates added stress on the tendons and muscles, leading to inflammation and pain.
  • Improper swing techniques can cause the wrists to twist uncomfortably, resulting in inflammation, soreness, and injuries.
  • Golfers who grip the club too tightly can add unnecessary strain on their wrists, leading to pain and weakened grip.

Wrist Tendonitis

  • The most common wrist injury is an inflammation of the tendons. (Ray, G. et al, 2023)
  • This condition is often caused by overuse or repetitive motion.
  • It usually develops in the leading hand from bending the wrist forward on the backswing and then extends backward at the finish.

Wrist Sprains

  • These can occur when the golf club hits an object, like a tree root, and makes the wrist bend and/or twist awkwardly. (Zouzias et al., 2018)

Hamate Bone Fractures

  • When the club hits the ground abnormally it can compress the handle against the bony hooks at the end of the smaller hamate/carpal bones.

Ulnar Tunnel Syndrome

  • This can cause inflammation, and numbness, and is usually caused by an improper or loose grip.
  • It causes nerve damage to the wrist from repeated bumping of the golf club handle against the palm.

de Quervain's Tenosynovitis

  • This is a repetitive motion injury below the thumb at the wrist. (Tan, H. K. et al, 2014)
  • This causes pain and inflammation and is usually accompanied by a grinding sensation when moving the thumb and wrist.

Chiropractic Treatment

Given the nature of these injuries, medical attention should be sought out for image scans to look at any damage and properly immobilize the wrist. Once a fracture has been ruled out or healed, golfing wrist injuries can benefit from chiropractic and physical therapy. (Hulbert, J. R. et al, 2005) A typical treatment may involve a multifaceted approach involving various therapies including:

 

  • Active release therapy, myofascial release, athletic taping, corrective exercise, and stretching. 
  • A chiropractor will examine the wrist and its functioning to determine the nature of the injury.
  • A chiropractor may recommend using a splint to immobilize the wrist, particularly in cases of overuse.
  • They will relieve pain and swelling first, then focus on strengthening the joint.
  • They may recommend a regimen of icing the hand.
  • Adjustments and manipulations will relieve pressure on the nerves to reduce swelling and restore mobility.

Peripheral Neuropathy Successful Recovery

 

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 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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Walsh, B. A., Chounthirath, T., Friedenberg, L., & Smith, G. A. (2017). Golf-related injuries treated in United States emergency departments. The American journal of emergency medicine, 35(11), 1666–1671. https://doi.org/10.1016/j.ajem.2017.05.035

 

Moon, H. W., & Kim, J. S. (2023). Golf-related sports injuries of the musculoskeletal system. Journal of exercise rehabilitation, 19(2), 134–138. https://doi.org/10.12965/jer.2346128.064

 

Ray, G., Sandean, D. P., & Tall, M. A. (2023). Tenosynovitis. In StatPearls. StatPearls Publishing.

 

Zouzias, I. C., Hendra, J., Stodelle, J., & Limpisvasti, O. (2018). Golf Injuries: Epidemiology, Pathophysiology, and Treatment. The Journal of the American Academy of Orthopaedic Surgeons, 26(4), 116–123. https://doi.org/10.5435/JAAOS-D-15-00433

 

Tan, H. K., Chew, N., Chew, K. T., & Peh, W. C. (2014). Clinics in diagnostic imaging (156). Golf-induced hamate hook fracture. Singapore medical journal, 55(10), 517–521. https://doi.org/10.11622/smedj.2014133

 

Hulbert, J. R., Printon, R., Osterbauer, P., Davis, P. T., & Lamaack, R. (2005). Chiropractic treatment of hand and wrist pain in older people: systematic protocol development. Part 1: informant interviews. Journal of chiropractic medicine, 4(3), 144–151. https://doi.org/10.1016/S0899-3467(07)60123-2

Dr. Alex Jimenez's insight:

Golfing wrist injuries are common with treatment requiring 1-3 months of rest and immobilization. Chiropractic can help expedite recovery. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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June 29, 2023 9:08 PM
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Overtraining Syndrome: EP's Chiropractic Rehab Team | Call: 915-850-0900 or 915-412-6677

Overtraining Syndrome: EP's Chiropractic Rehab Team | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Individuals can become overly passionate about exercising. However, constantly training the body without taking enough time to rest and recover can impact athletes and fitness enthusiasts physically and mentally and lead to overtraining syndrome. Excessive training can cause decreases in athletic physical performance that can be long-lasting, sometimes taking several weeks or months to recover. Individuals who don't learn to manage overtraining can have injuries and more frequent illnesses and infections. And the psychological effects can also lead to negative mood changes. Learn the signs and how to cut back to prevent injury and/or burnout.

Overtraining Syndrome

Athletes and fitness lovers often exercise longer and harder than average to reach peak performance. Even individuals just getting started with exercise can push their limits as they try to figure out what works for them. This means taking into consideration the following:

 

  • The mental side of training.
  • How to get and stay motivated.
  • How to set up a safe and effective program with balanced cardio and strength training.
  • How to avoid skipping workouts when things get in the way.
  • Exercising too much is a mistake many beginners make, putting themselves at risk for injury.

 

Overtraining syndrome is when the body goes through and feels:

 

  • Extreme fatigue.
  • Physical performance problems.
  • Mood changes.
  • Sleep disturbances.
  • Other issues due to working out or training too much and/or too hard without giving the body enough time to rest.

 

Overtraining is common among athletes who train beyond their body's ability to recover, usually when preparing for a competition or event. Conditioning for athletes and enthusiasts requires a balance between work and recovery.

Signs and Symptoms

There are several signs to look for, with the more common symptoms being:

 

  • Mild muscle or joint soreness, general aches, and pains.
  • Decreased training capacity, intensity, or performance.
  • Lack of energy, constantly tired, and/or drained.
  • Brain fog.
  • Insomnia.
  • Decreased appetite or weight loss.
  • Loss of enthusiasm for the sport or exercise.
  • Irregular heart rate or heart rhythm.
  • Increased injuries.
  • Increased headaches.
  • Feeling depressed, anxious, or irritable.
  • Sexual dysfunction or decreased sex drive.
  • Lower immunity with an increase in colds and sore throats.

Prevent Overtraining

  • Predicting whether there is a risk of overtraining can be tricky because every person responds differently to various training routines.
  • Individuals have to vary their training throughout and schedule adequate time for rest.
  • Individuals who believe they may be training too hard should try the following strategies to prevent overtraining syndrome.

Take Note of Mental and Mood Changes

Methods exist to test for overtraining objectively.

 

  • One is taking note of psychological signs and symptoms associated with changes in an individual's mental state can be an indicator.
  • Decreased positive feelings for exercise, physical activities, and sports.
  • Increased negative emotions, like depression, anger, fatigue, and irritability, can appear after a few days of intense training.
  • If these feelings and emotions begin to present, it is time to rest or dial the intensity down.

Training Log

  • A training log that notes how the body feels daily.
  • It can help individuals notice downward trends and decreased enthusiasm.
  • This can help individuals learn to listen to their body's signals and rest when necessary.

Monitor Heart Rate

  • Another option is to track changes in heart rate over time.
  • Monitor heart rate at rest and specific exercise intensities while training, and record it.
  • If the heart rate increases at rest or a given intensity, this could be a risk indicator, especially if symptoms develop.
  • Track resting heart rate each morning.
  • Individuals can manually take a pulse for 60 seconds immediately after waking up.
  • Individuals can also use a heart rate monitor or fitness band.
  • Any marked increase from the norm may indicate that the body has not fully recovered.

Treatment

Rest and Recovery

  • Reduce or stop the exercise and allow the mind and body a few rest days.
  • Research on overtraining shows that complete rest is the primary treatment.

Take Extra Rest Days

  • Starting anything new will usually make the body sore.
  • Be prepared for the aches and take extra rest days when needed.
  • The body won't have the same energy levels from day to day or even from week to week.

Consult A Trainer

  • Not sure where to start or how to approach working out safely.
  • This is the time to meet with a professional who can look at physical and medical history, fitness level, and goals.
  • They can develop a customized program to meet specific needs.

Nutrition and Hydration

  • Maintain optimal body hydration with plenty of H2O/water and rehydrating drinks, vegetables, and fruits.
  • Staying properly hydrated is key to both recovery and prevention.
  • Getting enough protein and carbohydrates supports muscle recovery.
  • Carbs are important for endurance, and protein is important for muscular strength and power.

Sports Chiropractic Massage

  • Research shows that sports massage benefits muscle recovery and can improve delayed onset muscle soreness/DOMS.
  • Massage keeps muscles loose and flexible and increases blood circulation for expedited recovery.

Relaxation Techniques

  • Stress-reduction techniques such as deep breathing and progressive muscle relaxation exercises can improve rest and recovery.

 

Total recovery from overtraining syndrome can take a few weeks or longer, depending on the individual's health status and how long the excessive training has gone on. A physician can refer individuals to a physical therapist or sports chiropractor, who can develop a personalized recovery plan to get the body back to top form.

Military Training and Chiropractic

 

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 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, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

 

Licensed in: Texas & New Mexico*

References

Bell, G W. "Aquatic sports massage therapy." Clinics in sports medicine vol. 18,2 (1999): 427-35, ix. doi:10.1016/s0278-5919(05)70156-3

 

Carrard, Justin, et al. "Diagnosing Overtraining Syndrome: A Scoping Review." Sports Health vol. 14,5 (2022): 665-673. doi:10.1177/19417381211044739

 

Davis, Holly Louisa, et al. "Effect of sports massage on performance and recovery: a systematic review and meta-analysis." BMJ open sport & exercise medicine vol. 6,1 e000614. 7 May. 2020, doi:10.1136/bmjsem-2019-000614

 

Grandou, Clementine, et al. "Symptoms of Overtraining in Resistance Exercise: International Cross-Sectional Survey." International Journal of sports physiology and Performance vol. 16,1 (2021): 80-89. doi:10.1123/ijspp.2019-0825

 

Meeusen, Romain, et al. "Brain neurotransmitters in fatigue and overtraining." Applied physiology, nutrition, and metabolism = Physiologie applique, nutrition et metabolisme vol. 32,5 (2007): 857-64. doi:10.1139/H07-080

 

Peluso, Marco Aurélio Monteiro, and Laura Helena Silveira Guerra de Andrade. "Physical activity and mental health: the association between exercise and mood." Clinics (Sao Paulo, Brazil) vol. 60,1 (2005): 61-70. doi:10.1590/s1807-59322005000100012

 

Weerapong, Pornratshanee, et al. "The mechanisms of massage and effects on performance, muscle recovery, and injury prevention." Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004

Dr. Alex Jimenez's insight:

Overtraining the body without taking enough time to rest and recover can impact athletes and fitness enthusiasts physically and mentally. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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May 22, 2023 9:05 PM
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Using A Percussive Massager Correctly: EP Chiropractic Center | Call: 915-850-0900 or 915-412-6677

Using A Percussive Massager Correctly: EP Chiropractic Center | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Percussive massage guns have become a standard tool in osteopathy, physical and massage therapy, and chiropractic care. They provide rapid bursts of force into muscle tissues to quickly loosen and relax the muscles to alleviate soreness, stiffness and increase circulation. Percussive massager therapy devices can be a healthy part of an exercise and recovery routine. They allow individuals to give themselves quick, powerful massages anytime and anywhere. But they need to be used correctly to reap the benefits.

Percussive Massager

These devices can be found in stores and online. Many are on the market, making it tough to separate high-quality massagers from low-quality ones. With a little research and advice from a physical therapist or chiropractic professional, they can help the individual get the right one and training on how to use them to maintain a healthy musculoskeletal system.

Percussive Therapy

Massage guns utilize percussive therapy or vibration therapy, sometimes simultaneously. Percussion and vibration therapy are slightly different. They are soft tissue manipulation, which reduces muscle soreness and post-physical activity, and workout fatigue.

 

  • Vibration therapy uses vibration movements to relax the body, alleviate stress and improve circulation.
  • Vibration therapy applies force to targeted areas but with less intensity.
  • This type of soft tissue therapy is generally defined as reaching eight to 10 millimeters into the soft tissues.
  • Vibration therapy is often recommended for individuals with chronic pain conditions, overly sensitive muscles, or a medical condition that prevents them from using percussive therapy.
  • Percussive therapy involves the application of force to muscles and fascia to break up adhesions and increase circulation to sore and sensitive areas.
  • Percussive therapy extends deeper into the muscles and reaches deep into soft tissue, estimated to be about 60% deeper.

Using It Properly

It's important to know how to use the machine to get the most out of a percussive massager. Using the massager incorrectly can lead to further injury or the development of new injuries.

Before Workouts

A pre-workout massage session can help warm up the body by increasing circulation and improving the range of motion of the muscles that will be engaged during the workout. Spend one to two minutes massaging each muscle group that will be worked out, plus 30 seconds on supporting muscle groupsFor example, here is a pre-workout massage for a leg workout.

 

  • Sixty seconds on each quadricep.
  • Sixty seconds on each hamstring.
  • Thirty seconds on the lower back.
  • Thirty seconds on each calf.

 

Circulation increases in less than five minutes, and the muscles are ready for exercise. However, this does not replace proper warming-up like dynamic stretching and light cardio to increase heart rate.

After Workouts

After working out, a percussive massage can be part of the cool-down.

 

  • Post-workout percussive therapy can help return the body from a heightened state to a resting state.
  • Percussive therapy helps reduce inflammation, which helps reduce post-workout muscle soreness is thought to occur due to microscopic tears in muscle fibers and inflammation in the tissues.
  • Percussive therapy maintains increased circulation after a workout, providing oxygen and nutrients to tired muscles.
  • The massage helps relax the nervous system by reducing soreness and pain signals, similar to a TENS unit.

Sore Muscles

The muscles may still be sore a day or two after working out. This is called delayed-onset muscle soreness/DOMS.

 

  • A percussive massage can help but may not completely alleviate DOMS but it will provide temporary relief.
  • The massager's speed and depth settings should be adjusted to where they don't cause pain.
  • Sore muscles tend to remain sensitive, and it is recommended to use the lower settings.
  • Once a setting feels good, use the massager for one to two minutes on each sore area.

How Not to Use

Individuals are recommended to consult a doctor if not sure of percussive massage therapy and should avoid using a percussive massager on:

 

  • Musculoskeletal injuries - sprains and strains.
  • Bony areas.
  • Areas of severe or unexplained pain.
  • Sensitive areas.
  • Bruises or open wounds.
  • Individuals with arthritis, osteoporosis, fibromyalgia, or other musculoskeletal conditions.

 

Percussive massage devices are safe to use for muscle soreness and as a tool to improve fitness. Individuals can safely use a percussive massager every day as long as they use proper techniques and don’t exceed the recommended usage time, usually provided with instructions on how long to use the device during a session. And some massagers have an automatic shut-off so the individual doesn't exceed the recommended time.

Revitalize and Rebuild with Chiropractic

 

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 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, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Cheatham, Scott W et al. “Mechanical Percussion Devices: A Survey of Practice Patterns Among Healthcare Professionals.” International journal of sports physical therapy vol. 16,3 766-777. 2 Jun. 2021, doi:10.26603/001c.23530

 

Dupuy, Olivier, et al. “An Evidence-Based Approach for Choosing Post-exercise Recovery Techniques to Reduce Markers of Muscle Damage, Soreness, Fatigue, and Inflammation: A Systematic Review With Meta-Analysis.” Frontiers in physiology vol. 9 403. 26 Apr. 2018, doi:10.3389/fphys.2018.00403

 

García-Sillero, Manuel et al. “Acute Effects of a Percussive Massage Treatment on Movement Velocity during Resistance Training.” International journal of environmental research and public health vol. 18,15 7726. 21 Jul. 2021, doi:10.3390/ijerph18157726

 

Hotfiel, Thilo, et al. “Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics.” “Delayed Onset Muscle Soreness – Teil I: Pathogenese und Diagnostik.” Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin vol. 32,4 (2018): 243-250. doi:10.1055/a-0753-1884

 

Imtiyaz, Shagufta, et al. “To Compare the Effect of Vibration Therapy and Massage in Prevention of Delayed Onset Muscle Soreness (DOMS).” Journal of Clinical and diagnostic research: JCDR vol. 8,1 (2014): 133-6. doi:10.7860/JCDR/2014/7294.3971

 

Konrad, Andreas, et al. “The Acute Effects of a Percussive Massage Treatment with a Hypervolt Device on Plantar Flexor Muscles' Range of Motion and Performance.” Journal of sports science & Medicine vol. 19,4 690-694. 19 Nov. 2020

Dr. Alex Jimenez's insight:

Percussive massager devices can be part of an exercise and recovery routine. But they need to be used correctly to reap the benefits. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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April 17, 2023 9:05 PM
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Softball - Baseball Injuries: EP's Chiropractic Rehabilitation Team | Call: 915-850-0900 or 915-412-6677

Softball - Baseball Injuries: EP's Chiropractic Rehabilitation Team | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Softball and baseball require running, jumping, throwing, and swinging movements. Even for the fittest athletes and weekend warriors, the body and the neuromusculoskeletal system will go through overuse injuries, throwing-related injuries, sliding injuries, falls, collisions, and getting hit by the ball. Chiropractic and physical therapy can assist athletes by integrating strength training, body realignment, and rehabilitation injury recovery.

Softball and Baseball Injuries

Baseball and softball injuries are generally defined as either acute/traumatic or cumulative/overuse injuries. Both types can occur in various body areas, for example, a knee injury caused by a fall or quick repositioning shift.

Acute/Traumatic

  • Injuries occur from traumatic force or impact.

Overuse/Cumulative

  • These occur over time from repeated stress on the muscles, joints, and soft tissues.
  • Often athletes return too soon to play, not giving the injury enough time to heal fully.
  • They begin as small aches and pains that can progress into chronic conditions if not treated.

Shoulder

Shoulder overuse injuries are very common. Constantly performing the throwing movements and high-speed throwing strains the joints, muscles, tendons, and ligaments.

 

  • In softball, bicep injuries are more common than shoulder injuries.
  • In baseball, the overhead throwing position leads to shoulder problems.

Frozen Shoulder

  • Characterized by a restricted range of motion and pain.
  • Athletes with frequent shoulder injuries have an increased risk.

Shoulder Instability

  • Softball and baseball players are more susceptible to injury from overhead throwing, which stretches the shoulder capsule and ligaments.
  • Shoulder instability can lead to loose joints and dislocation.

Shoulder Separation

  • This is the tearing of the ligaments that connect the shoulder blade to the collarbone.
  • This is often a traumatic injury that occurs during a collision or fall with outstretched hands.

Shoulder Tendinitis, Bursitis, and Impingement Syndrome

  • These are overuse injuries in which the shoulder joint becomes inflamed, restricting movement.

Torn Rotator Cuff

Elbow

Elbow injuries are very common, especially damage to the ulnar collateral ligament, which stabilizes the elbow when pitching and throwing.

 

  • Pitchers can also develop elbow sprains.
  • Damage or tear to the ulnar collateral ligament
  • Damage often is caused by pitchers throwing too much.

Bursitis

Little League Elbow

  • This is an injury to the growth plate on the inside of the elbow.
  • It can be caused by the wrist flexors pulling on the inside.
  • It is typically attributed to overuse and improper mechanics when throwing.

Tennis Elbow

  • This overuse injury on the outside of the elbow makes it difficult to lift or grasp objects.

Hand and Wrist

Softball and baseball can cause hand and wrist injuries from catching, colliding, falling, and overuse. Damage to a hand or wrist is typically caused by repetitive stress and/or a sudden impact.

Finger Fractures

  • These can be caused by impact on the ball or falls.
  • This can happen during contact with another player or diving for a ball and hitting the ground hard or at an awkward angle.

Sprains

  • A fall or impact from the ball or another player can cause these.


Tendinitis

  • This is an overuse injury, often from pitching and/or throwing.

Back

  • Catchers are especially prone to back injury because of the crouched position and overhead throwing.
  • Softball pitchers also experience back strain from the windmill pitching action.
  • Common conditions include chronic muscle strains, herniated discs, low back issues, sciatica symptoms, and pain.

Knee

Softball and baseball players quickly twist or rotate their knees, making them more susceptible to injuries. Sprains, meniscus tears, ACL tears, and hamstring strains are common.

 

  • Aggressive twisting and pivoting can cause swelling, stiffness, and pain.
  • Running and sudden changes in direction can result in acute knee injuries and overuse injuries.
  • Knee issues require examination for proper diagnosis.
  • Other common injuries include ankle sprains, stress fractures, and tendonitis in the foot and ankle.

Chiropractic

Chiropractors work with a massage therapy team to treat various musculoskeletal conditions. Chiropractic specializes in spinal adjustments and other treatments, including joint manipulation, myofascial release, MET techniques, trigger point therapy, and electrical stimulation. It encourages expedited recovery for sports-related injuries because instead of focusing on just the injuries, chiropractic assesses the mechanics of the whole body through proper alignment and release of constricted tissues. Adjustments of the spine and extremities allow the body to realign for better overall functionality, reduce pressure, improve blood circulation, and reduce inflammation to promote increased and thorough healing.

Improving Athletic Performance Through Chiropractic

 

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 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, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Greiner, Justin J et al. “Pitching Behaviors in Youth Fast-Pitched Softball: High Pitching Volumes With Unequal Pitch Counts Among Pitchers are Common.” Journal of pediatric orthopedics vol. 42,7 (2022): e747-e752. doi:10.1097/BPO.0000000000002182

 

Janda, David H. “The prevention of baseball and softball injuries.” Clinical orthopedics and related research,409 (2003): 20-8. doi:10.1097/01.blo.0000057789.10364.e3

 

Shanley, Ellen, and Chuck Thigpen. “Throwing injuries in the adolescent athlete.” International Journal of sports physical therapy vol. 8,5 (2013): 630-40.

 

Shanley, Ellen, et al. “Incidence of injuries in high school softball and baseball players.” Journal of athletic training vol. 46,6 (2011): 648-54. doi:10.4085/1062-6050-46.6.648

 

Trehan, Samir K, and Andrew J Weiland. “Baseball and softball injuries: elbow, wrist, and hand.” The Journal of hand surgery vol. 40,4 (2015): 826-30. doi:10.1016/j.jhsa.2014.11.024

 

Wang, Quincy. “Baseball and softball injuries.” Current sports medicine reports vol. 5,3 (2006): 115-9. doi:10.1097/01.csmr.0000306299.95448.cd

 

Zaremski, Jason L et al. “Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review.” Journal of athletic training vol. 54,10 (2019): 1030-1039. doi:10.4085/1062-6050-333-18

Dr. Alex Jimenez's insight:

Chiropractic and physical therapy can assist athletes by integrating strength training, body realignment, and rehabilitation injury recovery. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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March 15, 2023 9:10 PM
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Coping With Sports Injuries: EP's Chiropractic Rehabilitation Center | Call: 915-850-0900 or 915-412-6677

Coping With Sports Injuries: EP's Chiropractic Rehabilitation Center | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Athletes, pros, semi-pros, weekend warriors, fitness enthusiasts, and physically active and healthy individuals can feel cheated when they suffer an injury. Sports injury recovery involves rest, physical therapy, chiropractic realignment, and rehabilitation. However, it can be all for naught if the individual doesn't recover mentally and emotionally. Coping with the stress of an injury, being sidelined and moving beyond the negative, and focusing more on positive strategies is important and requires physical and psychological toughness.

Coping With Sports Injuries

Incorporating sports psychology techniques is important as individuals can experience injury-related emotions like anxiety, sadness, frustration, anger, denial, isolation, and depression. Dealing with an injury and using the off time to reflect and gain new perspectives allows the athlete to improve their objectives by being more focused, flexible, and resilient.

Strategies That Can Help

Understand The Injury

Knowing the cause, treatment, and prevention of the specific injury results in deeper understanding and less fear or anxiety. Talking with a doctor, sports chiropractor, trainer, coach, and psychological therapist can help individuals learn what they need to do to recover quickly and optimally. A few things to consider the following include:

 

  • The type of injury.
  • Treatment options.
  • Purpose of the treatments.
  • Recovery time.
  • Coping strategies.
  • Rehabilitation expectations.
  • Safe alternative exercises.
  • Warning signs that injury is getting worse.
  • Getting a second opinion is recommended, especially if surgery is being advised.

Focus On Recovering

Instead of focusing on being unable to play, losing strength, relearning movements, and the length of time it may take, accepting that the body is injured and needs to be repaired to return to play is more beneficial. Taking responsibility for the recovery process generates positive outcomes and builds confidence.

Stay Committed

Getting discouraged and missing therapy sessions is expected, especially at the beginning when unable to perform, and pain symptoms are presenting. To get the most out of rehabilitation, stay focused on what needs to be done, not what's being missed.

 

  • To expedite healing, stay committed, and maintain a positive attitude to overcoming the injury.
  • Apply the same mindset and motivation as you would when practicing the game to the treatment and therapy sessions.
  • Listen to what the doctor, chiropractor, therapist, and athletic trainer recommend, just as you would a coach.
  • Set small goals to build momentum and maintain balance, with the end goal of fully recovering and returning to the game.
  • Self-talk is important to reflect on progress, setbacks, new perspective on the game, and what you want to achieve.

Strengthen the Mind

Research shows that the healing process can happen faster by using mental techniques like imagery and self-hypnosis. These techniques use all senses to generate mental images, emotions, and sensations of the desired outcome. They are used for improving sports skills and techniques, game anxieties, and injury recovery.

Support

A common response after an injury is self-isolating from the team, coaches, family, and friends. However, maintaining contact with others during recovery is highly recommended as all these individuals are there when you need advice, to vent feelings, or to raise your spirits when feeling discouraged. Knowing you don't have to face the injury alone can push you to keep going.

Alternate Fitness

Individuals going through injury treatment will undoubtedly go through physical strengthening, stretching, etc. But depending on the type of injury, individuals can modify their sports training or add safe and gentle alternate forms of exercise to maintain conditioning and strength for their sport. This can encourage recovery, as the individual is still participating and working to return to play. Talk with the doctor, chiropractor, trainer, or therapist to help create an alternative workout program around the specific sport.

 

With a proper diagnosis and treatment plan, taking rehabilitation and recovery slow, setting realistic goals, and maintaining a positive mindset, coping with injuries can be a successful learning journey.

Unlocking Pain Relief

 

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 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, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Clement, Damien, et al. "Psychosocial responses during different phases of sport-injury rehabilitation: a qualitative study." Journal of athletic training vol. 50,1 (2015): 95-104. doi:10.4085/1062-6050-49.3.52

 

Johnson, Karissa L, et al. "Exploring the Relationship Between Mental Toughness and Self-Compassion in the Context of Sports Injury." Journal of sport rehabilitation vol. 32,3 256-264. 1 Dec. 2022, doi:10.1123/jsr.2022-0100

 

Leguizamo, Federico et al. "Personality, Coping Strategies, and Mental Health in High-Performance Athletes During Confinement Derived From the COVID-19 Pandemic." Frontiers in public health vol. 8 561198. 8 Jan. 2021, doi:10.3389/fpubh.2020.561198

 

Rice, Simon M et al. "The Mental Health of Elite Athletes: A Narrative Systematic Review." Sports medicine (Auckland, N.Z.) vol. 46,9 (2016): 1333-53. doi:10.1007/s40279-016-0492-2

 

Smith, A M et al. "The psychological effects of sports injuries. Coping." Sports medicine (Auckland, N.Z.) vol. 9,6 (1990): 352-69. doi:10.2165/00007256-199009060-00004

Dr. Alex Jimenez's insight:

Coping with the stress of an injury and focusing more on positive strategies is important and requires physical and psychological toughness. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

nimber95burner@gmail.com's curator insight, April 8, 2023 7:12 PM

Injuries in athletics provide the opportunity to adapt and overcome a challenging time. This article provides good insight on strategies to cope and deal with the mental struggles that come with injuries.

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Non-Surgical Treatments for ACL Injuries: What You Need to Know | Call: 915-850-0900

Non-Surgical Treatments for ACL Injuries: What You Need to Know | Call: 915-850-0900 | Sports Injuries | Scoop.it

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Dr. Alex Jimenez's insight:

Can athletic individuals with ACL injuries find relief through non-surgical treatments to restore knee mobility? If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.

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The Importance of Healing Time for Sports Injuries | Call: 915-850-0900 or 915-412-6677

The Importance of Healing Time for Sports Injuries | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

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)

 

  • sprain is the stretching or tearing of ligaments or the tough bands of fibrous tissue that connect two bones at a joint.
  • 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, MSACPCCSTIFMCP*, 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.

Dr. Alex Jimenez's insight:

Discover how healing time can vary for sports injuries. Learn about factors that affect recovery and how to prevent re-injury. For answers to any questions you may have, call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Triceps Tears: What You Need to Know and How to Recover | Call: 915-850-0900 or 915-412-6677

Triceps Tears: What You Need to Know and How to Recover | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

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, MSACPCCSTIFMCP*, 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

Dr. Alex Jimenez's insight:

Understanding triceps tears: causes, treatment, and recovery. Get insights into this uncommon but serious injury of the upper arm muscle. For answers to any questions you may have, call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Understanding Weightlifting Knee Injuries | Call: 915-850-0900 or 915-412-6677

Understanding Weightlifting Knee Injuries | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it
Knee injuries can present in physically active individuals that lift weights. Can understanding the types of weightlifting knee injuries help in prevention?

Weightlifting Knee Injuries

Weight training is very safe for the knees as regular weight training can improve knee strength and prevent injury as long as the correct form is followed. For Individuals with knee injuries from other activities, incorrect weight-training exercises could worsen the injury. (Ulrika Aasa et al., 2017) As well as, sudden twisting movements, poor alignment, and pre-existing injuries can increase the risk of worsening or creating further injuries. (Hagen Hartmann et al, 2013) The body and the knees are designed to support vertical forces on the joints.

Common Injuries

Weightlifting knee injuries occur as the knee joints endure a wide range of stresses and strains. In weight training, the ligaments that attach to the complex bone system of the knee joint can be damaged by incorrect movements, overloading the weight, and increasing the weight too soon. These injuries can result in pain, swelling, and immobility that can range from minor to severe, from a sprain or a slight tear to a complete tear in serious cases.

Anterior Cruciate Ligament - ACL - Injury

This ligament attaches the thigh's femur bone to the lower leg's shin bone/tibia and controls excessive rotation or extension of the knee joint. (American Academy of Family Physicians. 2024)

 

  • Anterior means front.
  • ACL injuries are seen mostly in athletes but can happen to anybody.
  • Severe damage to the ACL usually means surgical reconstruction and up to 12 months of rehabilitation.
  • When weightlifting, try to avoid twisting knee movements, intentionally or accidentally, under excessive load.

Posterior Cruciate Ligament - PCL - Injury

  • The PCL connects the femur and tibia at different points to the ACL.
  • It controls any backward motion of the tibia at the joint.
  • Injuries occur most with high-impact forces as a result of accidents and sometimes in activities where forceful trauma to the knee occurs.

Medial Collateral Ligament - MCL - Injury

  • This ligament maintains the knee from bending too far to the inside/medially.
  • Injuries mostly occur from impact to the outside of the knee or from accidental bodyweight force on the leg that bends at an unusual angle.

Lateral Collateral Ligament - LCL - Injury

  • This ligament connects the smaller bone of the lower leg/fibula to the femur.
  • It is opposite to the MCL.
  • It maintains excessive outward movement.
  • LCL injuries occur when a force pushes the knee out.

Cartilage Injury

  • Cartilage prevents bones from rubbing together and cushions impact forces.
  • Knee menisci are cartilage that cushions the knee joints inside and outside.
  • Other types of cartilage protect the thigh and shin bones.
  • When cartilage gets torn or damaged, surgery may be required.

Tendonitis

  • Aggravated and overused knee tendons can lead to weightlifting knee injuries.
  • A related injury known as iliotibial band syndrome/ITB causes pain to the outside of the knee, usually in runners, but it can occur from overuse.
  • Rest, stretching, physical therapy, and anti-inflammatory medication are a common treatment plan.
  • Individuals should consult a physical therapist for pain lasting longer than two weeks. (Simeon Mellinger, Grace Anne Neurohr 2019)

Osteoarthritis

  • As the body ages, normal wear and tear can cause the development of osteoarthritis of the knee joints. (Jeffrey B. Driban et al., 2017)
  • The condition causes the cartilage to deteriorate and bones to rub together, resulting in pain and stiffness.

Prevention

  • Individuals can minimize their risk of weightlifting knee injuries and pain by following their doctor's and personal trainers' recommendations.
  • Individuals with an existing knee injury should follow their doctor's or physical therapist's recommendations.
  • A knee sleeve can keep the muscles and joints secure, providing protection and support.
  • Stretching the leg and knee muscles can maintain joint flexibility.
  • Avoid sudden lateral movements.
  • Possible recommendations can include:

Avoiding Certain Exercises

  • Isolation exercises like leg curls, standing, or on a bench, as well as using the leg extension machine, can stress the knee.

Deep Squat Training

Research shows that the deep squat can protect against lower leg injury if the knee is healthy. However, this is when done with proper technique, under expert supervision, and with a gradual progressive load. (Hagen Hartmann et al, 2013)

Individuals should talk to their doctor before beginning a new exercise routine. A personal trainer can provide training in learning the proper technique and weightlifting form.

How I Tore my ACL Part 2

 

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, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Injuries among weightlifters and powerlifters: a systematic review. British journal of sports medicine, 51(4), 211–219. https://doi.org/10.1136/bjsports-2016-096037

 

Hartmann, H., Wirth, K., & Klusemann, M. (2013). Analysis of the load on the knee joint and vertebral column with changes in squatting depth and weight load. Sports medicine (Auckland, N.Z.), 43(10), 993–1008. https://doi.org/10.1007/s40279-013-0073-6

 

American Academy of Family Physicians. ACL injury. (2024). ACL injury (Diseases and Conditions, Issue. https://familydoctor.org/condition/acl-injuries/

 

Mellinger, S., & Neurohr, G. A. (2019). Evidence based treatment options for common knee injuries in runners. Annals of translational medicine, 7(Suppl 7), S249. https://doi.org/10.21037/atm.2019.04.08

 

Driban, J. B., Hootman, J. M., Sitler, M. R., Harris, K. P., & Cattano, N. M. (2017). Is Participation in Certain Sports Associated With Knee Osteoarthritis? A Systematic Review. Journal of athletic training, 52(6), 497–506. https://doi.org/10.4085/1062-6050-50.2.08

Dr. Alex Jimenez's insight:

Weightlifting exercises and sudden movements can affect the knee joints. Learn the latest on knee injury prevention. For answers to any questions you may have, call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

jack henry's curator insight, April 2, 6:01 AM


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Ice Tape: Compression and Cold Therapy for Injury Relief | Call: 915-850-0900 or 915-412-6677

Ice Tape: Compression and Cold Therapy for Injury Relief | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

For individuals into sports, fitness enthusiasts, and those that engage in physical activities, musculoskeletal injuries are common. Can using ice tape help during the initial or acute phase of injury decrease inflammation and swelling to expedite recovery and return to activities sooner?

Ice Tape

After a musculoskeletal injury, individuals are recommended to follow the R.I.C.E. method to help reduce swelling and inflammation.  R.I.C.E. is the acronym for Rest, Ice, Compression, and Elevation. (Michigan Medicine. University of Michigan. 2023) The cold helps to decrease pain, lower tissue temperature, and decrease swelling around the site of the injury. By controlling the inflammation with ice and compression early after injury, individuals can maintain the appropriate range of motion and mobility around the injured body part. (Jon E. Block. 2010) There are different ways to apply ice to an injury.

 

  • Store-bought ice bags and cold packs.
  • Soaking the injured body part in a cold whirlpool or tub.
  • Making reusable ice packs.
  • A compression bandage can be used together with the ice.

 

Ice Tape is a compression bandage that provides cold therapy all at once. After an injury, applying it can help decrease the pain and swelling during the acute inflammatory phase of healing. (Matthew J. Kraeutler et al., 2015)

How The Tape Works

The tape is a flexible bandage that is infused with therapeutic cooling gel. When applied to an injured body part and exposed to air, the gel activates, generating a cold sensation around the area. The therapeutic medicinal effect can last five to six hours. Combined with a flexible bandage, it provides ice therapy and compression. The ice tape can be used straight out of the package but can also be stored in the refrigerator to increase the cold effect. Depending on the maker's instructions, the tape should not be stored in the freezer as this can make it too hard to wrap around the injured area.

Advantages

The benefits include the following:

Easy to Use

  • The product is easy to use.
  • Take out the tape, and start wrapping it around the injured body part.

Fasteners Not Required

  • The wrap sticks to itself, so the tape stays in place without using clips or fasteners.

Easy to Cut

  • The standard roll is 48 inches long by 2 inches wide.
  • Most injuries require enough to wrap around the injured area.
  • Scissors cut the exact amount needed, and store the rest in the resealable bag.

Reusable

  • After 15 to 20 minutes of application, the product can be easily removed, rolled up, stored in the bag, and used again.
  • The tape can be used multiple times.
  • The tape begins to lose its cooling quality after several uses.

Portable

  • The tape does not need to be placed in a cooler when traveling.
  • It is easily portable and perfect for a quick ice and compression application immediately after an injury.
  • It can decrease pain and inflammation and kept at the workplace.

Disadvantages

A few disadvantages include the following:

Chemical Odor

  • The gel on the flexible wrap can have a medicine odor.
  • It is not quite as powerful smelling as pain creams, but the chemical odor could bother some individuals.

Might Not Be Cold Enough

  • The tape works for immediate pain relief and inflammation, but it may not get cold enough for the user when applied right from the package at room temperature.
  • However, it can be placed in a refrigerator to increase the coldness and may provide a more therapeutic cooling effect, especially for those dealing with tendinitis or bursitis.

Stickiness Could Be Distracting

  • The tape could be a bit sticky for some.
  • This sticky factor can be a minor annoyance.
  • However, it just feels sticky when being applied.
  • A couple of flecks of the gel may get left behind when removed.
  • The ice tape can also stick to clothing.

 

For individuals looking for a quick, on-the-go cooling therapy for injured or aching body parts, ice tape may be an option. It could be good to have on hand to provide cooling compression if a minor injury occurs while participating in athletics or physical activities and relief for overuse or repetitive strain injuries.

Treating 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, 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 discuss the subject matter above further, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Michigan Medicine. University of Michigan. Rest, Ice, Compression, and Elevation (RICE).

 

Block J. E. (2010). Cold and compression in the management of musculoskeletal injuries and orthopedic operative procedures: a narrative review. Open access journal of sports medicine, 1, 105–113. https://doi.org/10.2147/oajsm.s11102

 

Kraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). Compressive cryotherapy versus ice-a prospective, randomized study on postoperative pain in patients undergoing arthroscopic rotator cuff repair or subacromial decompression. Journal of shoulder and elbow surgery, 24(6), 854–859. https://doi.org/10.1016/j.jse.2015.02.004

Dr. Alex Jimenez's insight:

Learn how R.I.C.E. & ice tape provides cold therapy to reduce pain, lower tissue temperature & control inflammation after injury. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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Scooped by Dr. Alex Jimenez
November 10, 2023 8:58 PM
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Understanding Osteitis Pubis Injury: What You Need to Know | Call: 915-850-0900 or 915-412-6677

Understanding Osteitis Pubis Injury: What You Need to Know | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Athletes and physically active individuals who participate in activities, exercises, and sports that involve kicking, pivoting, and/or shifting directions can develop pelvis overuse injury of the pubic symphysis/joint at the front of the pelvis known as osteitis pubis. Can recognizing the symptoms and causes help in treatment and prevention?

Osteitis Pubis Injury

Osteitis pubis is the inflammation of the joint that connects the pelvic bones, called the pelvic symphysis, and the structures around it. The pubic symphysis is a joint in front of and below the bladder. It holds the two sides of the pelvis together in the front. The pubis symphysis has very little motion, but when abnormal or continued stress is placed on the joint, groin and pelvic pain can present. An osteitis pubis injury is a common overuse injury in physically active individuals and athletes but can also occur as the result of physical trauma, pregnancy, and/or childbirth.

Symptoms

The most common symptom is pain over the front of the pelvis. The pain is most often felt in the center, but one side may be more painful than the other. The pain typically radiates/spreads outward. Other signs and symptoms include: (Patrick Gomella, Patrick Mufarrij. 2017)

 

  • Lower abdominal pain in the center of the pelvis
  • Limping
  • Hip and/or leg weakness
  • Difficulty climbing stairs
  • Pain when walking, running, and/or shifting directions
  • Clicking or popping sounds with movement or when shifting directions
  • Pain when lying down on the side
  • Pain when sneezing or coughing

 

Osteitis pubis can be confused with other injuries, including a groin strain/groin pull, a direct inguinal hernia, ilioinguinal neuralgia, or a pelvic stress fracture.

Causes

An osteitis pubis injury usually occurs when the symphysis joint is exposed to excessive, continued, directional stress and overuse of the hip and leg muscles. Causes include: (Patrick Gomella, Patrick Mufarrij. 2017)

 

  • Sports activities
  • Exercising
  • Pregnancy and childbirth
  • Pelvic injury like a severe fall

Diagnosis

The injury is diagnosed based on a physical examination and imaging tests. Other tests may be used to rule out other possible causes.

 

  • The physical exam will involve manipulation of the hip to place tension on the rectus abdominis trunk muscle and adductor thigh muscle groups.
  • Pain during the manipulation is a common sign of the condition.
  • Individuals may be asked to walk to look for irregularities in gait patterns or to see if symptoms occur with certain movements.
  1. X-rays will typically reveal joint irregularities as well as sclerosis/thickening of the pubic symphysis.
  2. Magnetic resonance imaging - MRI may reveal joint and surrounding bone inflammation.
  3. Some cases will show no signs of injury on an X-ray or MRI.

Treatment

Effective treatment can take several months or longer. Because inflammation is the underlying cause of symptoms, the treatment will often involve: (Tricia Beatty. 2012)

Rest

  • Allows the acute inflammation to subside.
  • During recovery, sleeping flat on the back may be recommended to reduce pain.

Ice and Heat Applications

  • Ice packs help reduce inflammation.
  • The heat helps ease pain after the initial swelling has gone down.

Physical Therapy

Anti-inflammatory Medication

  • Over-the-counter nonsteroidal anti-inflammatory medications - NSAIDs like ibuprofen and naproxen can reduce pain and inflammation.

Assistive Walking Devices

  • If the symptoms are severe, crutches or a cane may be recommended to reduce stress on the pelvis.

Cortisone

  • There have been attempts to treat the condition with cortisone injections, but the evidence supporting its use is limited and needs further research. (Alessio Giai Via, et al., 2019)

Prognosis

Once diagnosed, the prognosis for full recovery is optimal but can take time. It can take some individuals six months or more to return to pre-injury level of function, but most return by around three months. If conservative treatment fails to provide relief after six months, surgery could be recommended. (Michael Dirkx, Christopher Vitale. 2023)

Sports Injuries 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, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Gomella, P., & Mufarrij, P. (2017). Osteitis pubis: A rare cause of suprapubic pain. Reviews in urology, 19(3), 156–163. https://doi.org/10.3909/riu0767

 

Beatty T. (2012). Osteitis pubis in athletes. Current sports medicine reports, 11(2), 96–98. https://doi.org/10.1249/JSR.0b013e318249c32b

 

Via, A. G., Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Management of osteitis pubis in athletes: rehabilitation and return to training - a review of the most recent literature. Open access journal of sports medicine, 10, 1–10. https://doi.org/10.2147/OAJSM.S155077

 

Dirkx M, Vitale C. Osteitis Pubis. [Updated 2022 Dec 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556168/

Dr. Alex Jimenez's insight:

Learn about osteitis pubis injury symptoms & treatment, a common overuse injury in physically active individuals & athletes. Read more. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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October 5, 2023 9:25 PM
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Rapid Recovery with Natural Biologics Treatments | Call: 915-850-0900 or 915-412-6677

Rapid Recovery with Natural Biologics Treatments | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

As the body grows older the ability to live life to the fullest can be difficult. Can using natural biologics help enhance the body’s natural ability to heal?

Natural Biologics

Though sometimes a necessary treatment option, surgical procedures can be the first line of treatment introduced to patients. Natural biologics is a less invasive alternative that can eliminate hospitalizations and expedite recovery. (Riham Mohamed Aly, 2020)

What Are They?

The body is born with components to initiate healing and recovery. These components include:

 

  • Cells
  • Cytokines
  • Proteins
  • Collagens
  • Elastin
  • Hyaluronic acid

 

At the time of birth, these components are in abundance but decrease as the body ages. This is why children recover from injuries quicker than adults.  Recovery for adults can be slower from a decrease in these natural healing components. The objective of natural biologics treatments is to increase the healing components by reintroducing the body’s own components - autologous - or by bringing in new components - allogeneic - from a donor. (National Institutes of Health 2016) Choosing between the two options depends on an individual's age and health, as those who are older or in poor physical health may experience complications from inferior component amounts.

 

  • Healing components derived from donor sources can show more promise, as treatments are usually acquired from discarded birth tissues at delivery.
  • Birth tissues are rich in healing components, containing the most abundant collection of natural healing elements.
  • It's important to note that there is no harm to the mother or the baby from the obtained tissue products.

Autologous Treatment

Derived from the individual receiving the cell therapy. (Yun Qian, et al., 2017)

Platelet-Rich Plasma - PRP

  • Platelet-rich plasma is cultivated by drawing an individual's blood and spinning it in a centrifuge to separate the plasma.
  • The resulting liquid is reinjected into the injured area to generate a healing environment.
  • This form of natural biologics is effective for individuals with minor injuries that can be repaired easily.
  • This process is not as effective for older individuals who already have a reduction in natural healing components.
  • Lifestyle factors such as smoking, unhealthy diet, and alcohol/substance abuse can decrease the effectiveness of PRP treatments.

Bone Marrow Aspirate

  • This is an invasive, painful process that begins by putting a patient under anesthesia and drilling into the bone to extract the marrow. (American Cancer Society, 2023)
  • Like PRP, success depends on the individual's age, health, and lifestyle.
  • Invasive procedures like this have a higher probability of infection and require a long-term recovery period.

Adipose-Derived Stem Cells

  • Adipose tissue/fat treatments are collected through a procedure that resembles the process of liposuction. 
  • The procedure is done under general anesthesia and is an invasive process.
  • Once the tissue is collected, the cells are separated and reinjected. (Loubna Mazini, et al. 2020)
  • The treatment’s success depends on the individual's health, age, and lifestyle.
  • There is more risk of infection when choosing this procedure and a long-term recovery period.

Allogeneic Treatments

Donor-based regenerative cells.

Amniotic Fluid Therapy

Amniotic fluid contains various growth factors, cytokines, and anti-inflammatory proteins that may promote tissue repair, reduce inflammation, and stimulate cellular regeneration. (Petra Klemmt. 2012)

  • Collected at the time of birth, this therapy is an ideal treatment for individuals who have sustained injuries that affect day-to-day functionality.
  • Physicians and clinicians are utilizing amniotic fluid therapy to treat many conditions, from orthopedic to wound care.
  • Amniotic fluid is collected at the time of birth and is abundant with increased healing components compared to autologous sources.
  • Amniotic fluid is immune-privileged (limits or suppresses immune response) and the risk of rejection is rare.
  • These therapies are usually done in a physician’s office with minimal downtime after treatment.

Wharton’s Jelly

  • Wharton’s jelly is derived from the umbilical cord at the time of birth and is primarily composed of a gel substance made up of hyaluronic acid and a network of collagen fibers.
  • Its unique properties make it ideal for protecting and supporting the umbilical cord. (Vikram Sabapathy, et al., 2014)
  • Believed to contain a population of mesenchymal stem cells that have the capacity to differentiate into various cell types, and other secreted growth factors and cytokines. (F. Gao, et al., 2016)
  • It is considered the most valuable source to enhance the healing of various tissues, including bone, cartilage, skin, and nerve tissue.
  • It is immune-privileged with little risk of rejection and minimal if any, recovery time after an in-office treatment.

Exosomes

  • Exosomes are small, membrane-bound vesicles that play a role in intercellular communication within the body. (Carl Randall Harrell, et al., 2019)
  • They contain a variety of bioactive molecules, including proteins, lipids, nucleic acids (like RNA), and signaling molecules.
  • They serve as vehicles for transferring the signaling molecules from one cell to another, allowing cells to influence the behavior and function of neighboring or distant cells.
  • They can be collected or isolated from various biological fluids and cell cultures through specialized techniques but are most robust when collected at birth.
  • The exosomes within the umbilical cord are utilized for tissue repair and regeneration, signaling the cells to promote:
  • Proliferation - increase in the number of cells through cell division.
  • Differentiation - the transformation of unspecialized cells into specialized cells.
  • Tissue healing in damaged or injured areas.
  • Exosomes from the umbilical cord are immune-privileged with minimal risk of rejection.
  • Treatments are ideal for increasing cell communication and initiating repair when paired with another source of allogeneic therapy like amniotic fluid or Wharton’s Jelly.

 

Choosing which natural biologics therapy is the best is different for everyone. When selecting a treatment, it is essential for individuals to consult their primary healthcare provider to determine which application will have optimal results.

Is Motion Key To 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 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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Aly R. M. (2020). Current state of stem cell-based therapies: an overview. Stem cell investigation, 7, 8. https://doi.org/10.21037/sci-2020-001

National Institutes of Health. (2016). Stem Cell Basics.

 

Qian, Y., Han, Q., Chen, W., Song, J., Zhao, X., Ouyang, Y., Yuan, W., & Fan, C. (2017). Platelet-Rich Plasma Derived Growth Factors Contribute to Stem Cell Differentiation in Musculoskeletal Regeneration. Frontiers in chemistry, 5, 89. https://doi.org/10.3389/fchem.2017.00089

 

American Cancer Society. (2023). Types of Stem Cell and Bone Marrow Transplants.

 

Mazini, L., Rochette, L., Admou, B., Amal, S., & Malka, G. (2020). Hopes and Limits of Adipose-Derived Stem Cells (ADSCs) and Mesenchymal Stem Cells (MSCs) in Wound Healing. International journal of molecular sciences, 21(4), 1306. https://doi.org/10.3390/ijms21041306

 

Klemmt P. (2012). Application of amniotic fluid stem cells in basic science and tissue regeneration. Organogenesis, 8(3), 76. https://doi.org/10.4161/org.23023

 

Sabapathy, V., Sundaram, B., V M, S., Mankuzhy, P., & Kumar, S. (2014). Human Wharton's Jelly Mesenchymal Stem Cells plasticity augments scar-free skin wound healing with hair growth. PloS one, 9(4), e93726. https://doi.org/10.1371/journal.pone.0093726

 

Gao, F., Chiu, S. M., Motan, D. A., Zhang, Z., Chen, L., Ji, H. L., Tse, H. F., Fu, Q. L., & Lian, Q. (2016). Mesenchymal stem cells and immunomodulation: current status and future prospects. Cell death & disease, 7(1), e2062. https://doi.org/10.1038/cddis.2015.327

 

Harrell, C. R., Jovicic, N., Djonov, V., Arsenijevic, N., & Volarevic, V. (2019). Mesenchymal Stem Cell-Derived Exosomes and Other Extracellular Vesicles as New Remedies in the Therapy of Inflammatory Diseases. Cells, 8(12), 1605. https://doi.org/10.3390/cells8121605

Dr. Alex Jimenez's insight:

Get the most out of natural biologics treatments. Quicker recovery with less invasive procedures. Learn more! For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

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August 24, 2023 9:03 PM
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Q/Quadriceps Angle Knee Injuries In Women Athletes | Call: 915-850-0900 or 915-412-6677

Q/Quadriceps Angle Knee Injuries In Women Athletes | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

The Q or quadriceps angle is a measurement of pelvic width that is believed to contribute to the risk of sports injuries in women athletes. Can non-surgical therapies and exercises help rehabilitate injuries?

Quadriceps Q - Angle Injuries

The Q angle is the angle where the femur/upper leg bone meets the tibia/lower leg bone. It is measured by two intersecting lines:

 

  • One from the center of the patella/kneecap to the anterior superior iliac spine of the pelvis.
  • The other is from the patella to the tibial tubercle.
  • On average the angle is three degrees higher in women than men.
  • Average 17 degrees for women and 14 degrees for men. (Ramada R Khasawneh, et al., 2019)
  • Sports medicine experts have linked a wider pelvis to a larger Q-angle. (Ramada R Khasawneh, et al., 2019)

 

Women have biomechanical differences that include a wider pelvis, making it easier to give birth. However, this difference can contribute to knee injuries when playing sports, as an increased Q angle generates more stress on the knee joint, as well as leading to increased foot pronation.

Injuries

Various factors can increase the risk of injury, but a wider Q angle has been linked to the following conditions.

Patellofemoral Pain Syndrome

  • An increased Q angle can cause the quadriceps to pull on the kneecap, shifting it out of place and causing dysfunctional patellar tracking.
  • With time, this can cause knee pain (under and around the kneecap), and muscle imbalance.
  • Foot orthotics and arch supports could be recommended.
  • Some researchers have found a link, while others have not found the same association. (Wolf Petersen, et al., 2014)

Chondromalacia of the Knee

  • This is the wearing down of the cartilage on the underside of the kneecap.
  • This leads to degeneration of the articular surfaces of the knee. (Enrico Vaienti, et al., 2017)
  • The common symptom is pain under and around the kneecap.

ACL Injuries

  • Women have higher rates of ACL injuries than men. (Yasuhiro Mitani. 2017)
  • An increased Q angle can be a factor that increases stress and causes the knee to lose its stability.
  • However, this remains controversial, as some studies have found no association between the Q angle and knee injuries.

Chiropractic Treatment

Strengthening Exercises

  • ACL injury prevention programs designed for women have resulted in reduced injuries. (Trent Nessler, et al., 2017)
  • The vastus medialis obliquus or VMO is a teardrop-shaped muscle that helps move the knee joint and stabilize the kneecap.
  • Strengthening the muscle can increase the stability of the knee joint.
  • Strengthening may require a specific focus on muscle contraction timing.
  • Closed-chain exercises like wall squats are recommended.
  • Glute strengthening will improve stability.

Stretching Exercises

  • Stretching tight muscles will help relax the injured area, increase circulation, and restore range of motion and function.
  • Muscles commonly found to be tight include the quadriceps, hamstrings, iliotibial band, and gastrocnemius.

Foot Orthotics

  • Custom-made, flexible orthotics decrease the Q angle and reduce pronation, relieving the added stress on the knee.
  • A custom orthotic ensures that the foot and leg dynamics are accounted for and corrected.
  • Motion-control shoes can also help correct overpronation.

Knee 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 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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Khasawneh, R. R., Allouh, M. Z., &amp; Abu-El-Rub, E. (2019). Measurement of the quadriceps (Q) angle with respect to various body parameters in young Arab population. PloS one, 14(6), e0218387. https://doi.org/10.1371/journal.pone.0218387

 

Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, I. V., Brüggemann, G. P., &amp; Liebau, C. (2014). Patellofemoral pain syndrome. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 22(10), 2264–2274. https://doi.org/10.1007/s00167-013-2759-6

 

Vaienti, E., Scita, G., Ceccarelli, F., &amp; Pogliacomi, F. (2017). Understanding the human knee and its relationship to total knee replacement. Acta bio-medica : Atenei Parmensis, 88(2S), 6–16. https://doi.org/10.23750/abm.v88i2-S.6507

 

Mitani Y. (2017). Gender-related differences in lower limb alignment, range of joint motion, and the incidence of sports injuries in Japanese university athletes. Journal of Physical Therapy Science, 29(1), 12–15. https://doi.org/10.1589/jpts.29.12

 

Nessler, T., Denney, L., &amp; Sampley, J. (2017). ACL Injury Prevention: What Does Research Tell Us? Current reviews in musculoskeletal medicine, 10(3), 281–288. https://doi.org/10.1007/s12178-017-9416-5

Dr. Alex Jimenez's insight:

The Q or quadriceps angle is a measurement of pelvic width that is believed to contribute to the risk of sports injuries in women athletes. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

Scooped by Dr. Alex Jimenez
July 21, 2023 8:58 PM
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Massage Gun Head Attachments | Call: 915-850-0900 or 915-412-6677

Massage Gun Head Attachments | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Massage guns can help relieve aching muscles and prevent soreness when used before and after physical activity, work, school, and exercise. They provide massage therapy benefits by targeting muscles with rapid burst pulses. Massage guns can be percussive or vibration-based. Percussive therapy helps increase blood flow to a targeted area, which reduces inflammation and muscle tension, and breaks up knots/trigger points that may have formed in the tissues from added stress or intense physical activity. One of the benefits is that they come with interchangeable massage gun head attachments that target different muscle groups and provide different types of massage. There are many types of interchangeable massage heads, we go over the most common to give a general idea of how they work. If experiencing joint pain, injury, acute muscle pain, or other musculoskeletal disorders, make sure to get clearance from a doctor before using a massage gun.

Massage Gun Head Attachments

The variations of attachments/heads are designed and shaped differently to effectively apply the right amount of pressure to rejuvenate the body's pressure points, soothe tissues, and release tight and sore muscles. The different heads are designed with a distinctive purpose based on the muscle groups targeted. This maximizes effectiveness and ensures maximum comfort and safety.

Ball Head

  • The ball attachment is for overall muscle recovery.
  • It provides a broad surface area and mimics the hands of a skilled massage therapist, delivering a soothing kneading sensation.
  • Made of durable material, the ball massage head can reach deep into the muscles.
  • Its round shape makes it more flexible to use anywhere, especially the large muscle groups like the quads and glutes.

U/Fork Shaped Head

  • A plastic, dual-pronged head also known as a fork head.
  • The attachment provides relief to areas like the shoulders, spine, neck, calves, and Achilles tendon.

Bullet Head

  • The plastic head is named as such because of its pointed shape.
  • This is recommended for tightness and discomfort in the joints, deep tissues, trigger points, and/or small muscle areas like the feet and wrist.

Flat Head

  • The multipurpose flat head is for full-body general massage.
  • It helps relieve stiffness and pain for total body muscle relaxation, including muscle groups closer to bone joints.

Shovel-Shaped Head

  • The shovel-shaped head is for the abdominal muscles and lower back.
  • The attachment provides stimulation to release stiff muscles.

Using The Right Head

Which head to use depends on the individual's specific needs and preferences. Consider the following factors when selecting a massage gun head:

Targeted Areas

  • Identify the body areas requiring the most attention.
  • If muscle tightness or soreness is occurring in larger muscle groups, like the back or legs, the ball attachment is recommended.
  • For more precise areas like trigger points, the bullet head is recommended.
  • Heads can be used in conjunction - for example, a large surface area head is used to relax and loosen and relax a general area, then a more precise head is used to focus the massage on the actual tight spot or trigger point.

Massage Intensity

  • Massage intensity levels can be varied from a light massage to full force.
  • For a softer touch on sensitive muscles, flat head or forkhead attachments are recommended.
  • For deep muscle penetration and consistent pressure, the bullet head or shovel head attachments are recommended.

Specific Conditions

  • Consider any specific conditions or injuries previous and current.
  • For individuals recovering from an injury or with sensitive areas, it's important to choose a massage gun head that provides the necessary relief without causing discomfort or worsening an injury.

Try Out Different Heads and Settings

  • Experiment with different massage head attachments and speeds to find the one that works best for the intended purpose.
  • Explore each to discover personal preferences.
  • Start with the lowest setting and gradually increase, based on comfort level.
  • Always consult with a qualified healthcare provider regarding any medical concerns before using a massage gun.

Choosing The Right Massage Head Attachment

 

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 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 contact Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Bergh, Anna, et al. “A Systematic Review of Complementary and Alternative Veterinary Medicine in Sport and Companion Animals: Soft Tissue Mobilization.” Animals: an open access journal from MDPI vol. 12,11 1440. 2 Jun. 2022, doi:10.3390/ani12111440

 

Imtiyaz, Shagufta, et al. “To Compare the Effect of Vibration Therapy and Massage in Prevention of Delayed Onset Muscle Soreness (DOMS).” Journal of Clinical and diagnostic research: JCDR vol. 8,1 (2014): 133-6. doi:10.7860/JCDR/2014/7294.3971

 

Konrad, Andreas, et al. “The Acute Effects of a Percussive Massage Treatment with a Hypervolt Device on Plantar Flexor Muscles' Range of Motion and Performance.” Journal of sports science &amp; medicine vol. 19,4 690-694. 19 Nov. 2020

 

Leabeater, Alana et al. “Under the Gun: The effect of percussive massage therapy on physical and perceptual recovery in active adults.” Journal of athletic training, 10.4085/1062-6050-0041.23. 26 May. 2023, doi:10.4085/1062-6050-0041.23

 

Lupowitz, Lewis. “Vibration Therapy - A Clinical Commentary.” International journal of sports physical therapy vol. 17,6 984-987. 1 Aug. 2022, doi:10.26603/001c.36964

 

Yin, Yikun, et al. “The effect of vibration training on delayed muscle soreness: A meta-analysis.” Medicine vol. 101,42 (2022): e31259. doi:10.1097/MD.0000000000031259

Dr. Alex Jimenez's insight:

Interchangeable massage gun head attachments target different muscle groups and provide different types of massage. For answers to any questions you may have, please call Dr. Alexander Jimenez at 915-850-0900 or 915-412-6677

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June 9, 2023 9:00 PM
Scoop.it!

Finding A Sports Injury Specialist: EP Chiropractic Rehabilitation | Call: 915-850-0900 or 915-412-6677

Finding A Sports Injury Specialist: EP Chiropractic Rehabilitation | Call: 915-850-0900 or 915-412-6677 | Sports Injuries | Scoop.it

Sports activities will result in aches, pains, and injuries that need to be examined by a doctor or specialist for proper diagnosis and treatment. Finding the right sports injury specialist can be one of the most difficult parts of dealing with an injury. The following may help when deciding if a sports chiropractic specialist can help.

Sports Injury Specialist

Sports medicine is the study and practice of medical principles related to the science of sports:

 

  • Injury prevention
  • Injury diagnosis and treatment
  • Nutrition
  • Psychology

 

Sports medicine focuses on the medical and therapeutic aspects of sports physical activity. These individuals can be physicians, surgeons, chiropractors, physical therapists, or providers who regularly work with athletes. Athletes often prefer providers with athletic treatment experience.

Doctor To See First for a Sports Injury

  • Individuals that belong to an HMO or PPO may find that their primary care physician is the first doctor to see for injury.
  • A family doctor may not be a sports medicine specialist but may have the expertise to deal with the injury.
  • Minor musculoskeletal injuries like acute sprains and strains respond well to immediate standard treatments like rest, ice, compression, and elevation.
  • Individuals with complicated overuse or training injuries, chronic conditions such as tendonitis, or who require surgery will be referred to a specialist.

Family Doctor Treatment

  • Nearly all family practice physicians can diagnose and treat various sports-related injuries.
  • They will refer the individual to a doctor with additional training in sports medicine or an orthopedic sports surgeon if necessary.

When to See a Surgeon

  • If the injury will likely require surgery and the insurance allows self-referral, individuals may choose to see an orthopedic surgeon first.
  • Primary care or sports medicine physicians can treat most sports injuries and fractures.
  • A  primary care doctor can recommend an orthopedic surgeon if surgery is required.

Specialists to Consider

After diagnosis, other providers may be involved in caring for sports-related injuries.

Athletic Trainers

  • Certified athletic trainers are trained professionals that work exclusively with athletes.
  • Many work with high school and college sports teams, but also work in health clubs and medical clinics.
  • A certified trainer can help decide which injuries require a specialist and can make the referral.

Physical Therapists

  • Physical therapists treat injuries based on a doctor's clinical diagnosis.
  • Physical therapy integrates training and rehabilitation principles into recovery.
  • Therapists often subspecialize in sports medicine and orthopedic injuries.

Chiropractors

  • Chiropractors perform treatments that relieve pressure on various areas of the body.
  • Many athletes prefer chiropractic care first because the treatment is done without prescription medications or surgery.
  • Chiropractors often work in conjunction with massage therapists to treat various musculoskeletal conditions.

Podiatrists

  • A podiatrist is recommended for problems with the foot.
  • These clinicians have several years of residency, exclusively studying foot and ankle musculoskeletal problems.
  • Podiatrists who focus on sports medicine injuries often work with runners and athletes prone to foot and ankle injuries.
  • They also perform biomechanical analysis, assess gait, and make customized foot orthotics.

Holistic Practitioners

Holistic healthcare practitioners use non-invasive, non-pharmaceutical techniques and therapies that include:

 

  • Acupuncture
  • Medical herbalism
  • Homeopathy
  • Other non-traditional methods to treat conditions and illnesses.
  • Some may have specific experience in treating sports-related injuries.

Finding the Right Specialist

It is important to find a doctor who can design a treatment plan to heal and rehabilitate the injury properly and get the athlete back to their sport quickly and safely. Medicine is science and art, and injury treatment should be personalized to specific goals of healing and performance. 

 

When selecting a healthcare provider to treat injuries or provide advice, personal recommendations from trusted sources are recommended to screen providers, as well as asking other athletes, local teams, gyms, athletic clubs, and healthcare organizations can direct individuals in the right direction.

 

If you can't find a confident recommendation, look for a certified sports medicine physician online or call the clinic. When calling the office, questions to think about include:

 

  • What is your treatment specialty?
  • What experience do you have treating athletes?
  • What special training do you have in sports injury care?
  • What degrees and certifications do you have?

How I Tore My ACL

 

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 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, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900.

 

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Bowyer, B L et al. "Sports medicine. 2. Upper extremity injuries." Archives of physical medicine and Rehabilitation vol. 74,5-S (1993): S433-7.

 

Chang, Thomas J. "Sports Medicine." Clinics in podiatric medicine and surgery vol. 40,1 (2023): xiii-xiv. doi:10.1016/j.cpm.2022.10.001

 

Ellen, M I, and J Smith. "Musculoskeletal rehabilitation and sports medicine. 2. Shoulder and upper extremity injuries." Archives of physical medicine and Rehabilitation vol. 80,5 Suppl 1 (1999): S50-8. doi:10.1016/s0003-9993(99)90103-x

 

Haskell, William L et al. "Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association." Medicine and science in sports and exercise vol. 39,8 (2007): 1423-34. doi:10.1249/mss.0b013e3180616b27

 

Sherman, A L, and J L Young. "Musculoskeletal rehabilitation and sports medicine. 1. Head and spine injuries." Archives of physical medicine and Rehabilitation vol. 80,5 Suppl 1 (1999): S40-9. doi:10.1016/s0003-9993(99)90102-8

 

Zwolski, Christin, et al. "Resistance Training in Youth: Laying the Foundation for Injury Prevention and Physical Literacy." Sports Health vol. 9,5 (2017): 436-443. doi:10.1177/1941738117704153

Dr. Alex Jimenez's insight:

Sports will result in aches, pains, and injuries that need to be examined by a sports injury specialist for proper diagnosis and treatment. For answers to any questions you may have, please call Dr. Jimenez at 915-850-0900 or 915-412-6677

jack henry's curator insight, April 2, 6:22 AM


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