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Case Control Studies

Case Control Studies compare patients who have a disease or outcome of interest (cases) with patients who do not have the disease or outcome (controls), and look back in retrospect to compare how frequently the exposure to a risk factor is present in each group to determine the relationship between the risk factor and the disease.

Case control studies are observational because no type of intervention is attempted and no attempt is made to alter the course of the disease or condition. The goal is to  determine the exposure to the risk factor of interest from each of the two groups of individuals retrospectively: These studies are designed to estimate odds.

They are also known as Retrospective Studies, & Case Referent Studies.

1. Case-control studies work backwards: They first identify diseased and non-diseased individuals, and then ascertain the frequency of previous exposures.

2. Ideal characteristics for selecting cases:

a. Select individuals who have incident disease

b. Use a specific definition of the disease

Advantages

  • Can answer questions that could not be answered from other studies
  • Good for studying rare conditions/diseases
  • Less time needed to conduct the study because the condition or disease has already occurred
  • Simultaneously look at multiple risk factors
  • Useful as initial studies to establish association

Disadvantages

  • Difficult to find a suitable control group
  • Not good for evaluating diagnostic tests.
  • Cases have the condition and the Controls do not.
  • Retrospective studies have problems with data quality because of the reliance on memory.
  • People with a condition are more motivated to recall risk factors.

For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900


Migraine Pain Treatment El Paso, TX | Video

Migraine Pain Treatment El Paso, TX | Video

Damaris Foreman suffered from migraines for about 23 years. After receiving traditional treatment for her migraine pain without much improvement, she was finally recommended to seek migraine pain treatment with Dr. Alex Jimenez, a chiropractor in El Paso, TX. Damaris greatly benefitted from chiropractic care and she experienced a tremendous sense of relief following her first spinal adjustment and manual manipulation. Damaris Foreman was able to confront many of her misconceptions and she learned very much about her migraine pain. Damaris describes Dr. Alex Jimenez’s migraine pain treatment as one of the best treatment she’s received and she highly recommends chiropractic care as the best non-surgical choice for improving and managing her migraines.

A migraine can be identified as a primary headache disorder characterized by recurrent headaches characterized from moderate to severe in intensity. Typically, the headaches affect one half of the head, are pulsating in nature, and can last from two to 72 hours. Associated symptoms may include nausea, vomiting, and sensitivity to light, sound, or smell. The pain may be aggravated by physical activity. Up to one-third of people who suffer from migraines experience migraine with aura: typically a brief period of visual disturbance that signals that the headache will soon happen. An aura can occur with little or no headache pain following it.

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Chiropractic Clinic News Extra: Headache Treatment

Lower Back Pain During Pregnancy Treatment El Paso, TX | Video

Lower Back Pain During Pregnancy Treatment El Paso, TX | Video

Truide Torres, office manager, first received chiropractic care with Dr. Alex Jimenez during her pregnancy for her lower back pain. Mrs. Torres experienced aggravating symptoms throughout the progression of her pregnancy, which led her to seek a natural treatment approach for her own health as well as that of her own baby. Once Truide Torres started chiropractic treatment with Dr. Alex Jimenez, she recovered her quality of life and was able to return to her original state of well-being. As an office manager, Truide Torres also receives regular chiropractic care for any lower back pain which may occur as a result of her job. Mrs. Truide expresses how important it is to continue her spinal maintenance and she highly recommends Dr. Alex Jimenez as the non-surgical choice for a variety of health issues.

Low back pain (LBP) is a frequent health issue involving the muscles, nerves, and bones of the spine. Pain may differ from a dull persistent pain to a sudden sharp sensation. Low back pain can be classified by length and severity (pain lasting less than 6 months), sub-chronic (6 to 12 months), or chronic (over 12 months). The status could be further categorized by the underlying cause as both bodily, non-mechanical, or referred pain. The symptoms of low back pain may generally improve in a couple weeks from the time they begin, however, some cases may require additional treatment. In the majority of episodes of lower back pain, a specific underlying cause isn’t identified or properly cared for, and healthcare professionals may attribute it to mechanical issues like joint or muscle strain.
pregnancy in el paso tx.

Prenatal Yoga Exercises For Low Back Pain

Back Clinic News Extra: Migraine Pain Treatment With Chiropractic

Damaris Foreman suffered from migraines for about 23 years. After receiving traditional treatment for her migraine pain without much improvement, she was finally recommended to seek migraine pain treatment with Dr. Alex Jimenez, a chiropractor in El Paso, TX. Damaris greatly benefitted from chiropractic care and she experienced a tremendous sense of relief following her first spinal adjustment and manual manipulation. Damaris Foreman was able to confront many of her misconceptions and she learned very much about her migraine pain. Damaris describes Dr. Alex Jimenez’s migraine pain treatment as one of the best treatment she’s received and she highly recommends chiropractic care as the best non-surgical choice for improving and managing her migraines.

A migraine can be identified as a primary headache disorder characterized by recurrent headaches characterized from moderate to severe in intensity. Typically, the headaches affect one half of the head, are pulsating in nature, and can last from two to 72 hours. Associated symptoms may include nausea, vomiting, and sensitivity to light, sound, or smell. The pain may be aggravated by physical activity. Up to one-third of people who suffer from migraines experience migraine with aura: typically a brief period of visual disturbance that signals that the headache will soon happen. An aura can occur with little or no headache pain following it.

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Sciatic Nerve Pain Treatment El Paso, TX | George Lara

Sciatic Nerve Pain Treatment El Paso, TX | George Lara

George Lara, now a retired construction contractor, experienced a back injury 20 years ago which affected his original state of well-being. Although he was promptly treated at the time of the incident, Mr. Lara suffered another back injury which manifested into sciatic nerve pain. George Lara had been greatly affected by his back injury, fortunately, he found Dr. Alex Jimenez, a back pain specialist, who restored his quality of life. Mr. Lara expresses his gratitude towards Dr. Alex Jimenez’s services and he greatly recommends chiropractic care as the non-surgical choice for alleviating back pain and sciatica.

 

Sciatic nerve pain is a medical condition characterized by radiating pain down the leg from the lower back. Onset is often sudden following tasks like heavy lifting, even though slow onset may also occur. Normally, symptoms are only on one side of the body. Certain triggers, however, could lead to pain on both sides. Weakness or numbness may occur in a variety of areas of the affected leg and foot. About 90 percent of the time sciatica is due to a spinal disc herniation pressing on the lumbar or sacral nerve roots. Other problems that may bring about sciatica comprise of spondylolisthesis, spinal stenosis, piriformis syndrome, pelvic tumors, and compression.

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sciaticaThank You.

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Volleyball Injury Sports Treatment El Paso, TX | Madison and James Hill

Volleyball Injury Sports Treatment El Paso, TX | Madison and James Hill

Volleyball Injury: James Hill is a school teacher and father of two older sons and his youngest daughter Madison Hill. As a part of an athletic family, Madison has been involved in sports since a young age, however, she experienced many injuries as a result. Fortunately, James Hill and his daughter Madison Hill met Dr. Alex Jimenez and he’s helped her get back up on her feet ever since. They both have learned to believe in chiropractic care due to Dr. Alex Jimenez’s innovative treatment methods and techniques. Mr. Hill expresses how much Dr. Alex Jimenez’s knowledge in sports injury treatment has expanded his overall understanding of the human body’s recovery process. After Madison suffered a recent ankle sprain, she was immediately reassured by Dr. Alex Jimenez regarding how much faster she could return-to-play with chiropractic care. James Hill and Madison Hill highly recommend Dr. Alex Jimenez and his staff as the non-surgical choice for volleyball sports injuries and other types of injuries.

Each year, millions of teenagers take part in high school sports. However, when an injury to a young athlete occurs, it can be disappointing to them and the family as well as to the coaches. The pressure to continue participating in their specific sport or physical activity can cause the young athlete to avoid receiving proper treatment, which could then lead to further injury with long-term effects. Sports injuries among young athletes fall into two primary categories: overuse injuries and acute injuries. Both kinds include injuries to the soft tissues (muscles and ligaments) and bones. Whether an injury is acute or due to overuse, a young athlete who develops a symptom that persists or that impacts their athletic performance ought to be examined by a healthcare professional. Sports injuries that are untreated could lead to permanent disability or damage. Many high school sports injuries can be avoided through proper conditioning, training, and gear.

volleyball injury el paso tx.Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You.

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Migraine Headache Treatment in El Paso, TX

Migraine Headache Treatment in El Paso, TX

A migraine is a neurological condition commonly characterized by an intense, debilitating headache. Approximately 12 percent of the population in the United States suffers from migraines. Other symptoms may include: nausea, vomiting, difficulty speaking, numbness or tingling, and sensitivity to light and sound. Several factors can trigger a migraine. These include: stress, lack of food or sleep, exposure to light, hormonal changes in women and anxiety. Although healthcare professionals have yet to understand the true source of migraines, doctors of chiropractic have concluded that a spinal misalignment, or subluxation, may be associated with different types of headaches. The purpose of the following article is to demonstrate the results of a case of chronic migraine remission after a 72-year-old woman with a 60-year history of migraine headaches received chiropractic care.

 

A Case of Chronic Migraine Remission After Chiropractic Care

 

Abstract

 

  • Objective: To present a case study of migraine sufferer who had a dramatic improvement after chiropractic spinal manipulative therapy (CSMT).
  • Clinical features: The case presented is a 72-year–old woman with a 60-year history of migraine headaches, which included nausea, vomiting, photophobia, and phonophobia.
  • Intervention and outcome: The average frequency of migraine episodes before treatment was 1 to 2 per week, including nausea, vomiting, photophobia, and phonophobia; and the average duration of each episode was 1 to 3 days. The patient was treated with CSMT. She reported all episodes being eliminated after CSMT. The patient was certain there had been no other lifestyle changes that could have contributed to her improvement. She also noted that the use of her medication was reduced by 100%. A 7-year follow-up revealed that the person had still not had a single migraine episode in this period.
  • Conclusion: This case highlights that a subgroup of migraine patients may respond favorably to CSMT. While a case study does not represent significant scientific evidence, in context with other studies conducted, this study suggests that a trial of CSMT should be considered for chronic, nonresponsive migraine headache, especially if migraine patients are nonresponsive to pharmaceuticals or prefer to use other treatment methods.
  • Key indexing terms: Migraine, Chiropractic, Spinal manipulative therapy

 

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Dr. Alex Jimenez’s Insight

Migraine is a prevalent and debilitating condition which affects about 12 percent of the population in the U.S.  Furthermore, migraine affects more women than men. While the causes and symptoms of migraine headache pain have been identified, many healthcare professionals believe that a spinal misalignment, or subluxation, may often lead to various types of headaches. Chiropractic care utilizes spinal adjustments and manual manipulations to carefully correct the alignment of the spine, restoring proper structure and function. According to the research study below, chiropractic can be an effective migraine headache treatment. Chiropractic care is a safe and effective alternative treatment option for patients with migraine who seek a natural method and technique to reduce their symptoms without the use of drugs and/or medications.

 

Introduction

 

Migraine remains a common and debilitating condition.[1,2] It has an estimated incidence of 6% in males and 18% in females.[2] A study in Australia found the cost to industry to be an estimated $750 million.[3] Lipton et al found that migraine is one of the most frequent reasons for consultations with general practitioners, affecting between 12 million and 18 million people each year in the United States.[4] The estimated cost in the United States is $25 billion in lost productivity due to 156 million full-time work days being lost each year.[5] Recent information has suggested that these older figures above are still current, but also underestimated, because of many sufferers not stating their problem because of a perceived poor social stigma.[6]

 

The Brain Foundation in Australia notes that 23% of households contain at least one migraine sufferer. Nearly all migraine sufferers and 60% of those with tension-type headache experience reductions in social activities and work capacity. The direct and indirect costs of migraine alone would be about $1 billion per annum.[3]

 

The Headache Classification Committee of the International Headache Society (IHS) defines migraines as having the following: unilateral location, pulsating quality, moderate or severe intensity, and aggravated by routine physical activity. During the headache, the person must also experience nausea and/or vomiting, photophobia, and/or phonophobia.[7] In addition, there is no suggestion either by history or by physical or neurologic examination that the person has a headache listed in groups 5 to 11 of their classification system.[7] Groups 5 to 11 of the classification system include headache associated with head trauma, vascular disorder, nonvascular intracranial disorder, substances or their withdrawal, noncephalic infection, or metabolic disorder, or with disorders of cranium, neck, eyes, nose, sinuses, teeth, mouth, or other facial or cranial structures.

 

Some confusion relates to the “aura” feature that distinguishes migraine with aura (MA) and migraine without aura (MW). An aura usually consists of homonymous visual disturbances, unilateral paresthesias and/or numbness, unilateral weakness, aphasia, or unclassifiable speech difficulty.[7] Some migraineurs describe the aura as an opaque object, or a zigzag line around a cloud; even cases of tactile hallucinations have been recorded.[8] The new terms MA and MW replace the old terms classic migraine and common migraine, respectively.

 

The IHS diagnostic criteria for MA (category 1.2) is at least 3 of the following:

 

  • 1) One or more fully reversible aura symptoms indicating focal cerebral cortex and/or brain stem dysfunction.
  • 2) At least 1 aura symptom develops gradually over more than 4 minutes or 2 or more symptoms occurring in succession.
  • 3) No aura symptom lasts more than 60 minutes.
  • 4) Headache follows aura with a free interval of less than 60 minutes.

 

Migraine is often still nonresponsive to treatment.[9] However, several studies have demonstrated statistically significant reduction in migraines after chiropractic spinal manipulative therapy (CSMT).[10-15]

 

This article will discuss a patient presenting with MW and her response after CSMT. The discussion will also outline specific diagnostic criteria for migraine and other headaches relevant to chiropractors, osteopaths, or other health practitioners.

 

Case Report

 

A 72-year–old 61-kg white woman presented with migraine headaches that had commenced in early childhood (approximately 12 years old). The patient could not relate anything to the commencement of her migraines, although she believed there was a family history (father) of the condition. During the history, the patient stated that she suffered regular migraine headaches (1-2 per week) with which she also experienced nausea, vomiting, vertigo, and photophobia. She needed to cease activities to alleviate the symptoms, and she often required acetaminophen and codeine medication (25 mg) or sumatriptan succinate for pain relief. The patient was also taking verapamil (calcium ion antagonist, for essential hypertension), calcitriol (calcium uptake, for osteoporosis), pnuemenium on a daily basis, and carbamazipine (antiepileptic, neurotropic medication) twice daily.

 

The patient reported that an average episode lasted 1 to 3 days and that she could not perform activities of daily living for a minimum of 12 hours. In addition, a visual analogue scale score for an average episode was 8.5 out of a possible maximum score of 10, corresponding to a description of “terrible” pain. The patient noted that stress or tension would precipitate a migraine and that light and noise aggravated her condition. She described the migraine as a throbbing head pain located in the parietotemporal region and was always left-sided.

 

The patient had a previous history of a pulmonary embolism (2 years before treatment) and had a partial hysterectomy 4 years before treatment. She also stated she had hypertension that was controlled. She was a widow with 2 children, and she had never smoked. The patient had tried acupuncture, physiotherapy, substantial dental treatment, and numerous other medications; but nothing had changed her migraine pattern. She stated that she had never had previous chiropractic treatment. The patient also stated that she had been treated by a neurologist for “migraines” over many years.

 

On examination, she was found to have very sensitive suboccipital and upper cervical musculature and decreased range of motion at the joint between the occiput and first cervical vertebra (Occ-C1), coupled with pain on flexion and extension of the cervical spine. She also had significant reduction in thoracic spine motion and a marked increase in her thoracic kyphosis.

 

Blood pressure testing revealed she was hypertensive (178/94), which the patient reported was an average result (stage 2 hypertension using the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure 7 guidelines).

 

Based on the IHS Headache Classification Committee classification and diagnostic criteria, the patient had an MW–category 1.1, previously called common migraine (Table 1). This appeared secondary to moderate cervical segmental dysfunction with mild to moderate suboccipital and cervical paraspinal myofibrosis.

 

Table 1 Headache Classifications

Table 1: Headache classifications (IHS Headache Classification Committee).

 

The patient received CSMT (diversified chiropractic “adjustments”) to her Occ-C1 joint, upper thoracic spine (T2 through T7), and the affected hypertonic musculature. Hypertonic muscles were released through gentle massage and stretching. An initial course of 8 treatments was conducted at a frequency of twice a week for 4 weeks. The treatment program also included recording several features for every migraine episode. This included frequency, visual analogue scores, episode duration, medication, and time before they could return to normal activities.

 

The patient reported a dramatic improvement after her first treatment and noticed a reduction in the intensity of her head and neck pain. This continued with the patient reporting having no migraines in the initial month course of treatment. Further treatment was recommended to increase her range of motion, increase muscle tone, and reduce suboccipital muscle tension. In addition, monitoring of her migraine symptoms was continued. A program of treatment at a frequency of once a week for a further 8 weeks was instigated. After the next phase of treatment, the patient noted much less neck tension, better movement, and no migraine. In addition, she no longer used pain-relieving medication (acetaminophen, codeine, and sumatriptan succinate) and noted that she did not experience nausea, vomiting, photophobia, or phonophobia (Table 2). The patient continued treatment at 2-weekly intervals and stated that, after 6 months, her migraine episodes had disappeared completely. In addition, she was no longer experiencing neck pain. Examination revealed no pain on active neck movement; however, a passive motion restriction at the C1-2 motion segment was still present.

 

Table 2 Category 1 Migraine

Table 2: Category 1: migraine (IHS Headache Classification Committee).

 

The patient is currently having treatment every 4 weeks, and she still reports no return of her migraine episodes or neck pain. The patient has now not experienced any migraines for a period of more than 7 years since her last episode, which was immediately before her having her first chiropractic treatment.

 

Discussion

 

Case studies do not form high levels of scientific data. However, some cases do present significant findings. For example, cases with long (chronic) and/or severe symptomatology can highlight alternative treatment options. With case studies such as this, there is always a possibility that the symptoms spontaneously resolved, with no effective from the treatment. The case presented highlights a potential alternative treatment option. A 7-year follow-up revealed that the person had still not had a single migraine episode in this period. The patient was certain that there had been no other lifestyle changes that could have contributed to her improvement. She also noted that the migraines had stopped after her first treatment.

 

The average frequency of her migraines before treatment was 1 to 2 per week, with episodes that always included nausea, vomiting, photophobia, and phonophobia. In addition, the average duration of each episode was 1 to 3 days before her receiving CSMT. The person also noted that the use of her pain-relieving medication was also reduced by 100% (Table 3).

 

Table 3 Summary of Key Changes for this Case

Table 3: Summary of key changes for this case.

 

Migraines are a common and debilitating condition; yet because they have an uncertain etiology, the most appropriate treatment regime is often unclear.[16] Previous etiological models described vascular causes of migraine, where episodes seem to be initiated by a decreased blood flow to the cerebrum followed by extracranial vasodilation during the headache phase.[8] However, other etiological models seem connected with vascular changes related to neurologic changes and associated serotonergic disturbances.[9] Therefore, previous treatments have focused on pharmacological modification of blood flow or serotonin antagonist block.[17]

 

Studies examining the role of the cervical spine to headache (ie, “cervicogenic headache”) have been well described in the literature.[18-30] However, the relation of the cervical spine to migraine is less well documented.[10-15] Previous studies by this author have demonstrated an apparent reduction in migraines after CSMT.[10,11] In addition, other studies have suggested that CSMT may be an effective intervention for migraine.[14,15] Although, previous studies have some limitations (inaccurate diagnosis, overlapping symptoms, inadequate control groups), the level of evidence gives support for CSMT in migraine treatment.[11] However, practitioners need to be critically aware of potential overlap of diagnoses when reviewing migraine research or case studies on effectiveness of their treatment.[18-22] This is especially important in comparison of migraine patients who may be suitable for chiropractic manipulative therapy.[23-28]

 

Between 40% and 66% of patients with migraine, particularly those with severe or frequent migraine attacks, do not seek help from a physician.[29] Among those who do, many do not continue regular physician visits.[30] This may be due to patients’ perceived lack of empathy from the physician and a belief that physicians cannot effectively treat migraine. In a 1999 British survey, 17% of 9770 migraineurs had not consulted a physician because they believed their condition would not be taken seriously; and 8% had not seen a physician because they believed existing migraine medications were ineffective.[30] The most common reason for not seeking a physician’s advice (cited by 76% of patients) was the patients’ belief that they did not need a physician’s opinion to treat their migraine attacks.

 

The case was presented to assist practitioners making a more informed decision on the treatment of choice for migraines. The outcome of this case is also relevant in relation to other research that concludes that CSMT is a very effective treatment for some people. Practitioners could consider CSMT for migraine based on the following:

 

  • 1) Limitation of passive neck movements.
  • 2) Changes in neck muscle contour, texture, or response to active and passive stretching and contraction.
  • 3) Abnormal tenderness of the suboccipital area.
  • 4) Neck pain before or at the onset of the migraine.
  • 5) Initial response to CSMT.

 

As with all case reports, results are limited in application to larger populations. Careful clinical decision making should be used when applying these results to other patients and clinical situations.

 

Conclusion

 

This case demonstrates that some migraine sufferers may respond well with manual therapies, which includes CSMT. Therefore, migraine patients who have not received a trial of CSMT should be encouraged to consider this treatment and assess any potential response. Where there are no contraindications to CSMT, an initial trial of treatment may be warranted. Following evidence-based medicine guidelines, medical practitioners should discuss CSMT with migraine patients as an option for treatment.[31,32] Subsequent studies should address this issue and the role that CSMT has in migraine management.

 

In conclusion, a migraine is a debilitating and intense type of headache which is often accompanied by a variety of other symptoms. Although still misunderstood today, doctors of chiropractic have shown that a spinal misalignment, or subluxation may trigger migraine headaches. According to the article above, chiropractic care may effectively help individuals who suffer from migraine headaches. However, further research studies are required. Information referenced from the National Center for Biotechnology Information (NCBI). The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Back Pain

 

According to statistics, approximately 80% of people will experience symptoms of back pain at least once throughout their lifetimes. Back pain is a common complaint which can result due to a variety of injuries and/or conditions. Often times, the natural degeneration of the spine with age can cause back pain. Herniated discs occur when the soft, gel-like center of an intervertebral disc pushes through a tear in its surrounding, outer ring of cartilage, compressing and irritating the nerve roots. Disc herniations most commonly occur along the lower back, or lumbar spine, but they may also occur along the cervical spine, or neck. The impingement of the nerves found in the low back due to injury and/or an aggravated condition can lead to symptoms of sciatica.

 

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EXTRA IMPORTANT TOPIC: Neck Pain Treatment El Paso, TX Chiropractor

 

 

MORE TOPICS: EXTRA EXTRA: El Paso, Tx | Athletes

 

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References
1. Bigal M.E., Lipton R.B., Stewart W.F. The epidemiology and impact of migraine. Curr Neurol Neurosci Rep. 2004;4(2):98–104. [PubMed]
2. Lipton R.B., Stewart W.F., Diamond M.L., Diamond S., Reed M. Prevalence and burden of migraine in the United States: data from the American Migraine Study 11. Headache. 2001;41:646–657. [PubMed]
3. Alexander L. Migraine in the workplace. Brainwaves. Australian Brain Foundation; Hawthorn, Victoria: 2003. pp. 1–4.
4. Lipton R.B., Bigal M.E. The epidemiology of migraine. Am J Med. 2005;118(Suppl 1):3S–10S.[PubMed]
5. Lipton R.B., Bigal M.E. Migraine: epidemiology, impact, and risk factors for progression. Headache. 2005;45(Suppl 1):S3–S13. [PubMed]
6. Stewart W.F., Lipton R.B. Migraine headache: epidemiology and health care utilization. Cephalalgia. 1993;13(suppl 12):41–46. [PubMed]
7. Headache Classification Committee of the International Headache, Society Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalgia. 2004;24(Suppl. 1):1–151.[PubMed]
8. Goadsby P.J., Lipton R.B., Ferrari M.D. Migraine—current understanding and treatment. N Engl J Med. 2002;346:257–263. [PMID 11807151] [PubMed]
9. Goadsby P.J. The scientific basis of medication choice in symptomatic migraine treatment. Can J Neurol Sci. 1999;26(suppl 3):S20–S26. [PubMed]
10. Tuchin P.J., Pollard H., Bonello R. A randomized controlled trial of chiropractic spinal manipulative therapy for migraine. J Manipulative Physiol Ther. 2000;23:91–95. [PubMed]
11. Tuchin P.J. The efficacy of chiropractic spinal manipulative therapy (SMT) in the treatment of migraine—a pilot study. Aust Chiropr Osteopath. 1997;6:41–47. [PMC free article] [PubMed]
12. Tuchin P.J., Bonello R. Classic migraine or not classic migraine, that is the question. Aust Chiropr Osteopath. 1996;5:66–74. [PMC free article] [PubMed]
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14. Nelson C.F., Bronfort G., Evans R., Boline P., Goldsmith C., Anderson A.V. The efficacy of spinal manipulation, amitriptyline and the combination of both therapies for the prophylaxis of migraine headache. J Manipulative Physiol Ther. 1998;21:511–519. [PubMed]
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17. Ferrari M.D., Roon K.I., Lipton R.B. Oral triptans (serotonin 5-HT1B/1D agonists) in acute migraine treatment: a meta-analysis of 53 trials. Lancet. 2001;358:1668–1675. [PubMed]
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21. Bogduk N. Cervical causes of headache and dizziness. In: Greive G.P., editor. Modern manual therapy of the vertebral column. 2nd ed. Edinburgh; Churchill Livingstone: 1994. pp. 317–331.
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18 Wheeler Accident Pain Treatment El Paso, TX | Jesus Rabelo

18 Wheeler Accident Pain Treatment El Paso, TX | Jesus Rabelo

18 Wheeler Accident: Jesus Rabelo earns a living as a truck driver in El Paso, TX. After being involved in an accident, however, Mr. Rabelo sufferered from shoulder and back pain which affected his personal life and work, forcing him to have to start over again. In regards to a highly valued recommendation, Jesus Rabelo found Dr. Alex Jimenez, chiropractor in El Paso, TX. Mr. Rabelo describes receiving excellent service from the staff and he highly recommends Dr. Alex Jimenez.

In 2013, 54 million people sustained injuries from traffic collisions. This resulted in 1.4 million deaths in 2013, up from 1.1 million deaths in 1990. Auto accidents can be classified into different types, including head-on, road departure, rear-end, side collisions, and rollovers. Psychological issues may occur due to automobile accidents. A range of injuries and conditions can result from the blunt force trauma caused by a collision, including whiplash and back pain.

18 wheeler accident el paso tx.Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You.

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Slip And Fall Injury Treatment El Paso, TX | Araceli Norte

Slip And Fall Injury Treatment El Paso, TX | Araceli Norte

Araceli Norte used to teach physical therapy at the technician level before she suffered a slip and fall accident. When she was recommended to see an excellent doctor who genuinely cared about his patients, Mrs. Norte didn’t hesitate to visit Dr. Alex Jimenez to receive slip and fall injury treatment. Before treatment, Araceli Norte experienced chronic pain on the left side of her body as well as radiating pain down her left leg and foot, ultimately affecting her quality of life. Araceli Norte emphasizes how much relief she’s found with Dr. Alex Jimenez and how much he cares about his patients.

Slip and fall injuries can occur for a variety of reasons. There is an assortment of conditions both indoors and outdoors that can make a slip and fall injury prone. Some common causes of a slip and fall accident inside are because the floor is wet, improperly waxed, or when carpeting is torn or bulging. Normally, liability of the proprietor will be dependent on whether he or she did not take the right action to fix the problem or at least remind people of the issue.

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Neck Pain Treatment El Paso, TX | Shane Scott

Neck Pain Treatment El Paso, TX | Shane Scott

Neck Pain Treatment: Shane Scott was involved in a car accident and suffered injuries which manifested into debilitating headaches and lower back pain. As a recent father, Shane Scott must rely on his overall health and wellness to take care of his daughter. Shane Scott became a car accident treatment patient with Dr. Alex Jimenez and his symptoms improved dramatically within a matter of time. Shane Scott highly recommends Dr. Alex Jimenez as a non-surgical choice to help improve auto accident whiplash injuries and their symptoms.

 

Whiplash is a non-medical term used to describe a range of injuries to the neck caused by or associated with a sudden distortion of the neck related to extension, although the specific injury mechanisms remain unknown. “Cervical acceleration–deceleration” (CAD) describes the mechanism of this injury, while the term “whiplash associated disorders” (WAD) refers to the harm sequelae and symptoms. Whiplash is often related to auto accidents, typically when the vehicle has been hit in the rear nonetheless, the injury could be sustained in a number of different ways. Whiplash is one of the most often claimed injuries on auto insurance policies.

neck pain treatment el paso tx.

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Back Pain Treatment El Paso, TX | Louie Martinez

Back Pain Treatment El Paso, TX | Louie Martinez

Back Pain Treatment: Louie Martinez is a business owner in El Paso, TX. After experiencing a variety of injuries which affected his ability to perform his everyday activities, Mr. Martinez chose Dr. Alex Jimenez to treat his pain. Dr. Alex Jimenez restored Louie Martinez back to his original state of health and wellness. After receiving care for over 10 years, Mr. Martinez gained his range of motion and mobility through Dr. Alex Jimenez’s thorough chiropractic care.

 

Back pain can affect any area of the back, including neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) dependent on the segment affected. The lumbar region of the back is the most common place for pain, as it supports the majority of the body’s weight. Episodes of back pain can be intense, sub-acute, or chronic depending on the duration. The pain might be characterized as a dull ache, piercing or shooting pain, or a burning sensation. Pain can radiate into the arms and hands as well as the legs or feet, and may include tingling, or weakness in the arms and legs.

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Carpal Tunnel Pain Treatment El Paso, TX | Ottis Hamlet

Carpal Tunnel Pain Treatment El Paso, TX | Ottis Hamlet

Carpal Tunnel Pain: Ottis Hamlet depends largely on the use of his hands to carry out his important craftsmanship in the city of San Antonio, TX. However, Mr. Hamlet developed painful symptoms in both of his arms as a result of carpal tunnel syndrome, which tremendously affected his ability to engage in his job. Fortunately, Ottis Hamlet met Dr. Alex Jimenez during a visit to El Paso, TX and he received chiropractic treatment for his carpal tunnel syndrome, avoiding the need for surgery.

Carpal tunnel syndrome is a medical condition caused by the compression of the median nerve which travels through the wrist and into the carpal tunnel. Common symptoms include pain, tingling sensations and numbness, in the thumb, index finger, middle finger, and the thumb side of the ring fingers. Symptoms normally start gradually and during the evening. Symptoms can extend throughout the arm and weakened grip strength may also occur. Carpal tunnel syndrome can be diagnosed based on symptoms.

carpal tunnel pain el paso tx.

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Clinical Site: https://www.dralexjimenez.com

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Car Accident Injury Treatment El Paso, TX | Terry Peoples

Car Accident Injury Treatment El Paso, TX | Terry Peoples

Terry Peoples is a cosmetic beauty advisor in El Paso, TX, who relies on her independence to carry out her daily responsibilities.After suffering a car accident injury, she was left her having to rely on others to perform her everyday activities. That’s when Terry Peoples received a recommendation to seek chiropractic care with Dr. Alex Jimenez. Terry Peoples leaves the Dr. Alex Jimenez’s office everyday, feeling much better and refreshed.

According to the National Highway Traffic Safety Administration (NHTSA), over three million people are injured every year in automobile accidents throughout the nation. The various injuries caused by a car crash can be as diverse as the individual conditions of every incident, but some types of auto accidents are more prevalent than others. The symptoms of some auto collisions may resolve on their own, however, most injuries and/or conditions resulting from the impact of a car crash may require immediate medical attention, such as chiropractic care, to improve the symptoms.

car accident el paso tx

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Auto Accident Injury Treatment El Paso, TX | Leticia

Auto Accident Injury Treatment El Paso, TX | Leticia

Auto Accident Injury: As a wife, mother and grandmother, Leticia must rely on her well-being to care for her family. But, after being involved in a car accident several years back, everyday activities, such as walking and even picking up her granddaughter, became difficult. That’s when she received chiropractic treatment with Dr. Alex Jimenez, D.C., for her auto accident injuries. Leticia high recommends Dr. Alex Jimenez after chiropractic care restored her quality of life.

Approximately more than 3 million people are injured every year as a result of an automobile accident. The type and severity of the auto accident injuries can vary depending on the specific circumstances of the car crash. Soft tissue injuries affecting the neck and back, such as whiplash, are some of the most common types of injuries resulting from auto collisions. Head injuries can also occur as a result of the force of the impact. It’s essential for the victim involved in the automobile accident to seek immediate medical attention for their injuries.

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Sciatica Nerve Pain Treatment El Paso, TX | Edgar M. Reyes

Sciatica Nerve Pain Treatment El Paso, TX | Edgar M. Reyes

Sciatica Nerve Pain: Edgar M. Reyes works for the city of El Paso and his ability to properly engage in his occupation is an essential part of his job, however, Mr. Reyes developed sciatica, which affected his everyday performance. Unable to walk due to his sciatica nerve pain, Edgar M Reyes found chiropractic treatment with Dr. Alex Jimenez. Chiropractic care provided Mr. Reyes with the relief he deserved from his sciatica and restored his ability to walk as well as his health and wellness.

sciatica nerve pain el paso tx.Sciatica is a set of symptoms characterized by radiating pain from the lumbar spine. This pain may go down the back, into the buttocks, hips, legs and feet. Onset is frequently sudden following tasks like heavy lifting, though slow onset may also occur. Symptoms may occur on one or both sides of the body. Pain, numbness and weakness can occur depending on the type of compression on the sciatic nerve. About 90% of sciatica cases are often due to a spinal disc herniation pressing on one of the lumbar or sacral nerve roots. Other issues that may cause sciatica include spondylolisthesis, spinal stenosis and piriformis syndrome.

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