Treatments: There are a variety of treatments for all types of injuries and conditions here at Injury Medical & Chiropractic Clinic. The main goal is to correct any misalignments in the spine through manual manipulation and placing misaligned vertebrae back in their proper place. Patients will be given a series of treatments, which are based on the diagnosis. This can include spinal manipulation, as well as, other supportive treatments. And as chiropractic treatment has developed, so to have its methods and techniques.
Why do chiropractors use one method/technique over another?
A common method of spinal adjustment is the toggle drop method. With this method a chiropractor crosses their hands and presses down firmly on an area of the spine. They will then adjust the area with a quick and precise thrust. This method has been used for years and is often used to help increase a patient’s mobility.
Another popular method takes place on a special drop table. The table has different sections, which can be moved up or down based on the body’s position. Patients lie face down, on their back or side while the chiropractor applies quick thrusts throughout the spinal area as the table section drops. Many prefer this table adjustment, as this method is lighter and does not include twisting motions that are used in other methods.
Chiropractors also use specialized tools to assist in their adjustments, i.e. the activator. A chiropractor uses this spring-loaded tool to perform the adjustment/s instead of their hands. Many consider the activator method to be the most gentle of all.
Whichever adjustment method a chiropractor uses, they all offer great benefits to the spine and for overall heath and wellness. If there is a certain method that is preferred, talk to a chiropractor about it. If they do not perform a certain technique, then they may be able to recommend a colleague that does. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900.
Q: My primary healthcare provider recently diagnosed me with a herniated disc in the lumbar spine. They referred me to get chiropractic treatment, but I’m nervous because it’s new to me and I’m afraid of being adjusted wrong, paralyzed, etc. Can I trust chiropractic treatment to work?
A: It’s normal to be nervous about going to a chiropractic clinic.
If you’re not sure whether chiropractic is for you, there is scientific evidence that shows how chiropractic techniques like spinal manipulation/spinal adjustment and forms of manual/mechanical therapy are safe and effective for relieving pain and other musculoskeletal pain, conditions, and symptoms.
I encourage everyone to try chiropractic treatment as a non-surgical treatment option for a herniated disc.
It Is Your Decision
At the first appointment, a chiropractor will take a medical history and perform a thorough exam to determine the nature of the symptoms and their possible causes, which include a herniated disc.
Sometimes with a herniated disc, there may be no symptoms at all.
But usually a herniated disc causes:
Back pain
Referred pain or pain that is felt in other parts of the body like the legs, feet, etc.
An irritated spinal nerve can cause symptoms in the legs
This can lead to neurological symptoms like:
Tingling
Numbness
Weakness in the legs
Once the chiropractor determines your symptoms, they may use one or several techniques to relieve the back pain and other symptoms.
Techniques used by chiropractors for disc-related problems include:
Specific self-treatment exercises to improve motion & decrease back pain
Cox technique like spinal traction using special tables
Spinal manipulation
Hands-on techniques that relieve pain and restore movement to the spine and body
These techniques have been proven to be very safe. There are other techniques a chiropractor can recommend for various conditions, as each has their own style and method.
A chiropractic treatment plan will also include:
Education
Self-management instructions
This is to teach you how to control/eliminate pain with proper posture and proper body mechanics.
Whichever treatment the chiropractor recommends, he or she will discuss it with you, including the benefits and risks.
Although the treatments listed above will most likely be a part of your treatment plan, your chiropractor will answer your questions and work with you to select a treatment that meets your specific goals and preferences.
Don’t Be Nervous A Chiropractor Monitors Treatment Progress
If symptoms do not improve within a reasonable time frame, then a chiropractor may refer the patient to other treatments to manage disc-related pain, including:
Physical therapy
Acupuncture
Spinal injections
Surgery
Fortunately, self-management and time can be the best treatment. Allowing the body to heal itself is the way to go. But if rest is not enough then chiropractic treatment may be just what is needed to kick in the body’s self-healing function.
If you decide to give chiropractic treatment a try, don’t be nervous, as a chiropractor will monitor progress throughout the treatment.
In any case, chiropractors are qualified to discuss the benefits and risks of other treatments, depending on the condition.
Hopefully, this article has given you the basics of chiropractic medicine and how it works so you can make the best choice for your herniated disc/s.
Low Back Pain Management El Paso, TX Chiropractor
Denise suffered an auto accident injury which resulted in back pain. When she realized she could not sit, walk or sleep for lengthy periods of time without having painful symptoms, Denise found chiropractic care with Dr. Alex Jimenez at El Paso, TX. Once she received therapy for her automobile accident injuries, Denise experienced relief from her symptoms and she was able to execute her regular tasks once again. Thanks to the education and maintenance Dr. Alex Jimenez supplied, Denise regained her initial health and health.
Back pain is more most common, with roughly nine out of ten adults undergoing it at some time in their lifetime, and five functioning adults developing it annually. Some quote around 95 percent of Americans will experience back pain at some time in their lifetime. It is undoubtedly the typical cause of chronic pain since it’s also a substantial contributor to missed work and handicap. In the United States alone, acute cases of lower back pain are the fifth most frequent reason for doctor visits and cause 40% of missed days off work. What’s more, it is the leading cause of disability worldwide.
NCBI Resources
A herniated disc is a common spinal condition that typically affects the cervical spine (neck region) or the lumbar spine (lower back), although it can occur in any part of the spine. Most often, a herniated disc happens at the L4 – L5 and the L5 – S1. This is because this portion of the spine, the lumbar region, bears the bulk of the body’s weight.
Cyrex Laboratories is an advanced clinical laboratory that specializes in the functional approach in environmentally induced autoimmunity. Cyrex works with the leading experts in medical research and provides arrays that address the cross-connections throughout the body systems. In addition to this, Cyrex strives to deliver the best quality for the patients by always improving and using the most accurate and advanced technology.
Arrays
Cyrex has multiple arrays they use to test patients depending on their symptoms. These arrays range from Alzheimer’s to Joint auto-immune reactivity screenings. Often times, patients who have issues with their joints or headaches and pain, can be traced back to an underlying issue. When a patient comes to a doctor, the practitioner will evaluate and assess the patient based on the symptoms they bring. From here, the practitioner can go to Cyrex and order the arrays that best suit their patient’s needs. The Cyrex system revolves around immune function and measures the identifiers that can affect multiple tissues in the body, including the brain, heart, pancreas, nervous system, liver, gastrointestinal system, bones, and joints. The turn around time for these labs is fairly quick and helps highlight the underlying route of the patient’s symptoms.
Cyrex arrays use serum (a blood draw) as their main form of testing. No matter the array the doctor orders, the patient will receive the same kit. The requisition form that is inside the kit is what matters to the phlebotomist and lab as this is where the array ordered will be marked.
The kit is a small box labeled Cyrex Laboratories, Serum Collection Kit. On top of the kit held in place by a rubber band will be a shipping label and bag for the sample to go in once collected. Inside the kit is a smaller styrofoam box that includes a serum separator tube, a serum transport tube, tube labels, a biohazard bag, and collection instructions.
As one can see from the above photo, the different arrays test for different reactions/conditions. A doctor may order one or multiple arrays depending on the patient.
Array 2 is one of the most popular, as leaky gut is a condition that affects most Americans. This test screens for IgG, IgA, and IgM of Lipopolysaccharides and Occludin/Zonulin.
Integrative Testing
Often times, practitioners will use multiple lab companies on one patient. This is not because one is superior to the other, but rather because they specialize in different areas. Even though the doctor may order labs from different companies, it is in the patient’s best interest because it allows the practitioner to view multiple areas to truly understand the underlying issue.
Patients who come in with symptoms like aching joints, headaches, trouble falling asleep, difficulty staying asleep, leaky gut, and brain fog will certainly benefit from using multiple lab companies.
Using Cyrex array 2 and DUTCH + CAR the patient will get extremely accurate information in regards to what is occurring in their body. The Cyrex array test will show the practitioner if the patient has a leaky gut and how severe. While the DUTCH + CAR allows the doctor to determine the cortisol patterns in the individual’s body. Sometimes, these levels are not rising and falling at the right times, causing the patient to be tired or having trouble staying asleep.
The patient’s health should always come first, and when doctors are knowledgable enough to use more than one lab, the patient benefits are outstanding. By using the companies together, the doctor is able to check multiple areas, leaving no guesswork when it comes to a treatment protocol. However, it is important to remember that labs vary on patient needs. Some patients are able to use the same company for all labs and obtain the accurate results they need.
Cyrex tests for many conditions and has multiple arrays. Although many
Cyrex labs are a great tool for practitioners and health coaches to use! By using these arrays, it helps the practitioner not only treat the symptoms, but it allows them the insight they need to treat the problem at the route source. The tools that Cyrex provides go a long way in evaluating the complex disorders the human body may have. By using Cyrex and coupling it with other tests from DUTCH or labrix, the patient is able to get proper treatment and get back to the hobbies they used to love and enjoy. These companies are all fantastic and provide specialities in different areas. By using more than one company, the pateint truly gets the best results and the doctors are able to construct a solid treatment protocol with all of the information obtained. – Kenna Vaughn, Senior Health Coach
*All information was obtained from Cyrex.com
The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Physical therapists or PT’s are healthcare professionals that help treat/rehabilitate patients of all ages with various types of injuries.
Personal
Work
Sports
Auto Accidents
A primary care physician, physiatrist, orthopaedist, spine surgeon, or neurosurgeon may refer an individual to a physical therapist as part of a non-surgical treatment plan.
A physical therapy program may be an integral part of your after-care following surgery.
Some treatments are done prior to active therapeutic exercise.
Conditions therapists treat
Sciatica
Whiplash
Rheumatoid arthritis
Degenerative disc disease
Spondylosis (spinal arthritis)
Post spine surgery therapy
Therapists want to help patients rebuild strength, flexibility, and endurance after any type of intense surgery, as well as help with any specific physical necessities related to post-surgery.
Team Care
Therapists often work directly for or with a doctor/chiropractor to coordinate a treatment plan.
A doctor may send the therapist:
Diagnosis
Current medications
Imaging/scan results
During the consultation, the physical therapist talks about medical history, diagnosis, and symptoms.
This can include:
Conditions
Medications being taken
Diet
Supplements
Type of Pain like:
Acute
Chronic
Episodic
The location of the pain that will also include:
Severity
Type
Factors that decrease or increase pain
Training
Physical therapists have completed an accredited physical therapy program and passed a required state licensing examination.
Therapists graduate with a Doctor of Physical Therapy (DPT) degree.
The American Board of Physical Therapy Specialties through a series of classes/tests therapists can become board-certified specialists in specific areas like:
Orthopedics
Pediatrics
Geriatrics
Sports
These are just a few, but there are many areas of specialization.
Physical Therapist
Many states allow individuals to go to a physical therapist without a referral from a doctor.
Definitely ask your doctor for a recommendation, but also think about what you want in a therapist.
Male or female physical therapist, which is right for you
Take Charge
Physical therapists are valuable healthcare professionals and members of the medical community.
Physical therapy can be challenging but don’t let that get you down, because they will help get you back to optimal health, along with building a stronger, healthier body.
Whiplash Massage Therapy El Paso, TX Chiropractor
Physical therapist Sandra Rubio describes how whiplash-associated disorders resulting from an automobile accident can cause symptoms of neck pain.
An injury to the cervical spine can damage the complex structures of the neck, including:
Vertebrae
Intervertebral discs
Soft tissues
Tendons
Ligaments
Muscles
Neck pain can come from various structures in the neck including vascular, nerve, airway, digestive, and musculature or it can originate from other areas of the human body.
Most cases can be treated with assistance or using self-help suggestions and techniques.
NCBI Resources
Physical therapy includes both active and passive treatments. Passive treatments help to unwind the body and the physique. As an individual does not need to actively participate, they’re known as passive. A physical treatment program may begin with treatments that are passive, but the goal is to get into treatments that are more active.
A look at what a stinger or burner injury is and what they can do to the neck and shoulders. We will look at:
Symptoms
Treatment
Prevention
Contact sports, like:
Football
Hockey
Soccer
Basketball
This is a very common cervical injury that affects the neck and upper body. This is known as a stinger.
A stinger can also be called a burner and is an injury that happens when the head or neck gets hit to one side, which causes the shoulder to be pulled in the opposite direction.
Stingers/burners often happen at the high school level but can occur at all levels of play.
Stinger/Burner neck injury cause
A stinger is caused by stretching the brachial plexus nerves.
These peripheral nerves that come out of:
Spinal cord
Run across the shoulders
Under the collarbone
Into the arms
The brachial plexus nerves give the arms their strength and sensation.
When a sideways hit to the head or hit to the shoulder occurs, the nerves can become:
Compressed
Stretched
Irritated
Symptoms of a cervical stinger
This type of sideways collision causes immediate and intense pain, tingling or burning sensations that can run down the arm into the fingers.
Weakness in the affected arm or hand is common.
The weakness, numbness, and tingling sensations can last a few minutes or for a few weeks.
Stinger/burner injury treatment
Fortunately, most stinger injuries heal on their own with rest and relaxation of the neck muscles.
Athletes are placed on the disabled list until symptoms are gone and a doctor has cleared the athlete.
Players can return to sport once the pain is gone and they’ve regained:
Full range of motion
Strength
Normal sensation in neck and arms
Constant or recurring symptoms could indicate a more serious injury.
Cervical x-rays, a CT scan, or MRI could be used to rule out other conditions with similar symptoms.
Can stinger/burner injuries be prevented?
Strengthening exercises for the neck muscles are an important way for athletes and beginners to help prevent these injuries.
Using the proper and correct technique in contact sports to avoid spearing/spear tackles and head down tackling.
Safety equipment, like neck rolls, can help limit the backward movement of the neck.
Players who experience stinger symptoms should immediately report it to their coaches or team/personal physician.
Ignoring or playing through a stinger injury can lead to more severe injuries.
*Neck* Pain Chiropractic Care | El Paso, Tx
Following a balanced diet along with healthy lifestyle habits can help promote optimal health and wellness.
People with neck pain realize how much their symptoms affect their ability to engage in everyday activities.
Dr. Alex Jimenez helps patients achieve neck pain relief through chiropractic care, an alternative treatment option that carefully corrects any spinal misalignments or subluxations.
NCBI Resources
Stretching is an outstanding complement to chiropractic care.
Blood flow to the muscles is increased, helps lower the risk of injury and improves performance.
Stretching is good for the joints, it helps them function through their full range of motion.
After a car accident, you may notice neck pain. It could be a slight soreness that you think is nothing but take care more than likely you have whiplash. And that little soreness can turn into a lifetime of chronic neck pain if only treated with pain meds and not treated at the source.
Whiplash trauma aka as neck sprain or neck strain is an injury to the soft tissues around the neck.
Whiplash can be described as a sudden extension or backward movement of the neck and flexion or forward movement of the neck.
Most people experience neck pain either immediately after the injury or several days later.
Other symptoms of whiplash trauma can include:
Neck stiffness
Injuries to the muscles and ligaments around the neck
Headache and dizziness
Symptoms & possible concussion
Difficulty swallowing and chewing
Hoarseness (possible injury to the esophagus and larynx)
The sensation of burning or prickling
Shoulder pain
Back pain
Diagnosis of Whiplash Trauma
Whiplash trauma usually causes damage to the soft tissues, a doctor will take x-rays of the cervical spine for in case of delayed symptoms and rule out other problems or injuries.
Treatment
Fortunately, whiplash is treatable and most symptoms resolve completely.
Most often whiplash is treated with a soft cervical collar.
This collar may need to be worn for 2 to 3 weeks.
Other treatments for individuals with whiplash may include the following:
Heat treatment for relaxing muscle tension and pain
Pain meds such as analgesics and non-steroidal anti-inflammatory’s
The symptoms of whiplash typically begin to decline in 2 to 4 weeks.
For those who have symptoms during treatment may need to keep the neck immobilized with a halter at work or home.
This is called cervical traction.
Local anesthetic injections can help when necessary.
Continuing symptoms or worsening symptoms after 6 to 8 weeks may require more x-rays and more diagnostic testing to see if there is a more severe injury.
Some people will tell you that whiplash is a made-up injury that people use to get more money in a settlement stemming from an accident. They do not believe it is possible in a low-speed rear-end accident and see it as a legitimate injury claim, mainly because there are no visible marks.
Some insurance experts claim that about a third of whiplash cases are fraudulent, but that leaves two-thirds of the cases legitimate. There is also a great deal of research that supports the claim that low-speed accidents can indeed cause whiplash – and it is very, very real. Some patients suffer from pain and immobility for the rest of their lives.
NCBI Resources
Chiropractors will use different techniques to relieve the pain of whiplash and help with healing.
Chiropractic Adjustment – The chiropractor performs spinal manipulation to gently move the joints into alignment. This will help to align the body to relieve pain and encourage healing.
Muscle Stimulation and Relaxation – This involves stretches the muscles that are affected, relieving tension and helping them to relax. Finger pressure techniques may also be combined with the stretching to relieve pain.
McKenzie Exercises – These exercises help with disc derangement that whiplash causes. They are first performed in the chiropractor’s office, but the patient can be taught how to do them at home. This helps the patient have some degree of control in their own healing.
Each whiplash case is different. A chiropractor will evaluate the patient and determine the appropriate treatment on a case by case basis. The chiropractor will determine the best course of treatment that will relieve your pain and restore your mobility and flexibility.
Pilates or yoga can work wonders and always stretch before physical exercise.
Get fit – no regular physical activity can lead to serious conditions and possibly chronic pain.
Exercise benefits all, even some light walking around the neighborhood is enough. Just get moving!
Playing a sport could be a way to keep active. Remember, in order for any exercise to work is that it is done regularly.
Strength training is important, just as its name implies strength training builds muscle and reduces muscle imbalances.
It’s never too late to increase strength and flexibility.
Look at activities that you and your friends/family can enjoy and make doing them a regular thing.
A chiropractor is the ideal medical professional to consult with for any unexplained pain in the musculoskeletal system. They are highly qualified professionals that their specialty is treating conditions like lower back pain and they are very affordable. If you or a loved one have pain in the lower back, give us a call. We’re here to help!
Understand *FOOT PRONATION* & How to Correct it with Orthotics | El Paso, TX (2019)
Foot pronation is the natural movement that occurs during foot landing while walking or running. Foot pronation also occurs while standing, and in this instance, it is the amount in which the foot rolls inward toward the arch. Foot pronation is normal, however, excessive foot pronation can cause a variety of health issues, including bad posture. The following video describes the 5 red flags of excessive foot pronation, which can ultimately affect a person’s overall health and wellness. Dr. Alex Jimenez can help diagnose and treat excessive foot pronation. Patients recommend Dr. Alex Jimenez and his staff as the non-surgical choice for excessive foot pronation health issues.
Back pain and everything that comes with it can really take you out of it. It, being life, that you don’t get to participate in, because you have to anticipate how, whatever the activity may be, is going to affect your back. So you just skip activities altogether. No more! You have options and chiropractic care is one of them. Because back pain can occur due to a variety of health issues, diagnosis is essential to create the correct treatment plan.
Doctor of chiropractic Alexander Jimenez specializes in treating back pain. A few patients share their back pain experiences and how it affected their lives. They describe how Dr. Jimenez has helped them improve their overall health and wellness with chiropractic care. Patients highly recommend Dr. Jimenez and his staff as the back pain specialist.
El Paso Back Clinic
We are blessed to present to you El Paso’s Premier Wellness & Injury Care Clinic.
We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.
We Are Ready To Get You Back To Normal Life!
Low Back Pain & Your Feet
The feet are the foundation of the body; they support its weight. If there is not enough support, various parts of the body, especially the spine become exposed to added stress, this can lead to:
Back, hip, knee and foot pain
Poor posture and abnormal foot movement
Sports performance compromised
Greater risk of injury
An abnormal walk leads to imbalances throughout the knees, ankles, and feet, and can eventually cause pain throughout the body, and yes you guessed it the back.
Foot Levelers Kiosk
The Kiosk helps guide patients in selecting the best custom-made orthotics for their condition and lifestyle. It’s…
Fast: Push the Start button and the scanner begins.
Easy to use: User-friendly easy touch screen.
Engaging: Videos explain the importance of healthy feet and the benefits of custom-made orthotics.
Cloud-based: Results can be securely accessed from anywhere.
Comprehensive: Easily retrieve previous scans to compare them to new scans and see the difference.
The Foot Levelers Kiosk helps you. It saves time so you can spend more time living your life.
Intake Form
This is the intake form that is used to set up a custom orthotics treatment plan.
When there are problems with the feet, it can cause problems through the legs and all the way to the spine. This can cause the ankle to pronate, meaning it rolls inward. This alters the way the bones of the foot line up which extends through the tibia, or shin bone.
The spine is the foundation for the body, supporting the spinal cord and the limbs. When there is a problem with any of the limbs it can affect the spine and vice versa. The intricate network of tendons, ligaments, and nerves work together within the incredible machine that is the human body.
When you visit a doctor office for a medical concern, the healthcare professional will perform a variety of diagnostic procedures to determine the source of your symptoms. The doctor will review the patient’s current symptoms and medical history as well as the patient’s results from a physical evaluation to diagnose an injury and/or underlying condition.
Once the healthcare professional has reviewed the patient’s current symptoms, medical history, and results from the physical evaluation, the doctor will make a list of the probable injuries and/or underlying conditions which may be causing the patient’s symptoms. This is the differential diagnosis. A differential diagnosis refers to the process of differentiating between two or more health issues which share similar signs and symptoms. The doctor will perform additional tests or assessments to rule out specific injuries and/or underlying conditions in order to reach a final diagnosis and follow-up with treatment.
The differential diagnosis generally varies depending on the health issue. A variety of health issues can cause common symptoms which may make it challenging to determine the source of the pain and discomfort. Sciatica is a collection of symptoms rather than a single condition which can be a frequent symptom for many health issues. Sciatica is characterized as pain, tingling sensations, and numbness, due to compression or impingement along the length of the sciatic nerve.
Sciatica
The characteristic symptoms of sciatica can range from mild to severe where the sciatic nerve pain is described as a dull ache to pain or as a sharp, searing, or electric-like pain. Symptoms differ from one person to another. By way of instance, some people may experience shooting pain while some people may only experience tingling sensations and/or numbness. The common symptoms of sciatica, also known as sciatic nerve pain, include:
Radiating pain along the length of the sciatic nerve
Discomfort, tingling sensations, and numbness
Muscle weakness in the lower back, hips, legs, and feet
A combination of pain, discomfort, tingling sensations and numbness
Painful sensations on one or both sides of the human body
Sciatica commonly occurs when an underlying health issue results in the compression or impingement of the sciatic nerve in the lower back. A bulging or herniated disk is one of the most common causes of sciatica. However, a variety of other underlying health issues can cause sciatica and determining what causes sciatica is necessary for proper treatment. In part 1 of this article, we will demonstrate the differences between sciatica and other health issues with similar painful symptoms.
Degenerative Disc Disease
The intervertebral discs also referred to as spinal discs or intervertebral fibrocartilage, provide the padding required between the vertebrae of the spine. The intervertebral discs are an elastic structure made from fibrocartilage tissue. The intervertebral discs cushion the stress of the spine, bears weight, and also helps the spine bend and flex.
As people age, repeated daily stresses on the backbone and occasional trauma and/or injuries, including minor, undetected health issues, may ultimately damage the intervertebral discs in the back. Changes caused by damage may include:
Decreased fluid: The intervertebral disks of a healthy young adult are made up of around 90 percent fluid. With age, the fluid material decreases, causing the disc to become thinner. The distance between each vertebra, in turn, becomes smaller and it makes them even less effective to function as a cushion or shock-absorber.
Disc structure: Small tears or cracks can become larger in the outer layer of the disc. The soft and gelatinous material from the inner part may push through the disc, causing a bulging or ruptured disc. The disc may break into fragments.
If the vertebrae have less padding between them, the backbone also becomes less stable. To compensate, the human body builds osteophytes, or bone spurs, small bony structures which develop along the edge of bones. These structures can compress or impinge the spinal cord or nerve roots. These changes can cause painful symptoms and lead to fatigue.
The pain and discomfort can range from mild to severe and it may often be debilitating. It may result in osteoarthritis along with pain and stiffness. When degenerative disc disease affects the low back or the lumbar spine, the pain may radiate down the buttocks, hips, and thighs, into the knees and feet. There might also be tingling sensations and numbness, the collection of symptoms known as sciatica, caused due to the compression or impingement of the sciatic nerve.
Radiculopathy
The spine consists of 33 bones, best known as vertebrae, which shield the spinal cord from experiencing injury or trauma. Each vertebra is cushioned from each other with an intervertebral disk. This shields the vertebrae from rubbing over each other. When trauma or injury does occur, these intervertebral discs can become damaged and cause the compression or impingement of a nerve. Depending on which nerve is compressed, an individual can experience a variety of painful symptoms, including sciatica or sciatic nerve pain. Individuals can also develop radiculopathy seemingly without a cause. Radiculopathy can ultimately develop due to a variety of injuries and/or aggravated conditions, including:
Herniated discs, or when a disc protrudes, irritating the nerve root
Sciatica
Degenerative disc disease
Bone spurs
Tumors in the spine
Osteoarthritis or spinal arthritis
Spinal stenosis, or the narrowing of the spinal canal
Compression fractures
Spondylolisthesis, or when a vertebra slides over the vertebra beneath it
Scoliosis brought on by an abnormal curve in the backbone
Diabetes, caused by altered nerve blood flow
Cauda equine syndrome, or a condition where nerve root compression affects the pelvic organs and lower extremities
Additional risk factors for developing radiculopathy include:
Aging
Being overweight or obese
Poor posture
Improper lifting methods and techniques
Repetitive movements
A family history of degenerative bone health issues
Individuals may experience painful symptoms in the low back, hips, and legs when nerve compression or impingement occurs in the lumbar spine or low back region of the spine. Lumbar radiculopathy is also commonly referred to as sciatica or sciatic nerve pain. Sciatica symptoms include pain, tingling sensations, and numbness along the length of the sciatic nerve. Occasionally, the nerve roots in charge of controlling the bowel and bladder may become irritated, resulting in bowel or bladder incontinence as well as loss of control. Other generalized symptoms associated with lumbar radiculopathy include:
Sharp pain extending from the low back to the foot
Sharp pain with sitting or coughing
Weakness or numbness in the lower extremities
Tingling sensations and numbness in the lower extremities
Hypersensitivity, or sensitivity and reflex alterations
Sharp pain radiating into the upper extremities
Intense pain and discomfort with movements of the head and/or neck
Piriformis Syndrome
People with sciatic nerve pain, or sciatica, will often report experiencing pain and discomfort, tingling sensations, and numbness anywhere along the length of the sciatic nerve. The sciatic nerve is the longest and largest nerve in the human body, which travels from the lower back into the hip and buttocks, down into the thighs, knees, legs, and feet. People with sciatica, or sciatic nerve pain, may also experience another common health issue known as piriformis syndrome.
Piriformis syndrome can cause sciatica when a piriformis muscle spasm irritates the sciatic nerve. The piriformis is a muscle which extends from the front of the sacrum, the triangle-shaped bone between the two hipbones in the pelvis, across the sciatic nerve and into the top of the femur, the large bone in the upper leg. When an injury or underlying condition causes the piriformis muscle to compress or impinge the sciatic nerve due to inflammation, the end result is piriformis syndrome.
Sciatica is the most common symptom associated with piriformis syndrome. Other common symptoms associated with piriformis syndrome include tingling sensations and numbness, muscle tenderness, pain and discomfort while sitting or engaging in physical activities, and difficulty sitting comfortably. The pain and discomfort will generally manifest on one or both sides of the hips, buttocks, and thighs, where it will then radiate down the back of the leg, knees, and feet.
Facet Arthropathy
The facet joints are the joints which are found behind the spine to counterbalance the intervertebral discs found between the vertebrae of the spine. Over time, the natural aging process can cause the facet joints to deteriorate or wear down, causing facet joint arthritis or facet arthropathy. Individuals with facet arthropathy will experience low back pain as a dull ache on one or both sides of the lower back or lumbar spine which can worsen with standing, twisting, or bending backward.
However, unlike the well-known signs and symptoms of sciatica, caused by the compression or impingement of the sciatic nerve in the lower back, facet arthropathy signs and symptoms generally don’t radiate down the buttocks, hips, and thighs, or into the legs and feet. However, the facet joint, in the same way as any other joint which has arthritis, can also become enlarged and add pressure on nerve roots, causing pain and discomfort to radiate down into the lower extremities.
Facet arthropathy may cause bone spurs, tiny bone outgrowths. Bone spurs can decrease the distance available between nerve roots, causing a health issue known as spinal stenosis. Spinal stenosis may cause pain, weakness, and numbness on the buttocks, hips, and thighs. It’s frequently associated with other health issues which could lead to facet arthropathy. The natural aging process is frequently considered to be one of the most common indirect sources of facet arthropathy. Other health issues which can ultimately affect the facet joints and cause facet arthropathy include:
Osteoarthritis: Degeneration of joint cartilage and underlying bone, generally during middle age
Facet joint degeneration: Wear and tear on the facet joint brought on over time due to aging
Facet joint injury: Trauma to the facet joints caused by an impact, such as a fall or automobile accident
Synovial cyst: A fluid-filled sac which develops in the spine, generally as a result of aging
Ischiofemoral Impingement
Ischiofemoral impingement syndrome is a condition which occurs when the ischium and the head of the femur experience excessive amounts of pressure, generally due to trauma, overuse, or surgery. The trauma, overuse, or surgery, can also cause bone spurs to grow along the ischium. This gives the bones an abnormal shape which makes them no longer fit together.
Because these don’t fit properly together anymore, the bones may then start to rub against each other during movement causing friction which can damage the joint and cause painful symptoms. As friction worsens, the pain may also increase and restrict movements. The symptoms for ischiofemoral impingement may vary and treatment can also depend on symptoms.
The main symptom of ischiofemoral impingement syndrome is hip pain. The pain from this underlying health issue may start off as mild, however, it can often worsen as the rubbing of the bones causes more damage and inflammation. Ischiofemoral impingement syndrome can feel similar to a pulled hamstring but the pain is generally closer to the buttocks like sciatica.
Ischiofemoral impingement occurs due to excess friction between the top of the thighbone, or the femur, and the hip bone, or the ischium. These two bones generally touch in a way which allows them to move without causing pain, however, trauma, overuse, and surgery can ultimately damage the bone. Moreover, if the damage causes a bone spur to grow on the hip or femur, as described above, the extra piece of bone can cause more damage and make the condition worse.
When you seek medical attention for a medical concern, it’s fundamental for the healthcare professional to accurately diagnose your health issue in order to follow-up with the proper treatment. A differential diagnosis is a list of possible injuries and/or underlying conditions which may be causing symptoms. Sciatica, a collection of symptoms commonly characterized by pain, discomfort, tingling sensations, and numbness, is a well-known health issue which can have many differential diagnosis. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article was to discuss the differential diagnosis in sciatica with a variety of other health issues. Accurate diagnosis and proper treatment are important for sciatic nerve pain management. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Severe Sciatica
Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.
Formulas for Methylation Support
XYMOGEN’s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly, Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download
* All of the above XYMOGEN policies remain strictly in force.
Athletes participate in a variety of exercises and physical activities on a regular basis, however, this can increase the risk of injury. Proper sports injury therapy depends on the correct diagnosis in order for them to be able to return-to-play quickly. Dr. Alexander Jimenez, a chiropractor, helps many athletes recover to optimal performance through the use of chiropractic treatment.
As El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.
We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.
We Are Ready To Help Get You Back To Optimal Performance!
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Our uplifting southwest community surrounded by it infinite beauty is a fantastic place to live and enjoy our families; it is, therefore, our mission to help each of our patients to live, to love, to matter and to thrivepain-free in this beautiful special place.
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The facet joints are the joints which are found behind the spine to counterbalance the intervertebral discs found between the vertebrae of the spine. These are ultimately essential for restricting the movements of the spine for the vertebrae to maintain proper alignment. Over time, the natural aging process can cause the facet joints to deteriorate or wear down. Facet joint arthritis can also gradually develop over time, as it may in any other joint. This is referred to as arthropathy.
What are the Symptoms of Facet Arthropathy?
Individuals with facet arthropathy will generally experience low back pain which can often worsen with standing, twisting, or bending backward. The painful symptoms associated with facet joint arthropathy occur in one specific region of the spine. The pain and discomfort are commonly described as a dull ache on one or both sides of the lower back or lumbar spine. However, unlike the well-known signs and symptoms of sciatica, caused by the compression or impingement of the sciatic nerve in the lower back, facet arthropathy signs and symptoms generally don’t radiate down the buttocks or into the legs.
However, the facet joint, in the same way as any other joint which has arthritis, can become enlarged and add pressure on nerve roots, causing pain and discomfort to radiate down the lower extremities. Facet arthropathy symptoms are generally relieved by bending forward. Bending your body forward into a spinal flexion position can help reduce painful symptoms.
What Causes Facet Arthropathy?
The natural aging process is frequently considered to be one of the most common indirect sources of facet arthropathy. Other health issues which can affect the facet joints and ultimately cause facet arthropathy include:
Osteoarthritis: Degeneration of joint cartilage and underlying bone, generally during middle age
Facet joint degeneration: Wear and tear on the facet joint brought on over time due to aging
Facet joint injury: Trauma to the facet joints caused by an impact, such as a fall or automobile accident
Synovial cyst: A fluid-filled sac which develops in the spine, generally as a result of aging
How is Facet Arthropathy Diagnosed?
If you’re experiencing chronic low back pain, make an appointment with a healthcare professional to determine a diagnosis and follow-up with the proper treatment. By performing a physical evaluation, your healthcare professional will then be able to analyze the source of your painful symptoms. The doctor will also ask you questions regarding your medical history and your symptoms as well as order several of the following tests to help diagnose facet arthropathy, including:
CT scan or MRI scan: These imaging tests can show evidence of facet joint degeneration, even mild to moderate cases.
Bone scan: This test shows bone density to demonstrate any source of inflammation on the spine.
Anti-inflammatory steroid injection: An injection into your facet joint can determine facet arthropathy.
X-rays: These will help the healthcare professional evaluate the overall health and wellness of your spine.
Can Facet Arthropathy Cause Other Health Issues?
Facet arthropathy may cause bone spurs, tiny bone outgrowths. Bone spurs can decrease the distance available between nerve roots, causing a health issue known as spinal stenosis. Spinal stenosis may cause pain, weakness, and numbness on the buttocks, hips, and thighs. It’s frequently associated with other health issues which could lead to facet arthropathy.
Arthritis caused by a variety of other health issues, such as degenerative disc disease, can occur due to the human body’s natural aging process, causing the discs between the vertebrae of the spine to lose their flexibility, elasticity, and capacity to absorb shock from walking and other physical activities. This may ultimately cause painful symptoms to develop.
How is Facet Arthropathy Treated?
There are numerous treatment approaches to help treat facet arthropathy symptoms. Treatments include:
Anti-inflammatory drugs and/or medications
Avoidance of movements which cause pain and discomfort, such as repetitive twisting or lifting
Physical therapy
Chiropractic care
Epidural steroid injections
Facet joint ablation or the destruction of the facet nerves with electrical shocks
Spinal surgery when there is nerve-root compression
Differential Diagnosis of Hip Pain and Discomfort
Facet joint arthropathy is a well-known health issue which can commonly occur due to the human body’s natural aging process, however, injury or underlying conditions may also cause facet joint arthropathy. Although facet joint arthropathy may cause pain, discomfort, and numbness in the lower back, the symptoms are different from sciatica in which these don’t radiate down the buttocks, legs, and/or feet. Diagnosis is essential for facet joint arthropathy to follow-up with treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article was to discuss degenerative disc disease and sciatica. Degenerative disc disease is often associated with pain, tingling sensations, and numbness, similar to the symptoms of sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Severe Sciatica
Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.
Formulas for Methylation Support
XYMOGEN’s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly, Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download
* All of the above XYMOGEN policies remain strictly in force.
Degenerative disc disease is a health issue which occurs when one or more of the discs found between the vertebrae of the spine break down, causing painful symptoms and other problems. Common symptoms may include pain, tingling sensations, weakness, and numbness. Despite its name, degenerative disc disease is actually not a disease, but rather, a natural process which occurs with aging. The rubbery discs found between the vertebrae function like shock absorbers, allowing the back to flex and bend accordingly. When they wear out, however, they no longer provide as much protection as before.
Causes
The intervertebral discs also referred to as spinal discs or intervertebral fibrocartilage, provide the padding required between the vertebrae of the spine. The intervertebral discs are an elastic structure made from fibrocartilage tissue. The outer part of the disc is referred to as the annulus fibrosus. The annulus fibrosus is tough and it’s made up of many overlapping layers. The inner part of the disc is referred to as the nucleus pulposus. The nucleus pulposus is soft and gelatinous. The intervertebral discs cushion the stress of the spine, bears weight, and also helps the spine bend and flex.
As people age, repeated daily stresses on the backbone and occasional trauma and/or injuries, including minor, undetected health issues, may ultimately damage the intervertebral discs in the back. Changes caused by damage may include:
Decreased fluid: The intervertebral disks of a healthy young adult are made up of around 90 percent fluid. With age, the fluid material decreases, causing the disc to become thinner. The distance between each vertebra, in turn, becomes smaller and it makes them even less effective to function as a cushion or shock-absorber.
Disc structure: Small tears or cracks can become larger in the outer layer of the disc. The soft and gelatinous material from the inner part may push through the disc, causing a bulging or ruptured disc. The disc may break into fragments.
If the vertebrae have less padding between them, the backbone also becomes less stable. To compensate, the human body builds osteophytes, or bone spurs, small bony structures which develop along the edge of bones. These structures can compress or impinge the spinal cord or nerve roots. Other health issues caused by degenerative disc disease includes the breakdown of cartilage or the tissue which cushions the joints, a bulging disc, known as a herniated disc, and a narrowing of the spinal cord, also referred to as spinal stenosis. These changes can cause painful symptoms and lead to fatigue.
Symptoms
Degenerative disc disease can either cause no symptoms or the pain and discomfort may be so severe, it can tremendously affect an individual’s quality of life. This health issue generally aggravates due to injury or trauma to the backbone, however, symptoms can also affect other parts of the human body, depending on the direct location of the degenerative disc disease. The pain and discomfort can range from mild to severe and it may often be debilitating. It may ultimately result in osteoarthritis, with pain and discomfort along with stiffness in the back. Fatigue can generally accompany other symptoms.
If degenerative disc disease affects the low back or the lumbar spine, the pain and discomfort may radiate down the buttocks, hips, and thighs, into the knees and feet. There might also be tingling sensations and numbness, a collection of symptoms known as sciatica, caused due to the compression or impingement of the sciatic nerve. If degenerative disc disease affects the neck or the cervical spine, the pain and discomfort may radiate into the shoulders, arms, and hands. The painful symptoms may worsen when sitting, bending, twisting or lifting. Rest may help provide some pain relief.
Diagnosis
A healthcare professional will ask the patient about their symptoms, including where and when the pain developed as well as whether there are tingling sensations or numbness. The doctor may also need to know which circumstances cause the most painful symptoms and if the patient suffered any injuries and/or aggravated conditions. A physical evaluation may examine pain and discomfort in response to touch or movement, muscle strength, flexibility, and performance, as well as nerve structure and function. The healthcare professional may also order diagnostic tests, such as MRI or CT scans.
Treatment
Treatment for degenerative disc disease might include occupational therapy, physical therapy, chiropractic care, exercise or physical activity, drugs and/or medications, weight loss, and surgery. Medical options include injecting the joints next to the broken disc with steroids and a local anesthetic. Medicines include pain relief medicine, such as Tylenol, and non-steroidal anti-inflammatory medications, or NSAIDs, including ibuprofen. Muscle relaxers and steroids may also be prescribed.
A corset or brace may also offer back support. Patients who don’t respond well to conservative treatment options might require surgery. Furthermore, a patient who develops osteoarthritis, a herniated disc, or spinal stenosis may require a combination of different types of treatment approaches to achieve pain relief. It’s fundamental for a healthcare professional to provide a patient with the proper diagnosis of their symptoms to follow-up with the most appropriate treatment.
Differential Diagnosis of Hip Pain and Discomfort
Degenerative disc disease is characterized as the normal, gradual deterioration of the intervertebral discs with age, which may occasionally cause a variety of painful symptoms. Common symptoms associated with degenerative disc disease can include pain and discomfort, tingling sensations, and numbness, similar to sciatica. Painful symptoms may also cause fatigue and other health issues. Nearly everyone’s intervertebral discs will break down over time, however, not everyone will develop painful symptoms. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article was to discuss degenerative disc disease and sciatica. Degenerative disc disease is often associated with pain, tingling sensations, and numbness, similar to the symptoms of sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Severe Sciatica
Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.
Formulas for Methylation Support
XYMOGEN’s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly, Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download
* All of the above XYMOGEN policies remain strictly in force.
Automobile accidents are unfortunate conditions which can tremendously influence an individual’s quality of life, health, and wellbeing. Car crash injuries, such as whiplash-associated ailments, neck pain, and back pain, can finally cause debilitating symptoms which can greatly limit an individual’s capacity to take part in their regular responsibilities.
Patients describe how Dr. Alex Jimenez, chiropractor or doctor of chiropractic in El Paso, TX, has helped them regain their quality of life in addition to their general health and wellness. Chiropractic care is a safe and effective, alternative treatment option that focuses on the identification, therapy, and prevention of a variety of health problems, including car crash injuries. Patients highly recommend Dr. Alex Jimenez since the non-surgical choice for auto accident accidents.
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Simply defined, fibromyalgia syndrome (FMS) can be said to be a debilitating illness, characterized primarily by musculoskeletal pain, fatigue, sleep disturbances, depression and stiffness (Yunus & Inanici 2002). There is no single cause, or cure, for its widespread and persistent symptoms (however, as will become clear, there do seem to exist distinct subsets of individuals with different aetiologies to their conditions, such as thyroid imbalance and whiplash injuries).
After being involved in an automobile accident, injuries inflicted to the spine can be a common complication for many individuals. From herniated discs to compression fractions, the force of an auto collision can place great amounts of stress on the complex structures of the spine, often leading to damage, injuries and even aggravate an existing condition.
The spine consists of 33 bones, best known as vertebrae, which shield the spinal cord from experiencing injury or trauma. The bones of the spine permit an individual to remain upright, bend, and twist. The vertebrae are held in place by a collection of muscles, tendons, and ligaments. Nerves also extend from the spine to the upper and lower extremities, such as the arms and legs. The spine curves in an S-shape, which is essential for spinal health. These curves are accountable for equilibrium, shock absorption, and a range of movements. Each section of the backbone has a specific name and function. They are the:
Cervical spine or neck
Thoracic spine or middle back
Lumbar spine or lower back
Sacrum, which links the backbone to the hips
Coccyx or tail bone
Each vertebra is cushioned from each other with an intervertebral disk. This shields the vertebrae from rubbing over each other. When trauma or injuries occur, these intervertebral discs can become damaged and cause the compression or impingement of a nerve. Depending on which nerve is compressed, an individual can experience a variety of painful symptoms, including sciatica or sciatic nerve pain. Individuals can develop radiculopathy as a result of an injury, or it may occur seemingly without a cause. People within 30 to 50 years old are most likely to experience radiculopathy.
Causes and Risk Factors
Radiculopathy can ultimately develop due to a variety of injuries and/or aggravated conditions, including:
Herniated discs, or when a disc protrudes, irritating the nerve root
Sciatica
Degenerative disc disease
Bone spurs
Tumors in the spine
Osteoarthritis or spinal arthritis
Spinal stenosis, or the narrowing of the spinal canal
Compression fractures
Spondylolisthesis, or when a vertebra slides over the vertebra beneath it
Scoliosis brought on by an abnormal curve in the backbone
Diabetes, caused by altered nerve blood flow
Cauda equine syndrome, or a condition where nerve root compression affects the pelvic organs and lower extremities
Additional risk factors for developing radiculopathy include:
Aging
Being overweight or obese
Poor posture
Improper lifting methods and techniques
Repetitive movements
A family history of degenerative bone health issues
Signs and Symptoms
Since the nerve roots extending from the spinal cord travel throughout various areas of the human body, many individuals will experience different symptoms depending on the location where the nerve compression or impingement occurs. We will discuss the different symptoms an individual may experience depending on where the irritation occurs along the spine.
Cervical Radiculopathy
Cervical radiculopathy develops when a nerve in the neck, or cervical spine, becomes compressed or impinged due to an injury and/or aggravated underlying condition. The symptoms associated with cervical radiculopathy include:
Pain in the neck, shoulder, upper back, or arm
Weakness or numbness is generally experienced on a single side of the human body
Thoracic Radiculopathy
Individuals may commonly experience painful symptoms in their chest and torso when nerve compression or impingement occurs in the thoracic spine or middle back region of the spine. Thoracic radiculopathy may be frequently misdiagnosed as shingles, heart, abdominal, or gallbladder problems. The symptoms associated with thoracic radiculopathy include:
Burning or shooting pain in the ribs, side, or abdomen
Tingling sensations and numbness
Lumbar Radiculopathy
Individuals may experience painful symptoms in the low back, hips, and legs when nerve compression or impingement occurs in the lumbar spine or low back region of the spine. Lumbar radiculopathy is also commonly referred to as sciatica or sciatic nerve pain. Sciatica symptoms include pain, tingling sensations, and numbness along the length of the sciatic nerve. Occasionally, the nerve roots in charge of controlling the bowel and bladder may become irritated, resulting in bowel or bladder incontinence as well as loss of control. Other generalized symptoms associated with lumbar radiculopathy include:
Sharp pain extending from the low back to the foot
Sharp pain with sitting or coughing
Weakness or numbness in the lower extremities
Tingling sensations and numbness in the lower extremities
Hypersensitivity, or sensitivity and reflex alterations
Sharp pain radiating into the upper extremities
Intense pain and discomfort with movements of the head and/or neck
Diagnosis
Together with a physical evaluation and review of symptoms, healthcare professionals may diagnose radiculopathy utilizing:
Radiologic imaging with X-ray, MRI, and CT scans
Electrical impulse testing, referred to as electromyography or EMG, to examine and test nerve function
Treatment
Normally, any type of radiculopathy can ultimately be treated without the need for surgical interventions or surgery. Based on the severity of the radiculopathy, healthcare professionals may recommend a variety of treatment approaches, including:
Non-steroidal drugs and/or medications, such as ibuprofen, aspirin, or naproxen
Oral corticosteroids or injectable steroids
Narcotic pain medicines
Physical therapy and chiropractic care
A soft cervical collar
Ice and heat therapy applications
In a variety of instances, healthcare professionals may recommend surgery to help treat the source of the nerve root compression or impingement. Several surgical interventions include repair of a herniated disc, widening of the spinal canal, eliminating a bone spur, or fusing the bones. Because each patient’s case is unique, healthcare professionals will discuss surgical recommendations in detail before following-up with the procedures. The options for surgery will depend on the cause of the radiculopathy and the overall health of the individual as well as other essential factors.
Prevention
Several strategies may ultimately help prevent and protect against nerve compression or impingement. These include:
Maintaining good posture, even if driving
Proper lifting methods and techniques
Participating in exercises or physical activities like weight-bearing exercises
Developing core strength
Maintaining a healthy weight
Taking frequent breaks and incorporating stretching
Avoiding tilting the head to hold the phone to the shoulder
Differential Diagnosis of Hip Pain and Discomfort
Radiculopathy is characterized as the compression or impingement of a nerve root in the spine. The irritation of this well-known health issue can cause a wide variety of uncomfortable and painful symptoms, including pain and discomfort, tingling sensations, weakness, and numbness. Lumbar radiculopathy can also sometimes be referred to as sciatica. Sciatica is characterized as a collection of symptoms, similar to those previously described, due to the compression or impingement of the sciatic nerve in the low back. Proper diagnosis is essential for treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article was to discuss radiculopathy and sciatica. Radiculopathy is often associated with common symptoms, including pain, tingling sensations, and numbness, similar to sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Severe Sciatica
Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.
Formulas for Methylation Support
XYMOGEN’s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly, Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download
* All of the above XYMOGEN policies remain strictly in force.
An adductor muscle strain is characterized as an acute injury to the muscles of the groin. Although a variety of muscles in the human body can be injured, the adductor longus, medius, magnus, and the gracilis are some of the most well-known muscle groups to be affected by an injury. Strains are muscle tears which generally occur due to the powerful contraction of the muscles against resistance, often during what is referred to as an eccentric load.
An eccentric load describes some muscle contraction while the muscle is lengthening, versus concentric, where the muscle is shortening during some muscle contraction. Most weight-lifting exercises and physical activities involve concentric contraction. By way of instance, bench press involves eccentric contraction. Moreover, tears can occur at the origin of the muscle, at the muscle-tendon junction, or inside the belly of the muscle(s). Tears most frequently happen at the muscle-tendon junction. The least common tendon injury occurs at the region of its bony attachment.
Adductor muscle strains may be graded I-III depending upon their seriousness. A grade I injury involves a moderate strain with some pain and discomfort, tenderness, and bleeding, but no fiber disruption. The adductor muscle’s overall integrity is maintained although a Grade II injury involves further damage. A grade III injury involves disruption resulting in a loss of tendon integrity. Most adductor muscle strains are considered to be grade I or II injuries.
Causes and Symptoms of an Adductor Strain
As previously mentioned above, an adductor muscle strain occurs during acute muscle contraction, such as during kicking, pivoting or skating. Factors which can predispose a person to injury include failure to properly stretch or warm up and fatigue from overuse. The risk of experiencing an adductor strain increases with sports involving strides like sprinting, soccer, and hockey. Sports with repeated movements like football, martial arts, and gymnastics can also substantially increase the risk of experiencing an adductor strain. Struggling to warm up, stretch or be properly conditioned can also cause injury.
The symptoms associated with an adductor muscle strain most commonly involve a variety of painful symptoms which are most frequently related to other types of muscle strain. Common symptoms of an adductor muscle strain include a sudden onset of pain and discomfort, occasionally accompanied by the feeling of a pop in the inner section of the thigh as well as the inability to maintain action after the first onset of painful symptoms. Because an adductor strain may cause groin or hip pain, many patients and healthcare professionals may confuse this type of injury with sciatica or sciatic nerve pain.
Diagnosis and Treatment for an Adductor Strain
A healthcare professional can diagnose an adductor muscle strain through the patient’s medical history and a physical evaluation. Clinical findings include tenderness to palpation or touch, bruising through the inner thigh, as well as swelling and heat within the region of the injury. With acute tears, there might be a palpable defect over the area of the injury. Motion testing of the hip is normal, however, pain generally occurs while the patient is asked to contract the muscles. In these cases, asking the patient to bring their leg towards midline can ultimately cause pain and is generally accompanied by weakness.
X-rays are often not utilized to diagnose an adductor muscle strain, however, they are appropriate in instances in which there are tenderness at the site of bony insertion or in young patients and/or athletes. In children, the attachment sites of a muscle and/or tendon are weaker and vulnerable to fracture. MRI can provide the precise location of an injury and the extent might help estimate return to play, or in rare cases, help identify any other cases which may require surgical interventions.
Many adductor muscle strains respond positively to conservative treatment. The utilization of ice therapy and anti-inflammatory medicine are appropriate for acute muscle strains. As symptoms improve, stretching and exercises are generally not recommended. The healthcare professional may suggest a physical therapy program. Surgery may be required for adductor muscle tendon tears. Repair entails an open incision within the site of injury and reattachment of the tendon. Surgery is also essential in patients who have chronic pain whose symptoms don’t respond to conservative therapy.
What is Adductor Tendinopathy?
Adductor tendinopathy is generally characterized as pain on palpation of the adductor tendons, adduction of the legs and/or of the injured leg. Pain can develop gradually or cause a sudden and severe, sharp pain. A swelling or a lump may also be experienced from the adductor muscle(s), stiffness at the groin area or an inability to contract or extend the adductors. In acute cases, exercises and physical activities will be restricted because the tendon can’t sustain repeated tensile loading.
Causes and Symptoms of Adductor Tendinopathy
The adductors are triggered in many sports such as, running, soccer, horse riding, gymnastics, and swimming. The repetitive movements and the continuous change of direction in physical activities activate the adductor tendon, which makes athletes more prevalent to develop adductor tendinopathy and other groin injuries. Other causes of adductor tendinopathy can include over-stretching of the adductor tendons or a sudden increase in training, especially in the type of training.
Adductor tendinopathy may occur due to considerable leg length discrepancy which affects gait pattern. Poor or abnormal movement patterns may also overly stress the adductor tendons. Muscular length gaps, strength imbalances or muscular weakness in the thoracic or the abdominals can also be powerful in developing adductor tendinopathy. Other causes include a failure to properly warm-up, inactivity, fatigue, obesity, age-related weaknesses, genetics or degeneration.
Diagnosis and Treatment for Adductor Tendinopathy
A healthcare professional can safely and effectively develop an appropriate treatment plan following a thorough diagnosis or further investigations could be undertaken, including ultrasound, MRI or CT scans. Achieving pain relief through the utilization of NSAIDs may be ineffective due to the non-inflammatory nature of the injury. Steroid injections are also not necessarily recommended due to potential tendon rupture if these are injected directly into the tendon.
Physical therapy is often recommended for the treatment of adductor tendinopathy, although there’s no golden standard for the proper rehabilitation of the adductor tendon. Recovery is extremely variable across individuals because the injury may be degenerative or even due to previously failed healing. Strengthening exercises and physical activities are also recommended to promote proper healing. Treatment should be customized to the patient to avoid recurrence.
Other treatment for adductor tendinopathy generally consists of avoiding exercise or physical activity in the first 48 hours. The patient should then apply the RICE treatment three times per day for 10-20 minutes to help reduce swelling and inflammation from any sudden trauma. If the painful symptoms have decreased, blood flow stimulation therapy could be started to help promote the healing process. Active treatment is subsequently suggested to follow up with rehabilitation.
Furthermore, the goal of rehabilitation is to restore the adductor muscle and tendon properties where strength training is beneficial to the adductor structure, muscle building, and biomechanics. Recent research studies have also demonstrated that an eccentric based exercise program is the most effective as well as heavy-slow eccentric and concentric exercises for enhancing both function and symptoms. For effective treatment identifying the stage of the tendinopathy is also essential.
Differential Diagnosis of Hip Pain and Discomfort
Most commonly well-known as a groin strain, an adductor muscle strain is a type of injury which affects one of a group of muscles found at the top of the thigh. Meanwhile, adductor tendinopathy can affect the tendons of the adductor muscles. Both of these type of injuries can ultimately cause a variety of painful symptoms and they generally require time to heal properly. Because of the location of the injury, many patients and healthcare professionals may confuse groin injuries with sciatica without proper diagnosis. Proper diagnosis is essential to follow-up with proper treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article was to discuss adductor muscle strain, tendinopathy, and sciatica. It has also been observed that patients with adductor injuries may confuse their symptoms for sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Severe Sciatica
Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.
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Doctors of chiropractic (DCs), are qualified and experienced to recommend therapeutic and rehabilitative exercises and physical activities, as well as, nutritional, dietary, and lifestyle counseling to help improve an individual’s overall health. Chiropractors perform hands-on, drug-free treatment, which includes diagnosis, adjustments, and injury prevention.
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