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By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Arthritis, Chiropractic Care, El Paso TX, Exercises, Physio, Therapy chronic stiffness relief, daily stretching routine, flexibility and mobility, injury prevention movement, integrative chiropractic care, joint mobility, movement efficiency, muscle stiffness, nurse practitioner musculoskeletal care, posture and flexibility, range of motion exercises, reduced flexibility, stretching benefits, tight muscles, what happens if you don’t stretch

What Happens If You Don’t Stretch Regularly

How Integrative Chiropractic + NP Care Can Help

Most people don’t skip stretching on purpose. Life gets busy. You sit, drive, work, cook, lift kids or groceries, and move through your day without thinking much about flexibility—until your body starts “talking.”

That “talking” can sound like:

“My neck feels stuck when I turn.”
“My lower back is tight every morning.”
“My hips feel stiff getting out of the car.”
“My hamstrings feel like guitar strings.”
“I’m not injured, but everything feels harder.”

While stretching is not magic, regular stretching (and basic mobility work) supports how your muscles, joints, and nervous system work together. When stretching is missing for a long time, muscles can feel tight and stiff, daily movement can feel less smooth, and your risk of strains can go up—especially when you suddenly ask your body to do something harder than usual. (Harvard Health Publishing, 2024; Mayo Clinic Staff, n.d.). Harvard Health+1

This article explains what can happen when you don’t stretch regularly, why stiffness builds over time, and how integrative chiropractic care plus a nurse practitioner (NP) can support better movement, comfort, and function—using a team-based, whole-person approach.

The Simple Truth: Your Body Adapts to What You Repeatedly Do

Your muscles and connective tissues adapt to your habits.

If you move often, you tend to maintain a usable range of motion.
If you stay still often, your body gets “good” at being still.
Some muscles may stay in shortened positions for hours on end if you spend a lot of time sitting or driving.

Stretching helps counter the “always in one position” problem. It’s one reason many medical and fitness education resources describe stretching as supportive for flexibility, joint range of motion, and daily function. (Harvard Health Publishing, 2024; Mayo Clinic Staff, n.d.). Harvard Health+1

What Muscle Stiffness Really Means (In Plain Language)

“Stiffness” is not just one thing. It can come from several common situations:

1) Too little movement for too long

After prolonged periods of minimal movement (such as sitting, bed rest, or low activity), muscles can feel tight and resistant. (Osmosis, n.d.). Osmosis

2) Doing “new” or harder activity than usual

When you do a new exercise or push harder than normal, you can create small amounts of muscle stress, which may lead to soreness and stiffness afterward—especially if you don’t train consistently. (Osmosis, n.d.). Osmosis

3) Hydration and electrolytes can matter

Electrolyte shifts after sweating can affect how muscles contract and how the nervous system communicates with muscles. That’s one reason hydration, nutrition, and recovery routines matter too. (Osmosis, n.d.). Osmosis

If You Don’t Stretch, Do Your Muscles “Shorten”?

You may have heard: “If you don’t stretch, your muscles will shorten.”

A helpful clarification is this:

For most people living a normal life, the bigger issue is that they become less mobile and less flexible, which can feel like shortening.
True physical shortening can occur in specific situations (such as prolonged immobilization), but in daily life, it’s more about stiffness, decreased mobility, and reduced tolerance for movement. (adidas, 2025). adidas

So the main risk is practical: movement feels harder, and your body has less “room” to move smoothly.

What Happens Over Time If You Rarely Stretch

When stretching and mobility are missing for weeks or months, several patterns are common.

You may notice a reduced range of motion

Range of motion is how far a joint can move comfortably. Many reputable health resources note that stretching can help joints move through a fuller range of motion and support everyday activity. (Mayo Clinic Staff, n.d.). Mayo Clinic

You may feel “tight,” then weaker in certain positions

Some muscles can become tight and less effective at lengthening when needed. This can alter your ability to squat, reach, rotate, and walk—particularly if you spend a significant amount of time seated. (Harvard Health Publishing, 2024). Harvard Health

Movement efficiency can drop

When your body can’t access normal ranges easily, it often compensates. You might twist through your lower back instead of your hips, shrug your shoulders instead of using your upper back, or flare your ribs instead of using your core. Over time, those compensation patterns can create nagging aches.

Daily tasks can feel harder

This is a big one. Many people don’t care about stretching until it affects real life:

Looking over your shoulder while driving
Bending to tie shoes
Reaching overhead in the kitchen
Carrying a child or lifting a box
Standing up from the couch without stiffness

Mayo Clinic notes that stretching can improve the ability to do daily activities and help muscles work more effectively. (Mayo Clinic Staff, n.d.). Mayo Clinic

How Not Stretching Can Increase Injury Risk

“Injury risk” doesn’t mean stretching prevents all injuries. It doesn’t.

But here’s the practical idea: tight, under-prepared tissues can be easier to strain when you suddenly demand more from them.

Harvard Health explains that without regular stretching, muscles can become tight and fail to extend fully during activity, increasing the risk of joint pain, strains, and muscle damage—especially during sudden, strenuous movement. (Harvard Health Publishing, 2024). Harvard Health

Other clinical and rehab-oriented sources also describe that lack of flexibility can contribute to shortened/tight muscles and a higher risk of strains or injury. (OA Orthopaedics, 2024; Aegis Physical Therapy, 2023). OADuluth+1

Common “high-risk moments” when people get hurt

Weekend yardwork after a week of sitting
Holiday lifting and carrying (boxes, decorations)
A rigorous workout after weeks off
A long drive followed by sudden activity
Rushing and moving fast with cold muscles

Flexibility vs. Mobility (Why Both Matter)

People mix these terms up:

Flexibility = how far a muscle can lengthen.
Mobility = how well you can control movement through a range (often involving joints + muscles + nervous system).

Mobility work typically involves controlled movements through various ranges, whereas stretching can be either held or dynamic. Many fitness education sources describe mobility as supporting a greater range of motion and improved movement quality. (Aaptiv, n.d.). Aaptiv

Real-life takeaway:
If you only stretch but never build control and strength, you may not “own” your range. If you only lift but never work on mobility, your range may slowly shrink.

Stretching Benefits People Commonly Notice

Different people feel different results, but common benefits include:

Feeling less stiff when waking up
Smoother movement getting up from a chair
Better body awareness (posture and alignment)
Easier walking, squatting, reaching, and rotating
Better comfort after workouts

Mayo Clinic lists potential benefits like improved range of motion, supporting joints through full motion, increasing muscle blood flow, and supporting daily activity. (Mayo Clinic Staff, n.d.). Mayo Clinic

Some educational resources also describe increased blood flow to tissues with stretching, which supports recovery. (Fitness for Paramedics, n.d.). eCampusOntario Pressbooks

The “Right Way” to Stretch (So You Don’t Make Things Worse)

Stretching is usually safe, but technique matters.

Basic stretching safety rules

Mayo Clinic offers clear, widely used safety tips, including warming up first and avoiding stretching cold muscles. (Mayo Clinic Staff, n.d.). Mayo Clinic

Use these practical guidelines:

Warm up first: 5–10 minutes of easy walking or light movement.
Go to mild tension, not pain.
Breathe: a slow exhale helps your nervous system “downshift.”
Be consistent: small daily work beats one long session once a week.
Use dynamic stretching before activity (gentle movement-based stretches).
Use longer holds after activity (when tissues are warm).

A quick “green light / yellow light / red light” check

Green light (okay):

mild pulling
warmth
gradual easing

Yellow light (slow down):

sharp pinch
tingling
You can’t breathe comfortably through it

Red light (stop and get checked):

numbness/weakness
worsening nerve symptoms down an arm/leg
severe pain, swelling, fever, or unexplained symptoms

A Simple Daily Stretch Routine (10 Minutes)

This is a basic, general routine that many people tolerate well. Modify for comfort.

Lower body (5 minutes)

Calf stretch (30 seconds each side)
Hamstring stretch (30 seconds each side)
Hip flexor stretch (30 seconds each side)
Glute/hip stretch (30 seconds each side)

Upper body (5 minutes)

Chest opener (30–45 seconds)
Upper back reach (30–45 seconds)
Neck gentle side stretch (20–30 seconds each side)
Thoracic rotation (open books) (5–8 reps each side)

Harvard Health specifically highlights calves, hamstrings, hip flexors, and quads, as well as shoulders, neck, and low back, as key areas for mobility-focused stretching. (Harvard Health Publishing, 2024). Harvard Health

When Stretching Alone Is Not Enough

If you have persistent stiffness or pain, the problem may not be, “you need to stretch more.” Other factors can drive stiffness, including:

Joint restriction or irritation
Overuse patterns
Poor recovery and sleep
Past injuries (especially whiplash, falls, sports injuries)
Underlying conditions (thyroid issues, inflammatory disorders, medication effects)
Nerve irritation

Osmosis notes that muscle stiffness can come from overuse, immobility, electrolyte issues, and also underlying medical conditions. (Osmosis, n.d.). Osmosis

That’s where integrative care can be useful: you get both a movement-focused approach and a medical lens to rule out deeper causes.

How Integrative Chiropractic Care Can Help (Beyond “Cracking”)

Integrative chiropractic care is not just about one adjustment. A comprehensive approach often includes:

Examining joint motion and movement patterns
Addressing areas of restriction and compensation
Manual care (when appropriate)
Soft-tissue strategies
Home mobility and strengthening plans
Ergonomic guidance (desk, driving, sleep posture)

Dr. Alexander Jimenez, DC, APRN, FNP-BC often emphasizes that people dealing with joint and muscle pain—especially after injury—benefit from keeping the body flexible and using stretching as part of a bigger plan to reduce flare-ups and support function. El Paso, TX Doctor Of Chiropractic

His clinical content also discusses that when muscles are stiff and strained, continuing to force movement can worsen discomfort and further reduce range of motion—and that care may include adjustments and soft-tissue work to support mobility and restore motion. El Paso, TX Doctor Of Chiropractic

Separately, many chiropractic education resources describe adjustments as targeted, controlled techniques used to support mobility and function. (WorkPartners MD, 2024). Work Partners, PLLC

What the Nurse Practitioner Adds (And Why It Matters)

A nurse practitioner (NP) brings medical assessment and management skills to the same movement problem. That matters because stiffness sometimes has medical drivers.

NPs can help by:

Taking a full health history (sleep, stress, medications, and past injuries)
Screening for red flags (infection, inflammatory disease, neurological changes)
Ordering or interpreting appropriate tests (labs or imaging when needed)
Managing pain safely (when medication is appropriate)
Coordinating referrals (PT, imaging, specialists)
Coaching lifestyle factors that affect pain and recovery

Healthgrades summarizes that NPs can evaluate problems, diagnose conditions, interpret diagnostic tests, and provide a wide range of treatments (state rules vary). (Prosser, 2025). Healthgrades Resources

The American Nurses Association describes APRNs as meeting advanced educational/clinical requirements and providing services ranging from primary and preventive care to other specialty services. (ANA, n.d.). ANA

The Power of the Team: Chiropractor + NP Working Together

When chiropractic care and NP care collaborate, it can help patients avoid “one-sided” care (only exercises, only medication, or only manual therapy).

A collaborative plan often looks like this

Step 1: Clear diagnosis and safety screening
- Rule out serious causes of pain/stiffness
- Identify nerve involvement, red flags, or systemic issues
  (Osmosis, n.d.; Prosser, 2025). Osmosis+1
Step 2: Restore motion safely
- Joint and soft tissue approaches
- Targeted mobility plan
  (Mayo Clinic Staff, n.d.; Jimenez, n.d.). Mayo Clinic+1
Step 3: Build strength to keep the motion
- Strength + control so flexibility “sticks.”
- Simple home program that matches your real life
Step 4: Reduce flare-ups
- Work, driving, and sleep strategies
- Recovery routines (hydration, stress, sleep)

What patients often like about integrative care

You don’t have to guess what’s “normal soreness” vs. a real problem.
You get a plan that fits both your body mechanics and your health history.
You can track progress with measurable goals (range of motion, function, pain levels).

A Practical Self-Check: Are You Dealing With “Stretching Stiffness” or Something Else?

Ask yourself:

Does stiffness improve after a warm shower or light movement?
Does it improve after 5–10 minutes of walking?
Is it worse after sitting for a long time?
Do you feel “stuck” more than “injured”?

If yes, you may be dealing with a mobility/flexibility + recovery issue.

But get checked sooner if you have:

Pain shooting down an arm/leg with numbness or weakness
New balance problems or frequent falls
Fever, unexplained weight loss, or severe fatigue with pain
Symptoms after a significant accident

Because stiffness can sometimes be linked to broader medical conditions, evaluation is important when symptoms are persistent or worsening. (Osmosis, n.d.). Osmosis

Key Takeaways

If you don’t stretch regularly, it’s common to develop:

Reduced flexibility and usable range of motion
More stiffness with sitting, driving, or long workdays
Less efficient movement patterns (more compensation)
Higher strain risk during sudden activity

Stretching is most helpful when it’s:

Regular and gentle
Paired with mobility and strength
Guided by your symptoms and medical history

Integrative chiropractic care and nurse practitioners can work together to:

Improve motion and comfort
Address joint and soft tissue restrictions
Screen for medical causes of stiffness
Build a realistic home plan that protects your body long-term
(Mayo Clinic Staff, n.d.; Prosser, 2025; Jimenez, n.d.). Mayo Clinic+2Healthgrades Resources+2

Medical Disclaimer

This article is for educational purposes and is not medical advice. If you have severe pain, numbness, weakness, new neurological symptoms, or symptoms after a serious injury, seek urgent medical evaluation.

References

Advanced Practice Registered Nurses (APRN) — American Nurses Association. ANA
Add Stretching to Your Daily Routine to Improve Your Health — Aegis Physical Therapy. Aegis Physical Therapy
The Three Biggest Myths About Stretching — adidas (April 2025). adidas
Here’s How Different Methods of Mobility Affect Your Muscle Tone — Aaptiv. Aaptiv
The importance of stretching — Harvard Health Publishing (April 17, 2024). Harvard Health
Mobility Flexibility: El Paso, TX — Jimenez, A. (n.d.). El Paso, TX Doctor Of Chiropractic
Restore Range Of Motion With Chiropractic — Jimenez, A. (n.d.). El Paso, TX Doctor Of Chiropractic
Benefits of Flexibility and Stretching — Fitness for Paramedics (eCampusOntario Pressbooks). eCampusOntario Pressbooks
Stretching: Focus on flexibility — Mayo Clinic Staff. Mayo Clinic
Muscle Stiffness: What Is It, Causes, Treatment, and More — Osmosis. Osmosis
The Role Of Stretching And Flexibility Exercises — OA Orthopaedics (April 8, 2024). OADuluth
Treatments a Nurse Practitioner Can Provide — Prosser, A. (Updated July 23, 2025). Healthgrades Resources
Chiropractic Adjustments for Joint Health: Enhancing Mobility and Function — WorkPartners MD (January 5, 2024). Work Partners, PLLC

Natural Ways to Detox After the Holidays

December 18, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Diet, El Paso TX, Exercises, Gut Health, Physio, Sleep Hygiene, Therapy ChiroMed El Paso detox, chiropractic detox support, Dr Jimenez holiday detox, holiday reset ChiroMed, holistic healthcare detox, Integrative Medicine El Paso, natural detox El Paso TX, post-holiday detox tips, whole foods reset El Paso

Natural Ways to Detox After the Holidays

Reset Your Body at ChiroMed in El Paso, TX

The holidays bring joy, family time, and lots of tasty food and drinks. But by January, many people in El Paso feel tired, bloated, or sluggish from all the extras. Your body already knows how to clean itself with help from your liver, kidneys, and gut. You do not need harsh cleanses or special pills. Simple steps like drinking more water, eating real foods, cutting back on sugar and alcohol, sleeping well, and moving gently can support your natural detox systems. These changes reduce the extra work on your organs and help you feel better fast (Naples Center for Functional Medicine, n.d.). At ChiroMed – Integrated Medicine Holistic Healthcare in El Paso, TX, the team guides patients through safe, natural ways to reset after holiday indulgences. Dr. Alexander Jimenez and his staff combine chiropractic care, functional medicine, and wellness coaching to make detox easy and effective.

Why a Post-Holiday Reset Matters for El Paso Residents

Holiday parties, tamales, sweets, and drinks are part of the fun in El Paso. But too much sugar, rich foods, and alcohol can stress your liver and slow digestion. Stress from travel or family gatherings adds to the load. This can cause low energy, bloating, or even inflammation. Your body detoxes every day through sweat, urine, and bowel movements (Baptist Health South Florida, n.d.). The goal is to lighten the burden so these systems work better. Extreme detox plans can be unsafe and do not last (HealthCentral, n.d.). Instead, gentle habits give real results.

At ChiroMed in El Paso, patients often come in after the holidays feeling off. Dr. Alexander Jimenez, DC, APRN, FNP-BC, sees how holiday overeating and stress affect the spine, nerves, and gut. His holistic approach fixes misalignments while addressing nutrition and toxins at the root (Jimenez, n.d.).

Hydration: The Simple First Step to Flush Toxins

Water is the easiest way to help your kidneys and liver. After the holiday, many people are dehydrated without realizing it because of salty foods and drinks.

Drink 8-10 glasses of plain water daily, or about half your body weight in ounces (Healing Holidays, n.d.).
Start mornings with warm lemon water to wake up digestion and add vitamin C (Naples Center for Functional Medicine, n.d.).
Sip green tea or herbal teas like peppermint or dandelion – they support liver health with antioxidants (Brain Health DC, n.d.).
Eat hydrating foods such as cucumbers, oranges, or celery to boost fluid intake and nutrient intake (Patient First, n.d.).

Good hydration also helps prevent constipation and clears skin. At ChiroMed, the team reminds patients that proper water intake supports nerve function and overall balance (Jimenez, n.d.).

Nourish with Whole Foods: Fuel Your Body’s Clean-Up Crew

Real foods give your organs the vitamins and fiber they need to detox.

Focus on these after the holidays:

Dark leafy greens like kale and spinach – full of chlorophyll to help the liver (Baptist Health South Florida, n.d.).
Broccoli, cauliflower, and Brussels sprouts – they turn on liver enzymes that break down toxins (Lenny & Larry’s, n.d.).
Berries, apples, and citrus fruits – high in fiber to sweep waste from your gut (AustinMD Aesthetics & Wellness, n.d.).
Lean proteins like chicken, fish, eggs, or beans – they provide energy without overload (Naples Center for Functional Medicine, n.d.).
Garlic, turmeric, and ginger – natural anti-inflammatory helpers for digestion (Pure Luxe Medical, n.d.).

A sample day could include a green smoothie for breakfast, a big salad for lunch, and grilled fish with veggies for dinner. ChiroMed patients get custom meal ideas that fit busy El Paso lifestyles.

Cut Back on Alcohol and Processed Sugars: Give Your Liver a Break

Holiday cocktails and desserts spike blood sugar and tax the liver. Limiting them lets your body recover quickly.

Avoid sweets and refined carbs for a week or two to reset cravings (UPMC, 2015).
Skip alcohol – it dehydrates and slows detox (MassageLuxe, n.d.).
Stay away from packaged foods with hidden additives (Brain Health DC, n.d.).

Choose fruit for sweet cravings instead. This lowers inflammation fast. Dr. Jimenez notes that reducing these triggers helps with pain and energy issues common after holidays (Jimenez, n.d.).

Prioritize Quality Sleep: Repair Happens at Night

Sleep is when your body does heavy detox work, especially in the brain and liver.

Get 7-9 hours each night on a regular schedule (GoHealth Urgent Care, n.d.).
Wind down without screens, using dim lights or light reading.
Keep your bedroom cool, dark, and quiet.

Better sleep improves mood and immunity. At ChiroMed, chiropractic adjustments often help patients sleep more deeply by reducing nerve tension (Innovative Chiropractic Rehab & Massage, n.d.).

Gentle Movement: Boost Circulation and Lymph Flow

Light exercise helps your lymphatic system remove waste. It also makes you sweat gently.

Easy options to start:

Daily 20-30 minute walks around your El Paso neighborhood (Vogue, n.d.).
Yoga with twisting poses to massage internal organs (BodyKind, n.d.).
Simple stretching or light cycling to get blood flowing (Midwest Express Clinic, n.d.).

Movement supports liver function and reduces bloating. ChiroMed offers guided rehab exercises and adjustments to move safely and effectively (DC Labs, n.d.).

How ChiroMed – Integrated Medicine Holistic Healthcare Supports Your Detox

At ChiroMed in El Paso, TX, detox is part of holistic care. Integrative chiropractic adjustments improve nerve signals to detox organs like the liver and kidneys (Innovative Chiropractic Rehab & Massage, n.d.). This helps your body work at its best.

Nurse practitioners and health coaches provide nutrition plans, supplement advice when needed, and lifestyle tips. Dr. Alexander Jimenez combines his chiropractic and advanced nursing training to create personalized reset programs. He uses functional medicine testing to identify hidden issues related to holiday stress or foods (Jimenez, n.d.).

Many patients add lymphatic drainage techniques or infrared sauna sessions available at holistic centers to enhance results (ReLive Health, n.d.).

Extra Support Tips from ChiroMed Experts

Try dry brushing before showers to stimulate lymph flow.
Use Epsom salt baths to relax and help draw toxins out through the skin (Dr. Hyman, n.d.).
Practice deep breathing daily – it calms the nervous system and aids detox.

If you feel exhausted or have ongoing symptoms, visit ChiroMed for a full check-up.

Start Your Fresh Beginning at ChiroMed in El Paso

A natural post-holiday detox does not have to be hard. With hydration, whole foods, less sugar and alcohol, good sleep, and gentle movement, your body resets quickly. At ChiroMed – Integrated Medicine Holistic Healthcare in El Paso, TX, Dr. Alexander Jimenez and the team provide expert, caring support. Their holistic methods help thousands feel energized and balanced again. Make this year different – start your gentle reset today and build habits that last.

References

Naples Center for Functional Medicine. (n.d.). Four easy steps to detox after the holidays. https://naplescfm.com/articles/four-easy-steps-to-detox-after-the-holidays/

Brain Health DC. (n.d.). Effective post-holiday detox and rehabilitation strategies. https://www.brainhealthdc.com/post/post-holiday-recovery-detox-and-rehabilitation-strategies

UPMC. (2015). How to detox your body from extra holiday sugar. https://share.upmc.com/2015/01/detox-body-extra-holiday-sugar/

Vogue. (n.d.). 6 ways to detox your body after holiday festivities. https://www.vogue.com/article/how-to-detox-your-body

Healing Holidays. (n.d.). How to incorporate detoxing into your busy lifestyle. https://www.healingholidays.com/blog/how-to-incorporate-detoxing-into-your-busy-lifestyle

GoHealth Urgent Care. (n.d.). Post-holiday reset strategies to improve your health. https://www.gohealthuc.com/library/post-holiday-reset-strategies-to-improve-your-health

Patient First. (n.d.). 9 foods to naturally detox. https://www.patientfirst.com/blog/9-foods-to-naturally-detox

Lenny & Larry’s. (n.d.). 3 steps to recover & detox after the holidays. https://www.lennylarry.com/blogs/news/3-steps-to-recover-and-detox-after-the-holidays

Innovative Chiropractic Rehab & Massage. (n.d.). Post-holiday detox: Chiropractic care to start fresh. https://walkin-chiro.com/post-holiday-detox-chiropractic/

DC Labs. (n.d.). The role of chiropractic care in detoxification pathways. https://dclabs.com/blog/the-role-of-chiropractic-care-in-detoxification-pathways/

AustinMD Aesthetics & Wellness. (n.d.). How to detox after vacation: Dr. Kausik Roy’s guide. https://austinmdclinic.com/detox-after-vacation-dr-kausik-roy/

Baptist Health South Florida. (n.d.). Healthy ways to ‘detox’. https://baptisthealth.net/baptist-health-news/healthy-ways-to-detox

HealthCentral. (n.d.). Chronic guide to holiday detox. https://www.healthcentral.com/article/chronic-guide-to-post-holiday-detox

Midwest Express Clinic. (n.d.). Post-holiday detox: How to bounce back. https://midwestexpressclinic.com/post-holiday-detox/

Pure Luxe Medical. (n.d.). 5 safe & effective ways to detox your body naturally. https://www.pureluxemedical.com/blog/5-safe-effective-ways-to-detox-your-body-naturally

BodyKind. (n.d.). Work it out: Detoxification exercises. https://www.bodykind.com/blog/health-and-wellness/detox-and-cleanse/work-it-out-exercises-to-enhance-your-bodys-detoxification/

ReLive Health. (n.d.). Lymphatic drainage: The key to boosting your body’s natural detox. https://relivehealth.com/skin-care/lymphatic-drainage-the-key-to-boosting-your-bodys-natural-detox/

Dr. Hyman. (n.d.). Detox made safe and simple. https://drhyman.com/blogs/content/detox-made-safe-and-simple

Jimenez, A. (n.d.). Injury specialists. https://dralexjimenez.com/

Jimenez, A. (n.d.). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP, ATN. https://www.linkedin.com/in/dralexjimenez/

Holiday Calm in Minutes: Sports and Integrated Relief

December 17, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, El Paso TX, Exercises, Physio, Sporting, Therapy ChiroMed El Paso TX, endorphin exercises ChiroMed, festive fitness ChiroMed, holiday stress relief El Paso, holistic chiropractic care, integrated medicine holidays, quick workouts stress, shadowboxing cardio relief, yoga Tai Chi El Paso

Holiday Calm in Minutes: Sports and Integrated Relief

Holiday Stress Relief: Quick Sports Moves and Integrated Care from ChiroMed in El Paso, TX

The holidays bring fun and cheer, but they can also add stress from busy schedules, travel, and family events. At ChiroMed – Integrated Medicine Holistic Healthcare in El Paso, TX, we know how this tension can affect your body and mind. Simple exercises can help by releasing endorphins, which are brain chemicals that improve your mood and reduce pain. Any movement, such as a quick walk or stretch, can boost your fitness and lower your stress levels. It helps calm your heart rate and blood pressure, too. Exercise gives your mind a break, letting you feel more relaxed and sharp (“Exercise and stress,” n.d.). During the holidays, easy workouts fit right into your day and keep you feeling good.

At ChiroMed, we offer integrated care that combines chiropractic adjustments with other holistic services to ease stress. Our approach includes nurse practitioner care, naturopathy, rehabilitation, nutrition counseling, and acupuncture. These work together to reduce body tension and support your nervous system, helping you handle stress better. When paired with exercise, it keeps you balanced and flexible. This full-body approach assesses your overall health. Dr. Alexander Jimenez, DC, APRN, FNP-BC, our lead expert at ChiroMed, uses non-invasive treatments to help with pain and improve movement (“Injury Specialists,” n.d.). In this article from ChiroMed in El Paso, TX, we’ll share quick sports moves, festive activities, and how our services can help you have a stress-free holiday.

Benefits of Exercise for Holiday Stress

Exercise is a great way to beat stress. It releases endorphins that act like natural happy pills in your brain. This can make you less worried and more upbeat. Even brief workouts make a difference. Moving helps your heart, immune system, and other body parts function better. It reduces harmful stress hormones. With time, staying active builds your confidence and improves sleep, which is vital during the holidays (Mayo Clinic, n.d.).

Research shows holiday exercise can help you lose extra pounds and keep your spirits high. It boosts energy and can involve your family. A walk outside can reduce tiredness and add joy. Our team at ChiroMed suggests keeping it simple and enjoyable to avoid more stress (“Stressed During the Holidays,” 2022). No gym needed—use your body weight for many moves.

Endorphins kick in fast, often in minutes, to brighten your day.
Activity shifts your focus from problems, like a meditation on the go.
It betters your sleep, which stress can mess up.
Steady movement makes you more resilient to stress later.

These perks make exercise key to holiday peace. Let’s explore specific moves next.

Quick Sports-Focused Moves for Endorphins

Try easy sports-inspired moves to get those endorphins flowing with minimal time or equipment. Do them at home or in a park. Jumping rope is simple cardio, like running, but more playful. Jump for 10-15 minutes, even without a real rope. It gets your heart pumping and clears your thoughts (“Quick Workouts,” n.d.).

Dance breaks are fun too. Play songs and move for 20–30 minutes. It engages your whole body and can be social. Dance mixes beats and feelings to lower stress (“Stressed During the Holidays,” n.d.).

Pickup games such as basketball or tennis work well with others. They blend heart-pumping action with team spirit to ease holiday strain. Play in your backyard for a bit to release endorphins and connect (“Exercises and Techniques,” n.d.).

Jumping Rope: Jump in 1-minute spurts, rest, then go again. It is beneficial for both heart health and mood.
Dance Breaks: Pick lively music; swing arms and legs to let go of tension.
Pickup Basketball: Dribble and shoot; keep it light and fun.
Tennis Rally: Bounce a ball off a wall solo; it sharpens your attention.

Include mindful options like yoga or Tai Chi. Yoga poses with breathing promote calm. Tai Chi’s slow, flowing movements, known as moving meditation, aid balance and relaxation. It’s gentle for all (“Recreational Activities,” n.d.). These help refocus your mind from stress.

Sports-Specific Stress Relief Exercises

Use exercises from specific sports for targeted relief. They’re quick, build fitness, and spark endorphins. Shadowboxing is easy on joints. Punch into the air for 20 minutes to shake off stress (“A FightCamp Trainer’s,” n.d.).

High knees mimic running. Jog on the spot, knees up high, in 1-minute rounds. It revs your pulse and freshens your mind (“Maintaining Fitness,” n.d.).

For overall strength, do planks, squats without weights, and push-ups. Plank for 30 seconds to tighten your middle. Squats tone legs; aim for 12. Push-ups strengthen arms; kneel if it’s difficult (“Holiday Workout Plan,” n.d.).

Yoga sequences include stretching and mindfulness. Poses as downward dog, relax with deep breaths. Short walks or hikes increase stamina. A 30-minute fast walk cuts anxiety (“Sweat Away,” n.d.).

Shadowboxing: Jab and hook for 30 seconds; pause and repeat.
High Knees: Switch legs fast; pump arms for power.
Planks: Stay straight; breathe to unwind.
Bodyweight Squats: Drop low, rise strong; watch your posture.
Push-Ups: Begin with 10; add more each day.
Yoga Flows: Connect poses like warrior to tree for steadiness.
Quick Walks/Hikes: Pick a scenic route for bonus relaxation.

No gym required—these slot into your holiday rush.

Holiday-Themed Activities for Fun Stress Relief

Turn workouts festive to stay motivated. Add themes like games or “present pick-up” drills. Dance to holiday hits like Jingle Bells. Don silly hats for a family contest lasting 20 minutes. It sheds calories and spreads smiles (“3 Festive Holiday,” n.d.).

Take walks to view lights. Turn it into a hunt for decor. This spices up a basic stroll (“Holiday Workouts,” n.d.).

“Present pick-up” mimics the act of lifting gifts. Bend down and up, maybe with a band for resistance. It turns chores into fitness (“5 Holiday Exercises,” n.d.).

Try family games like active charades or courses with holiday stuff. Exercise keeps everyone active and laughing.

Holiday Dance-Off: Blast carols; vie for goofiest steps.
Festive Scavenger Hunt Walk: Spot reindeer or trees.
Present Pick-Up Squats: Bend and hoist; twist for abs.
Ornament Obstacle Course: Weave around “gifts” like cushions.
Caroling Cardio: March while singing on the spot.

These make the relief part of the celebration.

Integrated Chiropractic Care at ChiroMed for Holistic Relief

At ChiroMed in El Paso, TX, our integrated care complements exercise to help tackle stress. Chiropractic adjustments ease spine and muscle tightness. This boosts nervous system function, leading to stronger stress responses. We suggest stretches and moves to maintain flexibility (“Quick Chiropractic Tips,” n.d.).

Blended with workouts, it’s a complete plan. For instance, post-shadowboxing, get an adjustment to stay aligned. This stops pain from stress. Our care also aids sleep and clear thinking.

Dr. Alexander Jimenez, our multi-board-certified chiropractor and family nurse practitioner, sees that integrated methods balance the nervous system. He blends adjustments, acupuncture, and exercises like Tai Chi to reduce swelling and lower stress hormones. By focusing on non-drug approaches, he boosts mobility and mood (“Dr. Alexander Jimenez,” n.d.). At ChiroMed, we handle chronic pain, injuries, and stress with personalized plans.

Our services include naturopathy for natural healing, nutrition for wellness, and rehabilitation for recovery. Acupuncture relieves pain holistically. Visit us at 11860 Vista Del Sol, Suite 128, El Paso, TX 79936, or call (915) 850-0900 to book.

Adjustments fix spine shifts from stress.
Nervous boosts improve stress coping.
Stretches, like head turns, pair well with yoga.
Full plans cover diet and breaths for total calm (“Breathing exercises,” n.d.).

This combo keeps you steady and lively.

Making It Work for Everyone

Adapt exercises for all levels. Use bands for strength if needed. Seated versions, such as arm lifts, suit those with limitations. Start easy and consult pros (“Inclusive Adaptation,” n.d.).

For Newbies: 10-minute bits.
With Bands: Curls or presses for limbs.
Seated Choices: In-place marches for heart work.

Everyone can participate.

Conclusion

Don’t let holiday stress take over. Quick activities such as jumping rope, shadowboxing, and yoga release endorphins and help you recenter. Festive twists add enjoyment. At ChiroMed in El Paso, TX, our integrated chiropractic and holistic services cut tension and enhance stress handling. Together, they offer balance for joy. Try these and visit us for tailored help. Small actions count.

References

AFPA Fitness. (n.d.). 12 easy holiday workout plans.

Avec Apartments. (n.d.). Quick workouts for a fit holiday season.

Chiropractic Works Collinsville. (n.d.). Quick chiropractic tips for holiday stress.

Club Getaway. (n.d.). 7 ways to get in a vacation workout without going to the gym.

Dr. Alexander Jimenez. (n.d.). Dr. Alexander Jimenez, DC, APRN, FNP-BC, IFMCP, CFMP, ATN ♛ – Injury Medical Clinic PA | LinkedIn.

Echelon Fit. (n.d.). Maintaining fitness during the holidays: Simple home exercises for busy schedules.

FightCamp. (n.d.). A FightCamp trainer’s ultimate holiday workout guide.

Hydrow. (n.d.). Holiday workout plan: How to stay fit during the holidays.

Injury Specialists. (n.d.). Injury Specialists.

King Chiropractic. (n.d.). Exercises and techniques to reduce stress during the holidays.

Kitsap Physical Therapy. (n.d.). Sweat away your holiday stress with exercise.

Legion Athletics. (n.d.). Holiday workouts: How to stay in shape during the holidays.

Mayo Clinic. (n.d.). Exercise and stress: Get moving to manage stress.

Mayo Clinic. (n.d.). 12 tips to tame stress.

Mind Body Spine. (n.d.). Recreational activities to prevent back pain and reduce stress.

Momentum Medical. (n.d.). Inclusive adaptation exercises for different abilities.

Muscle MX. (n.d.). 5 quick holiday stress relief exercises that actually work.

NHS. (n.d.). Breathing exercises for stress.

NMC Health. (n.d.). 3 festive holiday fitness ideas to stay active and healthy.

The New York Times. (2022). Stressed during the holidays? There’s an exercise for that.

Performance Health Academy. (n.d.). 5 holiday exercises to keep you feeling merry and bright.

Triathlete. (n.d.). Stressed during the holidays? There’s a workout for that.

WCNC. (n.d.). Stretch away holiday stress: Simple moves for a happier season.

Xyla Services. (n.d.). 7 physical activities to reduce stress (and 7 to avoid!).

December 16, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, El Paso TX, Physio, Therapy, Traumatic Brain Injuries (TBI) back pain holidays, burns falls strains Christmas, ChiroMed El Paso TX, chiropractic care El Paso, christmas injuries El Paso, Dr. Alexander Jimenez chiropractor, holiday accidents prevention, holistic holiday recovery, Integrative Medicine El Paso

Stay Safe This Christmas: Common Holiday Accidents

Prevention and Recovery at ChiroMed in El Paso, TX

The Christmas season in El Paso, TX, brings joy, family gatherings, and festive decorations. But it also comes with risks, such as falls from ladders or burns from cooking. These accidents can ruin the holidays. At ChiroMed – Integrated Medicine Holistic Healthcare in El Paso, TX, we help you understand these common issues and offer ways to prevent them. Our team, led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, provides integrative care that combines chiropractic adjustments, nurse practitioner services, and holistic wellness to support recovery and health.

Understanding Common Christmas Accidents in El Paso

In El Paso, holiday accidents rise due to busy days, cold weather, and home decorations. Many people visit emergency rooms for injuries like falls or fires (U.S. Consumer Product Safety Commission, as cited in Santa Rosa Orthopaedics, 2023). Falls, burns, and cuts are frequent. Here are some common ones:

Falls: These occur while hanging lights or on icy sidewalks. Around 160 decorating injuries happen daily, with many from ladder falls (Santa Rosa Orthopaedics, 2023).
Fires: Dry Christmas trees and old lights cause fires. About 155 tree fires occur each year, leading to damage and harm (National Fire Protection Association, as cited in DBLF, 2023).
Burns: Holiday cooking or hot ornaments lead to burns. Over 8,880 burn cases occur from decorations each year (William D. Shapiro Law, Inc., 2023).
Cuts: Wrapping presents or handling broken glass ornaments can cause cuts. About 6,000 people are treated for gift-opening injuries (Relias, 2023).
Strains and Sprains: Lifting heavy gifts or shoveling snow strains backs. Snow-related issues send 11,500 people to hospitals annually (Relias, 2023).
Alcohol-Related Incidents: Parties with drinks lead to slips or fights. One-third of holiday crashes involve alcohol (Relias, 2023).
Food Poisoning: Poor food handling affects millions. Holidays see more from bad storage (Relias, 2023).
Toy and Gift Injuries: Kids can choke on small toy parts, with over 251,700 toy injuries in one year (Relias, 2023).
Distracted or Drunk Driving: Crowded El Paso roads and parties spike crashes. December has high drunk driving rates (We Can Help Law, 2023).

These issues lead to over 80,000 UK hospital visits during Christmas, and similar trends are observed in the US, including in El Paso (St John Ambulance, 2023). Decoration injuries alone cause 18,400 emergency trips (We Can Help Law, 2023).

Causes of Holiday Injuries in Our Community

In El Paso, injuries often stem from rushed activities. Decorating causes falls and shocks from ladders and wires (D’Amore Law Group, 2023). Cooking can lead to burns and knife slips during big meals (Elite Learning, 2023). Overexertion from carrying boxes hurts backs (Pomona Valley Health Centers, 2024). Accidents like slips on ice or car wrecks rise with winter weather (TorkLaw, 2023).

Decorating Risks: Worn-out or damaged lighting can cause shocks or fires. Unstable ladders lead to falls (Jon Bramnick, 2023).
Cooking Hazards: Hot oils and sharp tools cause burns and cuts. Grease fires are common (We Can Help Law, 2023).
Overexertion Issues: Lifting without proper form strains muscles. Use your legs, not your back (Pomona Valley Health Centers, 2024).
Other Accidents: Driving while distracted or drunk is risky on El Paso streets. Icy paths cause slips and falls (Clark Fountain, 2023).

Studies show injuries increase after Thanksgiving, often from simple tasks (Journalist’s Resource, 2023).

Prevention Tips for Safe Holidays in El Paso

At ChiroMed in El Paso, TX, we stress prevention to keep your season merry. Check lights for damage (TorkLaw, 2023). Use sturdy ladders with help (UCLA Health, 2023). In the kitchen, wear mitts and turn handles inward (Elite Learning, 2023). For driving, arrange sober transport (William D. Shapiro Law, Inc., 2023).

Key tips include:

For Falls: Salt icy El Paso walkways. Secure cords to prevent trips (Victoria ER, 2023).
For Fires: Keep trees watered. Choose safe decorations (Jon Bramnick, 2023).
For Burns and Cuts: Cook carefully. Cut away from yourself (UCLA Health, 2023).
For Strains: Lift with knees. Get assistance for heavy items (Santa Rosa Orthopaedics, 2023).
For Alcohol and Driving: Drink moderately. Use ride shares (Haffner Lawyers, 2023).
For Food Safety: Monitor food dates. Refrigerate leftovers quickly (St John Ambulance, 2023).
For Toys: Select age-appropriate gifts. Supervise small parts (TorkLaw, 2023).

These steps reduce risks, letting you enjoy El Paso’s holiday spirit.

How ChiroMed’s Integrative Care Helps with Recovery

If an injury occurs, ChiroMed – Integrated Medicine Holistic Healthcare in El Paso, TX, offers natural healing. Our integrative approach pairs chiropractic with nurse practitioner care for complete wellness. Adjustments ease spinal and joint pain from falls or strains (Knecht Chiropractic, 2023). Massage, physiotherapy, and naturopathy address muscle problems. Our NPs provide nutrition advice and manage conditions.

Dr. Alexander Jimenez, DC, APRN, FNP-BC, at ChiroMed, observes that holistic methods treat root causes. Our clinic at 11860 Vista Del Sol, Suite 128, uses adjustments, therapy, and personalized nutrition to address issues such as back pain and holiday stress (Injury Specialists, 2023). He notes misalignments from lifting disrupt nerves, but adjustments restore function. For rich holiday meals, we offer dietary guidance to avoid digestive woes (Injury Specialists, 2023).

Our services bring:

Pain Relief: Adjustments reduce neck and back discomfort from overexertion (Fletcher Family Chiropractic, 2023).
Improved Mobility: Therapy aids recovery from slips or sprains (Orenda Chiropractic, 2023).
Immune Support: Holistic care boosts defenses against seasonal ills (Knecht Chiropractic, 2023).
Stress Reduction: We ease tension from busy holidays (Fletcher Family Chiropractic, 2023).
Nutrition Help: NPs guide diets to counter food poisoning or overeating (Injury Specialists, 2023).

Dr. Jimenez’s dual expertise allows us to blend chiropractic and medical care, reducing reliance on drugs and speeding healing (LinkedIn, 2023). At ChiroMed, our team provides rehabilitation and wellness plans tailored to El Paso residents.

Long-Term Wellness and Prevention at ChiroMed

ChiroMed’s care goes beyond recovery—it’s about ongoing health. Regular adjustments maintain alignment, preventing strains (Orenda Chiropractic, 2023). Our NPs screen for issues like poor immunity. Dr. Jimenez uses advanced tests for custom plans, including nutrition and exercise (LinkedIn, 2023).

In El Paso, this means better handling of holiday foods and less stress (Knecht Chiropractic, 2023). We help with alcohol recovery by balancing the body. Our integrative services, including naturopathy and rehab, build a strong base for year-round wellness.

Conclusion

Christmas accidents, such as falls, burns, and strains, are common in El Paso but can be prevented with caution. If they happen, ChiroMed – Integrated Medicine Holistic Healthcare offers holistic recovery. Led by Dr. Alexander Jimenez, our team addresses pain, promotes wellness, and prevents future problems. Visit us at 11860 Vista Del Sol, Suite 128, or call (915) 850-0900 for safe, healthy holidays.

References

ChiroMed. (2025). ChiroMed – Integrated Medicine Holistic Healthcare in El Paso, TX. https://chiromed.com/
Clark Fountain. (2023). The most common injuries during the holiday season. https://www.clarkfountain.com/blog/the-most-common-injuries-during-the-holiday-season/
D’Amore Law Group. (2023). What are the most common Christmas-related injuries?https://damorelaw.com/what-are-the-most-common-christmas-related-injuries/
DBLF. (2023). Top Christmas injuries. https://www.dblf.com/blog/top-christmas-injuries/
Elite Learning. (2023). 10 common holiday injuries and how to avoid them. https://www.elitelearning.com/resource-center/nursing/10-common-holiday-injuries-and-how-to-avoid-them/
Fletcher Family Chiropractic. (2023). Why chiropractic care is your secret weapon for surviving the holiday season. https://fletcherfamilychiropractic.com/why-chiropractic-care-is-your-secret-weapon-for-surviving-the-holiday-season/
Haffner Lawyers. (2023). Common accidents and injuries during the holidays. https://www.haffnerlawyers.com/common-accidents-and-injuries-during-the-holidays/
Jon Bramnick. (2023). Common Christmas injuries and how to avoid them. https://www.jonbramnick.com/blog/common-christmas-injuries-and-how-to-avoid-them/
Journalist’s Resource. (2023). Seasonal holiday injuries: A research roundup. https://journalistsresource.org/home/seasonal-holiday-injuries-a-research-roundup/
Knecht Chiropractic. (2023). Top reasons chiropractic care helps through the holidays. https://www.knechtchiro.com/blog/Top-Reasons-Chiropractic-Care-Helps-Through-the-Holidays.html
Orenda Chiropractic. (2023). Holiday stress relief: How chiropractic care can help you stay calm and healthy. https://orendachiro.com/holiday-stress-relief-how-chiropractic-care-can-help-you-stay-calm-and-healthy/
Pomona Valley Health Centers. (2024). Holiday safety: Protecting yourself during this busy season. https://www.pvhmc.org/blog/2024/november/holiday-safety-protecting-yourself-during-this-b/
Relias. (2023). 12 holiday mishaps. https://www.relias.com/12-holiday-mishaps
Santa Rosa Orthopaedics. (2023). Keep your holidays merry: How to avoid common holiday accidents. https://srortho.com/news/keep-your-holidays-merry-how-to-avoid-common-holiday-accidents/
St John Ambulance. (2023). Tinsel trauma: Hazardous Christmas statistics. https://www.sja.org.uk/course-information/blog/tinsel-trauma-hazardous-christmas-statistics/
TorkLaw. (2023). Top 5 most common accidents during Christmas holidays. https://www.torklaw.com/safety/top-5-most-common-accidents-during-christmas-holidays/
UCLA Health. (2023). 7 common holiday injuries and accidents and how to avoid them. https://www.uclahealth.org/news/article/7-common-holiday-injuries-and-accidents-and-how-to-avoid-them
Victoria ER. (2023). Holiday injury prevention tips. https://victoriaer.com/holiday-injury-prevention-tips/
We Can Help Law. (2023). The most common Christmas accidents. https://wecanhelp.law/blog/the-most-common-christmas-accidents/
William D. Shapiro Law, Inc. (2023). 5 common holiday injuries and safety tips. https://wshapiro.com/5-common-holiday-injuries-and-safety-tips/

Best Magnesium Supplements for Pain Relief

December 15, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, El Paso TX, Gut Health, Physio, Therapy best magnesium for pain relief ChiroMed, Dr Alexander Jimenez magnesium, Epsom salts bath holistic care, integrated medicine pain management El Paso, magnesium glycinate nerve pain El Paso, magnesium malate fibromyalgia chiropractic, magnesium supplements El Paso TX, natural muscle pain relief Texas, topical magnesium chloride El Paso

Best Magnesium Supplements for Pain Relief

ChiroMed – Integrated Medicine in El Paso, TX

At ChiroMed – Integrated Medicine Holistic Healthcare in El Paso, TX, we take a whole-body approach to pain management. Led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, our team combines chiropractic adjustments, functional medicine, nutrition counseling, and natural supplements to help patients find lasting relief. Magnesium is one of the most powerful natural tools we use for muscle aches, nerve pain, fatigue, and chronic conditions like fibromyalgia. Many people in El Paso lack enough magnesium, which can make pain and tension worse. This guide shares the best forms of magnesium we recommend at ChiroMed to support your healing journey.

Why Magnesium Is Key for Pain Relief at ChiroMed

Magnesium helps with over 300 body processes. It relaxes muscles, calms nerves, boosts energy, and fights inflammation. Low levels are common and can worsen pain from injuries, stress, or long-term issues (Healthline, 2023).

Relaxes muscles: Prevents cramps and spasms.
Supports nerves: Reduces overactive signals that cause pain.
Increases energy: Aids in making ATP to combat fatigue.
Lowers inflammation: Helps ease swelling and soreness.

Research shows magnesium can reduce acute and chronic pain, often working alongside other treatments (MedCentral, n.d.).

At ChiroMed in El Paso, Dr. Jimenez often checks magnesium levels as part of our integrated care plans, especially for patients with back pain, neck issues, or recovery from accidents.

Top Oral Magnesium Types Recommended at ChiroMed

Different forms absorb in unique ways and target specific pains.

Magnesium Malate: Great for Energy and Chronic Pain

Magnesium malate pairs magnesium with malic acid, which supports energy production. This is a top choice at our El Paso clinic for muscle aches, tiredness, and fibromyalgia.

Eases muscle pain and fatigue.
Boosts energy without stomach upset.
Ideal for ongoing pain conditions.

Dr. Alexander Jimenez notes that magnesium malate helps with mitochondrial function in fibromyalgia, reducing pain and improving daily energy (Jimenez, 2021; Sonoma Sports Chiropractic, n.d.).

Magnesium Glycinate: Perfect for Nerve Pain and Calm

Magnesium glycinate links to glycine, a calming amino acid. It’s gentle and highly absorbed, making it a favorite at ChiroMed for nerve pain and tension.

Promotes relaxation and better sleep.
Reduces inflammation and supports nerve health.
Low chance of digestive issues.

We often pair glycinate with chiropractic adjustments to relax muscles and speed recovery (North Myrtle Beach Chiropractic, n.d.; Trace Minerals, n.d.).

Excellent for sciatica, neuropathy, or stress-related pain.
Calms the body naturally.

Topical Magnesium: Quick Local Relief Used at Our Clinic

Topical options deliver magnesium straight through the skin, bypassing the gut.

Magnesium Chloride and Sulfate (Epsom Salts)

Chloride: In sprays or lotions for fast absorption into sore spots.
Sulfate: Epsom salts for soothing baths.

These are great for post-adjustment recovery or localized soreness. Many patients feel quick relief from muscle tension (Health.com, 2024; Healthline, 2023).

Dr. Jimenez has seen great results with topical magnesium chloride for chronic muscle and joint pain, including in fibromyalgia cases. It improves quality of life when applied regularly (Jimenez, 2024a).

Topical benefits:
- No gut side effects.
- Targets exact painful areas.
- Complements baths or massage therapy at ChiroMed.

How We Use Magnesium in Integrated Care at ChiroMed El Paso

At ChiroMed – Integrated Medicine in El Paso, TX, magnesium supports our holistic treatments. It keeps muscles loose to improve range of motion, reduces swelling, and aids healing from injuries or chronic pain.

Glycinate to calm nerves and tension.
Malate for low energy and long-term issues.
Topical for direct soothing during rehab.

This natural approach fits perfectly with our chiropractic, nutrition, and functional medicine services (MN Spine and Sport, n.d.; Sonoma Sports Chiropractic, n.d.).

Dr. Alexander Jimenez, DC, APRN, FNP-BC, integrates magnesium into personalized plans. It supports nerve function and muscle relaxation, key for recovery in our El Paso patients (Jimenez, 2025).

Picking the Right Magnesium at ChiroMed

We tailor recommendations to your needs:

Muscle aches and fatigue (fibromyalgia): Magnesium malate for energy and pain.
Nerve pain and stress: Glycinate for calm.
Local muscle relief: Topical chloride or Epsom salts.

Glycinate and malate are best absorbed orally, while topical forms bypass digestion (Trace Minerals, n.d.; Health.com, 2024).

Always consult our team before starting. The adult supplement limit is about 350 mg of elemental magnesium daily.

Food Sources and Dosage Tips from ChiroMed

Start with foods: nuts, seeds, greens, and dark chocolate. Supplements bridge gaps.

Common dose: 200-400 mg per day.
Divide doses for better uptake.
Take with meals.

Safety and Side Effects

Most are safe, but too much can cause loose stools. Glycinate and malate are easiest on the stomach. Topical is gentle.

Expert Insights from Dr. Alexander Jimenez at ChiroMed

Dr. Jimenez treats pain with integrated methods at our El Paso clinic. He uses malate for energy support in fatigue cases and topically for direct relief. This complements adjustments and therapies for better outcomes (Jimenez, 2021; Jimenez, 2024a).

Pairing Magnesium with ChiroMed Habits

For top results:

Drink plenty of water.
Eat anti-inflammatory foods.
Add gentle exercise or stretches.

Magnesium enhances our chiropractic and rehab programs.

Discover Natural Pain Relief at ChiroMed in El Paso, TX

The right magnesium can change how you manage pain. At ChiroMed – Integrated Medicine Holistic Healthcare, we guide you to malate for energy, glycinate for nerves, and topical for spot relief. Visit us in El Paso to create your personalized plan with Dr. Alexander Jimenez and our team.

Contact ChiroMed today for holistic care that addresses root causes.

References

ChiroMed – Integrated Medicine. (n.d.). Home. https://chiromed.com/

Health.com. (2024). Effective ways to use magnesium for muscle pain. https://www.health.com/magnesium-for-muscle-pain-11712547

Healthline. (2023). Types of magnesium and their benefits. https://www.healthline.com/nutrition/magnesium-types

Jimenez, A. (2021). Mitochondrial link to fibromyalgia. https://dralexjimenez.com/mitochondrial-link-fibromyalgia/

Jimenez, A. (2024a). Magnesium spray for muscle relaxation and pain relief. https://dralexjimenez.com/magnesium-spray-for-muscle-relaxation-and-pain-relief/amp/

Jimenez, A. (2025). Dr. Alexander Jimenez on chiropractic nutrition for injury recovery. https://dralexjimenez.com/dr-alexander-jimenez-on-chiropractic-nutrition-for-injury-recovery/

MedCentral. (n.d.). Patient with chronic pain is asking about magnesium: Should I recommend? https://www.medcentral.com/pain/alternative-therapies/patient-with-chronic-pain-is-asking-about-magnesium-should-i-recommend

MN Spine and Sport. (n.d.). Choosing the best magnesium supplement: A complete guide. https://mnspineandsport.com/choosing-the-best-magnesium-supplement-a-complete-guide-for-sleep-muscle-cramps-digestion-and-more/

North Myrtle Beach Chiropractic. (n.d.). Benefits of magnesium glycinate for chiropractic patients. https://nmbchiro.com/benefits-of-magnesium-glycinate-for-chiropractic-patients/

Sonoma Sports Chiropractic. (n.d.). Magnesium & chiropractic. https://sonomasportschiro.com/blog/magnesium-chiropractic

Trace Minerals. (n.d.). Magnesium and nerve pain: Choosing the right supplement. https://www.traceminerals.com/blogs/post/which-magnesium-is-best-for-nerve-pain

December 12, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care anxiety, back, back pain, body, brain-body connections, chiropractic care, clinical approach, cognitive impairment, collaborative care, disorder, disorders, disorientation, Dr. Alexander Jimenez El Paso, dralexjimenez, health, integrative rehabilitation, medical rx, neck, neck pain, nonsurgical, nonsurgical treatment, opioid, opioid therapy, opioid use, opioid use disorder, OUD, pain, pain management, pharmaceutical, somatovisceral, somatovisceral disorders, stress, Therapy, treatment, visceralsomatic, visceralsomatic disorders, wellness

Clinical Approach Solutions to Manage Opioid Use Disorder

Unveil the clinical approach to opioid use disorder and learn about evidence-based methods for effective treatment.

Overcoming Barriers in Managing Opioid Use Disorder: Strategies for Effective Care

A lot of people today have opioid use disorder (OUD), which is a serious health problem. It falls under the larger group of substance use disorders (SUD). Treating OUD can be difficult because everyone has their own set of problems, like pain or other health issues. Doctors and other healthcare professionals must make plans that are specific to each patient. They also need to stay up to date on laws, ethics, and ways to protect patient information. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 covers all patients, but those getting treatment for drug or alcohol abuse have to follow more rules.

In this tutorial, we talk about how to get around problems with OUD administration. We look at stigma, team-based approaches, ways to talk to patients, treatment that puts the patient first, and legal issues. Health care workers can help patients get better by using these methods. Keywords like “opioid use disorder management,” “overcoming stigma in OUD,” and “patient-centered care for SUD” highlight important ideas to help people understand better and find what they’re looking for.

Learning Objectives

Explain treatment planning methods that use patient-focused choices and proven ways to talk.
Name the three kinds of stigma and how they affect people with mental health issues, SUD, and especially OUD.
Talk about legal, ethical, and privacy concerns in caring for people with OUD.

Effective Treatment Planning with Patient-Centered Decisions

People with complex issues, like mental health problems, SUD, and pain, need special care. Each person shows up differently, so health systems are now focusing on care that puts the patient first.

Patient-centered care means building teams with doctors, patients, and families. They work together to plan, give, and check health care. This way ensures the patient’s needs are met, and their wishes, likes, and family situations are respected. It focuses on shared choices about treatments while seeing the patient as a whole person in their daily life (Dwamena et al., 2012; Bokhour et al., 2018).

Studies show key steps for a good patient-centered plan:

Take a full patient history and a check-up, reviewing old and new treatments.
Find all available drug and non-drug options.
Check the patient’s current health, recent changes, and patterns.
Look at risks for misusing or abusing opioids.

If starting opioids or if the patient is already on them, think about opioid stewardship. This means checking harms, benefits, risks, side effects, pain control, daily function, drug tests, stop plans, and ways to spot OUD. These programs, sometimes called analgesia stewardship, help manage opioids safely (Harle et al., 2019; Coffin et al., 2022). Guides exist to set them up (American Hospital Association, n.d.; Shrestha et al., 2023).

Integrative chiropractic care can play a big role here. It uses spinal adjustments and targeted exercises to get proper spinal alignment. This helps reduce pain without relying only on drugs, making it a good fit for OUD patients with pain. For example, adjustments fix spine issues that cause pain, and exercises strengthen muscles to keep alignment right.

A Nurse Practitioner (NP) adds full management and ergonomic advice. They look at work setups to prevent pain, such as how to sit or lift. NPs coordinate care by reviewing options such as therapy, meds, and lifestyle changes, ensuring everything works together.

Dr. Alexander Jimenez, DC, APRN, FNP-BC, with over 30 years in chiropractic and as a family nurse practitioner, observes that blending these methods cuts opioid use. At his El Paso clinic, he uses functional medicine to address root causes through nutrition and non-invasive treatments. He notes that poor posture from modern life worsens pain, leading to OUD risks. His teams help patients with self-massage and VR for recovery, reducing drug needs (Jimenez, n.d.a; Jimenez, n.d.b).

Evidence-Based Ways to Communicate

Good talking skills are key to building a patient-centered plan (Schaefer & Block, 2009). There are proven methods for starting conversations and getting patients involved.

One method is BATHE:

Background: Ask, “How have things been since your last visit?”
Affect: Ask, “How does this make you feel?”
Trouble: Ask, “What bothers you most?”
Handling: Ask, “How are you coping?”
Empathy: Say, “That sounds hard.”

This uses open questions to let patients lead and feel supported (Stuart & Lieberman, 2018; Thomas et al., 2019).

Another is GREAT:

Greetings/Goals: Start with hello and set aims.
Rapport: Build trust.
Evaluation/Expectation/Examination/Explanation: Check and explain.
Ask/Answer/Acknowledge: Listen and respond.
Tacit agreement/Thanks: Agree and thank.

This guide talks well (Brindley et al., 2014).

Motivational interviewing is also useful. It’s a team-style talk to boost a patient’s desire to change. Build a bond, focus on the issue, spark a desire for change, and plan steps (Frost et al., 2018).

These methods emphasize listening, clear communication, and a structured approach to planning. For OUD patients with pain or mental issues, mix techniques for the best results.

Dr. Jimenez shares that in his practice, these talks help patients see non-drug options, such as chiropractic adjustments. He finds that empathy reduces stigma and fear, encouraging openness about OUD (Jimenez, n.d.a).

Understanding Stigma in Mental Health and Substance Use Disorders

Stigma blocks good talk for many with mental health or SUD. It’s attitudes, beliefs, actions, and systems that lead to unfair views and bad treatment (Cheetham et al., 2022).

Studies show stigmas like linking mental illness to violence (Perry, 2011). Media on shootings with mentally ill people strengthens this (McGinty et al., 2014; McGinty et al., 2016; Schomerus et al., 2022). For SUD, people think they’re more dangerous than those with schizophrenia or depression (Schomerus et al., 2011). Society blames people with SUDs more and avoids them (McGinty et al., 2015; Corrigan et al., 2012).

Views come from knowledge, contact with affected people, and the media. Public ideas are tied to norms on causes, blame, and danger. Race, ethnicity, and culture shape attitudes too (Giacco et al., 2014).

Health workers have biases. A survey of VA mental health providers showed awareness of race issues but avoidance of talks, using codes like “urban,” and thinking training stops racism (McMaster et al., 2021).

There are three stigma types:

Structural Stigma: The ways Society and institutions keep prejudice. In health, it’s worse care, less access to behavioral health. Less funding for mental vs. physical issues (National Academies of Sciences, Engineering, and Medicine, 2016).
Public Stigma: General or group attitudes, like police or church norms. Laws reinforce it, like broad mental illness rules implying all are unfit (Corrigan & Shapiro, 2010).
Self-Stigma: When people internalize stigmas, it leads to low self-worth and shame. “Why try” affects independent living (Corrigan et al., 2009; Clement et al., 2015).

Dr. Jimenez observes that stigma makes OUD patients hide symptoms, delaying care. In his integrative work, he addresses this through education on holistic options, showing that recovery is possible without judgment (Jimenez, n.d.b).

Overcoming Stigma and Addressing Social Factors

To fight stigma, use education, behavior changes, and better care. Laws like the ADA and MHPAEA help ensure equal coverage and prevent discrimination (U.S. Congress, 2009; U.S. Congress, 2008; U.S. Department of Health and Human Services, n.d.; Busch & Barry, 2008; Haffajee et al., 2019).

These address social determinants of health (SDOH), such as coverage, access, quality, education, and stability (Centers for Disease Control and Prevention, n.d.).

Community programs help too:

West Virginia’s Jobs and Hope: Training, jobs, education, transport, skills, record clearing for SUD people (Jobs and Hope, n.d.).
Belden’s Pathway: Rehab for failed drug tests, leading to jobs (Belden, n.d.).

Education boosts provider confidence in OUD meds, reducing barriers (Adzrago et al., 2022; Hooker et al., 2023; Campbell et al., 2021).

Overcoming stigma is key to success in mental health and SUD.

Interprofessional Team Work

Teams improve outcomes for patients with chronic pain and mental health or SUD (Joypaul et al., 2019; Gauthier et al., 2019).

Teams include doctors, nurses, NPs, pharmacists, PAs, social workers, PTs, therapists, SUD experts, and case managers.

Each helps uniquely:

Pharmacists watch meds, spot interactions.
Case managers link specialists, find resources, and support families (Sortedahl et al., 2018).
Teams set goals, max non-opioid treatments (Liossi et al., 2019).

Integrative chiropractic care includes adjustments and exercises for alignment, easing pain naturally.

NPs give full care, ergonomic tips to avoid pain triggers, and coordinate options.

Dr. Jimenez’s clinic shows this. As a DC and FNP-BC, he leads teams with therapists, nutritionists, and coaches. He observes interprofessional work cuts opioid use by addressing the roots with functional medicine, VR, and nutrition. For OUD, he blends chiropractic care for pain, NP coordination for plans, and stigma-fighting through team support (Jimenez, n.d.a; Jimenez, n.d.b).

The Power of Chiropractic Care in Injury Rehabilitation-Video

Legal and Ethical Issues in SUD Care

Providers must know laws and ethics for mental/SUD patients, like discrimination, aid, and privacy (Center for Substance Abuse Treatment, 2000).

Key Federal laws:

Americans with Disabilities Act (ADA) of 1990.
Rehabilitation Act of 1973.
Workforce Investment Act of 1998.
Drug-Free Workplace Act of 1988.

ADA and Rehabilitation ban discrimination in government and in business services like hotels, shops, and hospitals. Protect those with impairments limiting life activities (U.S. Department of Health and Human Services, n.d.).

Provisions:

Protect “qualified” people who meet the requirements.
Reasonable accommodations for jobs.
No hire/retain if there is a direct threat.
No denial of benefits, access, or jobs in funded places.

For SUD: Alcohol users are protected if qualified, no threat. Ex-drug users in rehab are the same. Current illegal drug users are protected for health/rehab, not others. Programs can deny if used during.

Workforce Act centralizes job programs; no refusal to SUD people (U.S. Congress, 1998).

Drug-Free Act requires drug-free policies for federal funds/contracts: statements, awareness, actions on violations (U.S. Code, n.d.).

States have their own laws; check the local laws.

Public Aid laws:

Contract with America Act (1996): No SSI/DI if SUD key factor (U.S. Congress, 1996).
Adoption Act (1997): 15-month foster reunification limit (U.S. Congress, 1997).
Personal Responsibility Act (1996): Work after 2 years of aid, drug screens (U.S. Department of Health and Human Services, 1996).

These push work, sobriety.

Dr. Jimenez notes that legal awareness helps his practice by ensuring holistic plans comply and by reducing OUD risks through a non-drug focus (Jimenez, n.d.a).

Keeping Patient Info Private

Privacy is vital. Laws include:

HIPAA (1996): Protects PHI, sets use/disclosure rules (U.S. Department of Health and Human Services, n.d.).
42 CFR Part 2: Extra for SUD records. No disclosure of name or status without consent. Fines for breaks. Applies to federal-aided programs (Substance Abuse and Mental Health Services Administration, n.d.).

Consent needs: program name, receiver, patient name, purpose, info type, revoke note, expire date, signature, and date.

This fights discrimination fears, encouraging treatment (Center for Substance Abuse Treatment, 2000).

Wrapping Up

As we deal with the ongoing problems of opioid use disorder (OUD), it’s clear that the best way to handle them is through a multi-faceted approach that puts the health of the patient first instead of quick fixes. Healthcare providers are essential to changing lives. They do this by supporting patient-centered decision-making and evidence-based communication, and by breaking down the three types of stigma—structural, public, and self—that make it harder for people to get better. Legal and ethical frameworks, such as HIPAA and 42 CFR Part 2 privacy protections, make sure that people who need help can get it without worrying about being treated unfairly. Interprofessional teams also help make sure that everyone receives the care they need.

Chiropractic care, which focuses on spinal adjustments and specific exercises to help with proper alignment, is a non-invasive way to ease pain and cut down on the need for opioids. Nurse Practitioners (NPs) improve this by offering comprehensive care, ergonomic advice to avoid injury, and the coordination of various treatment options, including therapy and lifestyle changes. Dr. Alexander Jimenez, DC, APRN, FNP-BC, stresses in his clinical practice that these integrative methods not only help with physical symptoms but also give patients the tools they need to make educated decisions and follow personalized plans. This leads to long-term recovery and less use of opioids (Jimenez, n.d.a; Jimenez, n.d.b).

Recent developments in OUD treatment as of 2025 indicate a transition towards more individualized and accessible alternatives. For example:

FDA-approved drugs like methadone, buprenorphine, and naltrexone are still the mainstays of treatment for OUD. They help reduce cravings and withdrawal symptoms while also assisting people to stay stable over the long term.
Precision medicine goes beyond one-size-fits-all approaches by tailoring treatments to each person’s genetic, psychological, and social factors. This should lead to better results.
New Guideline: The World Health Organization’s 2025 updates emphasize the importance of psychosocial support alongside drug treatments. They also focus on preventing overdoses in the community and making care more widely available.
Declining Trends: The number of deaths involving opioids dropped for the first time in 2023 since 2018, which is a good sign that ongoing efforts in policy, education, and treatment are having an effect.

We can create a future where OUD is not a life sentence but a condition that can be managed by combining these new ideas with reducing stigma and working together to care for people. Healthcare professionals, communities, and policymakers must continue to push for fair access to care so that everyone gets the compassionate, evidence-based help they need. In the end, overcoming the obstacles to managing OUD isn’t just about treatment; it’s also about restoring hope, respect, and a better quality of life.

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Brindley, P. G., Smith, K. E., Cardinal, P., & LeBlanc, F. (2014). Improving medical communication with patients and families: Skills for a complex (and multilingual) clinical world. Canadian Respiratory Journal, 21(2), 89-91. https://doi.org/10.1155/2014/789456
Busch, S. H., & Barry, C. L. (2008). New evidence on the effects of state mental health mandates. Inquiry, 45(3), 308-322. https://doi.org/10.5034/inquiryjrnl_45.03.308
Campbell, C. I., Saxon, A. J., Boudreau, D. M., et al. (2021). Primary Care Opioid Use Disorders treatment (PROUD) trial protocol: A pragmatic, cluster-randomized implementation trial in primary care for opioid use disorder treatment. Addiction Science & Clinical Practice, 16(1), 9. https://doi.org/10.1186/s13722-021-00221-1
Centers for Disease Control and Prevention. (n.d.). Social Determinants of Health at CDC. https://www.cdc.gov/socialdeterminants/index.htm
Center for Substance Abuse Treatment. (2000). Integrating Substance Abuse Treatment and Vocational Services. (Treatment Improvement Protocol (TIP) Series, No. 38.) Chapter 7—Legal Issues. https://www.ncbi.nlm.nih.gov/books/NBK64294/
Center for Substance Abuse Treatment. (2000). Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues. (Treatment Improvement Protocol (TIP) Series, No. 36.) Appendix B –Protecting Clients’ Privacy. https://www.ncbi.nlm.nih.gov/books/NBK64900/
Cheetham, A., Picco, L., Barnett, A., et al. (2022). The impact of stigma on people with opioid use disorder, opioid treatment, and policy. Substance Abuse and Rehabilitation, 13, 1-12. https://doi.org/10.2147/SAR.S304256
Clement, S., Schauman, O., Graham, T., et al. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11-27. https://doi.org/10.1017/S0033291714000129
Coffin, P. O., Martinez, R. S., Wylie, B., et al. (2022). Primary care management of long-term opioid therapy. Annals of Medicine, 54(1), 2451-2469. https://doi.org/10.1080/07853890.2022.2118597
Corrigan, P. W., Larson, J. E., & Rüsch, N. (2009). Self-stigma and the “why try” effect: Impact on life goals and evidence-based practices. World Psychiatry, 8(2), 75-81. https://doi.org/10.1002/j.2051-5545.2009.tb00218.x
Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 63(10), 963-973. https://doi.org/10.1176/appi.ps.201100529
Corrigan, P. W., & Shapiro, J. R. (2010). Measuring the impact of programs that challenge the public stigma of mental illness. Clinical Psychology Review, 30(8), 907-922. https://doi.org/10.1016/j.cpr.2010.06.004
Dwamena, F., Holmes-Rovner, M., Gaulden, C., et al. (2012). Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database of Systematic Reviews, 2012(12), CD003267. https://doi.org/10.1002/14651858.CD003267.pub2
Frost, H., Campbell, P., Maxwell, M., et al. (2018). Effectiveness of Motivational Interviewing on adult behavior change in health and social care settings: A systematic review of reviews. PLoS One, 13(10), e0204890. https://doi.org/10.1371/journal.pone.0204890
Gauthier, K., Dulong, C., & Argáez, C. (2019). Multidisciplinary treatment programs for patients with chronic non-malignant pain: A review of clinical effectiveness, cost-effectiveness, and guidelines – an update. Canadian Agency for Drugs and Technologies in Health. https://www.ncbi.nlm.nih.gov/books/NBK545496/
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Haffajee, R. L., Mello, M. M., Zhang, F., et al. (2019). Association of federal mental health parity legislation with health care use and spending among high utilizers of services. Medical Care, 57(4), 245-255. https://doi.org/10.1097/MLR.0000000000001076
Harle, C. A., DiIulio, J., Downs, S. M., et al. (2019). Decision-Centered design of patient information visualizations to support chronic pain care. Applied Clinical Informatics, 10(4), 719-728. https://doi.org/10.1055/s-0039-1696668
Hooker, S. A., Crain, A. L., LaFrance, A. B., et al. (2023). A randomized controlled trial of an intervention to reduce stigma toward people with opioid use disorder among primary care clinicians. Addiction Science & Clinical Practice, 18(1), 10. https://doi.org/10.1186/s13722-023-00366-1
Jimenez, A. (n.d.a). Dr. Alex Jimenez, DC, Injury Specialist. https://dralexjimenez.com/
Jimenez, A. (n.d.b). Dr. Alexander Jimene,z DC, APRN, FNP-BC, IFMCP, CFMP, ATN ♛. LinkedIn. https://www.linkedin.com/in/dralexjimenez/
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Liossi, C., Johnstone, L., Lilley, S., et al. (2019). Effectiveness of interdisciplinary interventions in paediatric chronic pain management: A systematic review and subset meta-analysis. British Journal of Anaesthesia, 123(2), e359-e371. https://doi.org/10.1016/j.bja.2019.01.024
McGinty, E. E., Goldman, H. H., Pescosolido, B., et al. (2015). Portraying mental illness and drug addiction as treatable health conditions: Effects of a randomized experiment on stigma and discrimination. Social Science & Medicine, 126, 73-85. https://doi.org/10.1016/j.socscimed.2014.12.010
McGinty, E. E., Kennedy-Hendricks, A., Choksy, S., et al. (2016). Trends in news media coverage of mental illness in the United States: 1995-2014. Health Affairs, 35(6), 1121-1129. https://doi.org/10.1377/hlthaff.2016.0011
McGinty, E. E., Webster, D. W., Jarlenski, M., et al. (2014). News media framing of serious mental illness and gun violence in the United States, 1997-2012. American Journal of Public Health, 104(3), 406-413. https://doi.org/10.2105/AJPH.2013.301557
McMaster, K. J., Peeples, A. D., Schaffner, R. M., et al. (2021). Mental healthcare provider perceptions of race and racial disparity in the care of Black and White clients. Journal of Behavioral Health Services & Research, 48(4), 501-516. https://doi.org/10.1007/s11414-021-00753-3
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Perry, B. L. (2011). The labeling paradox: Stigma, the sick role, and social networks in mental illness. Journal of Health and Social Behavior, 52(4), 460-477. https://doi.org/10.1177/0022146511408913
Schaefer, K. G., & Block, S. D. (2009). Physician communication with families in the ICU: Evidence-based strategies for improvement. Current Opinion in Critical Care, 15(6), 569-577. https://doi.org/10.1097/ACQ.0b013e328332af31
Schomerus, G., Lucht, M., Holzinger, A., et al. (2011). The stigma of alcohol dependence compared with other mental disorders: A review of population studies. Alcohol and Alcoholism, 46(2), 105-112. https://doi.org/10.1093/alcalc/agq089
Schomerus, G., Schindler, S., Sander, C., et al. (2022). Changes in mental illness stigma over 30 years – Improvement, persistence, or deterioration? European Psychiatry, 65(1), e78. https://doi.org/10.1192/j.eurpsy.2022.2334
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Sortedahl, C., Krsnak, J., Crook, M. M., et al. (2018). Case managers on the front lines of opioid epidemic response: Advocacy, education, and empowerment for users of medical and nonmedical opioids. Professional Case Management, 23(5), 256-263. https://doi.org/10.1097/NCM.0000000000000294
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Fitness vs. Wellness: Integrated Medicine in El Paso

December 12, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, El Paso TX, Exercises, Physio, Sporting, Therapy back pain relief El Paso, ChiroMed El Paso, chiropractic care El Paso TX, Dr Alexander Jimenez, exercise and chiropractic El Paso, family wellness El Paso, fitness vs wellness, holistic health El Paso, integrated medicine El Paso, natural pain relief, spinal adjustments El Paso, sports injury chiropractor El Paso

Fitness vs. Wellness: Integrated Medicine in El Paso

How ChiroMed Helps You Achieve Both with Chiropractic Care and Exercise

Living in El Paso, you want to feel strong for work, family, and enjoying the Franklin Mountains. Many people mix up the words “fitness” and “wellness,” but they are not the same. Fitness is your body’s physical power—how much you can lift, how far you can walk, or how long you can play with your kids without getting exhausted. Wellness is bigger. It means feeling great in your body, mind, emotions, and relationships. At ChiroMed – Integrated Medicine Holistic Healthcare in El Paso, TX, the team knows that exercise is the bridge between fitness and wellness, and chiropractic care makes that bridge stronger and safer (Chambers, n.d.).

What is Fitness? Building a Stronger Body in El Paso

Fitness is about what your body can do:

Lift groceries or move furniture (strength)
Hike the trails at Hueco Tanks without stopping (endurance)
Bend down to tie your shoes easily (flexibility)
Keep steady on uneven ground (balance)

Good fitness lowers your chance of heart problems, diabetes, and back pain—common concerns for many El Paso residents who work on their feet or sit at a desk all day (Mayo Clinic, n.d.).

What is Wellness? Feeling Your Best Overall

Wellness is how positive your whole life feels. It includes:

Sleeping well at night
Staying calm in traffic on I-10
Having energy to enjoy family barbecues
Feeling happy and connected to friends

At ChiroMed in El Paso, wellness is the main goal. The doctors look at the whole person—not just where it hurts (American Council on Exercise, n.d.).

Exercise: The Link Between Fitness and Wellness

Exercise is the one habit that improves both fitness and wellness simultaneously. A 30-minute walk in the neighborhood builds leg strength (fitness) and clears your mind after a long day (wellness). Yoga at a local El Paso studio increases flexibility (fitness) and lowers stress (wellness) (HelpGuide.org, n.d.).

How ChiroMed – Integrated Medicine in El Paso Combines Chiropractic Care and Exercise for Better Results

At ChiroMed on the East Side of El Paso, the doctors use gentle spinal adjustments to remove nerve pressure and help your body move correctly. When your spine is aligned:

Exercises feel easier and more effective
You get stronger faster
You have less chance of getting hurt
Pain from old injuries or daily stress decreases

The ChiroMed team, led by experts like Dr. Alexander Jimenez, creates custom exercise plans for every patient. These plans include simple stretches, core exercises, and movements you can do at home or at nearby parks. Patients often say they finally feel the difference after combining adjustments with the prescribed exercises (Jimenez, n.d.; AdventHealth, n.d.).

Here are some ways ChiroMed patients in El Paso see changes:

Back or neck pain decreases, so daily walks are enjoyable again
Better posture from core exercises and adjustments
More energy for work and family
Faster recovery after weekend soccer games or yard work
Lower stress and better sleep

Real-Life Examples from ChiroMed Patients in El Paso

Many local teachers, construction workers, nurses, and parents visit ChiroMed because pain stops them from living fully. After a few weeks of adjustments plus easy home exercises, they report:

Walking the dog without sciatica pain
Playing with grandkids without throwing out their back
Sleeping through the night for the first time in years
Returning to hiking trails in the Franklin Mountains

This powerful combination of chiropractic care and exercise promotes long-term health rather than quick fixes (Tigard Chiropractic Auto Injury, n.d.).

Start Your Journey at ChiroMed – Integrated Medicine in El Paso, TX

Whether you want to get fit for a 5K, feel less pain at work, or enjoy life more, ChiroMed – Integrated Medicine Holistic Healthcare in El Paso can help. The team focuses on natural, drug-free care that safely builds both fitness and wellness.

Call ChiroMed today or stop by the clinic to see how chiropractic care, along with the right exercises, can change how you feel every day in El Paso.

References

AdventHealth. (n.d.). A Beginner’s Guide to Combining Exercise with Chiropractic Care for Maximum Benefits

American Council on Exercise. (n.d.). Wellness vs. Fitness

Chambers, K. (n.d.). Unveiling the Connection: Understanding the Difference Between Fitness vs Wellness

HelpGuide.org. (n.d.). Exercise & Fitness

Jimenez, A. (n.d.). Injury Specialists – Dr. Alex Jimenez

Mayo Clinic. (n.d.). 7 Great Reasons Why Exercise Matters

Tigard Chiropractic Auto Injury. (n.d.). Integrating Exercise with Chiropractic: A Synergistic Approach

December 11, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care anxiety, back, back pain, body, brain-body connections, chiropractic care, clinical approach, cognitive impairment, collaborative care, disorder, disorders, disorientation, Dr. Alexander Jimenez El Paso, dralexjimenez, health, integrative rehabilitation, medical rx, neck, neck pain, nonsurgical, nonsurgical treatment, opioid, opioid therapy, pain, pain management, pharmaceutical, somatovisceral, somatovisceral disorders, stress, substance use, substance use disorder, SUD, Therapy, treatment, visceralsomatic, visceralsomatic disorders, wellness

Pain Management Explained for Opioid Therapy in a Clinical Approach

Understand the role of opioid therapy in a clinical approach to pain management and its impact on treatment strategies.

Key Points on Safe Pain Management with Opioids

Pain Affects Many People: Research suggests that about 100 million adults in the U.S. deal with pain, and this number might grow due to aging, more health issues like diabetes, and better survival from injuries. It’s important to address pain early to prevent it from becoming long-term (Institute of Medicine, 2011).
Non-Opioid Options First: Evidence leans toward starting with treatments like exercise, therapy, or over-the-counter meds before opioids, as they can be just as effective for common pains like backaches or headaches, with fewer risks (National Academies of Sciences, Engineering, and Medicine, 2019).
Team-Based Care Works Best: Studies show teams of doctors, nurses, and therapists can improve pain relief and daily life, though results vary. This approach seems likely to help more than solo care, especially for ongoing pain (Gauthier et al., 2019).
Opioids When Needed, But Carefully: Guidelines recommend low doses, short times, and regular check-ins to balance relief with risks like addiction. It’s complex, so talk openly with your doctor (Centers for Disease Control and Prevention, 2022).
Alternatives Like Chiropractic and NP Support: Integrative methods, such as chiropractic adjustments for spine alignment and ergonomic tips from nurse practitioners, can reduce reliance on meds. Clinical observations from experts like Dr. Alexander Jimenez highlight non-invasive approaches to managing pain effectively.

Understanding Pain Types

Pain can be short-term (acute), medium-term (subacute), or long-lasting (chronic). Acute pain often lasts less than three months and comes from injuries. If not treated well, it might turn chronic, affecting daily activities. Always respect someone’s pain experience—it’s personal and influenced by life factors (Raja et al., 2020).

Assessing Pain Simply

Doctors use tools like questions about when pain started, what makes it worse, and how it feels. Scales help rate it, from numbers (0-10) to faces showing discomfort. For kids or elders, special tools watch for signs like faster heartbeats (Wong-Baker FACES Foundation, 2022).

Treatment Basics

Start with non-drug options like rest, ice, or physical therapy. For chronic pain, meds like acetaminophen or therapies like yoga help. Opioids are for severe cases but come with risks—use them wisely (Agency for Healthcare Research and Quality, n.d.).

Role of Experts

According to clinical observations by Dr. Alexander Jimenez, DC, APRN, FNP-BC, who runs a multidisciplinary practice in El Paso, Texas (https://dralexjimenez.com/), combining chiropractic care with exercises targets root causes, such as misaligned spines, reducing opioid needs. As a nurse practitioner, he coordinates care and offers ergonomic advice to prevent pain from daily habits (LinkedIn Profile).

Comprehensive Guide to Safe and Effective Pain Management Using Opioid Therapy

Pain is a common problem that affects millions of people and can affect everything from work to hobbies. It’s important to find safe ways to deal with pain, whether it’s coming from an injury that happened suddenly or one that keeps coming back. This detailed guide goes over how to assess pain, the different treatment options available, and how to use opioids safely. We’ll talk about alternatives to opioids, team-based care, and advice from experts like Dr. Alexander Jimenez, who stresses the importance of a whole-person approach. There are words like “pain management strategies,” “opioid therapy guidelines,” and “non-opioid pain relief” that are mixed in to help you find good information online.

Introduction to Pain in America

The Institute of Medicine estimates that around 100 million American adults face acute or chronic pain daily. This number is expected to climb due to an aging population, rising rates of conditions like diabetes, heart disease, arthritis, and cancer, plus better survival from serious injuries and more surgeries that can lead to post-op pain (Institute of Medicine, 2011).

As people learn more about pain relief options and gain better access through laws like the Affordable Care Act (ACA), more folks—especially older ones—seek help. Passed in 2010, the ACA requires insurers to cover essential pain management benefits, including prescription drugs, chronic disease care, mental health support, and emergency services (111th Congress, 2009-2010). To use these effectively, healthcare providers need a solid grasp of pain assessment, classification, and treatment.

What Is Pain?

The International Association for the Study of Pain defines it as an unpleasant feeling associated with real or potential tissue damage. It’s subjective, shaped by biology, emotions, and social life. People learn about pain through experiences—some seek help right away, others try home remedies first. Respect their stories (Raja et al., 2020).

Pain falls into three main types, though definitions overlap:

Acute Pain: Lasts less than 3 months, or 1 day to 12 weeks; often limits daily activities for a month or less.
Subacute Pain: Sometimes seen as part of acute, or separate; lasts 1-3 months, or 6-12 weeks.
Chronic Pain: Persists over 3 months, or limits activities for more than 12 weeks (Banerjee & Argáez, 2019).

Poorly managed short-term pain can become chronic, so early action is important (Marin et al., 2017).

Assessing Pain Thoroughly

Pain is complex, influenced by body, mind, and environment. A full check includes history, physical exam, pain details, other health issues, and mental states like anxiety.

Basic pain evaluation covers:

When it started (date/time).
What caused it (injury?).
How does it feel (sharp, dull?)?
How bad it is.
Where is it?
How long does it last?
What worsens it (moving?).
What helps it?
Related signs (swelling?).
Impact on daily life.

Mnemonics help remember these. Here’s a table comparing common ones:

Mnemonic	Breakdown
COLDERRA	Characteristics, Onset, Location, Duration, Exacerbation, Radiation, Relief, Associated signs
OLDCART	Onset, Location, Duration, Characterization, Aggravating factors, Radiation, Treatment
PQRST	Provoked, Quality, Region/Radiation, Severity, Timing

Pain scales provide information but aren’t diagnoses because they’re subjective. Single-dimensional ones focus on intensity:

Verbal: Mild, moderate, severe.
Numeric: 0 (none) to 10 (worst).
Visual: Like Wong-Baker FACES®, using faces for kids, adults, or those with barriers (Wong-Baker FACES Foundation, 2022). An emoji version works for surgery patients (Li et al., 2023).

Multi-dimensional scales check intensity plus life impact. The McGill Pain Questionnaire uses words like “dull” to rate sensory, emotional, and overall effects; shorter versions exist (Melzack, 1975; Main, 2016). For nerve pain, PainDETECT helps (König et al., 2021). Brief Pain Inventory scores severity and interference with mood/life (Poquet & Lin, 2016).

For babies, watch heart rate, oxygen, and breathing. Tools like CRIES rate crying, oxygen need, vitals, expression, sleep (Castagno et al., 2022). FLACC for ages 2 months-7 years checks face, legs, activity, cry, consolability (Crellin et al., 2015). Older kids use Varni-Thompson or draw pain maps (Sawyer et al., 2004; Jacob et al., 2014).

Elders face barriers like hearing loss or dementia. PAINAD assesses breathing, sounds, face, body, and consolability on a 0-10 scale (Malara et al., 2016).

The Joint Commission sets standards across various settings, which affect tool choice (The Joint Commission, n.d.).

Building Treatment Plans

Plans depend on pain type, cause, severity, and patient traits. For acute: meds, distraction, psych therapies, rest, heat/ice, massage, activity, meditation, stimulation, blocks, injections (National Academies of Sciences, Engineering, and Medicine, 2019).

Re-check ongoing acute pain to avoid chronic shift. Goals: control pain, prevent long-term opioids. Barriers: access to docs/pharmacies, costs, follow-ups.

For chronic: meds, anesthesia, surgery, psych, rehab, CAM. Non-opioids include:

Oral Meds:
- Acetaminophen.
- NSAIDs (celecoxib, etc.).
- Antidepressants (SNRIs like duloxetine; TCAs like amitriptyline).
- Anticonvulsants (gabapentin, etc.).
- Muscle relaxers (cyclobenzaprine).
- Memantine.
Topical: Diclofenac, capsaicin, lidocaine.
Cannabis: Medical (inhaled/oral/topical); phytocannabinoids (THC/CBD); synthetics (dronabinol) (Agency for Healthcare Research and Quality, n.d.).

Opioid use has risen, raising concerns (National Academies of Sciences, Engineering, and Medicine, 2019).

Key plan elements:

Quick recognition/treatment.
Address barriers.
Involve patients/families.
Reassess/adjust.
Coordinate transitions.
Monitor processes/outcomes.
Assess outpatient failure risk.
Check opioid misuse (Wells et al., 2008; Society of Hospital Medicine, n.d.).

Team Approach to Pain

Studies support the use of interprofessional teams for better results (Gauthier et al., 2019). Teams include docs, nurses, NPs, pharmacists, PAs, social workers, PTs, behavioral therapists, and abuse experts.

A 2017 report showed that teams improved pain/function from baseline, though not always compared with controls (Banerjee & Argáez, 2017). A meta-analysis found that teams were better at reducing pain after 1 month and sustained benefits at 12 months (Liossi et al., 2019).

Integrative chiropractic care fits here. It involves spinal adjustments—gentle manipulations to correct misalignments—and targeted exercises, such as core strengthening, to maintain alignment and reduce pressure on nerves/muscles. Dr. Alexander Jimenez observes that this helps sciatica/back pain without opioids, using tools like decompression (dralexjimenez.com).

Nurse Practitioners (NPs) provide comprehensive management, including ergonomic advice (e.g., better sitting postures) to prevent strain. They coordinate by reviewing options, referring to specialists, and overseeing plans, as seen in Dr. Jimenez’s practice, where his FNP-BC role includes telemedicine for holistic care (LinkedIn, n.d.).

Beyond Adjustments: Chiropractic and Integrative Healthcare- Video

Managing Opioids Safely

CDC’s 2022 guidelines cover starting opioids, dosing, duration, and risks (Centers for Disease Control and Prevention, 2022).

1. Starting Opioids:

Maximize non-opioids first—they match opioids for many acute pains (back, neck, etc.). Discuss benefits/risks (Recommendation 1, Category B, Type 3).

Evaluate/confirm diagnosis. Non-drug examples:

Back: Exercise, PT.
Low back: Psych, manipulation, laser, massage, yoga, acupuncture.
Knee OA: Exercise, weight loss.
Hip OA: Exercise, manuals.
Neck: Yoga, massage, acupuncture.
Fibromyalgia: Exercise, CBT, massage, tai chi.
Tension headache: Manipulation.

Review labels, use the lowest dose/shortest time. Set goals, exit strategy. For ongoing, optimize non-opioids (Recommendation 2, A, 2).

2. Choosing/Dosing Opioids:

Immediate-release (hydromorphone, etc.) over ER/LA (methadone, etc.). Studies show no edge for ER/LA; avoid for acute/intermittent (Recommendation 3, A, 4).

No rigid thresholds—guideposts. Risks rise with dose; avoid high if benefits dim (Recommendation 4, A, 3).

Taper slowly to avoid withdrawal (anxiety, etc.). Collaborate on plans; use Teams. If there is disagreement, empathize and avoid abandonment (Recommendation 5, B, 4).

3. Duration/Follow-Up:

For acute, prescribe just enough—often 3 days or less. Evaluate every 2 weeks. Taper if used for days. Avoid unintended long-term (Recommendation 6, A, 4).

Follow-up 1-4 weeks after start/escalation; closer for high-risk (Recommendation 7, A, 4).

4. Risks/Harms:

Screen for SUD/OUD. Offer naloxone for overdose risk (Recommendation 8, A, 4).

Check PDMPs for scripts/combos (Recommendation 9, B, 4).

Toxicology tests are performed annually to assess interactions (Recommendation 10, B, 4).

Caution with benzodiazepines (Recommendation 11, B, 3).

For OUD, use DSM-5 (2+ criteria/year); offer meds like buprenorphine (Recommendation 12, A, 1) (Hasin et al., 2013; American Psychiatric Association, 2013).

OUD signs: Larger amounts, failed cuts, time spent, cravings, role failures, social issues, activity loss, hazardous use, continued despite problems, tolerance, withdrawal.

Treatment: Meds, counseling, groups. Coordinate with specialists.

Conclusion

In conclusion, you don’t have to rely only on opioids to manage pain well. We can help millions of people live better lives by putting non-opioid options first, like acetaminophen, physical therapy, or mindfulness, and only using opioids when necessary and with close monitoring. Doctors, nurses, pharmacists, and specialists like chiropractors work together in teams to make plans that are right for each person. This lowers the risk of things like addiction. Integrative chiropractic care, which focuses on spinal adjustments and specific exercises, is a big part of getting your body back in line and relieving pain naturally, which often means you don’t need to take medicine. Nurse practitioners are valuable because they provide comprehensive management, ergonomic advice to prevent problems, and coordination of treatments for better overall results.

Experts like Dr. Alexander Jimenez explain how these methods promote long-term health by treating the root causes with functional medicine and non-invasive procedures. The future looks better for safer pain relief as new technologies and drugs that don’t contain opioids are approved by the FDA. In the end, getting patients involved in decisions and keeping them up to date gives everyone the tools they need to manage pain directly, which improves daily tasks and overall health. Talk to your doctor to find out what works best for you. Early assessment and balanced care are important.

References

111th Congress (2009-2010). H.R.3590 – Patient protection and affordable care act. https://www.congress.gov/bill/111th-congress/house-bill/3590/text
Agency for Healthcare Research and Quality. (n.d.). Nonopioid pharmacologic treatments for chronic pain. https://effectivehealthcare.ahrq.gov/products/nonopioid-chronic-pain/protocol#:~:text=NSAIDs%20(e.g.%2C%20celecoxib%2C%20diclofenac,%2C%252
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing. https://www.psychiatry.org/psychiatrists/practice/dsm
Banerjee, S., & Argáez, C. (2017). Multidisciplinary treatment programs for patients with chronic non-malignant pain: A review of clinical effectiveness, cost-effectiveness, and guidelines. Canadian Agency for Drugs and Technologies in Health. https://www.ncbi.nlm.nih.gov/books/NBK545496/
Banerjee, S., & Argáez, C. (2019). Multidisciplinary treatment programs for patients with acute or subacute pain: A review of clinical effectiveness, cost-effectiveness, and guidelines. Canadian Agency for Drugs and Technologies in Health. https://www.ncbi.nlm.nih.gov/books/NBK546002/
Castagno, E., Fabiano, G., Carmellino, V., et al. (2022). Neonatal pain assessment scales: Review of the literature. Prof Inferm, 75(1), 17-28. https://pubmed.ncbi.nlm.nih.gov/35837859/
Centers for Disease Control and Prevention. (2022). CDC clinical practice guideline for prescribing opioids for pain — United States, 2022. MMWR Recommendations and Reports, 71(3), 1-95. https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm
Crellin, D. J., Harrison, D., Santamaria, N., et al. (2015). Systematic review of the Face, Legs, Activity, Cry, and Consolability scale for assessing pain in infants and children: Is it reliable, valid, and feasible for use? Pain, 156(11), 2132-2151. https://pubmed.ncbi.nlm.nih.gov/26218755/
Gauthier, K., Dulong, C., & Argáez, C. (2019). Multidisciplinary treatment programs for patients with chronic non-malignant pain: A review of clinical effectiveness, cost-effectiveness, and guidelines – an update. Canadian Agency for Drugs and Technologies in Health. https://www.ncbi.nlm.nih.gov/books/NBK545496/
Hasin, D. S., O’Brien, C. P., Auriacombe, M., et al. (2013). DSM-5 criteria for substance use disorders: Recommendations and rationale. American Journal of Psychiatry, 170(8), 834-851. https://pubmed.ncbi.nlm.nih.gov/23903334/
Institute of Medicine. (2011). Relieving pain in America: A blueprint for transforming prevention, care, education, and research. National Academies Press. https://nap.nationalacademies.org/catalog/13172/relieving-pain-in-america-a-blueprint-for-transforming-prevention-care
Jacob, E., Luck, A. K., Savedra, M., et al. (2014). Adolescent pediatric pain tool for multidimensional pain measurement in children and adolescents. Pain Management Nursing, 15(3), 694-706. https://pubmed.ncbi.nlm.nih.gov/24360399/
The Joint Commission. (n.d.). Pain assessment and management standards. https://www.jointcommission.org/search/#q=pain%20assessment&t=_Tab_All&f:@sitelongname=[The%20Joint%20Commission]
König, S. L., Prusak, M., Pramhas, S., et al. (2021). Correlation between the neuropathic PainDETECT screening questionnaire and pain intensity in chronic pain patients. Medicina (Kaunas), 57(4), 353. https://pubmed.ncbi.nlm.nih.gov/33918596/
Li, L., Wu, S., Wang, J., et al. (2023). Development of the Emoji Faces Pain Scale and its validation on mobile devices in adult surgical patients: a longitudinal observational study. Journal of Medical Internet Research, 25, e41189. https://pubmed.ncbi.nlm.nih.gov/37052994/
Liossi, C., Johnstone, L., Lilley, S., et al. (2019). Effectiveness of interdisciplinary interventions in paediatric chronic pain management: A systematic review and subset meta-analysis. British Journal of Anaesthesia, 123(2), e359-e371. https://pubmed.ncbi.nlm.nih.gov/30954242/
Main, C. J. (2016). Pain assessment in context: A state of the science review of the McGill pain questionnaire 40 years on. Pain, 157(7), 1387-1399. https://pubmed.ncbi.nlm.nih.gov/26901072/
Malara, A., De Biase, G. A., Bettarini, F., et al. (2016). Pain assessment in the elderly with behavioral and psychological symptoms of dementia. Journal of Alzheimer’s Disease, 50(4), 1217-225. https://pubmed.ncbi.nlm.nih.gov/26836181/
Marin, T. J., Van Eerd, D., Irvin, E., et al. (2017). Multidisciplinary biopsychosocial rehabilitation for subacute low back pain. Cochrane Database of Systematic Reviews, 6(6), CD002193. https://pubmed.ncbi.nlm.nih.gov/28664541/
Melzack, R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods. Pain, 1(3), 277-299. https://pubmed.ncbi.nlm.nih.gov/1235985/
National Academies of Sciences, Engineering, and Medicine. (2019). Framing opioid prescribing guidelines for acute pain: Developing the evidence. National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK554977/
Poquet, N., & Lin, C. (2016). The brief pain inventory (BPI). Journal of Physiotherapy, 62(1), 52. https://pubmed.ncbi.nlm.nih.gov/26723579/
Raja, S. N., Carr, D. B., Cohen, M., et al. (2020). The revised International Association for the Study of Pain definition of pain: Concepts, challenges, and compromises. Pain, 161(9), 1976-1982. https://pubmed.ncbi.nlm.nih.gov/32694387/
Sawyer, M. G., Whitham, J. F., Roberton, D. M., et al. (2004). The relationship between health-related quality of life, pain, and coping strategies in juvenile idiopathic arthritis. Rheumatology (Oxford), 43(3), 325-330. https://pubmed.ncbi.nlm.nih.gov/14623990/
Society of Hospital Medicine. (n.d.). Improving pain management for hospitalized medical patients. https://www.hospitalmedicine.org/globalassets/clinical-topics/clinical-pdf/shm_painmanagement_guide.pdf
Wells, N., Pasero, C., & McCaffery, M. (2008). Improving the quality of care through pain assessment and management. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses. Agency for Healthcare Research and Quality. https://www.ncbi.nlm.nih.gov/books/NBK2658/
Wong-Baker FACES Foundation. (2022). Wong-Baker FACES® pain rating scale. http://www.WongBakerFACES.org

December 11, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Diet, El Paso TX, Gut Health, Sleep Hygiene ChiroMed El Paso, chiropractic for heartburn El Paso, Dr Alexander Jimenez bloating, El Paso chiropractic gut health, El Paso holiday gut health, functional medicine digestion El Paso, holiday IBS relief 79925, tamales without bloating, vagus nerve adjustment reflux

Holiday Gut Health Survival Guide for El Paso Families

How ChiroMed Integrated Medicine in El Paso, TX, Keeps Your Stomach Happy All Season Long

The holidays in El Paso bring tamales, posole, lights on San Jacinto Plaza, and family time – but they can also get bloating, heartburn, gas, and bathroom emergencies that nobody wants. If you’re tired of loosening your belt after every party or waking up with acid reflux, you’re not alone. Rich foods, extra drinks, stress, and late nights throw your gut off track fast. The good news? The team at ChiroMed Integrated Medicine Holistic Healthcare on the East Side of El Paso knows exactly how to fix it – and keep it fixed.

At ChiroMed on Lee Trevino Drive, Dr. Alexander Jimenez (DC, APRN, FNP-BC) and his nurse practitioners combine chiropractic care, functional medicine, nutrition plans, and stress management tools to get to the root of holiday tummy troubles. No quick pills – just real solutions that work with your body.

Why Your Gut Rebels During the Holidays (And Why El Paso Winters Make It Worse)

Big plates of enchiladas, creamy dips, champagne, and sugary pan dulce slow digestion and feed harmful bacteria. Add the desert air and cold fronts that roll through El Paso, and your gut moves even slower (United Digestive, n.d.). Stress from holiday shopping at Cielo Vista or hosting family can literally slow digestion by spiking cortisol (GI Associates & Endoscopy Center, n.d.a).

Common holiday gut wreckers:
- Fatty and fried foods (tamales, chiles rellenos, pecan pie)
- Alcohol and sparkling drinks (margaritas, champagne, Mexican Coke)
- Low fiber (skipping salads for more carne)
- Stress and poor sleep (late-night posada parties)
- Less movement (staying inside when it’s cold)

These habits throw off your gut microbiome – the trillions of good bacteria that keep everything running smoothly. When the balance tips, you get bloating, cramps, diarrhea, constipation, or heartburn that can last into January (News-Medical, 2025; Bare Chiropractic, n.d.).

The Most Common Holiday Gut Problems El Paso Patients Bring to ChiroMed

Every December, the phones at ChiroMed light up with the same complaints:

“I feel like a balloon after eating.”
“Heartburn keeps me awake after parties.”
“I haven’t gone to the bathroom in days.”
“My IBS is flaring worse than ever.”

These symptoms are your body’s way of saying the nervous system and gut are out of sync. That’s where ChiroMed’s integrated approach shines.

How ChiroMed Integrated Medicine Fixes Holiday Gut Issues – Fast

Dr. Jimenez and the team don’t just hand you antacids. They look at the whole picture:

Chiropractic Adjustments for the Vagus Nerve: Gentle adjustments to the upper neck and mid-back calm the vagus nerve – the main highway between the brain and the gut. This switches your body from “stress mode” to “rest-and-digest” mode, easing bloating and reflux in as little as one visit (Harvard Health Publishing, 2019).
Functional Medicine Testing & Custom Nutrition Plans. As a board-certified Family Nurse Practitioner, Dr. Jimenez orders simple stool tests when needed to see exactly which bacteria are out of balance. Then the team builds an El Paso-friendly plan: more beans and roasted nopales for fiber, fermented foods like curtido or kombucha, and cutting back on holiday trigger foods.
Targeted Supplements That Actually Work
- High-potency probiotics (20–50 billion CFUs) to rebuild good bacteria
- Digestive enzymes to break down heavy holiday meals
- Magnesium and vitamin D (most El Paso patients are low in winter)
- Herbal blends for quick heartburn or constipation relief
Stress & Movement Tools You Can Use at Home. The clinic teaches quick breathing exercises, chair yoga stretches, and short sunset walks around Ascarate Park to keep stress low and bowels moving.

Real patient wins at ChiroMed El Paso:
- “I used to dread Christmas dinner. After two adjustments and probiotics, I ate tamales with no bloating!” – Maria R.
- “Dr. Jimenez fixed my reflux without meds. I finally slept through the night.” – Carlos G.

Simple Holiday Gut Tips from the ChiroMed Team

Eat slowly – put the fork down between bites
Drink water between margaritas (add lime – it helps digestion)
Take a 10-minute walk after dinner (even around the neighborhood lights)
Add a side of calabacitas or ensalada de nopales to every plate
Get adjusted before the big parties – it keeps your nervous system calm

Don’t Wait Until January – Start Feeling Better This Week

If holiday eating has your stomach in knots, call ChiroMed Integrated Medicine Holistic Healthcare in El Paso today. New patients can often get in the same week, and many plans cover chiropractic and functional medicine visits.

ChiroMed Integrated Medicine 7019 Lee Trevino Dr, El Paso, TX 79925 (915) 850-0900 Open Monday–Friday + Saturday mornings

Let Dr. Alexander Jimenez and the team help you enjoy tamales, luminarias, and family time—without the gut drama.

References

Bare Chiropractic. (n.d.). Post-holiday gut health: How inflammation can carry into the new year. https://barechiropractic.com/post-holiday-gut-health-how-inflammation-can-carry-into-the-new-year/

GI Associates & Endoscopy Center. (n.d.a). The effect of holiday stress on the gastrointestinal system. https://gi.md/the-effect-of-holiday-stress-on-the-gastrointestinal-system/

Harvard Health Publishing. (2019). Brain-gut connection explains why integrative treatments can help relieve digestive ailments. https://www.health.harvard.edu/blog/brain-gut-connection-explains-why-integrative-treatments-can-help-relieve-digestive-ailments-2019041116411

Jimenez, A. (n.d.). ChiroMed Integrated Medicine – El Paso, TX. https://dralexjimenez.com/

News-Medical. (2025). How the holidays can impact digestion and gut health. https://www.news-medical.net/whitepaper/20251201/How-the-holidays-can-impact-digestion-and-gut-health.aspx

United Digestive. (n.d.). Why your digestive system needs extra care during the winter months. https://www.uniteddigestive.com/why-your-digestive-system-needs-extra-care-during-the-winter-months/

December 10, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care anxiety, back, back pain, body, brain-body connections, brain-head connection, chiropractic care, clinical approach, cognitive impairment, collaborative care, disorder, disorders, disorientation, Dr. Alexander Jimenez El Paso, dralexjimenez, head injuries, head pain, health, integrative rehabilitation, medical rx, neck, neck pain, nonsurgical, nonsurgical treatment, pain, pharmaceutical, somatovisceral, somatovisceral disorders, stress, substance use, substance use disorder, SUD, treatment, visceralsomatic, visceralsomatic disorders, wellness

A Clinical Approach for Treatment for Patients with Substance Use Disorder

Delve into the clinical approach for a comprehensive understanding of effective management and care for substance use disorder for patients.

Integrative Management of Substance Use Disorder (SUD) and Musculoskeletal Health: A Collaborative Model for Chiropractors and Nurse Practitioners

The musculoskeletal system, behavior, brain, and overall body are all impacted by substance use disorder (SUD), a chronic illness that may be treated. For many individuals, SUD coexists with functional restrictions, mental discomfort, chronic pain, and injury. According to the American Medical Association [AMA], n.d., the National Institute on Drug Abuse [NIDA], n.d., and the National Institute of Mental Health [NIMH], 2025, an integrative care model can lower risk, enhance function, and promote long-term recovery by combining evidence-based SUD screening and treatment with chiropractic care and nurse practitioner (NP)-led primary care.

This article describes SUD, how it may be recognized and classified, how physicians can treat it with useful processes, and how integrated chiropractic and NP treatment can address physical repercussions and overlapping risk profiles.

What Is Substance Use Disorder (SUD)?

SUD is a medical condition in which the use of alcohol, medications, or other substances leads to significant impairment or distress in daily life. It is not a moral failing or a lack of willpower; it is a chronic, brain‑ and body‑based disease that is treatable (NIDA, n.d.; NIMH, 2025).

SUD exists on a spectrum from mild to severe. People with SUD may:

Use more of the substance than they planned
Try and fail to cut down or stop
Spend a lot of time obtaining, using, or recovering from the substance
Continue to use even though it harms health, work, relationships, or safety (American Psychiatric Association, 2022; NIMH, 2025)

Person‑first, non‑stigmatizing language

Stigma can keep people from seeking care. Using respectful, person‑first language reduces shame and supports engagement. NIDA and the AMA recommend (NIDA, n.d.; AMA, n.d.):

Say “person with a substance use disorder,” not “addict” or “drug abuser.”
Say “substance use” or “misuse,” not “abuse.”
Focus on SUD as a chronic, treatable condition.

Categories and Diagnostic Features of SUD

DSM‑5‑TR framework: Mild, moderate, severe

Diagnostic criteria for SUD come from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM‑5‑TR) (American Psychiatric Association, 2022; NIAAA, 2025). A diagnosis is based on the number of symptoms present over 12 months.

Typical criteria include (paraphrased):

Using more or for longer than intended
Unsuccessful efforts to cut down
Spending a lot of time obtaining, using, or recovering
Cravings or strong urges
Role failures at work, school, or home
Social or interpersonal problems caused or worsened by use
Giving up important activities
Using in physically hazardous situations
Continued use despite physical or psychological problems
Tolerance
Withdrawal

Severity is determined by symptom count (American Psychiatric Association, 2022; NIAAA, 2025):

Mild: 2–3 symptoms
Moderate: 4–5 symptoms
Severe: 6 or more symptoms

Substance‑specific categories

Clinically, SUD is further categorized by substance type (NIDA, n.d.; NIMH, 2025):

Alcohol use disorder (AUD)
Opioid use disorder (e.g., heroin, oxycodone, hydrocodone)
Stimulant use disorder (e.g., cocaine, methamphetamine)
Sedative, hypnotic, or anxiolytic use disorder (e.g., benzodiazepines)
Cannabis, tobacco, hallucinogen, or inhalant use disorders

Each category has similar behavioral criteria but unique medical risks, withdrawal profiles, and treatment options (NIDA, n.d.; NIAAA, 2025).

Risk and severity categories for clinical workflows

For practical care, validated screening tools classify risk that guide next steps (AMA, n.d.; NIDA, n.d.; NIAAA, 2025):

Low/no risk: Negative screen or very low scores
Moderate risk: At‑risk use with potential consequences (e.g., falls, crashes, future disease)
Substantial/severe risk: High scores suggest likely SUD and active harm

For example, adult risk zones using tools like AUDIT and DAST (AMA, n.d.):

Low risk/abstain: AUDIT 0–7; DAST 0–2
Moderate risk: AUDIT 8–15; DAST 3–5
Substantial/severe risk: AUDIT ≥16; DAST ≥6

These categories help teams decide when to give brief interventions, when to intensify care, and when to refer to specialty treatment.

Epidemiology and Public Health Impact

National surveys show that millions of people in the United States live with SUD, yet only a fraction receive treatment (Substance Abuse and Mental Health Services Administration [SAMHSA], 2023). The 2022 National Survey on Drug Use and Health reported high rates of both substance use and serious mental illness, often co‑occurring (SAMHSA, 2023).

Key points from recent federal data (SAMHSA, 2023; NIMH, 2025):

SUD commonly co‑occurs with depression, anxiety, and other mental disorders.
Co‑occurring conditions worsen medical outcomes and increase healthcare use.
Early identification and integrated treatment can improve function, reduce complications, and lower long‑term costs.

Identifying Patients With SUD: Screening and Assessment

Early, routine identification is critical. Primary care teams, NPs, and chiropractic clinics that integrate behavioral health can all play a role (AMA, n.d.; NIDA, n.d.; NIAAA, 2025).

Building a safe, trauma‑informed environment

Before asking about substance use, the team should (AMA, n.d.; NIDA, n.d.):

Explain that “we screen everyone” as part of whole‑person care.
Emphasize confidentiality within legal limits.
Use a calm, nonjudgmental tone and body language.
Offer patients the option not to answer any question.
Acknowledge that stress, trauma, pain, and life pressures often contribute to substance use.

This aligns with trauma‑informed care principles promoted by SAMHSA and helps patients feel safe enough to share (AMA, n.d.).

Validated screening tools

Evidence‑based tools are preferred over informal questioning. Common options include (AMA, n.d.; NIDA, n.d.; NIAAA, 2025):

For adults:

AUDIT or AUDIT‑C (Alcohol Use Disorders Identification Test) – screens for unhealthy alcohol use and risk of AUD.
DAST‑10 (Drug Abuse Screening Test) – screens for non‑alcohol drug use problems.
TAPS Tool (Tobacco, Alcohol, Prescription medication, and other Substances) – combined screen and brief assessment.

For adolescents:

CRAFFT 2.1+N – widely used for youth; captures risk behaviors and problems.
S2BI (Screening to Brief Intervention) and BSTAD – brief tools validated for ages 12–17 (NIDA, n.d.; AMA, n.d.).

For alcohol‑specific quick screens:

AUDIT‑C (3 questions) or full AUDIT
NIAAA Single Alcohol Screening Question (SASQ):
“How many times in the past year have you had 4 (for women) or 5 (for men) or more drinks in a day?” (NIAAA, 2025)

Results guide risk categorization and next steps.

Role of the care team

In integrated practices, roles can be divided (AMA, n.d.):

Medical assistants or nurses
- Administer pre‑screens and full questionnaires.
- Flag positive or concerning responses.
Nurse practitioners / primary care clinicians
- Review screening results.
- Deliver brief interventions using motivational interviewing.
- Conduct or oversee further assessment.
- Prescribe and manage pharmacotherapy for SUD when indicated.
- Coordinate referrals and follow‑up.
Behavioral health clinicians (on‑site or virtual)
- Perform biopsychosocial in-depth evaluations.
- Provide psychotherapy and relapse‑prevention skills.
- Support motivational enhancement and family engagement.
Chiropractors and physical‑medicine providers
- Screen for substance misuse related to pain, function, and injury patterns.
- Observe red flags (frequent lost prescriptions, inconsistent pain reports, sedation, falls).
- Communicate concerns to the NP or primary medical provider.

Dr. Alexander Jimenez, DC, APRN, FNP‑BC, exemplifies this dual role. As both a chiropractor and a family practice NP, he combines neuromusculoskeletal assessment with medical screening and functional medicine evaluation to identify root causes of chronic pain and unhealthy substance use patterns (Jimenez, n.d.).

Clinical clues that may suggest SUD

Beyond formal tools, clinicians should stay alert for patterns such as (AMA, n.d.; NIMH, 2025):

Frequent injuries, falls, or motor vehicle accidents
Repeated missed appointments or poor adherence to treatment
Drowsiness, agitation, slurred speech, or odor of alcohol
Unexplained weight loss, infections, or liver abnormalities
Social and financial instability, job loss, or legal problems

In chiropractic and musculoskeletal settings, repeated injuries, delayed healing, inconsistent exam findings, or “pain behaviors” that do not match imaging or biomechanics may prompt gentle, supportive screening and medical referral.

Comprehensive Assessment and Risk Stratification

Once a screen is positive, the next level is a more detailed assessment. This should examine substance type, frequency, amount, impact, withdrawal, mental health, physical comorbidities, and function (AMA, n.d.; NIMH, 2025).

Structured assessment tools

Clinicians may use (AMA, n.d.; NIDA, n.d.; NIAAA, 2025):

Full AUDIT for alcohol
DAST‑10 for general drugs
CRAFFT or GAIN for adolescents
Checklists based directly on DSM‑5‑TR criteria to rate symptom count and severity (NIAAA, 2025).

These tools allow classification into mild, moderate, or severe SUD and support shared decision‑making regarding level of care.

Co‑occurring mental health conditions

SUD frequently co‑occurs with (NIMH, 2025):

Major depressive disorder
Anxiety disorders
Posttraumatic stress disorder (PTSD)
Bipolar disorder
Attention‑deficit/hyperactivity disorder

Co‑occurring disorders can:

Increased risk for self‑medication with substances
Worsen treatment outcomes if not recognized
Require integrated treatment plans (NIMH, 2025)

NPs, behavioral health clinicians, and chiropractors with integrative training should maintain a low threshold for mental health screening and referral.

Managing Patients With SUD: A Practical Clinical Process

Effective SUD care is chronic‑disease care: ongoing, team‑based, and tailored to readiness to change (AMA, n.d.; SAMHSA, 2023).

Core elements of management

Key components include (AMA, n.d.; NIDA, n.d.; NIMH, 2025):

Routine screening and re‑screening
Brief interventions and motivational interviewing
Harm‑reduction strategies
Medications for certain SUDs (when appropriate)
Evidence‑based behavioral therapies
Peer and family support
Long‑term follow‑up and relapse‑prevention planning

Brief intervention and motivational interviewing

For patients with low to moderate risk, brief intervention can be delivered in 5–15 minutes and often by NPs or primary care clinicians (AMA, n.d.; NIAAA, 2025). Using motivational interviewing, clinicians:

Ask open‑ended questions (“What do you enjoy about drinking? What concerns you about it?”)
Reflect and summarize the patient’s own statements
Ask permission before giving advice
Help patients set realistic, patient‑chosen goals (cutting down, abstaining, or seeking treatment)

This approach respects autonomy and builds internal motivation for change.

Determining level of care

The American Society of Addiction Medicine (ASAM) describes a continuum of care (AMA, n.d.; SAMHSA, 2023):

Prevention/early intervention
- Brief interventions in primary care
- Self‑management support and education
Outpatient services
- Office‑based counseling and medications for AUD or opioid use disorder (OUD)
- Integrated behavioral health visits
Intensive outpatient / partial hospitalization
- Several therapy sessions per week, day or evening programs
Residential/inpatient services
- 24‑hour structured care for severe or complex cases
Medically managed intensive inpatient services
- Medically supervised detoxification and stabilization

NPs and primary care teams decide the appropriate level based on risk severity, co‑occurring medical and psychiatric conditions, social supports, and patient preference (AMA, n.d.; NIMH, 2025).

Medications for SUD

For some patients, medications support recovery by reducing cravings, blocking rewarding effects, or stabilizing brain function (SAMHSA, 2020; AMA, n.d.; NIAAA, 2025). Examples include:

Alcohol use disorder
- Acamprosate – supports abstinence after detox
- Disulfiram – creates an unpleasant reaction to alcohol, discouraging use
- Naltrexone blocks the rewarding effects of alcohol
Opioid use disorder
- Buprenorphine – a partial opioid agonist that reduces cravings and overdose risk; often prescribed in primary care with appropriate DEA registration
- Methadone – full agonist, dispensed in specialized opioid treatment programs
- Naltrexone (extended‑release) – opioid antagonist that prevents relapse after detox
Overdose prevention
- Naloxone – rapid opioid‑overdose reversal, recommended for anyone at risk (AMA, n.d.).

NPs managing patients with SUD work within state scope‑of‑practice rules and in collaboration with addiction specialists where needed.

Behavioral therapies and peer support

Evidence‑based therapies include (AMA, n.d.; NIDA, n.d.):

Cognitive behavioral therapy (CBT)
Dialectical behavior therapy (DBT)
Motivational enhancement therapy
The Matrix Model (especially for stimulants)
Family‑based therapy for adolescents

Peer support groups (Alcoholics Anonymous, Narcotics Anonymous, SMART Recovery) can reinforce coping skills, hope, and accountability.

Long‑term follow‑up

SUD is chronic; relapse risk can persist for years. Best practice includes (AMA, n.d.; NIMH, 2025):

Follow‑up within 2 weeks after treatment initiation
Monthly to quarterly visits as patients stabilize
Peer support and care management between visits
Rapid re‑engagement after any relapse or lapse

NASW, NIDA, and NIMH stress that relapse should be treated as a signal to adjust care—not as failure (NIDA, n.d.; NIMH, 2025).

How SUD Affects the Body and the Musculoskeletal System

SUD impacts nearly every organ system. Many effects directly or indirectly worsen neuromusculoskeletal health and pain.

General systemic effects

Common systemic consequences include (NIDA, n.d.; NIMH, 2025; SAMHSA, 2023):

Cardiovascular disease and hypertension
Liver disease and pancreatitis (especially with alcohol)
Respiratory disease (especially with tobacco and some drugs)
Endocrine and hormonal disruption
Immune dysfunction and higher infection risk
Sleep disturbances and fatigue
Worsening of mood, anxiety, and cognitive function

These changes affect healing capacity, resilience, and the way patients perceive pain.

Musculoskeletal and pain‑related effects

Substance use and SUD can influence the musculoskeletal system through several pathways:

Increased injury risk
- Impaired judgment, coordination, and reaction time increase the risk of falls, motor vehicle accidents, and sports injuries.
- Heavy alcohol use is associated with fractures, soft tissue injuries, and delayed healing (AMA, n.d.; SAMHSA, 2023).
Bone, joint, and muscle changes
- Alcohol and some drugs can impair bone density and quality, increasing osteoporosis and fracture risk.
- Nutritional deficiencies associated with SUDs weaken connective tissue and muscle function.
- Sedentary behavior and deconditioning are common in people with long‑standing SUD.
Chronic pain and central sensitization
- Chronic alcohol or opioid use can alter pain pathways in the central nervous system, raising pain sensitivity.
- Opioid‑induced hyperalgesia can make pain seem worse even at stable or increasing doses.
Functional and ergonomic stress
- Disrupted sleep, poor posture, and prolonged sitting or immobility (for example, in recovery environments or during unemployment) can lead to spinal stress, neck and low back pain, and muscle imbalance.

Clinically, Dr. Jimenez and similar integrative providers often see patients with combined profiles: chronic low back or neck pain, sedentary work, ergonomic strain, poor sleep, high stress, and escalating reliance on medications, including opioids or sedatives. Addressing both the mechanical and behavioral contributors can change the trajectory of pain and SUD risk (Jimenez, n.d.).

Integrative Chiropractic Care in the Context of SUD

Philosophy of integrative chiropractic care

Integrative chiropractic care focuses on restoring alignment, mobility, and neuromuscular control while considering lifestyle, nutrition, sleep, and emotional stress. In the model used by Dr. Jimenez, chiropractic adjustments are combined with functional medicine strategies, targeted exercise, and collaborative medical care (Jimenez, n.d.).

For patients with or at risk of SUD, this approach offers:

Non‑pharmacologic pain management
Improved movement, posture, and ergonomics
Education that empowers patients to self‑manage pain
Reduced reliance on habit‑forming medications

Spinal adjustments and targeted exercises

Spinal and extremity adjustments aim to:

Restore joint mobility
Reduce mechanical irritation of nerves and soft tissues
Improve segmental alignment and overall posture

Targeted exercises are prescribed to:

Strengthen deep stabilizing muscles (core, gluteal, cervical stabilizers)
Correct muscle imbalances and faulty patterns
Increase flexibility and joint range of motion
Enhance proprioception, balance, and movement control

Examples of targeted exercise strategies often used in integrative chiropractic and rehab clinics include (Jimenez, n.d.):

Lumbar stabilization and core‑strengthening sequences
Hip mobility and glute activation drills for low back and sciatica‑like pain
Cervical and scapular stabilization for neck and shoulder pain
Postural retraining, including ergonomic break routines for prolonged sitting

By reducing biomechanical stress and enhancing functional capacity, these interventions may decrease pain intensity, frequency, and flare‑ups, which in turn can lower the drive to self‑medicate with substances.

Reducing overlapping risk profiles

Many risk factors for SUD and for chronic musculoskeletal pain overlap, including (NIMH, 2025; NIDA, n.d.; Jimenez, n.d.):

Chronic stress and trauma
Poor sleep and circadian disruption
Sedentary lifestyle and obesity
Repetitive strain and poor ergonomics
Social isolation and low self‑efficacy

Integrative chiropractic care can help shift these shared risk profiles by:

Encouraging regular physical activity and graded movement
Coaching ergonomic and postural strategies at work and home
Teaching breathing, stretching, and relaxation routines that reduce muscle tension and sympathetic overdrive
Collaborating with NPs and behavioral health clinicians to align interventions with mental health and SUD treatment plans

In Dr. Jimenez’s practice, this often includes structured flexibility, mobility, and agility programs that are adapted to age and functional status, with close monitoring to avoid over‑reliance on medications, including opioids and sedatives (Jimenez, n.d.).

The Nurse Practitioner’s Role in Comprehensive SUD and Musculoskeletal Care

NPs are well-positioned to coordinate SUD care and integrate it with musculoskeletal and chiropractic treatment.

Comprehensive medical management

NP responsibilities typically include (AMA, n.d.; NIMH, 2025; NIAAA, 2025):

Conducting and interpreting SUD screening and risk stratification
Performing physical exams and ordering labs or imaging
Diagnosing SUD and co‑occurring conditions
Prescribing non‑addictive pain strategies and medications where indicated
Managing or co‑managing medications for AUD or OUD (per training and regulations)
Monitoring for drug–drug and drug–disease interactions
Coordinating with behavioral health and community resources

In integrative settings like Dr. Jimenez’s clinic, the NP role is blended with functional medicine principles, looking at nutrition, metabolic health, hormonal balance, and inflammation that influence both pain and SUD risk (Jimenez, n.d.).

Ergonomic and lifestyle counseling

NPs also provide individualized counseling on:

Workplace ergonomics (desk height, chair support, screen position)
Safe lifting strategies and body mechanics
Activity pacing and graded return to work or sport
Sleep hygiene and circadian rhythm support
Nutrition strategies that support musculoskeletal healing and brain health

These interventions lower the mechanical load on the spine and joints, reduce fatigue, and increase a patient’s sense of control—all of which help reduce triggers for substance use and relapse.

Care coordination and team communication

NPs often serve as the central coordinator who (AMA, n.d.; NIMH, 2025):

Ensures all team members (chiropractor, physical therapist, behavioral health, addiction medicine, primary care, or specialty providers) share a coherent plan
Tracks progress on pain, function, substance use, mood, and quality of life
Adjusts the plan as conditions change
Supports families and caregivers in understanding both SUD and musculoskeletal needs

In a model like Dr. Jimenez’s, this may involve regular case conferences, shared EHR notes, and integrated treatment plans that align spinal rehabilitation with SUD recovery goals (Jimenez, n.d.).

Understanding Long Lasting Injuries- Video

Practical Clinical Pathway: From First Contact to Long‑Term Recovery

For clinics that combine chiropractic and NP services, a practical, stepwise pathway for patients with possible SUD and musculoskeletal complaints can look like this (AMA, n.d.; NIDA, n.d.; NIAAA, 2025; NIMH, 2025; Jimenez, n.d.):

Step 1: Initial visit and global screening

Intake includes questions on pain, function, injuries, sleep, mood, and substance use.
Staff administer brief tools (for example, AUDIT‑C and DAST‑10 for adults, CRAFFT for adolescents).
The chiropractor documents neuromusculoskeletal findings; the NP reviews medical and behavioral health risks.

Step 2: Identification of SUD risk

Negative or low‑risk screens → brief positive health message and reinforcement of low‑risk behavior.
Moderate risk → NP provides brief intervention, motivational interviewing, and a follow‑up plan.
Substantial or severe risk → NP initiates comprehensive assessment, safety planning, and possible referral to specialized services.

Step 3: Integrated treatment planning

The team crafts a unified plan that may include:

Spinal adjustments and targeted exercises to correct alignment and biomechanics
Gradual increase in physical activity with pain‑sensitive pacing
Non‑pharmacologic pain strategies (manual therapy, exercise therapy, education)
Behavioral health referral for CBT, trauma‑informed treatment, or other modalities
Consideration of medications for AUD or OUD, if indicated
Harm‑reduction measures (for example, naloxone prescription for those at overdose risk)

Step 4: Ergonomics and lifestyle

NP and chiropractor jointly review workplace and home ergonomics, posture, and activity patterns.
Patients learn micro‑break routines, stretching, and strengthening sequences for high‑risk tasks (for example, lifting or prolonged sitting).
Nutrition, stress‑management, and sleep interventions are introduced or refined.

Step 5: Monitoring and long‑term follow‑up

Regular follow‑up visits evaluate:
- Pain levels and functional capacity
- Substance use patterns and cravings
- Mood, sleep, and quality of life
- Adherence to exercise and ergonomic plans
The team updates the treatment plan to respond to progress, setbacks, or new diagnoses.
Patients are coached to view flare-ups or lapses as opportunities to learn and adjust, not as failures.

This kind of coordinated, integrative approach can reduce repeated injuries, unnecessary imaging or surgeries, and long‑term dependence on medications, including opioids.

Clinical Insights from an Integrative Practice Model

Although each practice is unique, Dr. Alexander Jimenez’s clinic illustrates several principles that can guide others (Jimenez, n.d.):

Whole‑person assessment: History taking includes injuries, lifestyle, trauma, nutrition, environment, and psychosocial stressors.
Functional movement focus: Care plans emphasize flexibility, mobility, agility, and strength to restore capacity rather than just relieve symptoms.
Non‑invasive first: Chiropractic adjustments, functional exercise, and lifestyle interventions are prioritized before invasive procedures or long‑term controlled substances.
Integrated roles: As both DC and FNP‑BC, Dr. Jimenez unifies neuromusculoskeletal, primary care, and functional medicine perspectives in a single, coordinated plan.
Patient empowerment: Education, coaching, and accessible care options help patients take a proactive role in maintaining spinal health and reducing SUD risk.

This model aligns with national guidance on behavioral health integration and SUD management in medical settings while adding the musculoskeletal and ergonomic expertise of chiropractic care (AMA, n.d.; NIDA, n.d.; NIMH, 2025).

Key Takeaways

SUD is a chronic, treatable medical condition that often co‑occurs with mental disorders and chronic pain.
Validated screening tools and non‑stigmatizing, trauma‑informed communication are core to early identification.
Risk and severity categories (mild, moderate, severe) guide brief intervention, level of care, and referral decisions.
SUD significantly affects the body, including bone health, soft tissue integrity, injury risk, and chronic pain pathways.
Integrative chiropractic care—with spinal adjustments, targeted exercises, and ergonomic guidance—can reduce pain, improve function, and lower overlapping risk factors for SUD.
Nurse practitioners provide comprehensive SUD management, coordinate care, and deliver ergonomic and lifestyle counseling that complements chiropractic treatment.
A collaborative, long‑term, patient‑centered model—such as the one exemplified by Dr. Alexander Jimenez—offers a promising pathway to healthier spines, healthier brains, and healthier lives.

Conclusion

Compassion, evidence-based screening, and multidisciplinary care coordination are necessary for substance use disorder, a complicated medical illness. Understanding what SUD is, how to recognize it, and how to respond with respect and evidence-based interventions are the first steps towards enabling healthcare professionals—whether they are primary care physicians, chiropractors, nurse practitioners, or behavioral health specialists—to identify and support patients with SUD.

For patients dealing with both chronic pain and drug abuse, the combination of chiropractic therapy with nurse practitioner-led primary care provides a unique benefit. Patients may not disclose that they are also struggling with alcoholism, prescription opioid abuse, or amphetamine use when they arrive with a job injury, car accident, or years of bad ergonomics. However, these difficulties often coexist. The burden of poor healing, muscular atrophy, elevated pain sensitivity, and increased fracture risk falls on the musculoskeletal system. Both the intellect and the nerve system are impacted, and the cycle of pain and drug abuse is exacerbated by sleep disturbance, mood swings, and a diminished ability to handle stress.

This loop may be broken by clinics and practices that include screening, short intervention, and coordinated therapy. Mechanical function is restored via spinal modifications. Strength and proprioception are restored via targeted activities. Re-injury may be avoided with ergonomic coaching. Nurse practitioners help with medication coordination, drug interaction monitoring, and lifestyle counseling to promote healthy spines and SUD recovery. Counselors in behavioral health provide peer support, treatment, and relapse prevention. This team works together to address the underlying issues rather than simply the symptoms.

A single physician with dual expertise—chiropractic and family practice nurse practitioner credentials—can skillfully weave these threads into a cohesive, patient-centered strategy, as shown by the clinical paradigm typified by Dr. Alexander Jimenez. Continuity, goal alignment, and a clinician who is knowledgeable about the neurology of addiction as well as the biomechanics of a herniated disc are all advantageous to patients. With intentional team communication, collaborative decision-making, and a dedication to non-stigmatizing, trauma-informed treatment, larger practices may get comparable outcomes.

There is no doubt that early detection improves results and saves lives. Tools for validated screening are accurate and fast. Brief interventions and motivational interviews are effective. When used carefully, medications for alcohol and opioid use disorders are both safe and effective. Exercise, physical therapy, stress management, and social support are all effective but underused non-pharmacologic methods. Additionally, patients recover more quickly, resume their normal activities sooner, and are far less likely to relapse into drug abuse when musculoskeletal and behavioral health treatment are integrated.

Patients who regain their health, relationships, and sense of purpose are the ultimate reward for healthcare teams that are prepared to go beyond isolated complaints—beyond “just” back pain or “just” worry. This is what integrative, team-based, evidence-based treatment for musculoskeletal disorders and drug use disorders promises.

References

American Medical Association. (n.d.). Substance use disorder treatment: How‑to guide for primary care integration [PDF]. American Medical Association.
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). American Psychiatric Publishing.
Jimenez, A. D. (n.d.). Injury specialists: El Paso family practice nurse practitioner and chiropractor. Dr. Alex Jimenez. https://dralexjimenez.com/
National Institute on Alcohol Abuse and Alcoholism. (2025). Screen and assess: Use quick, effective methods. National Institutes of Health. https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/screen-and-assess-use-quick-effective-methods
National Institute on Drug Abuse. (n.d.). Words matter: Preferred language for talking about addiction. National Institutes of Health. https://nida.nih.gov/research-topics/addiction-science/words-matter-preferred-language-talking-about-addiction
National Institute on Drug Abuse. (n.d.). Screening tools and prevention. National Institutes of Health. https://nida.nih.gov/nidamed-medical-health-professionals/screening-tools-prevention
National Institute of Mental Health. (2025). Finding help for co‑occurring substance use and mental disorders. National Institutes of Health. https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health
Substance Abuse and Mental Health Services Administration. (2023). 2022 national survey on drug use and health: Annual national report (HHS Publication No. PEP23‑07‑01‑006). U.S. Department of Health and Human Services. https://www.samhsa.gov/data/report/2022-nsduh-annual-national-report
Substance Abuse and Mental Health Services Administration. (2020). Medications for opioid use disorder. U.S. Department of Health and Human Services. https://www.samhsa.gov/medication-assisted-treatment/medications-counseling-related-conditions

Category: Advanced Practice Registered Nurses (APRN)

How Integrative Chiropractic + NP Care Can Help

The Simple Truth: Your Body Adapts to What You Repeatedly Do

What Muscle Stiffness Really Means (In Plain Language)

1) Too little movement for too long

2) Doing “new” or harder activity than usual

3) Hydration and electrolytes can matter

If You Don’t Stretch, Do Your Muscles “Shorten”?

What Happens Over Time If You Rarely Stretch

You may notice a reduced range of motion

You may feel “tight,” then weaker in certain positions

Movement efficiency can drop

Daily tasks can feel harder

How Not Stretching Can Increase Injury Risk

Common “high-risk moments” when people get hurt

Flexibility vs. Mobility (Why Both Matter)

Stretching Benefits People Commonly Notice

The “Right Way” to Stretch (So You Don’t Make Things Worse)

Basic stretching safety rules

A quick “green light / yellow light / red light” check

A Simple Daily Stretch Routine (10 Minutes)

Lower body (5 minutes)

Upper body (5 minutes)

When Stretching Alone Is Not Enough

How Integrative Chiropractic Care Can Help (Beyond “Cracking”)

What the Nurse Practitioner Adds (And Why It Matters)

NPs can help by:

The Power of the Team: Chiropractor + NP Working Together

A collaborative plan often looks like this

What patients often like about integrative care

A Practical Self-Check: Are You Dealing With “Stretching Stiffness” or Something Else?

Key Takeaways

Medical Disclaimer

References

Reset Your Body at ChiroMed in El Paso, TX

Why a Post-Holiday Reset Matters for El Paso Residents

Hydration: The Simple First Step to Flush Toxins

Nourish with Whole Foods: Fuel Your Body’s Clean-Up Crew

Cut Back on Alcohol and Processed Sugars: Give Your Liver a Break

Prioritize Quality Sleep: Repair Happens at Night

Gentle Movement: Boost Circulation and Lymph Flow

How ChiroMed – Integrated Medicine Holistic Healthcare Supports Your Detox

Extra Support Tips from ChiroMed Experts

Start Your Fresh Beginning at ChiroMed in El Paso

References

Holiday Stress Relief: Quick Sports Moves and Integrated Care from ChiroMed in El Paso, TX

Benefits of Exercise for Holiday Stress

Quick Sports-Focused Moves for Endorphins

Sports-Specific Stress Relief Exercises

Holiday-Themed Activities for Fun Stress Relief

Integrated Chiropractic Care at ChiroMed for Holistic Relief

Making It Work for Everyone

Conclusion

References

Prevention and Recovery at ChiroMed in El Paso, TX

Understanding Common Christmas Accidents in El Paso

Causes of Holiday Injuries in Our Community

Prevention Tips for Safe Holidays in El Paso

How ChiroMed’s Integrative Care Helps with Recovery

Long-Term Wellness and Prevention at ChiroMed

Conclusion

References

ChiroMed – Integrated Medicine in El Paso, TX

Why Magnesium Is Key for Pain Relief at ChiroMed

Top Oral Magnesium Types Recommended at ChiroMed

Magnesium Malate: Great for Energy and Chronic Pain

Magnesium Glycinate: Perfect for Nerve Pain and Calm

Topical Magnesium: Quick Local Relief Used at Our Clinic

Magnesium Chloride and Sulfate (Epsom Salts)

How We Use Magnesium in Integrated Care at ChiroMed El Paso

Picking the Right Magnesium at ChiroMed

Food Sources and Dosage Tips from ChiroMed

Safety and Side Effects

Expert Insights from Dr. Alexander Jimenez at ChiroMed

Pairing Magnesium with ChiroMed Habits

Discover Natural Pain Relief at ChiroMed in El Paso, TX

References

Overcoming Barriers in Managing Opioid Use Disorder: Strategies for Effective Care

Learning Objectives

Effective Treatment Planning with Patient-Centered Decisions