Find effective arthritis relief in El Paso, TX with our specialized treatments tailored to reduce joint pain, inflammation, and stiffness. Our experienced team offers personalized care plans that help improve mobility and enhance your quality of life. Discover top-rated arthritis treatment options, including physical therapy and holistic approaches. Book your consultation today and regain control over your arthritis pain in El Paso
Massage Before or After Exercise? A Chiropractor’s Guide for Smarter Training
The short answer
Before a workout: Choose a short, light massage to boost blood flow and loosen tight spots. Keep it brief and gentle so your muscles stay responsive. Avoid deep tissue right before training. (Marathon Handbook, 2023; One Peloton, 2024; Mine & Nakayama, 2018; Dakić et al., 2023). Marathon Handbook+1
After a workout: Massage is best for recovery—it can reduce soreness (DOMS), promote relaxation, and support healthy circulation. (Verywell Fit, 2022; PureGym, 2025; Northwich Foot Clinic, 2023). Verywell Fit+2PureGym+2
Chiropractic + massage together: Working soft tissue and joints often leads to better mobility and longer-lasting relief than either alone. (The Joint, 2025; Link Chiropractic Clinic, 2025; ChiroSports USA, 2025; Tucson Sports Recovery, 2025). tucsonsportsrecovery.com+3The Joint Chiropractic+3Link Chiropractic Clinic+3
Why timing matters
Your goals change across the workout:
Preparation (pre-workout): You want muscles warm and responsive. Light massage can increase local circulation and ease stiffness without “dampening” power. (Marathon Handbook, 2023). Marathon Handbook
Recovery (post-workout): You want soreness down and relaxation up. Massage can support blood and lymph flow and help you bounce back. (Verywell Fit, 2022; PureGym, 2025). Verywell Fit+1
Deep, lengthy pre-event massage can temporarily reduce explosive strength or speed, likely by over-relaxing muscle and nervous-system readiness. Save deep work for after training or rest days. (Mine & Nakayama, 2018; Dakić et al., 2023).
How to use massage around your workout
If your goal is performance prep
Do: 5–10 minutes of light, rhythmic strokes on the muscles you’re about to use (calves, quads, glutes, pecs, lats), then a dynamic warm-up (leg swings, skips, carioca). (Marathon Handbook, 2023). Marathon Handbook
Skip: Deep tissue or long trigger-point holds right before heavy lifts or sprints. (Mine & Nakayama, 2018; Dakić et al., 2023).
If your goal is faster recovery
Do: 10–20 minutes after training with moderate pressure on the muscles you worked. Earlier is often better for easing next-day soreness. (PureGym, 2025; Verywell Fit, 2022). PureGym+1
Big events (long runs/rides): Start with light recovery work the same day; consider deeper work 24–48 hours later if you’re very sore. (Marathon Handbook, 2023). Marathon Handbook
Why pair massage with chiropractic care?
Massage targets muscles and fascia; chiropractic care optimizes joint alignment, spinal mechanics, and nervous-system signaling. Used together, they can:
Enhance mobility and flexibility (muscles relax; joints move better).
Reduce pain and stiffness more effectively than either alone.
Help adjustments “hold” longer because surrounding soft tissues are calmer and more balanced. (The Joint, 2025; Link Chiropractic Clinic, 2025; ChiroSports USA, 2025). The Joint Chiropractic+2Link Chiropractic Clinic+2
Which order?
Massage before an adjustment, if you’re tight or guarded, to reduce resistance.
Massage after an adjustment to help tissues adapt to the new joint position.
For ongoing pain or rehab, using both during the same week (often on different days) works well. (Tucson Sports Recovery, 2025). tucsonsportsrecovery.com
Brief light massage pre-session for stiffness → train → 10–20 min recovery work after. Save deep tissue for rest days. (Marathon Handbook, 2023; Northwich Foot Clinic, 2023). Marathon Handbook+1
Recovery day
Deeper tissue work + mobility and easy cardio (walk/spin) to flush. (Verywell Fit, 2022). Verywell Fit
Safety and sensible limits
Skip or modify massage if you have open wounds, fever, active skin infection, uncontrolled hypertension, or suspected DVT. If you notice new numbness, weakness, or severe pain, get a licensed clinical evaluation first; imaging may be appropriate before manual care. (The Joint, 2025; Tucson Sports Recovery, 2025). The Joint Chiropractic+1
Simple decision guide
Want to feel loose and ready? → Light massage before exercise + dynamic warm-up. (Marathon Handbook, 2023). Marathon Handbook
Want to recover faster? → Post-workout massage the same day. (PureGym, 2025; Verywell Fit, 2022). PureGym+1
Need lasting relief? → Combine massage + chiropractic to address soft tissue and joint alignment together. (Link Chiropractic Clinic, 2025; ChiroSports USA, 2025). Link Chiropractic Clinic+1
References
Dakić, M., et al. (2023). The effects of massage therapy on sport and exercise performance and recovery.Sports, 11(6), 110. https://www.mdpi.com/2075-4663/11/6/110
Mine, K., & Nakayama, T. (2018). Is pre-performance massage effective to improve maximal muscle strength and functional performance? A systematic review.Journal of Physical Therapy Science.https://pmc.ncbi.nlm.nih.gov/articles/PMC6159489/
Manage rheumatoid arthritis & inflammation effectively with chiropractic care. Discover techniques to enhance your well-being.
Chiropractic Care and Lifestyle Changes: A Holistic Approach to Managing Inflammation in Rheumatoid Arthritis
Rheumatoid arthritis (RA) can feel like your joints are hosting an unwanted inflammation party, complete with pain, stiffness, and a guest list of discomfort that just won’t quit. This chronic autoimmune condition affects millions, turning simple tasks like opening a jar or walking the dog into Herculean challenges. But here’s the good news: you don’t have to let RA run the show. Non-surgical treatments like chiropractic care and small tweaks to your daily routine—like sipping anti-inflammatory teas—can help tame the inflammation beast and get you moving again. In El Paso, TX, Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a superstar in holistic healthcare, offering personalized care at ChiroMed – Integrated Medicine to help RA patients and personal injury victims reclaim their lives. In this comprehensive guide, we’ll explore the science behind RA, dive into how chiropractic care and lifestyle changes can reduce inflammation, and highlight Dr. Jimenez’s expertise in both RA management and personal injury care. So, grab a cup of tea (turmeric, anyone?), and let’s dive in for an informative and slightly fun journey to better health!
Understanding Rheumatoid Arthritis and Inflammation
What is Rheumatoid Arthritis?
Rheumatoid arthritis is an autoimmune disorder where the body’s immune system goes rogue, attacking the synovium—the thin membrane lining your joints. This misguided attack causes inflammation, leading to swollen, painful, and stiff joints that can make you feel like you’re moving in slow motion. Unlike osteoarthritis, which is like the wear-and-tear equivalent of an old car, RA is systemic, meaning it can affect multiple joints and even other organs like the heart or lungs. Think of RA as a cranky gremlin tinkering with your body’s machinery, causing chaos wherever it goes.
RA affects about 1% of the global population, with women being two to three times more likely to develop it than men (Hunter et al., 2021). Symptoms like fatigue, fever, and a general sense of “ugh” can make daily life feel like a marathon. Whether it’s struggling to button your shirt or wincing at the thought of climbing stairs, RA can turn routine tasks into a test of endurance.
The Role of Inflammation in RA
Inflammation is the body’s way of sounding the alarm when something’s wrong, but in RA, it’s like the alarm gets stuck in the “on” position. The immune system releases inflammatory chemicals, like cytokines, that attack the synovium, causing it to thicken and produce excess fluid. This leads to joint swelling, pain, and, over time, damage to cartilage and bone (McInnes & Schett, 2017). It’s like your joints are throwing a tantrum, and the result is stiffness that makes mornings feel like you’re auditioning for a role as a rusty robot.
Chronic inflammation doesn’t just stop at the joints—it can increase the risk of heart disease and other complications. Research shows that inflammation and joint damage contribute to articular tenderness, making joints extra sensitive to touch and movement (Pinto et al., 2021). This is where non-surgical approaches like chiropractic care and an anti-inflammatory diet step in, offering a lifeline to manage symptoms without resorting to heavy medications or invasive procedures.
How RA Affects the Musculoskeletal System and Daily Life
RA’s impact on the musculoskeletal system is like a domino effect gone wild. Inflamed joints lose their range of motion, muscles weaken from disuse, and proprioception—your body’s ability to sense its position—takes a hit, increasing the risk of falls and injuries (Felson et al., 1997). Imagine trying to walk to the kitchen for a snack, but your knees feel like they’re stuck in quicksand. These changes can disrupt your daily routine, making it harder to work, exercise, or even enjoy a cozy night of binge-watching your favorite show.
The good news? You can fight back against RA’s chaos with holistic strategies that address inflammation and support joint health, helping you reclaim your daily life with less pain and more pep in your step.
References
Felson, D. T., Anderson, J. J., & Meenan, R. F. (1997). The effects of joint damage on muscle function, proprioception and rehabilitation. Arthritis & Rheumatism, 40(1), 1-9. https://pubmed.ncbi.nlm.nih.gov/9008599/
Hunter, T. M., Boytsov, N. N., Zhang, X., Schroeder, K., Michaud, K., & Araujo, A. B. (2021). Prevalence of rheumatoid arthritis in the United States adult population in healthcare claims databases, 2004–2014. Rheumatology International, 41(9), 1637-1644. https://pubmed.ncbi.nlm.nih.gov/34324007/
McInnes, I. B., & Schett, G. (2017). The pathogenesis of rheumatoid arthritis. New England Journal of Medicine, 365(23), 2205-2219. https://pubmed.ncbi.nlm.nih.gov/22150039/
Pinto, T. M., van der Windt, D. A., & Verstappen, S. M. (2021). Role of joint damage, malalignment and inflammation in articular tenderness in rheumatoid arthritis, psoriatic arthritis and osteoarthritis. Annals of the Rheumatic Diseases, 80(6), 769-775. https://pubmed.ncbi.nlm.nih.gov/33408065/
Chiropractic Care: A Non-Surgical Solution for RA
What is Chiropractic Care?
Chiropractic care is like a tune-up for your body’s musculoskeletal system, minus the wrench and greasy overalls. It focuses on diagnosing and treating mechanical disorders of the spine and joints through hands-on techniques like joint manipulation, soft tissue therapy, and corrective exercises. At ChiroMed – Integrated Medicine in El Paso, TX, Dr. Alexander Jimenez blends his expertise as a chiropractor and family nurse practitioner to create tailored treatment plans that tackle pain and inflammation at their source (ChiroMed – Integrated Medicine, n.d.).
Unlike popping pills or facing the scalpel, chiropractic care is non-invasive and aims to restore proper alignment and function to your joints. For RA patients, it’s like giving your body a gentle nudge to say, “Hey, let’s work together to feel better!”
How Chiropractic Care Helps with RA Inflammation
While chiropractic care can’t wave a magic wand to cure RA (if only it were that easy!), it can significantly reduce symptoms by addressing inflammation and improving joint function. Joint manipulation, a key chiropractic technique, involves applying controlled force to specific joints to improve alignment and mobility. Research shows that this can reduce pain and stiffness in inflammatory conditions like RA by stimulating the nervous system and easing muscle tension (Pickar, 2002).
Here’s the science in plain English: when joints are misaligned or stuck, they can worsen inflammation and stress on surrounding tissues. Chiropractic adjustments help restore proper joint mechanics, which can dial down the inflammatory response and improve blood flow to the area. It’s like giving your joints a mini-vacation from the inflammation chaos. Plus, techniques like soft tissue therapy can relieve muscle tightness caused by RA, making you feel less like a creaky door and more like a well-oiled machine (Bronfort et al., 2010).
Dr. Jimenez takes it a step further at ChiroMed by integrating rehabilitation exercises and lifestyle advice, ensuring patients get a comprehensive plan to manage RA and boost overall wellness (ChiroMed – Integrated Medicine, n.d.).
Benefits for RA Patients
Pain Relief: Adjustments can reduce joint tenderness and muscle pain, making it easier to tackle daily tasks.
Better Mobility: Restoring joint function means you can move more freely, whether it’s reaching for the top shelf or chasing after your overly enthusiastic puppy.
Less Medication Dependence: Chiropractic care can complement or reduce the need for anti-inflammatory drugs, sparing you from side effects like stomach woes or a grumpy wallet.
Holistic Approach: Dr. Jimenez combines chiropractic care with nutrition counseling and other therapies to fight RA from all angles, like a superhero team for your health.
References
Bronfort, G., Haas, M., Evans, R., Leininger, B., & Triano, J. (2010). Effectiveness of manual therapies: The UK evidence report. Chiropractic & Osteopathy, 18(3). https://pubmed.ncbi.nlm.nih.gov/20184717/
ChiroMed – Integrated Medicine. (n.d.). Services. Retrieved from https://chiromed.com/
The Power of Small Lifestyle Changes: Anti-Inflammatory Diet and RA
Why Diet Matters in RA
If inflammation is the bad guy in the RA story, an anti-inflammatory diet is your trusty sidekick. What you eat can either fuel the inflammation fire or help put it out. Foods packed with antioxidants, omega-3 fatty acids, and fiber can reduce systemic inflammation, while processed junk, sugar, and trans fats are like tossing gasoline on the fire.
One easy and delicious change is adding organic teas, like green tea or turmeric tea, to your daily routine. These teas are loaded with polyphenols and curcumin, compounds known for their anti-inflammatory powers. A 2017 article highlights how organic teas can help reduce RA-related inflammation, offering a soothing and natural way to manage symptoms (Personal Injury Doctor Group, 2017). Sipping a warm cup of turmeric tea is like sending your joints a big, cozy hug.
Key Components of an Anti-Inflammatory Diet
An anti-inflammatory diet isn’t about eating bland salads or swearing off pizza forever (phew!). It’s about choosing foods that nourish your body and keep inflammation in check. Here’s a quick guide to get you started:
Fruits and Vegetables: Load up on berries, leafy greens, and cruciferous veggies like broccoli. They’re packed with antioxidants that fight inflammation like tiny superheroes.
Healthy Fats: Omega-3s in fatty fish (salmon, mackerel), walnuts, and flaxseeds can reduce joint stiffness and pain, keeping your joints moving smoothly.
Whole Grains: Swap white bread for quinoa or brown rice to stabilize blood sugar and reduce inflammation.
Spices: Turmeric, ginger, and garlic are the spice rack equivalent of an anti-inflammatory dream team.
Organic Teas: Green tea, chamomile, or turmeric tea can be your daily go-to for an inflammation-fighting boost.
Practical Tips for Incorporating Dietary Changes
Making dietary changes doesn’t have to feel like climbing Mount Everest. Start small to keep it manageable:
Swap One Meal: Trade a fast-food lunch for a colorful salad with grilled salmon and a sprinkle of turmeric.
Sip Smart: Keep organic teas at your desk or kitchen for a quick anti-inflammatory pick-me-up.
Plan Ahead: Meal prep on Sundays to ensure you’ve got healthy, inflammation-fighting meals ready for the week.
Listen to Your Body: Keep a food diary to track how foods affect your RA symptoms. If that extra slice of pizza makes your joints grumble, it might be time to cut back.
Dr. Jimenez and his team at ChiroMed offer nutrition counseling to help patients create sustainable dietary plans tailored to their needs. It’s like having a personal chef and health coach in your corner (ChiroMed – Integrated Medicine, n.d.).
References
ChiroMed – Integrated Medicine. (n.d.). Services. Retrieved from https://chiromed.com/
Dr. Alexander Jimenez: A Leader in RA and Personal Injury Care in El Paso
Expertise in Rheumatoid Arthritis Management
In El Paso, Dr. Alexander Jimenez is a household name when it comes to holistic healthcare. As a chiropractor and family nurse practitioner, he brings a unique blend of skills to the table, combining evidence-based chiropractic techniques with medical expertise to tackle RA symptoms. At ChiroMed – Integrated Medicine, he creates personalized treatment plans that integrate chiropractic care, nutrition counseling, and rehabilitation to help patients manage inflammation and improve their quality of life (ChiroMed – Integrated Medicine, n.d.).
Dr. Jimenez knows RA isn’t a one-size-fits-all condition. He works closely with patients to identify triggers like stress or poor diet and develops strategies to address them. His approach is like a custom-tailored suit—designed to fit your body’s unique needs perfectly.
Personal Injury Care in El Paso
Beyond RA, Dr. Jimenez is a go-to practitioner for personal injury cases in El Paso, especially for victims of auto accidents, work injuries, and other musculoskeletal traumas. His ability to clinically associate injuries with advanced imaging (like X-rays or MRIs) and diagnostic evaluations sets him apart. Using dual-scope procedures—combining chiropractic and medical assessments—he provides comprehensive care that addresses both immediate pain and long-term recovery (Jimenez, n.d.).
For personal injury patients, Dr. Jimenez serves as a vital link between medical care and legal documentation. He ensures injuries are thoroughly documented with detailed reports and imaging, which are crucial for insurance claims and legal proceedings. This is especially important in El Paso, where personal injury cases from car accidents or workplace incidents are common. His expertise helps patients navigate the complex world of medical-legal cases with confidence, ensuring they get the care and compensation they deserve.
Why Choose Dr. Jimenez?
Integrated Approach: Combines chiropractic, medical, and holistic therapies for well-rounded care.
Advanced Diagnostics: Uses cutting-edge imaging and evaluations to pinpoint the root cause of pain.
Patient-Centered Care: Focuses on individualized plans that prioritize your goals, whether it’s reducing RA inflammation or recovering from an accident.
Community Trust: A long-standing member of the El Paso community, Dr. Jimenez has built a reputation for compassionate and effective care.
References
ChiroMed – Integrated Medicine. (n.d.). Services. Retrieved from https://chiromed.com/
Vagus nerve stimulation (VNS) sounds like something straight out of a sci-fi flick, but it’s a promising tool for managing RA inflammation. The vagus nerve helps regulate the body’s inflammatory response, and non-invasive VNS devices can stimulate it to reduce cytokine production, calming the immune system’s overreaction in RA (Addorisio et al., 2019). It’s like hitting the “chill out” button for your body’s inflammation party.
While VNS is still being researched, early studies suggest it could be a game-changer for musculoskeletal diseases like RA, offering a non-surgical way to manage symptoms without relying solely on medications.
Rehabilitation and Exercise
Exercise might sound like the last thing you want to do when your joints are throwing a fit, but gentle, targeted movements can work wonders. Rehabilitation programs, like those at ChiroMed, focus on strengthening muscles around affected joints, improving proprioception, and boosting flexibility. Low-impact activities like swimming or yoga can keep joints mobile without adding stress (Felson et al., 1997).
Dr. Jimenez incorporates corrective exercises into his treatment plans, helping patients build strength and resilience. It’s like giving your joints a pep talk and the tools to keep going strong.
References
Addorisio, M. E., Imperato, G. H., de Vos, A. F., Forti, S., Goldstein, R. S., & Pavlov, V. A. (2019). Vagus nerve stimulation in musculoskeletal diseases. Frontiers in Immunology, 10, 1632. https://pubmed.ncbi.nlm.nih.gov/31379802/
Felson, D. T., Anderson, J. J., & Meenan, R. F. (1997). The effects of joint damage on muscle function, proprioception and rehabilitation. Arthritis & Rheumatism, 40(1), 1-9. https://pubmed.ncbi.nlm.nih.gov/9008599/
Addressing Overlapping Risk Profiles
RA doesn’t exist in a bubble—it often comes with overlapping risk factors that can make symptoms worse. Stress, poor sleep, and hormonal changes (especially in midlife women) can amplify inflammation and joint pain (Cutolo et al., 2022). For example, stress can trigger a cascade of inflammatory chemicals, while poor sleep can make your body less resilient to pain. An integrative approach that tackles these factors—through chiropractic care, diet, and stress management—can reduce the overall burden of RA.
Dr. Jimenez’s holistic philosophy at ChiroMed ensures these risk profiles are addressed head-on. By combining physical treatments with lifestyle advice, he helps patients create a balanced approach to managing RA and preventing flare-ups.
References
Cutolo, M., Straub, R. H., & Buttgereit, F. (2022). Osteoarthritis: The importance of hormonal status in midlife women. Nature Reviews Rheumatology, 18(6), 327-340. https://pubmed.ncbi.nlm.nih.gov/35440724/
A Day in the Life with RA: Putting It All Together
Picture this: you wake up with RA, and your joints are staging a full-on protest. Instead of reaching for a bottle of pills, you start your day with a cup of turmeric tea, followed by a gentle stretching routine recommended by Dr. Jimenez. You head to ChiroMed for a chiropractic adjustment that eases your joint stiffness, and you leave with a personalized nutrition plan packed with anti-inflammatory foods like salmon and kale. By lunchtime, you’re feeling more like yourself, ready to tackle your day without RA calling the shots.
This integrated approach—combining chiropractic care, dietary changes, and small lifestyle tweaks—can transform your daily routine. It’s not about flipping your life upside down but making sustainable changes that add up over time. With Dr. Jimenez’s guidance, you can take control of RA and live with less pain and more freedom.
Conclusion
Rheumatoid arthritis is a complex and challenging condition, but it doesn’t have to define your life. Non-surgical treatments like chiropractic care, anti-inflammatory diets, and emerging therapies like vagus nerve stimulation offer effective ways to manage inflammation, reduce pain, and improve quality of life. In El Paso, Dr. Alexander Jimenez stands out as a trusted practitioner, providing personalized care for RA patients and personal injury victims. His expertise in advanced diagnostics, integrative medicine, and medical-legal documentation makes him a beacon of hope for those navigating chronic conditions or injury recovery.
Disclaimer: This blog post is for informational purposes only and is not intended as medical advice. Rheumatoid arthritis and personal injuries require professional evaluation and treatment. Always consult a qualified healthcare provider, such as Dr. Alexander Jimenez, DC, APRN, FNP-BC, before starting any new treatment or making significant lifestyle changes. The information provided aims to educate and empower readers but does not replace a one-on-one relationship with a licensed healthcare professional.
References
Addorisio, M. E., Imperato, G. H., de Vos, A. F., Forti, S., Goldstein, R. S., & Pavlov, V. A. (2019). Vagus nerve stimulation in musculoskeletal diseases. Frontiers in Immunology, 10, 1632. https://pubmed.ncbi.nlm.nih.gov/31379802/
Bronfort, G., Haas, M., Evans, R., Leininger, B., & Triano, J. (2010). Effectiveness of manual therapies: The UK evidence report. Chiropractic & Osteopathy, 18(3). https://pubmed.ncbi.nlm.nih.gov/20184717/
ChiroMed – Integrated Medicine. (n.d.). Services. Retrieved from https://chiromed.com/
Cutolo, M., Straub, R. H., & Buttgereit, F. (2022). Osteoarthritis: The importance of hormonal status in midlife women. Nature Reviews Rheumatology, 18(6), 327-340. https://pubmed.ncbi.nlm.nih.gov/35440724/
Felson, D. T., Anderson, J. J., & Meenan, R. F. (1997). The effects of joint damage on muscle function, proprioception and rehabilitation. Arthritis & Rheumatism, 40(1), 1-9. https://pubmed.ncbi.nlm.nih.gov/9008599/
Hunter, T. M., Boytsov, N. N., Zhang, X., Schroeder, K., Michaud, K., & Araujo, A. B. (2021). Prevalence of rheumatoid arthritis in the United States adult population in healthcare claims databases, 2004–2014. Rheumatology International, 41(9), 1637-1644. https://pubmed.ncbi.nlm.nih.gov/34324007/
McInnes, I. B., & Schett, G. (2017). The pathogenesis of rheumatoid arthritis. New England Journal of Medicine, 365(23), 2205-2219. https://pubmed.ncbi.nlm.nih.gov/22150039/
Pinto, T. M., van der Windt, D. A., & Verstappen, S. M. (2021). Role of joint damage, malalignment and inflammation in articular tenderness in rheumatoid arthritis, psoriatic arthritis and osteoarthritis. Annals of the Rheumatic Diseases, 80(6), 769-775. https://pubmed.ncbi.nlm.nih.gov/33408065/
Can individuals managing facet arthropathy treat the condition with over-the-counter pain relievers, prescription muscle relaxers, exercise, and chiropractic spinal manipulation?
Facet Arthropathy
Facet arthropathy, or facet osteoarthritis, is arthritis that affects the facet joints in the spine. It causes pain and stiffness due to cartilage degeneration within these joints, often resulting from wear and tear associated with aging. Essentially, it occurs when the small joints in the back of the spine become arthritic and rub against each other painfully.
It affects the bony protrusions, called facet joints, that connect the spine’s bones.
Symptoms include neck and back pain that can worsen with standing, bending, or twisting.
Facet arthropathy is diagnosed using X-rays and other imaging studies.
Severe cases may require surgery.
Facet Joints
Twenty-four vertebrae form the spine, with two facet joints between each. Facet joints are small joints located at the back of each vertebra in the spine. They allow movement and stability, help maintain the alignment of the spinal bones/vertebrae, and limit excessive motion. The joints and the cushioning intervertebral disc form a three-joint complex between each vertebra.
The three-joint complex allows the spine to move, including bending, rotating, and extending.
Synovial fluid lubricates the joints so they can move.
The intervertebral disc provides flexibility and dissipates compressive loads.
The facet joints stabilize the spine by constraining rotation and bending.
Symptoms
Arthropathy refers to any disease affecting a joint, including arthritis. Osteoarthritis, also known as arthrosis, is a specific type of arthropathy. It is a non-inflammatory, degenerative arthritis. Pain is the main symptom that is typically worse in the morning when awakening, and in the evening, the pain can also get worse when twisting or bending backward. The symptoms can vary based on the part of the affected spine. Low back pain is the most common, a condition referred to as lumbar facet arthropathy because it affects the lumbar spine of the lower back. (Perolat R. et al., 2018) Common Symptoms include:
Muscle spasms or cramps.
Pain that may come in periodic flare-ups
Pain that worsens with standing or inactivity.
Dull pain on both sides of the spine.
Aching pain on both sides of the spine.
Pain in the lower back, buttocks, shoulders, or back of the skull
Radiating pain to the buttocks and legs.
Pain that improves with sitting, leaning forward, or changing positions.
Pins-and-needles sensations in the hands or feet.
Clicking sounds when moving the spine.
Catching sensations when moving the spine.
Muscle weakness.
Causes
Facet arthropathy causes progressive damage to the spine. Spinal osteoarthritis, aka spondylosis, is the most common cause, but it can also occur with a severe form of spinal arthritis known as ankylosing spondylitis. It is primarily due to age-related wear and tear, but injuries or repetitive stress on the spine can also cause it. Arthritis in the facet joints can develop due to:
Aging-related wear and tear
Disc problems
A previous back injury
Torn ligaments
Spinal fractures
Deterioration of facet joints can also cause bony overgrowths called osteophytes or bone spurs, which can cause radiating pain and restrict the spine’s range of motion.
Degeneration
The facet joints and intervertebral discs degenerate due to age-related wear and tear.
The cartilage in the facet joints can dry out, crack, and wear down.
The joint capsule and synovial membrane can inflame or tear, affecting synovial fluid production.
The loss of cartilage can lead to hypermobility, and the joint can stiffen over time.
Diagnosis
Imaging studies are important to the diagnosis. Several types confirm the diagnosis and also characterize the nature and severity of the condition:
X-rays provide a plain, black-and-white image of the spinal column.
CT scan composites multiple X-rays to create a three-dimensional image of the spinal column.
MRI uses magnetic and radio waves to generate images of soft tissues like ligaments and cartilage.
To confirm the diagnosis, a diagnostic block, which is a small amount of local anesthetic, is injected into a facet joint. The needle placement is directed either with an ultrasound or a CT scan. Facet arthroplasty is confirmed if the injection provides immediate relief (American Academy of Orthopaedic Surgeons, 2022). The healthcare provider will want to exclude other possible causes as part of the differential diagnosis. Conditions that mimic facet arthropathy include:
Herniated disc
Psoriatic arthritis
Reactive arthritis
Spinal gout
Spinal compression fracture
Treatment
The treatment varies based on its location and severity. Generally, conservative treatments are used before more invasive procedures are considered.
Lifestyle Changes
Initially, a healthcare provider may recommend rest and avoiding aggravating movements, including any activity that involves bending or twisting.
Activities that take the weight off the facet joint, such as sitting, leaning forward, or changing positions, may help ease the pain.
Patients may also be advised to adjust their sleep positions to take the pressure off facet joints.
Options included curling up on your side or lying on your back with the knees supported with pillows.
Medications
If a diagnostic block is used, a patient may not need medications immediately. However, as the anesthetic starts to wear off, the patient may be prescribed over-the-counter or prescription pain relievers based on the severity of the pain. These can include:
Analgesics like Tylenol
Nonsteroidal anti-inflammatory drugs like Advil or Aleve
Muscle relaxants like Lloresal for acute back pain
Antidepressants like Cymbalta for chronic back pain
Physical Therapy
Physical therapy is a major part of the treatment of lower back pain. The treatment plan will include personalized exercises to strengthen the core muscles and avoid stress on the spine. Examples include:
Mechanical traction and non-surgical to decompress the spine.
Knee-to-chest stretches, hugging your knees for 30 to 60 seconds.
Walking 10 to 20 minutes per day.
Aquatic therapy to alleviate pressure on the spine.
Surgery
If conservative measures don’t work or provide sufficient relief, a healthcare provider may recommend specialist procedures or surgeries that include:
Lumbar intra-articular injections deliver an anesthetic or corticosteroid into the spine for longer-lasting pain relief.
Sinuvertebral nerve ablation destroys spinal nerves with a strong electrical current.
Extracorporeal shockwave therapy ESWT delivers low- or high-energy electrical pulses to help ease pain.
Spinal fusion surgery involves fusing two or more vertebrae to eliminate movement and pain in the facet joints.
Facet rhizotomy is a surgical procedure used to sever one of the nerves supplying the facet joint.
Stem cell regeneration is an experimental procedure in which stem cells are harvested and injected into damaged joints to restore function.
Injury Medical Chiropractic and Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Facet Syndrome Pain Treatment
References
Perolat, R., Kastler, A., Nicot, B., Pellat, J. M., Tahon, F., Attye, A., Heck, O., Boubagra, K., Grand, S., & Krainik, A. (2018). Facet joint syndrome: from diagnosis to interventional management. Insights into imaging, 9(5), 773–789. https://doi.org/10.1007/s13244-018-0638-x
American Academy of Orthopaedic Surgeons. (2022). Spinal injections. https://orthoinfo.aaos.org/en/treatment/spinal-injections/
Getting a good night’s sleep can be difficult for individuals suffering from arthritis. Can finding a mattress that fits an individual’s needs help relieve aches and pains and provide restful sleep?
Mattress For Arthritis
Quality sleep can be difficult for those managing arthritis. Joint pain, stiffness, and tenderness can make falling and staying asleep feel impossible. A mattress for arthritis should be firm, provide comfortable support, and relieve joint pressure. (Sleep Foundation, 2024)
How Mattresses Affect Arthritis?
Not adequate support or cushioning can exacerbate arthritis pain and stiffness.
Individuals not sleeping well at night can experience significant physical and mental fatigue, increase the risk of injury, and perceive a higher level of pain.
Zoned mattresses provide targeted pressure relief to areas of arthritis pain, like the neck and lower back.
Mattresses that don’t support the body are more likely to disrupt sleep and exacerbate nighttime and daytime pain symptoms.
The body needs time to recover and repair during sleep, so the right mattress for arthritis will allow sound rest throughout the night.
A joint-supporting mattress can alleviate pain and stiffness.
What to Look For Mattress Types
Mattresses fall into three basic categories.
Foam or Latex
These mattresses are often recommended for individuals with chronic pain because they conform to the body and alleviate pressure points without being too firm that they aggravate existing injuries or inflammation.
Not all foam is the same; some mattresses are too soft to support someone with arthritis.
Latex is a more reliable material for support and durability, but it’s also more expensive than memory foam.
Innerspring
Innerspring mattresses are often long-lasting and provide firm support.
However, they are not recommended for individuals with arthritis because they can be hard on joints and pressure points.
The innerspring system doesn’t mold or conform to the body, so getting and staying comfortable can be difficult, if not impossible.
They’re not as heat-retaining as foam mattresses so that hot sleepers may prefer them.
Hybrid
A hybrid mattress typically consists of individually wrapped springs topped with one or more layers of memory foam.
Hybrid mattresses are often recommended for arthritis patients because they meet the expert-recommended balance between support and cushioning.
Firmness Levels
Mattress firmness is rated on a scale of 1 to 10, with firmer mattresses scoring higher, often 6 or 7 and above. However, no one firmness rating works for all individuals with arthritis. Finding the right firmness for arthritis symptoms is highly individualized. For some, a super firm sleep surface can aggravate symptoms. In determining what firmness number is needed, consider weight. For example, a person weighing 400 pounds will have a different experience on a soft mattress than a person weighing 150 pounds. Typically, larger bodies need a firmer mattress to avoid sinking too far into the mattress’s core. Petite individuals may be perfectly supported on a mattress rated 5 or 6 for firmness, but taller or heavier individuals should look for a mattress rated seven or eight.
Support and Pressure Relief
Individuals will want to look for a mattress that targets specific areas for relieving aches and pains, such as the shoulders, hips, and lower back. Foam helps relieve pressure points in the body without feeling too soft, which is helpful when managing joint pain. There is debate over whether latex or memory foam is better for relieving sensitive pressure points. A Journal of Chiropractic Medicine study suggests that latex foam may outperform traditional memory foam as it reduces body pressure and evenly distributes weight along pressure points. (Low F. Z. et al., 2017)
Motion Transfer
Motion transfer refers to a mattress’s ability to isolate body movement. It’s helpful to consider how much you and your partner are affected by each other’s movement throughout the night. This may not be necessary for individuals who don’t sleep with a partner. So, if you or a partner disrupt sleep throughout the night, a mattress with better motion absorption is recommended.
Sleep Position Can Affect Arthritis and Joint Pain
Mattress manufacturers often design mattresses to accommodate back, side, or stomach sleepers, as different sleeping positions usually require different types of support. One study suggests that sleeping-related pain can be reduced in those with lower back pain when they choose the right sleeping surface for their preferred sleep position. (Jacobson B. H. et al., 2010) Therefore, purchasing a mattress for the preferred position is important.
Durability
A mattress’s expected lifespan depends on the materials it’s made from. A mattress that immediately loses some of its features and benefits won’t last very long. This is why it is recommended to know how long the trial period is for the mattress and keep track of its performance. Count on at least six to seven years, but latex and hybrid mattresses can last longer.
Trial Period
Considering the trial period on the mattress is important when buying online. Determining if it’s right for your body can take a little while as it takes a while to break in a new mattress, so look for a longer trial period to see and feel if it is the right choice. (Mattress Firm, 2023) Most online mattress retailers offer at least a 100-day trial period, while some offer 365 days to send it back. However long the trial period, looking into the terms and conditions of any return policy is recommended. A company can say you can return it if it doesn’t meet expectations; however, restrictions or exclusions may apply to your purchase.
Injury Medical Chiropractic and Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Fighting Inflammation Naturally
References
Sleep Foundation. Noyed D. (2024). How to Choose a Mattress. https://www.sleepfoundation.org/mattress-information/how-to-choose-a-mattress
Low, F. Z., Chua, M. C., Lim, P. Y., & Yeow, C. H. (2017). Effects of Mattress Material on Body Pressure Profiles in Different Sleeping Postures. Journal of Chiropractic Medicine, 16(1), 1–9. https://doi.org/10.1016/j.jcm.2016.09.002
Jacobson, B. H., Boolani, A., Dunklee, G., Shepardson, A., & Acharya, H. (2010). Effect of prescribed sleep surfaces on back pain and sleep quality in patients diagnosed with low back and shoulder pain. Applied ergonomics, 42(1), 91–97. https://doi.org/10.1016/j.apergo.2010.05.004
Mattress Firm. (2023). Breaking In a New Mattress: Tips for a Comfortable Night’s Sleep. Mattress Firm Blog. https://www.mattressfirm.com/blog/sleep-tips/break-in-a-new-mattress
