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Category: Athletes

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Empower your performance with expert sports therapy for athletes in El Paso, TX. Our specialists provide personalized treatment plans designed to enhance strength, recovery, and injury prevention. Whether you’re a professional or amateur, we offer cutting-edge therapies that help you stay at the top of your game. Optimize your training and performance—book your consultation today and experience the best in sports therapy for athletes in El Paso

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Athletes, Chiropractic Care, El Paso TX, Exercises, Physio, Sporting, Therapy , , , , , , , ,

Enhance Recovery: Chiropractic Sport-Specific Care

Enhance Recovery: Chiropractic Sport-Specific Care

Boosting Athletic Performance and Recovery with Collaborative Sports-Specific Training and Chiropractic Care

Athletes push their bodies to the limit, facing intense physical demands that can lead to injuries if not managed properly. A collaborative approach combining sports-specific training with chiropractic integrative care offers a powerful solution. This method enhances performance, speeds up injury recovery, and prevents future injuries by focusing on the musculoskeletal system’s mechanics and tailoring interventions to each athlete’s unique needs. Unlike generic fitness programs, this integrated model optimizes function, balance, flexibility, and coordination, reducing the risk of sports-related injuries and boosting overall athletic capacity.

How This Approach Enhances Performance

Sports-specific training targets the unique physical demands of each sport, such as the explosive power needed for basketball or the endurance required for long-distance running. By focusing on sport-specific movements, athletes can improve their skills and efficiency. Chiropractic care complements this method by ensuring the spine and joints are aligned, which enhances nerve function and muscle performance (Anyspine, 2024). This partnership enables coaches to develop training programs tailored to an athlete’s physical condition, resulting in enhanced performance on the field or court.

Chiropractors work closely with athletes to identify and correct biomechanical imbalances that could hinder performance. Regular adjustments improve joint mobility and reduce muscle tension, allowing athletes to move more effectively (My Evolve Chiropractor, 2023). For example, a soccer player might benefit from tailored exercises to enhance kicking power, while chiropractic care ensures their hips and back support those movements. This focused approach not only improves overall athletic ability but also aligns with the physiological demands of the game (American Sport and Fitness, 2023).

Accelerating Injury Recovery

Injury recovery is a critical phase for athletes, and a collaborative approach can expedite and enhance its effectiveness. Sports-specific rehabilitation introduces exercises that mimic the athlete’s sport, helping them regain strength and coordination tailored to their activities (HQPT, 2023). For instance, a football player recovering from an ACL injury might focus on agility training, while a runner might work on stability for uneven terrain.

Chiropractic care plays a crucial role in addressing musculoskeletal issues that can impede healing. Custom adjustments and therapies target the specific biomechanical needs of the athlete, reducing pain and inflammation (Essential Chiropractic, 2023). Dr. Alexander Jimenez, a renowned chiropractor and nurse practitioner in El Paso, emphasizes personalized treatment plans that speed recovery by promoting natural healing. His approach includes spinal adjustments and soft tissue therapies, which help athletes like runners heal faster from overuse injuries (Dr. Alex Jimenez, 2023).

Physical therapy also supports this process by incorporating techniques such as stretching and strengthening exercises, which help restore function and prevent reinjury (MidAm Ortho, 2023). Together, these methods create a holistic recovery plan that addresses both the injury and the athlete’s overall health, ensuring a safer return to sport.

Preventing Future Injuries

Preventing injuries is just as important as recovering from them. Sports-specific training builds strength, flexibility, and coordination, which are essential for protecting the body against the stresses of athletic activities (PreventPT, 2023). For example, tailored mobility and flexibility training can reduce the risk of strains by improving the range of motion (Athlete’s Potential, 2023).

Chiropractic care adds another layer of protection by identifying and correcting biomechanical imbalances before they lead to injury. Regular adjustments improve posture and joint function, reducing the likelihood of sports-related issues like sprains or tendonitis (Hyper Health, 2023). Dr. Jimenez’s clinical observations highlight how proactive chiropractic care can optimize athletic performance and minimize injury risks by addressing underlying musculoskeletal problems (Dr. Alex Jimenez, 2023).

This preventive strategy also includes education on proper techniques and conditioning programs customized to the sport’s demands. By maintaining muscular balance and enhancing neuromuscular control, athletes can avoid common injuries and sustain long-term health (Physio-Pedia, 2023).

The Role of Dr. Alexander Jimenez in Integrated Care

Dr. Alexander Jimenez, based in El Paso, is a leader in combining chiropractic care with integrative medicine to treat a wide range of injuries—work-related, sports-related, personal, and those from motor vehicle accidents. His dual expertise as a chiropractor and nurse practitioner allows him to offer comprehensive care that addresses both immediate injuries and their long-term effects.

For sports injuries, Dr. Jimenez uses a personalized approach, starting with a thorough assessment to identify the injury’s cause. He employs diagnostic tools, such as X-rays and MRI scans, to pinpoint issues, followed by treatments including spinal adjustments, targeted exercises, and massage therapy (Dr. Alex Jimenez, 2023). For a basketball player with a knee injury, he might combine chiropractic adjustments to align the spine with sport-specific drills to rebuild strength.

In work-related or motor vehicle injuries, Dr. Jimenez focuses on restoring function and managing pain. He uses acupuncture and integrative therapies to promote natural healing while also addressing legal documentation for personal injury lawsuits. His detailed reports and expert testimony support patients in legal cases, ensuring their medical needs are met (Dr. Alex Jimenez, 2023).

His treatment process involves a dual-scope diagnosis, correlating patient symptoms with clinical findings. Sophisticated imaging helps him assess musculoskeletal damage, guiding a treatment plan that includes chiropractic care, exercise, and complementary therapies. This approach not only treats injuries but also prevents chronic issues by enhancing overall health (Dr. Alex Jimenez, 2023).

Benefits of Chiropractic and Integrative Medicine

Chiropractic care, paired with targeted exercise, massage therapy, and acupuncture, offers a natural way to heal injuries. Spinal adjustments enhance nerve function and alleviate pain, while exercises strengthen the supporting muscles (Ames Barry Chiro, 2025). Massage therapy relieves muscle tension, and acupuncture reduces inflammation, aiding recovery from strains or joint issues (Amersham Chiropractic, 2023).

Integrative medicine takes this approach further by addressing the whole body, not just the injury. Dr. Jimenez’s use of these therapies helps athletes recover faster and prevents long-term consequences like arthritis or reduced mobility (Dr. Alex Jimenez, 2023). This holistic method ensures athletes return to their sport stronger and healthier.

Why This Integrated Model Stands Out

Unlike general fitness programs, this collaborative approach tailors interventions to the athlete’s sport and physical demands. It optimizes function by improving balance and coordination, which are crucial for performance and injury prevention (Mount Sinai, 2023). The ECU model—Assess, Plan, Implement, Evaluate, Identify, and Intervene—supports this process, ensuring a structured plan that adapts to the athlete’s progress (ECU, 2023).

Chiropractic care’s focus on musculoskeletal health complements this by enhancing joint stability and reducing the risk of injury (Nansledan Chiropractic, 2023). Dr. Jimenez’s clinical correlation between injuries and treatments exemplifies how this model can transform athletic care, making it a game-changer for performance and recovery (Dr. Alex Jimenez, 2023).

Conclusion

A collaborative approach combining sports-specific training with chiropractic integrative care is a game-changer for athletes. It enhances performance by aligning training with physical capabilities, accelerates recovery with personalized therapies, and prevents injuries through proactive care. Dr. Alexander Jimenez’s expertise in El Paso showcases how this method can treat diverse injuries and support legal needs, offering a holistic path to better health. By focusing on the musculoskeletal system and tailoring interventions, this model helps athletes reach their peak potential while minimizing risks.

References

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Acupuncture, Advanced Practice Registered Nurses (APRN), Athletes, Chiropractic Care, Diet, El Paso TX, Exercises, Gut Health, Sleep Hygiene, Sporting , , , , , , , ,

Chiropractic Nutrition for Athletes: Boost Performance

Chiropractic Nutrition for Athletes

Transforming Health with Integrated Medicine and Nutrition

Chronic pain, injuries, or wellness goals can feel overwhelming, but a holistic approach combining chiropractic care, functional medicine, and integrative nutrition offers a path to lasting relief and vitality. At ChiroMed—Integrated Medicine in El Paso, TX, we focus on addressing the root causes of health issues through personalized, all-natural treatment plans. Led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, our clinic offers a comprehensive suite of services to support recovery and promote overall well-being, enabling patients to thrive in their active lives.

Why ChiroMed Stands Out

Located in the heart of El Paso, ChiroMed—Integrated Medicine is committed to holistic, patient-centered care. Our team, led by Dr. Jimenez, with over 25 years of experience as a chiropractor and nurse practitioner, offers tailored treatment plans for conditions such as chronic pain, sports injuries, work-related strains, and motor vehicle accident (MVA) trauma. We integrate chiropractic care, nurse practitioner services, naturopathy, rehabilitation, nutrition counseling, and acupuncture to deliver comprehensive solutions (Jimenez, 2023a).

Our clinic offers a comfortable and welcoming environment, collaborating with a network of licensed therapists and healthcare practitioners to provide personalized care. We also offer detailed medical documentation for personal injury cases, supporting patients in legal and insurance matters (Jimenez, 2023b).

References

  • Jimenez, A. (2023a). Clinical observations.
  • Jimenez, A. (2023b). Clinical observations.

Nutrition for Healing and Vitality

At ChiroMed, we believe food is medicine. Our integrative nutrition plans emphasize nutrient-dense, whole foods, such as leafy greens, berries, fatty fish, and nuts, which are rich in antioxidants and omega-3 fatty acids, to reduce inflammation—a key factor in chronic pain and injury recovery (Longevity Stanford, 2023). Studies have shown that a Mediterranean-style diet can accelerate healing and enhance overall health (BBC Good Food, 2023).

Protein from sources like chicken, eggs, or lentils supports tissue repair, while carbohydrates from whole grains and sweet potatoes replenish energy. Healthy fats from avocados and olive oil enhance joint health and endurance (Revista Nutrición, 2023). Paired with chiropractic adjustments to improve spinal alignment and circulation, these dietary strategies help the body heal naturally and efficiently (Chiropractor in Oviedo, 2023).

References

  • BBC Good Food. (2023). What is an anti-inflammatory diet?.
  • Chiropractor in Oviedo. (2023). Chiropractic nutrition.
  • Longevity Stanford. (2023). What should athletes eat to fuel peak performance?.
  • Revista Nutrición. (2023). Optimizing performance nutrition for athletes.

Comprehensive Injury Care

ChiroMed specializes in treating a wide range of injuries, from sports-related sprains to work accidents and MVAs. Dr. Jimenez’s dual expertise as a chiropractor and nurse practitioner allows for a unique approach, combining spinal adjustments, targeted exercises, massage therapy, and acupuncture to address musculoskeletal and neurological issues (Jimenez, 2023c). For example, a patient with neck pain from a car accident might receive adjustments to relieve nerve pressure, alongside a nutrition plan to reduce inflammation.

Our rehabilitation programs focus on restoring mobility and strength, while naturopathic and nutritional counseling address underlying factors such as nutrient deficiencies. This integrated approach ensures faster recovery and prevents long-term complications (Evolved Health Chiropractic, 2023).

References

  • Evolved Health Chiropractic. (2023). Sports nutrition and chiropractic care: Fueling your body for peak performance.
  • Jimenez, A. (2023c). Clinical observations.

Advanced Diagnostics for Precision

Accurate diagnosis is the foundation of effective treatment. At ChiroMed, we utilize advanced diagnostic tools, including blood tests, hormone panels, and imaging techniques (such as MRIs and X-rays), to identify the root causes of health issues, such as inflammation or structural misalignments (Jimenez, 2023d). For instance, a patient with chronic back pain might undergo an MRI to detect a herniated disc, followed by a tailored plan of adjustments and anti-inflammatory nutrition.

This precision ensures treatments target the source of the problem, whether it’s a nutrient deficiency or a musculoskeletal issue. For injury-related cases, our detailed medical records support patients in legal claims, providing clarity for insurance or court proceedings (Jimenez, 2023e).

References

  • Jimenez, A. (2023d). Clinical observations.
  • Jimenez, A. (2023e). Clinical observations.

Holistic Therapies for Lasting Wellness

Our integrative approach combines chiropractic care, massage therapy, acupuncture, and rehabilitation to promote healing and prevent chronic issues. Chiropractic adjustments correct spinal misalignments, improving nerve function and mobility. Massage therapy reduces muscle tension, while acupuncture stimulates natural pain relief through the release of endorphins (PARC of Ontario, 2023). Targeted exercises strengthen supporting muscles, ensuring long-term stability.

These therapies, paired with nutrition counseling, address neuromusculoskeletal health comprehensively. For example, a patient with shoulder pain may receive adjustments, massage, and a diet rich in omega-3 fatty acids to reduce inflammation and support recovery (585 Chiropractor, 2023). This holistic strategy ensures the nervous system, muscles, and skeleton work together for optimal health (Village Chiropractic, 2023).

References

  • 585 Chiropractor. (2023). The role of nutrition in sports injury prevention.
  • PARC of Ontario. (2023). How diet influences your recent chiropractic treatment.
  • Village Chiropractic. (2023). The importance of good nutrition and chiropractic care.

Boosting Performance Through Integrated Care

Whether you’re an athlete or seeking to improve your health, ChiroMed’s approach enhances performance through personalized nutrition and functional medicine. A balanced diet with timed meals—like a post-workout protein-carb combo—supports muscle repair and energy replenishment (Better Health Channel, 2023). Chiropractic adjustments enhance joint mobility and posture, thereby reducing the risk of injury and improving physical efficiency (Atlantic Chiropractic, 2023).

Dr. Jimenez tailors plans to individual needs, considering activity levels and health goals. For example, an athlete with knee pain might receive adjustments to correct alignment, exercises to strengthen supporting muscles, and a diet high in antioxidants to reduce inflammation (National Academy of Sports Medicine [NASM], 2023). This integrated strategy maximizes performance and vitality.

References

  • Atlantic Chiropractic. (2023). Nutrition and chiropractic: How diet impacts spinal health and well-being.
  • Better Health Channel. (2023). Sporting performance and food.
  • National Academy of Sports Medicine [NASM]. (2023). Nutrition for recovery.

Conclusion

At ChiroMed – Integrated Medicine, we combine chiropractic care, functional medicine, and integrative nutrition to address chronic pain, injuries, and wellness goals. By focusing on the root causes of health issues with advanced diagnostics and holistic therapies, we empower patients to achieve lasting vitality. Dr. Alexander Jimenez and our dedicated team in El Paso, TX, are committed to helping you live a pain-free, vibrant life through personalized care. Join us on this journey to optimal health.

References

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Athletes, Chiropractic Care, El Paso TX, Exercises, Physio, Sporting, Therapy , , , , , , , ,

Posture Improves Athletic Performance: Key to Success

Posture Improves Athletic Performance: Key to Success

The Link Between Posture, Sports Training, and Chiropractic Care

Good posture is more than just standing up straight—it’s a key factor in how well you perform in sports and how likely you are to avoid injuries. When your body is aligned properly, your muscles and joints work together smoothly, giving you the strength and balance needed for athletic success. Poor posture, on the other hand, can throw everything off, leading to strain and a higher risk of getting hurt. This is where sports training and chiropractic care come together to make a big difference.

Chiropractic care helps by fixing postural imbalances and keeping your spine in line. A well-aligned spine improves how your body moves, which is crucial for athletes. Integrative care, which combines chiropractic adjustments with other therapies, takes it a step further by boosting overall muscle and joint health. Together, these approaches help athletes perform better and stay safe while doing what they love.

Why Posture Matters in Sports

Posture affects how efficiently your body uses energy during sports. When you slouch or lean too far forward, your muscles have to work harder to keep you stable, which can tire you out faster. Good posture, though, lets you move with more power and control. For example, a runner with a strong, upright stance can maintain speed longer than someone with a hunched back. Plus, proper alignment reduces the stress on your joints, lowering the chance of injuries like sprains or strains (Square One Health, 2023).

Chiropractors can spot these issues early. By adjusting the spine, they help restore balance, which is especially helpful for sports that require quick movements, like basketball or soccer. This not only boosts performance but also prevents injuries that might happen from uneven wear on your body (Alter Chiropractic, 2023).

Chiropractic Care and Injury Prevention

Injuries are a big concern for anyone active in sports, but chiropractic care can play a huge role in keeping them at bay. Misaligned spines or tight muscles can set the stage for problems like pulled muscles or joint pain. Regular chiropractic visits can correct these issues before they turn into something worse. For instance, adjustments can relieve pressure on nerves, improving how your body handles the demands of training (Advanced Spine and Posture, 2023).

Integrative care adds to this by including stretching and mobility work, which keeps muscles flexible and strong. This combo helps athletes recover faster and train without constant pain, making it a smart addition to any routine (Trident Health Chiropractic, 2023).

References

The Role of Dr. Alex Jimenez in Sports and Injury Recovery

Dr. Alex Jimenez, a chiropractor and nurse practitioner based in El Paso, brings a unique skill set to help people recover from injuries caused by work, sports, personal incidents, or car accidents. His dual training allows him to look at injuries from both a medical and chiropractic angle, giving patients a thorough diagnosis and treatment plan. He uses advanced imaging and diagnostic tests to determine the exact cause, ensuring every step of the recovery process is based on solid evidence.

Dual-Scope Diagnosis and Treatment

Dr. Jimenez stands out because he combines his chiropractic expertise with his nurse practitioner background. This lets him assess injuries with a wide lens, considering both the physical structure and overall health of his patients. For example, he might use X-rays or MRIs to pinpoint a spinal issue and then create a plan that includes adjustments, exercises, and sometimes medication if needed. This approach helps address the root cause of the injury rather than just the symptoms (Jimenez, 2025).

His work with diagnostic assessments is key. These tools help him see inside the body, identifying problems like misaligned vertebrae or muscle damage that might not be obvious otherwise. This detailed process ensures treatments are tailored to each person’s needs, speeding up recovery and preventing future issues.

Handling Medical and Legal Needs

What makes Dr. Jimenez even more valuable is his ability to manage both medical care and legal paperwork, especially in personal injury cases. After an accident, patients often need to deal with insurance claims or lawsuits, and he helps by providing detailed reports and documentation. His experience ensures that the medical side of the case is clear and strong, supporting patients as they seek compensation or justice (Jimenez, 2025).

Recovery Through Chiropractic and Integrative Medicine

Dr. Jimenez’s approach goes beyond quick fixes. He uses chiropractic care to realign the spine, targeted exercises to rebuild strength, and therapies like massage and acupuncture to promote healing. This integrative method tackles a range of injuries— from back pain to joint stiffness—by addressing the underlying causes. By improving posture and overall health, his patients can return to their active lives with less risk of long-term problems (Jimenez, 2025).

References

A Comprehensive Approach to Rehabilitation

Rehabilitation after an injury doesn’t have to be a one-size-fits-all process. Combining chiropractic care with targeted exercise, massage therapy, acupuncture, and integrative medicine creates a powerful plan that covers all aspects of healing. This approach works because it targets different parts of the neuromusculoskeletal system, from nerves to muscles to joints, ensuring a full recovery.

How It Works Together

Chiropractic adjustments fix spinal misalignments, which can relieve pain and improve movement. Adding exercises strengthens the muscles around those areas, preventing future strain. Massage therapy eases tension, while acupuncture boosts blood flow and reduces inflammation—both key for natural healing. Integrative medicine ties it all together by looking at the whole person, not just the injury (Tigard Chiropractic Auto Injury, 2023).

This mix is especially useful for sports enthusiasts. By weaving these therapies into training, athletes can keep their posture in check, move more efficiently, and lower their injury risk. For example, a football player might use chiropractic care to stay aligned and acupuncture to recover from a tough game, leading to better performance over time (Dallas Accident and Injury Rehab, 2023).

Benefits for Long-Term Health

The strength of this integrative approach lies in its ability to prevent long-term complications. Poorly healed injuries can lead to chronic pain or reduced mobility, but a comprehensive plan addresses these risks early. By focusing on natural healing and overall wellness, athletes can enjoy their sports longer and with more confidence (Mountain Movement Center, 2023).

References

Optimizing Athletic Performance with Integrative Care

Adding chiropractic and integrative therapies to sports training can take your game to the next level. Good posture, supported by regular adjustments, gives you a strong foundation to build on. When your spine is aligned, your body can generate more power and move with greater agility, which is a win for any athlete (MyEvolve Chiropractor, 2023).

Enhancing Performance

Chiropractic care improves how your nervous system works, which is critical for quick reactions and coordination in sports. Pair that with stretching and mobility work, and you’ve got a recipe for peak performance. Integrative care also helps manage stress, keeping muscles and ligaments ready for action without the risk of injury (Dallas Accident and Injury Rehab, 2023).

Preventing Injuries

The real magic happens in injury prevention. By fixing posture issues and boosting circulation, these therapies reduce the strain on your body during intense training. This means fewer setbacks and more time enjoying your sport. Athletes who use this approach often find they can train harder and recover faster, leading to a more successful and fun experience (Essential Chiropractic, 2023).

References

Conclusion

The connection between posture, sports training, and chiropractic care is clear: proper alignment leads to better performance and fewer injuries. With experts like Dr. Alex Jimenez leading the way, integrative care offers a complete solution. By combining chiropractic adjustments, exercises, massage, acupuncture, and a holistic approach, athletes can heal naturally, improve their skills, and enjoy a healthier, more active life. This all-around strategy not only fixes current issues but also builds a strong future for anyone passionate about sports.

References

Alter Chiropractic. (2023). Chiropractic care enhances athletic performance effectively. https://alterchiropractic.com/chiropractic-care-enhances-athletic-performance-effectively/

Advanced Spine and Posture. (2023). Sports injuries treated with chiropractic care. https://advancedspineandposture.com/blog/sports-injuries-treated-with-chiropractic-care/

Current Physical Therapy. (2025). How chiropractic treatment for sports injuries helps athletes recover faster. https://www.currentphysicaltherapy.com/2025/08/11/how-chiropractic-treatment-for-sports-injuries-helps-athletes-recover-faster/

Dallas Accident and Injury Rehab. (2023a). Integrating chiropractic care with sports medicine. https://dallasaccidentandinjuryrehab.com/integrating-chiropractic-care-with-sports-medicine/

Dallas Accident and Injury Rehab. (2023b). Integrating chiropractic expertise and holistic sports medicine for enhanced athletic well-being. https://dallasaccidentandinjuryrehab.com/integrating-chiropractic-expertise-and-holistic-sports-medicine-for-enhanced-athletic-well-being/

Essential Chiropractic. (2023). Cross-training and chiropractic: Maximizing athletic performance safely. https://essentialchiropractic.co.uk/cross-training-and-chiropractic-maximizing-athletic-performance-safely/

Jimenez, A. (2025a). Clinical observations. https://dralexjimenez.com/

Jimenez, A. (2025b). Professional profile. https://www.linkedin.com/in/dralexjimenez/

Mountain Movement Center. (2023). Integrating chiropractic into your fitness routine. https://www.mountainmovementcenter.com/post/integrating-chiropractic-into-your-fitness-routine

MyEvolve Chiropractor. (2023). How chiropractic care can enhance athletic performance and recovery. https://myevolvechiropractor.com/how-chiropractic-care-can-enhance-athletic-performance-and-recovery/

Optimal Spine Chiro. (2023). The power of posture: How chiropractic care can transform your daily life. https://optimalspinechiro.com/the-power-of-posture-how-chiropractic-care-can-transform-your-daily-life/

Square One Health. (2023). Get back in the game: Sports injuries and chiropractic care. https://squareonehealth.com/get-back-in-the-game-sports-injuries-and-chiropractic-care/

Tigard Chiropractic Auto Injury. (2023). Integrating exercise with chiropractic: A synergistic approach to sports medicine. https://www.tigardchiropracticautoinjury.com/integrating-exercise-with-chiropractic-a-synergistic-approach-to-sports-medicine

Trident Health Chiropractic. (2023). How chiropractic care enhances athletic performance. https://www.tridenthealthchiropractic.com/how-chiropractic-care-enhances-athletic-performance

Zaker Chiropractic. (2023). How chiropractic care can help improve your posture. https://zakerchiropractic.com/how-chiropractic-care-can-help-improve-your-posture/

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Athletes, Chiropractic Care, El Paso TX, Physio, Sporting , , , , , , , , , , , , , , , , ,

How Sports Injuries and Motor Vehicle Accidents Cause Similar Injuries and How ChiroMed Can Help

At ChiroMed – Integrated Medicine Holistic Healthcare in El Paso, TX, we understand that injuries from sports and motor vehicle accidents (MVAs) can have a profound impact on your health. These injuries often share similar characteristics because they involve high-impact forces, sudden deceleration, or forceful twisting motions. Whether you’re an athlete sidelined by a sprain or a car accident victim dealing with whiplash, the underlying mechanisms of injury are often comparable. At ChiroMed, our integrative approach, led by Dr. Alexander Jimenez, combines chiropractic care, nurse practitioner services, acupuncture, massage therapy, and naturopathy to address these injuries holistically. The severity of injuries depends on the force involved and the specific circumstances, and our team is here to guide you through recovery with personalized, evidence-based care.

Common Injuries in Sports and MVAs
High-impact forces in both sports and MVAs can lead to injuries like traumatic brain injuries (TBIs), fractures, sprains, and strains. For example, concussions are common in contact sports like football, where a sudden hit causes the brain to move within the skull, leading to symptoms such as dizziness or confusion (Skinner Firm, n.d.). Similarly, MVAs can cause concussions when the head strikes the steering wheel or experiences rapid movement during a crash (Boohoff Law, n.d.). These shared mechanisms highlight how both scenarios stress the brain in comparable ways.

Fractures are another frequent injury. In sports, a fall during a basketball game can break a bone, just as a car crash can fracture ribs or limbs due to sudden impact (National Institute of Arthritis and Musculoskeletal and Skin Diseases [NIAMS], n.d.). The force’s intensity and direction play a significant role, with rib fractures varying based on individual anatomy and impact angle (National Highway Traffic Safety Administration [NHTSA], n.d.). At ChiroMed, we use advanced diagnostics to assess fractures and create tailored rehabilitation plans.

Sprains and strains occur when ligaments, muscles, or tendons are stretched or torn. In sports, activities like soccer often lead to ankle or knee sprains from twisting motions (Therasport, n.d.; Dubuque Physical Therapy, n.d.). In MVAs, rapid deceleration can cause similar sprains, particularly in the neck, resulting in whiplash (Indiana Department of Health, n.d.). Neck sprains are especially common, seen in both cyclists who fall and car accident victims experiencing whiplash from rear-end collisions (PubMed Central [PMC], 2011; Stroud Law, n.d.).

Factors Influencing Injury Severity
The severity of injuries depends on specific circumstances. In sports, factors like protective gear or playing surface affect outcomes—helmets can reduce concussion risk in football (Brown Health, n.d.). In MVAs, seatbelts and airbags can lessen injury severity, but high-speed crashes often result in more serious damage (Advanced Ortho, n.d.). At ChiroMed, we consider these factors when designing treatment plans, ensuring care matches the injury’s cause and extent.

References

Dr. Alexander Jimenez and ChiroMed’s Approach to MVA Recovery

Dr. Alexander Jimenez, DC, APRN, FNP-BC, leads ChiroMed’s mission to provide holistic care for MVA patients in El Paso. With his dual expertise as a chiropractor and nurse practitioner, Dr. Jimenez offers a unique blend of medical and alternative treatments. His practice focuses on addressing the root causes of injuries, helping patients recover fully while preventing long-term complications.

Dual-Scope Diagnosis and Treatment Protocols
Dr. Jimenez uses a dual-scope diagnosis to connect a patient’s injuries to the mechanics of their accident. For instance, he might link whiplash to the sudden force of a rear-end collision, assessing both visible symptoms and underlying issues like spinal misalignment. This approach allows him to create personalized treatment plans that combine chiropractic adjustments, acupuncture, and massage therapy to restore function and reduce pain. His team at ChiroMed, including skilled professionals like Helen Wilmore (massage therapist) and Kristina Castle (physical therapist), collaborates to ensure comprehensive care.

Advanced Diagnostics and Imaging
ChiroMed employs advanced diagnostic tools, such as X-rays and MRIs, to identify injuries like fractures, disc herniations, or soft tissue damage. These assessments provide a clear picture of the injury’s extent, guiding precise treatment plans. For example, imaging might reveal a hidden spinal issue contributing to chronic pain, allowing Dr. Jimenez to target it with specific therapies. This thorough approach ensures patients receive care tailored to their unique needs.

Medical and Legal Expertise
Dr. Jimenez’s ability to handle both medical treatment and legal documentation sets ChiroMed apart. After an MVA, patients often face insurance claims or legal battles. Dr. Jimenez meticulously documents injuries, linking them to the accident, and prepares detailed reports for legal use. Dr. Jimenez’s dual role streamlines the process, allowing patients to concentrate on their recovery while receiving accurate medical evidence to support their claims.

Holistic Recovery Through Integrative Medicine
ChiroMed’s integrative approach combines chiropractic care, massage therapy, acupuncture, naturopathy, and nutrition counseling to promote natural healing. Chiropractic adjustments correct spinal and joint misalignments, addressing issues like whiplash or back pain. Massage therapy, led by experts like Helen Wilmore, reduces muscle tension and improves circulation, aiding soft tissue recovery. Acupuncture targets pain and inflammation, offering a natural alternative to medication. Naturopathy and nutrition counseling support overall health, helping patients rebuild strength and prevent complications like chronic pain.

For example, an MVA patient with a sprained ankle might receive chiropractic adjustments to improve alignment, massage to reduce swelling, acupuncture for pain relief, and nutrition advice to support healing. This comprehensive strategy, rooted in ChiroMed’s philosophy of treating the whole person, ensures faster recovery and long-term wellness. By addressing both the injury and its broader impact on health, ChiroMed helps patients return to their active lives.

References

Advanced Ortho. (n.d.). Sports medicine: Treating common high school sports injuries. https://advancedortho.org/sports-medicine-treating-common-high-school-sports-injuries/

Boohoff Law. (n.d.). Common types of injuries. https://www.boohofflaw.com/common-types-of-injuries/

Brown Health. (n.d.). Types of sports injuries and how they’re treated. https://www.brownhealth.org/be-well/types-sports-injuries-and-how-theyre-treated

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

Dubuque Physical Therapy. (n.d.). Physical therapy clinic services: Sports injuries. https://dubuquephysicaltherapy.com/physical-therapy-clinic-services/sports-injuries/

Indiana Department of Health. (n.d.). Mechanism of injury. https://www.in.gov/health/trauma-system/files/Mechanism_of_injury.pdf

Jimenez, A. (n.d.). Facebook reel. https://www.facebook.com/reel/24240689962228572

Jimenez, A. (n.d.). Instagram reel. https://www.instagram.com/reel/DMXxvgsiwAt/

Jimenez, A. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Jimenez, A. (n.d.). Pinterest pin. https://www.pinterest.com/pin/1132936850022111288/

Jimenez, A. (n.d.). WhatsApp channel. https://www.whatsapp.com/channel/0029VaLL6qY3rZZiMGQ0S32u/364

National Highway Traffic Safety Administration. (n.d.). Biomechanics. https://www.nhtsa.gov/research/biomechanics

National Institute of Arthritis and Musculoskeletal and Skin Diseases. (n.d.). Sports injuries–Types, symptoms, & risk factors. https://www.niams.nih.gov/health-topics/sports-injuries

PubMed Central. (2011). Neck sprain (33 %) was the most common injury among cyclists. https://pmc.ncbi.nlm.nih.gov/articles/PMC3217388/

Skinner Firm. (n.d.). Understanding common accidents injuries. https://skinnerfirm.com/blog/understanding-common-accidents-injuries/

Stroud Law. (n.d.). What are common car accident injuries?. https://www.stroudlawyers.com/frequently-asked-questions/what-are-common-car-accident-injuries/

The Smith Clinic. (n.d.). Physical therapy clinic services: Sports injuries. https://thesmithclinic.com/physical-therapy-clinic-services/sports-injuries/

Therasport. (n.d.). Physical therapy clinic services: Sports injuries. https://therasport.org/physical-therapy-clinic-services/sports-injuries/

Three Best Rated. (n.d.). Threads post. https://www.threads.com/@threebestratedofficial/post/DMXxwzOieix

Three Best Rated. (2025, May 23). Twitter post. https://x.com/threebestrated/status/1947288030055678043

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Athletes, Chiropractic Care, El Paso TX, Insurance, Physio, Therapy , , , , , , , , , , , ,

Bicycle Accident Recovery in El Paso: How Dr. Alexander Jimenez Can Help

Introduction

Bicycling is a popular mode of transportation and recreation, especially in urban and suburban areas. However, when bicycles and motor vehicles share the road, accidents can happen—often with serious consequences. Bicycle-related motor vehicle accidents (MVAs) can cause spinal trauma, musculoskeletal damage, and nerve injuries due to the sheer vulnerability of the cyclist compared to the mass and speed of a car. Common crash types include intersection collisions, rear-end impacts, “dooring” accidents, and sideswipes, with driver negligence, such as distracted driving and failure to yield, being key contributors.

Understanding the types of collisions, their causes, and their consequences is vital. Even more critical is knowing the pathways to recovery. Chiropractic care, nurse practitioners, and integrative medicine practitioners like Dr. Alexander Jimenez, DC, APRN, FNP-BC, offer comprehensive rehabilitation by addressing both the physical injuries and legal aspects of post-accident care.

This article breaks down the most common types of bicycle-MVA injuries, the injuries they cause, and how integrative healthcare can help victims recover fully.

Christensen & Hymas, n.d.

1. Intersection Collisions: A High-Risk Zone for Cyclists

One of the most dangerous spots for bicyclists is the intersection. According to data, a significant number of bicycle accidents occur when a vehicle either makes a turn across the cyclist’s path or runs a stop sign or red light. These incidents, known as “right hook” or “left cross” accidents, are typically caused by a driver’s failure to yield, speeding, or distracted driving behaviors, such as texting while driving.

In a right-hook scenario, a car turns right into a cyclist traveling straight, often trapping the bicyclist between the vehicle and the curb. A left cross happens when a driver turns left across traffic and fails to see the oncoming cyclist. Both scenarios can lead to serious trauma, including fractured clavicles, herniated spinal discs, or even traumatic brain injuries if the cyclist is thrown off the bike.

These injuries frequently involve musculoskeletal damage to the neck, spine, and extremities. Integrative recovery care is crucial here. Chiropractors and nurse practitioners assess mobility loss and nerve damage using advanced diagnostics, such as MRI or CT scans, to identify injuries that may have been missed in ER evaluations.

The Champion Firm, n.d.

2. Rear-End Collisions: Unexpected and Dangerous

Rear-end collisions are among the most catastrophic accidents for cyclists. They occur when a car strikes a bicycle from behind—often at stop signs, traffic lights, or while the cyclist is riding on the side of the road. These crashes usually result in the rider being thrown forward off the bike, potentially causing spinal compression fractures, whiplash injuries, and traumatic impact to the lower back and sacrum.

The injuries sustained in these types of accidents are especially severe due to the direct force of impact. Cyclists may experience chronic back pain, sciatica, or even permanent nerve damage. Long-term rehabilitation is often necessary, especially when disc herniation or spinal instability is present.

Dr. Alexander Jimenez often treats victims of rear-end bicycle collisions. As both a chiropractor and nurse practitioner, he uses dual-scope diagnostic capabilities to examine spinal misalignments and soft tissue injuries. Through chiropractic adjustments, myofascial release, therapeutic exercise, and imaging, Dr. Jimenez identifies the source of pain and develops a legal-compliant recovery plan.

Clarke Law, n.d.

3. Dooring Accidents: The Hidden Danger in Bike Lanes

“Dooring” accidents are extremely common in cities where street parking lines up directly with bike lanes. These incidents occur when a motorist opens their door into a cyclist’s path without checking for oncoming riders. The cyclist crashes into the open door or swerves into traffic to avoid it, often resulting in multiple forms of trauma.

Injuries from dooring include facial fractures, dental trauma, shoulder dislocations, and wrist or hand fractures as cyclists instinctively try to brace for impact. In severe cases, cyclists also report post-concussive syndrome or cervical spine injuries from the jolt of the impact.

Chiropractic care, in conjunction with integrative therapy, plays a crucial role in managing both visible injuries and latent effects, such as nerve impingement or thoracic outlet syndrome. Practitioners like Dr. Jimenez perform spinal adjustments, neurological evaluations, and imaging to address both immediate and long-term complications.

CBPW Law, n.d.

4. Sideswipe Accidents: Unsafe Passing and Narrow Escapes

Sideswipe or unsafe passing accidents happen when a driver fails to leave adequate room while overtaking a cyclist. Even a slight bump from a side mirror or vehicle body can cause a cyclist to lose their balance, especially at high speeds. These collisions often lead to serious injuries, including rib fractures, pelvic injuries, and road rash.

Musculoskeletal trauma from being dragged or thrown can result in chronic joint dysfunction or spinal misalignment. Integrative treatment in such cases may include chiropractic manipulation, ultrasound therapy, acupuncture, and physical rehabilitation. Nurse practitioners may also prescribe anti-inflammatories or recommend imaging to rule out internal injuries.

Dr. Jimenez’s clinic in El Paso specializes in such assessments, offering both therapeutic care and legal support documentation needed for personal injury claims.

Varner Faddis, n.d.

5. The Role of Driver Negligence in Bicycle MVAs

Many bicycle-related motor vehicle accidents occur not because of the cyclist’s error, but due to the driver’s negligent behavior. Common causes include:

  • Distracted driving (texting, eating, or adjusting GPS)
  • Driving under the influence of drugs or alcohol
  • Failure to yield to cyclists in intersections or during turns
  • Aggressive driving or speeding
  • Improper lane changes or merging

Such negligence not only causes physical harm but also emotional distress and long-term disability for cyclists. Identifying driver error is essential for legal claims, and having healthcare providers like Dr. Jimenez who understand the legal-medical interface is vital for recovery and documentation.

Gallagher & Kennedy Injury Law, n.d.

6. Common Spinal and Nerve Injuries in Bicycle Accidents

Spinal injuries from bicycle accidents can be both acute and chronic. Common conditions include:

  • Cervical or lumbar disc herniation
  • Spinal cord contusion
  • Compression fractures
  • Pinched nerves and radiculopathy
  • Sciatica and sacroiliac joint dysfunction

These injuries can lead to pain, numbness, weakness, and mobility issues. Chiropractic care, particularly spinal decompression and realignment, can help restore nerve function and improve quality of life. Nurse practitioners manage inflammation and pain, while integrative techniques such as dry needling or cold laser therapy can accelerate healing.

Dr. Jimenez’s practice emphasizes imaging-supported diagnostics, including MRIs and electromyography (EMG), to map out injuries accurately and create personalized rehabilitation plans that also support court evidence in PI cases.

Bay Area Bicycle Law, n.d.

7. Musculoskeletal Complications and Pain Syndromes

Beyond the spine, bicycle accidents often damage the musculoskeletal system. Injuries include:

  • Rotator cuff tears
  • Hip labral injuries
  • Knee ligament sprains
  • Temporomandibular joint (TMJ) injuries
  • Chronic myofascial pain or trigger points

These injuries can significantly impact daily function and often lead to long-term discomfort. Chiropractic manipulation, soft tissue therapy, and rehabilitative exercise programs are effective in restoring muscle and joint function. Dr. Jimenez integrates these therapies with nutritional guidance and patient education to address the root causes and prevent recurrence.

Foster Wallace, n.d.

8. How Dr. Alexander Jimenez Bridges Chiropractic and Medical Care

Dr. Alexander Jimenez, DC, APRN, FNP-BC, offers a unique dual-scope approach that combines the diagnostic and treatment capabilities of both a chiropractor and a nurse practitioner. Based in El Paso, Texas, he specializes in treating victims of motor vehicle accidents, including bicycle-related crashes.

Dr. Jimenez’s integrative model includes:

  • Advanced Imaging: X-rays, MRIs, and CT scans to identify structural and neurological damage
  • Functional Assessments: To evaluate mobility, pain patterns, and postural dysfunction
  • Legal Documentation: Proper ICD coding, progress notes, and diagnostic summaries for attorneys and insurance claims
  • Multimodal Therapy: Combining chiropractic adjustment, spinal decompression, soft tissue work, and anti-inflammatory protocols
  • Patient Empowerment: Education and preventive strategies to improve long-term outcomes

His clinics (e.g., El Paso Back Clinic and ChiroMed) are recognized for integrating patient-centered, trauma-informed care that addresses both visible and hidden injuries from MVAs.

LinkedIn – Dr. Jimenez

9. The Legal-Medical Integration in Personal Injury Cases

For victims of bicycle MVAs, medical care is only part of the recovery. Navigating insurance claims, court proceedings, and settlement negotiations can be daunting. Dr. Jimenez’s clinical documentation is admissible in court, and he collaborates with legal teams to provide injury timelines, causation reports, and progress updates.

This comprehensive support ensures that victims receive not only care but also justice. His understanding of medical-legal communication helps patients avoid denied claims or under-settled cases.

Reinartz Law, n.d.

10. Moving Forward: Recovery, Resilience, and Prevention

While bicycle accidents can be devastating, recovery is possible with the right care team. Chiropractic adjustments, functional rehabilitation, integrative therapies, and strong legal and medical coordination lay the foundation for long-term healing. Preventing future accidents through bike safety education and urban infrastructure improvements is also essential.

For those recovering from bicycle-related MVAs, providers like Dr. Jimenez offer hope—blending evidence-based medical care with compassionate legal support to help victims regain their health and their lives.

References

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Acupuncture, Advanced Practice Registered Nurses (APRN), Athletes, Chiropractic Care, Electroacupuncture, Physio, Sporting , , , , , , , , , , , , , , ,

The Critical Role of Nursing in Athlete Recovery from Motor Vehicle Accidents

Motor vehicle accidents (MVAs) can profoundly impact athletes, causing physical injuries such as musculoskeletal damage, back and neck pain, and nerve injuries, alongside psychological trauma that disrupts their ability to compete. Nurse practitioners (NPs), with their comprehensive medical training, play a pivotal role in the recovery process, particularly when integrated with chiropractic care and acupuncture. This blog post, written at a high school reading level, explores the effects of MVAs on athletes, the essential contributions of NPs, and the expertise of Dr. Alexander Jimenez, DC, APRN, FNP-BC, in El Paso, Texas, whose dual licensure enhances both clinical care and legal documentation for personal injury cases. By emphasizing nursing-led care, integrative medicine, and holistic approaches, this post highlights how athletes can regain their health and performance.

The Impact of Motor Vehicle Accidents on Athletes

Physical Injuries from MVAs

MVAs often result in injuries that challenge an athlete’s physical capabilities. Common injuries include:

  • Musculoskeletal Injuries: Sudden impacts can strain or tear muscles, tendons, and ligaments, with whiplash being a common issue that affects neck mobility (Cedar Park Chiropractic, n.d.).
  • Back and Neck Pain: Spinal injuries, such as herniated discs or misalignments, cause chronic pain, limiting movement (Jimenez, 2025).
  • Nerve Injuries: Compressed or irritated nerves, such as those causing sciatica, can lead to pain, numbness, or weakness (El Paso Back Clinic, n.d.).
  • Ligamentous Injuries: Torn ligaments destabilize joints, increasing re-injury risks (Advanced Bone and Joint, 2021).

These injuries can weaken muscles and reduce strength, significantly impairing athletic performance (Freedom Physical Therapy, n.d.).

Psychological Trauma

MVAs also cause emotional and psychological challenges that affect athletes’ mental focus:

  • Post-Traumatic Stress Disorder (PTSD): Accident-related trauma may trigger anxiety or flashbacks, hindering training focus (The Florida Law Group, 2023).
  • Depression and Anxiety: Chronic pain and performance limitations can lead to low motivation and confidence (Universidad Europea, n.d.).
  • Fear of Re-injury: Psychological barriers may prevent athletes from fully engaging in their sport (Universidad Europea, n.d.).

These mental health issues require a holistic approach to ensure complete recovery.

Decline in Sports Performance

Physical and psychological injuries from MVAs can lead to:

  • Reduced range of motion, affecting agility and power (Lakeside Sports Chiropractic, n.d.).
  • Persistent pain makes training and competition difficult (Miami Chiropractors, n.d.).
  • Increased re-injury risk due to compensatory movements or structural weaknesses (Texas Medical Institute, n.d.).

For young athletes, these setbacks can disrupt development and long-term potential (Advanced Bone and Joint, 2021).

References
Advanced Bone and Joint. (2021, May 7). Winning the injury recovery race: Effects of sports injuries on athletes. https://www.advancedboneandjoint.com/2021/05/07/winning-the-injury-recovery-race-effects-of-sports-injuries-on-athletes/
Cedar Park Chiropractic. (n.d.). Chiropractic car accident treatment. https://cedarparkchiro.com/chiropractic-car-accident-treatment/
El Paso Back Clinic. (n.d.). Sciatica pain treatment El Paso, TX. https://elpasobackclinic.com/sciatica-pain-treatment/
Freedom Physical Therapy. (n.d.). Physiotherapy for sports injuries. https://freedomphysicaltherapy.ca/physiotherapy-for-sports-injuries/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Lakeside Sports Chiropractic. (n.d.). Benefits of pediatric chiropractic care for young athletes. https://lakesidesportschiro.com/benefits-of-pediatric-chiropractic-care-for-young-athletes/
Miami Chiropractors. (n.d.). Injury rehabilitation: The role of chiropractic care in sport recovery. https://www.miami-chiropractors.com/injury-rehabilitation-the-role-of-chiropractic-care-in-sport-recovery/
Texas Medical Institute. (n.d.). The role of chiropractic care in sports injury recovery. https://www.texasmedicalinstitute.com/the-role-of-chiropractic-care-in-sports-injury-recovery/
The Florida Law Group. (2023, July). The emotional impact of car accidents: Coping and healing. https://www.thefloridalawgroup.com/blog/2023/july/the-emotional-impact-of-car-accidents-coping-and/
Universidad Europea. (n.d.). Psychology of sport injuries. https://universidadeuropea.com/en/blog/psychology-sport-injuries/

The Pivotal Role of Nurse Practitioners in Recovery

Comprehensive Medical Management

Nurse practitioners are uniquely positioned to lead MVA recovery due to their advanced training in medical assessment, diagnosis, and treatment. Their contributions include:

  • Thorough Assessments: NPs utilize diagnostic tools such as blood panels, X-rays, and MRIs to identify injuries and underlying health issues (Correll Firm, n.d.).
  • Personalized Treatment Plans: They develop evidence-based plans that incorporate medications, physical therapy referrals, and lifestyle changes (ChiroMed, n.d.).
  • Coordination of Care: NPs collaborate with chiropractors, acupuncturists, and specialists to ensure a cohesive recovery strategy (Correll Firm, n.d.).
  • Patient Education: They guide athletes on nutrition, stress management, and injury prevention, empowering long-term health (ChiroMed, n.d.).

NPs’ holistic perspective ensures that both physical and psychological needs are addressed, which is critical for athletes aiming to return to peak performance.

Benefits for Athletes

NPs offer athletes:

  • Accurate Diagnoses: Comprehensive evaluations prevent missed injuries, ensuring targeted treatment (Correll Firm, n.d.).
  • Holistic Care: NPs address pain, mental health, and systemic issues, promoting overall wellness (ChiroMed, n.d.).
  • Faster Recovery: Coordinated care and timely interventions accelerate healing, reducing downtime (Jimenez, 2025).
  • Preventive Strategies: Education on lifestyle changes minimizes the risk of re-injury (Texas Medical Institute, n.d.).

Dr. Alexander Jimenez’s Nursing Expertise

Dr. Alexander Jimenez, a board-certified chiropractor and nurse practitioner in El Paso, Texas, exemplifies nursing-led care. With over 25 years of experience, he utilizes advanced imaging techniques, blood panels, and dual-scope procedures to diagnose MVA-related injuries accurately. His clinical observations highlight the connection between biomechanical injuries and systemic health, underscoring the need for comprehensive medical interventions (Jimenez, n.d., dralexjimenez.com). As an NP, he prescribes treatments, coordinates multidisciplinary care, and provides detailed documentation for personal injury cases, ensuring athletes receive both clinical and legal support (ChiroMed, n.d.).

References
ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/
Correll Firm. (n.d.). What types of medical professionals treat car accident injuries?. https://correllfirm.com/blog/%EF%BF%BCwhat-types-of-medical-professionals-treat-car-accident-injuries/
Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Texas Medical Institute. (n.d.). The role of chiropractic care in sports injury recovery. https://www.texasmedicalinstitute.com/the-role-of-chiropractic-care-in-sports-injury-recovery/

Chiropractic Care as a Complementary Therapy

Supporting NP-Led Care

Chiropractic care complements nursing by addressing biomechanical issues that may impact overall health and well-being. Chiropractors use:

  • Spinal Adjustments: These correct misalignments, reducing nerve irritation and improving mobility (Cedar Park Chiropractic, n.d.).
  • Soft Tissue Therapy: Techniques such as myofascial release help alleviate muscle tension (Dr. Luban, n.d.).
  • Rehabilitation Exercises: Customized plans strengthen muscles and enhance flexibility (Miami Chiropractors, n.d.).

NPs often refer athletes to chiropractors to enhance pain relief and mobility, creating a synergistic recovery plan (ChiroMed, n.d.).

Benefits for Athletes

Chiropractic care provides:

  • Pain Reduction: Non-invasive techniques alleviate back and neck pain (Cedar Park Chiropractic, n.d.).
  • Improved Function: Adjustments restore joint mobility, critical for athletic performance (Miami Chiropractors, n.d.).
  • Faster Healing: Enhanced blood flow supports tissue repair (Dr. Luban, n.d.).

Dr. Jimenez integrates chiropractic care into his NP-led practice, ensuring athletes benefit from both medical and biomechanical interventions (Jimenez, 2025).

References
Cedar Park Chiropractic. (n.d.). Chiropractic car accident treatment. https://cedarparkchiro.com/chiropractic-car-accident-treatment/
ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/
Dr. Luban. (n.d.). The role of chiropractic in sports performance and injury prevention. https://drluban.com/the-role-of-chiropractic-in-sports-performance-and-injury-prevention/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Miami Chiropractors. (n.d.). Injury rehabilitation: The role of chiropractic care in sport recovery. https://www.miami-chiropractors.com/injury-rehabilitation-the-role-of-chiropractic-care-in-sport-recovery/

Acupuncture in NP-Coordinated Recovery

Enhancing Healing

Acupuncture, often coordinated by NPs, involves inserting needles to stimulate healing. It helps by:

  • Reducing Pain: Endorphin release alleviates musculoskeletal pain (Governors Park Chiropractic, n.d.).
  • Decreasing Inflammation: Improved blood flow reduces swelling (ET Sport Med, n.d.).
  • Relieving Stress: Acupuncture calms the nervous system, addressing anxiety and PTSD (Forest Park Wellness, n.d.).
  • Improving Mobility: Relaxed muscles enhance joint function (Kinect Physiotherapy, n.d.).

NPs may recommend acupuncture to complement medical treatments, enhancing overall recovery (ChiroMed, n.d.).

Benefits for Athletes

Acupuncture offers:

  • Natural Pain Relief: It avoids medication side effects (Doctor LeBlanc, n.d.).
  • Emotional Support: Stress reduction aids mental recovery (Forest Park Wellness, n.d.).
  • Enhanced Performance: Improved mobility supports athletic function (ET Sport Med, n.d.).

Dr. Jimenez incorporates acupuncture into his NP-led plans, ensuring a comprehensive approach (Jimenez, 2025).

References
Doctor LeBlanc. (n.d.). Acupuncture for car accident injuries. https://www.doctorleblanc.com/acupuncture-for-car-accident-injuries/
ET Sport Med. (n.d.). Enhancing athletic performance and recovery with acupuncture treatment. https://www.etsportmed.com/blog/enhancing-athletic-performance-and-recovery-with-acupuncture-treatment/
Forest Park Wellness. (n.d.). The healing power of acupuncture after an auto accident. https://forestparkwellness.com/the-healing-power-of-acupuncture-after-an-auto-accident/
Governors Park Chiropractic. (n.d.). Acupuncture: Treating car accident injuries. https://governorsparkchiropractic.com/acupuncture-treating-car-accident-injuries/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Kinect Physiotherapy. (n.d.). Acupuncture in physiotherapy. https://kinectphysio.com.au/acupuncture-in-physiotherapy/

Integrative Medicine in Nursing-Led Care

Holistic Recovery

Integrative medicine, often led by NPs, combines conventional and complementary therapies. Key components include:

  • Nutrition: Anti-inflammatory diets support tissue repair (Jimenez, 2025).
  • Health Coaching: NPs guide athletes on stress management and sleep (ChiroMed, n.d.).
  • Functional Medicine: Addressing metabolic imbalances promotes wellness (Jimenez, n.d., dralexjimenez.com).

NPs oversee these elements, ensuring a unified approach to patient care and healing.

Benefits for Athletes

Integrative medicine provides:

  • Root Cause Treatment: It addresses underlying issues, not just symptoms (Jimenez, 2025).
  • Long-Term Wellness: Lifestyle Changes Enhance Resilience (Miami Chiropractors, n.d.).
  • Reduced Medication Use: Holistic therapies minimize side effects (Texas Medical Institute, n.d.).

Dr. Jimenez’s NP training allows him to integrate nutrition and functional medicine, creating personalized recovery plans (Jimenez, n.d., LinkedIn).

References
ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/
Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/
Jimenez, A. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Miami Chiropractors. (n.d.). Injury rehabilitation: The role of chiropractic care in sport recovery. https://www.miami-chiropractors.com/injury-rehabilitation-the-role-of-chiropractic-care-in-sport-recovery/
Texas Medical Institute. (n.d.). The role of chiropractic care in sports injury recovery. https://www.texasmedicalinstitute.com/the-role-of-chiropractic-care-in-sports-injury-recovery/

Legal Documentation in Personal Injury Cases

Importance of NP Documentation

Accurate documentation is vital for personal injury claims, including:

  • Medical Records: NPs provide detailed reports of diagnoses and treatments (ChiroMed, n.d.).
  • Diagnostic Evidence: Imaging and lab results validate injuries (Jimenez, n.d., dralexjimenez.com).
  • Treatment Plans: Comprehensive plans justify ongoing care (Correll Firm, n.d.).

Dr. Jimenez’s Dual Expertise

Dr. Jimenez’s NP licensure ensures precise medical documentation, while his chiropractic knowledge helps link injuries to their biomechanical causes. His reports, supported by enhanced imaging and dual-scope procedures, strengthen legal claims, making him a key asset in personal injury cases (ChiroMed, n.d.; Jimenez, n.d., LinkedIn).

References
ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/
Correll Firm. (n.d.). What types of medical professionals treat car accident injuries?. https://correllfirm.com/blog/%EF%BF%BCwhat-types-of-medical-professionals-treat-car-accident-injuries/
Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/
Jimenez, A. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Conclusion

Nurse practitioners play a central role in helping athletes recover from MVAs, providing comprehensive medical care, coordinating complementary therapies such as chiropractic and acupuncture, and offering critical legal documentation. Dr. Alexander Jimenez’s dual expertise as an NP and chiropractor in El Paso, Texas, exemplifies this approach, ensuring athletes receive holistic care that restores their physical and mental health. Through nursing-led integrative medicine, athletes can overcome MVA challenges and return to their sport stronger than ever.

References

Advanced Bone and Joint. (2021, May 7). Winning the injury recovery race: Effects of sports injuries on athletes. https://www.advancedboneandjoint.com/2021/05/07/winning-the-injury-recovery-race-effects-of-sports-injuries-on-athletes/

Cedar Park Chiropractic. (n.d.). Chiropractic car accident treatment. https://cedarparkchiro.com/chiropractic-car-accident-treatment/

ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/

Correll Firm. (n.d.). What types of medical professionals treat car accident injuries?. https://correllfirm.com/blog/%EF%BF%BCwhat-types-of-medical-professionals-treat-car-accident-injuries/

Doctor LeBlanc. (n.d.). Acupuncture for car accident injuries. https://www.doctorleblanc.com/acupuncture-for-car-accident-injuries/

Dr. Luban. (n.d.). The role of chiropractic in sports performance and injury prevention. https://drluban.com/the-role-of-chiropractic-in-sports-performance-and-injury-prevention/

El Paso Back Clinic. (n.d.). Sciatica pain treatment El Paso, TX. https://elpasobackclinic.com/sciatica-pain-treatment/

ET Sport Med. (n.d.). Enhancing athletic performance and recovery with acupuncture treatment. https://www.etsportmed.com/blog/enhancing-athletic-performance-and-recovery-with-acupuncture-treatment/

Forest Park Wellness. (n.d.). The healing power of acupuncture after an auto accident. https://forestparkwellness.com/the-healing-power-of-acupuncture-after-an-auto-accident/

Freedom Physical Therapy. (n.d.). Physiotherapy for sports injuries. https://freedomphysicaltherapy.ca/physiotherapy-for-sports-injuries/

Governors Park Chiropractic. (n.d.). Acupuncture: Treating car accident injuries. https://governorsparkchiropractic.com/acupuncture-treating-car-accident-injuries/

Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/

Jimenez, A. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/

Kinect Physiotherapy. (n.d.). Acupuncture in physiotherapy. https://kinectphysio.com.au/acupuncture-in-physiotherapy/

Lakeside Sports Chiropractic. (n.d.). Benefits of pediatric chiropractic care for young athletes. https://lakesidesportschiro.com/benefits-of-pediatric-chiropractic-care-for-young-athletes/

Miami Chiropractors. (n.d.). Injury rehabilitation: The role of chiropractic care in sport recovery. https://www.miami-chiropractors.com/injury-rehabilitation-the-role-of-chiropractic-care-in-sport-recovery/

Texas Medical Institute. (n.d.). The role of chiropractic care in sports injury recovery. https://www.texasmedicalinstitute.com/the-role-of-chiropractic-care-in-sports-injury-recovery/

The Florida Law Group. (2023, July). The emotional impact of car accidents: Coping and healing. https://www.thefloridalawgroup.com/blog/2023/july/the-emotional-impact-of-car-accidents-coping-and/

Universidad Europea. (n.d.). Psychology of sport injuries. https://universidadeuropea.com/en/blog/psychology-sport-injuries/

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Athletes, Chiropractic Care, El Paso TX, Sporting , , , , , , , , , , , , , , , ,

Bunions Management: Relief and Care Strategies

What is the most effective method for managing the initial symptoms of bunions?

Bunions

A bunion, which is also known as hallux valgus, is a bony bump that is frequently excruciating and located on the side of the big toe. A misalignment of the big toe is the most prevalent cause of bunions. Redness, edema, tenderness, and thickened skin around the big toe joint are early indications of bunions. Although it is impossible to halt the progression of a bunion, it is possible to alleviate its symptoms as it progresses. Pain management strategies and various treatment options are among the early indications of bunions. (MedlinePlus, 2024)

Visual Signs of Early Symptoms

Bunions initially develop slowly and do not cause significant discomfort right away. When a bunion first begins to form, you can notice the following symptoms around your metatarsophalangeal (MTP) joint, which joins the base of your big toe to the remainder of your foot. (American Academy of Orthopaedic Surgeons, 2022)

  • Erythema
  • Edema Hyperpigmentation
  • Hyperkeratotic skin
  • A bony protrusion exists
  • Prominence where the hallux deviates towards the second digit or even beneath it
  • Calluses and corns

Initial Somatic Indicators

Although bunions may not be immediately apparent, they can still cause discomfort in the early stages. The following are some of the initial physical indicators of a developing bunion: (MedlinePlus, 2024)

  • Pain in the foot and big toe
  • This discomfort is especially evident during ambulation or when donning constrictive, pointed footwear.
  • Decreased movement of the big toe
  • Tenderness
  • Inflammation
  • Swelling
  • Stiffness
  • Heat

Stages

Bunions are typically progressive, meaning they tend to deteriorate over time. Failure to implement preventive measures for your bunions may result in consequences. Subsequent symptoms often accompany advanced-stage bunions. (American Academy of Orthopaedic Surgeons, 2022)

  • Persistent, intense pain in and around the metatarsophalangeal joint and the lateral and plantar aspects of the foot
  • Bursitis results in the formation of a fluid-filled cyst near the base of the big toe.
  • Hallux adducting and maybe overlapping the second toe
  • Excessive osseous proliferation along the lateral aspect of the hallux
  • Inability to accommodate your standard footwear
  • Impediment in ambulation
  • Hammertoe abnormalities occur when the second, third, or fourth toes exhibit an upward bend at the middle joint, like a hammer or claw.
  • Hallux rigidus, a kind of arthritis affecting the big toe

Halt the Advancement

Once bunions have begun to form, they will become irreversible. Nevertheless, some methods exist to prevent their exacerbation or the onset of additional issues. These encompass (American Academy of Orthopaedic Surgeons, 2022)

  • Refraining from wearing improperly fitting footwear and elevated heels
  • Utilizing orthopedic footwear and/or broad, comfy, soft-soled, and low-heeled shoes
  • Inserting spacers between the toes to avert friction and irritation
  • Applying over-the-counter (OTC) pads composed of felt, silicone, or foam to the bunion
  • Extending your calf muscles to enhance joint alignment

Analgesic Administration

Ice packs and non-steroidal anti-inflammatory medicines (NSAIDs), such as Advil or Motrin (ibuprofen), may alleviate bunion discomfort. Research indicates that Botox injections into the forefoot muscles may offer analgesic benefits. (Hurn, S. E., et al., 2022)

Non-invasive Therapy in Initial Phases

If your bunions continue to deteriorate despite using the aforementioned self-care measures, you may need to seek intervention from a podiatrist or another healthcare professional. A healthcare professional may advise

Foot orthoses, commonly referred to as orthotics

  • Orthoses, also known as foot orthoses, are specially designed implants that alleviate bunion-associated pain and prevent chafing.

Splints

Physical Therapy

  • A physical therapist can assist you by offering exercises to enhance the alignment of your feet and joints. They may further administer manual treatment to alleviate pain. (Hurn, S. E., et al., 2022)

Podiatrist

A podiatrist is a medical doctor (M.D.) specializing in the treatment of health issues affecting the foot, ankles, and lower legs. Request a referral to a podiatrist from your healthcare physician if you seek assistance in managing your bunion problems. (American Podiatric Medical Association, 2025)

Chiropractic Perspective

Chiropractors focus on biomechanical alignment and musculoskeletal health, viewing bunions as part of a broader kinetic chain dysfunction. Their approach emphasizes manual therapies and functional restoration.

  1. Biomechanical Assessment:
    • Evaluate foot, ankle, knee, hip, and spinal alignment to identify compensatory patterns contributing to bunion formation (e.g., overpronation, pelvic misalignment).
    • Assess gait and foot mechanics to identify areas of abnormal stress on the big toe joint.
  2. Chiropractic Interventions:
    • Adjustments: Perform gentle manipulations to the foot and ankle (e.g., metatarsal or tarsal adjustments) to improve joint mobility and reduce stress on the bunion. Spinal or pelvic adjustments may address upstream biomechanical issues.
    • Soft Tissue Therapy: Utilize techniques such as myofascial release or instrument-assisted soft tissue mobilization to reduce tension in the foot’s muscles and fascia, thereby improving circulation and flexibility.
    • Taping: Apply kinesiology tape to support the big toe and reduce strain during movement.
  3. Corrective Exercises:
    • Prescribe exercises to strengthen intrinsic foot muscles and improve toe alignment, such as:
      • Toe spreading: Actively spread toes apart to strengthen the abductor hallucis.
      • Arch strengthening: Perform short foot exercises to support the medial longitudinal arch.
      • Calf stretches: Address tight Achilles tendons that contribute to foot strain.
    • Recommend balance and proprioception exercises (e.g., standing on one leg) to improve overall foot stability.
  4. Orthotic and Footwear Guidance:
    • Fit patients with custom orthotics to correct overpronation or supination, which can exacerbate bunions.
    • Advise on minimalist or wide-toe-box shoes to promote natural foot mechanics, aligning with chiropractic principles of functional movement.
  5. Holistic Approach:
    • Address lifestyle factors, such as posture and ergonomics, that affect lower extremity alignment.
    • Educate on anti-inflammatory diets (e.g., rich in omega-3 fatty acids, low in processed sugars) to help reduce joint inflammation.

Nurse Practitioner Perspective

NPs focus on holistic patient care, symptom management, and coordinating multidisciplinary treatment. Their approach to bunions focuses on pain relief, slowing the progression, and providing patient education.

  1. Assessment and Diagnosis:
    • Conduct a thorough history and physical exam to evaluate bunion severity, pain level, and contributing factors (e.g., footwear, family history, arthritis).
    • Order imaging (X-rays) if needed to assess joint alignment and rule out complications like osteoarthritis or bone spurs.
    • Screen for systemic conditions (e.g., rheumatoid arthritis, gout) that may worsen bunions.
  2. Conservative Management:
    • Footwear Education: Recommend wide-toe-box shoes with low heels to reduce pressure on the bunion. Avoid high heels and narrow shoes.
    • Orthotics: Prescribe custom or over-the-counter orthotic inserts to support the arch, redistribute pressure, and correct foot mechanics.
    • Padding and Splinting: Suggest bunion pads or spacers to cushion the area and reduce friction. Night splints may help align the toe, though evidence for their effectiveness is mixed.
    • Pain Relief: Advise over-the-counter NSAIDs (e.g., ibuprofen) for pain and inflammation, ensuring proper dosing and monitoring for side effects. For severe cases, refer to a specialist for corticosteroid injections.
    • Physical Therapy: Refer to a physical therapist for exercises to strengthen foot muscles, improve flexibility, and enhance gait. Examples include toe stretches, towel curls, and marble pickups.
  3. Patient Education:
    • Educate on weight management to reduce stress on the feet.
    • Discuss lifestyle changes, such as avoiding prolonged standing or high-impact activities that worsen symptoms.
    • Highlight the progressive nature of bunions and the importance of early intervention.
  4. Referral and Coordination:
    • Refer to a podiatrist or orthopedic surgeon if conservative measures fail or if the bunion causes significant pain, deformity, or functional impairment.
    • Collaborate with chiropractors, physical therapists, or other specialists for a comprehensive care plan.

Both NPs and chiropractors emphasize:

  • Early Intervention: Addressing bunions early can prevent the worsening of deformity.
  • Footwear Modification: Wearing wide, supportive shoes is critical to reducing pressure.
  • Exercise and Mobility: Strengthening and stretching exercises improve foot function.
  • Pain Management: Non-invasive methods, such as padding, icing, or non-steroidal anti-inflammatory drugs (NSAIDs), are the first-line approach.
  • Referral for Surgery: If conservative measures prove ineffective, a specialist may be consulted for surgical options, such as bunionectomy, although this is typically considered a last resort.

Limitations and Considerations

  • Evidence Gaps: While orthotics and exercises are widely recommended, studies on their efficacy for bunions are limited. Splints may not correct severe deformities.
  • Individual Variation: Treatment must be tailored to the patient’s bunion severity, lifestyle, and comorbidities.
  • Surgical Indications: Severe pain, joint damage, or inability to walk may necessitate surgical consultation, which neither NPs nor chiropractors are qualified to perform.

Injury Medical Chiropractic and Functional Medicine Clinic

Dr. Jimenez, a nurse practitioner, integrates medical expertise with chiropractic care to address a wide range of conditions. The clinic provides individualized care programs that incorporate functional medicine, acupuncture, electroacupuncture, and sports medicine. The clinic addresses chronic pain syndromes and injuries by prioritizing strength, agility, and flexibility. Comprehensive care programs, combined with in-person and virtual health coaching, ensure personalized treatment and wellness outcomes for patients of all ages and abilities.

Enhance Your Performance with Functional Foot Orthotics

References

MedlinePlus (2024). Bunions. U.S. Department of Health and Human Services.

American Academy of Orthopaedic Surgeons. (2022). “Bunions.” OrthoInfo. from https://orthoinfo.aaos.org/en/diseases–conditions/bunions/.

Hurn, S. E., Matthews, B. G., Munteanu, S. E., & Menz, H. B. (2022). Effectiveness of Nonsurgical Interventions for Hallux Valgus: A Systematic Review and Meta-Analysis. Arthritis care & research, 74(10), 1676–1688. https://doi.org/10.1002/acr.24603

Aebischer, A. S., & Duff, S. (2020). Bunions: A review of management. Australian Journal of General Practice, 49(11), 720–723. https://doi.org/10.31128/AJGP-07-20-5541

American Podiatric Medical Association. (2025). “What is a podiatrist?” Advancing foot and ankle medicine and surgery. from https://www.apma.org/patients-and-the-public/what-is-a-podiatrist/.

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Athletes, Exercises , , , , , , , , , , , , , , , , , , ,

Pace Running: How to Work with Pacers

Can pace running help runners concentrate on other things, like breathing, form, or mental toughness?

Pace Running

Running is a sport many participate in and doesn’t require any equipment—only quality running shoes. Running in races comes with various physical and mental challenges. Some runners enjoy running in races and marathons but want to perfect their abilities and techniques, become more consistent, finish in a certain time, or pass a personal record. This is where pace running or working with a pace runner can help achieve those goals.

What is a Pace Runner?

A pace runner, or pacer, is an experienced runner who can run at a set pace for a long time. The pacer sets the speed so the runner can focus on running. Pacers run in races or marathons to help set the pace for a runner or runners. There are different reasons why professional and amateur runners work with a pace runner. Professional runners often use pace runners to work on techniques and help reach new levels in their running, while amateur runners can work on improving their overall running abilities. There are three typical types of pacers.

Race Pacer

  • Pacers wear or carry signs to make it easier for the runners and can often run split times.
  • A split time is the time it takes to run a certain distance.
  • Typically, these pacers will run at an even pace.
  • Many marathons will have pace groups that run at a specific speed or pace throughout the race.
  • The pace groups will have runners running a set time so other runners can key off these runners.
  • There are typically set paces for a 3-hour marathon time up to a 6-hour marathon time.
  • Runners can use pacers to help them reach their goals without relying on technology, such as a smartwatch or GPS, to determine if they maintain the correct speed throughout the race.

Distance Pacer

  • Professional and non-professional runners who run long distances or ultramarathons may also use a pace runner to set a specific tempo.
  • Ultramarathons are any race with a distance longer than the standard marathon of 26.2 miles.
  • Because some ultramarathons can be as long as 50 to 100 miles, runners who choose to have a pacer often have several pacers at different sections to motivate them and help set the rhythm.

Record Pacer or Rabbit

  • A record pacer, also known as a rabbit, is a pacer who helps a professional runner set a new record.
  • A rabbit often leads the race for a predetermined distance at a predetermined pace.
  • Some races have multiple pacers at various distances.

How Are Pacers Used?

There are different reasons for having a pacer, but they are based on the runner’s goals.

  • A runner being paced runs directly behind a pacer or pacers.
  • A pacer can run any pace requested, but typically, the pace groups run at an even pace or with a slight negative split.
  • A negative split is when a runner runs the race’s second half faster than the first half.

How Do They Help?

  • A pacer can be helpful because it takes more energy to lead a race than to sit back and follow another runner.
  • The pacer is responsible for timing and establishing the tempo so runners only have to focus on running.
  • A pacer does more work setting the pace, which allows the runner being paced to relax and not stress about hitting the pace.

A study focused on elite athletes who used pacers. It found that running together at a realistic speed helped optimize and achieve finishing time goals. (Casado A. et al., 2021) However, not all elite events allow pacers to participate. Some championship events, like the Olympics and NCAA Championships, do not allow pacer runners.

Benefits

Benefits of running with a pacer.

Prevent Running Too Fast

  • When a race begins, runners can take off and start too fast.
  • Starting too quickly can negatively impact the runners, like losing energy and stamina.
  • A pacer can help start the race with a steady pace, keeping them from going out too fast or expending too much energy.

Maintain an Even Pace

  • Maintaining an even pace can be difficult throughout a long race or a marathon.
  • Having a pacer can relieve some stress and pressure.
  • A pacer can keep the runners on an even pace or negative splits versus going out too fast and losing energy.

Focus on the Race

  • Pacers help the runners stay focused on the race without worrying about how they are running or maintaining the right speed.
  • A pacer can help keep runners relaxed.

Motivating

  • Pacers can help motivate runners.
  • The pace runners may encourage individuals along the way and help them stay motivated to keep working toward their goal, especially when the hard parts come.

Disadvantages

Running with a pacer can sometimes be more stressful than beneficial, especially for amateur runners. A pacer or pace group can be helpful, but it also can create more stress for some amateur runners.

  • Sometimes, individuals realize the pacer is running too quickly for what they can handle.
  • Anxiety can present as not being able to keep up.
  • Other times, runners underestimate their abilities and run more slowly than their bodies can handle.
  • However, runners don’t have to stay with a pace group just because they started with them.
  • Individuals can run ahead.
  • Or if the group is too fast, the runner can slow down and join the slower-paced group behind them.
  • The key is to listen to your body and do what feels right.

Becoming a Pacer

An experienced runner who wants to be a pacer for a race can contact a running organization about becoming a pace runner.

  • Individuals need to be able to have consistent racing times.
  • Be able to run at a set speed for a long duration.
  • Most pacers will contact the race organization to apply for a certain pace.
  • Some pacers enjoy the thrill of running in a race and helping other runners meet their goals.
  • The runner’s goals and the type of event also influence who the pacer is.

Injury Medical Chiropractic & Functional Medicine Clinic

Individuals can talk to local running experts or a running coach. 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, and prevent injury. We can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

The Difference of Using Custom Foot Orthotics

References

Casado, A., Hanley, B., Jiménez-Reyes, P., & Renfree, A. (2021). Pacing profiles and tactical behaviors of elite runners. Journal of Sport and Health Science, 10(5), 537–549. https://doi.org/10.1016/j.jshs.2020.06.011

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Athletes, Sporting , , , , , , , , , , , , , , , ,

The Throwing Motion and Its Impact on Performance

Can understanding the mechanics of the throwing motion help to understand why it may cause shoulder pain, the symptoms of a shoulder problem, the diagnosis, and the treatment options available?

Throwing a Ball and Shoulder Pain

The throwing motion is a complex shoulder movement that requires the mechanics of muscles, tendons, joints, ligaments, and bones. They all must move in a synchronized and stable pattern to move the shoulder joint. When these mechanics are interrupted or altered, inflammation can result in pain symptoms. (Wardell M., Creighton D., & Kovalcik C., 2022)

Throwing Motion

Distinct phases characterize the throwing motion:

  • The wind up
  • Cocking
  • Acceleration
  • Follow-through
  • Deceleration
  1. The rotator cuff and shoulder muscles sequentially guide the movements for effective throwing mechanics. (Wardell M., Creighton D., & Kovalcik C., 2022)
  2. The labrum stabilizes the ball in the socket of the shoulder.
  3. The shoulder blade rotation coordinates with the arm to ensure mobility. (Itoigawa Y. et al., 2023)

The throwing motion generates high torque and acceleration forces acting on the shoulder joint and the surrounding muscles, ligaments, and tendons.

Causes of Pain

Pain when throwing can come from the:

  • Shoulder blade
  • Shoulder joint – cartilage and labrum
  • Rotator cuff muscles and tendons
  • Nerves that control the muscles’ function 

The shoulder blade is attached to the upper back by ligaments, muscles, and tendons. The various muscles and tendons that control the movement of the shoulder blade impact movements. Abnormalities of any area can lead to shoulder dysfunction and pain when throwing. (Wardell M., Creighton D., & Kovalcik C., 2022) The most common is the tightness of the posterior shoulder capsule, causing a loss of normal internal rotation of the shoulder. If this is causing pain, individuals may notice that they can’t reach up as high on the side with the painful shoulder when reaching behind their back.

Symptoms

Whether an athlete or playing catch in the backyard, shoulder function abnormalities can cause significant pain. Some symptoms include.

Aching Pain

  • Often deep in the shoulder or extending down the upper arm.

Dead Arm

  • Lack of strength in the throwing motion.

Pain at Night

  • Pain can awaken you from sleep.

Diagnosis

Finding a healthcare provider familiar with sports injuries can be helpful. They can best determine if a structural abnormality needs to be addressed. (American Academy of Orthopaedic Surgeons, 2021)

Treatment

Most can improve with nonsurgical treatments. The earliest phase of treatment is resting the joint and reducing inflammation. Treatments can include:

  • Ice
  • Anti-inflammatory medications
  • Cortisone injection

Once the inflammation has subsided, the source of the discomfort can be addressed.

Physical Therapy

Therapy can include:

  • A structured shoulder stretching and strengthening program will help.
  • The physical therapist will focus on scapular mobility when managing shoulder joint problems.

Exercises may include: (American Academy of Orthopaedic Surgeons, 2024)

  • Stretching to improve internal rotation or any other lost motion can help allow a more normal throwing motion.
  • Strength exercises are often aimed at the rotator cuff, as these muscles initiate proper shoulder movements and stabilize the shoulder joint.
  • Maintaining flexibility and strength of the periscapular muscles (muscles that attach to the scapula bone) is important to ensure that the scapular movements are coordinated with the throwing motion.

Suppose improvements are not made within three months of therapy, or individuals can’t return to competitive sports within six months. In that case, the individual may need to return to their healthcare provider or see an orthopedic specialist who may recommend surgery. (American Academy of Orthopaedic Surgeons, 2024)

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions.

  • Wellness & Nutrition: Personalized plans to optimize health and prevent disease.
  • Chronic Pain Management: Non-invasive solutions for fibromyalgia, sciatica, and low back pain.
  • Personal Injury & Auto Accident Care: Tailored rehabilitation for whiplash, soft tissue injuries, and more.
  • Sports Injuries & Orthopedic Care: Treatment for sprains, strains, and complex injuries.
  • Functional Medicine: Root-cause analysis for chronic disorders, incorporating nutrition, lifestyle, and environmental factors.
  • Neuromusculoskeletal Health: Care for neck pain, migraines, herniated discs, and scoliosis.

Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges.

At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.

Lumbar Spine Injuries in Sports: Chiropractic Healing

References

Wardell, M., Creighton, D., & Kovalcik, C. (2022). Glenohumeral Instability and Arm Pain in Overhead Throwing Athletes: A Correlational Study. International journal of sports physical therapy, 17(7), 1351–1357. https://doi.org/10.26603/001c.39800

Itoigawa, Y., Koga, A., Morikawa, D., Kubota, A., Uehara, H., Maruyama, Y., Takazawa, Y., & Ishijima, M. (2023). Posterior shoulder stiffness was associated with shoulder pain during throwing in college baseball players: assessment of shear wave elastography. European journal of orthopaedic surgery & traumatology: orthopedie traumatologie, 33(4), 1237–1244. https://doi.org/10.1007/s00590-022-03286-z

American Academy of Orthopaedic Surgeons. (2021). Shoulder Injuries in the Throwing Athlete. https://orthoinfo.aaos.org/en/diseases–conditions/shoulder-injuries-in-the-throwing-athlete/

American Academy of Orthopaedic Surgeons. (2024). Shoulder Impingement/Rotator Cuff Tendinitis. https://orthoinfo.aaos.org/en/diseases–conditions/shoulder-impingementrotator-cuff-tendinitis

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Athletes, Sporting , , , , , , , , , , , , , , , , , ,

Running Fartlek Training for All Skill Levels

Can adding fartlek training improve speed and endurance for runners and running enthusiasts?

Running Fartlek Training

Fartlek training, which means speed play in Swedish, is a form of running training that involves alternating between bursts of fast running and slower recovery jogging.

  • It is a form of interval or speed conditioning.
  • It involves varying one’s pace throughout their run, alternating between fast treks and slow jogs.
  • Workouts are unstructured and allow runners to decide the duration and intensity of the fast and slow sections.
  • Unlike formal interval training, this flexibility offers a new way to improve speed, endurance, mental preparedness, and stamina.

Training Benefits

Traditional interval training uses specific timed or measured segments. Fartleks are more unstructured, with work-rest intervals based on how the body feels. With fartlek training, individuals can experiment with pace and endurance as they run, which helps them tune in to their body and adjust how it performs. Many runners enjoy the training because it involves speed work and is more flexible and less demanding.

  • A stopwatch is not needed for time intervals.
  • Training doesn’t have to be done on a track and can be performed on all terrain, such as roads, trails, or hills.
  • The training stresses the body’s systems, leading to faster speeds and improving anaerobic threshold. (Bacon, A. P. et al., 2013)
  • Improves the anaerobic threshold and increases the body’s ability to train longer at higher intensities. (Mazurek K. et al., 2016)
  • This is due to an increased VO2 max, which measures how much oxygen the body can take in and use.
  • A better VO2 Max generally leads to improved performance. (Scribbans T. D. et al., 2016)

Disadvantages

  • Training includes a higher risk of injury and strain.
  • Beginners are more prone to shin splints.
  • The training is demanding, so it should not be done daily.

Workout

The method is to vary brief periods of slightly higher pace into regular runs (Kumar P. 2015). Maintain a faster pace for a short distance or time interval, such as 200 meters or 30 seconds. Intervals can vary throughout the workout, and landmarks such as streetlights or telephone poles can be used to mark segments instead of measuring miles or meters. Once a fast segment is completed, slow to below-normal running cadence until the body fully recovers and breathing returns to normal. Return to running normally and incorporate slightly faster intervals later in the run.

  • Fartleks should be short because they are intense.
  • The actual higher-pace portion of the run should last up to 30 seconds.
  • Gradually add more time to the faster-paced portion as conditioning improves, up to 60 seconds.

Training Example

An example of a 40- to 45-minute fartlek workout suitable for beginners.

  • 10-minute warm-up at a light pace
  • 1 minute on (fast pace)
  • 2 minutes off (easy)
  • 2 minutes on
  • 1 minute off
  • Repeat the set 3 to 4 times
  • 10-minute cooldown at an easy pace

Remember that beginners should go slow when introducing fartlek training into their workouts. It is more intense and can increase the risk of injuries and strains, such as shin splints. Get help from a running coach or trainer if you are unsure how to incorporate the training into your routine.

Training on a Treadmill

Speed play can be done on a treadmill. The idea is to find ways to create speed variation intervals and help relieve treadmill boredom. Some examples include:

  • If watching television, use commercials to go into speed intervals.
  • At the gym, make a game out of the sprints and/or
  • Speed up during certain parts of songs where you can feel the energy moving you faster.

One precaution is learning to use the treadmill’s buttons to increase and decrease the pace. This can slow you down and disrupt form, so maybe do longer durations for each phase so there is less contact with the control panel.

Injury Medical Chiropractic & Functional Medicine Clinic

Fartlek training is an excellent way to add variety, fun, and interest to running. This speed work can also enhance performance, increase cardiovascular output, and allow individuals to run at higher intensities for longer periods. 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, and prevent injury. We can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Building a Stronger Body

References

Bacon, A. P., Carter, R. E., Ogle, E. A., & Joyner, M. J. (2013). VO2max trainability and high-intensity interval training in humans: a meta-analysis. PloS one, 8(9), e73182. https://doi.org/10.1371/journal.pone.0073182

Mazurek, K., Zmijewski, P., Krawczyk, K., Czajkowska, A., Kęska, A., Kapuściński, P., & Mazurek, T. (2016). High-intensity interval and moderate continuous cycle training in a physical education programme improves health-related fitness in young females. Biology of Sport, 33(2), 139–144. https://doi.org/10.5604/20831862.1198626

Scribbans, T. D., Vecsey, S., Hankinson, P. B., Foster, W. S., & Gurd, B. J. (2016). The Effect of Training Intensity on VO2max in Young Healthy Adults: A Meta-Regression and Meta-Analysis. International journal of exercise science, 9(2), 230–247. https://doi.org/10.70252/HHBR9374

Kumar, P. (2015). Effect of fartlek training for developing endurance ability among athletes. Int J Phys Ed Sports Health., 2(2), 291-293. https://www.kheljournal.com/archives/2015/vol2issue2/PartE/3-3-75-957.pdf