By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Exercises, Insurance, Physio, Sporting, Therapy back injury, chiropractic, Dr. Alexander Jimenez, dual-scope provider, El Paso chiropractor, functional medicine, gut health, injury prevention, integrative wellness, legal-medical integration, mobility restoration, motor vehicle accidents, musculoskeletal recovery, nerve pain, physical therapy, post-accident exercise, sports therapy, trauma rehab, whiplash

Rebuilding Strength After a Crash: How Sports Training and Physical Therapy Help Recover from Motor Vehicle Accidents

Introduction

Motor vehicle accidents (MVAs) can be life-changing. Even when injuries seem minor at first, their effects can linger for months or even years. From whiplash and nerve damage to gastrointestinal issues and chronic joint pain, the trauma goes far beyond broken bones. Fortunately, sports training and physical therapy offer a proven path to healing. These targeted methods restore mobility and improve long-term health. Integrative approaches—such as chiropractic care and functional medicine—further strengthen this recovery by treating the whole person, rather than just isolated injuries.

Understanding the Impact of Motor Vehicle Accidents

Hidden Damage: More Than Just Broken Bones

Motor vehicle accidents can cause injuries that aren’t immediately obvious. Even low-speed collisions can lead to:

Nerve compression or inflammation
Musculoskeletal joint pain
Back and neck misalignments
Gastrointestinal trauma
Balance and coordination issues

These injuries often develop over time, especially if left untreated. Whiplash, for example, might only seem like a sore neck at first—but it can lead to nerve irritation and chronic pain if not properly addressed. (IS Rehab, n.d.).

Chiropractic and Integrative Medicine: The Foundation of Holistic Recovery

Dr. Alexander Jimenez’s Dual-Scope Approach

As both a Doctor of Chiropractic and Family Nurse Practitioner, Dr. Alexander Jimenez specializes in diagnosing and treating complex MVA injuries in El Paso. His dual-scope expertise enables him to utilize advanced imaging and diagnostics—such as MRIs and musculoskeletal ultrasound—to identify underlying problems that general practitioners might overlook.

He also incorporates functional medicine, a method that views the body’s systems as interconnected. According to Dr. Jimenez, this approach helps pinpoint the root causes of chronic pain, nerve inflammation, or gut imbalances that can occur following a crash. (Jimenez, n.d.).

The Role of Physical Therapy in MVA Recovery

Why Movement Is Medicine

Physical therapy (PT) is one of the most effective tools for MVA recovery. PT doesn’t just treat symptoms; it corrects postural imbalances, reduces inflammation, and restores strength and flexibility. According to Advanced Orthopedic & Physical Therapy, physical therapy (PT) helps reduce nerve compression and improve joint mobility through targeted exercises, such as nerve glides and resistance training. (Advance Orthopt, n.d.).

Common PT treatments after MVAs include:

Manual therapy to realign joints
Stretching to reduce stiffness
Strength-building exercises
Balance and coordination training
Gait retraining

Sports Training: Strengthening the Body Post-Injury

The Shift from Passive to Active Recovery

Sports training brings patients from passive recovery to active participation in their health. It includes:

Bodyweight exercises like push-ups or squats
Stretching and dynamic warm-ups
Balance and agility drills
Resistance band workouts

As the body heals, structured physical activity becomes essential. It helps stabilize joints, build muscular endurance, and boost cardiovascular function—all while decreasing the likelihood of re-injury (Sports PT Centers, n.d.).

Managing Nerve Damage After an MVA

Understanding Neurological Trauma

Injuries to the neck and spine can pinch or inflame nerves, leading to symptoms like:

Tingling or numbness
Shooting pain in limbs
Muscle weakness

Chiropractic adjustments, nerve mobilization, and neuromuscular reeducation are all effective methods for managing these issues. Dr. Jimenez often uses digital motion X-rays and electromyography (EMG) to evaluate the extent of nerve damage before recommending treatments (Jimenez, n.d.).

Addressing Back and Neck Pain through Integrated Care

How Chiropractic and PT Work Together

Back and neck pain are among the most common complaints related to motor vehicle accidents (MVAs). Dr. Jimenez uses chiropractic care to realign the spine, reduce pressure on nerves, and support faster healing. He complements this with PT exercises aimed at restoring cervical and lumbar mobility.

Integrative care strategies may include:

Soft tissue massage
Spinal decompression
Heat/cold therapy
Core stabilization workouts

Together, these methods promote faster healing and improve long-term outcomes (Solutions Physical Therapy, n.d.).

The Gut-Brain Connection: Intestinal Injury After MVAs

A Lesser-Known but Serious Consequence

Not all injuries are external. Abdominal trauma from seatbelts or impact can cause intestinal bruising, bloating, or even motility issues. Stress hormones released after a crash may also disrupt the gut-brain axis, leading to chronic indigestion or constipation.

Dr. Jimenez uses functional lab testing and stool analysis to detect internal imbalances, often addressing them with:

Anti-inflammatory diets
Digestive enzymes
Probiotics
Manual visceral therapy

These approaches can help heal the gut from both physical and stress-related damage (PDF Source).

Rehabilitation Timeline: When Can You Start Moving?

From Rest to Regeneration

Patients often wonder when they can resume exercising. According to Maxwell Therapy, patients can begin gentle range-of-motion exercises within days of an accident, depending on the nature of the injury. Most rehab specialists recommend a progressive routine:

Phase 1: Rest and Stabilization – Reduce swelling and protect injured areas.
Phase 2: Light Movement – Gentle stretching and isometric exercises.
Phase 3: Functional Exercises – Squats, lunges, light weights.
Phase 4: Return to Sport or Activity – Full-body conditioning.

Delaying exercise can cause stiffness, muscle wasting, and postural dysfunction (Maxwell Therapy, n.d.).

How Dr. Jimenez Combines Legal and Medical Support

Injury Recovery Meets Documentation

One unique strength of Dr. Jimenez’s care in El Paso is his ability to merge medical treatment with legal documentation. Many personal injury cases require detailed reports, imaging, and prognosis notes for attorneys and insurance companies. Dr. Jimenez provides:

Functional range-of-motion assessments
Impairment ratings
SOAP notes for legal use
Narrative reports based on objective findings

His dual-scope licensure grants him the authority to order and interpret diagnostic tests, such as MRIs and CT scans, thereby strengthening both clinical care and legal claims. (Jimenez, n.d.).

Mental and Emotional Recovery: The Often-Forgotten Component

Addressing Psychological Trauma

After an MVA, it’s not just the body that suffers. Anxiety, PTSD, and depression are common. Exercise and chiropractic care naturally help regulate the nervous system by releasing endorphins and improving circulation. Functional medicine adds adaptogenic herbs and stress-reducing therapies like:

Acupuncture
Mind-body therapies (yoga, breathwork)
Lifestyle coaching

This full-spectrum approach makes long-term recovery more attainable and sustainable (PDF Source).

Conclusion: Movement Is the Best Medicine

Recovering from a motor vehicle accident takes more than rest. It requires a structured plan—one that includes physical therapy, sports training, chiropractic adjustments, and integrative medicine. Dr. Alexander Jimenez in El Paso serves as a model for this type of care. His ability to combine clinical diagnostics with rehabilitative therapies and legal documentation ensures that patients recover physically and secure the support they need to return to their lives with confidence.

References

Advance Orthopt. (n.d.). Motor vehicle accident injuries.
Dr. Alex Jimenez. (n.d.). Functional Medicine & Chiropractic Expert.
IS Rehab. (n.d.). Physical therapy services for motor vehicle accident injuries.
Maxwell Therapy. (n.d.). What we treat: Motor vehicle accidents.
ProCare Med Center. (n.d.). Best exercises after a car accident.
Solutions Physical Therapy. (n.d.). Auto accident rehabilitation.
Sports PT Centers. (n.d.). How to start exercising after a car accident.
GTA KG. (n.d.). When can I work out after an accident?.

June 13, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Exercises, Physio, Therapy back pain, chiropractic care, Dr. Alexander Jimenez, El Paso, mobility, motor vehicle accident, musculoskeletal pain, nerve injury, personal injury, physical therapy, post-accident rehab, posture, rehabilitation

The Power of Physical Therapy After Motor Vehicle Accidents: A Path to Healing and Recovery

Introduction: The Unseen Impact of Motor Vehicle Accidents

Motor vehicle accidents (MVAs) affect millions of people every year, and even minor collisions can lead to lasting musculoskeletal, neurological, and postural complications. These injuries may not always be immediately visible but can evolve into chronic pain, mobility limitations, and nerve damage if left untreated. Physical therapy plays a critical role in the rehabilitation process by targeting pain relief, restoring flexibility, strengthening weakened muscles, and preventing long-term damage. Dr. Alexander Jimenez, DC, APRN, FNP-BC, based in El Paso, Texas, is a leader in post-accident care, specializing in personalized, evidence-based physical therapy protocols that integrate chiropractic and medical strategies (Jimenez, n.d.).

Section 1: Understanding Common MVA Injuries

Car accidents can trigger a cascade of injuries, even at low speeds. These include:

Whiplash and cervical sprain/strain
Herniated or bulging spinal discs
Lumbar or thoracic spine injuries
Ligamentous instability
Sciatica or peripheral nerve impingement
Postural alterations like forward head posture or scoliosis

Research shows that ligamentous and joint injuries can impair spinal alignment and cause referred pain in the extremities (Gomez, 2024). Such trauma disrupts biomechanics and impairs daily function.

Section 2: Physical Therapy as a Non-Invasive Solution

Physical therapy is often the first line of treatment after an MVA due to its non-invasive nature. It helps:

Reduce inflammation
Rebuild muscle control
Restore normal movement
Address postural deficits
Improve circulation

Therapists employ targeted strategies, including manual therapy, active range-of-motion exercises, electrical stimulation, and cryotherapy, to address pain and restore normal function (Bay State Physical Therapy, 2023).

Section 3: Key Therapeutic Exercises Post-Accident

Post-MVA physical therapy typically includes:

Stretching: To ease muscle tightness from whiplash and disuse.
Aerobic conditioning: Walking or cycling to enhance endurance (Texas Physical Therapy Specialists, 2023).
Strengthening: Resistance exercises to reinforce spinal stability.
Range-of-motion: Gentle joint movement to regain flexibility.

These exercises prevent disuse atrophy and promote neuroplasticity, especially after neurological injuries.

Section 4: Modalities and Tools That Support Recovery

Along with exercise, therapists utilize:

Electrical stimulation
Ultrasound therapy
Heat and cold packs
Manual therapy (myofascial release, trigger point work)

Rocky Mountain Physical Therapy explains that these methods reduce pain, increase circulation, and prime tissues for movement (Rocky Mountain PT, 2023).

Section 5: The Importance of Individualized Therapy Plans

According to GA Spine & Orthopaedics, no two recovery plans are the same. Treatment plans are customized based on:

Injury location and severity
Pain tolerance
Medical history
Personal recovery goals

Therapists frequently re-evaluate progress and adjust treatment accordingly (GA Spine Ortho, 2024).

Section 6: Clinical Insight from Dr. Alexander Jimenez

Dr. Jimenez emphasizes that early intervention is crucial in preventing chronic pain syndromes. His integrative assessments involve:

Advanced imaging referrals (MRI, CT, digital motion X-ray)
Dual-scope evaluation combining chiropractic and medical frameworks
Neurological and orthopedic assessments
Legal documentation for personal injury claims

His clinic in El Paso is known for handling complex post-accident cases, where diagnostic clarity is essential to building a strong treatment and legal case (Jimenez, n.d.).

Section 7: How Physical Therapy Improves Long-Term Outcomes

Without rehabilitation, MVA injuries can lead to chronic complications like:

Fibromyalgia
Complex regional pain syndrome
Degenerative disc disease
Chronic postural dysfunction

Synergy Rehab notes that early physical therapy (PT) reduces the risk of long-term disability by restoring normal motion patterns and muscle coordination (Synergy Rehab, 2023).

Conclusion: Moving Forward with Confidence

Recovering from a motor vehicle accident is not just about healing physically—it’s about regaining confidence in your body and daily function. Physical therapy offers a tailored, evidence-based path toward recovery, minimizing chronic pain and restoring mobility. With expert providers like Dr. Alexander Jimenez, patients in El Paso have access to comprehensive, compassionate care that integrates clinical precision and legal understanding.

References

Bay State Physical Therapy. (2023). Motor vehicle accident injuries. https://baystatept.com/specialties-provided/motor-vehicle-accident-injuries/

Benchmark Physical Therapy. (2023). Conditions: Motor vehicle accident. https://www.benchmarkpt.com/conditions/motor-vehicle-accident/

Breakthrough Physical Therapy. (2023). Conditions: MVA-related injuries. https://breakthrough-pt.com/conditions/mva-related-injuries/

GA Spine & Orthopaedics. (2024). Physical therapy after a car accident. https://www.gaspineortho.com/physical-therapy-after-a-car-accident/

Gomez, J. (2024). Ligamentous injuries and spinal stability post-MVA. https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a583d1941479.pdf

Jimenez, A. (n.d.). El Paso chiropractic and functional medicine center. https://elpasochiropractic.com/

One Rehab. (2023). Physical therapy exercises after a car accident. https://onerehab.com/physical-therapy-exercises-after-a-car-accident/

Release Physical Therapy. (2023). Functional training. https://releasept.com/functional-training/

Rocky Mountain Physical Therapy. (2023). Conditions: Post-auto collision. https://rockymountain.urpt.com/conditions/post-auto-collision/

Sports Physical Therapy Centers. (2023). How to start exercising following a motor vehicle accident. https://sportsptcenters.com/how-to-start-exercising-following-a-motor-vehicle-accident/

Synergy Rehab. (2023). Physical therapy after auto accident. https://synergyrehabinc.com/physical-therapy-after-auto-accident/

Texas Physical Therapy Specialists. (2023). Motor vehicle accident care. https://texpts.com/primary-services/motor-vehicle-accident/

Apex Orthopedic & Sports Medicine. (2023). Physical therapy after a car accident. https://www.apexosn.com/physical-therapy-after-a-car-accident/

June 12, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, El Paso TX, Insurance, Physio advanced imaging, back pain, chiropractic care, chronic pain, diagnostic assessments, Dr. Alexander Jimenez, El Paso chiropractor, flexibility challenges, forward head posture, kyphosis, legal documentation, mobility issues, motor vehicle accidents, musculoskeletal pain, nerve damage, personal injury, posture problems, spinal misalignments, whiplash

Car Crashes and Posture: Understanding Long-Term Effects and Recovery Options

Motor Vehicle Accidents and Posture Recovery

Motor vehicle accidents (MVAs) can have a profound impact on an individual’s health, particularly their posture, mobility, and overall musculoskeletal system. One of the most common injuries resulting from MVAs is whiplash, which involves a sudden jolt to the head and neck, causing strain and damage to soft tissues. This injury often leads to neck pain, stiffness, headaches, and long-term postural issues such as forward head posture. Beyond whiplash, MVAs can cause back pain, nerve damage, indirect trauma, and mobility challenges, all of which contribute to chronic pain and poor alignment. This post examines the impact of motor vehicle accidents (MVAs) on posture, the associated musculoskeletal complications, and the role of chiropractic care, particularly the expertise of Dr. Alexander Jimenez, DC, APRN, FNP-BC, in treating these injuries. We will also discuss the importance of advanced imaging, diagnostic assessments, and legal documentation in personal injury cases, especially in El Paso, Texas.

The Mechanics of Whiplash and Its Impact on Posture

Whiplash is a common injury sustained in MVAs, particularly in rear-end collisions. The sudden acceleration and deceleration of the head cause the neck to whip back and forth, straining muscles, ligaments, and tendons in the cervical spine. According to Healthdirect, whiplash can lead to symptoms such as neck pain, stiffness, and tenderness in the shoulders, which may persist for weeks or even months. These symptoms can disrupt normal posture, as individuals may unconsciously adjust their head and neck position to alleviate discomfort.

One of the most significant postural consequences of whiplash is forward head posture (FHP). FHP occurs when the head is positioned forward relative to the shoulders, placing additional strain on the neck and upper back muscles. Atlas Spine Care notes that whiplash can weaken the muscles supporting the cervical spine, leading to FHP, neck pain, and headaches. Over time, FHP can cause a cascade of musculoskeletal issues, including rounded shoulders, upper back pain, and reduced spinal mobility.

The development of FHP is often exacerbated by muscle imbalances caused by whiplash. The muscles in the front of the neck, such as the sternocleidomastoid, may become tight, while the muscles in the upper back, such as the trapezius and rhomboids, weaken. This imbalance pulls the head forward, altering the natural curvature of the spine. A chiropractor in St. Louis explains that these phasic muscles, which are responsible for movement, can become overactive during driving, while postural muscles weaken, contributing to alignment issues.

Citations

Healthdirect. (n.d.). Whiplash. Retrieved from https://www.healthdirect.gov.au/whiplash
Atlas Spine Care. (n.d.). Whiplash may cause forward head posture, neck pain, and headaches. Retrieved from https://www.atlasspinecare.com/whiplash-may-cause-forward-head-posture-neck-pain-and-headaches
Chiropractor of St. Louis. (n.d.). Postural muscle weakness after a car accident. Retrieved from https://chiropractorofstlouis.com/blog-post/postural-muscle-weakness-after-a-car-accident

Back Pain and Spinal Misalignments After MVAs

MVAs often result in back pain due to the immense force exerted on the spine during a collision. The spine, a complex structure of vertebrae, discs, muscles, and ligaments, is highly susceptible to injury. According to Michigan Auto Law, spine injuries from car accidents can include herniated discs, compression fractures, and spondylolisthesis, all of which can cause chronic back pain and mobility issues. These injuries may not be immediately apparent, as symptoms can take hours or days to manifest.

Spinal misalignments, or subluxations, are another common consequence of motor vehicle accidents (MVAs). Team Allied PW emphasizes that misalignments can place undue stress on joints and ligaments, leading to pain, reduced range of motion, and nerve irritation. If left untreated, these misalignments can contribute to chronic pain and long-term postural deformities, such as kyphosis, an exaggerated forward curvature of the upper back.

Lower back pain is particularly prevalent after MVAs, often resulting from the impact on the lumbar spine. Bryant PSC notes that the force of a collision can cause muscle strains, ligament sprains, or disc injuries, all of which contribute to lower back pain. In severe cases, these injuries can lead to sciatica, a condition characterized by radiating pain from the lower back into the legs due to nerve compression.

Citations

Michigan Auto Law. (2025). Spine injury from car accident. Retrieved from https://www.michiganautolaw.com/blog/2025/05/12/spine-injury-from-car-accident/
Team Allied PW. (n.d.). Why spinal misalignments after an auto accident shouldn’t be ignored. Retrieved from https://teamalliedpw.com/why-spinal-misalignments-after-an-auto-accident-shouldnt-be-ignored/
Bryant PSC. (n.d.). Back pain after car accident. Retrieved from https://www.bryantpsc.com/back-pain-after-car-accident/

Nerve Damage and Indirect Trauma

MVAs can cause nerve damage through direct trauma, such as spinal cord injuries, or indirect trauma, such as nerve compression from misaligned vertebrae or herniated discs. Michigan Auto Law highlights that thoracic spine fractures, which are common in high-impact collisions, can lead to nerve damage, resulting in symptoms like numbness, tingling, or paralysis. Nerve damage can significantly impair mobility and flexibility, making everyday activities challenging.

Indirect trauma, such as inflammation or muscle spasms, can also compress nerves, leading to conditions like cervical radiculopathy. Impact Medical Group explains that back spasms, a common post-accident symptom, can irritate nearby nerves, causing radiating pain and discomfort. These spasms are often triggered by the body’s attempt to stabilize the injured area, but they can exacerbate nerve-related symptoms over time.

The long-term effects of nerve damage can be particularly debilitating. All Injuries Law Firm notes that untreated nerve injuries can lead to chronic pain syndromes, where the nervous system becomes hypersensitive, amplifying pain signals. This can result in persistent discomfort, even after the initial injury has healed.

Citations

Michigan Auto Law. (2024). Upper back pain after car accident. Retrieved from https://www.michiganautolaw.com/blog/2024/03/05/upper-back-pain-after-car-accident/
Impact Medical Group. (2024). Can a car accident cause back spasms? Yes, here’s how. Retrieved from https://www.impactmedicalgroup.com/2024/06/10/can-a-car-accident-cause-back-spasms-yes-heres-how/
All Injuries Law Firm. (n.d.). How car accidents lead to back pain long after the crash. Retrieved from https://www.allinjurieslawfirm.com/blog/how-car-accidents-lead-to-back-pain-long-after-the-crash/

Mobility and Flexibility Challenges

MVAs can severely limit mobility and flexibility, particularly when injuries affect the spine, muscles, or joints. Whiplash, for example, can cause stiffness in the neck, making it difficult to turn the head or perform simple tasks like driving or reading. Fletcher Law USA emphasizes the importance of early intervention, as untreated neck injuries can worsen over time, resulting in chronic stiffness and reduced range of motion.

Lower back injuries, such as herniated discs or muscle strains, can also restrict mobility. Metrowest Spine Clinic notes that delayed symptoms, such as muscle spasms or joint stiffness, can emerge days or weeks after an accident, further complicating the recovery process. These symptoms can make it challenging to bend, lift, or walk, impacting an individual’s quality of life.

Postural deformities, such as kyphosis or scoliosis, can exacerbate mobility issues. Heritage Hospitals warns that untreated postural problems can lead to long-term complications, including reduced spinal flexibility and increased risk of arthritis. Physical therapy and chiropractic care are often necessary to restore mobility and prevent further deterioration of the affected area.

Citations

Fletcher Law USA. (n.d.). Do car accident neck injuries get worse over time?. Retrieved from https://www.fletcherlawusa.com/blog/do-car-accident-neck-injuries-get-worse-over-time/
Metrowest Spine Clinic. (n.d.). The main causes of neck and back pain after an auto accident: What you need to know. Retrieved from https://metrowestspineclinic.com/the-main-causes-of-neck-and-back-pain-after-an-auto-accident-what-you-need-to-know/
Heritage Hospitals. (n.d.). Postural deformities. Retrieved from https://heritagehospitals.com/blog/postural-deformities/

The Role of Posture in Recovery and Long-Term Health

Maintaining proper posture after a motor vehicle accident (MVA) is crucial for recovery and preventing long-term health complications. Poor posture, such as slouching or forward head carriage, can exacerbate pain and delay healing. Mile High Spine highlights five key reasons to prioritize posture after an accident: it reduces pain, improves mobility, enhances circulation, supports spinal health, and promotes efficient healing.

Driving posture is another critical factor. Impact Medical Group explains that slouching or leaning forward while driving can worsen existing injuries, particularly in the neck and back. Correcting driving posture, such as sitting upright with proper lumbar support, can mitigate pain and prevent further injury.

Chiropractic care plays a vital role in restoring posture. Dallas Accident and Injury Rehab offers a comprehensive step-by-step guide to correcting posture after an accident, emphasizing the importance of spinal adjustments, stretching exercises, and strengthening exercises. These interventions help realign the spine, strengthen postural muscles, and improve overall body mechanics.

Citations

Mile High Spine. (n.d.). 5 reasons you should focus on your posture after a car accident. Retrieved from https://milehighspine.com/5-reasons-you-should-focus-on-your-posture-after-a-car-accident/
Impact Medical Group. (2024). How bad posture when driving can contribute to your injuries. Retrieved from https://www.impactmedicalgroup.com/2024/06/28/how-bad-posture-when-driving-can-contribute-to-your-injuries/
Dallas Accident and Injury Rehab. (n.d.). Correct your posture post-car accident: A step-by-step guide. Retrieved from https://dallasaccidentandinjuryrehab.com/correct-your-posture-post-car-accident-a-step-by-step-guide/

Dr. Alexander Jimenez: A Leader in Chiropractic and Personal Injury Care

In El Paso, Texas, Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a renowned chiropractor and board-certified family nurse practitioner specializing in the treatment of MVA-related injuries. With over 25 years of experience, Dr. Jimenez combines chiropractic care with functional medicine to address a wide range of conditions, including whiplash, back pain, and postural deformities. His practice, Injury Medical & Chiropractic Clinic, is a leading destination for personal injury care, offering advanced diagnostics and personalized treatment plans.

Dr. Jimenez’s clinical rationale emphasizes the correlation between motor vehicle accident (MVA) injuries and musculoskeletal joint pain. According to his insights on DrAlexJimenez.com, MVAs can cause biomechanical dysfunctions, such as spinal misalignments, that lead to chronic pain and reduced mobility. His dual licensure as a chiropractor and nurse practitioner allows him to integrate manual adjustments with evidence-based medical interventions, addressing both symptoms and underlying causes.

Advanced Imaging and Diagnostic Assessments

Dr. Jimenez employs advanced imaging, such as X-rays and MRIs, to evaluate spinal misalignments, disc injuries, and nerve compression. The Neck and Back Clinics notes that diagnostic imaging is crucial for identifying delayed symptoms, such as those associated with whiplash or spinal cord injuries. These tools provide objective evidence of injury, which is essential for both treatment planning and legal documentation in personal injury cases.

Dual-scope procedures, which combine chiropractic and medical assessments, are a hallmark of Dr. Jimenez’s practice. By evaluating both biomechanical and physiological factors, he can design comprehensive treatment regimens that address the full spectrum of MVA-related injuries. For example, a patient with whiplash may receive spinal adjustments to correct misalignments, physical therapy to restore mobility, and nutritional counseling to support healing.

Legal Documentation in Personal Injury Cases

In personal injury cases, accurate documentation is critical for securing fair compensation. Dr. Jimenez’s expertise in providing detailed medical records, including diagnostic findings and treatment plans, enhances the strength of legal claims. His reports often include evidence of spinal misalignments, nerve damage, and mobility limitations, which are essential for demonstrating the severity of injuries. ChiroMed highlights that Dr. Jimenez’s holistic approach ensures that patients receive both effective treatment and robust legal support.

Citations

Dr. Alex Jimenez. (n.d.). Injury Medical & Chiropractic Clinic. Retrieved from https://dralexjimenez.com/
ChiroMed. (n.d.). Family practice-based chiropractic care. Retrieved from https://chiromed.com/
The Neck and Back Clinics. (n.d.). Chiropractor after accident for recovery. Retrieved from https://theneckandbackclinics.com/chiropractor-after-accident-for-recovery/

Long-Term Health Effects and Rehabilitation

The long-term health effects of MVAs can be profound, particularly when injuries are left untreated. Dr. Hudak warns that kyphosis and forward head carriage can lead to chronic pain, reduced lung capacity, and mobility challenges. These conditions underscore the importance of early intervention and ongoing rehabilitation.

Chiropractic care, physical therapy, and functional medicine are key components of rehabilitation. Dr. Jimenez’s approach includes spinal adjustments to correct misalignments, strengthening exercises to improve posture, and nutritional interventions to support tissue repair and regeneration. LinkedIn – Dr. Alexander Jimenez highlights his commitment to personalized care, which empowers patients to achieve long-term wellness.

Rehabilitation also involves addressing psychological factors, such as post-traumatic stress disorder (PTSD), which can exacerbate physical symptoms. Metrowest Spine Clinic notes that PTSD is a potential delayed symptom of MVAs, contributing to chronic pain and mobility issues. A multidisciplinary approach, combining chiropractic care with mental health support, is essential for comprehensive recovery.

Citations

Dr. Hudak. (n.d.). Long-term health effects of kyphosis forward head carriage caused by car accidents. Retrieved from https://www.drhudak.com/post/long-term-health-effects-of-kyphosis-forward-head-carriage-caused-by-car-accidents/
LinkedIn. (2025). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP, ATN. Retrieved from https://www.linkedin.com/in/dralexjimenez/
Metrowest Spine Clinic. (n.d.). The main causes of neck and back pain after an auto accident: What you need to know. Retrieved from https://metrowestspineclinic.com/the-main-causes-of-neck-and-back-pain-after-an-auto-accident-what-you-need-to-know/

Conclusion

Motor vehicle accidents can have a lasting impact on posture, mobility, and overall health, primarily through injuries like whiplash, spinal misalignments, and nerve damage. These injuries can lead to chronic pain, reduced flexibility, and postural deformities, such as forward head posture and kyphosis. Early intervention is crucial in preventing long-term complications, and chiropractic care, particularly from experts like Dr. Alexander Jimenez, provides a comprehensive solution. By combining advanced imaging, dual-scope procedures, and personalized treatment plans, Dr. Jimenez addresses both the physical and legal needs of MVA victims in El Paso. Through proper rehabilitation, individuals can restore their posture, regain mobility, and improve their quality of life.

https://youtu.be/uzV3_BiQvyU?si=Gie8NkaD8iqxa8-H

References

All Injuries Law Firm. (n.d.). How car accidents lead to back pain long after the crash. Retrieved from https://www.allinjurieslawfirm.com/blog/how-car-accidents-lead-to-back-pain-long-after-the-crash/
Atlas Spine Care. (n.d.). Whiplash may cause forward head posture, neck pain, and headaches. Retrieved from https://www.atlasspinecare.com/whiplash-may-cause-forward-head-posture-neck-pain-and-headaches
Bryant PSC. (n.d.). Back pain after car accident. Retrieved from https://www.bryantpsc.com/back-pain-after-car-accident/
Chiropractor of St. Louis. (n.d.). Postural muscle weakness after a car accident. Retrieved from https://chiropractorofstlouis.com/blog-post/postural-muscle-weakness-after-a-car-accident
ChiroMed. (n.d.). Family practice-based chiropractic care. Retrieved from https://chiromed.com/
Dallas Accident and Injury Rehab. (n.d.). Correct your posture post-car accident: A step-by-step guide. Retrieved from https://dallasaccidentandinjuryrehab.com/correct-your-posture-post-car-accident-a-step-by-step-guide/
Dr. Alex Jimenez. (n.d.). Injury Medical & Chiropractic Clinic. Retrieved from https://dralexjimenez.com/
Dr. Hudak. (n.d.). Long-term health effects of kyphosis forward head carriage caused by car accidents. Retrieved from https://www.drhudak.com/post/long-term-health-effects-of-kyphosis-forward-head-carriage-caused-by-car-accidents/
Fletcher Law USA. (n.d.). Do car accident neck injuries get worse over time?. Retrieved from https://www.fletcherlawusa.com/blog/do-car-accident-neck-injuries-get-worse-over-time/
Healthdirect. (n.d.). Whiplash. Retrieved from https://www.healthdirect.gov.au/whiplash
Heritage Hospitals. (n.d.). Postural deformities. Retrieved from https://heritagehospitals.com/blog/postural-deformities/
Impact Medical Group. (2024). Can a car accident cause back spasms? Yes, here’s how. Retrieved from https://www.impactmedicalgroup.com/2024/06/10/can-a-car-accident-cause-back-spasms-yes-heres-how/
Impact Medical Group. (2024). How bad posture when driving can contribute to your injuries. Retrieved from https://www.impactmedicalgroup.com/2024/06/28/how-bad-posture-when-driving-can-contribute-to-your-injuries/
LinkedIn. (2025). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP, ATN. Retrieved from https://www.linkedin.com/in/dralexjimenez/
Metrowest Spine Clinic. (n.d.). The main causes of neck and back pain after an auto accident: What you need to know. Retrieved from https://metrowestspineclinic.com/the-main-causes-of-neck-and-back-pain-after-an-auto-accident-what-you-need-to-know/
Michigan Auto Law. (2024). Upper back pain after car accident. Retrieved from https://www.michiganautolaw.com/blog/2024/03/05/upper-back-pain-after-car-accident/
Michigan Auto Law. (2025). Spine injury from car accident. Retrieved from https://www.michiganautolaw.com/blog/2025/05/12/spine-injury-from-car-accident/
Mile High Spine. (n.d.). 5 reasons you should focus on your posture after a car accident. Retrieved from https://milehighspine.com/5-reasons-you-should-focus-on-your-posture-after-a-car-accident/
Team Allied PW. (n.d.). Why spinal misalignments after an auto accident shouldn’t be ignored. Retrieved from https://teamalliedpw.com/why-spinal-misalignments-after-an-auto-accident-shouldnt-be-ignored/
The Neck and Back Clinics. (n.d.). Chiropractor after accident for recovery. Retrieved from https://theneckandbackclinics.com/chiropractor-after-accident-for-recovery/

June 11, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Diet, Physio Dr Alexander Jimenez, health coach, inflammatory diet, injury rehab foods, joint healing, legal documentation nutrition, motor vehicle accident recovery, musculoskeletal repair, nurse practitioner, nutritionist, post-accident nutrition, recovery meal plan

The Role of Diet in Recovering from Motor Vehicle Accidents: A Comprehensive Guide

Introduction

Motor vehicle accidents (MVAs) are a leading cause of injury and disability worldwide, affecting millions annually. The aftermath of an MVA often involves physical pain, emotional stress, and a complex recovery process. While medical treatments, such as surgery or physical therapy, are typically prioritized, the role of nutrition in recovery is often overlooked. A well-balanced diet rich in fruits, vegetables, lean proteins, and healthy fats can significantly enhance the body’s ability to repair damaged tissues, reduce inflammation, and restore overall health. This comprehensive guide, written at a high school level, explores the importance of nutrition in MVA recovery, offering practical dietary recommendations and insights from Dr. Alexander Jimenez, a renowned chiropractor and functional medicine practitioner in El Paso, Texas. Optimized for search engines, this post also examines how MVA injuries impact musculoskeletal joint pain and how advanced diagnostics guide nutritional strategies.

Understanding Motor Vehicle Accident Injuries

MVAs can result in a spectrum of injuries, each with unique implications for recovery. Common injuries include:

Whiplash: Caused by rapid head movement, leading to neck pain and stiffness.
Fractures: Broken bones in arms, legs, or spine, requiring immobilization and healing time.
Soft Tissue Injuries: These injuries, which frequently result in chronic pain, affect muscles, ligaments, or tendons.
Head Injuries: Ranging from concussions to severe traumatic brain injuries.
Internal Injuries: Organ damage that may necessitate surgical intervention.

These injuries can disrupt normal movement, cause persistent pain, and lead to musculoskeletal joint pain, particularly in the neck, back, and shoulders. For instance, whiplash can weaken cervical spine ligaments, contributing to long-term discomfort (BMC Musculoskeletal Disorders). Nutrition plays a critical role in addressing these issues by providing the body with essential building blocks for repair and reducing inflammation that exacerbates pain.

References

Stemper, B. D., Yoganandan, N., & Pintar, F. A. (2006). Gender- and region-dependent local facet joint kinematics in rear impact: Implications in whiplash injury. BMC Musculoskeletal Disorders, 7, 103. http://www.biomedcentral.com/1471-2474/7/103

The Science of Nutrition in Injury Recovery

Nutrition is a cornerstone of the body’s healing process. After an MVA, the body demands increased nutrients to support:

Tissue Repair: Proteins play a vital role in rebuilding muscles, skin, and connective tissues.
Inflammation Reduction: Omega-3 fatty acids and antioxidants mitigate excessive inflammation.
Immune Support: Vitamins C, D, and zinc strengthen the immune system to prevent infections.
Energy Maintenance: Complex carbohydrates provide sustained energy for recovery.

Research suggests that a proper diet can accelerate recovery and enhance outcomes. For example, a study in Sports Medicine found that nutritional interventions reduce complications and shorten hospital stays for injured patients (Tipton, 2015). This finding illustrates the value of a strategic diet following a motor vehicle accident (MVA).

References

Tipton, K. D. (2015). Nutritional support for exercise-induced injuries. Sports Medicine, 45(Suppl 1), S93–S104. https://link.springer.com/article/10.1007/s40279-015-0398-4

Dietary Recommendations for MVA Recovery

A post-MVA diet should prioritize nutrient-dense, whole foods while minimizing inflammatory substances. Below are detailed recommendations:

Fruits and Vegetables

Fruits and vegetables are rich in antioxidants, vitamins, and minerals that combat inflammation and support healing. Aim for various colors to ensure diverse nutrients:

Berries (strawberries, blueberries): High in antioxidants to reduce oxidative stress.
Leafy Greens (spinach, kale): Provide calcium and vitamin K for bone health.
Citrus fruits, such as kiwis and oranges, are high in vitamin C, which helps to form collagen.

Lean Proteins

Proteins are essential for repairing muscles and tissues damaged in a motor vehicle accident (MVA). Include:

Fish (such as salmon and mackerel): Offers protein and omega-3 fatty acids for anti-inflammatory benefits.
Poultry (chicken, turkey): Lean sources of high-quality protein.
Plant-Based Options (beans, lentils, tofu): Suitable for vegetarians and vegans.

Healthy Fats

Healthy fats, particularly omega-3 fatty acids, reduce inflammation and support overall health.

Fatty Fish: Salmon, sardines, and mackerel.
Nuts and Seeds: Walnuts, flaxseeds, and chia seeds.
Oils: Olive oil and coconut oil, as recommended by Dr. Jimenez (Recovering from Car Accident Injuries).

Whole Grains

Whole grains provide complex carbohydrates for energy and fiber for digestion.

Quinoa, brown rice, and oats: Sustained energy sources.
Whole-Grain Bread: A fiber-rich option for balanced meals.

Hydration

Adequate water intake is essential for the transport of nutrients and maintaining tissue health. Aim for 8–10 glasses of water daily, adjusting intake based on activity level or medical advice (Tantalizing Foods).

Foods to Avoid

Certain foods can hinder recovery by promoting inflammation:

Processed Foods: High in unhealthy fats and additives.
Sugary Beverages: Sodas and juices that spike blood sugar.
Excessive caffeine consumption can lead to dehydration and increased stress levels.

Dr. Jimenez strongly advises eliminating sugar due to its links to heart disease and diabetes, as these conditions can complicate recovery from injuries sustained in a car accident.

Food Category	Recommended	Avoid
Fruits & Vegetables	Berries, leafy greens, citrus	None
Proteins	Fish, chicken, beans	Processed meats
Fats	Olive oil, walnuts, avocados	Canola oil, margarine
Grains	Quinoa, oats, brown rice	White bread, refined grains
Beverages	Water, herbal tea	Sodas, energy drinks

References

Jimenez, A. (2014). Recovering from Car Accident Injuries: Diet. LinkedIn. https://www.linkedin.com/pulse/20140701155407-36031744-recovering-from-car-accident-injuries-diet
RespMR. (n.d.). Tantalizing & powerful foods to supercharge injury recovery. https://respmr.com/tantalizing-powerful-foods-to-supercharge-injury-recovery/

Specific Nutrients for Recovery

Certain nutrients are particularly critical for MVA recovery:

Protein: Supports tissue repair. Injured individuals may need 1.2–2.0 grams per kilogram of body weight daily (Tipton, 2015).
Omega-3 Fatty Acids: Reduce inflammation. Aim for two servings of fatty fish weekly.
Antioxidants: Vitamins C and E protect cells. Found in berries, citrus, and nuts.
Vitamin D and Calcium: Essential for bone healing. Sources include fortified foods and sunlight.

References

Tipton, K. D. (2015). Nutritional support for exercise-induced injuries. Sports Medicine, 45(Suppl 1), S93–S104. https://link.springer.com/article/10.1007/s40279-015-0398-4

Mental Health and Diet

MVA recovery can be emotionally taxing, and diet can support mental well-being:

Omega-3s: Linked to reduced depression and anxiety (Lassale et al., 2019).
Complex Carbohydrates: Stabilize mood by providing a steady glucose supply.
B Vitamins: Support nerve function and stress relief, found in eggs and grains.

References

Lassale, C., Batty, G. D., Baghdadli, A., Jacka, F., Sánchez-Villegas, A., Kivimäki, M., & Akbaraly, T. (2019). Healthy dietary indices and risk of depressive outcomes: A systematic review and meta-analysis of observational studies. Molecular Psychiatry, 24(7), 965–986. https://www.nature.com/articles/s41380-018-0237-8

Case Studies and Expert Insights

Dr. Alexander Jimenez, based in El Paso, integrates nutrition into his functional medicine and chiropractic practice. In his X post, he emphasizes the importance of nutrient-dense foods and avoiding sugar to help the body recover after a motor vehicle accident (MVA). (Recovering from Car Accident Injuries). His recommendations include:

Single-Ingredient Foods: Meat, fish, eggs, and high-fat dairy.
Healthy Fats: Coconut and olive oils.
Anti-Inflammatory Spices: Turmeric and ginger.
Vitamin D: Via sunlight or supplements.

Dr. Jimenez’s holistic approach, combining nutrition with chiropractic care, has helped patients like Leticia, who regained mobility after a car accident (Auto Accident Injury Treatment).

Advanced Imaging and Diagnostics Concerning Diet

Advanced imaging (e.g., MRI, CT scans) is vital for assessing MVA injuries. Dr. Jimenez uses these tools to identify damage, such as spinal misalignments or fractures, and tailors dietary plans accordingly (Gaining Insight on Auto Injury Care). For example:

Fractures: Require increased calcium and vitamin D.
Soft Tissue Injuries: Benefit from omega-3s to reduce inflammation.

This diagnostic precision supports both medical treatment and legal documentation for personal injury cases, ensuring comprehensive care and treatment.

References

Jimenez, A. (2016). Gaining insight on auto injury care options. DrAlexJimenez.com. https://dralexjimenez.com/gaining-insight-on-auto-injury-care-options/

Conclusion

A nutrient-rich diet is essential for recovering from motor vehicle accidents. By prioritizing fruits, vegetables, lean proteins, and healthy fats while avoiding processed foods and sugar, individuals can enhance their body’s healing capabilities. Insights from Dr. Alexander Jimenez underscore the power of nutrition in supporting both physical and mental recovery. Combined with advanced diagnostics and medical care, a tailored diet can facilitate faster and more effective healing. Consult healthcare professionals to create a personalized recovery plan.

Key Citations

Gender- and region-dependent local facet joint kinematics in rear impact: Implications in whiplash injury http://www.biomedcentral.com/1471-2474/7/103
Nutritional support for exercise-induced injuries https://link.springer.com/article/10.1007/s40279-015-0398-4
Recovering from Car Accident Injuries: Diet https://www.linkedin.com/pulse/20140701155407-36031744-recovering-from-car-accident-injuries-diet
Tantalizing & powerful foods to supercharge injury recovery https://respmr.com/tantalizing-powerful-foods-to-supercharge-injury-recovery/
Healthy dietary indices and risk of depressive outcomes: A systematic review and meta-analysis of observational studies https://www.nature.com/articles/s41380-018-0237-8
Gaining insight on auto injury care options https://dralexjimenez.com/gaining-insight-on-auto-injury-care-options/
Auto Accident Injury Treatment El Paso, TX Chiropractor https://www.linkedin.com/pulse/auto-accident-injury-treatment-el-paso-tx-dr-alexander-jimenez-
Nutrition for injury recovery https://foothillsrehab.com/blog/nutrition-for-injury-recovery/
Car accident recovery guide https://www.apexosn.com/car-accident-recovery-guide/
Car accident recovery tips https://www.miraclerehabclinic.com/blog/car-accident-recovery

June 9, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Physio, Therapy attorneys, car crashes, chiropractic care, compression, indirect damage, medical, motor vehicle accidents, MVA's, nerve injuries, nurse practitioner, personal injury, physical therapy, spinal decompression

Treatment of Nerve Injuries Resulting from Automobile Accidents

Nerve Injuries from Car Accidents: Causes, Treatment, and Dr. Alexander Jimenez’s Expertise

Introduction

Car accidents happen in an instant, but their effects can last a lifetime. Among the many injuries sustained in motor vehicle accidents (MVAs), nerve injuries are particularly common and can significantly impact daily life. Research suggests that over 25% of nerve injury cases result from car and truck accidents, with motorcycle crashes contributing to 32.5% of peripheral nerve injuries (Miller & Zois, 2024). These injuries often lead to peripheral neuropathy, a condition where nerves outside the brain and spinal cord are damaged, causing symptoms like pain, numbness, and weakness. In El Paso, TX, Dr. Alexander Jimenez, a chiropractor and board-certified nurse practitioner, stands out as a leading clinician helping victims recover from such injuries while supporting their personal injury cases. This comprehensive guide explores the medical causes of nerve injuries, their role in peripheral neuropathy, and how Dr. Jimenez’s unique approach aids recovery and legal processes.

References

Miller & Zois. (2024). Nerve injuries in auto accident lawsuits. Retrieved from Miller & Zois

Understanding Nerve Injuries

Nerves are the body’s communication network, transmitting signals between the brain, spinal cord, and other parts. Injuries to the nerves can disrupt this communication, leading to a range of symptoms. Nerve injuries from MVAs typically fall into three categories:

Compression: Nerves are pinched or pressed, often by swollen tissues or misaligned bones.
Stretching: Nerves are overstretched, as seen in whiplash injuries.
Severing: Nerves are partially or completely cut, often from severe trauma.

Peripheral neuropathy occurs when peripheral nerves—those outside the brain and spinal cord—are damaged. This condition can affect motor nerves (controlling movement), sensory nerves (responsible for sensation), or autonomic nerves (managing involuntary functions like heart rate). Symptoms vary depending on the nerve type affected, but common signs include pain, tingling, numbness, and weakness (Mayo Clinic, 2024).

Types of Nerve Injuries

Type	Description	Common Symptoms
Compression	The nerve is overstretched without tearing	The nerve is pinched by surrounding tissues
Stretching	Nerve is overstretched without tearing	Burning sensation, weakness
Severing	Numbness, tingling, and sharp pain	Loss of function, severe pain, paralysis

References

Mayo Clinic. (2024). Peripheral nerve injuries: Symptoms and causes. Retrieved from Mayo Clinic

Causes of Nerve Injuries in MVAs

Car accidents subject the body to sudden, violent forces that can damage nerves in various ways. The following are the primary causes of nerve injuries in MVAs:

Whiplash

Whiplash, one of the most common MVA injuries, occurs when the head and neck are jerked forward and backward rapidly. This motion can overstretch nerves in the neck and shoulders, leading to inflammation and compression. Whiplash is a significant contributor to nerve injuries, often causing symptoms like neck pain, tingling in the arms, and headaches (AICA Orthopedics, 2021).

Direct Trauma

The impact of a car accident can cause direct trauma to nerves. For example, hitting a steering wheel or being struck by debris can crush or sever nerves. Blunt force trauma is a leading cause of nerve damage, particularly in high-impact collisions (Singleton Schreiber).

Secondary Injuries

After an accident, swelling, inflammation, or scar tissue can compress nerves, leading to delayed symptoms. Herniated discs or spinal misalignments can also exert pressure on nerve roots, leading to radiculopathy, a related condition characterized by nerve root irritation (Fletcher Law Office, 2023).

Common MVA Scenarios Leading to Nerve Injuries

Scenario	Mechanism of Injury	Potential Nerve Damage
Rear-end collision	Whiplash from sudden neck movement	Cervical nerve stretching
Head-on collision	Blunt force trauma to chest or limbs	Peripheral nerve compression
Rollover accident	Blunt force trauma to the chest or limbs	Severe nerve severing or compression

References

AICA Orthopedics. (2021). Can you get nerve damage from a car accident? Retrieved from AICA Orthopedics
Singleton Schreiber. (n.d.). Nerve damage from car accidents in California. Retrieved from Singleton Schreiber
Fletcher Law Office. (2023). What is radiculopathy vs. neuropathy from a Texas car accident? Retrieved from Fletcher Law Office

Symptoms of Nerve Injuries

Nerve injuries present a wide range of symptoms, depending on the type and severity of the damage. Recognizing these signs early is crucial for seeking timely treatment.

Motor Nerve Damage

Motor nerves control muscle movement. Damage can lead to:

Muscle weakness or difficulty with tasks like gripping or walking.
Loss of coordination or balance.
In severe cases, paralysis (HM Attorneys, 2022).

Sensory Nerve Damage

Sensory nerves are responsible for detecting sensations such as touch, temperature, and pain. Symptoms include:

Numbness or tingling, often described as “pins and needles.”
Sharp, burning, or shooting pain radiating along nerve pathways.
Hypersensitivity to touch or temperature changes (Bensinger Legal).

Autonomic Nerve Damage

Autonomic nerves regulate involuntary functions. Damage may cause:

Irregular heart rate or blood pressure.
Digestive issues, such as nausea or constipation.
Excessive sweating or inability to sweat (The Russo Firm).

Common Symptoms by Nerve Type

Nerve Type	Symptoms
Motor	Weakness, coordination loss, paralysis
Sensory	Numbness, tingling, burning pain, hypersensitivity
Autonomic	Heart rate changes, digestive issues, sweating abnormalities

Delayed Symptoms

Some nerve injuries may not be immediately apparent. Swelling or scar tissue can develop days or weeks after an accident, leading to symptoms that worsen over time. This underscores the importance of medical evaluation even if you feel fine initially (Houston Pain Specialists).

References

HM Attorneys. (2022). Can a car accident cause nerve damage? Retrieved from HM Attorneys
Bensinger Legal. (n.d.). Signs of nerve damage after a car accident. Retrieved from Bensinger Legal
The Russo Firm. (n.d.). Neurological issues caused by car accidents. Retrieved from The Russo Firm
Houston Pain Specialists. (n.d.). Why some auto accident injuries lead to chronic nerve pain. Retrieved from Houston Pain Specialists

Diagnosis of Nerve Injuries

Accurate diagnosis is essential for effective treatment. Doctors use a combination of physical examinations, imaging techniques, and specialized tests to diagnose nerve injuries.

Physical Examination

A doctor will:

Test reflexes using a reflex hammer to check for hyporeflexia (reduced reflexes) or hyperreflexia (overactive reflexes).
Assess sensation using tools such as a pinprick or cotton swab to detect sensory abnormalities.
Evaluate muscle strength and coordination (Spine Universe, 2018).

Diagnostic Imaging

Imaging helps identify structural issues causing nerve compression.

X-rays: Detect bone fractures or misalignments.
MRI: Shows soft tissue damage, such as herniated discs or nerve compression.
CT Scans: Provide detailed views of bones and tissues (Dr. Alex Jimenez, 2018).

Nerve Conduction Studies

These tests measure how well nerves transmit electrical signals, helping pinpoint the location and extent of damage. Electromyography (EMG) may be used alongside to assess muscle response.

Diagnostic Methods

Method	Purpose
Physical Exam	Assess reflexes, sensation, and strength
X-ray	Identify bone fractures or misalignments
MRI	Detect soft tissue and nerve compression
Nerve Conduction Study	Measure nerve signal transmission

References

Spine Universe. (2018). Neurological exams: Sensory nerves and deep tendon reflexes. Retrieved from Spine Universe
Dr. Alex Jimenez. (2018). The abdomen: Diagnostic imaging approach. Retrieved from Dr. Alex Jimenez

Treatment Options

Treatment for nerve injuries aims to alleviate symptoms, promote healing, and prevent the development of chronic conditions. Options range from non-invasive therapies to surgical interventions.

Chiropractic Care

Chiropractic adjustments realign the spine and joints, reducing nerve compression. This approach is effective for whiplash, pinched nerves, and herniated discs. Chiropractors also provide soft tissue therapy to reduce inflammation (PrimeCare Chiropractic).

Physical Therapy

Targeted exercises and stretches improve mobility, strengthen muscles, and reduce nerve pressure. For optimal results, Houston Pain Specialists often combine physical therapy with chiropractic care.

Medication

Medications may include:

Anti-inflammatory drugs are used to reduce swelling.
Nerve pain medications, such as gabapentin.
Muscle relaxants are used to alleviate spasms.

Surgery

Surgery may be necessary in severe cases to repair severed nerves or relieve compression from herniated discs or fractures. Surgery is typically considered a last resort (Dolman Law, 2022).

Treatment Options Overview

Treatment	Description	Best For
Chiropractic Care	Spinal adjustments, soft tissue therapy	Whiplash, pinched nerves
Physical Therapy	Exercises to improve mobility and strength	Muscle weakness, mobility issues
Medication	Pain relief and inflammation reduction	Acute pain, inflammation
Surgery	Repair severe nerve damage or compression	Severed nerves, severe compression

References

PrimeCare Chiropractic. (n.d.). Chiropractic care for personal injury recovery. Retrieved from PrimeCare Chiropractic
Houston Pain Specialists. (n.d.). Why some auto accident injuries lead to chronic nerve pain. Retrieved from Houston Pain Specialists
Dolman Law. (2022). Neurological issues from a car accident. Retrieved from Dolman Law

The Role of Chiropractic Care in Recovery

Chiropractic care plays a vital role in recovering from MVA-related nerve injuries. By addressing spinal misalignments and reducing nerve pressure, chiropractors help restore function and alleviate pain.

Benefits of Chiropractic Care

Pain Relief: Adjustments reduce nerve compression, easing pain without relying heavily on medications.
Improved Mobility: Realigning the spine enhances range of motion, aiding daily activities.
Non-Invasive: Chiropractic care avoids surgery, making it a safer option for many patients (Aventura Wellness, 2023).

Supporting Personal Injury Claims

Chiropractors provide detailed documentation of injuries, treatment plans, and progress, which is crucial for personal injury lawsuits. This evidence links the accident to the injury, supporting compensation claims. Chiropractors may also testify in court to explain the extent of injuries (Comfort Rehab, 2024).

Early Intervention

Seeking chiropractic care soon after an accident can prevent chronic conditions. Delayed treatment may allow scar tissue or inflammation to worsen nerve damage, leading to persistent pain (Hensley Legal, 2024).

References

Aventura Wellness. (2023). The role of chiropractic care in personal injury recovery. Retrieved from Aventura Wellness
Comfort Rehab. (2024). Role of chiropractic in personal injury lawsuits. Retrieved from Comfort Rehab
Hensley Legal. (2024). Can a personal injury chiropractor help your case? Retrieved from Hensley Legal

Dr. Alexander Jimenez: A Leading Expert in El Paso

In El Paso, TX, Dr. Alexander Jimenez is a prominent clinician for MVA victims, offering a unique blend of chiropractic and medical expertise. With over 25 years of experience, he leads Injury Medical & Chiropractic Clinic, specializing in injury rehabilitation, functional medicine, and personal injury care (A4M, n.d.).

Background and Credentials

Dr. Jimenez holds dual licensure as a Doctor of Chiropractic (DC) and a board-certified Family Nurse Practitioner (FNP-BC). He is also certified in functional medicine, allowing him to address both biomechanical and systemic health issues. His education includes training from the National University of Health Sciences, and he has been recognized as a top-rated chiropractor in El Paso from 2015 to 2024 (Healthgrades).

Clinical Approach

Dr. Jimenez employs a comprehensive approach to treat nerve injuries:

Advanced Diagnostics: He utilizes imaging techniques (X-rays, MRIs) and the Living Matrix Functional Medicine Assessment to pinpoint the underlying causes of nerve damage (Dr. Alex Jimenez, 2025).
Dual-Scope Interventions: Combining chiropractic adjustments with medical management, he addresses both structural and physiological aspects of injuries.
Each patient receives a personalized treatment plan that prioritizes pain relief, mobility recovery, and long-term wellness.

Role in Personal Injury Cases

Dr. Jimenez acts as an intermediary between medical care and legal processes. His clinic provides detailed medical records, diagnostic imaging results, and treatment summaries that support personal injury claims. These documents help establish the link between the accident and the injury, which is crucial for securing compensation. His expertise also allows him to collaborate with attorneys, providing expert testimony when needed (Dr. Alex Jimenez, 2017).

Community Impact

Dr. Jimenez’s commitment to El Paso extends beyond his clinic. He engages in community outreach, such as the “Tell A Veteran” program, offering chiropractic care to disabled veterans. His Health Voice 360 Podcast educates the public on various health issues, including nerve injuries and recovery, as well as other related topics (LinkedIn).

Why Choose Dr. Jimenez?

Feature	Benefit
Dual Licensure	Combines chiropractic and medical expertise
Advanced Diagnostics	Pinpoints injury causes with precision
Legal Support	Provides documentation for personal injury claims
Holistic Approach	Addresses physical, nutritional, and emotional health

References

A4M. (n.d.). Dr. Alex Jimenez: Injury Medical & Chiropractic Clinic. Retrieved from A4M
Healthgrades. (n.d.). Dr. Alexander Jimenez, DC. Retrieved from Healthgrades
Dr. Alex Jimenez. (2025). Why choose Dr. Jimenez and clinical team. Retrieved from Dr. Alex Jimenez
Dr. Alex Jimenez. (2017). Personal injury doctor. Retrieved from Dr. Alex Jimenez
LinkedIn. (n.d.). Dr. Alexander Jimenez’s profile. Retrieved from LinkedIn

Conclusion

Nerve injuries from car accidents, including compression injuries and whiplash, can lead to peripheral neuropathy, causing significant physical and emotional challenges. Early diagnosis and treatment are critical to prevent chronic pain and restore quality of life. Dr. Alexander Jimenez, located in El Paso, TX, provides MVA victims with hope by integrating advanced diagnostics, chiropractic care, and functional medicine to facilitate their recovery. His role in personal injury cases ensures patients receive both medical care and legal support, helping them navigate the aftermath of an accident. If you’ve been in a car accident, don’t wait for symptoms to worsen—seek expert care to start your journey to healing.

References

May 14, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Chiropractic Care, Physio acupuncture, chiropractic, Clinic, days, decompression, health, later, massage, memory, muscle, nutrition, physiotherapy, post, retighten, sessions, treatment, weeks, wellness

Muscles Retighten: Why Ongoing Care Is Essential

Why do the muscles retighten days or weeks later for individuals who have received massage or chiropractic adjustments?

Muscles Retighten

Muscles can retighten again days or weeks after chiropractic treatment and/or a massage. A few factors may cause this.

Muscle memory: The body’s natural tendency to return to its previous state of tension.
This includes all the unhealthy postures/positioning
Delayed inflammatory response.
The body’s natural healing process
How muscles respond to manipulation
The need for ongoing maintenance of muscle health

After a massage, muscles can experience a temporary increase in soreness or tightness as the body heals from any minor damage or inflammation caused by the massage. Additionally, if the underlying issue causing muscle tightness is not addressed, the muscles may revert to their original state over time. (Cleveland Clinic, 2024)

Causes

Causes for muscles to retighten.

Underlying Issues

If the root cause of the muscle tightness is not addressed, such as unhealthy posture, injuries, repetitive motions, or muscle imbalances, it can lead to further complications.
In that case, the muscles may return to their original state after a few days or weeks.

Delayed Onset Muscle Soreness (DOMS)

For example, muscles feel sore after intense exercise, and individuals can also experience DOMS after a massage, especially if they are particularly tight or if it’s been a while since their last massage. (Healthline, 2020)

Delayed Inflammatory Response

Massage can sometimes cause microscopic tears or inflammation in muscle tissue, which triggers the body’s natural healing process.
This response can cause soreness and temporary tightness, as the body repairs the damaged tissue even after the initial massage. (Essential Chiropractic, 2025)

Muscle Memory

The body tends to revert to habitual patterns of muscle tension, especially if the underlying cause of the tightness isn’t addressed.
Muscles can retain how they were manipulated during the massage and may revert to their original tightness if they haven’t been consistently relaxed.

Muscle Guarding

The individual and body can subconsciously tense muscles to avoid pain or soreness, even after the massage.
This muscle guarding can counteract the benefits of the massage and lead to a renewed cycle of tension. (Bhimani R. H., & Soomar D. 2019)

Muscle Health Maintenance

Regular Maintenance
Muscles need consistent care to maintain their optimal state of health and function.
Regular massages and other lifestyle changes, such as stretching and strengthening exercises, can help maintain muscle flexibility and reduce the likelihood of muscle tightness returning.

Individual Variation

Factors like the type of massage received, the frequency of massages, and individual body responses can all influence how long a massage’s benefits last. (Cleveland Clinic, 2024)

Massage Treatment

Muscles can retighten after a massage due to the body’s response to the pressure and manipulation during the treatment. This can include individual sensitivity to massage, the type of massage, and hydration levels, which can also play a role.

Type of Massage

Deep tissue massage, which focuses on specific muscle groups and applies deeper pressure, may cause more soreness than other types of massage.
Some individuals may be more sensitive to massage and experience soreness, even with a gentle massage. (Cleveland Clinic, 2024)

Muscle Fiber Manipulation

Deep tissue massage can break down spasms or microtears in muscle fibers, leading to soreness.
This is similar to the microscopic tears that occur during exercise, which are necessary for muscle repair and growth.

Dehydration

Individuals who are not adequately hydrated may experience increased soreness after a massage. (Cleveland Clinic, 2024)

Lactic Acid Buildup

During an intense massage, particularly deep tissue, lactic acid can build up in the muscles, leading to soreness and tightness.
(Healthline, 2020)

Muscle Tensions

If the muscles were particularly tense or knotted before the massage, the manipulation could lead to soreness as the knots get worked out.

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. 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 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.

Secrets of Optimal Wellness

References

Cleveland Clinic. (2024). How to Relieve Muscle Soreness After a Massage. https://health.clevelandclinic.org/why-does-my-body-feel-worse-after-a-massage

Healthline. (2020). How to Relieve Sore Muscles After a Massage. https://www.healthline.com/health/sore-after-massage#causes-of-soreness

Essential Chiropractic and Physiotherapy. (2025). Muscle Ache After Massage: Common Causes and Relief. https://essentialchiropractic.co.uk/muscle-ache-after-massage-common-causes-and-relief/#:~:text=Post%2Dmassage%20soreness%20is%20a,hours%20as%20the%20muscles%20recover.

Bhimani, R. H., & Soomar, D. (2019). Understanding Symptoms of Muscle Tightness, Weakness, and Rigidity From a Nursing Perspective. Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses, 44(5), 271–281. https://doi.org/10.1097/rnj.0000000000000151

May 6, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Physio, Therapy acupuncture, chiropractic, Clinic, coach, decompression, flexibility, health, improvement, Injury, length of time, medical, MET, muscles, rehabilitation, sessions, tightness, treatment, wellness

Length of Time for Muscle Tightness Relief

For individuals dealing with or experiencing muscle pain and stiffness, how long does it take to loosen tight muscles?

Length Of Time to Loosen Tight Muscles

Tight muscles are often caused by overuse or strain, combined with muscle soreness, a common symptom of tight muscles. The soreness peaks around the third day and begins to subside, typically resolving within a few days. But if tightness persists or is accompanied by other symptoms like numbness, inability to move, or swelling, it’s important to consult a medical provider. (Spine Medicine and Surgery of Long Island, 2024) However, it can take much longer for individuals who have never stretched and have had tight muscles for years, depending on the severity, injury history, and underlying causes.

Factors Influencing Timeline

Consistent stretching can take anywhere from a few weeks to a few months to noticeably loosen tight muscles and improve flexibility. The specific time frame depends on factors like the severity of the tightness, underlying causes, and individual consistency with stretching. (Peterson Physical Therapy, 2024)

Severity of Tightness

Muscle knots and significant limitations in range of motion may take longer to resolve than minor stiffness.

Underlying Causes

If tightness is due to a specific injury or condition, addressing that cause is important for lasting and maintaining improvements. (Healthline, 2023)

Individual Factors

Genetics, age, and overall health can influence how quickly muscles adapt to stretching.

Consistency

Regular stretching, ideally daily or several times a week, is essential for feeling progress. (Mayo Clinic, 2023)

Stretching Routine

The length of time can vary based on the starting flexibility level and the specific stretching routine. (Mayo Clinic, 2023) It typically takes several weeks of consistent stretching, at least 3-4 times a week, to notice flexibility improvements. Longer-term changes, beyond the initial feeling of being looser, usually take 8 to 12 weeks.

Consistency

Aim for at least 3-4 weekly stretching sessions, each lasting 20-30 minutes. (Harvard Health Publishing, 2022)

Hold Time

Hold static stretches for at least 30 seconds.
Longer holds (1-2 minutes) can provide deeper benefits.

Long-term Gains

For substantial and sustained improvements, stretching consistently for several months is recommended. (Mayo Clinic, 2023)

Initial Changes

Individuals may notice small improvements in the first few weeks, especially starting from a more inflexible position.

Influencing Factors and Results

Individual genetics, current flexibility level, and the specific exercises can affect how quickly improvements are seen and felt. (Peterson Physical Therapy, 2024)

What To Expect

Improvements

Within a few weeks, individuals might notice a decrease in the sensation of tightness or increased ease in reaching a stretch. (Peterson Physical Therapy, 2024)

Longer-Term Changes

Significant muscle length and flexibility improvements may take several weeks to months of consistent effort.

Maintenance

Once flexibility improves, ongoing stretching is needed to maintain those gains. (Harvard Health Publishing, 2022)

Treatment Options

Stretching, physical therapy, massage, and other therapies can help alleviate tight muscles and promote recovery. (Spine Medicine and Surgery of Long Island, 2024)
Consider professional guidance for specific concerns or limitations. Consult a physical therapist or healthcare provider for personalized recommendations.

The length of time to see results means consistency and patience are important.

Injury Medical Chiropractic and Functional Medicine Clinic

Understanding Long-Lasting Injuries

References

Spine Medicine and Surgery of Long Island. (2024). How Long Do Muscle Knots Last? Spine Medicine and Surgery of Long Island. https://www.spinemedli.com/how-long-do-muscle-knots-last/#:~:text=The%20duration%20of%20a%20muscle,chronic%20pain%20if%20left%20untreated.

Peterson Physical Therapy. (2024). How Long Does It Take to Improve Flexibility? https://petersenpt.com/how-long-does-it-take-to-improve-flexibility#:~:text=Over%20the%20years%2C%20I’ve,takes%20to%20become%20more%20flexible.

Healthline. (2023). Everything You Need to Know About Muscle Stiffness. https://www.healthline.com/health/muscle-stiffness

Mayo Clinic. (2023). Stretching: Focus On Flexibility. https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/stretching/art-20047931#:~:text=Stretch%20in%20a%20smooth%20movement,hold%20for%20around%2060%20seconds.

Harvard Health Publishing. (2022). Everyday Stretching. https://www.health.harvard.edu/everyday-stretching#:~:text=A%20daily%20regimen%20will%20deliver,or%20three%20times%20a%20week.

May 2, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Chiropractic Care, Electroacupuncture, Physio acupuncture, back, chiropractic, Clinic, decompression, health, Injury, massage, medical, pain, position, relieve, spine, supine, wellness

Supine Position Explained: Benefits and Uses

For individuals experiencing back pain, can lying in the supine position help bring relief?

Supine Position

The supine position describes the body’s position when lying on your back with your face up. The individual is flat on their back with no incline, arms at their sides or bent at a 90-degree angle. It’s commonly used in medical settings for examinations, surgeries, and procedures, particularly when access to the anterior/front of the body is needed. It can benefit certain conditions, like helping relieve pain, but exacerbate others, like acid reflux. The term is also used as a modifier for exercises and stretches that begin with the individual on their back. (ScienceDirect Topics, 2009)

Medical Uses

Examinations

Healthcare providers often use the supine position for physical examinations, including vital signs, palpation of the abdomen, and chest inspection. (Nurse.com, 2024)

Procedures

It’s also used for various procedures, such as lumbar punctures and injections. (Steris Healthcare, 2025)

Surgery

Due to its accessibility to the front of the body, the supine position is frequently used for surgeries such as cardiac, abdominal, thoracic, and cranial procedures.
It allows for easy access to the airway, facilitates anesthesia choices, and can be readily converted to an open procedure if necessary. ScienceDirect Topics, 2009)

Overall Health

Natural Position

Many individuals naturally fall asleep in the supine position, finding it comfortable and conducive to spinal alignment.

Back Pain Relief

Sometimes, lying supine with proper support can relieve back pain, particularly in individuals with lumbar spinal issues. (MedicalNewsToday, 2022)

Acid Reflux

However, the supine position can exacerbate acid reflux, as gravity allows stomach acid to travel up the esophagus. (MedicalNewsToday, 2022)

Sleep Apnea

The supine position can worsen sleep apnea in some individuals.

Clinical Uses

A physical therapist, trainer, or clinician may use supine to describe positions used for manual therapy or when having the patient do stretching and back exercises as part of a home exercise program.
If the therapist or personal trainer is training the individual on core stabilization exercises for the first time, the individual will most likely start in the supine position.
This is because when the body is supine, the muscles have the least work to do to maintain correct posture and position against the force of gravity.
Many bed exercises begin in this position for rehabilitation.

Back Care

Here are a few recommendations to relieve low back pain using the supine position.

First, individuals can release the tension in the back by assuming the hook-lying position, a modification of the supine position in which the knees are bent and the feet are resting flat on the floor (Aurora BayCare Medical Center, N.D.).
Start breathing and relaxing, allowing the tension to drain out of the muscles.
In a hook-lying position with the fingertips on the lower belly, inhale deeply, then exhale naturally and puff out the remaining air.
At that point, the fingertips should feel the transverse abdominal muscle engage.
Release and repeat 10 times.

After the body is warmed up, move on to actual exercise. For example, beginners may be given hip stretches to help relieve back pain. These might be done to maintain or prevent back pain. Individuals can do yoga for their back while in the supine position. As with any exercise program, not all yoga poses involve lying on the back, but many beginners and restorative ones do.

For example, the supine spinal twist involves lying on the back, bending the knees, and gently placing them to one side. The idea is to stay in that position for a few moments—and breathe—to allow the oblique abdominal and back muscles to release.

Variations

Lawn Chair Position

This variation involves slightly bending the hips and knees and elevating them above the heart, which can help relieve lower back pain.

Frog-Leg Position

The frog-leg position involves lying on the back with bent knees pushed out to the sides, providing access to the groin and perineum. (Steris Healthcare, 2025)

Injury Medical Chiropractic & Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Thoracic Spine Pain

References

ScienceDirect. (2009). Supine Position. Morrey’s The Elbow and Its Disorders (Fourth Edition), 567-577. https://doi.org/https://doi.org/10.1016/B978-1-4160-2902-1.50042-5

Nurse.com. (2024). What Is Supine Position? https://www.nurse.com/nursing-resources/definitions/what-is-supine-position/#:~:text=During%20routine%20physical%20examinations%2C%20the,easier%20to%20perform%20comprehensive%20assessments.

STERIS. (2025). The Complete Guide to Patient Positioning. https://www.steris.com/healthcare/knowledge-center/surgical-equipment/complete-guide-to-patient-positioning#:~:text=The%20most%20common%20position%20used,and%20elevating%20the%20sternal%20notch.

MedicalNewsToday. (2022). What is the supine position? https://www.medicalnewstoday.com/articles/supine-position

Aurora BayCare Medical Center. (N.D.). Lumbar stabilization hooklying position. https://ahc.aurorahealthcare.org/fywb/baycare/x06913bc.pdf

April 10, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Physio, Therapy acupuncture, analysis, children, chiropractic, condition, decompression, exercises, foot, gait, health, Injury, massage, medical, nutrition, physical, pigeon-toed, strengthening, Therapy, walking, wellness

Pigeon Toed: Causes and Treatment Options

Children walking with their toes pointed in may be pigeon-toed. What are the causes, conditions associated with it, and treatments?

Pigeon-toed Walking

If a child walks with their feet turned inward at the toes, it is usually described as being pigeon-toed. This pointing inward of the feet occasionally occurs as a child learns to walk and may continue through toddlerhood. It is noticed more often in children than adults, but older individuals can experience it. Pigeon-toed walking is rarely a major orthopedic problem and usually disappears without treatment. However, there are times when it may impact a child’s lower extremities and hips. Bracing or surgery may be necessary in these cases to correct the problem. (Paramanandam V. et al., 2019) This condition is common and typically is caused by abnormal birth positions in utero. Sometimes, slight issues may lead to noticeable functional characteristics. Mild changes in bone shape and positioning usually cause pigeon toes. Often, it subsides in a few years as the child continues to develop.

What Does It Mean?

There is usually no need to worry, as this condition is likely not permanent and will go away in a few years. (Paramanandam V. et al., 2019) However, it is recommended that you check in with your healthcare provider to ensure the child is developing normally. Some adults walk with their toes turned in. This may be due to a birth defect, a weakness, or a rare case of pigeon-toed walking as a youth that was left untreated or did not go away.

Causes

There are various reasons for pigeon-toed walking. To determine the cause, a healthcare provider can assess the child’s condition and make a diagnosis, including:

Metatarsus Adductus

A condition where the front part of the foot is turned inward.
The metatarsals are the long bones of the forefoot.
This is when the bones of the foot point inward, leading to pigeon-toed walking.
A clinical examination and X-ray can confirm the metatarsus adducts as a cause of pigeon-toed walking.

Tibial Torsion

A twisted shinbone (tibia) can cause the feet to turn inward in younger children.
The shinbone/tibia in some children may be slightly twisted.
The tibia can either turn outward or inward.
When it twists inward, it may manifest as a pigeon-toed gait.
Tibial torsion may accompany femoral anteversion.
It is diagnosed with an X-ray.
Children with tibial torsion typically grow out of the problem, and the pigeon-toed disappears by age 4. (Uden H., & Kumar S. 2012)

Femoral Anteversion

A common cause, especially in older children, is when the thighbone/femur is twisted inward.
If the femur turns inward and forward unnaturally, where the femoral neck meets the body of the femur, it is called femoral anteversion.
An outward and backward rotation of the femur is called femoral retroversion.
This occurs in about 10% of children. (Scorcelletti M. et al., 2020)
Many children with femoral anteversion appear knock-kneed with a large gap between their feet when standing with knees together, and when they walk, they appear pigeon-toed.
A clinical examination and X-ray diagnose it.

Symptoms

In most cases, the child does not complain of any pain. However, if pain is felt, it can include:

Tightness in the calf muscles
Aching on the outer edges of the feet
Knee pain

Usually, parents will notice pigeon-toes when their child is first learning to walk. Rest assured, the child most likely is not experiencing pain. They have feet and knees that turn inward when they walk and run. (Uden H., & Kumar S., 2012)

A pediatrician or primary care provider can assess the situation and make recommendations. Most pigeon-toed children begin walking and running normally after age 3 or 4, so a watch-and-wait approach is used. Parents may have to take their child to a specialist, like an orthopedic surgeon, if they complain of pain while walking. A specialist may be referred if the child cannot walk due to the inward turn of their feet.

Risk Factors

Pigeon-toed walking is not a preventable condition but rather one that develops during pregnancy. Causes may include: (Scorcelletti M. et al., 2020)

A pregnancy with twins or multiple births
Large fetus
Breech position in utero when the baby is positioned feet first.
Not enough amniotic fluid

Muscle Weakness in Adults

Adolescents or adults who notice their knees turn in and walk pigeon-toed may have weakness in the hip and leg muscles that control the position of their legs when they walk. Strengthening those muscles can help. (Scorcelletti M. et al., 2020)

Treatment

Typically, a normal gait will appear by the age of 3 or 4. Other treatments may include:

Physical Therapy Exercises and Gait Training

Exercises to stretch tight lower extremity muscles and strengthen hip and leg muscles can help improve walking gait.
See a pediatric specialist before starting, as research shows that parental stretching of a newborn with metatarsus adductus offers little benefit. (Eamsobhana P. et al., 2017)

Bracing or Casting

Braces
Serial casting is a procedure that helps children improve their range of movement and may be done to place their lower extremities in an optimum position as they develop. (Uden H., & Kumar S., 2012)

Surgery

For cases in which tibial torsion is the cause, osteotomy surgery, which involves cutting and/or removing bone, may be recommended to correct the structural deformity of the shinbone.

Injury Medical Chiropractic & Functional Medicine Clinic

Foot Pronation

References

Paramanandam, V., Lizarraga, K. J., Soh, D., Algarni, M., Rohani, M., & Fasano, A. (2019). Unusual gait disorders: a phenomenological approach and classification. Expert review of neurotherapeutics, 19(2), 119–132. https://doi.org/10.1080/14737175.2019.1562337

Uden, H., & Kumar, S. (2012). Non-surgical management of a pediatric “intoed” gait pattern – a systematic review of the current best evidence. Journal of Multidisciplinary Healthcare, 5, 27–35. https://doi.org/10.2147/JMDH.S28669

Scorcelletti, M., Reeves, N. D., Rittweger, J., & Ireland, A. (2020). Femoral anteversion: significance and measurement. Journal of Anatomy, 237(5), 811–826. https://doi.org/10.1111/joa.13249

Eamsobhana, P., Rojjananukulpong, K., Ariyawatkul, T., Chotigavanichaya, C., & Kaewpornsawan, K. (2017). Does the parental stretching programs improve metatarsus adductus in newborns?. Journal of Orthopaedic Surgery (Hong Kong), 25(1), 2309499017690320. https://doi.org/10.1177/2309499017690320

April 9, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Chiropractic Care, Physio acupuncture, alignment, assessment, body, chiropractic, Clinic, cupping, decompression, examination, health, Injury, massage, medical, MET, postural, prevention, rehabilitation, spine, wellness

Postural Assessment for Optimal Movement Efficiency

Can postural assessments help identify problems with how a person stands or sits, which can lead to various musculoskeletal issues?

Postural Assessment

Proper posture is an exercise in which the muscles support the skeleton in a comfortable, stable, and efficient alignment. Healthy posture is present when the body is still and when moving. However, numerous factors can affect and hinder posture. These include daily wear and tear, injury, illness, or a condition. A posture assessment is a process that identifies posture issues and their root causes, often using visual and palpation techniques, and can help determine appropriate treatment or exercises. (Science Direct, 2007)

Visual Assessment

Observing the body’s alignment and symmetry from different angles (anterior, posterior, and lateral views).

Palpation

Feeling for muscle imbalances and/or tenderness. (Singla D., & Veqar Z., 2014)

Movement Analysis

Assessing how a person moves and if there are any limitations or compensations. (Physiopedia, 2025)

Importance and Benefits

Early Identification

Helps identify potential problems early, before they become more serious.

Targeted Treatment

Allows for the development of personalized treatment plans to address specific postural issues.

Injury Prevention

It can help prevent injuries by addressing underlying postural imbalances.

Postural Assessment Tools

Some tools used include:

Inclinometers
Posture and Postural Ability Scale (PPAS). (Du, S. H. et al., 2023)

Basic Assessment

Stand Upright

The patient stands with their feet shoulder-width apart, arms relaxed at their sides, and looks straight ahead. (Science Direct, 2007)

Alignment Observation

Head: Is the head aligned over the shoulders, forward, or tilted?
Shoulders: Are the shoulders level, or are they rounded forward?
Back: Is the back straight, or is there excessive curvature (kyphosis or lordosis)?
Pelvis: Is the pelvis level or tilted forward or backward?
Knees: Are the knees straight or slightly bent?
Feet: Are the feet flat on the ground, or is there excessive arch or pronation?

Palpate for Muscle Imbalances

Feel for tight or weak muscles that may be contributing to poor posture. (Singla D. & Veqar Z., 2014)

Consider the Patient’s Activity Level and History

Consider their daily activities, work environment, and any previous injuries. (Du, S. H. et al., 2023)

Wall Test

The patient stands against a wall with their feet shoulder-width apart and heels about 6 inches from the baseboard.
If they have good posture, their ears will be vertically aligned with their shoulders, and their head will be no more than three finger widths from the wall. (Physiopedia, 2025)

Postural Issues Examples

Rounded Shoulders (Hyperkyphosis)

Forward rounding of the upper back.

Forward Head Posture

Head positioned too far forward.

Lordosis

Excessive inward curve of the lower back.

Flat Back

Reduced natural curve of the lower back.

Muscle Imbalances

Tightness or weakness in specific muscles. (Du, S. H. et al., 2023)

Professionals Who Can Perform a Posture Assessment

Physiotherapists

Professionals trained in assessing and treating musculoskeletal problems.

Chiropractors

Professionals who focus on the spine and nervous system.

Fitness Professionals

Personal trainers or other fitness professionals can use posture assessments to help clients improve their posture and movement.

Ergonomists

Professionals who specialize in designing workspaces and environments to promote good posture and reduce strain.

Injury Medical Chiropractic & Functional Medicine Clinic

Talk to a healthcare provider to learn what interventions would help the most. 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. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Multidisciplinary Evaluation and Treatment

References

ScienceDirect. (2007). Postural Assessment – an Overview. Evidence-Based Manual Medicine, 2007. https://www.sciencedirect.com/topics/medicine-and-dentistry/postural-assessment#recommended-publications

Singla, D., & Veqar, Z. (2014). Methods of postural assessment used for sports persons. Journal of clinical and diagnostic research: JCDR, 8(4), LE01–LE4. https://doi.org/10.7860/JCDR/2014/6836.4266

Du, S. H., Zhang, Y. H., Yang, Q. H., Wang, Y. C., Fang, Y., & Wang, X. Q. (2023). Spinal posture assessment and low back pain. EFORT open reviews, 8(9), 708–718. https://doi.org/10.1530/EOR-23-0025

Physiopedia. (2025). Sports Screening: Postural Assessment. https://www.physio-pedia.com/Sports_Screening:_Postural_Assessment#:~:text=Postural%20assessment%20as%20part%20of,tone%20can%20cause%20postural%20faults.

Category: Physio

Rebuilding Strength After a Crash: How Sports Training and Physical Therapy Help Recover from Motor Vehicle Accidents

Introduction

Understanding the Impact of Motor Vehicle Accidents

Hidden Damage: More Than Just Broken Bones

Chiropractic and Integrative Medicine: The Foundation of Holistic Recovery

Dr. Alexander Jimenez’s Dual-Scope Approach

The Role of Physical Therapy in MVA Recovery

Why Movement Is Medicine

Sports Training: Strengthening the Body Post-Injury

The Shift from Passive to Active Recovery

Managing Nerve Damage After an MVA

Understanding Neurological Trauma

Addressing Back and Neck Pain through Integrated Care

How Chiropractic and PT Work Together

The Gut-Brain Connection: Intestinal Injury After MVAs

A Lesser-Known but Serious Consequence

Rehabilitation Timeline: When Can You Start Moving?

From Rest to Regeneration

How Dr. Jimenez Combines Legal and Medical Support

Injury Recovery Meets Documentation

Mental and Emotional Recovery: The Often-Forgotten Component

Addressing Psychological Trauma

Conclusion: Movement Is the Best Medicine

References

The Power of Physical Therapy After Motor Vehicle Accidents: A Path to Healing and Recovery

Car Crashes and Posture: Understanding Long-Term Effects and Recovery Options

Motor Vehicle Accidents and Posture Recovery

The Mechanics of Whiplash and Its Impact on Posture

Citations

Back Pain and Spinal Misalignments After MVAs

Citations

Nerve Damage and Indirect Trauma

Citations

Mobility and Flexibility Challenges

Citations

The Role of Posture in Recovery and Long-Term Health

Citations

Dr. Alexander Jimenez: A Leader in Chiropractic and Personal Injury Care

Advanced Imaging and Diagnostic Assessments

Legal Documentation in Personal Injury Cases

Citations

Long-Term Health Effects and Rehabilitation

Citations

Conclusion

References

The Role of Diet in Recovering from Motor Vehicle Accidents: A Comprehensive Guide

Introduction

Understanding Motor Vehicle Accident Injuries

References

The Science of Nutrition in Injury Recovery

References

Dietary Recommendations for MVA Recovery

Fruits and Vegetables

Lean Proteins

Healthy Fats

Whole Grains

Hydration

Foods to Avoid

References

Specific Nutrients for Recovery

References

Mental Health and Diet

References

Case Studies and Expert Insights

Advanced Imaging and Diagnostics Concerning Diet

References

Conclusion

Key Citations

Treatment of Nerve Injuries Resulting from Automobile Accidents

Nerve Injuries from Car Accidents: Causes, Treatment, and Dr. Alexander Jimenez’s Expertise

Introduction

References

Understanding Nerve Injuries

Types of Nerve Injuries

References

Causes of Nerve Injuries in MVAs

Whiplash

Direct Trauma

Secondary Injuries