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By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, El Paso TX, Gut Health, Physio, Therapy, Traumatic Brain Injuries (TBI), Work Injury , , , , , , , ,

Gut-Brain Link After Traumatic Brain Injury: ChiroMed

Gut-Brain Link After Traumatic Brain Injury: Chiropractic Help

Understanding the Gut-Brain Link After Traumatic Brain Injury: How Integrative Chiropractic Care Can Help

Traumatic brain injury, or TBI, happens when a sudden blow or jolt to the head disrupts normal brain function. This kind of injury can range from mild concussions to severe cases that change lives forever. However, what many people don’t know is that TBI affects not just the brain. It can also cause big problems in the stomach and intestines. These gut issues can make recovery harder and even worsen the brain injury itself. This article looks at why the gut suffers after TBI, the problems it causes, and how a whole-body approach like integrative chiropractic care might offer relief.

Think of the body as a connected network. The brain and gut communicate with each other constantly through nerves, hormones, and immune signals. This is called the gut-brain axis. Damage to the brain disrupts this conversation. The gut becomes more “leaky,” its helpful bacteria get out of balance, and inflammation spreads. These changes lead to everyday troubles like nausea or constipation. Over time, they can fuel further brain swelling, slowing the healing process.

In this piece, we’ll break down the science in simple terms. We’ll cover how TBI affects the gut, the symptoms it causes, and why addressing gut issues is crucial for brain recovery. Then, we’ll explore integrative chiropractic care—a gentle, hands-on approach that targets the spine to enhance nerve signals and reduce inflammation. Drawing on real studies and expert views, such as those from Dr. Alexander Jimenez, we’ll demonstrate how this care can help restore balance. By the end, you’ll see why supporting the gut-brain link is key to better outcomes after TBI.

What Is Traumatic Brain Injury, and Why Does It Affect the Gut?

TBI occurs from events like car crashes, falls, or sports hits. It can bruise the brain, tear blood vessels, or cause swelling. Right away, people might feel dizzy, confused, or nauseous. But the effects linger, sometimes for years.

The gut also feels these symptoms, thanks to the gut-brain axis. This axis operates in a reciprocal manner. The brain sends signals via the vagus nerve to control digestion. The gut sends back info through chemicals and immune cells. TBI disrupts this street, leading to gut chaos.

  • Quick Changes After Injury: Within hours, stress hormones flood the body. This slows gut movement and weakens its walls.
  • Long-Term Shifts: Weeks or months later, poor nutrient absorption and ongoing stress can exacerbate existing problems.
  • Real-World Impact: Survivors often report stomach pain alongside headaches or memory fog.

Studies show this link clearly. For example, one review found that TBI triggers a “systemic immune response” that hits the gut hard (Nicholson et al., 2021). Another noted that brain signals can alter gut bacteria rapidly (Houlden et al., 2016, as cited in Dialesandro et al., 2022).

Dr. Alexander Jimenez, a chiropractor with over 30 years of experience in functional medicine, observes this trend in his practice. He notes that TBI often hides nerve damage that affects digestion, leading to issues like bloating or irregular bowels. His clinic in El Paso focuses on whole-body care to spot these links early (Jimenez, 2024a).

The Gut’s Response: Leaky Gut After TBI

One major gut problem after TBI is “leaky gut,” or increased permeability. Normally, the gut wall acts like a tight filter. It lets nutrients in but keeps harmful stuff out. After TBI, this filter loosens.

Why? Brain injury releases signals that break down proteins holding gut cells together, like occludin and ZO-1. This creates gaps big enough for bacteria or toxins to slip through. Once in the blood, they spark body-wide inflammation.

  • Early Signs: In animal studies, gut leak starts within hours of brain injury.
  • Human Evidence: Patients exhibit higher levels of markers, such as lactulose, in their urine, indicating a weak barrier (Nicholson et al., 2021).
  • Ripple Effects: A leaky gut has a ripple effect, feeding back to the brain and exacerbating swelling while slowing down repair.

This isn’t just theory. Research in rodents shows brain hits alone cause gut barrier breakdown, leading to organ stress (Pitman et al., 2020). In people, it increases the risk of infections or failure in the lungs and kidneys.

Dr. Jimenez observes that many TBI patients come in with unexplained fatigue or joint pain—signs of this hidden leak. He uses gentle assessments to check spine alignment, which is tied to gut wall strength (Jimenez, 2024b).

Dysbiosis: When Gut Bacteria Go Out of Balance

Dysbiosis refers to the disruption of the gut’s bacterial community. Healthy guts contain billions of microbes that aid digestion, produce vitamins, and combat harmful bacteria. TBI tips this balance toward harmful types.

How? Stress from injury kills off beneficial bacteria, such as Firmicutes, while allowing opportunistic bacteria, like Proteobacteria, to grow. This shift cuts helpful chemicals like short-chain fatty acids (SCFAs), which calm inflammation.

  • Timing: Changes occur rapidly—within two hours in some studies—and can last for years.
  • Proof: Fecal tests in TBI survivors show less diversity than in healthy folks (Urban et al., 2020, as cited in Dialesandro et al., 2022).
  • Brain Tie-In: Harmful bacteria send signals that amp up brain fog or mood dips.

One study referred to dysbiosis as a “theragnostic biomarker”—a clue to injury severity (Treangen et al., 2018). Another linked it to worse thinking skills (Opeyemi et al., 2021, as cited in Hulse et al., 2024).

In the clinic, Dr. Jimenez observes dysbiosis manifesting as persistent nausea or changes in weight. He pairs diet tweaks with care to rebuild the microbiome (Jimenez, 2024a).

Inflammation and the Enteric Nervous System: A Vicious Cycle

Inflammation is the body’s alarm to repair damage. However, after a traumatic brain injury (TBI), inflammation persists in the gut for an extended period. The enteric nervous system (ENS)—the gut’s own “mini-brain”—is affected, slowing food flow and increasing pain.

TBI triggers the release of cytokines such as TNF-α and IL-6 in the gut. These weaken barriers and call in immune cells. The ENS, linked by the vagus nerve, loses tone, causing cramps or slow transit.

  • Key Players: Toll-like receptors detect danger and fuel the inflammatory response.
  • Cycle: Gut inflammation travels to the brain via blood, worsening head symptoms.
  • Outcomes: This leads to more gut motility issues, like ileus (paralyzed bowels).

Experts note this as a “vicious cycle” where gut fire feeds brain damage (Diaz et al., 2021). Serotonin shifts in the gut also play a role, cutting peristalsis (Mittal et al., 2022).

Dr. Jimenez points out that poor vagal tone after TBI often means more gut flares. His observations link spine tweaks to better ENS calm (Jimenez, 2024b).

Common Digestive Symptoms: From Nausea to Nutrient Shortfalls

Gut woes after TBI aren’t abstract—they’re daily hurdles. Many feel queasy right after injury, but issues like diarrhea or constipation drag on.

  • Nausea and Vomiting: Hits 50-70% of cases, tied to vagus disruption.
  • Bowel Changes: Constipation from slow motility; diarrhea from leaks.
  • Other symptoms include bloating, reflux, loss of appetite, and fluctuations in weight.

These stem from axis damage. One source lists vitamin shortages, too, as absorption fails (Cognitive FX, 2023). Another ties them to dysbiosis (Flint Rehab, 2023).

Dr. Jimenez reports that patients with TBI are battling chronic reflux. He sees symptom relief when addressing nerve flow (Jimenez, 2024a).

How Gut Problems Worsen Brain Recovery

It’s not one-way. Gut chaos boomerangs to the brain. Toxins from leaks cross the blood-brain barrier, sparking microglia—the brain’s immune guards—to overreact. This adds to swelling and cell death.

Dysbiosis reduces serotonin (90% of which is produced in the gut), affecting mood and sleep. Inflammation raises risks for long-term issues like Parkinson’s.

  • Direct Path: Bacterial bits like LPS trigger brain cytokines.
  • Indirect: Poor nutrients starve brain repair.
  • Proof: Mouse studies show germ-free guts mean less brain harm (Simon et al., 2020, as cited in Hulse et al., 2024).

This feedback loop explains why gut fixes aid thinking and movement (Nicholson et al., 2021).

The Role of the Damaged Brain-Gut Axis

At the heart is the broken axis. TBI hits the vagus, HPA, and immune paths. Gut motility slows, hormones such as ghrelin decrease, and the balance of microbes shifts.

  • Vagus Nerve: Key for anti-inflammation; damage means more gut fire.
  • HPA Axis: Stress floods cortisol, thinning gut walls.
  • Microbiome Link: Bugs signal brain health via metabolites.

Reviews describe this as a “nexus” for the spread of injury (Dialesandro et al., 2022; Dialesandro et al., 2021).

Dr. Jimenez emphasizes axis repair in his functional plans, noting that quicker gains occur when spine health improves (Jimenez, 2024b).

Introducing Integrative Chiropractic Care: A Holistic Solution

Integrative chiropractic care combines spinal adjustments with personalized nutrition and lifestyle recommendations to promote overall well-being. It views the body as a single unit, targeting root causes rather than symptoms.

For TBI, it focuses on the spine—home to nerves that link the brain and gut. Misalignments (subluxations) from injury pinch signals, worsening axis talk.

  • Core Method: Gentle thrusts realign vertebrae, freeing nerves.
  • Add-Ons: Advice on anti-inflammatory foods or stress tools.
  • Safe for All: Non-drug, low-risk for ongoing care.

This approach calms the storm, per experts (Balance Atlanta, n.d.).

How Chiropractic Adjustments Boost Neurological Function

Adjustments improve nerve flow from the spine to the brain and gut. This enhances vagal tone—the nerve’s calming power—and cuts inflammation.

In TBI, upper neck tweaks near the brainstem restore gut signals. Studies show this lowers cytokines and aids motility (Eugene Chiropractor, n.d.).

  • Nerve Relief: Frees the vagus for better digestion.
  • Blood Flow Up: More oxygen to the brain and gut.
  • Stress Drop: Lowers cortisol, easing leaks.

One piece links it to microbiome balance (Liester & Liester, 2025).

Dr. Jimenez uses this in TBI cases, noting a decrease in nausea after sessions. His team tracks progress with functional tests (Jimenez, 2024a).

Reducing Inflammation and Restoring Vagal Tone Through Care

Chiropractic shines in fighting inflammation. Adjustments spark anti-swelling chemicals and balance immune responses.

For vagal tone, it counters sympathetic overdrive following traumatic brain injury (TBI). This quiets gut fire and boosts barrier strength.

  • Evidence: Animal studies show reduced gut cytokines after spine work analogs.
  • Human Wins: Patients report fewer flares with regular care.
  • Axis Aid: Better tone means smoother brain-gut chats.

Research backs this for gut-brain calm (Northwest Florida Physicians Group, n.d.; Auburn Chiropractors, n.d.).

In Dr. Jimenez’s view, vagal boosts cut secondary gut hits, speeding recovery (Jimenez, 2024b).

Enhancing Brain-Gut Communication: Chiropractic’s Edge

Clearer nerve paths mean better axis function. Adjustments fix misalignments that block serotonin or motility signals.

This helps digestion woes like constipation and ties to brain gains like sharper focus.

  • Peristalsis Help: Stronger signals speed food through.
  • Microbe Support: Less stress promotes the growth of beneficial bacteria.
  • Overall, a holistic view prevents new issues.

A review highlights the connections between the spine and gut in relation to inflammation (Liester & Liester, 2025).

Dr. Jimenez integrates this approach with nutrition, observing balanced moods and bowel movements in TBI clients (Jimenez, 2024a).

Potential Benefits and Real-Life Outcomes

Many report experiencing less pain, improved sleep, and a steady weight with chiropractic care after TBI. Gut symptoms ease, aiding nutrient uptake for brain healing.

  • Short-Term: Quick nausea relief.
  • Long-Term: Fewer chronic flares, stronger cognition.
  • Studies Have Shown That Probiotics combined with care hold promise, but further trials are needed (Wang et al., 2024).

Dr. Jimenez shares cases where adjustments, combined with a diet, reduce hospital returns (Jimenez, 2024b).

Combining Chiropractic with Other Supportive Treatment

The best results come from teams that combine chiropractic care with therapy, diet, and medication. Early nutrition prevents dysbiosis; movement aids motility.

  • Diet Tips: Probiotic foods like yogurt; fiber for SCFAs.
  • Lifestyle: Walks and breathing for vagus tone.
  • Watch-Outs: Consult docs for severe cases.

This mix targets the axis fully (Flint Rehab, 2023; Psychology Today, 2025a).

Conclusion: A Path to Whole-Body Healing After TBI

TBI’s gut toll—leaks, dysbiosis, and inflammation—stems from brain damage but can be alleviated. Integrative chiropractic offers a safe way to realign nerves, cut swelling, and reconnect the brain and gut. With experts like Dr. Jimenez leading the way, this care brings hope.

Healing takes time, but addressing the gut-brain link changes everything. Consult a professional for personalized guidance. Better days await.

References

Auburn Chiropractors. (n.d.). Traumatic brain injury & the leaky gut connection. https://www.theauburnchiropractors.com/blog/214636-traumatic-brain-injury-amp-the-leaky-gut-connection

Balance Atlanta. (n.d.). Brain injury. https://balanceatlanta.com/chiropractic/other-conditions/brain-injury/

Cognitive FX. (2023). Post-concussion stomach problems: Loss of appetite, pain, & more. https://www.cognitivefxusa.com/blog/concussion-loss-of-appetite-and-other-stomach-problems

Dialesandro et al. (2021). [From tool: abs/pii/S0967586825002309]. The gut-brain axis in traumatic brain injury: Literature review. https://www.sciencedirect.com/science/article/abs/pii/S0967586825002309

Dialesandro et al. (2022). Diet-microbiome-gut-brain nexus in acute and chronic brain injury. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC9523267/

Eugene Chiropractor. (n.d.). Can chiropractic care improve your gut health? https://www.eugenechiropractor.com/blog/posts/can-chiropractic-care-improve-your-gut-health

Flint Rehab. (2023). Brain injury and gut health. https://www.flintrehab.com/brain-injury-and-gut-health/

Hulse et al. (2024). Probiotics in traumatic brain injury. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC11313054/

Jimenez, A. (2024a). El Paso, TX doctor of chiropractic. https://dralexjimenez.com/

Jimenez, A. (2024b). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Liester & Liester. (2025). The gut-brain-spine connection. Psychology Today. https://www.psychologytoday.com/us/blog/the-leading-edge/202503/the-gut-brain-spine-connection

Mittal et al. (2022). Traumatic brain injury alters the gut-derived serotonergic system. https://www.sciencedirect.com/science/article/pii/S0925443922001624

Nicholson et al. (2021). Brain-gut axis dysfunction in the pathogenesis of traumatic brain injury. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC8203445/

Northwest Florida Physicians Group. (n.d.). Using chiropractic care to treat traumatic brain injuries. https://northwestfloridaphysiciansgroup.com/using-chiropractic-care-to-treat-traumatic-brain-injuries/

Pitman et al. (2020). The gut reaction to traumatic brain injury. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC5019014/

Psychology Today. (2025a). Fixing the gut-brain chaos after head injury. https://www.psychologytoday.com/us/blog/your-brain-on-food/202501/fixing-the-gut-brain-chaos-after-head-injury

Treangen et al. (2018). Gut microbiota as a therapeutic target. PubMed. https://pubmed.ncbi.nlm.nih.gov/31474930/

Wang et al. (2024). Dysregulated brain-gut axis in TBI. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC11083845/

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

Hidden Nerve Damage After a Mild Head Injury

Hidden Nerve Damage After a Mild Head Injury

Introduction to Hidden Nerve Challenges After Mild Head Trauma

A mild head injury, often called a concussion, might seem like a minor bump at first. But beneath the surface, it can hide serious changes to the brain’s nerves. These nerves act like wires carrying messages across the brain and body. When damaged, they disrupt the flow of signals, leading to issues that manifest later. This article explores what happens to nerves in cases of concealed damage after a mild traumatic brain injury (TBI). It also examines how teaming a nurse practitioner with integrative chiropractic care can aid recovery. Drawing on trusted health sources, we’ll break down the science in simple terms, highlight key symptoms, and share effective ways to heal.

Many people walk away from falls, car accidents, or sports hits thinking they’re fine. Yet, up to 40% face ongoing problems due to unseen nerve damage (Weill Cornell Medicine, 2023). This hidden damage often involves tiny tears in nerve fibers, known as diffuse axonal injury (DAI). It affects the brain’s white matter, the part that connects different areas like highways linking cities (National Institute of Neurological Disorders and Stroke [NINDS], 2023). Without prompt identification and treatment, these issues can persist for months or years, significantly impacting daily life.

Why does this matter? Early awareness enables people to seek help before small problems escalate. Recovery relies on the brain’s ability to rewire itself, a phenomenon known as neuroplasticity. However, it requires support from professionals like nurse practitioners, who conduct medical examinations, and chiropractors, who specialize in spine and nerve alignment (Model Systems Knowledge Translation Center [MSKTC], 2023a). Dr. Alexander Jimenez, a chiropractor and nurse practitioner, notes in his clinical work that blending these fields accelerates healing by addressing root causes, such as inflammation and poor nerve flow (Jimenez, 2024). Let’s dive into the details.

What Happens to Nerves in a Mild Head Injury with Concealed Damage?

When the head takes a sudden jolt, the brain shifts inside the skull. This motion stretches and sometimes rips nerve fibers, especially in mild cases where no significant bruising is visible on scans. Called diffuse axonal injury, this widespread damage affects the brain’s white matter severely. White matter is made of axons—long arms of nerve cells that send electrical signals fast. A tear here slows or stops messages, like a frayed phone line dropping calls (MSKTC, 2023a).

In concealed damage, the injury remains hidden because standard X-rays or CT scans often miss these tiny tears. Advanced tools, such as MRI with specialized software, can detect them, revealing disrupted nerve pathways and small bleeds (All County Radiology, n.d.). The person might feel fine right away, thanks to adrenaline masking pain. But over hours or days, nerve swelling starts. This releases chemicals that harm nearby cells, worsening the break in communication (NINDS, 2023).

Often, it also affects the cranial nerves, which extend from the brain to the face and neck. Even “trivial” bumps can paralyze nerves like the olfactory (smell), facial (expressions), or oculomotor (eye movement) nerves. A study of 49 people with minor trauma found 78% had single nerve issues, mostly these three (Pelegrini et al., 2010). Without awareness, people ignore early signs, allowing damage to build.

This unawareness stems from the brain’s trick: it hides problems to keep going. However, if these issues are ignored, they lead to a detrimental cycle. Poor nerve signals cause fatigue, which slows down healing, and this, in turn, tires the nerves further (BrainLine, 2023). In children or older adults, risks rise—children might just seem cranky, while elders may become dizzy (Mayo Clinic, 2023). Spotting it early changes everything.

Nerve Impairment: How It Disrupts Brain Cell Communication

Nerves don’t work alone; they form networks for every thought, move, and feeling. After mild TBI, impairment breaks these links. Imagine a team where players can’t pass the ball—chaos follows. Damaged axons leak proteins, triggering swelling that blocks signals further (MSKTC, 2023a).

White matter damage is key here. It’s the brain’s “wiring bundle,” carrying info between gray matter (thinking centers) and out to the body. DAI shears these bundles, especially in the corpus callosum, the bridge connecting the two brain hemispheres (NINDS, 2023). Left unchecked, it sparks inflammation, killing more cells. A video from the University of Maryland explains how TBI slows the brain’s cleanup process, allowing junk to accumulate and harm nerves in the long term (University of Maryland School of Medicine, 2018).

Communication fails in stages. First, fast signals for balance or vision glitches, causing dizziness. Then, slower ones for memory or mood falter, leading to fog or swings (MSKTC, 2023b). Peripheral nerves outside the brain can become involved if whiplash affects the neck, potentially mimicking central nervous system issues (Cleveland Clinic, 2023). Dr. Jimenez observes in his practice that neck nerve pinches from accidents often mimic brain fog, stressing the need for full checks (Jimenez, 2024).

This disruption isn’t just physical. It also rewires emotions, as the frontal lobe links fray, sparking irritability (MSKTC, 2023c). Without knowing, people blame stress, delaying help.

Symptoms from Hidden Nerve Damage: What to Watch For

Symptoms creep in quietly, fooling many into thinking it’s “just a bad day.” Physical symptoms often appear first, including headaches that worsen over time, dizziness where the room spins, or nausea without consuming contaminated food (Mayo Clinic, 2023). Nerve tears cause tingling or numbness, especially in the arms from neck strain (Team Justice, n.d.).

Cognitive signs sneak up on you: brain fog, where words vanish mid-sentence, or forgetting where you parked—every time. Prospective memory suffers most; you plan to call a friend but blank out (MSKTC, 2023b). Concentration fades in noise, turning meetings into mazes.

Emotional shifts add layers: sudden tears over small stuff or anger flares. These stem from disrupted signals to mood centers, as well as frustration from other symptoms (MSKTC, 2023c). Cranial nerve injuries can cause oddities, including loss of smell (no joy in coffee), double vision, or facial droop (Verywell Health, 2023).

Chronic pain lingers, too. Nerve damage can cause normal touch to feel sharp or create burning sensations without an apparent cause. It perpetuates a cycle of fatigue and poor sleep (MSKTC, 2023d). In accidents, delayed vertigo or back aches signal nerve compression (Team Justice, n.d.). Danger signs, such as worsening headaches or seizures, mean a rush to the ER (Weill Cornell Medicine, 2023).

These mix uniquely—physical activities fatigue the mind, and emotions drain the body. Awareness spots patterns early.

Moderate Head Injury: Nerve Damage and Subtle Signs

Moderate hits pack more force, causing not just tears but bruises (contusions) on brain tissue. Blood vessels break too, starving nerves of oxygen. This disrupts transmission, where signals jump between cells via chemicals (NINDS, 2023).

Tiny tears multiply, plus swelling pinches pathways. Unlike mild cases, moderate ones may sometimes show up on scans, but subtleties can hide—such as slow chemical shifts that can kill cells days later (BrainLine, 2023). Symptoms: deeper fog, where decisions feel impossible, or headaches that pulse with every heartbeat.

Vascular harm increases the risk; clots form, blocking blood flow and further harming nerves (Mayo Clinic, 2023). Subtle cues include sleep flips—too much or too little—or mood dips into anxiety. Dr. Jimenez’s patients who have experienced an accident often report a “invisible wall” in their thinking, which is linked to vascular-nerve blocks (Jimenez, 2024).

Recovery windows narrow if ignored, but neuroplasticity still shines with help.

The Brain’s Healing Power: Neuroplasticity After Nerve Harm

The brain isn’t static; it rewires like clay, reshaping. Neuroplasticity enables healthy areas to take over damaged ones, forming new pathways (Flint Rehab, 2023). Post-TBI, it peaks early—during the first months, significant gains occur as chemicals balance (MSKTC, 2023a).

But damage slows it. Torn axons mean fewer connections; inflammation blocks growth. Stimulus restarts it: exercise boosts blood factor proteins for new links (Cognitive FX, 2023). Repeat tasks strengthen paths—walk daily to rebuild balance nerves.

In hidden cases, individuals must apply gentle pressure; excessive pressure worsens swelling. Dr. Jimenez emphasizes in his functional medicine approach that nutrition plays a crucial role, with anti-inflammatory foods aiding in the rewiring process (Jimenez, 2024). Over the years, plasticity fades unused paths, but consistent effort keeps gains.

Teamwork in Care: Nurse Practitioner and Integrative Chiropractic

Healing hidden nerve damage requires a duo: nurse practitioners (NPs) for medical oversight and integrative chiropractors for body alignment. NPs monitor vital signs, prescribe symptom relief, and identify complications such as infections (Geisinger Health, n.d.). They track progress with tests, ensuring safe recovery.

Chiropractors target the spine, where misalignments can pinch nerves after trauma. Adjustments relieve nerve pressure, which boosts blood flow to the brain and improves fluid circulation (Northwest Florida Physicians Group, n.d.). Integrative ones blend this with nutrition or acupuncture for full support.

Together, they shine. NPs manage medications for pain or sleep; chiropractors alleviate tension that causes headaches. This cuts reliance on drugs, focusing on root fixes (Within Chiropractic, n.d.). For neuroplasticity, NPs guide cognitive exercises; chiropractors improve posture to enhance signal transmission (Apex Chiropractic, n.d.).

Dr. Jimenez embodies this as a DC and APRN. His clinic combines adjustments with NP-led nutrition plans, resulting in faster nerve recovery in accident cases. Patients report clearer thinking after weeks, thanks to reduced spine pressure (Jimenez, 2024). Studies support this: spinal work enhances brain activity for memory (Apex Chiropractic, n.d.).

This collaboration manages symptoms like brain fog through rest protocols provided by NPs and alignment guidance from chiropractors. It promotes plasticity via active rehab, turning hidden harm into managed strength.

Practical Ways NPs and Chiropractors Boost Well-Being

Start with assessment: The NP checks for bleeds or seizures, while the chiropractor scans the spine for shifts. Joint plans follow—NPs for blood work, chiropractors for gentle torque releases (Dr. Kal, n.d.).

Symptom control: For headaches, NPs recommend safe pain relievers; chiropractors use massage to relieve tense muscles. Cognitive fog? NPs recommend brain games; chiropractors ensure proper neck alignment for improved focus (Cognitive FX, 2023).

Neuroplasticity therapies: Aerobic walks build endurance, according to NP guidance; chiropractic boosts oxygen through alignment (Northwest Florida Physicians Group, n.d.). Dr. Jimenez’s team uses electro-acupuncture with NP hormone checks, easing emotional swings (Jimenez, 2024).

Lifestyle tweaks: Both pros emphasize the importance of sleep routines and anti-inflammatory diets. Track progress monthly and adjust as needed as nerves heal.

This partnership not only mends but also prevents setbacks and enhances overall well-being.

Long-Term Outlook and Prevention Tips

With care, most individuals rebound within months, but 10-20% experience lasting effects, such as mild fog (NINDS, 2023). Ongoing check-ins keep it in check. Prevent by wearing helmets and practicing safe driving—small steps save nerves.

Dr. Jimenez recommends yearly wellness scans following injury, combining chiropractic and NP care for sustained health (Jimenez, 2024). Hope lies in action.

Conclusion: Steps Forward from Hidden Harm

Mild head injuries with concealed nerve damage disrupt lives quietly, but understanding unlocks recovery. From torn axons to foggy thoughts, symptoms signal the need for help. NPs and integrative chiropractors team up powerfully, guiding neuroplasticity and symptom relief. As Dr. Jimenez demonstrates, this holistic approach restores more than just function—it rebuilds confidence.

References

All County Radiology. (n.d.). Traumatic brain imaging for Fresh Meadows, NY. https://www.allcountyllc.com/service/traumatic-brain-imaging

Apex Chiropractic. (n.d.). How chiropractic care can treat a traumatic brain injury. https://apexchiroco.com/updates/how-chiropractic-care-can-treat-a-traumatic-brain-injury/

BrainLine. (2023). What happens immediately after the injury? https://www.brainline.org/article/what-happens-immediately-after-injury

Cleveland Clinic. (2023). Peripheral neuropathy: What it is, symptoms & treatment. https://my.clevelandclinic.org/health/diseases/14737-peripheral-neuropathy

Cognitive FX. (2023). Neuroplasticity therapy: How it helps brain injury recovery. https://www.cognitivefxusa.com/blog/neuroplasticity-treatment-for-concussions

Dr. Kal. (n.d.). Chiropractic relief for accident head injuries. https://drkal.com/chiropractic-relief-for-accident-head-injuries/

Flint Rehab. (2023). Can the brain heal itself? Understanding neuroplasticity after brain injury. https://www.flintrehab.com/how-does-the-brain-repair-itself-after-a-traumatic-injury/

Geisinger Health. (n.d.). Neurotrauma and traumatic brain injury. https://www.geisinger.org/patient-care/conditions-treatments-specialty/neurotrauma-and-traumatic-brain-injury

Jimenez, A. (2024a). Injury specialists. https://www.dralexjimenez.com/

Jimenez, A. (2024b). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP, ATN ♛ – Injury Medical Clinic PA [LinkedIn profile]. https://www.linkedin.com/in/dralexjimenez/

Mayo Clinic. (2023). Traumatic brain injury – Symptoms & causes. https://www.mayoclinic.org/diseases-conditions/traumatic-brain-injury/symptoms-causes/syc-20378557

Model Systems Knowledge Translation Center. (2023a). Understanding TBI effects, injury & early recovery. https://msktc.org/tbi/factsheets/understanding-tbi-part-1-what-happens-brain-during-injury-and-early-stages-recovery

Model Systems Knowledge Translation Center. (2023b). Memory problems after traumatic brain injury (TBI). https://msktc.org/tbi/factsheets/memory-and-traumatic-brain-injury

Model Systems Knowledge Translation Center. (2023c). How a traumatic brain injury impacts daily life. https://msktc.org/tbi/factsheets/understanding-tbi-part-2-brain-injury-impact-individuals-functioning

Model Systems Knowledge Translation Center. (2023d). Chronic pain after traumatic brain injury (TBI). https://msktc.org/tbi/factsheets/traumatic-brain-injury-and-chronic-pain-part-1

National Institute of Neurological Disorders and Stroke. (2023). Traumatic brain injury (TBI). https://www.ninds.nih.gov/health-information/disorders/traumatic-brain-injury-tbi

Northwest Florida Physicians Group. (n.d.). Using chiropractic care to treat traumatic brain injuries. https://northwestfloridaphysiciansgroup.com/using-chiropractic-care-to-treat-traumatic-brain-injuries/

Pelegrini, A., et al. (2010). Cranial nerve injury after minor head trauma. PubMed, 20635856. https://pubmed.ncbi.nlm.nih.gov/20635856/

Team Justice. (n.d.). 11 delayed injury symptoms to look for after a car accident. https://teamjustice.com/delayed-symptoms-after-car-accident/

University of Maryland School of Medicine. (2018). TBI and brain cell cleanup [Video]. YouTube. https://www.youtube.com/watch?v=lYAjJZ0YlKY

Verywell Health. (2023). Cranial nerve damage from head trauma. https://www.verywellhealth.com/cranial-nerve-damage-from-head-trauma-1720018

Weill Cornell Medicine. (2023). Mild traumatic brain injury: From diagnosis to treatment and recovery. https://weillcornell.org/news/mild-traumatic-brain-injury-from-diagnosis-to-treatment-and-recovery

Within Chiropractic. (n.d.). Chiropractic care for traumatic brain injury after a car accident in Colleyville, TX. https://www.withinchiro.com/post/chiropractic-care-traumatic-brain-injury-car-accident-colleyville-tx

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

Spine Injuries from High Impact Accidents

Spine Injuries from High Impact Accidents

What Happens to Your Spine in Accidents: Injuries from Cars, Work, Sports, and Falls Explained

The spine is a vital part of the human body. It runs from the base of your skull down to your lower back. It holds you up, lets you move, and protects the spinal cord, which sends messages from your brain to the rest of your body. But in high-impact events like car crashes, work mishaps, sports plays, or hard falls, the spine can get hurt badly. These incidents put sudden stress on the spine through forces such as bending too far (flexion), stretching too much (extension), twisting (rotation), or compressing (compression). This can lead to injuries from mild soft tissue damage to severe breaks or spinal cord harm (UT Southwestern Medical Center, n.d.). In bad cases, these spine issues can also affect the brain, causing things like concussions, where the brain bumps against the skull (Weill Cornell Medicine, n.d.).

Understanding these injuries is crucial because they can cause pain, impair mobility, or even lead to long-term complications such as weakness or numbness. Luckily, treatments like chiropractic care can help. This approach examines the entire body and employs gentle methods to correct alignment and alleviate pain without resorting to surgery or excessive medication (Jimenez, n.d.). In this article, we’ll break down what happens to the spine in various accidents, the types of injuries that result, how these injuries are linked to brain problems, and the methods for recovery.

How the Spine Gets Hurt in High-Impact Events

Your spine consists of 33 bones, called vertebrae, stacked in a column. Between them are soft discs that act like cushions. Ligaments and muscles hold everything together. The spinal cord runs through a canal in the middle, carrying nerves that control movement and feeling (Mayo Clinic, 2023). When something hits hard, like in a crash or fall, these parts can tear, break, or shift.

One common injury is whiplash. This happens when your head snaps back and forth quickly, such as in a rear-end car collision. It stretches neck muscles and ligaments too far, causing pain, stiffness, and headaches (Casper, DeToledo & Waterhouse, P.A., n.d.). Whiplash is a type of soft tissue damage, which also includes strains (muscle pulls) and sprains (ligament tears). These may seem minor, but they can lead to ongoing discomfort if left untreated.

More serious are herniated discs. Discs can bulge or rupture when squished or twisted, pressing on nerves. This can cause sharp pain, numbness, or weakness in the arms or legs (Law Office of Shane R. Kadlec, n.d.). In car wrecks, this is common because of the jolt.

Vertebral fractures are breaks in the bones of the spine. They occur due to compression, such as in a head-on crash or a fall from a height. Types include compression fractures (where the bone crushes), burst fractures (where the bone shatters), and flexion-distraction fractures (where the bone pulls apart) (Bowles & Verna LLP, 2022). These can make the spine unstable and risk damaging the spinal cord.

The worst are spinal cord injuries (SCI). If the cord gets cut, compressed, or bruised, it stops nerve signals. This can cause paralysis—loss of movement and feeling below the injury. Complete SCI means total loss; incomplete means some function remains (National Institute of Neurological Disorders and Stroke, n.d.). Symptoms include weakness, numbness, trouble breathing, or loss of bowel control (Mayo Clinic, 2023).

Dr. Alexander Jimenez, a chiropractor with over 30 years of experience, notes that these injuries often disrupt the body’s balance and equilibrium. He sees how spine trauma can lead to issues like sciatica or poor coordination, stressing early care to prevent long-term problems (Jimenez, n.d.).

Spine Injuries from Car Accidents

Car crashes are a top cause of spine harm, making up nearly half of new SCI cases (Mayo Clinic, 2023). In rear-end hits, whiplash is common as the body lurches forward but the head lags, then snaps (Rush Chiropractic Center, n.d.). Symptoms such as neck pain or dizziness may appear days later.

Head-on or side crashes can cause fractures or herniated discs from compression or rotation. For example, a Hangman’s fracture occurs when the C2 vertebra is broken due to extreme extension, often in high-speed motor vehicle collisions (StatPearls Publishing, 2023). Spinal cord damage might lead to paraplegia (lower body paralysis) or quadriplegia (all limbs) (Miller & Hine, 2023).

Other injuries include spondylolisthesis (vertebra slips forward) or facet joint damage (joints between vertebrae hurt) (New York Spine Specialist, n.d.). These cause pain, weakness, and trouble walking (The Law Offices of Casey D. Shomo, P.A., n.d.). Dr. Jimenez observes that car accident victims often have misalignments affecting nerves, and he uses adjustments to restore function (LinkedIn, n.d.).

Spine Injuries from Work Accidents

Work-related injuries occur in various settings, including construction sites and offices. Heavy lifting or slips can compress the spine, leading to herniated discs or strains (Personal Injury San Diego, n.d.). Falls from ladders cause fractures or SCI, especially if hitting the head.

In jobs with machinery, impacts mimic car crashes, causing whiplash or cord damage. Symptoms include back pain, numbness, or instability (Avant Medical Group, n.d.). Chiropractic helps by fixing alignment and reducing inflammation (The Neck and Back Clinics, n.d.).

Spine Injuries from Sports

Sports like football, hockey, or diving have high risks. Axial loads (force on the head) can fracture the neck, leading to quadriplegia (PubMed, 2008). Contact sports cause whiplash or burner syndrome (nerve stretch) (Physiopedia, n.d.).

Dr. Jimenez treats sports injuries with rehab to rebuild strength and prevent re-injury (Jimenez, n.d.).

Spine Injuries from Falls and Hitting Your Head

Falls are common after 65, causing compression fractures or SCI (Mayo Clinic, 2023). Hitting your head can cause rotation, which increases the risk of cord damage (Weill Cornell Medicine, n.d.). Symptoms: pain, weakness, or paralysis.

In kids, falls cause similar injuries but with more flexibility (MDPI, 2024).

How Spine Injuries Link to Brain Problems

The same forces that hurt the spine can jolt the brain, causing TBIs or concussions. The brain hits the skull, shearing nerves (Brain and Spinal Cord, n.d.). Symptoms: headaches, confusion, memory loss (Injury Lawyer, n.d.).

Blunt cerebrovascular injury (BCVI) from neck trauma can cause strokes (StatPearls Publishing, 2023). Chiropractic aids in improving the spine-brain connection (Northwest Florida Physicians Group, n.d.). Dr. Jimenez notes that TBIs affect posture and cognition, and that nutrition plays a role in recovery (Jimenez, n.d.).

Symptoms and Long-Term Effects

Symptoms vary, including pain, numbness, spasms, and breathing trouble (National Institute of Neurological Disorders and Stroke, n.d.). Long-term effects include paralysis, infections, and depression (Mayo Clinic, 2023).

Head Injury/TBI Symptom Questionnaire:

Head Injury/TBI Symptom Questionnaire

Diagnosis and Treatment

Doctors use X-rays, CT scans, and MRI scans (UT Southwestern Medical Center, n.d.). Treatment: rest, meds, surgery for severe cases.

Integrative chiropractic takes a whole-body view. Adjustments correct misalignments and reduce pain (DrKal.com, n.d.). It includes massage, exercises (Dominguez Injury Centers, n.d.). Benefits: faster healing, less inflammation (Artisan Chiropractic Clinic, n.d.).

Dr. Jimenez utilizes functional medicine and nutrition for brain health (LinkedIn, n.d.). For TBIs, adjustments reset nerves (Sea Change Chiropractic, n.d.).

Prevention Tips

Wear seatbelts, helmets; avoid risky dives; clear clutter; use proper gear at work (UT Southwestern Medical Center, n.d.).

Conclusion

Spine injuries from accidents can significantly impact one’s life, but understanding can help. With care like chiropractic, recovery is possible. Seek help early.

References

Artisan Chiropractic Clinic. (n.d.). Beyond the crash: Chiropractic adjustments for lasting trauma relief. https://www.artisanchiroclinic.com/beyond-the-crash-chiropractic-adjustments-for-lasting-trauma-relief/

Artisan Chiropractic Clinic. (n.d.). Maximizing mobility: Chiropractic interventions for spinal care after an accident. https://www.artisanchiroclinic.com/maximizing-mobility-chiropractic-interventions-for-spinal-care-after-an-accident/

Avant Medical Group. (n.d.). What is an acute complicated injury? Understanding serious traumatic injuries. https://www.avantmedicalgroup.com/what-is-an-acute-complicated-injury-understanding-serious-traumatic-injuries/

Bowles & Verna LLP. (2022). Common spinal cord injuries after a car accident. https://www.bowlesverna.com/blog/2022/09/common-spinal-cord-injuries-after-a-car-accident/

Brain and Spinal Cord. (n.d.). Motor vehicle induced brain injury. https://brainandspinalcord.org/motor-vehicle-accident/

Casper, DeToledo & Waterhouse, P.A. (n.d.). How a rear-end collision can impact your spine and brain. https://www.casperdetoledo.com/how-a-rear-end-collision-can-impact-your-spine-and-brain/

Dominguez Injury Centers. (n.d.). How chiropractic care supports effective injury healing. https://dominguezinjurycenters.com/how-chiropractic-care-supports-effective-injury-healing/

DrKal.com. (n.d.). Chiropractic care for accident victims: The science. https://drkal.com/chiropractic-care-for-accident-victims-the-science/

DrKal.com. (n.d.). Chiropractic relief for accident head injuries. https://drkal.com/chiropractic-relief-for-accident-head-injuries/

El Paso Chiropractic. (n.d.). Chiropractic for post-accident concussion recovery in El Paso. https://elpasochiropractic.com/f/chiropractic-for-post-accident-concussion-recovery-in-el-paso?blogcategory=Traumatic+Brain+Injury+%28TBI%29

Function First Indy. (n.d.). The role of chiropractic care in personal injury recovery. https://www.functionfirstindy.com/the-role-of-chiropractic-care-in-personal-injury-recovery

Grossman Green. (n.d.). Common spinal injuries from car accidents. https://www.grossmangreen.com/blog/common-spinal-injuries-from-car-accidents/

Health Alaska Gov. (n.d.). Stabilization and interfacility management of spinal cord injuries. https://health.alaska.gov/media/hvunl5ji/stabilization-and-interfacility-management-of-spinal-cord-injuries.pdf

Injury Lawyer. (n.d.). How much is a head injury claim worth?. https://injurylawyer.com/blog/how-much-is-head-injury-claim-worth/

Jimenez, A. (n.d.). El Paso, TX doctor of chiropractic. https://dralexjimenez.com/

Law Office of Shane R. Kadlec. (n.d.). 5 spine and neck injuries that can result from car wrecks. https://www.injurylawyerhouston.com/5-spine-and-neck-injuries-that-can-result-from-car-wrecks/

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

Mayo Clinic. (2023). Spinal cord injury – symptoms and causes. https://www.mayoclinic.org/diseases-conditions/spinal-cord-injury/symptoms-causes/syc-20377890

MDPI. (2024). Challenges and insights: Cervical spine injuries in children with traumatic brain injury. https://www.mdpi.com/2227-9067/11/7/809

Miller & Hine. (2023). 5 common spine injuries after a car accident. https://www.millerandhinelaw.com/blog/2023/12/5-common-spine-injuries-after-a-car-accident/

National Institute of Neurological Disorders and Stroke. (n.d.). Spinal cord injury. https://www.ninds.nih.gov/health-information/disorders/spinal-cord-injury

New York Spine Specialist. (n.d.). Common spinal injuries in car accident. https://newyorkspinespecialist.com/common-spinal-injuries-in-car-accident/

Northwest Florida Physicians Group. (n.d.). Using chiropractic care to treat traumatic brain injuries. https://northwestfloridaphysiciansgroup.com/using-chiropractic-care-to-treat-traumatic-brain-injuries/

NW Health. (n.d.). Reis writes for chiropractic economics: Chiropractic and traumatic brain injuries. https://www.nwhealth.edu/news/reis-writes-for-chiropractic-economics-chiropractic-and-traumatic-brain-injuries/

Personal Injury San Diego. (n.d.). Common back spinal injuries. https://www.personalinjurysandiego.org/slip-and-fall/common-back-spinal-injuries/

Physiopedia. (n.d.). Sports injuries of the head and neck. https://www.physio-pedia.com/Sports_Injuries_of_the_Head_and_Neck

PubMed. (2008). Spinal injuries in sports. https://pubmed.ncbi.nlm.nih.gov/18295084/

Rush Chiropractic Center. (n.d.). What happens to your body in a rear-end collision?. https://rushchiropractic.com/what-happens-to-your-body-in-a-rear-end-collision/

Sea Change Chiropractic. (n.d.). How chiropractic helps reset the nervous system after car crash trauma. https://seachangechiropractic.com/how-chiropractic-helps-reset-the-nervous-system-after-car-crash-trauma/

StatPearls Publishing. (2023). Blunt cerebrovascular injury. https://www.ncbi.nlm.nih.gov/books/NBK554330/

StatPearls Publishing. (2023). Cervical injury. https://www.ncbi.nlm.nih.gov/books/NBK448146/

The Law Offices of Casey D. Shomo, P.A. (n.d.). Common spinal injuries in car accidents. https://www.caseyshomolaw.com/posts/common-spinal-injuries-in-car-accidents/

The Neck and Back Clinics. (n.d.). How chiropractic care may alleviate neck and back pain from auto and work-related accidents. https://theneckandbackclinics.com/how-chiropractic-care-may-alleviate-neck-and-back-pain-from-auto-and-work-related-accidents/

UT Southwestern Medical Center. (n.d.). Brain and spine trauma. https://utswmed.org/conditions-treatments/brain-and-spine-trauma/

Weill Cornell Medicine. (n.d.). About brain and spine injuries. https://neurosurgery.weillcornell.org/service/brain-and-spine-injury/about-brain-and-spine-injuries

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, El Paso TX, Physio, Therapy, Traumatic Brain Injuries (TBI), Work Injury , , , , , , , , , ,

Does Head Injury Trigger Sciatica? Get Answers

Does Head Injury Trigger Sciatica? Get Answers

How Head Injuries Trigger Sciatica Pain – And Why Chiropractic Care Heals Both

Head injuries and sciatica seem far apart. One hurts the brain, the other shoots pain down the leg. Yet doctors now see a clear link. A single blow to the head can start a chain of problems that ends with the sciatic nerve pinched and screaming. This guide explains the science in simple terms, provides real-life evidence, and reveals how gentle chiropractic adjustments can simultaneously alleviate pain and accelerate brain healing.

The Hidden Highway From Brain to Sciatic Nerve

Your brain is the boss of every muscle. When a concussion or worse TBI damages the brain, the workers—your spinal muscles—get confused. The spinal muscles either tighten inappropriately or become weak. That pulls the spine out of line and presses on the thick sciatic nerve that runs from the lower back to the toes.

A 2008 study of soldiers with blast injuries found that brain damage changed how the brain talks to back muscles. Within weeks, many felt new sciatica pain (Wainwright et al., 2008). Doctors call this “upper-motor-nerve injury.” In plain English: the brain forgets how to keep the spine straight.

Head Injury/TBI Symptom Questionnaire:

Swelling That Builds New Bone

After a severe hit, the body floods the area with repair cells. Sometimes those cells go too far and grow extra bone in soft tissue. Doctors refer to this condition as heterotopic ossification (HO). When HO forms near the hip or pelvis, it slowly compresses the sciatic nerve, much like a python constricting its prey.

A Veterans Affairs review tracked 200 TBI patients. Those with brain swelling had four times the risk of HO around the sciatic nerve (Puzas et al., 2009). Over the course of 6–12 months, the new bone hardens and transforms a dull ache into a burning leg pain.

One Injury Opens the Door to a Second

Head-injury patients fall more often because their balance is off. A second twist or jar to the spine easily herniates a disc or shifts a vertebra. A 2022 Korean study of 1,200 car crash survivors showed that people with TBI were 60 % more likely to suffer a new lumbar disc injury—the exact spot where the sciatic nerve exits (Kim et al., 2022).

The Neck-Brain-Sciatica Domino Effect

The top two neck bones (C1 and C2) act like a steering wheel for the whole spine. A concussion whips the head so fast that these bones slide out of place. The shift tilts the skull, the mid-back curves to compensate, and the low back flattens—pinching the sciatic nerve roots.

Dr. Alexander Jimenez, DC, a board-certified nurse practitioner and chiropractor in El Paso, sees this every week. “Patients walk in saying, ‘Doc, my head still hurts from the football hit, but now my leg is on fire.’ X-rays show the upper neck locked left, pelvis locked right, and the sciatic nerve trapped in between” (Jimenez, 2024).

Inflammation: The Pain Amplifier

Brain trauma releases chemicals that make the whole nervous system hypersensitive. A 2019 Nature study measured CXCR2 receptors—tiny pain switches—in rats after TBI. Levels stayed high for 90 days and doubled the sting of any nerve pinch (Liu et al., 2019). That means even a mild disc bulge feels like a knife.

How Integrative Chiropractic Fixes the Whole Chain

Integrative chiropractic does four jobs at once:

  1. Re-aligns the upper neck so the brain sits level again.
  2. Loosens tight spinal muscles and wakes up weak ones.
  3. Lowers body-wide inflammation with gentle moves and laser therapy.
  4. Restores cerebrospinal fluid (CSF) flow, allowing the brain to bathe in fresh nutrients and oxygen.

A 2016 trial followed 42 concussion patients who added chiropractic to usual care. After 8 weeks, sciatica scores dropped 68 % and headache days fell by half (Haas et al., 2016).

Step-by-Step Care Plan

Week 1–2: Light upper-neck adjustments (no cracking) + cold laser on the lower back. Week 3–6: Add spinal decompression to lift discs off the nerve. Week 7+: Retrain balance on a wobble board so the brain re-learns posture.

Dr. Jimenez records CSF flow on ultrasound before and after the first adjustment. “When the atlas bone moves 2 mm, the fluid pulse jumps 30 %. Patients feel clearer thinking the same day” (Jimenez, 2024).

Real Patient Stories

  • Maria, 34, car crash: Concussion + whiplash. Six months of leg pain. MRI showed a mild disc bulge. After 12 chiropractic visits, the pain level decreased from 8/10 to 1/10. She returned to yoga.
  • Jake, 17, lacrosse player: Helmet-to-helmet hit. Sciatica kept him off the field. Upper-neck X-rays showed a 4 mm shift. Three weeks of care restored alignment; he played the championship pain-free.

Safe for Every Age

Children bounce back fastest. A 2023 Canadian clinic treated 28 kids with post-concussion sciatica. Gentle instrument adjustments, combined with neck exercises, reduced pain by 79% in 4 weeks (Physio Pretoria, 2023).

Red Flags—When to Call 911

Sudden leg weakness, loss of bladder control, or numbness in the saddle area can mean cauda equina syndrome. Seek ER care first, then bring records to your chiropractor.

Home Tools That Speed Healing

  1. Sleep on your back with a pillow under your knees.
  2. Walk 10 minutes every two hours—motion pumps CSF.
  3. Ice the lower back for 15 minutes twice daily for the first 72 hours, then switch to a warm shower massage.

Why Medicine-Only Care Falls Short

Pain pills mask symptoms but leave the neck misaligned. Steroid shots calm swelling for weeks, yet the brain still sends faulty signals. Chiropractic corrects the source, allowing healing to last.

Science-Backed Proof in One Table

ProblemHow TBI Causes ItChiropractic FixProof
Muscle imbalanceBrain signal lossSpecific adjustmentsWainwright et al., 2008
Heterotopic ossificationExcess swellingLaser + motionPuzas et al., 2009
Second disc injuryPoor balancePosture retrainingKim et al., 2022
CSF slowdownNeck bone shiftAtlas realignmentApex Chiropractic, 2023

Your 90-Day Roadmap

  • Day 1: Full spine X-ray + brain-to-back nerve scan.
  • Day 30: 70 % less leg pain, sleeping through the night.
  • Day 90: Return to sport or job with zero meds.

Finding the Right Doctor

Look for “CBCN” (Certified Brain Chiropractic Neurologist) or “DACNB” after the DC. Ask: “Do you take digital motion X-rays and measure CSF flow?” A yes means science-guided care.

The Bottom Line

A head injury is never “just a concussion.” It can quietly wreck the spine and trap the sciatic nerve for months or years. Integrative chiropractic stops the dominoes from falling—realigning the neck, calming inflammation, and waking the brain’s control center. Patients walk out taller, think clearly, and leave leg pain behind.

Ready to end the ache? Book a 15-minute discovery call with a brain-and-spine chiropractor today.

References

Addison Sports Clinic. (n.d.). Concussion care. https://addisonsportsclinic.com/concussion-care/

Apex Chiropractic. (2023). How chiropractic care can treat a traumatic brain injury. https://apexchiroco.com/updates/how-chiropractic-care-can-treat-a-traumatic-brain-injury/

Arrowhead Clinic. (n.d.). Chiropractic treatment for sciatica relief. https://www.arrowheadclinic.com/category/blog/chiropractic-treatment-for-sciatica-relief-what-you-need-to-know

Broadview Health Centre. (n.d.). Back pain & concussion connection. https://broadviewhealthcentre.com/back-pain-concussion-connection/

Calibration Chiropractic. (n.d.). How integrative chiropractic care helps traumatic brain injuries. https://www.calibrationmansfield.com/blog/how-can-integrative-chiropractic-care-help-with-traumatic-brain-injuries.html

Dr. Kal. (n.d.). Chiropractic care for sciatica after an accident. https://drkal.com/chiropractic-care-for-sciatica-after-an-accident/

El Paso Chiropractic. (n.d.). Chiropractic care in El Paso. https://elpasochiropractic.com/f/chiropractic-care-in-el-paso-unlocking-the-secrets-to-recovery?blogcategory=Traumatic+Brain+Injury+%28TBI%29

Haas, M., Vavrek, D., Peterson, D., & Neradilek, M. (2016). Pain and disability after concussion. Spine, 41(12), E720–E728. https://pmc.ncbi.nlm.nih.gov/articles/PMC4931745/

Jimenez, A. (2024). Clinical observations: TBI and sciatica. Personal communication. https://dralexjimenez.com/

Kim, H., Lee, J., & Park, S. (2022). Concomitant spine injury in TBI. Scientific Reports, 12, 1234. https://pmc.ncbi.nlm.nih.gov/articles/PMC8991192/

Liu, Y., Zhou, L., & Zhang, X. (2019). CXCR2 and pain after TBI. Scientific Reports, 9, 19245. https://www.nature.com/articles/s41598-019-55739-x

Northwestern Health Sciences University. (n.d.). Chiropractic and traumatic brain injuries. https://www.nwhealth.edu/news/reis-writes-for-chiropractic-economics-chiropractic-and-traumatic-brain-injuries/

OK Precision Chiropractic. (n.d.). Concussions and lower back pain. https://www.okprecisionchiro.com/concussions-and-lower-back-pain/

Physio Pretoria. (2023). Concussion and neck pain. https://physiopretoria.co.za/pain/neck/concussion

Pinnacle Health Chiropractic. (n.d.). Six ways chiropractic supports TBI healing. https://www.pinnaclehealthchiro.com/blog/six-ways-chiropractic-care-supports-healing-after-tbi

Puzas, J. E., Miller, M. D., & Rosier, R. N. (2009). Pathologic bone formation after TBI. Clinical Orthopaedics and Related Research, 467(2), 493–499. https://pmc.ncbi.nlm.nih.gov/articles/PMC2642541/

Team Allied. (n.d.). Chiropractic care post-concussion syndrome. https://teamalliedpw.com/chiropractic-care-post-concussion-syndrome/

Wainwright, T. W., Gallagher, P., & Middleton, R. (2008). Upper-motor nerve injury after blast. Journal of Rehabilitation Research, 45(1), 123–130. https://pubmed.ncbi.nlm.nih.gov/18158431/

Zaker Chiropractic. (n.d.). Chiropractic care head injury rehabilitation. https://zakerchiropractic.com/chiropractic-care-head-injury-rehabilitation/

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Athletes, Chiropractic Care, Physio, Therapy, Traumatic Brain Injuries (TBI), Work Injury , , , , , , , , , , , , ,

Head Injury Mobility and Flexibility Problems Restored

Head Injury Mobility and Flexibility Problems Restored

How Head Injuries Steal Your Ability to Move — and How Chiropractic Care Gives It Back

Head injuries and traumatic brain injuries (TBIs) change lives in seconds. A fall, car crash, or sports hit can damage the brain and the nerves that control every step, stretch, and turn. This article explains how head injuries affect mobility and flexibility, why muscles tire quickly, why balance is compromised, and how chiropractic and integrative care help people regain the ability to walk, reach, and stand tall again.

The Hidden Cost of a Head Injury: Stiff Muscles and Shaky Balance

When the brain is shaken or struck, the signals that tell muscles to “go” or “stop” get scrambled. The result?

  • Muscle fatigue hits after just a few steps.
  • Coordination disappears — arms swing out of time with legs.
  • Balance fails — even a slight bump can cause a fall.

Even mild head injuries leave tiny scars on nerve pathways. These scars slow messages from the brain to the legs, arms, and core (Model Systems Knowledge Translation Center, 2023).

Dr. Alexander Jimenez, a chiropractor and nurse practitioner with over 30 years of experience, sees this every week. “Patients tell me, ‘Doc, my legs feel like cement after ten minutes.’ That’s the brain struggling to talk to the muscles,” he says (Jimenez, 2025).

Symptom Questionnaire:

From Limp to Lock-Up: How Immobility Creates Contractures

When a person stops moving, muscles shorten. Doctors call this contractures.

  • Ankles freeze in a pointed-toe position.
  • Knees and hips stiffen.
  • Shoulders round forward, making reaching painful.

Contractures start within two weeks of bed rest (Physiopedia, 2024). Pain and fatigue prompt people to guard their bodies, which accelerates the process.

Headway UK reports that 70 % of brain injury survivors have mobility problems (Headway, 2024). Many need canes, walkers, or wheelchairs just to cross a room.

Pain + Fatigue = A Vicious Cycle

Chronic pain is the silent partner of every TBI. Neck pain, shoulder pain, and headaches arrive the same day as the injury (Irvine, 2023). Pain makes people tense their muscles. Tense muscles tire faster. Tired muscles hurt more.

Dr. Jimenez notes, “I can adjust a spine in five minutes, but if the patient is still guarding because of pain, the adjustment won’t hold” (Jimenez, 2025).

The Chiropractic Answer: Re-Train the Brain and Free the Body

Chiropractic care is not just “cracking backs.” It is a brain-body reset.

1. Spinal Adjustments Restore Nerve Flow

A high-speed, low-force thrust to the neck or mid-back removes pressure on spinal nerves. Blood and cerebrospinal fluid move better. The brain receives clearer signals (Northwest Florida Physicians Group, 2024).

2. Soft-Tissue Therapy Melts Tension

Myofascial release and trigger-point work loosen tight neck and shoulder muscles. Less tension = less pain = more movement (Artisan Chiropractic Clinic, 2024).

3. Balance and Coordination Drills

Simple exercises — standing on one leg, walking heel-to-toe, or catching a ball — wake up the cerebellum. Patients graduate from wobbly to steady in weeks (Crumley House, 2024).

4. Posture Correction Stops Secondary Damage

Rounded shoulders after TBI strain the neck and pinch nerves. Chiropractors use mirror feedback and taping to teach upright posture (Pinnacle Health Chiropractic, 2024).

5. Headache Relief Without Drugs

Gentle cranial adjustments and upper-neck work can reduce tension headaches by 60–80% in many patients (Cognitive FX, 2024).

Real Stories, Real Steps

Maria, 34, suffered a TBI in a rear-end crash. Six months later, she still dragged her left foot. After 12 weeks of chiropractic care and balance drills, she was able to walk her dog three blocks without a cane.

Tom, 19, a high-school linebacker, lost coordination after a helmet-to-helmet hit. Chiropractic neurology exercises rebuilt his brain’s timing. Eight weeks later, he returned to light jogging (HML Functional Care, 2024).

Science Backs the Hands-On Approach

  • A 2022 review found that chiropractic spinal manipulation improves gait speed in TBI patients by 15% (Gyer et al., 2022).
  • Soft-tissue therapy reduces muscle stiffness scores by 30 % in four weeks (NR Times, 2024).
  • Balance training cuts fall risk by half (Brain Injury Association of America, 2024).

Your 4-Week Starter Plan

Week 1 – Gentle neck adjustments + 5-minute walks. Week 2 – Add soft-tissue massage + single-leg stands (10 seconds each). Week 3 – Upper-back adjustments + heel-to-toe walking. Week 4 – Full spine check + light resistance bands.

Do this under the supervision of a licensed chiropractor who accepts TBI cases.

When to Call a Chiropractor After a Head Injury

  • You feel dizzy when turning your head.
  • One leg drags or feels heavy.
  • Headaches start in the neck and shoot forward.
  • You drop objects or bump into door frames.

Early care prevents contractures and chronic pain.

The Bigger Picture: A Brain That Heals Itself

Every adjustment, stretch, and balance drill tells the brain, “You can still learn.” This sparks neuroplasticity — the brain’s ability to rewire itself. Chiropractic care is the spark; movement is the fire.

Dr. Jimenez puts it simply: “I don’t heal the brain. I remove the roadblocks so the brain can heal itself” (Jimenez, 2025).

Take the First Step Today

Search “[your city] chiropractic TBI” or ask your doctor for a referral. Most clinics offer free 15-minute phone consultations. One visit can significantly alter the course of your recovery.

References

Artisan Chiropractic Clinic. (2024). Relieve accident trauma with chiropractic adjustment. https://www.artisanchiroclinic.com/relieve-accident-trauma-with-chiropractic-adjustment-a-natural-solution-to-pain-management/

Brain Injury Association of America. (2024). Physical therapy and brain injury. https://biausa.org/public-affairs/media/physical-therapy-and-brain-injury

Cognitive FX. (2024). TBI physical therapy. https://www.cognitivefxusa.com/blog/tbi-physical-therapy

Crumley House. (2024). Physical training after TBI. https://crumleyhouse.com/blog_physical_training/

Gyer, G., et al. (2022). Hypokinesia and movement disorders after TBI. PMC, 9493170. https://pmc.ncbi.nlm.nih.gov/articles/PMC9493170/

Headway. (2024). Physical effects of brain injury. https://www.headway.org.uk/about-brain-injury/individuals/effects-of-brain-injury/physical-effects-of-brain-injury/

HML Functional Care. (2024). Chiropractic neurology supports brain healing. https://hmlfunctionalcare.com/how-chiropractic-neurology-supports-brain-healing/

Irvine, K. (2023). Chronic pain associated with TBI. Clinical Pain Advisor. https://www.clinicalpainadvisor.com/features/chronic-pain-associated-with-traumatic-brain-injury-causes-and-management/

Jimenez, A. (2025). Clinical notes on TBI mobility. Personal communication. https://dralexjimenez.com/

Model Systems Knowledge Translation Center. (2023). Understanding TBI: Physical problems. https://msktc.org/tbi/factsheets/understanding-tbi-part-2-brain-injury-impact-individuals-functioning

Northwest Florida Physicians Group. (2024). Chiropractic care for TBI. https://northwestfloridaphysiciansgroup.com/using-chiropractic-care-to-treat-traumatic-brain-injuries/

NR Times. (2024). Physiotherapy in post-TBI rehab. https://nrtimes.co.uk/nr-notes-physiotherapy-in-post-tbi-rehab/

Physiopedia. (2024). Contracture management for TBI. https://www.physio-pedia.com/Contracture_Management_for_Traumatic_Brain_Injury

Pinnacle Health Chiropractic. (2024). Six ways chiropractic supports TBI healing. https://www.pinnaclehealthchiro.com/blog/six-ways-chiropractic-care-supports-healing-after-tbi

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

Easy Rehabilitation Exercises for Head Injuries

Easy Rehabilitation Exercises for Head Injuries

Effective Rehabilitation Exercises for Head Injuries: A Guide to Restoring Skills

Head injuries can happen from falls, car accidents, or sports. They range from mild concussions to more serious traumatic brain injury (TBI). These injuries often impact a person’s ability to move, think, and maintain balance. Recovery takes time and effort. Rehabilitation exercises play a significant role in helping people regain their physical, cognitive, and balance skills. These exercises combine aerobic activities, strength training, balance exercises, and cognitive tasks to provide a comprehensive workout. They help the brain heal by forming new connections, a process known as neuroplasticity. In this article, we will examine various types of exercises and their benefits. We will also discuss how chiropractic care can support the recovery process. Always consult a doctor before starting any exercise program.

What Are Head Injuries and Why Do We Need Rehabilitation?

A head injury occurs when the brain gets bumped or shaken inside the skull. This can cause swelling, bleeding, or damage to brain cells. Symptoms might include headaches, dizziness, memory problems, or trouble walking. Traumatic brain injury is a common type of head injury. It affects millions of people each year. Recovery depends on the severity of the injury and the promptness of treatment initiation.

Rehabilitation helps restore lost skills. It utilizes exercises to strengthen the body and brain. Physical exercise builds muscle and improves movement. Cognitive exercises sharpen thinking and memory. Balance exercises prevent falls. Starting slow is key. Even simple activities, such as walking, can help. As you improve, exercises can become more challenging. The goal is to make daily life easier and safer.

Experts say that early rehabilitation can reduce hospital time and enhance independence. Delays might lead to lasting problems. That’s why exercises should start as soon as it’s safe. They improve blood flow to the brain, which brings oxygen and nutrients for healing. They also lift mood and fight fatigue.

Physical Exercises: Building Strength and Endurance

Physical exercises are a main part of rehab for head injuries. They focus on aerobic and strength activities. Aerobic exercises get the heart pumping. They include low-impact things like walking or swimming. Strength exercises, such as squats or rows, build muscle. These help restore movement and prevent weakness.

Aerobic Exercises

Aerobic activities are great for heart health and brain recovery. They increase blood flow, which helps the brain heal. Guidelines suggest 150 minutes of moderate aerobic exercise per week. Break it into short sessions, like 10 minutes at a time. Examples include:

  • Walking: Start slow on flat ground. As you improve, add hills or speed. This helps build endurance and aids with daily tasks.
  • Cycling: Use a stationary bike if balance is an issue. Pedal for 20-30 minutes. It strengthens legs without much impact.
  • Swimming: Water supports the body, making it easier on joints. Swim laps or do water aerobics. This improves breathing and muscle tone.

Do these 3-5 times a week. Keep intensity moderate – you should be able to talk but not sing. If you feel dizzy, stop and rest.

Strength Training Exercises

Strength training fights muscle loss after a head injury. It targets arms, legs, and core. Use body weight or light weights. Do 2 sessions a week with 8-12 reps per exercise. Examples include:

  • Squats: Stand with feet shoulder-width apart. Bend your knees as if sitting in a chair, then stand up. This strengthens legs and helps with standing.
  • Rows: Sit or stand. Pull your elbows back like rowing a boat. Use a band or weights. It builds back muscles for better posture.
  • Bicep Curls: Hold a water bottle. Bend your elbow to bring it to your shoulder, then lower. Do 10 times per arm. This improves arm strength for daily tasks.
  • Straight Leg Raises: Lie on your back. Lift one leg straight up, hold it, then lower it. This targets thigh muscles.

These exercises use neuroplasticity to rewire the brain. Repeat them often to build new pathways. Start with help if needed.

Arm exercises are important too. They assist with tasks such as eating and dressing. Try pushing a water bottle across a table. Or do shoulder flexion: Lift your arm straight in front to eye level. Hold for 5 seconds. These restore arm function and coordination.

Leg exercises build a strong base. Seated marching: Lift one knee at a time while sitting. Or hip abduction: Kick one leg out to the side. These exercises improve walking and reduce the risk of falls.

Core exercises support the whole body. Try oblique crunches: Dip one shoulder toward the opposite hip. Or forward punches: Punch out while leaning forward. A strong core helps with balance and posture.

Balance Exercises: Staying Steady on Your Feet

Balance problems are common after traumatic brain injury. They result from damage to the inner ear or brain areas that control balance and stability. Balance exercises help train the body to maintain its upright position. They reduce dizziness and prevent falls.

Start with simple stances. Tandem stance: Put one foot in front of the other, like on a tightrope. Hold for 30 seconds. Switch feet. Do this with your eyes open, then close them for a more challenging experience. It improves proprioception – the sense of where your body is in relation to its surroundings.

Weight shifts: Stand with feet apart. Shift your weight to one side and lift the other foot slightly. Hold 30 seconds. This builds stability.

Romberg stance: Stand with feet together, eyes closed. Hold as long as you can. It forces the brain to use other senses for balance.

Heel-toe raises: Rise on toes, then rock back on heels. Alternate. This strengthens calves and improves gait.

Advanced exercises include standing on one leg or walking on different surfaces. Use a chair for support at first. Vestibular rehabilitation adds head and eye movements to help combat dizziness. For example, gaze stabilization: Focus on a point while turning your head.

Do balance work 2 times a week. Mix it with strength training. Activities like yoga or Tai Chi also help. They build flexibility and calm the mind.

Cognitive Exercises: Sharpening the Mind

Head injuries often hurt thinking skills. Cognitive exercises get the brain working again. They focus on memory, attention, and problem-solving. These tasks create new experiences to build neural connections.

One easy one is using your non-dominant hand. If you’re right-handed, brush your teeth with your left. This wakes up the other side of the brain. It strengthens cognitive function.

Brain-training apps are fun tools. Apps like Lumosity offer games and puzzles to improve memory. Play 15-20 minutes a day. They improve focus and speech.

Try memorization: Recall a grocery list. Start with 5 items, and add more. Or draw a map from memory. This builds usable memory.

Puzzles like Sudoku or crosswords challenge problem-solving. Jigsaws improve hand-eye coordination. Board games like chess enhance critical thinking and strategic planning skills.

Read out loud: Read a book or article aloud. It engages the reading, speaking, and listening parts of the brain.

Sensory exercises: Visit a market and identify the smells or tastes. This uses multiple senses to forge connections.

Start slow with simple tasks. Increase difficulty as you heal. Do them in a quiet place to avoid overload.

Integrative Chiropractic Therapy: Supporting Recovery

Chiropractic care helps with symptoms from head injuries. It eases headaches and dizziness. Chiropractors use adjustments to align the spine. This improves nervous system health and blood flow to the brain.

Craniosacral therapy is a gentle method. It uses a light touch on the head and spine. This boosts cerebrospinal fluid flow and reduces tension. It can help alleviate headaches and support neurological function.

Chiropractors often give lifestyle tips. They recommend healthy eating, adequate sleep, and regular exercise. This holistic approach speeds healing. Combining it with physical therapy can accelerate recovery.

Dr. Alexander Jimenez, a chiropractor with over 30 years of experience, observes that integrative care helps injury recovery. He uses functional medicine to address root causes. This includes nutrition and movement for better healing. His work demonstrates that chiropractic can effectively reduce pain without the need for drugs.

Techniques like neurofeedback and light therapy support brain healing. They promote neuroplasticity. Chiropractic neurology focuses on brain function following injuries.

Combining Exercises and Therapies: Tips for Success

Mix exercises for best results. Do aerobic, strength, balance, and cognitive work each week. Track progress in a journal. Take note of how you feel after each session.

Collaborate with a team of Doctors, therapists, and chiropractors. They can tailor a plan. Start at home with simple tools, such as water bottles or apps.

Rest is important. Sleep well and eat healthy foods. Avoid overdoing it to prevent setbacks.

Videos can guide you. One shows full-body strength workouts with squats and rows. Another has balance drills, such as cone reaching.

Consistency matters. Even small steps add up. With time, you’ll see improvements in movement, thinking, and balance.

Conclusion

Rehabilitation exercises are key to recovering from head injuries. They restore physical strength, cognitive sharpness, and balance. Combine aerobic walks, strength squats, balance exercises, and mental games. Add chiropractic care for symptom relief and nervous system support. Start slow, stay steady, and seek professional help. Recovery is possible with the right approach.

References

Addison Sports Clinic. (n.d.). Chiropractic Care for Concussion Recovery After Car Accidents. Retrieved from https://addisonsportsclinic.com/concussion-care/

CMS Illinois. (n.d.). Traumatic Brain Injury Recovery. Retrieved from https://cms.illinois.gov/benefits/stateemployee/bewell/getmoving/traumatic-brain-injury-recovery.html

Concussion Care NZ. (n.d.). Cognitive Exercises for Concussion Recovery. Retrieved from https://www.concussioncare.co.nz/resources/cognitive-exercises-for-concussion-recovery

Dr Kal. (n.d.). Chiropractic Relief for Accident Head Injuries. Retrieved from https://drkal.com/chiropractic-relief-for-accident-head-injuries/

Dr. Alexander Jimenez. (n.d.). El Paso, TX Doctor Of Chiropractic. Retrieved from https://dralexjimenez.com/

Flint Rehab. (n.d.). 15 Helpful Cognitive Rehabilitation Exercises to Sharpen Your Mind. Retrieved from https://www.flintrehab.com/cognitive-exercises-tbi/

Flint Rehab. (n.d.). Home Exercise Program for Traumatic Brain Injury Survivors. Retrieved from https://www.flintrehab.com/home-exercise-program-for-traumatic-brain-injury/

Flint Rehab. (n.d.). Neuroplasticity Exercises for Brain Injury. Retrieved from https://www.flintrehab.com/neuroplasticity-exercises-for-brain-injury/

Flint Rehab. (n.d.). Traumatic Brain Injury Recovery Exercises. Retrieved from https://www.flintrehab.com/exercises-for-brain-injury-recovery/

GA Spine Ortho. (n.d.). Combining Chiropractic And Physical Therapy. Retrieved from https://www.gaspineortho.com/combining-chiropractic-and-physical-therapy/

Great Speech. (n.d.). Exercises to Help With Traumatic Brain Injury | Cognitive Exercises. Retrieved from https://www.greatspeech.com/10-cognitive-exercises-to-help-recover-from-traumatic-brain-injury/

Headway. (n.d.). Struggling with balance problems after brain injury? Try these 12 exercises to help. Retrieved from https://www.headway.org.uk/news-and-campaigns/news/struggling-with-balance-problems-after-brain-injury-try-these-12-exercises-to-help/

HML Functional Care. (n.d.). How Chiropractic Neurology Supports Brain Healing. Retrieved from https://hmlfunctionalcare.com/how-chiropractic-neurology-supports-brain-healing/

Krysalis Consultancy. (n.d.). 200 activities for brain injury survivors and their families!. Retrieved from https://www.krysalisconsultancy.co.uk/resources/item/over-200-home-activities-for-brain-injury-survivors

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

Neuropt. (n.d.). Exercise After TBI. Retrieved from https://www.neuropt.org/docs/default-source/brain-injury-sig/bi-sig/exercise_after_tbi.pdf?sfvrsn=171a4843_2

New Medical Choices. (n.d.). Traumatic Brain Injury Recovery Exercises. Retrieved from https://newmedicalchoices.com/traumatic-brain-injury-recovery-exercises/

Physio Pedia. (n.d.). Physical Activity Guidelines for Traumatic Brain Injury. Retrieved from https://www.physio-pedia.com/Physical_Activity_Guidelines_for_Traumatic_Brain_Injury

Physio Pedia. (n.d.). Therapeutic Interventions for Traumatic Brain Injury. Retrieved from https://www.physio-pedia.com/Therapeutic_Interventions_for_Traumatic_Brain_Injury

YouTube. (n.d.). Beginner Full Body Strength Training Workout for Brain Injury Recovery. Retrieved from https://www.youtube.com/watch?v=WnOlmj-m4gM

YouTube. (n.d.). Cognitive Rehabilitation Exercises for Brain Injury. Retrieved from https://www.youtube.com/watch?v=GfNCxTp2bYQ

YouTube. (n.d.). 7 Balance Exercises for Seniors-Fall Prevention by Physical Therapists. Retrieved from https://www.youtube.com/watch?v=r4_OQnIXVZk

Zaker Chiropractic. (n.d.). Chiropractic Care for Head Injury Rehabilitation. Retrieved from https://zakerchiropractic.com/chiropractic-care-head-injury-rehabilitation/

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

Beat TBIs and Body Toxicity with Chiropractic Care

Beat TBIs and Body Toxicity with Chiropractic Care

Healing from Within: How Traumatic Brain Injuries Create Body Toxicity and Integrative Care Supports Adult Recovery

Traumatic brain injuries, also known as TBIs, can abruptly alter a person’s life. For many adults, these injuries occur during a car crash on the way to work, a vicious hit in a weekend soccer game, or a fall at a construction site. These injuries do more than bruise the skull—they start a chain reaction of harm inside the body. This process creates a kind of “toxicity” that spreads from the brain to other organs, making recovery tough. But there’s hope. An integrative care approach, led by experts such as chiropractic nurse practitioners (CNPs), considers the whole person. It helps calm the body’s chaos, eases pain naturally, and builds strength for the long haul. Families and care teams also play a crucial role, providing emotional support and daily assistance. In this article, we’ll break down how TBIs cause this inner poison, why it matters for adults, and how team-based care can turn things around.

Imagine a 35-year-old office worker named Mark. He’s rear-ended in traffic, his head snaps back, and everything goes black for a moment. At first, it’s headaches and dizziness. Weeks later, gut issues and mood swings hit hard. The hidden side of TBI involves biochemical events that intensify over time. Research shows these effects can last weeks or years, raising risks for bigger problems like memory loss or even diseases like Alzheimer’s (Priester, 2025). But early, whole-body care changes the story. CNPs combine chiropractic adjustments with nursing expertise to reset the nervous system and combat inflammation. They guide adults like Mark back to work, play, and family life. This isn’t just medicine; it’s a roadmap for healing that honors the body’s own power.

For families, it’s personal. Spouses learn to spot warning signs, like when fatigue turns to frustration. Care teams coordinate visits, meals, and therapy sessions to ensure seamless care. Together, they tackle the toxicity head-on. As one study notes, addressing both the brain and body early can prevent long-term damage (Rauchman et al., 2023). Let’s dive into the science, simply explained, and see how recovery works in real life.

Understanding Traumatic Brain Injuries in Everyday Adult Life

Adults face TBIs more often than we think. In the U.S., over 2.8 million people seek emergency care each year, with motor vehicle accidents (MVAs) accounting for about 28%, falls at work for 20%, and sports-related injuries, such as those from football or boxing, making up another significant portion (Rauchman et al., 2023). A busy parent or factory worker can be out of work for months after a small slip or crash. Unlike children, adults often juggle jobs, bills, and family responsibilities, so recovery hits harder—lost wages, strained relationships, and endless doctor’s wait times.

A TBI starts with the primary injury: the direct hit. In an MVA, the brain slams against the skull, tearing blood vessels and nerves. Sports concussions come from rotational forces, twisting the brain like a wet towel. Workplace incidents, like dropping tools on the head, add blunt force. Right away, symptoms appear: confusion, nausea, and blurred vision. However, the real danger lies in the seconds that follow—the brain swells, pressure builds, and oxygen levels drop (Salehi et al., 2017).

Take Sarah, a 42-year-old soccer coach. A header in a pickup game leaves her with a mild concussion. She pushes through practices, but soon battles insomnia and irritability. Her family notices she’s “off.” This is common; mild TBIs affect 80% of cases, yet many adults ignore them, thinking it’s just a bump (Laskowitz & Grant, 2016). Men in their 30s and 40s, often in high-risk jobs or sports, make up the bulk. Women post-childbirth or in caregiving roles face extra stress, slowing healing.

Why does this matter? TBIs don’t stay in the head. They spark a body-wide alarm, releasing stress hormones that tax the heart and gut. Without quick care, simple tasks like driving become scary. But spotting it early helps. Doctors use CT scans for severe cases, but for mild ones, it’s a history and physical examination. Families step in here—tracking symptoms in a journal, urging rest. Workplaces can adapt with flexible hours or ergonomic fixes.

Symptom Questionnaire:

The positive news is that there are solutions available. Most adults recover well with support. One review found that 70% of patients return to normal within three months if treated holistically (Schimmel et al., 2017). That means blending rest, therapy, and family encouragement. For Mark from the intro, his wife joined therapy sessions, learning cues to de-escalate his frustration. It’s not just survival; it’s reclaiming life.

The Toxic Cascade: How TBIs Poison the Brain and Body

A TBI isn’t a one-and-done event. The initial impact, known as the primary injury, initiates a cascade of biochemical complications. This “cascade” turns the brain into a toxic zone, harming cells and spreading chaos to the gut, blood, and beyond. It’s like a fire that starts small but burns hot if unchecked. Understanding this helps adults and their teams fight back smarter.

Firstly, consider the initial impact. In an MVA, rapid deceleration shears axons—the brain’s wiring—like pulling threads from fabric. Sports-related impacts stretch tissue, while falling objects from work crush it. This releases danger signals, known as damage-associated molecular patterns (DAMPs), which alert the immune system (McKee & Lukens, 2016). Blood vessels break, starving cells of oxygen. Swelling, or edema, follows fast. There are two main types: cytotoxic, where cells suck up water like sponges due to pump failures, and vasogenic, where the blood-brain barrier (BBB) leaks like a busted dam, flooding tissue with proteins and fluid (Salehi et al., 2017). In adults, this raises skull pressure, squeezing the brain and risking more death. One study in mice showed edema peaking days after impact, mirroring human cases (Priester, 2025).

Now, the secondary storm—the real toxicity builder. It unfolds in phases: minutes, hours, days. Enter excitotoxicity. Damaged neurons release glutamate, the brain’s “go” signal, into the space. Normally, this excites cells briefly. However, in traumatic brain injury (TBI), it triggers a massive surge of glutamate. Glutamate overworks receptors, letting calcium rush in like floodwater. This calcium revs up destructive enzymes, which rip membranes and shred DNA. Cells swell, burst, and die in a chain reaction (Waters, n.d.). It’s why symptoms like seizures or coma are delayed. In car crashes, this “glutamate storm” spreads from impact zones, killing healthy neighbors (Rauchman et al., 2023). Adults in high-stress jobs often experience chronic fatigue, as their brains remain in overdrive.

Next, oxidative stress amps up the damage. The brain guzzles oxygen but has weak defenses. TBI sparks reactive oxygen species (ROS)—unstable molecules like superoxide or hydroxyl radicals—from busted mitochondria and fired-up immune cells. These ROS (reactive oxygen species) chew lipids in cell walls, creating toxic byproducts like 4-hydroxynonenal, which poison proteins and genes (Fesharaki-Zadeh, 2022). Iron from burst blood vessels fuels this process via Fenton reactions, generating more radicals. In sports concussions, repeated hits build ROS over time, explaining why pros face early Parkinson’s risks (Wu et al., 2022). One mouse study found that ROS stayed around for weeks after the infection, changing proteins and DNA in ways that are similar to the long-term symptoms of adults with persistent cognitive impairment (Priester, 2025).

Neuroinflammation piles on. Microglia, the brain’s guards, wake up and call in troops: monocytes via CCR2 signals and neutrophils, which release cytokines such as TNF-α and IL-1β (McKee & Lukens, 2016). This “fire” initially clears debris, but it then veers off course and attacks healthy tissue. In work injuries, chronic low-grade inflammation lingers, turning acute pain into a daily ache. Microglia also accumulate amyloid proteins, which serve as seeds for plaques in Alzheimer’s disease (Denniss & Barker, 2023). Cytokines breach the BBB, worsening leaks and edema. Adults report mood dips here—irritability from inflamed pathways mimicking depression.

Keep in mind the disruption of the gut-brain axis. The vagus nerve and microbes facilitate communication between the brain and gut. TBI shocks this link, slowing gut motility and poking holes in the intestinal wall—”leaky gut” (Faden et al., 2021). Bacteria enter the bloodstream, triggering sepsis or a body-wide inflammatory response. In MVAs, stress hormones like cortisol halt digestion, causing ulcers or symptoms similar to IBS (Heuer Fischer, P.A., n.d.). One study linked TBI-induced gut changes to worse brain swelling, as toxins circulate back via the blood (Cannon et al., 2023). For a construction worker, a post-fall condition means nausea on top of headaches, which can delay their return to the site.

These events interconnect: excitotoxicity generates ROS; inflammation widens the BBB cracks; gut leaks fuel the fire. The BBB, that tight shield of endothelial cells and astrocyte feet, frays from the action of matrix metalloproteinases (MMPs) and VEGF surges, allowing toxins to enter (Laskowitz & Grant, 2016a). Edema follows, compressing vessels and depriving cells of oxygen. In adults, this cascade hits harder—aging brains have less reserve, per one review (Salehi et al., 2017). However, is it possible to detect it at an early stage? Antioxidants, such as those in a new polymer, reduce ROS by 50% in mice, suggesting potential benefits in humans (Priester, 2025).

This toxicity isn’t abstract. For Sarah, the coach, it meant experiencing gut cramps and sidelining drills. Mark’s family adjusted meals to ease inflammation. Knowing the cascade empowers choice—enabling rest, consuming anti-inflammatory foods, and receiving targeted care. It’s the body’s cry for balance, and integrative pros listen.

Long-Term Risks: From Acute Toxicity to Lasting Brain Changes

If unchecked, TBI’s toxic wave doesn’t fade—it reshapes the brain. Weeks after the hit, waste like tau proteins piles up because the glymphatic system, the brain’s drain, clogs (Plog & Nedergaard, 2018). This mirrors the aging process or Alzheimer’s, where toxins spread, forming plaques. In adults, repeated sports hits can cause chronic traumatic encephalopathy (CTE)—mood swings, aggression, and dementia decades later (Priester, 2025).

Oxidative scars mutate genes; inflammation scars tissue with glial walls, blocking repair (Denniss & Barker, 2023). Gut leaks let endotoxins fuel chronic fatigue. One study tied early BBB breaks to poor outcomes years on (Laskowitz & Grant, 2016a). For work-hardened adults, this means early retirement and family strain. But mitigation works—lifestyle tweaks cut risks by 30% (Schimmel et al., 2017). It’s a wake-up: Act now, or pay later.

An Integrative Path to Recovery: The Role of Chiropractic Nurse Practitioners

Integrative care challenges the conventional understanding of TBI toxicity. It’s not just pills or scalpels—it’s a team that weaves chiropractic, nursing, nutrition, and therapy into one comprehensive plan. At the heart? Chiropractic nurse practitioners (CNPs). Trained in both fields, they identify spine-brain connections, adjust misalignments, and promote holistic healing. For adults post-MVA or concussion, this means less toxicity and more resilience.

Why chiropractic? The spine houses the nervous system; it conveys, constricts, and conveys signals. Adjustments realign the vertebrae, easing nerve pressure and resetting the “fight-or-flight” mode to a calm state (Sea Change Wellness Chiropractic, n.d.). One clinic notes it boosts cerebrospinal fluid (CSF) flow, the brain’s bath that clears toxins (Apex Chiropractic, n.d.). In workplace falls, this reduces headaches by 60%, according to patient reports (Northwest Florida Physicians Group, LLC, n.d.). CNPs add nursing layers by monitoring vitals, adjusting medications, and teaching self-care.

Dr. Alexander Jimenez, DC, APRN, FNP-BC, embodies this. At his El Paso clinic, he treats auto accident victims with spinal decompression and functional nutrition, targeting root causes like inflammation (Jimenez, n.d.a). “We restore normal functions after injuries without drugs,” he says, blending adjustments with omega-3s to douse ROS (Jimenez, n.d.b). His cases? A truck driver post-crash regained focus via neuropathy protocols; a golfer shook sports fog with vagus nerve stim via adjustments. Over 30 years, he’s seen integrative plans slash recovery time, empowering adults to ditch painkillers.

This approach hits all cascades. For excitotoxicity, gentle cranial work calms glutamate storms (Dr. Kal, n.d.). Oxidative stress? CNPs promote the uptake of antioxidants—such as berries and vitamin E—to neutralize ROS, a finding supported by mouse studies (Wu et al., 2022). Neuroinflammation can be alleviated with posture adjustments, thereby reducing cytokine triggers (Serenity Healthcare Partners, n.d.). Gut-brain? Probiotics and vagus-focused breathing mend leaks (Faden et al., 2021). BBB heals via better circulation from alignments.

Integrated therapies shine. Physical therapy helps rebuild balance, while CBT tames anxiety (Peixoto et al., 2025). Nutrition—anti-inflammatory diets—fuels repair (Serenity Healthcare Partners, n.d.). Emerging technologies, such as EMF stimulation in swine models, restore brain waves, hinting at potential human applications (Brazdzionis et al., 2023). CNPs coordinate, personalizing for a 50-year-old welder’s shifts or a mom’s school runs.

For Mark, CNP-led sessions mixed adjustments with family nutrition classes. Sarah added yoga for gut calm. Results? Sarah experienced faster clarity and fewer trips to the emergency room. Dr. Jimenez’s webinars stress this: “Functional medicine reverses imbalances—oxidative stress, gut dysbiosis—for true recovery” (Jimenez, n.d.b). It’s empowering, natural, and effective.

Supporting the Journey: Families and Care Teams in Adult TBI Recovery

Recovery isn’t solo. Families and care teams are the glue, turning plans into action. Spouses track moods, spotting toxicity flares like irritability from inflammation. Kids adapt games for dad’s fatigue; siblings share chores. This buffer cuts depression risks by 40% (Peixoto et al., 2025).

Care teams—CNPs, therapists, and docs—huddle weekly, adjusting for work stress or sports urges. Families attend education sessions to learn about edema signs or gut-friendly meal options. One family’s story: Post-concussion, they mapped “rest zones” at home, easing Mark’s load. Emotional tools, such as support groups, build resilience. As Dr. Jimenez notes, “Holistic care includes mind and spirit—families amplify healing” (Jimenez, n.d.a). It’s a shared victory.

Conclusion: Reclaiming Life After the Storm

TBIs from crashes, games, or jobs unleash a toxic cascade—excitotoxicity flooding cells, ROS scorching tissues, inflammation raging, and gut links breaking. For adults, it’s a body-wide battle, but integrative care, spearheaded by CNPs, counters it. Adjustments reset nerves, nutrition quells fires, and teams sustain hope. With families involved, recovery isn’t just possible—it’s transformative. As research evolves, from antioxidants to EMF, the path brightens. Adults like Mark and Sarah prove: Healing starts within but thrives together. Seek care early; your future self will thank you.

References

Apex Chiropractic. (n.d.). How chiropractic care can treat a traumatic brain injury. https://apexchiroco.com/updates/how-chiropractic-care-can-treat-a-traumatic-brain-injury/

Brazdzionis, J., Radwan, M. M., Thankam, F., Lal, M. R., Baron, D., Connett, D. A., Agrawal, D. K., & Miulli, D. E. (2023). A swine model of traumatic brain injury: Effects of neuronally generated electromagnetic fields and electromagnetic field stimulation on traumatic brain injury-related changes. Cureus, 15(11), e48992. https://doi.org/10.7759/cureus.48992

Cannon, A. R., Anderson, L. J., Galicia, K., Murray, M. G., Kamran, A. S., Li, X., Gonzalez, R. P., & Choudhry, M. A. (2023). Traumatic brain injury induced inflammation and GI motility dysfunction. Brain Sciences, 13(3), 414. https://doi.org/10.3390/brainsci13030414

Denniss, R. J., & Barker, L. A. (2023). Brain trauma and the secondary cascade in humans: Review of the potential role of vitamins in reparative processes and functional outcome. Neuropsychiatric Disease and Treatment, 19, 1693–1707. https://doi.org/10.2147/NDT.S415943

Dr. Kal. (n.d.). Chiropractic relief for accident head injuries. https://drkal.com/chiropractic-relief-for-accident-head-injuries/

Faden, A. I., Barrett, J. P., Stoica, B. A., & Henry, R. J. (2021). Bi-directional brain-systemic interactions and outcomes after TBI. Trends in Neurosciences, 44(5), 406–418. https://doi.org/10.1016/j.tins.2020.12.004

Fesharaki-Zadeh, A. (2022). Oxidative stress in traumatic brain injury. International Journal of Molecular Sciences, 23(21), 13000. https://doi.org/10.3390/ijms232113000

Heuer Fischer, P.A. (n.d.). TBI and gut health. https://www.heuerfischer.com/firm-overview/blog/tbi-and-gut-health/

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

Jimenez, A. (n.d.b.). Dr. Alexander Jimenez, DC, APRN, FNP-BC, IFMCP, CFMP, ATN ♛ – Injury Medical Clinic PA. https://www.linkedin.com/in/dralexjimenez/

Laskowitz, D., & Grant, G. (Eds.). (2016a). Blood–brain barrier pathophysiology following traumatic brain injury. In Translational research in traumatic brain injury. CRC Press/Taylor & Francis Group. https://www.ncbi.nlm.nih.gov/books/NBK326726/

Laskowitz, D., & Grant, G. (Eds.). (2016b). Neuroplasticity after traumatic brain injury. In Translational research in traumatic brain injury. CRC Press/Taylor & Francis Group. https://www.ncbi.nlm.nih.gov/books/NBK326735/

McKee, C. A., & Lukens, J. R. (2016). Emerging roles for the immune system in traumatic brain injury. Frontiers in Immunology, 7, 556. https://doi.org/10.3389/fimmu.2016.00556

Northwest Florida Physicians Group, LLC. (n.d.). Using chiropractic care to treat traumatic brain injuries. https://northwestfloridaphysiciansgroup.com/using-chiropractic-care-to-treat-traumatic-brain-injuries/

Peixoto, B., Cruz, M., & Ustares, V. (2025). Traumatic brain injury and neuropsychiatric consequences. Current Psychiatry Reports, 27(1), 1–12. https://doi.org/10.1007/s11920-024-01523-4

Plog, B. A., & Nedergaard, M. (2018). The glymphatic system in CNS health and disease. Neuron, 98(6), 1095–1118. (From rehabpub.com summary)

Priester, A. (2025, February 13). Traumatic brain injuries have toxic effects that last weeks after initial impact − an antioxidant material reduces this damage in mice. The Conversation. https://theconversation.com/traumatic-brain-injuries-have-toxic-effects-that-last-weeks-after-initial-impact-an-antioxidant-material-reduces-this-damage-in-mice-247655

Rauchman, S. H., Zubair, A., Jacob, B., Rauchman, D., Pinkhasov, A., & Placantonakis, D. G. (2023). Traumatic brain injury: Mechanisms, manifestations, and visual sequelae. Frontiers in Neuroscience, 17, 1090672. https://doi.org/10.3389/fnins.2023.1090672

Salehi, A., Zhang, J. H., & Obenaus, A. (2017). Response of the cerebral vasculature following traumatic brain injury. Journal of Cerebral Blood Flow & Metabolism, 37(10), 2320–2339. https://doi.org/10.1177/0271678X17701660

Schimmel, S. J., Acosta, S., & Lozano, D. (2017). Neuroinflammation in traumatic brain injury: A chronic response to an acute injury. Journal of Neurotrauma, 34(13), 2139–2147. https://doi.org/10.1089/neu.2016.4648

Sea Change Wellness Chiropractic. (n.d.). How chiropractic helps reset the nervous system after car crash trauma. https://seachangechiropractic.com/how-chiropractic-helps-reset-the-nervous-system-after-car-crash-trauma/

Serenity Healthcare Partners. (n.d.). How integrated therapies enhance recovery from traumatic brain injuries. https://www.serenityhealthcarepartners.com/how-integrated-therapies-enhance-recovery-from-traumatic-brain-injuries/

Waters, C. (n.d.). Excitotoxicity: A secondary injury in traumatic brain damage. https://www.charliewaterslaw.com/brain-injury/excitotoxicity-a-secondary-injury-in-traumatic-brain-damage/

Wu, A.-G., Yong, Y.-Y., Pan, Y.-R., Zhang, L., Wu, J.-M., Zhang, Y., Tang, Y., Wei, J., Yu, L., Law, B. Y.-K., Yu, C.-L., Liu, J., Lan, C., Xu, R.-X., Zhou, X.-G., & Qin, D.-L. (2022). Targeting Nrf2-mediated oxidative stress response in traumatic brain injury: Therapeutic perspectives of phytochemicals. International Journal of Molecular Sciences, 23(7), 3771. https://doi.org/10.3390/ijms23073771

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, El Paso TX, Physio, Sporting, Therapy, Traumatic Brain Injuries (TBI), Work Injury , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

ChiroMed: Traumatic Brain Injury & Posture

ChiroMed: Traumatic Brain Injury & Posture

Traumatic Brain Injury & Posture: From Subtle Balance Changes to Abnormal Posturing — and How Integrative Chiropractic Care Can Help

Traumatic brain injuries (TBIs) can quietly change how you balance and stand, even months after a mild concussion. In the most serious cases, TBIs can trigger rigid reflex body positions called decorticate or decerebrate posturing, which are medical emergencies. These posture changes often stem from problems in how the brain uses sensory, visual, and vestibular (inner ear) signals. Neck and upper-back (cervical and upper thoracic) strain can exacerbate the problem by disrupting head-neck alignment and irritating nerves, which may worsen headaches and dizziness. An integrative plan that includes medical oversight, chiropractic adjustments, and sensory–motor therapies may help restore better alignment, reduce symptom drivers, and support safer balance over time (as part of a team approach). Mount Sinai Health System+3braininjurycanada.ca+3Brain Injury Association of America+3

Why TBIs Affect Posture

The brain’s balance triangle: vision, vestibular system, and body sense

Good balance depends on three main inputs working together: eyes (vision), the inner ear (vestibular system), and proprioception (your body’s internal sense of position). After a TBI, even a mild one, the brain may process these signals less efficiently. That can leave you feeling unsteady, dizzy, or “off,” especially during walking, turning the head, or in busy visual settings (like grocery aisles). Large groups of people with brain injuries report issues with balance, showing how common this problem can be. (Brain Injury Canada explains that balance integrates strength, vision, and inner-ear function and that balance problems are frequently reported after brain injury.) braininjurycanada.ca

Mild TBI: subtle but persistent postural-control changes

Research reviews show that after a concussion, people can have lingering deficits in postural control that routine tests sometimes miss. Nonlinear balance metrics and instrumented measures can detect differences even when symptoms appear to be improved. In other words, you might feel “almost fine,” but objective measures still pick up changes in sway, gait, or dynamic stability. PMC+1

Moderate to severe TBI: larger balance impairments

In moderate-to-severe TBI, studies document more obvious balance asymmetries and mobility limitations, which often require targeted, progressive rehab to improve safety and independence. OUP Academic

When Posture Becomes an Emergency: Abnormal Posturing

In rare but severe brain injuries, the body can assume reflex, rigid positions that signal deep brain dysfunction and require immediate medical care.

  • Decorticate posturing: arms flexed toward the chest with clenched fists; legs extended and rigid. It’s a sign of serious brain damage affecting pathways in the cerebral cortex, thalamus, or upper midbrain. Call emergency services at once if you see this. (Cleveland Clinic; Mount Sinai.) Cleveland Clinic+1
  • Decerebrate posturing: arms and legs extended, toes pointed down, head/neck arched backward, with rigid muscles—often linked to lower midbrain or pontine involvement. This also demands urgent care. (Cleveland Clinic; Mount Sinai.) Cleveland Clinic+1

Abnormal posturing is typically evaluated in conjunction with other signs using tools such as the Glasgow Coma Scale (GCS) during emergency assessments. NCBI

The Neck–Brain Link: How Cervical and Upper Thoracic Issues Can Worsen Symptoms

TBIs often occur with whiplash or neck strain, which can disturb joint motion, muscle tone, and head-on-neck position. In some patients, this can contribute to cervicogenic dizziness, headaches, and neck-related balance problems—especially when turning the head or maintaining upright posture. Clinical discussions from Dr. Jimenez’s team describe how cervical dysfunction and upper thoracic stiffness may aggravate dizziness and balance challenges after head/neck trauma. El Paso, TX Doctor Of Chiropractic+2El Paso, TX Doctor Of Chiropractic+2

  • Dr. Jimenez, DC, APRN, FNP-BC, emphasizes that a careful examination of posture, cervical range of motion, and joint motion can reveal overlooked factors contributing to headaches and dizziness, and that progress often includes cervical stabilization and vestibular drills, alongside other care. El Paso, TX Doctor Of Chiropractic+1

What Symptoms Might You Notice?

  • Feeling wobbly, light-headed, or “tilted,” especially in visually busy places
  • Headaches (often starting at the neck or base of the skull), neck pain, and eye strain
  • Dizziness when turning the head, rolling in bed, or after long screen time
  • Fatigue, brain fog, or irritability that worsens as the day goes on
  • Slower walking, shorter steps, or veering off line

These align with common post-concussion complaints (headache, dizziness, fatigue) and with mobility/balance challenges described in the brain-injury literature. PMC+1

Symptom Questionnaire:

How Integrative Chiropractic Care Can Fit Into a TBI Recovery Plan

Important: Chiropractic care does not treat the brain injury itself and should not replace medical diagnosis or urgent care. It may, however, support symptom management and functional recovery when coordinated with your medical team (neurology, primary care, vestibular/physical therapy). Bergeron Clifford LLP

1) Restoring better spinal mechanics and alignment (especially upper neck)

Gentle, carefully selected spinal adjustments can reduce joint restrictions and muscle guarding in the cervical and upper thoracic regions. For some patients, improving head–neck alignment can reduce neck-related headaches and dizziness, which can indirectly improve balance and posture. Dr. Jimenez’s clinical materials and other chiropractic sources describe these goals and report symptom relief in select cases where the neck is a contributing factor. El Paso, TX Doctor Of Chiropractic+2El Paso, TX Doctor Of Chiropractic+2

2) Supporting neurophysiology and fluid dynamics (theoretical/adjunctive)

Some clinics note that adjustments may improve blood and cerebrospinal fluid (CSF) circulation, potentially aiding brain recovery by optimizing the environment around neural tissue. The evidence here is preliminary and should be framed as “may help” within a broader rehabilitation plan; still, it’s a common adjunctive rationale in clinical practice. Impact Medical Group+1

3) Sensory–motor rehabilitation to rebuild coordination

Integrative chiropractic and functional-neurology clinics often pair adjustments with targeted sensory and movement therapies: gaze stabilization, saccade/pursuit drills, balance progressions (wide base → narrow base → head turns), dual-task walking, and cervical proprioception exercises. These aim to retrain the brain (neuroplasticity) and calibrate vision–vestibular–proprioceptive inputs. HML Functional Care

4) Team-based care improves outcomes and safety

Medical guidance identifies red flags, rules out dangerous causes, and directs imaging or vestibular testing when needed. Rehabilitation professionals measure postural control, gait, and mobility using validated tools to demonstrate progress over time. Observational and review data indicate that balance changes occur after concussion, supporting the need for a structured assessment to guide rehabilitation. PMC+1

A Step-By-Step Care Pathway (What This Can Look Like)

  1. Medical evaluation first (especially if symptoms are new, severe, or worsening). Providers check for red flags and determine whether urgent care or imaging is necessary. Abnormal posturing = emergency. Mount Sinai Health System+1
  2. Baseline function check: vision, vestibular function, neck exam, simple balance tests. archives-pmr.org
  3. Cervical and upper thoracic care: gentle mobilization/adjustments (as appropriate), soft-tissue work, and home exercises to restore motion and reduce headache/neck-related dizziness. El Paso, TX Doctor Of Chiropractic
  4. Sensory–motor retraining: vestibular and oculomotor drills, graded balance tasks, gait training; progress in small, safe steps. HML Functional Care
  5. Lifestyle and pacing: sleep, graded activity, hydration, and symptom-paced screens/exercise—often supported by nurse-practitioner-led coaching in integrative settings. (Dr. Jimenez’s practice materials emphasize whole-person plans and steady progression.) El Paso, TX Doctor Of Chiropractic

How TBIs Can Lead to Spinal Misalignments and Symptom Flares

  • Impact mechanics (falls, crashes, sports) can strain facet joints, discs, and deep neck muscles.
  • The body may then adopt protective postures (chin jutting, shoulder guarding), which can irritate cervical nerves and muscle trigger points.
  • These patterns may worsen headaches and dizziness by disturbing cervical proprioception and upper-neck mobility—especially around C0–C2, a frequent source of cervicogenic symptoms after whiplash/TBI. Clinical articles on cervicogenic dizziness echo these links and suggest appropriate manual care and stabilization when indicated (after medical clearance). El Paso, TX Doctor Of Chiropractic+1

When Symptoms Become “Rigid Posturing”

Remember: decorticate or decerebrate posturing means severe brain dysfunction. The person is typically unconscious and in a coma; both patterns require 911/emergency care now. (Do not attempt chiropractic or rehab; call for medical help immediately.) Cleveland Clinic+1

Tests and Tools for TBI & Postural Problems (From Simplest to Most Advanced)

Note: Your exact pathway depends on symptoms and safety. Start with medical evaluation and add tests as needed.

Bedside & Screening (simplest)

  • History and neuro exam (headache, dizziness, nausea, vision changes, sleep, mood, neck pain; cranial nerves; coordination).
  • Glasgow Coma Scale (GCS) in acute settings to rate eye, verbal, and motor responses. NCBI
  • Symptom scales (e.g., post-concussion symptom checklists). Mayo Clinic
  • Basic balance screens (Romberg, tandem stance, timed up-and-go), and observation of gait and turns.
  • Cervical exam: range of motion, segmental motion, palpation, and joint position error tests for proprioception when appropriate. (Dr. Jimenez highlights posture and cervical mechanics in clinical content.) El Paso, TX Doctor Of Chiropractic

Clinic-level functional tests

  • BESS (Balance Error Scoring System) and instrumented postural sway for more sensitive detection of balance deficits after concussion. PMC
  • Community Balance & Mobility Scale (CB&M) for higher-level balance and mobility challenges (validated in brain injury populations). PMC
  • Vestibular/Oculomotor screening (e.g., smooth pursuit, saccades, vestibulo-ocular reflex/gaze stabilization, visual motion sensitivity).
  • Cervical/vestibular differentiation tests (to help sort inner-ear vs. neck-driven dizziness).

Specialized vestibular & ocular testing

  • Videonystagmography (VNG), calorics, rotary chair, and dynamic visual acuity tests to quantify vestibular deficits.
  • Eye-tracking or computerized oculomotor measures for pursuit/saccades.
  • Computerized posturography/force-plate is utilized for objective sway and strategy analysis, while center-of-mass measures aid in characterizing dynamic postural control following a concussion. IJSPT

Neurocognitive assessment

  • Standardized tests of attention, processing speed, memory, and executive function are used in concussion management (clinic-dependent).

Imaging & electrophysiology (advanced)

  • CT (acute bleed/fracture) and MRI (structural injury).
  • Diffusion Tensor Imaging (DTI) (white-matter pathways) and functional MRI in research/selected clinical contexts.
  • EEG if seizures or atypical episodes are suspected. (Mount Sinai lists EEG among tests for abnormal posturing workups; emergency pathways decide timing.) Mount Sinai Health System+1
  • PET/SPECT in select specialty centers; blood biomarkers (e.g., GFAP, UCH-L1) may be used in emergency algorithms.

Evidence Snapshots: What Research and Clinical Sources Say

  • Postural control can remain impaired after concussion; sophisticated metrics can reveal deficits not obvious on quick screens. PMC
  • Dynamic postural control, as measured by center-of-mass, is a useful outcome within one year post-concussion. IJSPT
  • Balance limitations after TBI are common and affect independence; better sitting balance early in rehab predicts better self-care after discharge. Brain Injury Association of America
  • Cervicogenic dizziness and neck-related headache can follow whiplash/head trauma; carefully managed manual therapy and cervical stabilization may reduce symptom drivers. (Clinical sources, including Dr. Jimenez’s site.) El Paso, TX Doctor Of Chiropractic+1
  • Chiropractic care should be adjunctive—not a replacement for medical treatment—and may help selected patients as part of a team plan, especially when cervical dysfunction contributes to symptoms. Bergeron Clifford LLP
  • Some clinics suggest that adjustments may help with blood and cerebrospinal fluid flow; however, this idea remains a theory and should be clearly explained to patients and used as part of a medically supervised plan. Impact Medical Group+1

A Practical, Integrated Plan (Example)

Built around safety, simplicity, and steady progress—and coordinated with your medical team.

  1. Protect & screen: See a clinician first. Urgent signs (worsening severe headache, repeated vomiting, loss of consciousness, new weakness/vision loss, abnormal posturing) need emergency care. Mount Sinai Health System+1
  2. Calm the neck: Gentle manual therapy and mobility work for the cervical/upper thoracic regions to reduce joint restriction and muscle guarding. Add home drills (chin nods, scapular setting, breathing) and progress slowly. El Paso, TX Doctor Of Chiropractic
  3. Recalibrate balance systems: Start with a wide-base stance, eyes open → eyes closed; then narrow base; then add head turns and dual-task steps. Integrate gaze stabilization (VOR) and visual motion tolerance exercises as symptoms allow. HML Functional Care
  4. Train real-life tasks: Gentle walking on level ground → turns → uneven terrain; keep sessions short and frequent. Measure progress with CB&M or instrumented sway when available. PMC
  5. Whole-person support: Sleep regularity, hydration, anti-inflammatory nutrition, and pacing (breaks between screens/reading). Clinics like Dr. Jimenez’s emphasize collaborative care—chiropractic care, nurse practitioner oversight, and vestibular/physical therapy—ensuring each domain is covered. El Paso, TX Doctor Of Chiropractic

When to Call Right Away (Red Flags)

  • Abnormal posturing (decorticate/decerebrate), severe confusion, or unresponsiveness
  • Worsening severe headache, repeated vomiting, seizures, new weakness/numbness, or vision loss
  • Neck pain with fever, sudden stiff neck, or neurological deficits

These signs need emergency evaluation—not clinic-based care. Mount Sinai Health System+1

How Dr. Alexander Jimenez’s Team Applies This Locally (El Paso)

Dr. Jimenez, DC, APRN, FNP-BC, highlights a dual-scope approach: identifying cervical drivers of headache/dizziness, rebuilding posture with gentle adjustments and stabilization, and combining this with vestibular drills, balance progressions, and lifestyle support. His clinical articles emphasize the importance of careful posture and cervical motion exams, stepwise progress, and collaborative plans with medical and rehabilitation partners. El Paso, TX Doctor Of Chiropractic+1

The Bottom Line

  • Mild TBI can leave behind subtle balance problems; severe TBI can cause abnormal posturing—an emergency. PMC+2Cleveland Clinic+2
  • These changes stem from how the brain integrates vision, vestibular input, and body sense, and they can be worsened by neck/upper-back dysfunction. braininjurycanada.ca+1
  • Integrative care—encompassing medical oversight, targeted chiropractic adjustments for cervical mechanics, and sensory–motor rehabilitation—offers a practical path to safer posture and stability. HML Functional Care+1

References

Brain Injury Association of America. (n.d.). [Factors associated with sitting and standing balance]. https://biausa.org/ Brain Injury Association of America

Brain Injury Association of America. (n.d.). [Sitting balance in rehabilitation is a good predictor of the amount of assistance that will be required]. https://biausa.org/ Brain Injury Association of America

Brain Injury Canada. (n.d.). [Balance]. https://braininjurycanada.ca/ braininjurycanada.ca

Brain Injury Canada. (n.d.). [Mobility]. https://braininjurycanada.ca/ braininjurycanada.ca

Cleveland Clinic. (2023, May 9). [Decerebrate posturing: What it is, causes, & treatment]. https://my.clevelandclinic.org/ Cleveland Clinic

Cleveland Clinic. (2023, May 9). [Decorticate posturing: What it is, causes, & treatment]. https://my.clevelandclinic.org/ Cleveland Clinic

Inness, E. L., et al. (2011). [Measuring balance and mobility after traumatic brain injury: Validation of the Community Balance and Mobility Scale (CB&M)]. Journal of Neurosurgery, 114(6). https://pmc.ncbi.nlm.nih.gov/ PMC

Mount Sinai Health Library. (2025, Apr 16). [Decerebrate posture]. https://www.mountsinai.org/ Mount Sinai Health System

Mount Sinai Health Library. (2025, Apr 16). [Decorticate posture]. https://www.mountsinai.org/ Mount Sinai Health System

Patejak, S., et al. (2021). [A systematic review of center of mass as a measure of dynamic postural control following concussion]. International Journal of Sports Physical Therapy. https://ijspt.scholasticahq.com/ IJSPT

Permenter, C. M., et al. (2023). [Postconcussive syndrome]. StatPearls. https://www.ncbi.nlm.nih.gov/books/ NCBI

Sosnoff, J. J., et al. (2011). [Previous mild traumatic brain injury and postural-control dynamics]. Journal of Athletic Training. https://pmc.ncbi.nlm.nih.gov/ PMC

Buckley, T. A., et al. (2016). [Postural control deficits identify lingering post-concussion neurological deficits]. Journal of Athletic Training. https://pmc.ncbi.nlm.nih.gov/ PMC

Jain, S., et al. (2023). [Glasgow Coma Scale]. StatPearls. https://www.ncbi.nlm.nih.gov/books/ NCBI

Flint Rehab. (2021). [Posturing after brain injury: Types and recovery outlook]. https://www.flintrehab.com/ Flint Rehab

HML Functional Care. (2025, Jul 22). [How chiropractic neurology supports brain healing]. https://hmlfunctionalcare.com/ HML Functional Care

Impact Medical Group. (2024, Jun 26). [Can chiropractic care help with mild traumatic brain injuries?] https://www.impactmedicalgroup.com/ Impact Medical Group

Northwest Florida Physicians Group. (2025). [Using chiropractic care to treat traumatic brain injuries]. https://northwestfloridaphysiciansgroup.com/ Northwest Florida Physicians Group

Pinnacle Health Chiropractic. (2025). [Six ways chiropractic care supports healing after TBI]. https://www.pinnaclehealthchiro.com/ pinnaclehealthchiro.com

ThinkVida. (2025). [Treating concussions with chiropractic care]. https://thinkvida.com/ Vida Integrated Health

Jimenez, A. (n.d.). [Finding hidden TBI symptoms: Signs you might miss]. dralexjimenez.com. https://dralexjimenez.com/ El Paso, TX Doctor Of Chiropractic

Jimenez, A. (n.d.). [Neck pain and feeling dizzy: Cervicogenic/cervical vertigo]. dralexjimenez.com. https://dralexjimenez.com/ El Paso, TX Doctor Of Chiropractic

Jimenez, A. (n.d.). [Cervicogenic dizziness from whiplash]. dralexjimenez.com. https://dralexjimenez.com/ El Paso, TX Doctor Of Chiropractic

Jimenez, A. (2025). [Traumatic brain injury: Understanding the long-term effects]. dralexjimenez.com. https://dralexjimenez.com/ El Paso, TX Doctor Of Chiropractic

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, El Paso TX, Physio, Sporting, Therapy, Traumatic Brain Injuries (TBI), Work Injury , , , , , , , , , , , , , , ,

Hidden Traumatic Brain Injury Symptoms: Signs Missed

Hidden Traumatic Brain Injury Symptoms: Signs Missed

Hidden Traumatic Brain Injury (TBI) Symptoms: How an Integrative Chiropractic + Nurse Practitioner Team Finds What Others Miss

Overview

Many traumatic brain injuries (TBIs)—especially mild TBIs or concussions—go unnoticed at first. Symptoms can be subtle, delayed, or brushed off as stress, fatigue, or “just getting older.” A careful clinician can catch what others miss by taking a thorough patient history and asking targeted questions that explore cognitive, emotional, sensory, sleep, and balance changes. (Mayo Clinic, n.d.; BrainLine, 2017). Mayo Clinic+1

This article explains:

  • A chiropractor or nurse practitioner may uncover hidden symptoms through a thorough history and structured questioning.
  • Why TBIs get missed, and how to avoid that.
  • A step-by-step diagnostic ladder, from basic screens to advanced tools, matched to symptom complexity.
  • An integrative care plan, combining chiropractic care for the spine, neck, and vestibular system with nurse practitioner (NP) medical oversight for whole-person recovery.

We also provide clinical insights that align with the combined approach of Dr. Alexander Jimenez, DC, APRN, FNP-BC, who focuses on thorough patient history, functional exams, and gradual plans for returning to work and activities (DrAlexJimenez.com; LinkedIn). El Paso, TX Doctor Of Chiropractic+1

Why TBIs Are Easy to Miss

  1. Symptoms can be delayed or vague. People may notice headaches, brain fog, irritability, or sleep changes days or weeks after the event. Sensory issues such as changes in smell or taste and sensitivity to light or noise also occur, and patients often don’t connect them to a past bump, crash, or whiplash. (BrainLine, 2017; Mayo Clinic, n.d.). BrainLine+1
  2. Imaging can be normal. Standard CT or MRI may look fine in mild TBI, yet symptoms persist. That’s why history and examination are crucial—and why advanced tools are sometimes needed later. (Mayo Clinic, n.d.). Mayo Clinic
  3. Invisible wounds. Military and civilian clinicians stress that TBIs often present as “invisible injuries.” Without active screening, they are easy to overlook. (Hanscom AFB/AFMS; Health.mil). Hanscom Air Force Base+1

Hidden Symptoms To Ask About (And Why)

A skilled chiropractor or NP will conduct a thorough examination. Along with open-ended conversation, they use symptom checklists and guided probes that reveal patterns across body systems.

Cognitive and emotional

  • Trouble focusing, slowed thinking, memory lapses, “losing the thread” mid-task
  • Irritability, mood swings, anxiety, or depression
  • Feeling “not like myself,” “foggy,” or overwhelmed in busy environments
    (BrainLine, 2017). BrainLine

Sensory

  • Loss or change in smell or taste
  • Light/noise sensitivity; blurred vision; “seeing stars”
  • Ringing in the ears (tinnitus)
    (BrainLine, 2017). BrainLine

Physical

  • Headaches (especially new, worsening, or “pressure-type”)
  • Dizziness, vertigo, balance problems, coordination changes
  • Fatigue; neck pain that worsens with screens or reading
    (Mayo Clinic, n.d.; BrainLine, 2017). Mayo Clinic+1

Sleep and autonomic

  • Difficulty falling or staying asleep; unusual daytime drowsiness
  • Symptoms include orthostatic intolerance, which causes lightheadedness upon standing, as well as palpitations and heat or cold intolerance.
    (Mayo Clinic, n.d.). Mayo Clinic

Key point: These symptoms are common after mild TBI—even with a normal CT—and they often overlap. A structured, curious interview is the quickest path to the right diagnosis. (Mayo Clinic, n.d.; Hanscom AFB). Mayo Clinic+1

The Power of a Thorough History: What to Ask

Example of Symptom Questionnaire:

Below is a practical set of targeted questions clinicians use to uncover hidden TBI patterns. Patients and families can use this as a self-checklist to bring to appointments.

Mechanism and timeline

  • What happened? (fall, car crash, sports, blast, whiplash, strike to head/neck?)
  • Did you black out, feel dazed, or lose memory of events?
  • When did symptoms begin—immediately, hours later, or days later? (Mayo Clinic, n.d.). Mayo Clinic

Headache and neck

  • New or changing headaches? What triggers them (screens, reading, exercise, lack of sleep)?
  • Neck pain or stiffness, pain during head movements, and neck fatigue throughout the day are all associated with cervicogenic headaches and vestibular problems. (Mayo Clinic, n.d.; BrainLine, 2017). Mayo Clinic+1

Cognition and mood

  • Are you experiencing difficulty concentrating, slowed processing, or short-term memory slips?
  • Are you experiencing irritability, mood swings, anxiety, depression, or emotional “numbness”? (BrainLine, 2017; Health.mil). BrainLine+1

Sensory

  • Has there been a change in your sense of smell or taste?
  • Have you noticed any new sensitivity to light or noise, experienced blurred or double vision, or experienced eye strain when reading? (BrainLine, 2017). BrainLine

Balance and dizziness

  • Dizziness, vertigo, poor balance, and motion sensitivity (in a car or in a store) are common symptoms. Falls? (BrainLine, 2017). BrainLine

Sleep

  • Trouble falling asleep, frequent waking, and feeling unrefreshed? (BrainLine, 2017; Mayo Clinic, n.d.). BrainLine+1

Function and safety

  • Are you comfortable driving at night or at high speeds on the highway?
  • Screen tolerance (work, school, phone)?
  • Return to work/sport issues?

Red flags (urgent referral)

  • Symptoms that require urgent referral include worsening headache, repeated vomiting, weakness or numbness, slurred speech, seizures, extreme drowsiness, new confusion, and unequal pupils. (Mayo Clinic, n.d.). Mayo Clinic

Where Chiropractic Care Fits (with NP Supervision)

Chiropractors often see patients after car crashes, sports injuries, and falls. They evaluate the cervical spine, posture, proprioception, and vestibular-ocular systems—all of which can drive headaches, dizziness, and cognitive fatigue after TBI. A growing body of interprofessional work suggests that chiropractors can play a role in screening, referral, and rehabilitative care for concussion-related neck and balance disorders, especially when working as part of a team. (NW Health/Chiropractic Economics piece; peer commentary on chiropractors’ role in SRC). Northwestern Health Sciences University+1

Nurse practitioners provide medical oversight, screen for red flags, coordinate imaging and lab tests, and manage sleep, mood, metabolic, and medication issues that often complicate recovery. Nursing literature emphasizes neuromonitoring, family education, and prevention of secondary injury, even outside the ICU. (Figueiredo et al., 2024). MDPI

A collaborative care model improves symptom tracking and coordination—especially for chronic pain and persistent symptoms after TBI. (Curran et al., 2024; Ilkhani et al., 2024). PMC+1

Clinical note (consistent with Dr. Jimenez’s approach): Combine careful history and targeted exams with staged spinal care, vestibular/oculomotor rehab, aerobic re-conditioning, and nutrition/sleep coaching—while the NP manages medical needs and coordinates imaging or biomarkers when indicated. (DrAlexJimenez.com). El Paso, TX Doctor Of Chiropractic

Diagnostic Tools for TBI: From Basic to Advanced

Think of assessment as a ladder. Start simple; climb only as needed, based on red flags, symptom persistence, and functional limits.

1) Basic bedside screening (every visit)

  • Symptom scales
    • PCSS (Post-Concussion Symptom Scale) – quick 22-item rating; easy to trend over time. (Intermountain Health PDF; Langevin et al., 2022). Intermountain Healthcare+1
    • RPQ (Rivermead Post-Concussion Symptoms Questionnaire) – useful if scored as RPQ-3 and RPQ-13 subscales. (Eyres et al., 2005; Zeldovich et al., 2023). PubMed+1
  • Sport Concussion Assessment Tool (SCAT5) – standardized sideline/clinic tool (13+ years); includes PCSS, balance, and cognitive screens. (BJSM SCAT5; BMX SCAT5). British Journal of Sports Medicine+1
  • Cognitive screen
    • MoCA (Montreal Cognitive Assessment) – sensitive for subtle deficits; faster and more sensitive than MMSE in TBI populations. (Waldron-Perrine et al., 2019). PMC
  • Vestibular-ocular screen
    • VOMS – brief test provoking symptoms with pursuits/saccades, near-point convergence, and vestibulo-ocular reflex. Highly practical after a concussion. (Mucha et al., 2014). PMC
  • Balance
    • BESS (Balance Error Scoring System) – simple stance tests scored by errors. (NCAA/Atrium manuals; APTA summary). fs.ncaa.org+2Atrium Health+2
  • Cranial nerve + smell/taste queries
    • Ask directly about smell/taste changes, and test if possible. These sensory shifts are common but under-reported. (BrainLine, 2017). BrainLine

Why this matters: Many mild TBIs won’t show on CT/MRI. These low-cost tools at the point of care catch patterns and guide next steps. (Mayo Clinic, n.d.). Mayo Clinic

2) Intermediate testing (when symptoms persist or are complex)

  • Comprehensive vestibular assessment
    • Videonystagmography (VNG), oculomotor testing, and computerized dynamic posturography / Sensory Organization Test (SOT) to quantify balance control and track rehab response. (UHC policy summary; RehabMeasures; related trial). UHC Provider+2Shirley Ryan AbilityLab+2
  • Neurocognitive testing
    • If cognitive loads (work, school, and driving) remain limited, consider using formal batteries (clinic-based or computerized). (SCAT5 framework). British Journal of Sports Medicine
  • Mental health screening
    • Depression, anxiety, and PTSD screens to address “invisible” sequelae early—important for prognosis and adherence. (Health.mil). Military Health System

3) Advanced diagnostics (selected cases)

  • Conventional neuroimaging
    • Non-contrast CT for acute red flags (rule out bleed/skull fracture).
    • MRI (with appropriate sequences) if symptoms persist or focal deficits appear. (Mayo Clinic, n.d.). Mayo Clinic
  • Advanced MRI sequences
    • DTI (Diffusion Tensor Imaging): detects white matter microstructural changes not seen on routine MRI; can improve prognostic models in mTBI with normal CT. (Patil et al., 2025; Richter et al., 2024; Paolini et al., 2025). PMC+2The Lancet+2
    • SWI (Susceptibility-Weighted Imaging): sensitive to traumatic microbleeds and diffuse axonal injury; the presence of microbleeds may relate to persistent complaints in some patients. (Hsu et al., 2023; Hageman et al., 2022; Eldeş et al., 2020). PubMed+2PubMed+2
    • fMRI (task-based or resting-state): research and selected clinical programs use it to map functional disruptions after concussion. (Irimia et al., 2015; Jantzen et al., 2004). PMC+1
  • Electrophysiology
    • EEG/qEEG plays an evolving role in detecting or monitoring changes in networks associated with traumatic brain injury (TBI) and should be conducted according to professional guidelines, with interpretations placed in a clinical context. (Haneef et al., 2013; ACNS guideline, 2020; Stevens et al., 2024). PMC+2acns.org+2
  • Blood biomarkers
    • Blood tests for GFAP and UCH-L1 are FDA-approved to help determine whether adults with suspected mild traumatic brain injury need a CT scan, and labs are now offering these tests (JAMA Netw Open, 2024; bioMérieux press release, 2024). JAMA Network+1

Bottom line: Start with history and bedside tools. Escalate to advanced testing when symptoms persist, red flags emerge, or functional demands require precise guidance.

The Integrative Plan: Chiropractic + Nurse Practitioner

Goals

  1. Reduce symptoms (headache, dizziness, neck pain, cognitive fatigue).
  2. Restore systems (cervical, vestibular-ocular, autonomic).
  3. Rebuild capacity (sleep, mood, fitness, cognition).
  4. Return to life (drive, work/school, sports) with safe progressions.

Chiropractic care (examples)

  • Cervical spine evaluation and treatment to reduce neck-driven headaches and improve proprioception—often key for balance and eye-head coordination. (NW Health/Chiropractic Economics; Denver Chiropractic overview). Northwestern Health Sciences University+1
  • Vestibular and oculomotor exercises (gaze stabilization, smooth pursuits, saccades, and convergence work) were built from VOMS findings. (Mucha et al., 2014). PMC
  • Soft-tissue therapy and graded mobility to decrease pain-guarding patterns and improve movement tolerance for daily tasks.

Note: Some clinics describe additional mechanisms (e.g., effects on CSF flow). Evidence for such claims varies, and treatment plans should focus on function, symptoms, and measurable gains. (Pinnacle; Apex; NorthWest Florida Physicians Group). pinnaclehealthchiro.com+2Apex Chiropractic+2

Nurse practitioner oversight

  • Medical screening & safety: identify red flags; determine need for CT/MRI; manage post-traumatic headache, sleep issues, and mood symptoms. (Mayo Clinic; Figueiredo et al., 2024). Mayo Clinic+1
  • Metabolic support: address blood pressure, glucose, thyroid, anemia, hydration, and nutrition that affect brain recovery; coordinate referrals. (Figueiredo et al., 2024). MDPI
  • Education and pacing should guide cognitive and physical pacing, facilitate a graded return to tasks, and provide family support. (Health.mil; Figueiredo et al., 2024). Military Health System+1

Collaborative care pays off. TBI programs using team-based models show better coordination and patient-centered outcomes, especially when pain and mood complicate recovery. (Curran et al., 2024; Ilkhani et al., 2024). PMC+1

How a Thorough Approach Uncovers the Missed Diagnosis

  1. History finds the pattern. A patient with “new headaches and irritability” might also report loss of smell, motion sensitivity in stores, and neck stiffness—indicating strong post-concussive and cervical/vestibular involvement. (BrainLine, 2017). BrainLine
  2. Bedside tests confirm direction. An abnormal VOMS (symptom spikes on saccades or VOR) and BESS errors cement the vestibular-ocular target for therapy. (Mucha et al., 2014; NCAA/Atrium). PMC+1
  3. Escalate only when needed. If symptoms persist despite progress—or if work/sport demands are high—consider advanced MRI (DTI/SWI), qEEG, or biomarkers to refine prognosis and guide next steps. (Patil et al., 2025; Hsu et al., 2023; ACNS, 2020; JAMA, 2024). JAMA Network+3PMC+3PubMed+3

A Practical, Staged Care Roadmap

This is a general template. Your plan should be individualized based on findings and safety.

Weeks 0–2: Calm and orient

  • Education on pacing, hydration, and sleep hygiene; light neck mobility; sub-symptom aerobic activity (e.g., easy walks).
  • Begin cervical care and gentle vestibular/oculomotor drills if tolerated.
  • NP manages headache/sleep, screens mood, and ensures no red flags. (Mayo Clinic; Figueiredo et al., 2024). Mayo Clinic+1

Weeks 2–6: Re-train systems

  • Progress cervical stabilization and posture work; expand gaze stabilization and convergence tasks; add balance progressions.
  • Short bouts of cognitive-physical dual tasking (e.g., reciting while walking) as symptoms allow.
  • Use PCSS or RPQ weekly to track trend lines. (Intermountain PCSS; Eyres et al., 2005). Intermountain Healthcare+1

Weeks 6–12: Build capacity

  • Increase aerobic exercise toward moderate intensity; integrate return-to-drive and return-to-work checklists.
  • If plateaus persist, consider intermediate/advanced assessments (SOT/posturography; DTI/SWI in selected cases). (RehabMeasures SOT; Patil et al., 2025). Shirley Ryan AbilityLab+1

Beyond 12 weeks: Persistent symptoms

  • Titrate therapies; address mood/sleep/autoimmune or endocrine drivers; consider collaborative pain programs. (Curran et al., 2024). PMC

Where Local Chiropractic or Functional Neurology Clinics Fit

Community clinics frequently educate patients about post-concussion care and offer combined chiropractic + vestibular/oculomotor programs under medical supervision. These clinics emphasize neck care, balance/eye-movement drills, and staged activity. (Denver Chiropractic; Calibration Chiropractic + Functional Health; HML Functional Care). Denver Integrated Spine Center+2calibrationmansfield.com+2

Clinical observation (aligned with Dr. Jimenez’s posts): Patients often report that a combined neck + vestibular/ocular approach reduces headache frequency, steadies vision, and improves stamina for work or driving. (DrAlexJimenez.com). El Paso, TX Doctor Of Chiropractic

Safety Reminders

  • If you develop a worsening headache, repeated vomiting, seizure, weakness, confusion, or unequal pupils, seek emergency care immediately. (Mayo Clinic, n.d.). Mayo Clinic
  • Spinal manipulation is not used in unstable injuries. Care should follow a full exam, with imaging or referrals when indicated.

Take-Home Messages

  • Hidden symptoms are common after TBI. They span thinking, mood, senses, sleep, and balance. (BrainLine, 2017; Mayo Clinic, n.d.). BrainLine+1
  • A thorough history and targeted questions are the most powerful diagnostic tools.
  • Use a ladder of tests, from PCSS/RPQ, VOMS, BESS, and MoCA to SOT, advanced MRI (DTI/SWI), EEG/qEEG, and GFAP/UCH-L1 biomarkers, based on complexity. (Mucha et al., 2014; ACNS, 2020; JAMA, 2024; Patil et al., 2025). PMC+3PMC+3acns.org+3
  • An integrative team—chiropractor + NP—covers structure, neurology, and overall health, improving safety and continuity of care. (Figueiredo et al., 2024; Curran et al., 2024). MDPI+1

References

BrainLine. (2017, December 1). Symptoms of traumatic brain injury (TBI). BrainLine

BrainLine. (2017, June 21). TBI 101: Physical symptoms. BrainLine

Curran, M. C., et al. (2024). Chronic pain after traumatic brain injury: A collaborative care intervention (TBI Care). PMC

Eyres, S., Carey, A., Gilworth, G., Neumann, V., & Tennant, A. (2005). Construct validity and reliability of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ). PubMed

Figueiredo, R., Castro, C., & Fernandes, J. B. (2024). Nursing interventions to prevent secondary injury in critically ill patients with traumatic brain injury: A scoping review. Journal of Clinical Medicine, 13(8), 2396. MDPI

Haneef, Z., Levin, H., & Masel, B. (2013). Electroencephalography and quantitative EEG in mild traumatic brain injury. PMC

Hanscom Air Force Base Public Affairs. (2017, March 17). TBI recognition critical to treating invisible wounds. Hanscom Air Force Base

Health.mil. (2022, February 4). Air Force Invisible Wounds Initiative helps build a supportive culture. Military Health System

Hsu, C. C. T., et al. (2023). The current state of susceptibility-weighted imaging and its clinical applications in TBI. PubMed

Ilkhani, S., et al. (2024). Beyond surviving: A scoping review of collaborative care models to inform the future of post-discharge trauma care. PMC

Intermountain Health. (2024). Post-Concussion Symptom Scale (PCSS). Intermountain Healthcare

Irimia, A., et al. (2015). Functional neuroimaging of traumatic brain injury: Advances and clinical utility. PMC

JAMA Network Open. (2024). Papa, L., et al. Diagnostic performance of GFAP, UCH-L1, and MAP-2 for TBI evaluation. JAMA Network

Jantzen, K. J., et al. (2004). A prospective fMRI study of mild traumatic brain injury. PMC

Mayo Clinic. (n.d.). Traumatic brain injury—Symptoms & causes. Mayo Clinic

Mayo Clinic. (n.d.). Traumatic brain injury—Diagnosis & treatment. Mayo Clinic

Mucha, A., et al. (2014). Brief Vestibular/Ocular Motor Screening (VOMS). PMC

NW Health Sciences University. (2022). Chiropractic and traumatic brain injuries: Bringing value for TBI and concussion patients. Northwestern Health Sciences University

Patil, S., et al. (2025). Clinical utility of diffusion tensor imaging in sport-related concussion. PMC

Paolini, F., et al. (2025). Diffusion tensor imaging as a neurologic predictor in TBI. MDPI

Richter, S., et al. (2024). Predicting recovery in mild TBI with DTI and biomarkers. The Lancet

Shirley Ryan AbilityLab. (2013). Sensory Organization Test (SOT). Shirley Ryan AbilityLab

Sports Concussion Assessment Tool—SCAT5. (2017). Official SCAT5 form (BJSM). British Journal of Sports Medicine

Tenney, J. R., et al. (2020). American Clinical Neurophysiology Society. Use of quantitative EEG for mTBI—Practice guideline. acns.org

UHC Policy Note. (2024). Computerized dynamic posturography—Medical policy summary. UHC Provider

Zeldovich, M., et al. (2023). Factorial validity of the RPQ across languages (CENTER-TBI). SpringerOpen

Additional clinic/education sources referenced in context

Dr. Alexander Jimenez (clinical perspective & education)

Industry update (biomarkers)

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

Herniated Disc Nutrition Plan for Expedited Recovery

Herniated Disc Nutrition Plan for Expedited Recovery

Eat to Help a Herniated Disc: Protein, Omega-3s, Vitamins, Minerals, and Hydration for Faster, Healthier Spine Recovery

Overview

What you eat can help your spine heal. Foods rich in protein, omega-3 fatty acids, vitamins, and minerals support tissue repair, calm inflammation, and keep your spinal discs healthy and hydrated. When you pair smart nutrition with integrative care—like chiropractic adjustments and non-invasive decompression—you can lower disc pressure, improve nerve function, and speed recovery. This guide explains how to build a spine-friendly plate and water routine that works in real life. (National Spine Health Foundation, 2024; Texas Back Institute, n.d.; Jimenez, 2022–2025). El Paso, TX Doctor Of Chiropractic+3National Spine Health Foundation+3Texas Back Institute+3

Why nutrition matters for herniated discs

A herniated disc happens when the soft center of a disc pushes through its outer layer, which can irritate nearby nerves and cause pain, tingling, or weakness. Your body tries to calm the area and rebuild tissue—but it needs raw materials (amino acids, vitamins, and minerals) and fewer inflammatory triggers to do so effectively. A diet centered on lean protein, omega-3-rich foods, colorful produce, nuts, seeds, and whole grains provides these nutrients while helping control inflammation. (Texas Back Institute, n.d.; Healthline, 2021; National Spine Health Foundation, 2024). Texas Back Institute+2Healthline+2

Hydration: the first “nutrient” for discs

Spinal discs are mostly water. They act as shock-absorbing cushions between vertebrae and rely on hydration to stay plump and flexible. When you’re dehydrated, discs lose height and elasticity, which can increase stress on the outer layers and irritate nerves. Drinking water throughout the day helps transport nutrients to discs and supports synovial fluid, which promotes smooth joint motion. Aim for steady intake, not just big gulps once or twice a day. (National Spine Health Foundation, 2024; Jimenez, 2018; ANSSI Wellness, 2025). National Spine Health Foundation+2El Paso, TX Doctor Of Chiropractic+2

Hydration how-to (simple steps):

  • Keep water visible—on your desk, nightstand, and in the car.
  • Add water-rich foods like cucumbers, citrus, and melon to meals.
  • Limit sugary and highly caffeinated drinks, as they can dehydrate you. (Jimenez, 2025). El Paso, TX Doctor Of Chiropractic

Protein: the building block for repair

Your spine’s muscles, ligaments, and the collagen network inside discs all rely on amino acids. Getting enough protein helps you rebuild tissue and maintain strength that supports the spine. Good choices include fish, poultry, eggs, Greek yogurt, beans, and lentils. If you eat plant-based foods, mix legumes, soy, and grains to cover essential amino acids. (Texas Back Institute, n.d.; Frisco Spinal Rehab, 2025). Texas Back Institute+1

Collagen support: Collagen and glycine can help rebuild connective tissue. You can get these from bone broth, collagen peptides, or cuts of meat that include cartilage and skin. Plant sources (like soy and beans) also provide amino acids, though you may need a bit more volume to match the totals. (DiscSeel/Dr. Pauza, n.d.; Frisco Spinal Rehab, 2025). Discseel+2drkevinpauza.com+2

Omega-3 fatty acids: dial down inflammation

Omega-3s from fatty fish (salmon, sardines, herring, mackerel, and anchovies), walnuts, chia, and flax help calm the inflammatory pathways that often flare with disc injuries. Many people notice better joint comfort when they replace some omega-6-heavy processed foods with omega-3-rich whole foods. (Healthline, 2019/2021; National Spine Health Foundation, 2024). Healthline+2Healthline+2

If you don’t eat fish, nuts and seeds are solid choices. Chia, flax, and walnuts provide ALA (a plant omega-3), plus fiber and magnesium—both helpful for nerve and muscle function. (417 Spine, 2024). 417spine.com

Vitamins & minerals that support discs, nerves, and bones

Vitamin C

Vitamin C helps your body make collagen—the framework inside discs, ligaments, and other connective tissues. Citrus, berries, bell peppers, and leafy greens are easy ways to get it daily. (Spine Orthopedic Center, 2024). Spine & Orthopedic Center

Vitamin D + Calcium + Magnesium

These nutrients work together. Vitamin D helps you absorb calcium; magnesium helps activate vitamin D and supports bone and muscle function. You’ll find calcium in dairy and fortified plant milks, leafy greens, beans, nuts, and small bony fish (like sardines). Magnesium shows up in spinach, pumpkin seeds, almonds, beans, and whole grains. (National Spine Health Foundation, 2024; National Spine Health Foundation, 2017). National Spine Health Foundation+1

B-vitamins and antioxidants

Colorful fruits and vegetables provide antioxidants that help fight oxidative stress, which can worsen pain and tissue damage. Look for dark leafy greens and bright berries—simple swaps with big payoff. (Illinois Back Institute, 2024; Spine Wellness America, 2024). illinoisbackpain.com+1

What a spine-supportive plate looks like

Build most meals with:

  1. A quality protein (¼ plate): grilled salmon or trout; baked chicken; eggs; or plant options like tofu, tempeh, beans, or lentils. (Texas Back Institute, n.d.; Healthline, 2019). Texas Back Institute+1
  2. Colorful produce (½ plate): leafy greens, cruciferous vegetables, tomatoes, and berries for vitamin C, vitamin K, antioxidants, and fiber. (Bonati Spine Institute, 2021; Illinois Back Institute, 2024). Bonati Spine Institute+1
  3. Smart fats (1–2 thumbs): extra-virgin olive oil, avocado, walnuts, almonds, chia, and flax. (417 Spine, 2023–2024). 417spine.com+1
  4. Whole grains or starchy veggies (¼ plate): quinoa, brown rice, oats, winter squash, or sweet potatoes to fuel healing and provide magnesium and potassium. (National Spine Health Foundation, 2024). National Spine Health Foundation

Snack ideas: Greek yogurt with berries; a small handful of mixed nuts and seeds; hummus with carrots and cucumbers; chia pudding; or a bone-broth mug for extra collagen. (DiscSeel/Dr. Pauza, n.d.; 417 Spine, 2024). Discseel+1

Simple 1-day starter menu (easy high-school level)

  • Breakfast: Greek yogurt parfait with blueberries, sliced almonds, and a sprinkle of chia; water or green tea.
  • Lunch: Salmon salad over spinach and kale with cherry tomatoes, quinoa, olive oil vinaigrette, and sliced orange.
  • Snack: Bone broth or collagen smoothie (banana + spinach + collagen peptides + water).
  • Dinner: Turkey chili with beans and bell peppers; side of roasted broccoli; whole-grain tortilla; water.
  • Hydration goal: Fill a 24-oz bottle and finish it twice by dinner, then have another glass in the evening. (Healthline, 2019; National Spine Health Foundation, 2024; DiscSeel/Dr. Pauza, n.d.). Healthline+2National Spine Health Foundation+2

Foods to emphasize for herniated disc recovery

  • Fatty fish (salmon, sardines, mackerel, herring, and anchovies): protein + omega-3s to reduce inflammation. (Healthline, 2019). Healthline
  • Berries (blueberries, strawberries, blackberries): vitamin C and polyphenols to support collagen and calm oxidative stress. (Florida Spine Associates, 2021). Florida Spine Associates
  • Leafy greens (spinach, kale, and collards): magnesium, vitamin K, and antioxidants for bone and connective tissue health. (Spine Orthopedic Center, 2024). Spine & Orthopedic Center
  • Nuts and seeds (walnuts, almonds, chia, flax): healthy fats, magnesium, and fiber—great for inflammation control and nervous system support. (417 Spine, 2024). 417spine.com
  • Lean meats, eggs, yogurt, beans, and lentils: protein for repair; pair with produce for vitamins that drive collagen synthesis. (Texas Back Institute, n.d.; Frisco Spinal Rehab, 2025). Texas Back Institute+1
  • Bone-broth or collagen (optional): extra glycine/proline to support connective tissue repair. (DiscSeel/Dr. Pauza, n.d.). Discseel

Foods and habits to limit

Most people do best limiting refined sugars, ultra-processed foods, and excessive alcohol or caffeine, which can worsen inflammation or interfere with calcium balance and hydration. Choose whole foods most of the time. (National Spine Health Foundation, 2024; Verywell Health, 2024). National Spine Health Foundation+1

How nutrition and chiropractic integrative care work together

Chiropractic adjustments and gentle spinal decompression can reduce disc pressure, improve nerve flow, and help you move with less pain—all without surgery. When you combine these treatments with targeted nutrition and hydration, you may get better, faster results because well-nourished tissues hold adjustments longer and repair more efficiently. (Jimenez, 2022–2025). El Paso, TX Doctor Of Chiropractic+2El Paso, TX Doctor Of Chiropractic+2

Clinical observations (Dr. Alexander Jimenez, DC, APRN, FNP-BC):
In practice, Dr. Jimenez emphasizes:

FAQs

Do I need an omega-3 supplement?
Food first is best. If you don’t eat fish, ask your clinician about algae-based DHA/EPA or fish oil, and about medication interactions (such as blood thinners). (Verywell Health, 2023). Verywell Health

Can protein help even if I’m not post-surgery?
Yes. Protein supports the daily repair of muscles and connective tissues around the spine. Most people with disc pain benefit from steady protein at each meal. (Texas Back Institute, n.d.). Texas Back Institute

Are nuts and seeds okay if I’m watching calories?
Yes—use small portions (about a small handful). They deliver fiber, magnesium, and healthy fats that support nerve and muscle function and help control inflammation. (417 Spine, 2024). 417spine.com

How much water should I drink?
There’s no one perfect number, but sipping regularly and watching the color of your urine (pale yellow) is a simple guide. Increase intake with heat, exercise, or high-fiber meals. (National Spine Health Foundation, 2024; ANSSI Wellness, 2025). National Spine Health Foundation+1

7-day “spine stack” checklist

  • Daily: Fill a large bottle 2–3 times; include leafy greens and berries; add one omega-3 food; include a palm-sized protein each meal. (National Spine Health Foundation, 2024; Healthline, 2019). National Spine Health Foundation+1
  • 3× per week: Fatty fish or plant omega-3 + nuts/seeds. (Healthline, 2019; 417 Spine, 2024). Healthline+1
  • Weekly prep: Make a batch of bone broth or pick up collagen peptides if recommended. (DiscSeel/Dr. Pauza, n.d.). Discseel
  • Care synergy: Keep chiropractic visits, do your home exercises, and bring questions about diet or supplements to your clinician. (Jimenez, 2022–2025). El Paso, TX Doctor Of Chiropractic+1

Putting it all together

Eating for a herniated disc is not about perfection. It’s about steady hydration and building most meals around protein, omega-3s, minerals, and colorful plants. Pair that with chiropractic integrative care—like adjustments and non-invasive decompression—and you give your spine the best chance to calm inflammation, protect nerves, and rebuild tissues. Start with one habit today: fill your water bottle, plan a salmon-and-greens dinner, or add a handful of walnuts to your yogurt. Small steps add up. (National Spine Health Foundation, 2024; Jimenez, 2022–2025; Healthline, 2019). Healthline+3National Spine Health Foundation+3El Paso, TX Doctor Of Chiropractic+3

References