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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, Electroacupuncture, Insurance, Physio , , , , , , , , , , , , ,

Treating Nerve Damage and Pain: ChiroMed’s Comprehensive MVA Care Plan

Motor vehicle accidents (MVAs) can lead to serious injuries, including nerve damage, musculoskeletal issues, and chronic back and neck pain. These conditions, such as radiculopathy, peripheral nerve injuries, and whiplash, can cause symptoms like sharp pain, numbness, and weakness, disrupting daily life. At ChiroMed, we specialize in integrative treatment approaches that combine chiropractic care, medical management, acupuncture, and functional medicine to help patients recover fully and regain their quality of life.

This blog post, written at a high school reading level, examines how MVAs can cause nerve damage and related injuries, and how ChiroMed’s holistic care, inspired by experts such as Dr. Alexander Jimenez, DC, APRN, FNP-BC, can promote healing. We’ll also highlight the role of advanced diagnostics and legal documentation for personal injury cases, ensuring patients receive comprehensive support. Optimized for search engines, this guide aims to inform and empower those seeking recovery through ChiroMed’s services.

How Motor Vehicle Accidents Cause Nerve Damage

Car accidents generate sudden forces that can injure the body’s nervous system. Nerves, which act like electrical cables transmitting signals across the body, are vulnerable to trauma from impact, stretching, or compression. At ChiroMed, we see many patients with nerve-related injuries from MVAs, which require prompt care to prevent chronic issues.

Types of Nerve Damage from MVAs

  1. Peripheral Nerve Injuries
    Peripheral nerves, located outside the brain and spinal cord, control sensation and movement in the limbs. MVAs can damage these nerves through direct trauma or stretching, such as in brachial plexus injuries affecting the arm and hand (Mayo Clinic, 2023). Symptoms include:
    • Tingling or numbness
    • Burning or stabbing pain
    • Weakness in the affected limb
      Peripheral nerve injuries are the most common nerve-related issue after MVAs, often caused by blunt force or cuts (Hoffmann, 2023).
  2. Radiculopathy
    Radiculopathy occurs when nerve roots near the spine are compressed, often due to herniated discs or spinal misalignments from an accident. This can cause sharp, radiating pain, such as sciatica in the lower back, that travels into the arms or legs (Bailey & Greer, 2023). Symptoms include:
    • Shooting pain
    • Numbness or tingling
    • Muscle weakness
      Whiplash, a common MVA injury, frequently leads to cervical radiculopathy by irritating neck nerve roots (Mayo Clinic, 2023).
  3. Spinal Cord Injuries
    Severe MVAs can damage the spinal cord, causing partial or complete paralysis. Though rare, these injuries are serious, impacting sensation and movement below the injury site due to spinal fractures or dislocations (McGowan & Hood, 2023). Symptoms vary but may include:
    • Loss of mobility or feeling
    • Breathing difficulties
    • Loss of bladder control
  4. Pinched Nerves
    Pinched nerves result from pressure exerted by surrounding tissues, such as bones or discs, often triggered by whiplash or spinal misalignments. They cause localized pain, numbness, or weakness, typically in the neck or back (Sally Morin Law, 2023). Without treatment, pinched nerves can become chronic.

Mechanisms of Nerve Damage in MVAs

MVAs cause nerve damage through:

  • Direct Impact: Collisions can fracture bones or cause lacerations that harm nerves (Marks & Harrison, 2023).
  • Whiplash: Rapid neck motion stretches or compresses nerves, leading to radiculopathy (Mayo Clinic, 2023).
  • Compression: Swollen tissues or herniated discs press on nerves, causing pain (BW&G Law, 2023).
  • Stretching: Overextension, especially in the shoulder or neck, can injure nerves, such as the brachial plexus (Wexner Medical Center, 2023).

Even minor accidents can cause significant nerve damage if the body is jolted unnaturally. ChiroMed’s team uses advanced diagnostics to identify these injuries and create tailored treatment plans (Eckell & Sparks, 2024).

References
Bailey & Greer. (2023). Most likely types of nerve damage from car accidents. https://www.baileygreer.com/little-rock/blog/most-likely-types-of-nerve-damage-from-car-accidents/
BW&G Law. (2023). Nerve damage after a car accident. https://www.bwglaw.com/blog/nerve-damage-after-a-car-accident/
Eckell & Sparks. (2024). Nerve damage from car accidents. https://www.eckellsparks.com/2024/01/18/nerve-damage-car-accidents/
Hoffmann. (2023). 4 types of nerve injuries you may suffer in a car accident. https://www.hoffmannpersonalinjury.com/4-types-of-nerve-injuries-you-may-suffer-in-a-car-accident/
Marks & Harrison. (2023). Symptoms of nerve damage after a car accident. https://www.marksandharrison.com/blog/symptoms-of-nerve-damage-after-a-car-accident/
Mayo Clinic. (2023). Brachial plexus injury. https://www.mayoclinic.org/diseases-conditions/brachial-plexus-injury/symptoms-causes/syc-20350235
Mayo Clinic. (2023). Whiplash. https://www.mayoclinic.org/diseases-conditions/whiplash/symptoms-causes/syc-20378921
McGowan & Hood. (2023). What to know about nerve damage from car accidents. https://www.mcgowanhood.com/2025/03/10/what-to-know-about-nerve-damage-from-car-accidents/
Sally Morin Law. (2023). Average settlement for nerve damage after a car accident. https://www.sallymorinlaw.com/car-accidents/average-settlement-for-nerve-damage-after-a-car-accident/
Wexner Medical Center. (2023). Nerve damage. https://wexnermedical.osu.edu/orthopedics/hand-and-upper-extremity/nerve-damage

Musculoskeletal and Ligamentous Injuries from MVAs

MVAs also cause musculoskeletal and ligamentous injuries, affecting muscles, bones, joints, and connective tissues. These injuries contribute to back and neck pain, which limits mobility and causes discomfort. ChiroMed’s integrative approach addresses these issues to restore function and prevent chronic pain.

Common Musculoskeletal Injuries

  1. Whiplash-Associated Disorders
    Whiplash, caused by rapid neck movement, strains neck muscles, ligaments, and tendons, leading to pain and stiffness (Mayo Clinic, 2023). It may also trigger headaches, dizziness, or nerve symptoms, such as radiculopathy, which ChiroMed treats effectively.
  2. Sprains and Strains
    Sprains (ligament injuries) and strains (muscle or tendon injuries) occur when the body twists or absorbs impact. For instance, a strained back or sprained wrist can result from an MVA’s force (Zanes Law, 2023).
  3. Fractures
    High-impact crashes often cause broken bones in the arms, legs, or spine, leading to severe pain and potential surgery (Keeton Law Firm, 2023). ChiroMed collaborates with specialists to provide comprehensive care.
  4. Herniated Discs
    The force of an MVA can rupture spinal discs, pressing on nerves and causing back or neck pain, as well as radiculopathy symptoms (BW&G Law, 2023). ChiroMed’s spinal decompression therapy helps relieve this pressure.

Ligamentous Injuries

Ligaments stabilize joints, but MVAs can stretch or tear them, causing pain and instability. Examples include:

  • Knee Ligament Tears: Twisting injuries can damage the ACL or MCL (Wexner Medical Center, 2023).
  • Spinal Ligament Injuries: Damage to spinal ligaments contributes to chronic back or neck pain (El Paso Back Clinic, 2023).

Back and Neck Pain

Back and neck pain are common post-MVA complaints, often stemming from combined nerve, muscle, and ligament injuries:

  • Lower Back Pain: Herniated discs or muscle strains cause persistent discomfort (Marks & Harrison, 2023).
  • Neck Pain: Whiplash or pinched nerves lead to chronic pain and limited motion (Mayo Clinic, 2023).

ChiroMed’s treatments target these issues to prevent long-term complications, enabling patients to return to their normal activities.

References
BW&G Law. (2023). Nerve damage after a car accident. https://www.bwglaw.com/blog/nerve-damage-after-a-car-accident/
El Paso Back Clinic. (2023). Comprehensive guide to ligamentous injuries and sciatica from motor vehicle accidents. https://ceb.elpasobackclinic.com
Keeton Law Firm. (2023). Types of nerve damage associated with car accidents. https://www.keetonlawfirm.com/blog/2025/05/types-of-nerve-damage-associated-with-car-accidents/
Marks & Harrison. (2023). Symptoms of nerve damage after a car accident. https://www.marksandharrison.com/blog/symptoms-of-nerve-damage-after-a-car-accident/
Mayo Clinic. (2023). Whiplash. https://www.mayoclinic.org/diseases-conditions/whiplash/symptoms-causes/syc-20378921
Wexner Medical Center. (2023). Nerve damage. https://wexnermedical.osu.edu/orthopedics/hand-and-upper-extremity/nerve-damage
Zanes Law. (2023). What type of nerve damage could happen in a car accident? https://zaneslaw.com/faq/what-type-of-nerve-damage-could-happen-car-accident/

ChiroMed’s Integrative Treatment Approach

At ChiroMed, we believe in treating the whole person, not just the injury. Our integrative approach combines chiropractic care, medical oversight, acupuncture, and functional medicine to comprehensively address MVA-related injuries, drawing inspiration from leaders like Dr. Alexander Jimenez.

Chiropractic Care at ChiroMed

Chiropractic care is a cornerstone of our practice, focusing on spinal and joint alignment to relieve nerve pressure and restore mobility. Our techniques include:

  • Spinal Adjustments: Correct misalignments to reduce pain and improve function, effective for whiplash and radiculopathy (ChiroMed, 2023).
  • Spinal Decompression: Non-surgical therapy to relieve disc pressure, aiding sciatica and herniated disc recovery (ChiroMed, 2023).
  • Rehabilitation Exercises: Strengthen muscles to prevent re-injury and enhance long-term mobility (ChiroMed, 2023).

Our chiropractors tailor treatments to each patient, ensuring safe, non-invasive relief from pain and dysfunction.

Medical Management

ChiroMed’s medical team, which includes nurse practitioners, provides thorough assessments and coordinates patient care. Services include:

  • Diagnosing nerve and musculoskeletal injuries using advanced tools.
  • Prescribing physical therapy or medications when needed.
  • Collaborating with specialists for severe cases, like spinal cord injuries.

This medical oversight ensures all aspects of a patient’s health are addressed, aligning with Dr. Jimenez’s holistic model (Jimenez, 2023).

Acupuncture

Acupuncture complements chiropractic care by reducing pain and promoting healing. At ChiroMed, our licensed acupuncturists:

  • Use needles to stimulate the release of endorphins, which can ease inflammation and pain (El Paso Back Clinic, 2023).
  • Improve blood flow to injured areas, speeding recovery.
  • Relieve muscle tension, ideal for whiplash and back pain.

Acupuncture enhances our integrative approach, offering drug-free pain relief.

Functional Medicine

Functional medicine at ChiroMed addresses underlying health issues that may slow recovery. We:

  • Evaluate nutritional, hormonal, and metabolic imbalances.
  • Create personalized diet and lifestyle plans to reduce inflammation.
  • Utilize diagnostics, such as blood tests, to identify factors that affect nerve health (Jimenez, 2019).

This approach helps patients with chronic pain or conditions like fibromyalgia recover more effectively.

References
ChiroMed. (2023). Services. https://chiromed.com/services/
El Paso Back Clinic. (2023). Comprehensive guide to ligamentous injuries and sciatica from motor vehicle accidents. https://ceb.elpasobackclinic.com
Jimenez, A. (2019). Functional medicine – Neurological health. https://elpasobackclinic.com/functional-medicine-neurological-health/
Jimenez, A. (2023). Why choose Dr. Alex Jimenez for your care. https://elpasobackclinic.com/why-choose-dr-alex-jimenez-for-your-care/

ChiroMed’s Expertise in Diagnostics and Legal Support

ChiroMed’s commitment to excellence mirrors Dr. Jimenez’s approach, using advanced diagnostics and comprehensive documentation to support MVA patients, including those pursuing personal injury claims.

Advanced Diagnostics

Accurate diagnosis is key to effective treatment. ChiroMed employs:

  • MRI and CT Scans: Detect soft tissue damage, herniated discs, and fractures (ChiroMed, 2023).
  • Dual-Scope Assessments: Combine chiropractic and medical evaluations to create a comprehensive injury profile.
  • Neurological Testing: Identifies nerve dysfunction, guiding targeted therapies.

These tools ensure precise treatment plans, maximizing recovery outcomes.

Legal Documentation for Personal Injury

ChiroMed supports patients in personal injury cases by:

  • Providing detailed medical reports linking injuries to the MVA, backed by imaging and clinical findings.
  • Collaborating with attorneys to meet legal documentation standards.
  • Offering expert consultations to explain injuries in legal proceedings.

Our thorough documentation helps patients secure fair compensation, ensuring their recovery is fully supported (Jimenez, 2023).

References
ChiroMed. (2023). Services. https://chiromed.com/services/
Jimenez, A. (2023). Why choose Dr. Alex Jimenez for your care. https://elpasobackclinic.com/why-choose-dr-alex-jimenez-for-your-care/

Benefits of Choosing ChiroMed for MVA Recovery

ChiroMed’s integrative approach offers numerous benefits for MVA patients:

  • Comprehensive Care: Addresses physical, neurological, and systemic issues for holistic healing (ChiroMed, 2023).
  • Non-Invasive Solutions: Reduces reliance on drugs or surgery, minimizing risks (El Paso Back Clinic, 2023).
  • Accelerated Recovery: Combines therapies to restore mobility and reduce pain faster (ChiroMed, 2023).
  • Personalized Plans: Tailors treatments to individual needs, improving outcomes (Jimenez, 2023).
  • Chronic Pain Prevention: Early intervention stops acute injuries from becoming chronic (Marks & Harrison, 2023).

For example, a patient with whiplash might receive chiropractic adjustments, acupuncture for pain relief, and nutritional guidance to support healing, all under one roof at ChiroMed.

References
ChiroMed. (2023). Services. https://chiromed.com/services/
El Paso Back Clinic. (2023). Comprehensive guide to ligamentous injuries and sciatica from motor vehicle accidents. https://ceb.elpasobackclinic.com
Jimenez, A. (2023). Why choose Dr. Alex Jimenez for your care. https://elpasobackclinic.com/why-choose-dr-alex-jimenez-for-your-care/
Marks & Harrison. (2023). Symptoms of nerve damage after a car accident. https://www.marksandharrison.com/blog/symptoms-of-nerve-damage-after-a-car-accident/

Challenges and Considerations

While ChiroMed’s approach is highly effective, patients should consider:

  • Access: Although integrative care may be limited in some areas, ChiroMed serves a wide region.
  • Insurance: Some therapies, such as acupuncture, may require out-of-pocket expenses; however, we work to maximize coverage.
  • Injury Severity: Severe cases may need surgical consultation, which we coordinate with specialists.

Consulting with ChiroMed’s team ensures a treatment plan tailored to your needs, with regular follow-ups to monitor your progress.

Conclusion

Motor vehicle accidents can cause debilitating nerve damage, musculoskeletal injuries, and chronic pain, but recovery is possible with the right care. At ChiroMed, our integrative approach—combining chiropractic care, medical management, acupuncture, and functional medicine—addresses the root causes of MVA injuries, promoting faster, more complete healing. Inspired by experts like Dr. Alexander Jimenez, we use advanced diagnostics and thorough documentation to support patients, including those navigating personal injury claims.

If you’ve been injured in an MVA, trust ChiroMed to guide you toward recovery. Contact us at https://chiromed.com/ to schedule a consultation and start your journey to wellness today.

References

Bailey & Greer. (2023). Most likely types of nerve damage from car accidents. https://www.baileygreer.com/little-rock/blog/most-likely-types-of-nerve-damage-from-car-accidents/

BW&G Law. (2023). Nerve damage after a car accident. https://www.bwglaw.com/blog/nerve-damage-after-a-car-accident/

ChiroMed. (2023). Services. https://chiromed.com/services/

Eckell & Sparks. (2024). Nerve damage from car accidents. https://www.eckellsparks.com/2024/01/18/nerve-damage-car-accidents/

El Paso Back Clinic. (2023). Comprehensive guide to ligamentous injuries and sciatica from motor vehicle accidents. https://ceb.elpasobackclinic.com

Hoffmann. (2023). 4 types of nerve injuries you may suffer in a car accident. https://www.hoffmannpersonalinjury.com/4-types-of-nerve-injuries-you-may-suffer-in-a-car-accident/

Jimenez, A. (2019). Functional medicine – Neurological health. https://elpasobackclinic.com/functional-medicine-neurological-health/

Jimenez, A. (2023). Why choose Dr. Alex Jimenez for your care. https://elpasobackclinic.com/why-choose-dr-alex-jimenez-for-your-care/

Keeton Law Firm. (2023). Types of nerve damage associated with car accidents. https://www.keetonlawfirm.com/blog/2025/05/types-of-nerve-damage-associated-with-car-accidents/

Marks & Harrison. (2023). Symptoms of nerve damage after a car accident. https://www.marksandharrison.com/blog/symptoms-of-nerve-damage-after-a-car-accident/

Mayo Clinic. (2023). Brachial plexus injury. https://www.mayoclinic.org/diseases-conditions/brachial-plexus-injury/symptoms-causes/syc-20350235

Mayo Clinic. (2023). Whiplash. https://www.mayoclinic.org/diseases-conditions/whiplash/symptoms-causes/syc-20378921

McGowan & Hood. (2023). What to know about nerve damage from car accidents. https://www.mcgowanhood.com/2025/03/10/what-to-know-about-nerve-damage-from-car-accidents/

Sally Morin Law. (2023). Average settlement for nerve damage after a car accident. https://www.sallymorinlaw.com/car-accidents/average-settlement-for-nerve-damage-after-a-car-accident/

Wexner Medical Center. (2023). Nerve damage. https://wexnermedical.osu.edu/orthopedics/hand-and-upper-extremity/nerve-damage

Zanes Law. (2023). What type of nerve damage could happen in a car accident? https://zaneslaw.com/faq/what-type-of-nerve-damage-could-happen-car-accident/

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

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

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

The Impact of Motor Vehicle Accidents on Athletes

Physical Injuries from MVAs

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

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

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

Psychological Trauma

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

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

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

Decline in Sports Performance

Physical and psychological injuries from MVAs can lead to:

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

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

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

The Pivotal Role of Nurse Practitioners in Recovery

Comprehensive Medical Management

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

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

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

Benefits for Athletes

NPs offer athletes:

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

Dr. Alexander Jimenez’s Nursing Expertise

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

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

Chiropractic Care as a Complementary Therapy

Supporting NP-Led Care

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

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

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

Benefits for Athletes

Chiropractic care provides:

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

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

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

Acupuncture in NP-Coordinated Recovery

Enhancing Healing

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

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

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

Benefits for Athletes

Acupuncture offers:

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

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

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

Integrative Medicine in Nursing-Led Care

Holistic Recovery

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

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

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

Benefits for Athletes

Integrative medicine provides:

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

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

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

Legal Documentation in Personal Injury Cases

Importance of NP Documentation

Accurate documentation is vital for personal injury claims, including:

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

Dr. Jimenez’s Dual Expertise

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

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

Conclusion

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

References

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Bunions Management: Relief and Care Strategies

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

Bunions

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

Visual Signs of Early Symptoms

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

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

Initial Somatic Indicators

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

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

Stages

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

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

Halt the Advancement

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

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

Analgesic Administration

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

Non-invasive Therapy in Initial Phases

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

Foot orthoses, commonly referred to as orthotics

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

Splints

Physical Therapy

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

Podiatrist

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

Chiropractic Perspective

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

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

Nurse Practitioner Perspective

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

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

Both NPs and chiropractors emphasize:

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

Limitations and Considerations

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

Injury Medical Chiropractic and Functional Medicine Clinic

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

Enhance Your Performance with Functional Foot Orthotics

References

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

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

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

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

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

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

Exercise and Dementia: Key to Cognitive Health

To what extent can regular exercise contribute to the overall health of elderly individuals and reduce the likelihood of developing dementia?

Exercise and Dementia: Improving Brain Function

Dementia Prevention and Exercise

Dementia is a term that refers to various diseases that impede memory and cognition, and it is presently the seventh most common cause of death worldwide. (World Health Organization, 2025) Approximately 10 million new cases of dementia are diagnosed annually on a global scale. (Yoon J.H. et al., 2023) A study investigating the correlation between insulin and exercise in the brain discovered that consistent physical activity may enhance brain function and reduce the likelihood of developing dementia. Researchers have discovered that factors such as.

Exercise and stretching are necessary. Muscle rigidity impairs insulin’s ability to work in those who don’t exercise. The body enhances insulin sensitivity by contracting and releasing those muscles in response to movement. Dementia prevention efforts might benefit from identifying mechanisms that lower insulin resistance.

Physical Activity and Reduced Risk

After observing 21 older individuals with prediabetes for two weeks, the researchers discovered that physical activity assists the brain in regulating insulin, directly improving cognitive function. Under supervision, they completed twelve exercise sessions that ranged from moderate to high intensity. (Malin S. K. et al., 2025)

  • The findings show a notable rise in the number of extracellular vesicles produced from the brain that contain insulin-related proteins.
  • These micro-messengers ensure that neurons can communicate with one another and play an essential part in maintaining the brain.
  • AKT (also known as protein kinase B or PKB) comprises three specific protein kinases that are important for many body functions, such as keeping cells alive, helping them grow, managing metabolism, and controlling the cell cycle.
  • The protein is considered a significant factor in insulin signaling and has ramifications for neuronal cell growth and health.
  • Inadequate insulin response may contribute to dementia. Hence, it is noteworthy that exercise could mitigate this by potentially enhancing insulin signaling.

Although further investigation is necessary, these results underscore that physical activity may be an accessible, cost-effective method to promote long-term cognitive health. In the subsequent phase of the investigation, researchers will employ an insulin spray and MRIs to gain further insight into insulin’s impact on brain activity. They will analyze cerebral blood circulation before and during the administration of the insulin spray to elucidate its effects.

Insulin, Exercise, and Brain Health

Insulin is a hormone synthesized by the pancreas that regulates blood glucose levels. Nonetheless, insulin’s significance in cerebral health is equally crucial. The brain’s abundance of insulin receptors facilitates neuronal communication, enhances synaptic connections upon insulin binding, and promotes memory and learning. (Gray, S. M., Meijer, R. I., & Barrett, E. J. 2014)

Impaired insulin signaling, as observed in situations such as type 2 diabetes, renders the brain more susceptible to cognitive deterioration. (Yoon J.H. et al., 2023) Research indicates that insulin resistance plays a role in the accumulation of amyloid-beta plaques and tau tangles, which are fundamental features of Alzheimer’s disease. (Hong, S., Han, K., & Park, C. Y. 2021) Enhancing insulin sensitivity may mitigate or avert these cerebral alterations. Aerobic exercise positively influences total brain health. Prior research has demonstrated that physical activity improves or sustains adult cognitive function and memory. (Rosenberg A. et al., 2020) Other ways to increase brain health include

  • Staying socially engaged
  • Challenging the mind
  • Getting plenty of sleep
  • Managing Stress
  • Healthy diet
  • Staying physically active
  • Diabetes management
  • Blood pressure management

The future of dementia prevention will likely entail a synthesis of lifestyle modifications, including physical activity and pharmacological treatments, to achieve the most significant impact. Consistent physical activity may substantially diminish the likelihood of dementia in adults with prediabetes or diabetes and support normal cognitive function.

Clinic for Chiropractic Care and Functional Medicine

Family Practice Nurse Practitioner Dr. Jimenez integrates sophisticated medical proficiency with chiropractic treatment to manage diverse illnesses. Our clinic combines Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to develop tailored care plans that enhance natural healing, mobility, and sustained wellness. By emphasizing flexibility, agility, and strength, we enable patients to flourish, irrespective of age or health obstacles. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we dedicate ourselves to treating individuals recovering from injuries and chronic pain disorders. We enhance your capabilities through flexibility, mobility, and agility programs customized for various age demographics and disabilities. We employ in-person and virtual health coaching and comprehensive care plans to guarantee tailored care and optimal wellness outcomes for each patient.

Is Motion Key to Healing?

References

World Health Organization. (2025). “Dementia.” World Health Organization. from https://www.who.int/news-room/fact sheets/detail/dementia#:~:text=Alzheimer%20disease%20is%20the%20most,60%E2%80%9370%25%20of%20cases.

Yoon, J. H., Hwang, J., Son, S. U., Choi, J., You, S. W., Park, H., Cha, S. Y., & Maeng, S. (2023). How Can Insulin Resistance Cause Alzheimer’s Disease?. International Journal of Molecular Sciences, 24(4), 3506. https://doi.org/10.3390/ijms24043506

Malin, S. K., Battillo, D. J., Beeri, M. S., Mustapic, M., Delgado-Peraza, F., & Kapogiannis, D. (2025). Two weeks of exercise alters neuronal extracellular vesicle insulin signaling proteins and pro-BDNF in older adults with prediabetes. Aging cell, 24(1), e14369. https://doi.org/10.1111/acel.14369

Gray, S. M., Meijer, R. I., & Barrett, E. J. (2014). Insulin regulates brain function, but how does it get there?. Diabetes, 63(12), 3992–3997. https://doi.org/10.2337/db14-0340

Hong, S., Han, K., & Park, C. Y. (2021). The insulin resistance by triglyceride glucose index and risk for dementia: population-based study. Alzheimer’s research & therapy, 13(1), 9. https://doi.org/10.1186/s13195-020-00758-4

Rosenberg, A., Mangialasche, F., Ngandu, T., Solomon, A., & Kivipelto, M. (2020). Multidomain Interventions to Prevent Cognitive Impairment, Alzheimer’s Disease, and Dementia: From FINGER to World-Wide FINGERS. The Journal of Prevention of Alzheimer’s disease, 7(1), 29–36. https://doi.org/10.14283/jpad.2019.41

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Therapy, Work Injury , , , , , , , , , , , , , , , , , ,

Bone Growth Stimulator in Post-Injury Healing

Can bone growth stimulators help promote bone healing in cases where fractures or fusions fail to heal properly?

Bone Growth Stimulator

Individuals who sustain broken bones typically heal the fracture with appropriate treatment, which may include casts, realignment, and surgery. This type of surgery is performed on the spine and joints throughout the body; typically, the bone heals without a problem. Bone healing is a natural process, as bones are constantly replaced with new ones, and after an injury, the body can heal the damage to the bone. However, bone healing sometimes does not happen correctly and/or completely. Bone healing can take a long time, which is known as a delayed union, or it may not occur at all, or a nonunion. This is when a healthcare provider could recommend bone growth stimulation.

How They Work

Bone growth stimulators apply external or implanted electrical or ultrasonic energy to the fracture or fusion site, stimulating bone growth. These devices are often used when a fracture doesn’t heal within the expected timeframe (a nonunion fracture) or when a spinal fusion has not successfully fused. (FDA, 2022)

  • They come in various shapes, sizes, and technologies depending on the location of the fracture.
  • The most commonly used bone stimulators in orthopedics are electrical and ultrasound stimulators.
  • The stimulator emits a pulsed electromagnetic or ultrasonic impulse to the area where bone healing should occur.
  • Most modern bone stimulators are attached near the fracture site or fused with a small battery pack and worn for a period each day that may last minutes or hours.

Electrical Stimulation

  • Devices deliver low-level electrical pulses to the fracture site, which can stimulate bone cells to create new bone tissue.

Ultrasound Stimulation

  • They emit low-intensity pulsed ultrasound waves, which are absorbed by the bone and can promote bone healing.

Implantable vs. External

  • Some stimulators are surgically implanted, providing constant stimulation directly at the fracture site, while others are external and worn over the skin or cast.

The goal is to activate a series of receptors in the body to encourage a healing response. (Childs, S. G. 2003) The stimulator activates a pathway that releases chemicals within the body to promote fracture healing. This type of process in the body is called a cascade, and it happens when one signal stimulates another method, and so on until healing is complete. The bone stimulator ensures this cascade continues until the healing process is complete.

Effectiveness

Studies of bone stimulator effectiveness suggest two benefits:

  1. Less pain is associated with the bone healing process.
  2. Faster fracture healing.

However, these studies haven’t shown that these differences lead to improved patient functional outcomes. It would seem that if there is less pain and faster healing, then the patient should recover without complications. However, some researchers have suggested this is probably because the differences in pain and healing times are small and not necessarily noticeable. (Aleem, I. S. et al., 2016)

  • While bone growth stimulators can be effective, the results can vary, and their effectiveness is still under investigation.
  • Some studies have shown that stimulators can reduce pain and speed up healing time, while others have shown mixed results.
  • It’s important to discuss the benefits and risks of bone growth stimulation with a doctor to determine if it’s the right treatment option.

When Stimulation is Necessary

Bone stimulators are currently not used for routine fracture healing. It is certainly possible that bone healing stimulators will be used routinely in the future. They seem to show some benefit in non-healing fractures or fractures that are likely troublesome to heal. Some reasons individuals may have problems healing fractures are injuries to the blood supply to and around the fracture, injuries to specific bones, and overuse-related fractures. (Victoria, G. et al., 2009) These injuries may include (FDA, 2022)

Nonunion Fractures

  • When a fracture doesn’t heal within the expected timeframe.
  • Open fractures
  • Stress fractures
  • Scaphoid bone fractures
  • Talus fractures

Failed Fusions

  • When a spinal fusion hasn’t been successful.

High-Risk Patients

  • For individuals with factors that can hinder bone healing, such as smoking, diabetes, or certain medications

Bone healing typically proceeds without much problem. However, there are situations where people have issues healing after fractures or surgery. Bone stimulators are not used for routine bone healing but in situations where steps may be needed to help stimulate the body. While the improvement may be small, it may be critical if it is the difference between healing and nonhealing.

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.

From Injury to Recovery with Chiropractic Care

References

U.S. Food & Drug Administration. (2022). AccelStim Bone Growth Stimulator – P210035. Retrieved from https://www.fda.gov/medical-devices/recently-approved-devices/accelstim-bone-growth-stimulator-p210035#:~:text=What%20is%20it?,the%20transducer%20to%20the%20fracture

Childs, S. G. (2003). Stimulators of bone healing. Biologic and biomechanical. Orthopedic nursing, 22(6), 421–428. https://doi.org/10.1097/00006416-200311000-00010

Aleem, I. S., Aleem, I., Evaniew, N., Busse, J. W., Yaszemski, M., Agarwal, A., Einhorn, T., & Bhandari, M. (2016). Efficacy of Electrical Stimulators for Bone Healing: A Meta-Analysis of Randomized Sham-Controlled Trials. Scientific Reports, 6, 31724. https://doi.org/10.1038/srep31724

Victoria, G., Petrisor, B., Drew, B., & Dick, D. (2009). Bone stimulation for fracture healing: What’s all the fuss?. Indian Journal of Orthopaedics, 43(2), 117–120. https://doi.org/10.4103/0019-5413.50844

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Diet, Gut Health , , , , , , , , , , , , , ,

Sauerkraut and Its Incredible Health Benefits

Can incorporating sauerkraut into one’s diet help promote healthy gut bacteria?

Sauerkraut

Sauerkraut, a fermented cabbage food, is a great source of probiotics and fiber, both of which can contribute to gut health. It’s a living food containing various microbial strains and can help improve digestion, reduce inflammation, and improve overall gut health. (Shahbazi R. et al., 2021)

Fermented foods like sauerkraut have live cultures that promote the growth of beneficial probiotics, bacteria that provide powerful health benefits. Probiotics also help make foods more digestible, increasing the gut’s ability to absorb the vitamins and minerals they contain. A study found that fermented cabbage may help protect intestinal cells from inflammatory damage more than raw cabbage. (Wei L., & Marco M. L., 2025)

Homemade sauerkraut likely contains more live cultures than store-bought since processing may destroy some of the healthy bacteria. (National Institutes of Health Office of Dietary Supplements, 2023) Depending on which supplement is chosen, sauerkraut may have a greater diversity of probiotic strains. This is because an oral supplement has a known quantity and strain of probiotics. Individuals who want to add probiotics to their diet for potential gut health benefits should take a food-first approach, which is generally recommended over oral supplements. (National Institutes of Health, 2025)

Look at the Benefits

Probiotics

  • Sauerkraut contains lactic acid bacteria, which are beneficial bacteria that can help support the immune system and reduce inflammation. (Healthline, 2023)

Fiber

  • Sauerkraut is a robust source of fiber, which aids in digestion and can help you feel full longer.

Digestion

Anti-inflammatory

Gut Microbiome

  • Sauerkraut can help diversify and improve the composition of the gut microbiome, leading to various health benefits. (Healthline, 2023)

IBS symptoms

How to incorporate sauerkraut into one’s diet

Check the Ingredients

Option for unpasteurized

  • Look for sauerkraut that is labeled raw or naturally fermented to ensure it contains live probiotics.

Try to Eat Regularly

  • Aim to include sauerkraut in your diet a few times a week to reap the benefits. (Healthline, 2023)

Pair with Other Gut-Healthy Foods

  • Sauerkraut can be eaten alone or paired with other fermented foods, such as yogurt, kimchi, or chard, to promote gut health.

What to consider

Cabbage Allergy

  • Individuals who have a cabbage allergy or histamine intolerance should avoid sauerkraut.

Sodium

MAOI Medications

  • Consult with a doctor before adding sauerkraut to your diet if you are taking monoamine oxidase inhibitors (MAOIs).

Start small and learn how you like to eat sauerkraut, which can be as a condiment, side dish, or sandwich ingredient.

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, electroacupuncture, and integrated medicine protocols. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Body In Balance: Chiropractic, Fitness, and Nutrition

References

Shahbazi, R., Sharifzad, F., Bagheri, R., Alsadi, N., Yasavoli-Sharahi, H., & Matar, C. (2021). Anti-Inflammatory and Immunomodulatory Properties of Fermented Plant Foods. Nutrients, 13(5), 1516. https://doi.org/10.3390/nu13051516

Healthline. (2023). 8 Surprising Benefits of Sauerkraut (Plus How to Make It). https://www.healthline.com/nutrition/benefits-of-sauerkraut#nutrients

Medical News Today. (2023). What are the benefits of eating sauerkraut? https://www.medicalnewstoday.com/articles/health-benefits-of-sauerkraut

Wei, L., & Marco, M. L. (2025). The fermented cabbage metabolome and its protection against cytokine-induced intestinal barrier disruption of Caco-2 monolayers. Applied and environmental microbiology, e0223424. Advance online publication. https://doi.org/10.1128/aem.02234-24

National Institutes of Health Office of Dietary Supplements. (2023). Probiotics. Retrieved from https://ods.od.nih.gov/factsheets/Probiotics-Consumer/

National Institutes of Health. (2025). Probiotics. Retrieved from https://ods.od.nih.gov/factsheets/Probiotics-HealthProfessional/

U.S. Department of Agriculture. (2018). Sauerkraut, canned, solids and liquids. Retrieved from https://fdc.nal.usda.gov/food-details/169279/nutrients

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Chiropractic Care, Physio , , , , , , , , , , , , , , , , ,

Muscles Retighten: Why Ongoing Care Is Essential

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

Muscles Retighten

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

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

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

Causes

Causes for muscles to retighten.

Underlying Issues

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

Delayed Onset Muscle Soreness (DOMS)

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

Delayed Inflammatory Response

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

Muscle Memory

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

Muscle Guarding

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

Muscle Health Maintenance

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

Individual Variation

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

Massage Treatment

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

Type of Massage

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

Muscle Fiber Manipulation

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

Dehydration

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

Lactic Acid Buildup

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

Muscle Tensions

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

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.

Secrets of Optimal Wellness

References

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

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

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

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

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

Center of Gravity Explained: A Comprehensive Guide

What is the body’s center of gravity to understand and maintain a healthy posture and balance?

Center of Gravity

The human center of gravity, or COG, also known as the center of mass, with the two terms being interchangeable, is where the body’s weight appears to be concentrated. It’s a point in space where the entire body’s mass can be concentrated. When standing upright, the COG is generally located behind the navel and in front of the sacrum, around the level of the second vertebra. (Le Huec, J. 2011) The center of gravity is related to posture, including issues such as swayback, the design of posture exercise programs, and much more.

  • Gravity is a downward pull or force the Earth exerts on the body, creating weight. (NASA, 2013)
  • The center of gravity (COG) is where a body’s weight is equally balanced in all directions. (Physiopedia, 2025)
  • When the COG is defined, it is done from the reference of a static, standing position.
  • Because the body is in motion when we change positions, the COG is located in a new position with each new position.
  • The center of gravity is the point around which all the parts balance, which may be inside or outside the body.
  • Even slight changes in position can change where the COG is. (Physiopedia, 2025)

Key aspects of the COG

Location

  • When standing upright, the COG is typically found at the second vertebral level, behind the navel and in front of the sacrum. (Le Huec, J. 2011)

Shifting COG

  • The COG can shift depending on body position, posture, and movements like bending forward or backward. (Physiopedia, 2025)

Balance Impact 

  • The relationship between the COG and the base of support (the area of the body in contact with the ground) is fundamental to maintaining balance.

Variations

  • There can be variations in the COG location based on factors like gender (men tend to have a slightly higher COG), body shape, and even conditions like obesity or chronic low back pain. (Physiopedia, 2025)

Biomechanics

  • Understanding the COG is crucial in biomechanics and movement analysis, as it’s an index of total body motion and how the body responds to external forces.

The Human Center

The center of gravity is the point at which the body’s mass is equally balanced. This point changes depending on one’s position:

  • Arms up/down
  • Leaning
  • Turning

With strength and flexibility training, the human body can change its center of gravity, as gymnasts and dancers do.

  • When standing, the center of gravity is normally located behind the navel and in front of the sacrum bone (made up of five vertebrae fused vertically) at about the second vertebra level. (Hasegawa K. et al., 2022)
  • Because the body has moving parts, its overall shape changes every time it moves. Carrying something like a suitcase or grocery bag or wearing a backpack adds weight to some areas but not others, changing the center of gravity as it does.
  • The center of gravity is a continually changing point inside or outside the body that represents where the weight or mass of the rest of the body is equally balanced in every direction.
  • This point can and does change based on what is being carried and how it is carried, as well as body position and movements.

Chronic Lower Back Pain

  • A study in the Journal of Back and Musculoskeletal Rehabilitation found that individuals with chronic lower back pain tend to have their center of gravity located excessively towards the back. (Kim D. H., Park J. K., & Jeong M. K. 2014)
  • In the study, the individuals had decreased low back strength upon extension and a reduced normal low back curve.
  • The researchers found that those with chronic lower back pain whose center of gravity was too far back may need physical therapy to retrain the body to overcome strength and balance challenges to re-establish and maintain a healthy posture.

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.

Enhance Your Lifestyle Today with Chiropractic Care

References

Le Huec, J. C., Saddiki, R., Franke, J., Rigal, J., & Aunoble, S. (2011). Equilibrium of the human body and the gravity line: the basics. European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 20 Suppl 5(Suppl 5), 558–563. https://doi.org/10.1007/s00586-011-1939-7

NASA. Jet Propulsion Laboratory, California Institute of Technology. (2013). What is gravity? Retrieved from https://gracefo.jpl.nasa.gov/news/5/what-is-gravity/

Physiopedia. (2025). Centre of gravity. https://www.physio-pedia.com/Centre_of_Gravity

Hasegawa, K., Amabile, C., Nesme, M., & Dubousset, J. (2022). Gravity center estimation for evaluation of standing whole body compensation using virtual barycentremetry based on biplanar slot-scanning stereoradiography – validation by simultaneous force plate measurement. BMC musculoskeletal disorders, 23(1), 22. https://doi.org/10.1186/s12891-021-04948-5

Kim, D. H., Park, J. K., & Jeong, M. K. (2014). Influences of posterior-located center of gravity on lumbar extension strength, balance, and lumbar lordosis in chronic low back pain. Journal of Back and Musculoskeletal Rehabilitation, 27(2), 231–237. https://doi.org/10.3233/BMR-130442

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

Cornstarch: How to Replace Flour in Recipes

How can cornstarch be used instead of flour in recipes for individuals on a gluten-free diet who are looking for a flour alternative due to celiac disease or non-celiac gluten sensitivity?

flour table

Cornstarch Substitute

Flour is often used as a thickener or a coating in recipes. Pure cornstarch (made from corn) is a gluten-free flour substitute (Rai S., Kaur A., & Chopra C.S., 2018). However, some brands are not considered gluten-free.

Substitute for Flour

It’s easy to substitute cornstarch for flour when the recipe calls for a thickener, such as in gravies, sauces, pies, or coatings for fried foods. If flour is unavailable or individuals want to try a gluten-free alternative, cornstarch has a similar effect in these cooking applications.

However, individuals should be aware that it cannot be used as a substitute for flour in baked goods.

As a Thickener

Cornstarch can be a thickener in sauces, gravy, and pie fillings. (Bob’s Red Mill, 2020)

  • There is no taste of cornstarch.
  • However, foods will be more translucent.
  • This is because it is pure starch, while flour contains some protein.
  1. Cornstarch is not a 1:1 substitute for flour.
  2. Individuals should generally use one tablespoon for each 1 1/2 to 2 cups of flour for sauce/gravy for medium thickness. (The Denver Post, 2016)

When using cornstarch as a thickener:

  • Bring the mixture to a full boil for 1 minute, which allows the granules to swell to their maximum.
  • Reduce the heat as it thickens.
  • Overcooking can cause mixtures to thin when cooled.
  • Cook over medium-low to medium heat, as high heat can cause lumping.
  • Stir gently
  • Stirring vigorously can break down the mixture.
  • If more ingredients are needed, remove the pot from the heat and stir them quickly and gently.
  • Avoid freezing sauces or gravies since they won’t freeze well. (Cook’s Info, 2008)

How To Use

  • Use half as much cornstarch as you would flour.
  • For example, if the recipe calls for two tablespoons of flour, use one tablespoon of cornstarch.
  • If the recipe calls for 1/4 cup of flour, use 1/8 cup of cornstarch.
  • This is true for other starches, including arrowroot, potato, and tapioca. (Taste of Home, 2023)
  • Adding the cornstarch directly will cause it to clump and form lumps in the sauce that will be difficult to dissolve.
  • To avoid this, mix the cornstarch with cold water (1 tablespoon of cornstarch to 1 tablespoon of cold water) until it is dissolved.
  • Then pour the water/starch mixture/slurry into the mix.
  • Keep stirring as the mixture thickens. (Bon Appetit, 2020)

Cornstarch is not as effective as flour when thickening acidic sauces. It doesn’t work well with tomato, vinegar, or lemon juice sauces. It is also less effective than flour when thickening sauces made with fat, including butter or egg yolks. (The BC Cook Articulation Committee, 2015)

If the mixture contains too little liquid, the starch granules cannot absorb. This is also the case when there is more sugar than liquid, in which case, more liquid is needed to firm up the mixture.

Fried Dishes

Individuals can use cornstarch instead of flour to coat fried chicken, fish, or other fried dishes. It creates a crisper coating that better withstands sauces and absorbs less frying oil, resulting in a lower-fat meal. Tips for frying:

  • Try a 50/50 blend of cornstarch and gluten-free flour for a coating closer to wheat flour. (Bon Appetit, 2016)
  • Ensure there is a light, even cornstarch coating on the food.
  • Heavier coatings can get gummy.

Injury Medical Chiropractic and Functional Medicine Clinic

When cooking gluten-free, individuals may be able to continue to enjoy some of their favorite sauces by learning how to use cornstarch and other gluten-free thickeners instead of flour. As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, electroacupuncture, and integrated medicine protocols. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

From Consultation to Transformation: Assessing Patients in a Chiropractic Setting

References

Rai, S., Kaur, A., & Chopra, C. S. (2018). Gluten-Free Products for Celiac-Susceptible People. Frontiers in Nutrition, 5, 116. https://doi.org/10.3389/fnut.2018.00116

Bob’s Red Mill. (2020). Baking with cornstarch: Everything you need to know. https://www.bobsredmill.com/articles/baking-with-cornstarch-everything-you-need-to-know

Denver Post. (2016). Cornstarch a good way to thicken gravy lightly. https://www.denverpost.com/2010/11/20/cornstarch-a-good-way-to-thicken-gravy-lightly/

Cook’s Info. (2008). Thickeners. https://www.cooksinfo.com/thickeners/

Taste of Home. (2023). Cornstarch vs. flour vs. arrowroot – when should you use which thickener? https://www.tasteofhome.com/article/best-thickener/

Bon Appetit. (2020). Cornstarch is a powerful tool that must be used responsibly. https://www.bonappetit.com/story/the-power-of-almighty-cornstarch

The BC Cook Articulation Committee. (2015). Understanding Ingredients for the Canadian Baker
Types of thickening agents. https://opentextbc.ca/ingredients/chapter/types-of-thickening-agents/

Bon Appetit. (2016). 4 brilliant ways to cook with cornstarch. https://www.bonappetit.com/story/cornstarch-uses-sauce-crispy-meat

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Acupuncture, Chiropractic Care, Electroacupuncture , , , , , , , , , , , , , , , , , , ,

Paraspinal Muscle Tension: Understanding the Impacts

Can a paraspinal muscle spasm in the lower back create a chain reaction leading to hamstring spasms and potential sciatic nerve entrapment?

Paraspinal Muscle Spasm Chain Reaction

A paraspinal muscle spasm in the lower back can cause a cascade of events, including: (Cedars-Sinai, 2025)

  • Spasms in other lower back muscles
  • Hamstring spasms
  • Potential entrapment of the sciatic nerve

Leading to symptoms similar to sciatica: 

  • Pain
  • Sore, achy muscles
  • Weak muscles
  • Numbness
  • Tingling along the back of the leg

Possible Mechanisms

Triggering Muscle Spasms in the Lower Back

  • Paraspinal muscles are located along the spine and help to stabilize and support the lower back.
  • When these muscles spasm, they can become tense and painful, causing a chain reaction.
  • This tension can radiate down and affect other muscles in the lower back. (Noonan A. M., & Brown S. H. M., 2021)

Can Affect Lower Back Muscles and Cause Hamstring Spasms

  • Lower back muscles, including those like the quadratus lumborum, can be affected by paraspinal spasms. (Hospital for Special Surgery, 2024)
  • The spasms can cause these muscles to tighten or spasm, potentially pulling on the hamstring muscles.
  • This can lead to hamstring spasms and tightness, further contributing to pain and potential nerve irritation.

Entrapment of the Sciatic Nerve

  • Piriformis syndrome is a common condition where the piriformis muscle (located in the buttock) spasms and compresses the sciatic nerve. (Cedars-Sinai, 2025)
  • The sciatic nerve runs from the lower back down the back of the thigh and into the leg, making it vulnerable to compression by surrounding muscles.
  • If the paraspinal and hamstring spasms create enough tension on the piriformis muscle or surrounding tissues, it can lead to sciatic nerve entrapment. (Hospital for Special Surgery, 2024)

How acupuncture helps relieve sciatica

Acupuncture can help relieve sciatica pain by stimulating specific points on the body, which can trigger the release of endorphins, reduce inflammation, improve blood flow, and relax tight muscles that could be compressing the sciatic nerve. By modulating the nervous system and promoting the body’s natural healing processes, acupuncture can help alleviate pain and improve overall function. (Qin, Z. et al., 2015)

Releases endorphins

  • Acupuncture stimulates the nervous system, triggering the release of endorphins, the body’s natural painkillers.

Reduces inflammation

  • Acupuncture can help reduce inflammation in the area surrounding the sciatic nerve, which can contribute to pain and nerve irritation. (Natural Care Chiropractic, 2022)

Improves circulation

  • By increasing blood flow to the affected area, acupuncture can help deliver nutrients and oxygen to the sciatic nerve and surrounding tissues, promoting faster healing.

Relaxes tight muscles

  • Sciatica pain can be exacerbated by tight muscles compressing the nerve. Acupuncture can help relax these muscles, reducing pressure on the sciatic nerve and alleviating pain.

Regulates the nervous system

  • Acupuncture can help regulate the nervous system, positively impacting pain perception and overall well-being. (Qin, Z. et al., 2015)

Promotes regeneration

  • Some evidence suggests that acupuncture can promote sciatic nerve regeneration, potentially leading to long-term pain relief. (Natural Care Chiropractic, 2022)

Needling Types

Distal needling

  • Acupuncture can also involve using points that are further away from the site of pain, which can also help to reduce pain and inflammation. 

Local needling

  • Points are also selected on or near the sciatic nerve’s path, which can help directly address the source of pain and inflammation. (Qin, Z. et al., 2015)

Holistic approach

  • Acupuncture is often viewed as a holistic approach to pain management, addressing the symptoms of sciatica and the underlying causes and imbalances in the body.

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.

Chiropractic and Integrative Healthcare

References

Cedars Sinai. (2025). Piriformis Syndrome. https://www.cedars-sinai.org/health-library/diseases-and-conditions/p/piriformis-syndrome.html#:~:text=Overview,can%20run%20through%20the%20muscle)

Noonan, A. M., & Brown, S. H. M. (2021). Paraspinal muscle pathophysiology associated with low back pain and spine degenerative disorders. JOR spine, 4(3), e1171. https://doi.org/10.1002/jsp2.1171

Hospital for Special Surgery. (2024). Sciatica. https://www.hss.edu/condition-list_sciatica.asp

Qin, Z., Liu, X., Wu, J., Zhai, Y., & Liu, Z. (2015). Effectiveness of Acupuncture for Treating Sciatica: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM, 2015, 425108. https://doi.org/10.1155/2015/425108

Natural Care Chiropractic, D. M. F. (2022). Acupuncture for Sciatica Pain Relief. https://www.naturalcarechiropractic.com/post/acupuncture-for-sciatica-pain-relief