Care is the cornerstone of our practice

Visit our Location
11860 Vista Del Sol Dr Suite 105,
El Paso, TX 79936
Give us a Call
+1 (915) 412-6680
Send us a Message
support@chiromed.com
Opening Hours
Mon-Thu: 7 AM - 7 PM
Fri - Sun: Closed

Tag: body

ChiroMedBlogbody
By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Exercises , , , , , , , , , ,

Calisthenics: Transform Your Body Naturally

Get started with calisthenics and experience amazing results. Bodyweight training can elevate your fitness game effortlessly.

Introduction

Musculoskeletal disorders (MSDs) are among the leading causes of pain, disability, and diminished quality of life worldwide. Whether stemming from repetitive occupational stressors, sedentary behavior, age-related degeneration, or trauma, these disorders disrupt the foundational biomechanics of the human body. As a nurse practitioner with two decades of experience in physical and functional medicine, I have observed how integrated, non-surgical interventions—particularly calisthenics and chiropractic care—offer sustainable solutions for patients grappling with pain and mobility challenges.

This article outlines how calisthenics, or bodyweight movement training, when combined with chiropractic care, provides a comprehensive, cost-effective, and evidence-informed approach to restoring musculoskeletal health. We’ll also explore specific exercises, patient protocols, and the neurobiological underpinnings that make this combination both powerful and accessible.

Understanding Musculoskeletal Disorders: A Functional Medicine Perspective

Musculoskeletal disorders encompass a wide range of conditions affecting the bones, muscles, tendons, ligaments, and joints. These include:

  • Low back pain
  • Cervical radiculopathy
  • Myofascial pain syndrome
  • Shoulder impingement
  • Chronic joint stiffness and instability
  • Sacroiliac dysfunction
  • Postural imbalances and movement disorders

From a functional medicine lens, MSDs are not isolated pathologies but often part of a larger systemic imbalance involving inflammation, poor posture, neuromuscular dysfunction, and biomechanical inefficiencies.

Importantly, many patients present with overlapping risk profiles—including obesity, insulin resistance, sedentary lifestyle, poor proprioception, and autonomic dysregulation—that exacerbate their musculoskeletal pain. In these cases, surgery should be a last resort. Instead, conservative, holistic interventions often yield long-term relief and functional restoration without the side effects and costs associated with pharmacological or surgical approaches.

Why Non-Surgical Interventions Matter

Non-surgical treatments, especially those grounded in functional and physical medicine, provide several advantages:

  • Cost-effectiveness: Reduces long-term healthcare spending.
  • Minimized risk: Avoids complications from anesthesia, surgical infection, or post-operative dependency on opioids.
  • Root-cause resolution: Treats underlying movement dysfunction, not just the symptoms.
  • Sustainability: Teaches patients to manage their health independently through lifestyle, movement, and alignment.

Among these interventions, two stand out: chiropractic spinal care and calisthenics-based rehabilitation.

Calisthenics: The Foundation of Functional Movement

What Is Calisthenics?

Calisthenics refers to bodyweight resistance training aimed at improving strength, coordination, balance, and flexibility. Exercises such as squats, lunges, planks, push-ups, glute bridges, and dynamic mobility drills engage multiple muscle groups without external weights, making them safe, scalable, and accessible to all fitness levels.

Unlike high-intensity interval training (HIIT) or gym-based hypertrophy programs, calisthenics emphasizes:

  • Neuromuscular integration
  • Proprioceptive feedback
  • Core stabilization
  • Functional joint loading

🔍 SEO Keywords: calisthenics for low back pain, bodyweight exercises for musculoskeletal pain, functional movement therapy, non-surgical back pain relief

Calisthenics and Health Optimization

Evidence shows that regular participation in calisthenic-based movement routines can:

  • Improve metabolic health and reduce risk of chronic disease (Bellissimo et al., 2022)
  • Reverse deconditioning associated with sedentary behavior
  • Enhance musculoskeletal and cognitive function by improving circulation and neuroplasticity (Osuka et al., 2020)

This makes calisthenics not only a therapeutic intervention but also a preventive strategy for aging-related degeneration and functional decline.

Can Core Exercises Help With Back Pain?-Video

Chiropractic Care: Restoring Biomechanical Integrity

What Does Chiropractic Care Do?

Chiropractic care focuses on restoring spinal and joint alignment through manual and mechanical manipulations. When spinal segments are misaligned—known as subluxations—they interfere with normal neuromuscular signaling and alter gait, posture, and joint mechanics.

Key benefits include:

  • Pain reduction through neural reflex modulation
  • Improved range of motion in affected joints
  • Myofascial release and decreased muscle hypertonicity
  • Autonomic balance through vagal nerve upregulation

Coulter et al. (2018) documented chiropractic’s efficacy in reducing back pain severity, improving function, and lowering opioid dependence in patients with chronic low back pain.

The Synergy Between Calisthenics and Chiropractic Care

While chiropractic adjustments realign and decompress joints, calisthenics reinforces these changes by retraining the neuromuscular system. This dual approach ensures that postural corrections are maintained long-term through active engagement and movement retraining.

Key Integration Strategies:

  1. Post-Adjustment Stabilization
    Patients are guided through low-load activation drills (e.g., glute bridges, bird-dogs) immediately after spinal manipulation to “lock in” proper alignment via muscle memory.
  2. Corrective Exercise Protocols
    Calisthenic movements are used to correct postural syndromes like upper-crossed and lower-crossed syndrome by strengthening underactive muscles and releasing hypertonic patterns.
  3. Home-Based Exercise Programs
    These simple, equipment-free routines promote daily movement, increase patient autonomy, and reduce reliance on in-office care.
  4. Neuromuscular Re-education
    Calisthenics enhances proprioceptive feedback and motor planning, essential for individuals with chronic pain and poor movement literacy (Mear et al., 2022).

Evidence-Based Calisthenics for Musculoskeletal Pain

Calisthenics for Low Back Pain: 4 Foundational Exercises

1. Glute Bridge

Target: Gluteus maximus, hamstrings, core
Why: Strengthens posterior chain to decompress lumbar spine
How to Perform:

  • Lie on your back, knees bent, feet flat.
  • Engage core, press through heels, lift hips.
  • Hold 5 seconds; repeat 15 reps × 3 sets.

2. Bird-Dog

Target: Multifidus, erector spinae, transverse abdominis
Why: Enhances spinal stability and cross-body coordination
How to Perform:

  • On all fours, keep spine neutral.
  • Extend opposite arm and leg; hold 10 seconds.
  • Alternate sides; repeat 10 reps per side × 3 sets.

3. Wall Sit

Target: Quadriceps, glutes, lumbar stabilizers
Why: Promotes spinal neutrality and knee-hip coordination
How to Perform:

  • Slide into seated position against a wall.
  • Hold for 20–30 seconds; repeat 3–5 times.

4. Pelvic Tilt

Target: Core musculature, pelvic stabilizers
Why: Teaches lumbar-pelvic control and relieves tension
How to Perform:

  • Supine with knees bent.
  • Flatten lumbar spine against the floor.
  • Hold 10 seconds; repeat 10–15 reps × 3 sets.

💡 Pro Tip: Begin with isometric holds and progress to dynamic variations once stability improves.

Calisthenics in Functional Rehabilitation Protocols

Functional medicine emphasizes root-cause resolution and the restoration of systemic balance. In musculoskeletal care, this means addressing:

  • Inflammation and oxidative stress with nutrition and supplementation
  • Mitochondrial dysfunction with movement and breathwork
  • Autonomic dysregulation via vagal toning and neuromuscular re-patterning

Calisthenics fits into this paradigm by improving cellular oxygenation, lymphatic flow, and biomechanical alignment—without the need for expensive gym equipment or medication.

Case Example: Chronic Low Back Pain

A 48-year-old patient presents with chronic mechanical low back pain, obesity (BMI 31), and poor core strength. Her job requires prolonged sitting. A personalized treatment plan includes:

  • Chiropractic adjustments to the lumbar and thoracic spine
  • Dietary counseling to reduce inflammatory load
  • Calisthenic regimen of:
    • Bird-dogs for stabilization
    • Wall sits for quadriceps activation
    • Daily pelvic tilts to train lumbar control

Within 8 weeks, she reports reduced pain (VAS score from 7 to 3), improved posture, and increased daily movement tolerance.

Final Thoughts: Empowering Movement for Long-Term Health

Movement is medicine—particularly when it’s accessible, functional, and patient-led.

Calisthenics combined with chiropractic care offers a powerful, evidence-based approach to treating musculoskeletal disorders. This integrative strategy not only alleviates pain but also addresses the underlying biomechanical dysfunctions that contribute to chronic conditions. As a nurse practitioner practicing at the intersection of functional medicine and physical rehabilitation, I’ve seen firsthand how this combination can restore vitality, independence, and resilience in patients of all ages.

By embracing calisthenics as a therapeutic modality—and not just a fitness trend—we enable patients to become active participants in their healing journey. Whether managing chronic back pain, recovering from injury, or optimizing performance, bodyweight movement is one of the most effective and sustainable tools we can offer.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of assessing individuals with musculoskeletal disorders affecting their daily routines. When asking important questions to our associated medical providers, we advise patients to incorporate exercises like calisthenics to help reengage the musculoskeletal system while reducing muscle pain within the lumbar region. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.

References

Bellissimo, G. F., Ducharme, J., Mang, Z., Millender, D., Smith, J., Stork, M. J., Little, J. P., Deyhle, M. R., Gibson, A. L., de Castro Magalhaes, F., & Amorim, F. (2022). The Acute Physiological and Perceptual Responses Between Bodyweight and Treadmill Running High-Intensity Interval Exercises. Front Physiol, 13, 824154. https://doi.org/10.3389/fphys.2022.824154

Caneiro, J. P., Bunzli, S., & O’Sullivan, P. (2021). Beliefs about the body and pain: the critical role in musculoskeletal pain management. Braz J Phys Ther, 25(1), 17-29. https://doi.org/10.1016/j.bjpt.2020.06.003

Coulter, I. D., Crawford, C., Hurwitz, E. L., Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, P. M. (2018). Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. Spine J, 18(5), 866-879. https://doi.org/10.1016/j.spinee.2018.01.013

Mear, E., Gladwell, V. F., & Pethick, J. (2022). The Effect of Breaking Up Sedentary Time with Calisthenics on Neuromuscular Function: A Preliminary Study. Int J Environ Res Public Health, 19(21). https://doi.org/10.3390/ijerph192114597

Osuka, Y., Kojima, N., Sasai, H., Ohara, Y., Watanabe, Y., Hirano, H., & Kim, H. (2020). Exercise Types and the Risk of Developing Cognitive Decline in Older Women: A Prospective Study. J Alzheimers Dis, 77(4), 1733-1742. https://doi.org/10.3233/JAD-200867

Zemkova, E., & Zapletalova, L. (2022). The Role of Neuromuscular Control of Postural and Core Stability in Functional Movement and Athlete Performance. Front Physiol, 13, 796097. https://doi.org/10.3389/fphys.2022.796097

Disclaimer

By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Chiropractic Care, Physio , , , , , , , , , , , , , , , , , ,

Postural Assessment for Optimal Movement Efficiency

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

Postural Assessment

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

Visual Assessment

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

Palpation

Movement Analysis

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

Importance and Benefits

Early Identification

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

Targeted Treatment

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

Injury Prevention

  • It can help prevent injuries by addressing underlying postural imbalances.

Postural Assessment Tools

Some tools used include:

Basic Assessment

Stand Upright

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

Alignment Observation

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

Palpate for Muscle Imbalances

Consider the Patient’s Activity Level and History

Wall Test

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

Postural Issues Examples

Rounded Shoulders (Hyperkyphosis)

  • Forward rounding of the upper back.

Forward Head Posture

  • Head positioned too far forward.

Lordosis

  • Excessive inward curve of the lower back.

Flat Back

  • Reduced natural curve of the lower back.

Muscle Imbalances

Professionals Who Can Perform a Posture Assessment

Physiotherapists

  • Professionals trained in assessing and treating musculoskeletal problems.

Chiropractors

  • Professionals who focus on the spine and nervous system.

Fitness Professionals

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

Ergonomists

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

Injury Medical Chiropractic & Functional Medicine Clinic

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

Multidisciplinary Evaluation and Treatment

References

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

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

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

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

By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Diet , , , , , , , , , , , ,

Tofu Benefits: Nutrition and Cooking Tips

Uncover the health benefits of tofu. This nutritious ingredient is great for both your taste buds and your well-being.

Introduction

As a nurse practitioner with over two decades of clinical experience in physical and functional medicine, I’ve witnessed firsthand the transformative power of food as medicine. In particular, the role of plant-based proteins like tofu has grown increasingly significant in evidence-based interventions aimed at reducing cardiovascular risk.

From managing hypertension and dyslipidemia to reducing systemic inflammation, a heart-healthy diet is one of the most accessible and sustainable lifestyle changes patients can make. One often-underappreciated food with robust cardioprotective properties is tofu. In this article, we’ll explore the science-backed benefits of tofu, its role in functional cardiovascular care, and practical ways to integrate it into a heart-smart diet.

Why Functional Nutrition Matters for Cardiovascular Health

The heart doesn’t function in isolation—it works in concert with every other system in the body. Functional medicine recognizes that cardiovascular issues often stem from a constellation of root causes: chronic inflammation, oxidative stress, hormonal imbalances, dysregulated blood sugar, and nutrient deficiencies, just to name a few.

Rather than isolating nutrients or treating lab values in a vacuum, functional nutrition focuses on synergy—how whole foods interact with body systems to optimize health. Tofu, with its impressive nutrient density and anti-inflammatory profile, fits seamlessly into this paradigm.

What Is Tofu? A Nutritional Powerhouse from the Soybean

Tofu, also known as bean curd, is a protein-rich food derived from soybeans. It has been a staple in East Asian diets for over 2,000 years and is gaining popularity in the West for good reason.

To produce tofu, soybeans are soaked, blended, and strained into a soy milk, which is then coagulated using calcium or magnesium salts and pressed into blocks. This process preserves the soybean’s rich content of protein, calcium, iron, and bioactive compounds.

Unlike ultra-processed meat substitutes, tofu is a minimally processed, whole food source of plant protein that aligns with the foundational principles of a heart-healthy, anti-inflammatory diet.

Nutritional Profile of Tofu (Per 116g Serving of Firm Tofu)

  • Calories: 88
  • Protein: 9g
  • Fat: 6g (mostly unsaturated)
  • Saturated Fat: 0.8g
  • Carbohydrates: 2.2g
  • Fiber: 0.3g
  • Sodium: 8mg
  • Potassium: 140mg
  • Iron: 34% Daily Value (DV)
  • Calcium: 40% DV
  • Magnesium: 8% DV
  • Vitamin B6: 5% DV

Tofu also contains all nine essential amino acids, making it a complete protein—an important consideration for those transitioning away from animal products.

The Healing Diet: Combat Inflammation & Embrace Wellness- Video

The Cardiovascular Benefits of Tofu: What the Science Says

1. Lowering LDL Cholesterol

A pivotal meta-analysis published in the Journal of Nutrition (Messina, 2016) confirmed the LDL-lowering effects of soy protein. Tofu, being rich in soy protein, can help reduce low-density lipoprotein (LDL) cholesterol, often referred to as “bad” cholesterol. By displacing saturated fat and dietary cholesterol from animal proteins, tofu supports healthier lipid profiles.

2. Anti-Inflammatory and Antioxidant Properties

Tofu is rich in isoflavones, naturally occurring phytoestrogens found in soybeans. Isoflavones like genistein and daidzein have antioxidant properties and may inhibit inflammation at the endothelial level—critical for patients with atherosclerosis or at risk for coronary artery disease. According to Rizzo et al. (2023), these compounds help maintain vascular flexibility and may inhibit platelet aggregation, reducing clot risk.

3. Blood Pressure Regulation

Magnesium, potassium, and calcium—key electrolytes found in tofu—are all essential for regulating blood pressure. These nutrients support vascular tone and optimize endothelial function. Additionally, substituting animal-based protein with tofu helps reduce overall sodium intake, further supporting blood pressure goals.

4. Weight and Metabolic Control

With only 88 calories per serving and a high satiety value, tofu is a strategic food for weight management—an important factor in controlling cardiovascular risk. The protein-fiber-fat ratio makes it ideal for glycemic regulation and preventing insulin resistance.

5. Improved Lipid Profiles and Reduced Coronary Risk

Longitudinal studies have demonstrated that plant-based diets rich in soy protein improve HDL/LDL ratios and reduce triglycerides, especially when tofu is used to replace red meat or processed meats. According to Erdman (2000), soy-based interventions can reduce coronary heart disease risk by as much as 20% over time when combined with other healthy lifestyle changes.

Types of Tofu and Their Culinary Uses

Tofu’s versatility is one reason it’s so easy to integrate into a heart-healthy diet. Understanding its different textures can help patients and practitioners alike explore creative and satisfying meal planning.

  • Silken Tofu: Soft, custard-like texture. Excellent in smoothies, sauces, and desserts.
  • Soft Tofu: Slightly firmer than silken. Ideal for soups and gentle sautés.
  • Firm Tofu: Maintains structure well. Great for stir-fries, curries, and grilling.
  • Extra-Firm Tofu: Dense and chewy. Best for baking, frying, or as a meat substitute in hearty recipes.
  • Fermented Tofu: A flavorful condiment used in East Asian dishes. Contains probiotics and can support gut health.

Each form can be marinated, baked, crumbled, or pureed—making tofu a culinary chameleon and nutrient-rich addition to any cardiovascular prevention strategy.

Is Tofu a Reliable Protein Source for Cardiovascular Patients?

Yes—and not just for vegans or vegetarians. One of the biggest concerns in reducing animal protein intake is whether patients will meet their protein needs. Tofu alleviates this concern by offering a complete amino acid profile.

Furthermore, because tofu contains very little saturated fat and zero dietary cholesterol, it aligns with AHA (American Heart Association) guidelines for protein sources that support cardiac health. Tofu also promotes lean muscle maintenance, critical for older adults at risk for sarcopenia—a condition that compounds cardiovascular vulnerability.

Functional Medicine Tips: How to Add Tofu to a Heart-Healthy Diet

Transitioning to a more plant-based approach doesn’t have to be intimidating. Here are simple, evidence-informed ways to incorporate tofu:

  1. Tofu Scrambles: Replace eggs with crumbled firm tofu, turmeric, and vegetables for a cholesterol-free breakfast.
  2. Stir-Fries: Toss cubed tofu with olive oil, garlic, and cruciferous vegetables like broccoli or bok choy.
  3. Tofu Bowls: Combine baked tofu with quinoa, avocado, leafy greens, and tahini for a nutrient-dense lunch.
  4. Soups and Stews: Add soft tofu to miso or vegetable-based soups for added protein and satiety.
  5. Smoothies: Blend silken tofu with berries, flaxseed, and almond milk for a protein-packed snack.
  6. Marinated and Grilled: Let tofu absorb anti-inflammatory marinades (like ginger-garlic-tamari) before grilling.

Encourage patients to explore international cuisines—particularly Japanese, Korean, and Thai recipes—that have normalized tofu as a central protein source for centuries.

Addressing Common Concerns About Soy

Despite its benefits, soy has faced scrutiny—largely due to misconceptions around phytoestrogens. However, clinical research consistently shows that moderate soy intake is safe and beneficial for most populations, including breast cancer survivors and men with prostate concerns.

In fact, population studies in East Asia demonstrate lower rates of hormone-sensitive cancers and cardiovascular disease in populations consuming soy regularly. As with any food, balance and moderation are key.

Final Thoughts: Tofu as a Functional Ally for Cardiovascular Health

Tofu isn’t just a trend—it’s a time-tested, nutrient-dense, cardioprotective food with substantial clinical value. As healthcare providers, we should not underestimate the power of simple dietary substitutions. Replacing saturated fat-rich meats with plant-based proteins like tofu can reduce cardiovascular burden, support metabolic resilience, and enhance quality of life.

From a functional medicine lens, tofu exemplifies the concept of food as a therapeutic tool. Its ability to modulate inflammation, support endothelial function, and provide sustainable, complete protein makes it a cornerstone in any heart-healthy nutrition plan.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of assessing individuals dealing with cardiovascular issues and are looking for natural alternatives to incorporate plant-based foods into a healthy diet. When asking important questions to our associated medical providers, we advise patients to incorporate tofu into their diet to reduce the effects of cardiovascular disorders related to the body. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.

References

Dang, Y., Ren, J., Guo, Y., Yang, Q., Liang, J., Li, R., Zhang, R., Yang, P., Gao, X., & Du, S. K. (2023). Structural, functional properties of protein and characteristics of tofu from small-seeded soybeans grown in the Loess Plateau of China. Food Chem X, 18, 100689. https://doi.org/10.1016/j.fochx.2023.100689

Erdman, J. W., Jr. (2000). AHA Science Advisory: Soy protein and cardiovascular disease: A statement for healthcare professionals from the Nutrition Committee of the AHA. Circulation, 102(20), 2555-2559. https://doi.org/10.1161/01.cir.102.20.2555

Eze, N. M., Okwume, U. G., Eseadi, C., Udenta, E. A., Onyeke, N. G., Ugwu, E. N., Akubue, B. N., Njoku, H. A., & Ezeanwu, A. B. (2018). Acceptability and consumption of tofu as a meat alternative among secondary school boarders in Enugu State, Nigeria: Implications for nutritional counseling and education. Medicine (Baltimore), 97(45), e13155. https://doi.org/10.1097/MD.0000000000013155

Messina, M. (2016). Soy and Health Update: Evaluation of the Clinical and Epidemiologic Literature. Nutrients, 8(12). https://doi.org/10.3390/nu8120754

Montgomery, K. S. (2003). Soy protein. J Perinat Educ, 12(3), 42-45. https://doi.org/10.1624/105812403X106946

Rizzo, J., Min, M., Adnan, S., Afzal, N., Maloh, J., Chambers, C. J., Fam, V., & Sivamani, R. K. (2023). Soy Protein Containing Isoflavones Improves Facial Signs of Photoaging and Skin Hydration in Postmenopausal Women: Results of a Prospective Randomized Double-Blind Controlled Trial. Nutrients, 15(19). https://doi.org/10.3390/nu15194113

Disclaimer

By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Chiropractic Care , , , , , , , , , , , , , , , , , ,

Gua-Sha & Chiropractic Care for Wellness and Health: A Perfect Combo

Unlock the potential of gua-sha and chiropractic care. Learn how it can enhance your well-being and relieve tension.

Introduction: Rethinking Musculoskeletal Pain Through a Functional Medicine Lens

As a nurse practitioner with two decades of experience in physical and functional medicine, I’ve seen firsthand how musculoskeletal pain disrupts lives—whether it’s the desk-bound professional with chronic neck tension, the athlete recovering from overuse injuries, or the aging adult with persistent back discomfort. While pharmaceutical interventions may offer temporary relief, the key to long-term healing often lies in a more integrative approach.

Gua Sha therapy, a time-tested East Asian technique, combined with chiropractic care, offers a powerful, evidence-informed, and non-surgical strategy to alleviate musculoskeletal pain, restore function, and improve mobility. In this article, we’ll explore how these two modalities complement each other, the science behind their synergistic benefits, and how they can be integrated into a personalized treatment plan to support whole-body healing.

What Is Gua Sha Therapy? A Functional Medicine Perspective

Gua Sha (pronounced “gwah-shah”) is a traditional healing modality rooted in Traditional Chinese Medicine (TCM), involving the use of a smooth-edged instrument—often made of jade, rose quartz, or stainless steel—to gently scrape the skin in targeted areas. The goal? To release stagnation, promote microcirculation, and activate the body’s innate healing response.

The term “Gua” means “to scrape” and “Sha” refers to the reddish marks that appear on the skin, signifying the release of stagnant blood and toxins. These marks typically fade within a few days and are a normal part of the healing process.

In the modern clinical setting, Gua Sha has evolved into a sophisticated tool used by physical therapists, chiropractors, acupuncturists, and functional medicine providers. It’s particularly effective in addressing myofascial tension, trigger points, chronic inflammation, and reduced mobility due to soft tissue adhesions.

How Gua Sha Alleviates Musculoskeletal Pain

Musculoskeletal pain is often multifactorial—stemming from overuse, injury, postural imbalances, or systemic inflammation. When these factors are left unaddressed, they can lead to myofascial restrictions, scar tissue formation, and neuromuscular dysfunction, perpetuating a cycle of pain and immobility.

Gua Sha works by:

  • Disrupting fascial adhesions and encouraging tissue remodeling
  • Enhancing microvascular circulation, accelerating the delivery of oxygen and nutrients to the affected tissues
  • Activating the parasympathetic nervous system, shifting the body from “fight or flight” to “rest and repair”
  • Reducing pro-inflammatory cytokines and promoting anti-inflammatory responses (Chu et al., 2021)
  • Stimulating lymphatic flow, helping to reduce edema and clear metabolic waste
  • Releasing trigger points in hypertonic muscle groups, particularly in the neck, shoulders, lower back, and limbs

These mechanisms align well with the goals of functional medicine: identifying and treating root causes rather than masking symptoms.

Chiropractic Care: Aligning Structure and Function

Chiropractic care focuses on restoring proper spinal alignment and joint mobility through manual manipulation techniques. It is based on the principle that optimal nervous system function depends on structural integrity, particularly of the vertebral column.

Common benefits of chiropractic care include:

  • Pain reduction in the back, neck, and extremities
  • Improved range of motion and posture
  • Decompression of nerve roots, reducing radiculopathy and referred pain
  • Enhanced proprioception and neuromuscular coordination
  • Prevention of degenerative joint changes through biomechanical correction

A growing body of research supports chiropractic adjustments as an effective, evidence-based option for managing musculoskeletal conditions, especially when integrated into a multimodal treatment approach (Trager et al., 2024).

Discovering the Benefits of Chiropractic Care- Video

Gua Sha and Chiropractic Care: A Synergistic Duo

When Gua Sha is combined with chiropractic care, the result is a comprehensive therapeutic approach that targets both soft tissue restrictions and structural misalignments. This synergy accelerates healing and maximizes outcomes by preparing the body for more effective manual adjustments.

Here’s how the two modalities work together:

Gua Sha TherapyChiropractic Care
Breaks down adhesions in fascia and muscle tissueRestores joint alignment and spinal biomechanics
Stimulates lymphatic and circulatory systemsReduces nerve impingement and improves neural signaling
Releases tension in overactive muscle groupsRestores balance and mobility in underactive joints
Supports parasympathetic activationReinforces proprioceptive and neuromuscular patterns

One specific chiropractic application of Gua Sha is the Graston Technique, a modern adaptation that uses stainless steel instruments to identify and treat areas of soft tissue fibrosis. The goal is similar—restore mobility, reduce pain, and promote tissue healing (Deshmukh & Phansopkar, 2023).

Clinical Applications: When to Consider Gua Sha + Chiropractic Integration

As a nurse practitioner in functional medicine, I often incorporate both Gua Sha and chiropractic care for patients with:

  • Chronic neck pain and tension headaches
  • Myofascial pain syndrome (MPS)
  • Postural dysfunctions from prolonged desk work
  • Repetitive strain injuries (e.g., carpal tunnel, tennis elbow)
  • Lower back pain with fascial tightness
  • Post-surgical scar tissue and restricted mobility
  • TMJ dysfunction and facial tension
  • Sports-related injuries and performance recovery

These patients often report improved mobility, reduced inflammation, and greater pain relief when Gua Sha is included in their care plan—especially when timed before or after a chiropractic adjustment to reduce soft tissue guarding and enhance adjustment efficacy.

The Science: What Does the Research Say?

Numerous studies support the physiological effects of Gua Sha on circulation, inflammation, and pain modulation:

  • A 2021 study by Chu et al. found that Gua Sha therapy significantly increased microcirculation and decreased inflammatory markers in patients with chronic muscle pain.
  • Wang et al. (2020) highlighted Gua Sha’s role in stimulating the du meridian (governing vessel) and clearing blood stasis, promoting faster soft tissue recovery.
  • Knezevic et al. (2021) emphasized that musculoskeletal pain often arises from the interplay between soft tissue dysfunction, trigger points, and neural sensitization—areas where Gua Sha can provide targeted relief.
  • Trager et al. (2024) affirmed that chiropractic care continues to show promise as a cost-effective, non-pharmacological solution to chronic spinal pain and joint dysfunction.

Together, these therapies create a healing environment that supports the body’s biomechanical, neurological, and energetic systems.

Safety Considerations and Contraindications

While Gua Sha is a safe and gentle therapy, it is not suitable for everyone. Contraindications include:

  • Bleeding disorders or anticoagulant use
  • Severe varicose veins or vascular fragility
  • Active skin infections, open wounds, or dermatologic conditions
  • Recent surgeries with unhealed incisions

Always consult with a licensed provider trained in both modalities to determine appropriateness and ensure personalized, safe care.

Optimizing Results: A Functional Medicine Approach to Musculoskeletal Recovery

Incorporating Gua Sha and chiropractic care into a broader functional medicine care plan often yields the most sustainable results. Complementary strategies may include:

  • Anti-inflammatory nutrition
  • Targeted supplementation (e.g., magnesium, omega-3s, curcumin)
  • Postural training and ergonomic assessment
  • Myofascial release, cupping, or acupuncture
  • Stress management and sleep optimization

The body is a system of systems. Addressing musculoskeletal dysfunction holistically allows patients to heal not just their symptoms but the root cause of imbalance.

Conclusion: Empowering Patients With Integrative Pain Solutions

Musculoskeletal pain is one of the most common complaints in modern healthcare, yet the solution doesn’t have to be invasive, pharmaceutical, or surgical. By combining the ancient wisdom of Gua Sha with the mechanical precision of chiropractic care, we unlock a deeply therapeutic pathway toward healing, function, and resilience.

As a nurse practitioner grounded in both physical and functional medicine, I encourage patients and providers alike to explore the synergistic power of these modalities. When integrated skillfully and applied with intention, Gua Sha and chiropractic care can dramatically improve musculoskeletal health, restore balance, and empower patients to reclaim their active lives.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of assessing individuals dealing with musculoskeletal pain by incorporating Gua-Sha and chiropractic care. When asking important questions to our associated medical providers, we advise patients to utilize Gua-Sha combined with chiropractic care to reduce musculoskeletal pain and restore soft tissue mobility in the extremities. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.

References

Chu, E. C., Lin, A. F. C., & Chu, V. (2023). The Inclusion of Chiropractic Care in the Healthy China Initiative 2030. Cureus, 15(8), e43068. https://doi.org/10.7759/cureus.43068

Chu, E. C. P., Wong, A. Y. L., Sim, P., & Kruger, F. (2021). Exploring scraping therapy: Contemporary views on ancient healing – A review. J Family Med Prim Care, 10(8), 2757-2762. https://doi.org/10.4103/jfmpc.jfmpc_360_21

Deshmukh, N. S., Jr., & Phansopkar, P. (2023). Effect of the Graston Technique and Cupping Therapy on Pain and Functions in Individuals With Medial Tibial Stress Syndrome: A Randomized Clinical Trial. Cureus, 15(11), e48246. https://doi.org/10.7759/cureus.48246

Knezevic, N. N., Candido, K. D., Vlaeyen, J. W. S., Van Zundert, J., & Cohen, S. P. (2021). Low back pain. The Lancet, 398(10294), 78-92. https://doi.org/10.1016/s0140-6736(21)00733-9

Trager, R. J., Bejarano, G., Perfecto, R. T., Blackwood, E. R., & Goertz, C. M. (2024). Chiropractic and Spinal Manipulation: A Review of Research Trends, Evidence Gaps, and Guideline Recommendations. J Clin Med, 13(19). https://doi.org/10.3390/jcm13195668

Wang, Y. W., Xi, Z. W., Pu, B., Chen, G. Y., Ma, Y. F., Liu, D. L., & Xu, X. (2020). Gua sha therapy for chronic low back pain: A protocol for systematic review. Medicine (Baltimore), 99(40), e20606. https://doi.org/10.1097/MD.0000000000020606

Disclaimer

By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Advanced Practice Registered Nurses (APRN) , , , , , , , , , , , ,

A Clinical Approach to Reproductive Health & Sexual Changes: Key Strategies

Explore the clinical approach to reproductive health and understand its significance in comprehensive care and treatment methods.

As a Nurse Practitioner with over two decades of experience in physical and functional medicine, I’ve seen firsthand how reproductive health and sexual wellness intersect with musculoskeletal conditions. While often discussed as separate domains, the truth is that hormonal fluctuations, aging, and lifestyle-related stressors deeply influence not only fertility and libido but also pain perception, muscular integrity, and skeletal alignment.

This article explores how reproductive health—particularly in the context of menopause, andropause, and hormonal transitions—affects the musculoskeletal system, and how a functional medicine approach can help patients reclaim vitality and wellness at every stage of life.

Understanding the Hormone-Musculoskeletal Connection

The human body is a symphony of interconnected systems, and hormones are among the most powerful conductors. In both men and women, sex hormones like estrogen, progesterone, and testosterone regulate far more than reproductive function. They influence bone mineral density, muscle mass, inflammatory responses, and even the body’s perception of pain.

Common Symptoms of Hormonal Changes in Middle Adulthood

As women approach perimenopause and menopause, or as men experience a decline in testosterone (commonly referred to as andropause), they often report symptoms such as:

  • Chronic fatigue
  • Weight gain or redistribution, particularly in the abdomen and hips
  • Muscle and joint pain
  • Insomnia or sleep disturbances
  • Decreased libido
  • Mood fluctuations and cognitive fog

From a functional medicine standpoint, these symptoms are not isolated. They often indicate systemic dysregulation affecting the neuroendocrine-immune axis, which can directly or indirectly cause musculoskeletal dysfunctions like chronic back pain, pelvic instability, or myofascial tension.

Menopause and Musculoskeletal Changes: A Deeper Dive

Estrogen’s Role in Joint and Bone Health

Estrogen has a protective effect on connective tissue, cartilage, and bone mineral density. As levels decline during menopause, women often experience:

  • Osteopenia or osteoporosis
  • Increased joint laxity leading to instability
  • Heightened pain sensitivity
  • Loss of lean muscle mass (sarcopenia)

Estrogen modulates inflammatory cytokines and supports the health of collagen-based tissues. When estrogen diminishes, chronic inflammatory responses may escalate, contributing to generalized musculoskeletal pain, especially in the low back and pelvic regions.

Weight Gain and Load Distribution

The redistribution of fat to the abdomen and hips during menopause is not merely a cosmetic concern—it alters the body’s biomechanics. Excess abdominal adiposity increases the lumbar lordosis and places additional strain on the sacroiliac joints, leading to persistent low back pain. This is one of the most frequently overlooked causes of spinal discomfort in postmenopausal women.

Andropause: Testosterone’s Impact on Musculoskeletal Integrity

While often less discussed, male reproductive aging plays a significant role in musculoskeletal health. Testosterone influences:

  • Skeletal muscle mass and strength
  • Bone mineral density
  • Fat metabolism
  • Mood and energy levels

A gradual decline in testosterone, typically beginning in the 30s and accelerating in the 50s, is associated with:

  • Muscle wasting (sarcopenia)
  • Chronic joint and tendon pain
  • Increased risk of osteoporosis
  • Erectile dysfunction and reduced sexual satisfaction

From a functional medicine perspective, testosterone deficiency is not simply a reproductive issue—it is a whole-body imbalance affecting resilience, mobility, and pain processing.

Hormone Replacement Therapy (HRT): Considerations and Cautions

For Women

Hormone Replacement Therapy (HRT) remains one of the most effective tools for alleviating menopause-related symptoms, including vasomotor instability, vaginal atrophy, and osteoporosis. However, from a musculoskeletal perspective, its role in maintaining:

  • Bone density
  • Muscle tone
  • Pain modulation

is equally important. Estrogen interacts with central nervous system receptors involved in pain perception and inflammation control. When appropriately administered and monitored, HRT can significantly reduce chronic pain associated with menopausal transition.

For Men

Testosterone Replacement Therapy (TRT) has shown promise in improving:

  • Muscle strength and performance
  • Bone health
  • Mood and mental clarity
  • Sexual function

However, it must be approached with caution. A full assessment—including hormone panels, cardiovascular risk, and metabolic health—is critical to ensure safety and efficacy. Unchecked testosterone supplementation can lead to erythrocytosis, liver strain, and hormonal suppression.

Testosterone Deficiency In Men- Video

Sexual Wellness and Age-Related Changes

Female Sexual Health and Pelvic Musculoskeletal Pain

As estrogen levels drop, the vaginal epithelium becomes thinner, drier, and less elastic. This can lead to:

  • Dyspareunia (painful intercourse)
  • Pelvic floor dysfunction
  • Increased risk of urinary tract infections

These symptoms not only affect sexual satisfaction but often lead to compensatory musculoskeletal tension patterns. Over time, guarding and postural changes can create chronic pelvic or sacral pain. Pelvic floor physical therapy, along with targeted hormonal support, can be transformative.

Erectile Dysfunction and Musculoskeletal Implications

Erectile dysfunction (ED), a common issue in aging males, can stem from vascular insufficiency, endocrine disruption, or psychological factors. However, musculoskeletal contributions—such as lumbosacral nerve compression or poor pelvic alignment—are often overlooked. Restoring structural alignment and reducing nerve impingement may improve erectile function when paired with lifestyle and hormonal interventions.

Surgical and Non-Surgical Reproductive Interventions

Sterilization and Hormonal Impact

While surgical sterilization (tubal ligation in women, vasectomy in men) is often considered hormonally neutral, some women report changes in menstrual patterns and pelvic pain post-ligation. Scar tissue formation, changes in pelvic organ motility, or subtle hormonal shifts may be contributing factors. A thorough preoperative and postoperative assessment of pelvic alignment and function is crucial.

Non-Surgical Alternatives

Hormonal contraceptives, in addition to preventing pregnancy, offer musculoskeletal benefits such as:

  • Stabilizing hormonal fluctuations
  • Reducing menstrual-associated joint laxity
  • Preserving bone density in younger women

From a functional medicine viewpoint, it’s essential to evaluate how birth control methods interact with nutritional status, liver detoxification pathways, and systemic inflammation.

Functional Medicine Strategies for Optimizing Reproductive and Musculoskeletal Health

Lifestyle Interventions with Dual Benefits

Many of the strategies used to balance hormones also enhance musculoskeletal function. These include:

  1. Anti-inflammatory nutrition
    • Emphasize cruciferous vegetables, lean protein, omega-3s, and phytoestrogens.
    • Reduce processed sugar and inflammatory oils.
  2. Targeted movement therapies
    • Incorporate strength training to preserve muscle mass and bone health.
    • Add yoga or Pilates to support pelvic alignment and reduce chronic tension.
  3. Stress reduction techniques
    • Chronic cortisol elevation impairs hormonal balance and collagen integrity.
    • Practices like meditation, breathwork, and adequate sleep promote recovery.
  4. Supplemental support
    • Magnesium, D3, boron, zinc, and adaptogenic herbs can enhance hormonal and musculoskeletal resilience.
  5. Environmental detoxification
    • Endocrine disruptors from plastics, pesticides, and personal care products can sabotage hormonal balance.
    • Support liver detoxification and eliminate xenoestrogens where possible.

Reclaiming Sexual Wellness Through an Integrative Lens

Sexuality is not merely a function of hormonal output—it reflects our overall health, vitality, and emotional connection. As individuals move through midlife, open communication, body literacy, and collaborative care models are essential for navigating changes with grace and strength.

Functional and physical medicine offer powerful tools for enhancing sexual health:

  • Manual therapy and pelvic floor rehab
  • Customized bioidentical hormone therapy
  • Personalized nutrition and movement programs
  • Integrative sexual counseling

Final Thoughts: A Systems-Based Approach to Whole-Body Vitality

Whether it’s low back pain triggered by hormonal shifts or decreased libido rooted in chronic inflammation, reproductive health and musculoskeletal function are intricately linked. As clinicians, we must approach these issues not in isolation but as interconnected expressions of systemic health.

By embracing an integrative, functional approach, we empower our patients—not just to reduce pain or restore hormonal levels—but to reclaim their vitality, deepen intimacy, and thrive throughout the aging process.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of assessing individuals dealing with reproductive and sexual health associated with body pain. When asking important questions to our associated medical providers, we advise patients to implement various approaches to their reproductive and sexual health associated with their pain. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.

References

Allen, R. H., Cwiak, C. A., & Kaunitz, A. M. (2013). Contraception in women over 40 years of age. CMAJ, 185(7), 565-573. https://doi.org/10.1503/cmaj.121280

Barbonetti, A., D’Andrea, S., & Francavilla, S. (2020). Testosterone replacement therapy. Andrology, 8(6), 1551-1566. https://doi.org/10.1111/andr.12774

Barone, B., Napolitano, L., Abate, M., Cirillo, L., Reccia, P., Passaro, F., Turco, C., Morra, S., Mastrangelo, F., Scarpato, A., Amicuzi, U., Morgera, V., Romano, L., Calace, F. P., Pandolfo, S. D., De Luca, L., Aveta, A., Sicignano, E., Trivellato, M.,…Crocetto, F. (2022). The Role of Testosterone in the Elderly: What Do We Know? Int J Mol Sci, 23(7). https://doi.org/10.3390/ijms23073535

Chen, D., Zhou, J., Lin, C., Li, J., Zhu, Z., Rao, X., Wang, J., Li, J., Chen, H., Wang, F., Li, X., Gao, M., Zhou, Z., Xi, Y., & Li, S. (2024). A causal examination of the correlation between hormonal and reproductive factors and low back pain. Front Endocrinol (Lausanne), 15, 1326761. https://doi.org/10.3389/fendo.2024.1326761

Hwang, W. J., Lee, T. Y., Kim, N. S., & Kwon, J. S. (2020). The Role of Estrogen Receptors and Their Signaling across Psychiatric Disorders. Int J Mol Sci, 22(1). https://doi.org/10.3390/ijms22010373

Ko, S. H., & Kim, H. S. (2020). Menopause-Associated Lipid Metabolic Disorders and Foods Beneficial for Postmenopausal Women. Nutrients, 12(1). https://doi.org/10.3390/nu12010202

Leslie, S. W., & Sooriyamoorthy, T. (2025). Erectile Dysfunction. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/32965924

Lowy, M., & Ramanathan, V. (2022). Erectile dysfunction: causes, assessment and management options. Aust Prescr, 45(5), 159-161. https://doi.org/10.18773/austprescr.2022.051

Disclaimer

By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Diet , , , , , , , , , , ,

Pineapple Benefits: Nutritional Value and Uses



Find out why pineapple is a superfood, rich in nutrients and perfect for enhancing your health and wellness.

Introduction

In the pursuit of optimal health, diet plays a pivotal role in modulating inflammation, pain, and musculoskeletal function. A well-balanced diet rich in fruits and vegetables provides essential vitamins, minerals, and antioxidants necessary for cellular repair, immune function, and overall wellness. One fruit, in particular, has gained attention for its potent anti-inflammatory properties—pineapple (Ananas comosus L.). This tropical fruit is not only a delicious addition to a balanced diet but also a powerful natural remedy for inflammation-related conditions.

As a nurse practitioner specializing in physical medicine, functional medicine, and identity formation, I have observed firsthand the impact that dietary choices have on pain management and inflammation control. This article will explore the nutritional benefits of pineapple, its role in inflammation reduction, and how to incorporate it effectively into a patient’s diet.

The Nutritional Powerhouse: Pineapple

Pineapple is more than a refreshing fruit—it is a nutritional powerhouse loaded with essential vitamins, minerals, and bioactive compounds. This tropical fruit originated in South America and has been used in traditional medicine for centuries due to its potent medicinal properties. Pineapple is particularly rich in:

  • Vitamin C: An essential antioxidant that supports immune function, collagen synthesis, and tissue repair.
  • Manganese: Crucial for bone health, metabolic function, and enzymatic reactions.
  • B Vitamins (B1 & B6): Play a key role in energy production, brain function, and nervous system health.
  • Copper: Supports cardiovascular health and enzymatic reactions.

Nutritional Breakdown (Per One Cup of Fresh Pineapple, ~165g):

  • Calories: 82 kcal
  • Carbohydrates: 22g
  • Fiber: 2.3g
  • Sugars: 16g
  • Protein: 1g
  • Vitamin C: 131% of the Daily Value (DV)
  • Manganese: 76% of the DV
  • Vitamin B6: 9% of the DV
  • Copper: 9% of the DV
  • Thiamine (B1): 9% of the DV

Bromelain: The Anti-Inflammatory Enzyme

One of the key components that make pineapple an effective anti-inflammatory food is bromelain, a proteolytic enzyme found predominantly in the fruit’s core and stem. Bromelain has been widely studied for its ability to modulate immune function and reduce inflammation by inhibiting pro-inflammatory cytokines and mediators.

Mechanisms of Bromelain in Inflammation Reduction:

  1. Inhibits NF-KappaB Pathway: Suppresses the activation of NF-KappaB, a transcription factor responsible for promoting inflammatory gene expression.
  2. Reduces Pro-Inflammatory Cytokines: Downregulates IL-1β, IL-6, and TNF-α, key mediators in chronic inflammation.
  3. Enhances Fibrinolytic Activity: Facilitates the breakdown of fibrin, improving circulation and reducing edema formation.
  4. Supports Digestive Health: Aids in protein digestion, reducing gut inflammation and promoting better nutrient absorption.

Clinical Applications of Pineapple for Musculoskeletal Health

Pineapple’s anti-inflammatory effects make it a valuable addition to the diet for patients suffering from various musculoskeletal conditions, including:

  • Osteoarthritis & Rheumatoid Arthritis: Reduces joint swelling, stiffness, and pain by decreasing inflammatory markers.
  • Post-Exercise Recovery: Accelerates muscle repair and reduces soreness by mitigating exercise-induced inflammation.
  • Tendinitis & Bursitis: Aids in reducing localized inflammation and promoting faster healing.
  • Soft Tissue Injuries: Supports tissue regeneration in strains, sprains, and ligament injuries.

Additional Health Benefits of Pineapple

Beyond its anti-inflammatory properties, pineapple offers several other health benefits:

  1. Boosts Immune Function: High vitamin C content enhances immune defense against infections and oxidative stress.
  2. Supports Cardiovascular Health: Bromelain helps prevent blood clot formation and supports healthy circulation.
  3. Aids in Weight Management: Low in calories and rich in fiber, pineapple promotes satiety and supports metabolic function.
  4. Enhances Digestive Health: Bromelain improves protein digestion and reduces gut inflammation, aiding individuals with digestive disorders.
  5. Combats Oxidative Stress: Rich in antioxidants, pineapple protects cells from free radical damage, reducing the risk of chronic diseases.

Fighting Inflammation Naturally- Video

Incorporating Pineapple into a Healthy Diet

Pineapple is an incredibly versatile fruit that can be enjoyed in numerous ways to maximize its health benefits. Here are some simple and delicious ways to incorporate pineapple into a patient’s daily routine:

  • Fresh: Add chunks to salads, yogurt, or smoothies for an antioxidant boost.
  • Frozen: Freeze pineapple pieces for a refreshing snack or blend them into smoothies.
  • Grilled: Grilling pineapple enhances its natural sweetness and pairs well with lean proteins like chicken or fish.
  • Juiced: Fresh pineapple juice can be a hydrating and nutrient-rich beverage.
  • Stir-Fried: Incorporate pineapple into stir-fries for a touch of natural sweetness.

Best Practices for Maximizing Bromelain Benefits

To retain the highest level of bromelain and other beneficial compounds in pineapple, consider the following:

  • Consume Fresh Over Canned: Canned pineapple often contains added sugars and loses some enzyme activity due to processing.
  • Include the Core: The highest concentration of bromelain is found in the core, so consider blending or juicing it rather than discarding.
  • Pair with Anti-Inflammatory Foods: Combine pineapple with turmeric, ginger, or leafy greens for enhanced anti-inflammatory effects.

Considerations and Precautions

While pineapple offers numerous health benefits, some individuals should exercise caution:

  • Allergies: Some individuals may be allergic to bromelain, particularly those with latex allergies.
  • Acidic Nature: Pineapple’s acidity may cause discomfort in individuals with acid reflux or sensitive stomachs.
  • Medication Interactions: Bromelain may enhance the effects of blood thinners and certain antibiotics, requiring consultation with a healthcare provider before regular consumption.

Conclusion

Pineapple is more than just a tropical delight—it is a potent anti-inflammatory food with profound benefits for musculoskeletal health, digestion, and immune support. As a nurse practitioner with two decades of experience in physical and functional medicine, I strongly advocate for dietary interventions as a cornerstone of holistic patient care. Encouraging patients to incorporate pineapple into their diet can be a simple yet effective strategy for reducing inflammation, improving joint health, and enhancing overall wellness.

By making small, evidence-based dietary changes, patients can experience significant improvements in their health outcomes. When combined with other lifestyle modifications, such as physical activity, stress management, and adequate hydration, pineapple can play a crucial role in optimizing musculoskeletal function and quality of life.

For personalized dietary recommendations and integrative treatment plans, consult with a qualified healthcare provider who specializes in functional and physical medicine. By leveraging the power of nutrition, we can help patients achieve long-term health and vitality.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of incorporating anti-inflammatory foods to reduce the inflammatory effects from affecting the body. When asking important questions to our associated medical providers, we advise patients to implement small changes to their daily routine, like incorporating pineapple into a healthy diet, which can reduce the inflammatory effects in the body. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.

References

Arulselvan, P., Fard, M. T., Tan, W. S., Gothai, S., Fakurazi, S., Norhaizan, M. E., & Kumar, S. S. (2016). Role of Antioxidants and Natural Products in Inflammation. Oxid Med Cell Longev, 2016, 5276130. https://doi.org/10.1155/2016/5276130

Hikisz, P., & Bernasinska-Slomczewska, J. (2021). Beneficial Properties of Bromelain. Nutrients, 13(12). https://doi.org/10.3390/nu13124313

Kansakar, U., Trimarco, V., Manzi, M. V., Cervi, E., Mone, P., & Santulli, G. (2024). Exploring the Therapeutic Potential of Bromelain: Applications, Benefits, and Mechanisms. Nutrients, 16(13). https://doi.org/10.3390/nu16132060

Kumar, V., Garg, V., & Dureja, H. (2023). Therapeutic Application of Pineapple: A Review. Recent Adv Food Nutr Agric, 14(2), 107-125. https://doi.org/10.2174/2772574X14666230522114039

Mohd Ali, M., Hashim, N., Abd Aziz, S., & Lasekan, O. (2020). Pineapple (Ananas comosus): A comprehensive review of nutritional values, volatile compounds, health benefits, and potential food products. Food Res Int, 137, 109675. https://doi.org/10.1016/j.foodres.2020.109675

Seenak, P., Kumphune, S., Malakul, W., Chotima, R., & Nernpermpisooth, N. (2021). Pineapple consumption reduced cardiac oxidative stress and inflammation in high cholesterol diet-fed rats. Nutr Metab (Lond), 18(1), 36. https://doi.org/10.1186/s12986-021-00566-z

Disclaimer

By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Advanced Practice Registered Nurses (APRN) , , , , , , , , , , ,

A Clinical Approach To Identity Formation and Its Benefits

Uncover insights into the clinical approach of identity formation and its impact on personal identity and therapeutic practices.

Introduction

In the realm of physical and functional medicine, healthcare professionals often encounter patients grappling with musculoskeletal, autoimmune, and gastrointestinal issues that not only affect their physiological health but also influence their self-perception and identity. Identity formation is a crucial aspect of patient care, particularly when addressing chronic conditions that require long-term management. By fostering a patient-centered, integrative approach, we can enhance treatment adherence, improve patient satisfaction, and promote overall well-being. In this article, we will explore the theories of identity formation, its impact on health, and how physical and functional medicine practitioners can support patients through this complex process.

Understanding Identity Formation

Identity is a dynamic, evolving construct composed of personal beliefs, values, experiences, and social influences. It is not an imposed characteristic but rather a developmental process that begins in childhood and continues throughout life. According to Erik Erikson’s psychosocial theory, identity formation is a central challenge of adolescence but remains relevant across the lifespan as individuals face new challenges and experiences.

Erikson’s Stages and Role Confusion

Erikson (1968) described identity versus role confusion as a critical developmental stage during adolescence. Failure to establish a stable identity can result in uncertainty, anxiety, and difficulties in decision-making. In healthcare settings, patients experiencing chronic illness or injury may face disruptions in their self-concept, leading to emotional distress and noncompliance with treatment regimens.

The Four Identity Statuses

Building on Erikson’s work, James Marcia (1966) identified four identity statuses that describe how individuals respond to identity crises:

  1. Foreclosure – Commitment to an identity without exploration. Often seen in patients who unquestioningly accept medical diagnoses or treatment plans without personal reflection.
  2. Identity Diffusion – Lack of exploration or commitment. Patients in this category may struggle with treatment adherence and avoid making lifestyle changes.
  3. Moratorium – Active exploration without commitment. These individuals seek multiple opinions and alternative treatments before settling on a healthcare plan.
  4. Identity Achievement – A well-established sense of self after thorough exploration. Patients in this stage are more likely to actively participate in their healthcare and make informed decisions.

Understanding these identity statuses allows practitioners to tailor communication strategies and treatment plans to improve patient engagement and outcomes.

Understanding The Effects Of Personal Injury- Video

The Role of Identity Formation in Health and Medicine

Identity formation is intricately linked to health behaviors and treatment compliance. Several key areas of identity development impact a patient’s perception of illness and approach to recovery:

1. Religious Identity

Religious beliefs can shape health behaviors, including dietary choices, use of complementary and alternative medicine, and attitudes toward medical interventions. Patients with strong religious identities may require culturally sensitive approaches to treatment planning.

2. Political Identity

Political beliefs can influence trust in the medical system, perceptions of public health initiatives, and willingness to participate in preventative care programs. A nuanced understanding of a patient’s political stance can inform communication strategies.

3. Vocational Identity

For patients whose identities are closely tied to their professions, injury or chronic illness can lead to significant psychological distress. Functional medicine practitioners can help these individuals by providing rehabilitative strategies that align with their professional goals.

4. Ethnic and Racial Identity

Ethnic identity plays a role in health disparities, access to care, and patient-practitioner relationships. A culturally competent approach ensures that treatment plans are respectful and inclusive of a patient’s background and experiences.

5. Gender Identity

Gender identity can influence mental health, healthcare access, and responses to treatment. Functional medicine practitioners should adopt an inclusive and affirming approach to gender-diverse patients to foster trust and cooperation in care plans.

Self-Concept and Chronic Disease Management

Self-concept encompasses an individual’s self-perception, including self-esteem and self-efficacy. Patients with chronic conditions may experience a shift in self-concept as they adjust to new limitations and healthcare routines.

  • Self-Esteem: Patients with high self-esteem are more likely to take proactive steps toward their health, while those with low self-esteem may struggle with self-care and motivation.
  • Self-Efficacy: Belief in one’s ability to manage a condition correlates with better health outcomes. Encouraging self-efficacy through patient education and empowerment techniques is a cornerstone of functional medicine.

Strategies for Supporting Identity Formation in Healthcare

1. Patient-Centered Communication

Healthcare providers should engage in open, empathetic dialogue to understand a patient’s identity and how it shapes their health behaviors. Motivational interviewing techniques can help patients explore their values and commit to health-promoting behaviors.

2. Holistic Treatment Planning

Functional medicine emphasizes a personalized approach to care. By integrating lifestyle medicine, nutrition, physical rehabilitation, and mind-body interventions, practitioners can address both physical and psychological aspects of identity formation.

3. Behavioral and Cognitive Interventions

Chronic pain, autoimmune disorders, and other long-term conditions can lead to identity disruptions. Cognitive-behavioral strategies, mindfulness-based interventions, and resilience training can help patients adapt to their new realities while maintaining a positive self-concept.

4. Interdisciplinary Collaboration

Incorporating insights from psychology, physical therapy, nutrition, and chiropractic care creates a comprehensive support system for patients navigating identity shifts due to health changes.

Conclusion

Identity formation is an integral component of patient-centered care, particularly in physical and functional medicine. Understanding how identity shapes health perceptions and behaviors allows practitioners to design personalized, effective treatment plans that enhance both physical health and psychological resilience. By fostering self-awareness and empowering patients to take control of their health, we not only improve clinical outcomes but also contribute to a more holistic, human-centered healthcare model.

If you or a patient are navigating health-related identity challenges, consulting with a functional medicine practitioner who understands the complexities of identity formation can be an invaluable step toward healing and self-discovery.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of identity formation when assessing individuals dealing with various pain-like symptoms within their bodies. When asking important questions to our associated medical providers, we advise patients to implement small changes to their daily routine to reduce the pain-like symptoms associated with body pains. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.

References

Kim-Spoon, J., Longo, G. S., & McCullough, M. E. (2012). Parent-adolescent relationship quality as a moderator for the influences of parents’ religiousness on adolescents’ religiousness and adjustment. J Youth Adolesc, 41(12), 1576-1587. https://doi.org/10.1007/s10964-012-9796-1

Koo, H.-Y., & Kim, E.-J. (2016). Vocational Identity and Ego Identity Status in Korean Nursing Students. Asian Nursing Research, 10(1), 68-74. https://doi.org/10.1016/j.anr.2015.11.001

Marcia, J. E. (1966). Development and validation of ego-identity status. J Pers Soc Psychol, 3(5), 551-558. https://doi.org/10.1037/h0023281

Marcia, J. E. (1967). Ego identity status: relationship to change in self-esteem, “general maladjustment,” and authoritarianism. J Pers, 35(1), 118-133. https://doi.org/10.1111/j.1467-6494.1967.tb01419.x

Stattin, H., Hussein, O., Ozdemir, M., & Russo, S. (2017). Why do some adolescents encounter everyday events that increase their civic interest whereas others do not? Dev Psychol, 53(2), 306-318. https://doi.org/10.1037/dev0000192

Wagner, J. A. (1987). Formal operations and ego identity in adolescence. Adolescence, 22(85), 23-35. https://www.ncbi.nlm.nih.gov/pubmed/3591499

Disclaimer

By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Diet , , , , , , , , , , , , , ,

Moringa Uses in Everyday Health Routines

Curious about moringa? Explore its incredible health benefits and why you should consider adding it to your diet.

Introduction

As a seasoned nurse practitioner with two decades of experience in physical and functional medicine, I have encountered countless patients struggling with joint inflammation. Many describe persistent joint pain that flares up after simple daily activities, tenderness in their extremities, or morning stiffness that gradually improves throughout the day. Chronic joint inflammation, often associated with conditions like arthritis, can significantly impact one’s quality of life. While conventional treatments such as NSAIDs and corticosteroids can provide relief, they also come with potential side effects. This has led many individuals to explore natural remedies, one of the most powerful being moringa oleifera.

Moringa: A Nutritional and Medicinal Powerhouse

Moringa, commonly referred to as the “Miracle Tree,” is native to parts of Africa and Asia and has been used for centuries in traditional medicine. This nutrient-dense plant is packed with essential vitamins, minerals, antioxidants, and bioactive compounds that promote overall health and well-being. The nutritional composition of 100 grams of dried moringa leaves includes:

  • Protein – 9 grams
  • Vitamin C – 51.7 mg
  • Vitamin A – 378 mcg
  • Calcium – 185 mg
  • Potassium – 337 mg
  • Iron – 4 mg
  • Magnesium – 147 mg
  • Fiber – 2 grams

One of moringa’s most notable attributes is its anti-inflammatory effects, which can alleviate joint pain and stiffness associated with arthritis and other musculoskeletal conditions.

Understanding Inflammation and Joint Pain

Inflammation is the body’s natural response to injury, infection, or chronic conditions like osteoarthritis and rheumatoid arthritis. It can be classified as acute or chronic:

  • Acute inflammation occurs as a temporary protective response, causing redness, swelling, and warmth in the affected area.
  • Chronic inflammation is prolonged and can contribute to progressive tissue damage, joint stiffness, and pain.

For individuals dealing with chronic joint pain, controlling inflammation is crucial to maintaining mobility and preventing long-term complications.

How Moringa Reduces Inflammation

Moringa contains a unique combination of antioxidants, anti-inflammatory compounds, and immune-boosting nutrients that work synergistically to combat inflammation. Here’s how it helps:

1. Rich in Antioxidants

Moringa is loaded with powerful antioxidants such as quercetin, kaempferol, and chlorogenic acid, which neutralize free radicals and inhibit inflammatory enzymes. Studies show that these antioxidants help reduce oxidative stress, a major contributor to joint inflammation.

2. Contains Natural Anti-Inflammatory Compounds

Moringa’s isothiocyanates have been shown to have strong anti-inflammatory properties, helping to regulate inflammatory gene expression and reduce the production of pro-inflammatory cytokines. This is particularly beneficial for individuals with autoimmune-related joint diseases such as rheumatoid arthritis.

3. Supports Immune Function

Since chronic inflammation is closely linked to immune dysfunction, moringa’s immune-boosting properties play a crucial role in modulating inflammatory responses. Rich in vitamin A, vitamin C, and beta-carotene, moringa strengthens the immune system, promoting a balanced inflammatory response and reducing excessive immune activation.

Unlocking The Secrets Of Inflammation-Video

Moringa for Joint Pain & Arthritis

For individuals experiencing arthritis-related joint pain, moringa may serve as a natural alternative to conventional pain relievers. Here are some key benefits:

1. Reduces Joint Swelling and Stiffness

Moringa’s anti-inflammatory properties help reduce joint swelling and stiffness, making it easier to move without discomfort. Research suggests that moringa extracts can lower pro-inflammatory cytokines, helping to restore joint function.

2. Prevents Cartilage Breakdown

The high antioxidant content in moringa helps protect against cartilage degradation, a major cause of joint pain in conditions such as osteoarthritis. By reducing oxidative stress and inflammation, moringa supports joint integrity and prevents further deterioration.

3. Improves Joint Mobility and Flexibility

Many individuals who incorporate moringa into their diet report enhanced joint mobility and flexibility, allowing them to maintain an active lifestyle.

How to Incorporate Moringa Into Your Daily Routine

Adding moringa to your diet is a simple and effective way to harness its health benefits. Here are several ways to consume it:

1. Moringa Powder

  • Mix 1-2 teaspoons of moringa powder into smoothies, soups, or teas for a nutrient-rich boost.

2. Moringa Capsules

  • Ideal for busy individuals, moringa capsules provide a convenient way to incorporate this superfood into your daily routine.

3. Moringa Tea

  • Steeping moringa leaves in hot water for 3-5 minutes creates a soothing, anti-inflammatory herbal tea.

4. Moringa Oil (Ben Oil)

  • Applying moringa oil directly to affected joints can provide additional topical pain relief and reduce inflammation.

Scientific Evidence Supporting Moringa’s Anti-Inflammatory Benefits

Several studies have validated the anti-inflammatory and joint-protective properties of moringa:

  • A 2023 study published in the Journal of Inflammation Research found that moringa extracts significantly reduced pro-inflammatory cytokines in individuals with arthritis.
  • Research from the International Journal of Molecular Sciences highlights moringa’s ability to modulate inflammatory gene expression, reducing chronic inflammation at the molecular level.
  • A 2022 study in the Phytotherapy Research Journal showed that moringa supplementation improved joint mobility and reduced pain in osteoarthritis patients over a 12-week period.

Final Thoughts

Moringa is a powerful, natural remedy for joint inflammation and pain relief. Its anti-inflammatory, antioxidant, and immune-modulating properties make it an excellent alternative to conventional treatments for arthritis and other inflammatory joint conditions. Incorporating moringa into a balanced diet and healthy lifestyle can enhance joint mobility, reduce pain, and improve overall well-being.

For those seeking a holistic approach to joint health, moringa stands out as a safe, effective, and research-backednatural supplement. Whether consumed as a powder, tea, capsule, or oil, moringa can be a game-changer in managing joint inflammation and supporting long-term musculoskeletal health.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of the various effects of incorporating moringa to reduce the inflammatory effects that are causing joint pain. When asking important questions to our associated medical providers, we advise patients to implement small changes to their daily routine, like incorporating anti-inflammatory foods into their diets to reduce the effects of joint inflammation and restore mobility. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.

References

Arora, S., & Arora, S. (2021). Nutritional significance and therapeutic potential of Moringa oleifera: The wonder plant. J Food Biochem, 45(10), e13933. https://doi.org/10.1111/jfbc.13933

Bibi, N., Rahman, N., Ali, M. Q., Ahmad, N., & Sarwar, F. (2024). Nutritional value and therapeutic potential of Moringa oleifera: a short overview of current research. Nat Prod Res, 38(23), 4261-4279. https://doi.org/10.1080/14786419.2023.2284862

Chis, A., Noubissi, P. A., Pop, O. L., Muresan, C. I., Fokam Tagne, M. A., Kamgang, R., Fodor, A., Sitar-Taut, A. V., Cozma, A., Orasan, O. H., Heghes, S. C., Vulturar, R., & Suharoschi, R. (2023). Bioactive Compounds in Moringa oleifera: Mechanisms of Action, Focus on Their Anti-Inflammatory Properties. Plants (Basel), 13(1). https://doi.org/10.3390/plants13010020

Cuellar-Nunez, M. L., Gonzalez de Mejia, E., & Loarca-Pina, G. (2021). Moringa oleifera leaves alleviated inflammation through downregulation of IL-2, IL-6, and TNF-alpha in a colitis-associated colorectal cancer model. Food Res Int, 144, 110318. https://doi.org/10.1016/j.foodres.2021.110318

Gessl, I., Popescu, M., Schimpl, V., Supp, G., Deimel, T., Durechova, M., Hucke, M., Loiskandl, M., Studenic, P., Zauner, M., Smolen, J. S., Aletaha, D., & Mandl, P. (2021). Role of joint damage, malalignment and inflammation in articular tenderness in rheumatoid arthritis, psoriatic arthritis and osteoarthritis. Ann Rheum Dis, 80(7), 884-890. https://doi.org/10.1136/annrheumdis-2020-218744

Sailaja, B. S., Hassan, S., Cohen, E., Tmenova, I., Farias-Pereira, R., Verzi, M. P., & Raskin, I. (2022). Moringa isothiocyanate-1 inhibits LPS-induced inflammation in mouse myoblasts and skeletal muscle. PLOS ONE, 17(12), e0279370. https://doi.org/10.1371/journal.pone.0279370

Vergara-Jimenez, M., Almatrafi, M. M., & Fernandez, M. L. (2017). Bioactive Components in Moringa Oleifera Leaves Protect against Chronic Disease. Antioxidants (Basel), 6(4). https://doi.org/10.3390/antiox6040091

Xiao, X., Wang, J., Meng, C., Liang, W., Wang, T., Zhou, B., Wang, Y., Luo, X., Gao, L., & Zhang, L. (2020). Moringa oleifera Lam and its Therapeutic Effects in Immune Disorders. Front Pharmacol, 11, 566783. https://doi.org/10.3389/fphar.2020.566783

Disclaimer

By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Advanced Practice Registered Nurses (APRN) , , , , , , , , , , , , , ,

An Overview of Developmental Disorders & Learning Disabilities in Children

Learn about the various types of developmental disorders & learning disabilities and their implications for education and growth.

Introduction

Developmental disorders encompass a broad spectrum of conditions that impact cognitive, motor, and social functioning. As a nurse practitioner with two decades of experience in physical medicine and developmental assessments, I understand the importance of early identification and evidence-based interventions for individuals facing these challenges. This article delves into the nature of developmental disorders, including their diagnosis, social implications, and the holistic approaches that can optimize patient outcomes.

Person-First vs. Identity-First Language in Developmental Disorders

Healthcare professionals must be aware of the significance of person-first and identity-first language when addressing developmental disorders. Person-first language prioritizes the individual over their condition (e.g., “a child with autism”), while identity-first language places the condition at the forefront (e.g., “an autistic child”). The use of respectful terminology is essential in reducing social stigma and fostering an inclusive environment for individuals with developmental disabilities.

Challenges in Diagnosis and Labeling

Developmental disorders often manifest in childhood, and the diagnostic process requires careful consideration. Misdiagnosis can have long-term consequences, influencing an individual’s self-perception and social interactions. A label such as ADHD or dyslexia, when inaccurately applied, may shape expectations and behaviors in ways that hinder rather than support development. Therefore, comprehensive assessments utilizing standardized testing, behavioral observations, and input from parents and educators are critical to ensuring accurate diagnoses.

Autism Spectrum Disorder (ASD)

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by challenges in communication, social interaction, and repetitive behaviors. The prevalence of ASD has increased, with current estimates suggesting that 1 in 36 children in the U.S. is diagnosed with autism.

Etiology and Neurobiological Factors

Research suggests that ASD arises from a combination of genetic, epigenetic, and environmental influences. Neurobiological studies indicate that ASD is associated with atypical functional connectivity in the brain, neurotransmitter imbalances, and immune system dysfunction leading to neuroinflammation. (Rajabi et al., 2024)

Holistic Approaches to Autism Management

A multimodal approach to ASD treatment includes:

  • Behavioral Therapies: Applied Behavior Analysis (ABA) and speech therapy help enhance communication and social skills.
  • Dietary Interventions: Anti-inflammatory diets and probiotics have been shown to support gut health, which may alleviate some ASD-related symptoms. (Shahane et al., 2024)
  • Physical Activity: Targeted motor training programs improve coordination and cognitive function in autistic individuals. (Shahane et al., 2024)

Learning Disabilities

Learning disabilities (LDs) encompass disorders that impede academic performance, particularly in reading, writing, and mathematics. Unlike intellectual disabilities, LDs do not necessarily affect overall intelligence but create specific challenges in information processing.

Dyslexia

Dyslexia is a language-based learning disability that affects reading fluency and comprehension. Research indicates that dyslexia is linked to structural and functional differences in brain regions responsible for phonological processing. (Snowling et al., 2020)

Dysgraphia

Dysgraphia impairs writing abilities, leading to difficulties with spelling, handwriting, and composition. It is categorized into:

  • Phonological dysgraphia: Difficulty in sounding out and spelling words phonetically.
  • Orthographic dysgraphia: Difficulty in recognizing and spelling irregularly spelled words.

Dyscalculia

Dyscalculia affects mathematical reasoning, numerical processing, and memory retention of mathematical facts. Neuroimaging studies suggest that individuals with dyscalculia exhibit reduced activation in the parietal lobes, which are critical for mathematical cognition. (Dowker, 2024)

Optimizing Your Wellness-Video

Attention-Deficit/Hyperactivity Disorder (ADHD)

ADHD is a neurodevelopmental disorder marked by persistent inattention, hyperactivity, and impulsivity. Structural imaging studies indicate that individuals with ADHD exhibit reduced volume in the prefrontal cortex, a region responsible for executive function and self-regulation. (ADHD & The Brain, 2017)  

Symptoms of ADHD

  • Inattention: Difficulty sustaining focus, disorganization, forgetfulness.
  • Hyperactivity: Excessive movement, restlessness, impulsivity.

Etiology of ADHD

ADHD has a strong genetic component, with studies identifying dopamine regulation as a key factor. Prenatal exposure to nicotine and other environmental toxins has also been linked to increased ADHD risk. (Linnet et al., 2003)

ADHD Treatment Options

  • Pharmacological Therapy: Stimulant medications such as methylphenidate enhance dopamine activity, improving focus and impulse control.
  • Behavioral Therapy: Cognitive Behavioral Therapy (CBT) helps individuals develop coping strategies and executive functioning skills.
  • Lifestyle Modifications: Physical activity and mindfulness training can improve cognitive and behavioral outcomes. (Ziereis & Jansen, 2015)

Conclusion

Developmental disorders present complex challenges that require a multidisciplinary approach for accurate diagnosis and effective management. Healthcare professionals must employ evidence-based practices to support individuals with ASD, ADHD, and learning disabilities while considering holistic and non-pharmacological interventions to optimize patient outcomes. By leveraging early intervention, personalized treatment plans, and collaborative care models, we can enhance the quality of life for individuals with developmental disorders.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of the various effects of developmental disorders and learning disabilities affecting the body. While asking important questions to our associated medical providers, we advise patients to implement small changes to their daily routine to reduce the symptoms affecting their bodies. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.

References

ADHD & The Brain. (2017).  American Academy of Child & Adolescent Psychiatry. https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/ADHD_and_the_Brain-121.aspx

Dowker, A. (2024). Developmental Dyscalculia in Relation to Individual Differences in Mathematical Abilities. Children (Basel), 11(6). https://doi.org/10.3390/children11060623

Linnet, K. M., Dalsgaard, S., Obel, C., Wisborg, K., Henriksen, T. B., Rodriguez, A., Kotimaa, A., Moilanen, I., Thomsen, P. H., Olsen, J., & Jarvelin, M. R. (2003). Maternal lifestyle factors in pregnancy risk of attention deficit hyperactivity disorder and associated behaviors: review of the current evidence. Am J Psychiatry, 160(6), 1028-1040. https://doi.org/10.1176/appi.ajp.160.6.1028

Rajabi, P., Noori, A. S., & Sargolzaei, J. (2024). Autism spectrum disorder and various mechanisms behind it. Pharmacol Biochem Behav, 245, 173887. https://doi.org/10.1016/j.pbb.2024.173887

Shahane, V., Kilyk, A., & Srinivasan, S. M. (2024). Effects of physical activity and exercise-based interventions in young adults with autism spectrum disorder: A systematic review. Autism, 28(2), 276-300. https://doi.org/10.1177/13623613231169058

Sivamaruthi, B. S., Suganthy, N., Kesika, P., & Chaiyasut, C. (2020). The Role of Microbiome, Dietary Supplements, and Probiotics in Autism Spectrum Disorder. Int J Environ Res Public Health, 17(8). https://doi.org/10.3390/ijerph17082647

Snowling, M. J., Hulme, C., & Nation, K. (2020). Defining and understanding dyslexia: past, present and future. Oxf Rev Educ, 46(4), 501-513. https://doi.org/10.1080/03054985.2020.1765756

Ziereis, S., & Jansen, P. (2015). Effects of physical activity on executive function and motor performance in children with ADHD. Res Dev Disabil, 38, 181-191. https://doi.org/10.1016/j.ridd.2014.12.005

Disclaimer

By Dr. Alexander Jimenez DC, APRN, FNP-C 0 Comments Exercises, Sporting , , , , , , , , , , , , , , , , , , ,

Hula Hoop Workouts and Their Health Benefits

Can hula hooping be an option for individuals and athletes needing an effective, light, fun workout?

Hula Hoop Benefits for Core and Full Body Fitness

Hula Hoop Workout

A hula hoop workout is a low-impact exercise that involves spinning a hula hoop around your body. It can help improve balance, core strength, and aerobic fitness. Hula hooping is a great aerobic exercise that raises the heart rate and engages the whole body. Exercises can be done with a weighted or non-weighted hula hoop. A standard hoop will increase heart rate after about three minutes. A weighted hula hoop can target and build important core and lower body muscles, including the hamstrings, calves, quadriceps, and glutes. Lifting the weighted hula hoop also works the upper body muscles, giving the all-over body workout.

Weighted Hula Hoop

A weighted hula hoop can offer several health benefits.

Burns Calories

According to a research study, hula hooping can burn an average of 200 calories during a 30-minute workout. Researchers found that hooping is comparable in calories burned to boot camp-style fitness classes, kickboxing, and step aerobics. The average heart rate of the study participants was 151 beats per minute, equal to 84% of the age-predicted heart rate maximum. This can result in improved cardiovascular health and muscle conditioning. (American Council on Exercise, 2011)

Helps Build Muscle Mass

A study found that hula hooping increased trunk muscle mass and decreased waist circumference more than walking alone. Participants hula hooped an average of 12.8 minutes daily and walked almost 10,000 steps daily. The results showed more benefits to the core with hula hooping. The body fat percentage in the core region decreased significantly with hula hooping compared to walking. (Lahelma M. et al., 2019)

Lowers LDL Cholesterol

  • In the same study, researchers found that hula hooping can reduce LDL cholesterol more than walking. The results demonstrated an LDL-lowering effect similar to what resistance training does for cholesterol levels. Hula hooping for 13 minutes daily could benefit anyone with elevated cholesterol levels. (Lahelma M. et al., 2019)

Fun Workout

  • Weighted hula hooping can help individuals get out of a workout rut if they’re bored with a routine. It is recommended as either a warmup or a full workout.

Allows for Multitasking

  • If time to work out is limited, you can multitask using a hula hoop, easily add it to an exercise routine, and get moving while speaking on the phone, during breaks, or watching TV.

Benefits

  • Core strength: The exercise requires core strength to keep the hoop spinning.
  • Balance: Helps improve balance.
  • Aerobic fitness: Hooping can be used as a primary cardio routine.
  • Weight loss: Hooping can help burn calories and contribute to weight loss.

Hula Hoop Workout

  • Stand with a straight spine and feet shoulder-width apart.
  • Draw your abdomen in to engage your core.
  • Place the hoop around your waist, just above your hips.
  • Hold the hoop with both hands and toss it to one side.
  • Keep your back straight and move forward and back as fast as you can.
  • Pulse your hips and feet in a rocking motion.
  • Keep your arms out to the side or above your head.
  • Be mindful of posture, which will help you hoop better.

Weighted Workout

A full-weighted hula hoop workout. Start with a warmup for 5 minutes with a light jog or running in place. Then, perform three sets of the following:

Minute 1

  • 50 seconds of a hula hoop halo with the right arm – swinging the hoop around your arm
  • 10 seconds of rest

Minute 2

  • 50 seconds of a hula hoop halo with the left arm
  • 10 seconds of rest

Minute 3

  • 50 seconds around the waist, hula hooping
  • 10 seconds of rest

Minute 4

  • 50 seconds of hula hoop squats, keeping the hoop around the legs and not dropping it
  • 10 seconds of rest

Minute 5

  • 50 seconds of hula hoop sit-ups, keeping the hoop around your legs and not dropping it
  • 10 seconds of rest

Minute 6

  • 0 seconds of hula jumping front to back, keeping the hoop around your legs and not dropping it
  • 10 seconds of rest

How long you hula hoop each day is a matter of personal preference. To gain cardiovascular benefits, it is recommended that adults engage in at least 150 minutes per week of moderate-intensity aerobic activity. Spreading out the exercise throughout the week is preferable. (American Heart Association, 2024)

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal 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.

Can Core Exercises Help With Back Pain?

References

American Council on Exercise. (2011). ACE-sponsored research: Hooping—Effective workout or child’s play? https://www.acefitness.org/certifiednewsarticle/1094/ace-sponsored-research-hooping-effective-workout-or-child-s-play/

Lahelma, M., Sädevirta, S., Lallukka-Brück, S., Sevastianova, K., Mustelin, L., Gylling, H., Rockette-Wagner, B., Kriska, A. M., & Yki-Järvinen, H. (2019). Effects of Weighted Hula-Hooping Compared to Walking on Abdominal Fat, Trunk Muscularity, and Metabolic Parameters in Overweight Subjects: A Randomized Controlled Study. Obesity facts, 12(4), 385–396. https://doi.org/10.1159/000500572

American Heart Association. (2024). American Heart Association Recommendations for Physical Activity in Adults and Kids. https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults