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Chiropractic Care Insights for Sacroiliac Joint Pain

Get informed about sacroiliac joint pain and the role of chiropractic care in effective pain management and recovery.

Chiropractic Care for Sacroiliac Joint Pain and Hip Pain: A Comprehensive Guide with Insights from Dr. Alexander Jimenez

Well, hello there, folks! It’s your ol’ pal Herman Munster, lurching in from the spooky side of El Paso, TX, to talk about something that’s no laughing matter—sacroiliac joint pain and hip pain! Now, don’t get your bolts in a twist; I’m here to make this as fun as a barrel of bats while keeping it simple enough for a high schooler to follow. Picture me trying to waltz with Lily, only to find my hips and lower back creaking like the hinges on our haunted mansion door. That’s the kind of pain we’re tackling today! So, grab a comfy seat (not my electric chair, mind you), and let’s dive into this monster-sized guide to understanding how chiropractic care can help you shake off sacroiliac joint (SI joint) pain and its hip-related hijinks.

In this 5,000+ word blog, we’ll explore why chiropractic care, especially from the talented Dr. Alexander Jimenez at ChiroMed – Integrated Medicine, is a fang-tastic solution for SI joint pain and hip discomfort. We’ll dig into how hip pain and SI joint issues are like two peas in a pod, the risk factors that make them creep up like a werewolf on a full moon, and practical tips from Dr. Jimenez’s expertise (ChiroMed – Integrated Medicine, n.d.; Jimenez, n.d.). Plus, we’ll spotlight why Dr. Jimenez is the go-to guy for personal injury cases in El Paso, using his high-tech imaging and dual-scope know-how to bridge medical care and legal needs. And don’t worry, we’ll back it all up with science from PubMed, so you know it’s not just Herman’s tall tales!

Understanding the Sacroiliac Joint and Its Connection to Hip Pain

What’s This Sacroiliac Joint All About?

Let’s start with the basics, shall we? The sacroiliac joint, or SI joint, is like the hinges on my coffin—it connects the sacrum (that triangular bone at the bottom of your spine) to the ilium (those big, curvy pelvic bones). This joint is a real workhorse, holding up your upper body, soaking up shocks like Grandpa Munster’s potions, and passing forces between your upper and lower body when you walk, run, or do the Munster Mash (Hogston, 2015). But when it gets out of sorts, oh boy, it can make you feel like you’re stuck in a Frankenstein shuffle!

The SI joint is built tough, with strong ligaments and muscles keeping it steady, but it’s got just enough wiggle room for movement. When things go wrong—like an injury, inflammation, or a misalignment—it can cause pain that radiates to your lower back, hips, buttocks, or even down your legs (Foley & Buschbacher, 2014). And here’s the tricky part: because the SI joint and hip joint are next-door neighbors in your pelvis, pain from one can sneak into the other, making it a real “who-dun-it” mystery.

Why Does Hip Pain Tag Along with SI Joint Trouble?

You might be scratching your head, wondering, “Herman, why’s my hip acting up when it’s the SI joint causing trouble?” Well, it’s like when Grandpa’s experiments go haywire and mess up the whole lab—the SI joint and hip joint share muscles, ligaments, and nerves. When the SI joint gets inflamed or misaligned, it can irritate those shared tissues, sending pain to your hip, buttocks, or thigh (Wong & Kiel, 2018). It’s like the SI joint throwing a tantrum and the hip getting caught in the crossfire!

For instance, sacroiliac joint dysfunction can mess with your hip’s movement, making it work harder and causing pain that feels like it’s coming from the hip itself (Vanelderen et al., 2010). On the flip side, if your hip joint is stiff or arthritic, it can put extra strain on the SI joint, creating a vicious cycle of discomfort. It’s like me and Grandpa arguing over who gets the last bat wing—nobody wins!

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How Chiropractic Care Comes to the Rescue

Chiropractic: More Than Just Popping Joints

Now, let’s talk about how chiropractic care swoops in like a superhero (or maybe a friendly monster like yours truly) to tackle SI joint and hip pain. At ChiroMed – Integrated Medicine, Dr. Alexander Jimenez doesn’t just crack backs like I crack bad jokes—it’s a holistic, non-invasive approach to get your body moving like a well-oiled hearse. Here’s the clinical scoop on why chiropractic care is a game-changer:

  1. Fixing Alignment: A misaligned SI joint can throw your whole pelvis out of whack, causing pain in your hips and beyond. Chiropractic adjustments use precise, gentle force to nudge the joint back into place, easing stress on surrounding tissues and calming inflammation (Binns Family Chiropractic, 2024). It’s like straightening a crooked picture frame so everything hangs just right.
  2. Cooling Inflammation: An inflamed SI joint is like my temper when Eddie hides my favorite tie—red hot and troublesome! Adjustments and soft tissue therapies, like myofascial release, boost blood flow and reduce swelling, dialing down the pain (Vanelderen et al., 2010).
  3. Boosting Mobility: A stiff SI joint can make you move like you’re stuck in a slow-motion horror flick. Chiropractic care restores joint movement, so you can bend, twist, and walk without feeling like a zombie (Foley & Buschbacher, 2014).
  4. Strengthening Support: Dr. Jimenez pairs adjustments with exercises to strengthen muscles around the SI joint and hips, like your core and glutes, to keep things stable. It’s like giving your pelvis a team of bodyguards to prevent future flare-ups (Binns Family Chiropractic, 2024).
  5. Holistic Healing: At ChiroMed, Dr. Jimenez combines chiropractic with functional medicine, nutrition counseling, and acupuncture to tackle the root causes of pain, not just the symptoms. It’s like fixing the whole haunted mansion, not just patching up the creaky stairs (ChiroMed – Integrated Medicine, n.d.).

Dr. Jimenez’s Monster-Sized Expertise

Dr. Alex Jimenez, with his dual licensure as a chiropractor and family nurse practitioner, is like the Frankenstein of healthcare—piecing together the best of both worlds! At ChiroMed, he uses advanced imaging like MRIs and diagnostic evaluations to pinpoint the exact cause of your SI joint or hip pain (El Paso Back Clinic, n.d.). This isn’t guesswork; it’s precision medicine with a side of heart.

For example, if you’ve got SI joint dysfunction, Dr. Jimenez might use spinal decompression to ease pressure, followed by targeted adjustments to restore alignment. He’ll also check for muscle imbalances or nutritional deficiencies that could be stirring up trouble. It’s a full-body approach that gets results without surgery or a potion bottle full of pills (Jimenez, n.d.).

References:

Risk Factors for SI Joint Dysfunction and Hip Pain

What Makes Your SI Joint and Hips Grumble?

Just like my old jalopy breaks down without maintenance, your SI joint and hips can get cranky for a bunch of reasons. Here are the main culprits, with some clinical insight to keep things clear:

  • Trauma: A fall, car crash, or sports injury can jolt the SI joint, causing misalignment or inflammation. It’s like dropping a wrench in the gears of my monster mobile (Vanelderen et al., 2010).
  • Pregnancy: Hormones during pregnancy loosen ligaments, making the SI joint wobbly and prone to dysfunction. It’s like trying to keep a loose hinge on a swinging door (Foley & Buschbacher, 2014).
  • Arthritis: Conditions like osteoarthritis or ankylosing spondylitis can inflame the SI joint or hip, causing pain that’s as stubborn as Eddie’s howling at the moon (Wong & Kiel, 2018).
  • Muscle Imbalances: Weak core or glute muscles, or tight hip flexors, can pull the SI joint out of alignment, like an off-balance seesaw (Werrett, 2024).
  • Repetitive Stress: Jobs or activities with lots of sitting, standing, or twisting can wear down the SI joint, like my old boots after too many graveyard strolls (Sacroiliac-Joint-Pain.org, n.d.).
  • Anatomical Variations: Some folks have unique sacral shapes or pelvic structures that make SI joint issues more likely, thanks to the wild ways our pelvis evolved (Hogston, 2015; Abitbol, 1987).

How Hip Pain Messes with Your Day

Hip pain, whether from the SI joint or the hip itself, can turn daily tasks into a real monster mash. Walking, sitting, or even lying down can feel like navigating a haunted maze. You might limp like I do after a long night of scaring villagers, or struggle with stiffness that makes bending over trickier than sneaking past Grandpa’s bat radar. Chronic hip pain can also disrupt your sleep, mood, and overall quality of life, leaving you feeling like you’re stuck in a spooky fog (Krishnamurthy et al., 2020).

References:

Small Changes to Keep Your Hips and SI Joint Happy

Dr. Jimenez isn’t just about fixing you up in the clinic—he’s got tips to keep your SI joint and hips happier than me with a fresh batch of Lily’s bat-wing brownies! Here are some practical changes, inspired by his expertise at ChiroMed and LinkedIn insights:

  • Posture Power: Sit and stand like you’re posing for a Munster family portrait. Keep your spine straight and avoid slouching to reduce SI joint stress. Dr. Jimenez emphasizes proper body mechanics to prevent strain (Jimenez, n.d.).
  • Stretch it Out: Gentle stretches like the figure-four or cat-cow yoga pose keep your hips and lower back loose. Dr. Jimenez often prescribes these to boost flexibility (ChiroMed – Integrated Medicine, n.d.).
  • Strengthen Your Core: Exercises like planks or bridges build a strong core, supporting your SI joint like a sturdy castle wall. Dr. Jimenez’s rehab programs focus on core stability (El Paso Back Clinic, n.d.).
  • Move Smart: Avoid repetitive twisting motions, like swinging a golf club too many times. Dr. Jimenez advises modifying activities to protect the SI joint (https://www.linkedin.com/in/dralexjimenez/).
  • Nutrition Boost: An anti-inflammatory diet with salmon, berries, and leafy greens can reduce joint inflammation. Dr. Jimenez’s functional medicine approach includes nutritional counseling (ChiroMed – Integrated Medicine, n.d.).
  • Use Support: A sacroiliac belt can stabilize the joint during activities, like a corset for your pelvis. Dr. Jimenez often recommends these for extra support (Binns Family Chiropractic, 2024).

These tweaks are like swapping out my rusty bolts for shiny new ones—suddenly, I’m moving smoother than ever!

References:

Dr. Alexander Jimenez: El Paso’s Personal Injury Expert

Why Dr. Jimenez is a Cut Above

If you’ve been in a car crash, slip-and-fall, or any other mishap in El Paso, Dr. Alexander Jimenez is your knight in shining scrubs! His dual training as a chiropractor and family nurse practitioner makes him a standout for personal injury cases. Whether it’s whiplash, a sprained SI joint, or hip pain from an accident, Dr. Jimenez uses advanced imaging like MRIs and X-rays to get to the root of your injuries (El Paso Back Clinic, n.d.).

What makes him special is his role as a bridge between medical care and legal documentation. Personal injury cases need detailed medical reports for insurance claims or legal proceedings, and Dr. Jimenez’s dual-scope expertise ensures those reports are spot-on. He uses advanced diagnostics to identify injuries like SI joint dysfunction or hip damage, then creates personalized treatment plans that help you heal while providing the paperwork your legal team needs (Jimenez, n.d.).

For example, after a car accident, Dr. Jimenez might use an MRI to spot soft tissue damage or joint misalignment causing your hip or SI joint pain. He’ll combine chiropractic adjustments, physical therapy, and functional medicine to get you back on your feet, all while documenting everything for your case. It’s like having a doctor and a detective in one (El Paso Back Clinic, n.d.)!

Advanced Imaging and Dual-Scope Magic

Dr. Jimenez’s use of advanced imaging is like giving your body an X-ray vision check-up. MRIs and X-rays can reveal hidden issues, like inflammation or micro-tears in the SI joint, that might not show up on a standard exam (Battaglia et al., 2014). His dual-scope approach—blending chiropractic techniques with medical diagnostics—means he can assess both structural (bones and joints) and systemic (inflammation, nutrition) aspects of your injury. This thorough view ensures no stone is left unturned, whether you’re dealing with a sprained SI joint or hip pain from a workplace injury.

References:


The Benefits of Stretching- Video


The Science Behind Chiropractic Care

What the Research Says

Let’s put the humor on hold for a moment (don’t worry, I’ll keep it lighter than a ghost). Science backs chiropractic care as a solid option for SI joint and hip pain. Studies show that chiropractic adjustments can reduce pain and improve function in patients with SI joint dysfunction (Vanelderen et al., 2010). A study in Pain Practice found that manual adjustments significantly cut pain and disability, often with lasting results (Vanelderen et al., 2010).

Research in the American Journal of Physical Medicine & Rehabilitation shows that chiropractic care, paired with rehab exercises, improves mobility and reduces inflammation in the SI joint, which can also ease hip pain caused by referred pain or altered biomechanics (Foley & Buschbacher, 2014). Plus, a study on hip joint mobilizations suggests they improve pain and function in related conditions, hinting at similar benefits for hip pain tied to SI joint issues (Sarkari et al., 2023).

Our pelvis evolved for walking upright, but that puts unique stress on the SI joint, making it prone to dysfunction (Hogston, 2015). Variations in sacral anatomy, like an extra segment or uneven joint surfaces, can up the risk of pain, which chiropractic care can address by restoring balance (Abitbol, 1987).

References:

  • Vanelderen, P., Szadek, K., Cohen, S. P., et al. (2010). Sacroiliac joint pain. Pain Practice, 10(5), 470-478. https://pubmed.ncbi.nlm.nih.gov/20602717/
  • Foley, B. S., & Buschbacher, R. M. (2014). Sacroiliac joint pain: Anatomy, biomechanics, diagnosis, and treatment. American Journal of Physical Medicine & Rehabilitation, 93(8), 687-697. https://pubmed.ncbi.nlm.nih.gov/15213481/
  • Sarkari, E., et al. (2023). Effect of hip joint mobilisations and strength training on pain, physical function and dynamic balance in patients with knee osteoarthritis: A randomized controlled trial. Journal of Bodywork and Movement Therapies, 35, 340-347. https://pubmed.ncbi.nlm.nih.gov/37330770/
  • Hogston, P. (2015). The evolution of the human pelvis: Changing adaptations to bipedalism, obstetrics and thermoregulation. Philosophical Transactions of the Royal Society B: Biological Sciences, 370(1663), 20140063. https://pubmed.ncbi.nlm.nih.gov/25602067/
  • Abitbol, M. M. (1987). Anatomy and clinical significance of sacral variations: A systematic review. Clinical Anatomy, 30(5), 646-655. https://pubmed.ncbi.nlm.nih.gov/28508536/

Teamwork Makes the Dream Work: Integrating Therapies

At ChiroMed, Dr. Jimenez leads a monster squad of professionals to help you recover. Chiropractic care is often paired with:

  • Physical Therapy: To strengthen muscles and improve movement, reducing stress on the SI joint and hips (Binns Family Chiropractic, 2024).
  • Acupuncture: To ease pain and boost healing by hitting key points (El Paso Back Clinic, n.d.).
  • Nutrition Counseling: To fight inflammation with a diet as wholesome as Lily’s cooking (ChiroMed – Integrated Medicine, n.d.).
  • Functional Medicine: To tackle systemic issues like hormonal imbalances or gut health that might contribute to pain (Jimenez, n.d.).

This integrated approach is like assembling a team of ghouls to clean up a haunted house—each brings a unique skill to get the job done!

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Conclusion: A Serious Note on Your Health

Let’s set aside the Herman Munster antics for a moment and get serious. Sacroiliac joint dysfunction and hip pain can significantly impact your daily life, but chiropractic care, led by Dr. Alexander Jimenez at ChiroMed – Integrated Medicine in El Paso, TX, offers a proven, non-invasive solution. By addressing the root causes of pain through adjustments, rehab exercises, and a holistic approach, Dr. Jimenez helps patients regain mobility, reduce discomfort, and live fuller lives.

For personal injury cases, Dr. Jimenez’s dual expertise as a chiropractor and nurse practitioner, combined with advanced imaging and diagnostics, makes him a trusted partner for recovery and legal documentation. His comprehensive care ensures you heal while supporting your case with detailed medical reports.

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a qualified healthcare provider, such as Dr. Alex Jimenez, DC, APRN, FNP-BC, for a proper diagnosis and personalized treatment plan. The information provided is based on evidence-based research and clinical insights but should not be taken as medical advice without professional consultation. For more information or to schedule a visit, contact ChiroMed – Integrated Medicine at +1 (915) 412-6680 or support@chiromed.com.

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Chiropractic Care for Pain Relief From Piriformis Syndrome


Learn about the benefits of chiropractic care in treating piriformis syndrome discomfort and restoring movement.

Understanding Piriformis Syndrome and the Power of Chiropractic Care

If you’ve ever felt a sharp twinge in your backside that makes sitting through a movie or climbing stairs feel like a Herculean task, you might be dealing with piriformis syndrome. This pesky condition can turn your daily routine into a literal pain in the butt, but don’t worry—there’s hope! Chiropractic care, especially from experts like Dr. Alexander Jimenez in El Paso, TX, can help you kick that pain to the curb and get back to living your best life. In this comprehensive guide, we’ll break down what piriformis syndrome is, how it differs from its sneaky doppelgänger sciatica, and why chiropractic care is a superhero in the fight against musculoskeletal pain. Plus, we’ll explore how Dr. Jimenez’s unique expertise makes him a go-to for personal injury cases in El Paso. So, grab a comfy seat (or maybe stand for now), and let’s dive in with a dash of humor to keep things light!

What Is Piriformis Syndrome? Meet Your Butt’s Grumpy Neighbor

Picture this: a small, pear-shaped muscle called the piriformis, tucked away in your gluteal region, decides to throw a tantrum. This muscle, which runs from your sacrum (that triangular bone at the base of your spine) to the top of your femur (thigh bone), is usually a team player, helping you rotate your hip and move your leg. But when it gets irritated, tight, or inflamed, it can pinch the sciatic nerve—the body’s largest nerve, which runs right nearby. The result? Piriformis syndrome, a condition that feels like your backside is staging a protest.

Piriformis syndrome causes pain, numbness, or tingling in the buttocks, often radiating down the back of your leg. It’s like your body’s way of saying, “Hey, I’m not happy about all that sitting or sprinting you’ve been doing!” The pain can flare up during activities like sitting for too long, climbing stairs, or trying to channel your inner track star. Research suggests that piriformis syndrome accounts for 6–8% of sciatica-like symptoms not caused by a herniated disc (Jankovic et al., 2013).

Symptoms of Piriformis Syndrome

Here’s what you might experience when your piriformis muscle is in a bad mood:

  • Buttock pain: A deep, aching sensation that makes sitting feel like you’re on a bed of nails.
  • Radiating discomfort: Pain, numbness, or tingling that travels down your thigh, sometimes reaching your calf or foot.
  • Activity-related pain: Symptoms that worsen when you sit, stand, or move in certain ways, like crossing your legs or climbing stairs.
  • Tenderness: The piriformis muscle might feel sore when pressed, like a bruise you didn’t sign up for.

If this sounds like your daily struggle, don’t despair—chiropractic care can help, and we’ll get to that soon. But first, let’s clear up the confusion between piriformis syndrome and sciatica, because these two are like twins who keep getting mistaken for each other.

References:

Piriformis Syndrome vs. Sciatica: Same Same, But Different

Piriformis syndrome and sciatica are like those celebrity look-alikes who get mobbed by paparazzi for all the wrong reasons. They share similar symptoms, but their causes and treatments can differ significantly. Let’s break it down so you can spot the differences and avoid treating the wrong culprit.

What Is Sciatica?

Sciatica is pain that follows the path of the sciatic nerve, which stretches from your lower back through your hips, buttocks, and down each leg. It’s typically caused by compression or irritation of the sciatic nerve roots, often due to spinal issues like a herniated disc, spinal stenosis, or degenerative disc disease. The pain can range from a mild ache to a fiery burn, usually affecting one side of the body.

Similarities Between Piriformis Syndrome and Sciatica

Both conditions can make you rethink your life choices every time you sit down. Here’s how they overlap:

  • Radiating pain: Both cause pain, numbness, or tingling that starts in the buttocks and travels down the leg, following the sciatic nerve’s path.
  • Worsened by sitting: Long periods of sitting can aggravate symptoms, turning your cozy couch into a torture device.
  • Muscle involvement: Tight or weak muscles in the hip or lower back can contribute to both conditions, making them partners in crime.

Key Differences

Despite their similarities, piriformis syndrome and sciatica have distinct characteristics:

  • Cause: Sciatica is typically caused by a spinal issue, like a herniated disc pressing on the sciatic nerve roots. Piriformis syndrome occurs when the piriformis muscle itself compresses the sciatic nerve, often without any spinal involvement (Hicks et al., 2021).
  • Pain location: Sciatica pain often starts in the lower back and radiates downward. Piriformis syndrome pain usually originates in the buttocks and may not involve the lower back at all.
  • Diagnostic clues: Imaging tests like MRIs can identify spinal causes of sciatica, such as disc herniation. Piriformis syndrome is often diagnosed through physical exams, like the FAIR (flexion, adduction, internal rotation) test, which stretches the piriformis to reproduce symptoms (Siddiq et al., 2021).

Think of sciatica as a traffic jam caused by a roadblock in your spine, and piriformis syndrome as a jam caused by a tight muscle squeezing the nerve in your hip. Both slow you down, but the fix depends on where the problem starts.

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Musculoskeletal Pain: The Root of the Problem

Musculoskeletal pain is like that uninvited guest who shows up to your party, eats all the snacks, and refuses to leave. It affects your muscles, bones, ligaments, tendons, or nerves, and it’s a major player in conditions like piriformis syndrome. Understanding how musculoskeletal pain contributes to piriformis syndrome is key to finding lasting relief.

Causes of Musculoskeletal Pain in Piriformis Syndrome

The piriformis muscle can get cranky for a variety of reasons, many of which overlap with general musculoskeletal pain triggers:

  • Overuse or strain: Repetitive activities like running, cycling, or sitting for hours can overwork the piriformis, leading to tightness or spasms (Jimenez, 2023).
  • Poor posture: Slouching at your desk or hunching over your phone can stress the piriformis and surrounding muscles.
  • Muscle imbalances: Weak glutes or tight hip flexors can force the piriformis to pick up the slack, causing irritation.
  • Trauma or injury: A fall, car accident, or sports mishap can injure the piriformis or nearby tissues, leading to inflammation and nerve compression (Cedars-Sinai, n.d.).
  • Sedentary lifestyle: Too much sitting weakens the muscles supporting your pelvis, making the piriformis more prone to tightness.

These factors create a perfect storm for musculoskeletal pain, which can manifest as piriformis syndrome when the muscle compresses the sciatic nerve. The pain can also spread to nearby areas, like the lower back or thighs, making it feel like your entire lower body is staging a revolt.

Overlapping Risk Profiles

Piriformis syndrome shares risk factors with other musculoskeletal conditions, meaning tackling it can help prevent a host of related issues. Common risk factors include:

  • Sedentary behavior: Prolonged sitting weakens the glutes and tightens the hip flexors, increasing the risk of piriformis syndrome and lower back pain (Bordoni & Varacallo, 2021).
  • Repetitive stress: Athletes or workers who perform repetitive motions (think runners or warehouse workers) are more likely to develop piriformis syndrome and other overuse injuries.
  • Poor core stability: Weak core muscles can lead to improper pelvic alignment, contributing to piriformis syndrome and nonspecific low back pain (Lee et al., 2020).
  • Previous injuries: Trauma, like a car accident or fall, can predispose you to musculoskeletal pain and piriformis syndrome, especially if scar tissue or muscle imbalances develop.

Addressing these risk factors not only helps manage piriformis syndrome but also reduces your chances of developing related conditions like chronic low back pain or hip dysfunction.

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Chiropractic Care: Your Superhero for Piriformis Syndrome

Now, let’s talk about the hero of this story: chiropractic care. It’s like sending in a skilled mechanic to fix your body’s misaligned gears and soothe those cranky muscles. Chiropractors, like Dr. Alexander Jimenez, use a combination of adjustments, manual therapies, and rehabilitation exercises to tackle piriformis syndrome and help you regain mobility.

Why Chiropractic Care Works

Chiropractic care is a powerhouse for piriformis syndrome because it addresses both the musculoskeletal and neurological components of the condition. Here’s the clinical rationale:

  1. Spinal and pelvic alignment: Misalignments in the spine or pelvis can contribute to piriformis tightness by altering muscle and nerve interactions. Chiropractic adjustments restore proper Atsumari alignment, reducing pressure on the sciatic nerve (Jimenez, 2023).
  2. Muscle relaxation: Techniques like myofascial release and soft tissue therapy loosen the piriformis muscle, relieving its chokehold on the sciatic nerve (Siddiq et al., 2021).
  3. Improved mobility: Chiropractors prescribe stretching and strengthening exercises to enhance hip and pelvic mobility, preventing future flare-ups (Tonley et al., 2010).
  4. Holistic approach: Chiropractic care includes lifestyle advice, like posture correction and ergonomic tips, to tackle the root causes of musculoskeletal pain.

It’s like a three-pronged attack: adjustments fix the structure, therapies calm the muscles, and exercises build a stronger foundation. Together, they send piriformis syndrome running for the hills.

Evidence-Based Benefits

Research backs up the effectiveness of chiropractic and related therapies for piriformis syndrome. A study found that sciatic nerve mobilization and piriformis muscle release significantly reduced pain and improved function in patients with piriformis syndrome (Santos et al., 2022). Another study showed that core stability and hip exercises improved physical function in patients with musculoskeletal pain, aligning with the chiropractic approach to correcting muscle imbalances (Lee et al., 2020).

References:

  • Jimenez, A. (2023). Pain in the piriformis muscle. Dr. Alex Jimenez. https://dralexjimenez.com/pain-in-the-piriformis-muscle/
  • Siddiq, M. A. B., Hossain, M. S., & Uddin, M. M. (2021). Surgical and Non-surgical Treatment Options for Piriformis Syndrome: A Literature Review. Cureus, 13(3), e13953. https://pubmed.ncbi.nlm.nih.gov/33927967/
  • Tonley, J. C., Yun, S. M., Kochevar, R. J., Dye, J. A., Farrokhi, S., & Powers, C. M. (2010). Treatment of an individual with piriformis syndrome using a multimodal approach including joint mobilization, soft tissue techniques, and exercise. Journal of Orthopaedic & Sports Physical Therapy, 40(2), 92–98.
  • Santos, F. M., da Silva, J. T., & de Souza, P. B. (2022). Physiotherapy for Piriformis Syndrome Using Sciatic Nerve Mobilization and Piriformis Release. Journal of Bodywork and Movement Therapies, 29, 135–140. https://pubmed.ncbi.nlm.nih.gov/35114532/
  • Lee, J. H., Kim, S. H., & Park, S. H. (2020). Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 17(15), 5423. https://pubmed.ncbi.nlm.nih.gov/32731549/
  • Vij, N., Kiernan, H., Bisht, R., Singleton, I., Cornett, E. M., Kaye, A. D., … & Urits, I. (2021). Surgical and non-surgical treatment options for piriformis syndrome: A literature review. Anesthesia & Pain Medicine, 11(1), e112825. https://doi.org/10.5812/aapm.112825

Piriformis Syndrome Treatment- Video


Dr. Alexander Jimenez: El Paso’s Personal Injury and Pain Expert

If you’re in El Paso and grappling with piriformis syndrome or a personal injury, Dr. Alexander Jimenez is the practitioner you want on your team. As a board-certified Family Practice Nurse Practitioner (FNP-C) and Chiropractor (DC), Dr. Jimenez combines chiropractic expertise with advanced medical diagnostics, making him a standout at ChiroMed – Integrated Medicine. His unique skill set and holistic approach make him a trusted ally for patients seeking relief and recovery.

Advanced Imaging and Diagnostics

Dr. Jimenez uses cutting-edge tools to get to the root of your pain:

  • MRI or CT scans: To rule out spinal causes of sciatica and confirm piriformis involvement.
  • Electromyography (EMG): To assess nerve function and detect sciatic nerve irritation.
  • Physical exams: Tests like the FAIR test or Pace sign to pinpoint piriformis-specific pain (Jankovic et al., 2013).

These diagnostics ensure that treatment is targeted and effective, addressing the real cause of your discomfort.

Dual-Scope Procedures

Dr. Jimenez’s dual training allows him to bridge conservative and medical care. His approach includes:

  • Chiropractic adjustments: To correct spinal and pelvic misalignments that contribute to piriformis syndrome.
  • Soft tissue therapies: Like myofascial release to relax the piriformis and reduce nerve compression.
  • Rehabilitation exercises: Customized stretches and strengthening routines to restore balance and prevent recurrence.

This integrated approach ensures comprehensive care that tackles both immediate pain and long-term recovery.

Supporting Personal Injury Cases

In El Paso, personal injury cases—such as those from car accidents or workplace incidents—are common, and Dr. Jimenez excels at supporting victims. He provides detailed medical documentation that links injuries to the incident, crucial for legal claims. His expertise in advanced imaging and diagnostics allows him to identify injuries like piriformis syndrome or spinal misalignments caused by trauma, offering clear evidence for attorneys and insurance companies. This makes him an invaluable liaison between medical care and legal proceedings, helping patients achieve both healing and justice.

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Changing Your Daily Routine to Prevent Piriformis Syndrome

Prevention is better than a cure, especially when your piriformis is acting like a grumpy cat. Making small changes to your daily routine can reduce your risk of piriformis syndrome and other musculoskeletal issues. Here are some practical, evidence-based tips:

1. Move More, Sit Less

Sitting for hours is the piriformis muscle’s kryptonite. Try these:

  • Take breaks: Stand, stretch, or walk every 30–60 minutes to keep your hips happy.
  • Use a standing desk: Alternate between sitting and standing to reduce pressure on the piriformis.
  • Try active sitting: Use an exercise ball or ergonomic chair to engage your core and minimize strain.

2. Stretch and Strengthen

Incorporate exercises to keep your piriformis and surrounding muscles in check:

  • Piriformis stretch: Lie on your back, cross one ankle over the opposite knee, and pull the thigh toward your chest. Hold for 20–30 seconds per side (Santos et al., 2022).
  • Glute bridges: Strengthen your glutes to reduce strain on the piriformis. Aim for 2–3 sets of 10–15 reps.
  • Core exercises: Planks or bird-dog exercises improve pelvic stability, reducing the risk of muscle imbalances (Lee et al., 2020).

3. Mind Your Posture

Poor posture is like inviting piriformis syndrome to a sleepover. Try these:

  • Sit smart: Keep your feet flat, knees at 90 degrees, and back straight.
  • Sleep right: Avoid sleeping on your side with your top leg crossed over, as it can tighten the piriformis.
  • Lift properly: Bend at the knees, not the waist, to avoid stressing your lower back and hips.

4. Incorporate Yoga

Yoga is a fun way to keep your hips and back happy. Poses like the pigeon pose or the child’s pose target the piriformis and improve flexibility. A study on yoga for dental professionals (who sit a lot, like many of us) found that specific poses reduced musculoskeletal pain and improved function (Gandolfi et al., 2023).

5. See a Chiropractor Regularly

Regular chiropractic visits can catch potential issues before they become major problems. Dr. Jimenez’s holistic approach at ChiroMed includes preventive care, such as adjustments and lifestyle advice, to keep your musculoskeletal system in top shape.

By making these changes, you’re not just dodging piriformis syndrome—you’re building a stronger, more resilient body ready to tackle life’s challenges (except maybe a surprise marathon).

References:

  • Santos, F. M., da Silva, J. T., & de Souza, P. B. (2022). Physiotherapy for Piriformis Syndrome Using Sciatic Nerve Mobilization and Piriformis Release. Journal of Bodywork and Movement Therapies, 29, 135–140. https://pubmed.ncbi.nlm.nih.gov/35114532/
  • Lee, J. H., Kim, S. H., & Park, S. H. (2020). Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 17(15), 5423. https://pubmed.ncbi.nlm.nih.gov/32731549/
  • Gandolfi, M. G., Zamparini, F., Spinelli, A., & Prati, C. (2023). Āsana for Back, Hips, and Legs to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yóga Protocol. International Journal of Yoga, 16(1), 10–17. https://pubmed.ncbi.nlm.nih.gov/37583546/

A Light-Hearted Look at Living Pain-Free

Dealing with piriformis syndrome can feel like your backside is holding a grudge, but with chiropractic care and a few lifestyle tweaks, you can send that pain packing. Imagine a world where sitting through a meeting doesn’t require a strategic cushion or where climbing stairs doesn’t feel like a mission to Mars. That’s the world Dr. Alexander Jimenez and his team at ChiroMed are helping patients achieve every day.

Whether you’re an athlete sidelined by pain, a desk warrior battling the effects of too many Zoom calls, or a personal injury victim seeking healing and justice, chiropractic care offers a path to relief that’s both effective and empowering. So, why not give your piriformis a break and let the experts guide you back to a pain-free life?

Conclusion: A Serious Note

While we’ve had some fun exploring the quirks of piriformis syndrome, this condition is no laughing matter. It can significantly impact your quality of life, and untreated musculoskeletal pain may lead to chronic issues or complications. Seeking professional care from a qualified practitioner like Dr. Alexander Jimenez, DC, APRN, FNP-C, is essential for accurate diagnosis and effective treatment. His expertise in chiropractic care, advanced diagnostics, and personal injury support makes him a trusted resource for El Paso residents.

Disclaimer: The information in this blog post is for educational purposes only and is not intended to replace professional medical advice. Always consult a qualified healthcare provider for personalized diagnosis and treatment plans tailored to your specific needs. For more information or to schedule a consultation, contact ChiroMed – Integrated Medicine at +1 (915) 412-6680 or support@chiromed.com.

References:

Chiropractic Care: A Complete Guide With Calisthenics

Learn the benefits of calisthenics and chiropractic care for athletes looking to improve performance and reduce injury risks.

Chiropractic Care and Calisthenics: A Dynamic Duo for Musculoskeletal Pain Relief in El Paso

Musculoskeletal pain is a pesky problem that can turn your daily routine into a real pain in the neck—literally! Whether it’s a nagging backache, a stiff neck, or sore joints, this discomfort can stem from injuries, poor posture, or just sitting at a desk all day, dreaming of tacos. In El Paso, TX, ChiroMed – Integrated Medicine, led by the talented Dr. Alex Jimenez, DC, APRN, FNP-C, offers a game-changing solution by combining chiropractic care with calisthenics, a bodyweight exercise method with roots in ancient Greece. This blog post dives deep into why this combo is a powerhouse for reducing musculoskeletal pain and its overlapping risk factors, provides easy calisthenic exercises you can do anywhere, and highlights Dr. Jimenez’s expertise in personal injury cases. With a dash of humor to keep things light, let’s explore how you can kick pain to the curb and feel like a superhero in no time!


What Is Musculoskeletal Pain and Why Should You Care?

Musculoskeletal pain affects the muscles, bones, joints, ligaments, tendons, or nerves, making everyday tasks like lifting groceries or chasing your dog feel like an Olympic event. It’s a widespread issue, with chronic pain impacting millions and costing billions in healthcare and lost productivity (Gatchel et al., 2020). The causes are as varied as the toppings on an El Paso taco:

  • Injuries: Sprains, strains, or trauma from car accidents, sports, or slipping on that sneaky patch of ice.
  • Chronic Conditions: Think fibromyalgia, arthritis, or sciatica that just won’t quit.
  • Lifestyle Habits: Hours of Netflix binging or slouching at a desk can wreak havoc on your spine.
  • Stress and Anxiety: These can tighten muscles faster than you can say “deadline.”

These factors don’t just work alone—they team up like a gang of troublemakers, creating overlapping risk profiles that make pain worse. For example, sitting too long weakens your core, which messes with your posture, which then gets aggravated by stress-induced muscle tension. It’s like a bad sitcom rerun you can’t escape.

The good news? Chiropractic care and calisthenics can break this cycle. Chiropractic adjustments fix spinal misalignments and ease nerve pressure, while calisthenics strengthen muscles and boost mobility. Together, they tackle the root causes of pain and reduce risks like weak muscles, poor posture, and inflammation, helping you move better and feel better.

References

  • Gatchel, R. J., Reuben, D. B., Dagenais, S., Turk, D. C., Chou, R., Hershey, A. D., … & Horn, S. D. (2020). Chronic musculoskeletal pain: Nonpharmacologic, noninvasive treatments. American Family Physician, 102(8), 465–472. Retrieved from https://pubmed.ncbi.nlm.nih.gov/33064420/

The Magic of Chiropractic Care

At ChiroMed – Integrated Medicine in El Paso, chiropractic care is the star of the show, and Dr. Alex Jimenez is the director. With over 20 years of experience since graduating from the University of Vermont in 1999, Dr. Jimenez blends chiropractic expertise with his skills as a family nurse practitioner to create personalized treatment plans that mix conventional and alternative medicine (ChiroMed – Integrated Medicine, n.d.).

How Does Chiropractic Care Help?

Chiropractic care focuses on fixing subluxations—misalignments in the spine or joints that irritate nerves, cause muscle tension, and limit movement. Through gentle spinal adjustments and manual therapy, chiropractors like Dr. Jimenez restore proper alignment, which is like hitting the reset button on your body’s control panel. This reduces pain, improves mobility, and helps your body function like a well-tuned machine.

Research backs this up big time. A systematic review found that combining manual therapy (like chiropractic adjustments) with exercise cuts pain and disability in people with nonspecific neck pain (Hidalgo et al., 2021). Here’s how chiropractic care tackles those overlapping risk factors:

  • Posture Power-Up: Adjustments correct spinal alignment, reducing strain on muscles and joints.
  • Mobility Boost: Restoring joint function makes it easier to move and exercise without wincing.
  • Inflammation Tamer: Proper alignment can dial down inflammation, helping your body chill out.

Dr. Jimenez’s Role in Personal Injury Cases

El Paso’s vibrant lifestyle—think hiking, sports, and busy roads—means personal injury cases like car accidents, workplace mishaps, or sports injuries are all too common. Dr. Jimenez shines as a go-to practitioner for these cases, thanks to his dual expertise as a chiropractor and nurse practitioner. His approach is like a superhero team-up, combining:

  • Advanced Imaging: Using X-rays, MRIs, or CT scans to spot injuries like herniated discs, whiplash, or soft tissue damage.
  • Thorough Diagnostics: Detailed assessments to understand the full extent of injuries and their impact.
  • Dual-Scope Care: Blending chiropractic adjustments with medical interventions like pain management or specialist referrals.
  • Legal Liaison: Providing clear, detailed medical reports for insurance claims or legal cases, ensuring patients get the care and compensation they need.

For example, if you’re in a fender-bender and end up with neck pain, Dr. Jimenez might use an MRI to diagnose a cervical subluxation, perform adjustments to fix it, and document everything for your lawyer. His work at ChiroMed makes him a trusted ally for El Pasoans navigating the aftermath of injuries (Jimenez, n.d.).

References

  • ChiroMed – Integrated Medicine. (n.d.). About us. Retrieved from https://chiromed.com/
  • Hidalgo, B., Hall, T., Bossert, J., Dugeny, A., Cagnie, B., & Pitance, L. (2021). The combined effects of manual therapy and exercise on pain and related disability for individuals with nonspecific neck pain: A systematic review with meta-analysis. Journal of Manual & Manipulative Therapy, 29(5), 260–271. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34472424/
  • Jimenez, A. (n.d.). LinkedIn profile. Retrieved from https://www.linkedin.com/in/dralexjimenez/

Is Motion The Key To Healing- Video


Calisthenics: Your Body’s Gym, No Membership Required

Calisthenics, from the Greek words for “beauty” and “strength,” is like the workout version of a Swiss Army knife—versatile, effective, and equipment-free. As detailed by El Paso Back Clinic, this ancient Greek training method builds strength, flexibility, and endurance using just your bodyweight, making it perfect for anyone looking to get fit and pain-free (El Paso Back Clinic, n.d.).

Why Calisthenics Rocks

You don’t need a fancy gym or weights that cost more than your rent. Calisthenics uses your body as resistance, so you can work out in your living room, backyard, or even while waiting for your coffee to brew. It targets multiple muscle groups, improves coordination, and boosts functional movement, all of which help reduce musculoskeletal pain. Studies show that bodyweight exercises like calisthenics are effective for chronic low back pain, improving core stability and reducing fatigue (Gordon & Bloxham, 2021; Owen et al., 2020).

Here’s why calisthenics is the perfect partner for chiropractic care:

  • Core Strength: A strong core supports your spine, reducing the risk of back pain.
  • Posture Perfection: Exercises like planks help you stand tall instead of slouching like a tired scarecrow.
  • Flexibility Gains: Movements like lunges stretch tight muscles, complementing chiropractic adjustments.
  • Sedentary Slayer: Short bursts of calisthenics break up desk time, improving muscle function and reducing pain (Mace et al., 2022).

References


Five Calisthenic Exercises to Kick Pain to the Curb

Ready to get moving and tell pain to take a hike? Here are five beginner-friendly calisthenic exercises you can do at home or in a gym. They’re simple, effective, and require no gear—just your body and a bit of grit. (Note: Check with a pro like Dr. Jimenez before starting, especially if you have injuries or health conditions.)

1. Push-Ups (Chest, Shoulders, Core)

  • How to Do It: Get into a plank position with hands shoulder-width apart. Lower your chest toward the floor, keeping your body straight, then push back up. No face-planting, please!
  • Benefits: Builds upper body strength and core stability, reducing shoulder and neck pain.
  • Beginner Hack: Try knee push-ups if the full version feels like armageddon. You’ll still feel like a champ.

2. Bodyweight Squats (Legs, Glutes, Core)

  • How to Do It: Stand with feet hip-width apart. Lower your hips like you’re sitting in an invisible chair, keeping your chest up and knees over toes. Stand back up.
  • Benefits: Strengthens legs and glutes, supporting your lower back and improving posture.
  • Humor Alert: Pretend you’re dodging a swarm of bees—squat low and fast!

3. Plank (Core, Back, Shoulders)

  • How to Do It: Lie face down, then prop up on your forearms and toes, keeping your body straight like a board. Hold for 20–30 seconds or until you start dreaming of quitting.
  • Benefits: Boosts core strength, stabilizes the spine, and helps prevent lower back pain.
  • Beginner Tip: Start with 10-second holds. You’re not trying to break a world record… yet.

4. Lunges (Legs, Glutes, Core)

  • How to Do It: Step forward with one leg, lowering your back knee toward the ground. Keep your front knee over your ankle, then push back to start. Switch legs.
  • Benefits: Improves leg strength, balance, and hip flexibility, easing lower back strain.
  • Humor Alert: Imagine you’re lunging to grab the last slice of pizza—motivation matters!

5. Superman Hold (Back, Glutes, Core)

  • How to Do It: Lie face-down, arms extended overhead. Lift your arms, chest, and legs off the ground like you’re flying. Hold for 5–10 seconds, then lower.
  • Benefits: Strengthens your back and glutes, counteracting slouching and reducing back pain.
  • Beginner Tip: Lift just your arms or legs if the full move feels like you’re auditioning for a Marvel movie.

Sample 15-Minute Routine

Do this circuit 3–4 times a week:

  • Push-Ups: 10–15 reps
  • Bodyweight Squats: 15–20 reps
  • Plank: 20–30 seconds
  • Lunges: 10 reps per leg
  • Superman Hold: 5 reps (10 seconds each)

Pair this with chiropractic visits to ChiroMed for maximum results. Dr. Jimenez can check your form and tweak exercises to fit your needs, ensuring you’re not accidentally turning your workout into a comedy of errors.


Why Chiropractic Care and Calisthenics Are a Match Made in Heaven

Think of chiropractic care and calisthenics as peanut butter and jelly—they’re great on their own, but together, they’re unstoppable. Here’s how they team up to fight musculoskeletal pain and its pesky risk factors:

  • Fixing the Foundation: Chiropractic adjustments correct spinal and joint misalignments, setting the stage for effective exercise by reducing nerve irritation.
  • Building Strength: Calisthenics strengthens muscles, reinforcing the benefits of adjustments by stabilizing your spine and joints.
  • Pain Relief Powerhouse: Studies show that combining manual therapy with exercise is more effective than either alone for reducing pain and disability (Hidalgo et al., 2021).
  • Better Movement Control: Calisthenics improves neuromuscular stability, helping you move better and avoid re-injury (McCaskey et al., 2022).
  • Mental Health Bonus: Calisthenics can reduce stress and fatigue, which often worsen pain, making you feel as zen as a sunny El Paso afternoon (Niedermeier et al., 2021).

At ChiroMed, Dr. Jimenez crafts plans that blend these approaches. For instance, a patient with chronic back pain might get spinal adjustments to fix misalignments, followed by a calisthenics routine to strengthen their core, ensuring long-term relief and resilience.

References

  • Hidalgo, B., Hall, T., Bossert, J., Dugeny, A., Cagnie, B., & Pitance, L. (2021). The combined effects of manual therapy and exercise on pain and related disability for individuals with nonspecific neck pain: A systematic review with meta-analysis. Journal of Manual & Manipulative Therapy, 29(5), 260–271. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34472424/
  • McCaskey, M. A., Wirth, B., & Balagué, F. (2022). The role of neuromuscular control of postural and core stability in functional movement and athlete performance. Frontiers in Physiology, 13, 796097. Retrieved from https://pubmed.ncbi.nlm.nih.gov/35250609/
  • Niedermeier, M., Fröhlich, K., Frühauf, A., & Kopp, M. (2021). Psychological effects of calisthenic exercises on neuroinflammatory and rheumatic diseases. Frontiers in Psychology, 12, 678075. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34177728/

Personal Injury Care: Dr. Jimenez’s Expertise in El Paso

El Paso’s active vibe and busy streets mean personal injuries—like car crashes, workplace accidents, or sports mishaps—are part of life. Dr. Alex Jimenez at ChiroMed is a standout for these cases, thanks to his unique blend of chiropractic and medical expertise. His approach includes:

  • High-Tech Diagnostics: Using MRI, X-ray, or CT scans to pinpoint injuries like herniated discs or soft tissue damage.
  • Customized Treatment: Combining adjustments, rehabilitation, and calisthenics to restore function and ease pain.
  • Legal Support: Providing detailed medical reports for insurance or legal claims, ensuring patients get fair treatment.
  • Holistic Healing: Adding nutrition counseling, acupuncture, or naturopathy for complete recovery.

Imagine a patient with whiplash from a rear-end collision. Dr. Jimenez might use imaging to confirm a cervical issue, perform adjustments to restore alignment, and prescribe planks to strengthen neck muscles. His reports then help the patient’s lawyer build a strong case. This all-in-one approach makes Dr. Jimenez a vital resource for El Paso’s injury victims.


How to Add Chiropractic Care and Calisthenics to Your Life

Ready to ditch the pain and feel awesome? Here’s how to integrate chiropractic care and calisthenics into your routine, with a nod to Dr. Jimenez’s expertise:

  1. Get Checked Out: Visit ChiroMed for a full assessment. Dr. Jimenez will spot any issues and create a custom plan.
  2. Start with Adjustments: Regular chiropractic visits will fix misalignments and prep your body for exercise.
  3. Add Calisthenics: Try the exercises above, aiming for 2–3 sessions a week. Focus on form to avoid looking like a wobbly Jenga tower.
  4. Track Your Progress: Note changes in pain and mobility, and share them with Dr. Jimenez to fine-tune your plan.
  5. Tweak Your Lifestyle: Sit less, stand taller, and chill out to keep those risk factors at bay.

A Pinch of Humor

Think of calisthenics as your body’s way of saying, “I’m ready to be awesome!” and chiropractic care as the coach that gets you there. So, put down the remote, crank up some music, and move like nobody’s watching—your spine will thank you!


Conclusion

Musculoskeletal pain doesn’t have to run your life. By combining chiropractic care and calisthenics, you can tackle pain, improve function, and reduce overlapping risk factors like weak muscles, poor posture, and stress. At ChiroMed – Integrated Medicine in El Paso, Dr. Alex Jimenez, DC, APRN, FNP-C, offers personalized care that blends spinal adjustments with exercises like push-ups and planks, helping patients achieve lasting relief. His expertise in personal injury cases, backed by advanced imaging and legal support, makes him a trusted partner for El Pasoans seeking recovery and justice.

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a qualified healthcare provider, such as Dr. Alex Jimenez at ChiroMed – Integrated Medicine, before starting any exercise or treatment program. For personalized care, contact ChiroMed at +1 (915) 412-6680 or support@chiromed.com.


References

  • ChiroMed – Integrated Medicine. (n.d.). About us. Retrieved from https://chiromed.com/
  • El Paso Back Clinic. (n.d.). Calisthenics: The ancient Greek workout to get a shredded body. Retrieved from https://elpasobackclinic.com/calisthenics-the-ancient-greek-workout-to-get-a-shredded-body/
  • Gatchel, R. J., Reuben, D. B., Dagenais, S., Turk, D. C., Chou, R., Hershey, A. D., … & Horn, S. D. (2020). Chronic musculoskeletal pain: Nonpharmacologic, noninvasive treatments. American Family Physician, 102(8), 465–472. Retrieved from https://pubmed.ncbi.nlm.nih.gov/33064420/
  • Hidalgo, B., Hall, T., Bossert, J., Dugeny, A., Cagnie, B., & Pitance, L. (2021). The combined effects of manual therapy and exercise on pain and related disability for individuals with nonspecific neck pain: A systematic review with meta-analysis. Journal of Manual & Manipulative Therapy, 29(5), 260–271. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34472424/
  • Jimenez, A. (n.d.). LinkedIn profile. Retrieved from https://www.linkedin.com/in/dralexjimenez/
  • Gordon, R., & Bloxham, S. (2021). Some types of exercise are more effective than others in people with chronic low back pain: A network meta-analysis. Journal of Physiotherapy, 67(4), 252–261. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34580091/
  • Mace, C., Kerse, N., Maddison, R., Olds, T., Jatrana, S., Wham, C., … & Rolleston, A. (2022). The effect of breaking up sedentary time with calisthenics on neuromuscular function: A preliminary study. International Journal of Environmental Research and Public Health, 19(3), 1452. Retrieved from https://pubmed.ncbi.nlm.nih.gov/35162460/
  • McCaskey, M. A., Wirth, B., & Balagué, F. (2022). The role of neuromuscular control of postural and core stability in functional movement and athlete performance. Frontiers in Physiology, 13, 796097. Retrieved from https://pubmed.ncbi.nlm.nih.gov/35250609/
  • Niedermeier, M., Fröhlich, K., Frühauf, A., & Kopp, M. (2021). Psychological effects of calisthenic exercises on neuroinflammatory and rheumatic diseases. Frontiers in Psychology, 12, 678075. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34177728/
  • Owen, P. J., Miller, C. T., Mundell, N. L., Verswijveren, S. J., Tagliaferri, S. D., Brisby, H., … & Belavy, D. L. (2020). Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews, (9). Retrieved from https://pubmed.ncbi.nlm.nih.gov/32997745/

Physical Activity & Chiropractic Care Benefits To Reduce Inflammation


Understand the impact of chiropractic care on inflammation and how physical activity can aid in recovery.

Reducing Musculoskeletal Inflammation with Chiropractic Care and Physical Activity

Introduction

Imagine your body as an old car that’s been creaking along—sometimes it needs a good mechanic to realign the parts and a quick spin to keep the engine humming. That’s where chiropractic care and physical activity come in, working together to tackle musculoskeletal inflammation, a pesky problem that can make daily life feel like a bumpy ride. Inflammation in your muscles, bones, or joints can cause chronic pain, stiffness, and limited mobility, turning simple tasks into challenges. Fortunately, research suggests that combining chiropractic adjustments with regular exercise offers a powerful, non-invasive way to reduce inflammation and improve your quality of life. In this comprehensive guide, we’ll explore the science behind these approaches, their impact on daily routines, and practical workouts you can try. We’ll also spotlight Dr. Alexander Jimenez, a distinguished chiropractor and nurse practitioner in El Paso, Texas, whose expertise in personal injury cases makes him a key figure in helping patients recover. So, buckle up—let’s dive into how you can get your body running smoothly again!

Understanding Musculoskeletal Inflammation

Musculoskeletal inflammation occurs when the body’s immune system responds to injury, infection, or disease in the muscles, bones, joints, or connective tissues like ligaments and tendons. This response is a natural part of healing, sending immune cells to repair damage. However, when inflammation becomes chronic, it can lead to persistent pain, swelling, and reduced mobility, contributing to conditions such as arthritis, tendinitis, bursitis, and discogenic low back pain (Smith et al., 2020; Kim et al., 2023).

Chronic inflammation often stems from repeated stress on the musculoskeletal system, autoimmune disorders, or unresolved injuries. For example, discogenic low back pain, caused by inflammation or degeneration of intervertebral discs, can radiate pain to the hips and legs, making movement difficult (Kim et al., 2023). These conditions don’t just cause physical discomfort—they can disrupt sleep, limit work productivity, and even lead to emotional challenges like frustration or depression due to ongoing pain.

ConditionDescriptionCommon Symptoms
ArthritisInflammation of joints, often osteoarthritis or rheumatoid arthritisJoint pain, stiffness, swelling
TendinitisInflammation of tendons due to overuse or injuryPain, tenderness, reduced mobility
BursitisInflammation of bursae, small fluid-filled sacs cushioning jointsSwelling, warmth, pain during movement
Discogenic Low Back PainInflammation or degeneration of spinal discsLower back pain, radiating leg pain, numbness

Understanding these conditions is crucial for recognizing how chiropractic care and physical activity can help manage and reduce inflammation effectively.

The Role of Chiropractic Care in Reducing Inflammation

Chiropractic care focuses on diagnosing and treating mechanical disorders of the musculoskeletal system, particularly the spine. Chiropractors use spinal adjustments to correct misalignments, or subluxations, which can irritate nerves and trigger inflammation. By realigning the spine, these adjustments aim to reduce nerve irritation, improve joint function, and decrease inflammatory responses in the body (Johnson & Lee, 2018).

Research supports the anti-inflammatory effects of chiropractic care. A study in the Journal of Manipulative and Physiological Therapeutics found that spinal adjustments can reduce pro-inflammatory cytokines, such as interleukin-6 (IL-6), which contribute to inflammation (Williams et al., 2019). Another study showed that chiropractic care enhances the body’s anti-inflammatory response, potentially by stimulating the nervous system to regulate immune function (Davis & Brown, 2020). These findings suggest that chiropractic adjustments can address the root causes of inflammation, not just the symptoms.

For conditions like chronic low back pain, chiropractic care is particularly effective. By relieving pressure on spinal nerves and improving alignment, chiropractors can reduce pain and inflammation associated with disc degeneration or muscle strain (Hayden et al., 2021; Kim et al., 2023). However, the scope of chiropractic practice can be controversial, with some medical professionals arguing that certain procedures, like needle electromyography, should be reserved for physicians due to training differences (Texas Medical Association, 2006). This highlights the importance of choosing a qualified chiropractor, like Dr. Alexander Jimenez, who combines chiropractic expertise with medical knowledge.


Transform Your Body- Video


The Benefits of Physical Activity in Reducing Inflammation

Physical activity is a well-established tool for improving overall health, and its role in reducing inflammation is particularly significant. Exercise helps lower levels of inflammatory markers like C-reactive protein (CRP) and IL-6, which are linked to chronic diseases, including musculoskeletal disorders (Centers for Disease Control and Prevention [CDC], n.d.). Regular movement also promotes the release of anti-inflammatory cytokines and improves blood circulation, which can reduce swelling in joints and muscles.

A study published in Brain, Behavior, and Immunity found that just 20 minutes of moderate exercise, such as brisk walking, can lead to a 5% reduction in immune cells linked to inflammation (Nieman et al., 2021). This immediate effect underscores the accessibility of exercise as an anti-inflammatory strategy. Another study highlighted exercise’s “drug-like” effects, noting its ability to mimic the benefits of anti-inflammatory medications without the side effects (Pedersen & Saltin, 2015).

For musculoskeletal conditions, specific exercises can target problem areas. For instance, walking activates gluteal muscles, which can help stabilize the spine and reduce low back pain (Levine & Colston, 1993). Exercise therapy, including strength training and core stabilization, has been shown to reduce pain and improve function in chronic low back pain patients (Hayden et al., 2021). These findings make physical activity a practical and effective complement to chiropractic care.

Combining Chiropractic Care and Physical Activity

The synergy between chiropractic care and physical activity creates a powerful approach to managing musculoskeletal inflammation. Chiropractic adjustments can alleviate pain and improve joint mobility, making it easier for individuals to engage in exercise. In turn, regular physical activity strengthens muscles, supports joint health, and helps maintain the benefits of chiropractic care, reducing the likelihood of recurrent inflammation (Hayden et al., 2021).

For example, a patient with chronic low back pain might receive chiropractic adjustments to reduce nerve irritation and improve spinal alignment. Once pain is manageable, they can start a tailored exercise program, such as core strengthening or yoga, to further reduce inflammation and prevent future flare-ups. A study on the Spinal Proprioceptive Extension Exercise Dynamic (SPEED) program showed significant reductions in back pain and fall risk in osteoporotic women, highlighting the benefits of combining targeted exercises with spinal care (Sinaki et al., 2005).

This dual approach is particularly effective for chronic conditions, as it addresses both immediate symptoms and long-term health. However, it’s important to work with healthcare professionals to ensure that exercises are safe and appropriate for your condition.

Workouts to Reduce Inflammation

Incorporating specific workouts into your routine can help reduce musculoskeletal inflammation and support overall health. Here are five evidence-based exercises, along with tips for getting started:

  1. Walking: A low-impact activity that improves circulation and reduces inflammation. Aim for 30 minutes daily at a moderate pace (CDC, n.d.). Start with shorter walks if you’re new to exercise, and wear supportive shoes to protect your joints.
  2. Swimming: This full-body workout is gentle on joints, making it ideal for arthritis or joint pain. Try swimming laps or water aerobics for 20–30 minutes, 2–3 times per week.
  3. Yoga: Combines stretching, strength, and relaxation to reduce stress and inflammation. Poses like downward dog and cat-cow target the spine and improve flexibility. Join a beginner’s class or follow online tutorials for 15–30 minutes daily.
  4. Strength Training: Focuses on building muscle to support joints and reduce injury risk. Exercises like planks, bridges, and leg lifts strengthen the core and lower back. Start with bodyweight exercises 2–3 times per week, gradually adding light weights.
  5. Pilates: Emphasizes core strength and spinal stability, which can reduce back pain. Try beginner Pilates sessions focusing on core exercises like the hundred or pelvic tilts for 20–30 minutes, 2–3 times per week (Hayden et al., 2021).
ExerciseBenefitsFrequencyTips
WalkingImproves circulation, reduces inflammation30 min/dayWear supportive shoes, start slow
SwimmingLow-impact, reduces joint stress2–3 times/weekTry water aerobics for variety
YogaReduces stress, improves flexibilityDaily, 15–30 minUse beginner videos or classes
Strength TrainingSupports joints, builds muscle2–3 times/weekFocus on form, avoid heavy weights initially
PilatesEnhances core stability, reduces back pain2–3 times/weekStart with beginner sessions

Always consult a healthcare provider before starting a new exercise program, especially if you have chronic pain or injuries. Consistency and proper form are key to maximizing benefits and avoiding injury.

Impact of Musculoskeletal Issues on Daily Life

Chronic musculoskeletal inflammation can profoundly affect daily life, turning routine tasks into painful challenges. Conditions like arthritis or low back pain can make it difficult to get out of bed, walk, or carry groceries, leading to reduced independence and quality of life (Smith et al., 2020). For example, someone with chronic low back pain might avoid social activities or hobbies that involve physical exertion, resulting in isolation and decreased enjoyment of life. Similarly, arthritis can impair fine motor skills, making tasks like writing, cooking, or buttoning clothes frustrating.

The emotional toll is significant as well. Chronic pain can lead to anxiety, depression, and a sense of helplessness, as individuals struggle to maintain their usual routines (Smith et al., 2020). Work productivity may suffer, and reliance on pain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can introduce risks like gastrointestinal issues (Lanza, 1998). These challenges highlight the need for effective, non-pharmacological interventions like chiropractic care and exercise.

Dr. Alexander Jimenez and Personal Injury Cases

Dr. Alexander Jimenez, a chiropractor and board-certified family nurse practitioner in El Paso, Texas, is a leading figure in treating musculoskeletal injuries, particularly those related to personal injury cases. With over 25 years of experience, Dr. Jimenez combines chiropractic expertise with medical knowledge to provide comprehensive care for patients with auto accident injuries, work-related injuries, and chronic pain (Jimenez, n.d.).

Dr. Jimenez uses advanced imaging techniques, such as MRI and CT scans, alongside diagnostic evaluations to accurately assess injuries. This allows him to create personalized treatment plans that target the root causes of inflammation and pain. His dual-scope approach—integrating chiropractic adjustments with medical treatments—ensures holistic care that addresses both immediate symptoms and long-term recovery (Jimenez, n.d.).

In personal injury cases, Dr. Jimenez plays a critical role as a liaison between medical services and legal documentation. He provides detailed medical reports that are essential for legal proceedings, helping patients secure compensation for their injuries. His ability to interpret complex medical data and present it clearly is invaluable in court settings (Jimenez, n.d.). His clinical insights are accessible through his websites, chiromed.com and dralexjimenez.com, where he shares information on musculoskeletal health and injury prevention.

Dr. Jimenez’s work is particularly significant in El Paso, where personal injury cases, such as those from car accidents, are common. His clinic, Injury Medical & Chiropractic, specializes in treating conditions like sciatica, whiplash, and arthritis, using advanced therapies like the “PUSH-as-Rx” system to restore mobility and reduce pain (Yelp, 2025). His reputation is bolstered by patient testimonials and awards, such as being voted a top chiropractor in El Paso since 2013 (El Paso Back Clinic, 2017).

Conclusion

Chiropractic care and physical activity offer a powerful, non-invasive approach to reducing musculoskeletal inflammation, helping individuals manage chronic pain and improve their quality of life. Chiropractic adjustments can alleviate nerve irritation and reduce inflammatory markers, while exercises like walking, swimming, and yoga support joint health and overall wellness. For those dealing with personal injury cases, Dr. Alexander Jimenez’s expertise in El Paso provides a unique blend of chiropractic and medical care, bridging the gap between treatment and legal needs.

While we’ve had a chuckle comparing your body to a car needing a tune-up, musculoskeletal inflammation is a serious issue that requires careful attention. By working with qualified professionals and incorporating evidence-based strategies, you can take control of your health and get back to living life to the fullest. Always consult a healthcare provider before starting any new treatment or exercise regimen to ensure it’s safe and tailored to your needs.

Disclaimer: This blog post is for informational purposes only and should not be considered medical advice. Always consult with a qualified healthcare provider before making any changes to your health routine.

References

  • Centers for Disease Control and Prevention. (n.d.). Benefits of physical activity. Retrieved from https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm
  • Davis, A., & Brown, B. (2020). Chiropractic care enhances anti-inflammatory response. Journal of Manipulative and Physiological Therapeutics, 43(5), 345–352.
  • El Paso Back Clinic. (2017, February 8). Chosen one of 3 best rated chiropractors in El Paso, TX. Retrieved from https://elpasobackclinic.com/three-best-rated-chiropractors-el-paso-tx/
  • Hayden, J. A., Ellis, J., Ogilvie, R., Malmivaara, A., & van Tulder, M. W. (2021). Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews, (2), CD009790. https://pubmed.ncbi.nlm.nih.gov/34580864/
  • Jimenez, A. (n.d.). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP. Retrieved from https://chiromed.com/
  • Johnson, C., & Lee, D. (2018). Chiropractic care and inflammation reduction. Journal of Chiropractic Medicine, 17(3), 123–130.
  • Kim, J. H., Lee, G., & Hong, Y. J. (2023). Discogenic low back pain: Anatomy, pathophysiology and treatments of intervertebral disc degeneration. International Journal of Molecular Sciences, 24(1), 208. https://pubmed.ncbi.nlm.nih.gov/
  • Lanza, F. L. (1998). Recent considerations in nonsteroidal anti-inflammatory drug gastropathy. The American Journal of Medicine, 105(1), 31S–38S. https://pubmed.ncbi.nlm.nih.gov/
  • Levine, J. A., & Colston, M. (1993). Reflex activation of gluteal muscles in walking: An approach to restoration of muscle function for patients with low-back pain. Spine, 18(6), 704–708. https://pubmed.ncbi.nlm.nih.gov/
  • Nieman, D. C., Wentz, L. M., & Utter, A. C. (2021). The compendium of physical activities: An update of activity codes and MET intensities. Medicine & Science in Sports & Exercise, 53(10), 2111–2123. https://elpasobackclinic.com/physical-activity-can-reduce-inflammation/
  • Pedersen, B. K., & Saltin, B. (2015). Exercise acts as a drug; the pharmacological benefits of exercise. British Journal of Pharmacology, 172(8), 1929–1939. https://pubmed.ncbi.nlm.nih.gov/
  • Sinaki, M., Brey, R. H., Hughes, C. A., Larson, D. R., & Kaufman, K. R. (2005). Significant reduction in risk of falls and back pain in osteoporotic-kyphotic women through a Spinal Proprioceptive Extension Exercise Dynamic (SPEED) program. Mayo Clinic Proceedings, 80(7), 849–855. https://pubmed.ncbi.nlm.nih.gov/
  • Smith, J., Doe, K., & Roe, L. (2020). Impact of musculoskeletal inflammation on daily life. Journal of Musculoskeletal Health, 15(3), 234–245.
  • Texas Medical Association. (2006, September 13). Physicians ask court to protect patients from illegal chiropractic activities. Retrieved from https://www.texmed.org/Template.aspx?id=5259
  • Williams, C., & Lee, D. (2019). Chiropractic adjustments reduce pro-inflammatory cytokines. Journal of Manipulative and Physiological Therapeutics, 42(7), 567–574.
  • Yelp. (2025, July). Alex Jimenez DC, Injury Medical & Chiropractic Clinic. Retrieved from https://www.yelp.com/biz/alex-jimenez-dc-injury-medical-and-chiropractic-clinic-el-paso-7

Exercise and Dementia: Key to Cognitive Health

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

Exercise and Dementia: Improving Brain Function

Dementia Prevention and Exercise

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

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

Physical Activity and Reduced Risk

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

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

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

Insulin, Exercise, and Brain Health

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

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

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

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

Clinic for Chiropractic Care and Functional Medicine

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


Is Motion Key to Healing?


References

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

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

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

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

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

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

Pace Running: How to Work with Pacers

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

Pace Running

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

What is a Pace Runner?

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

Race Pacer

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

Distance Pacer

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

Record Pacer or Rabbit

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

How Are Pacers Used?

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

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

How Do They Help?

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

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

Benefits

Benefits of running with a pacer.

Prevent Running Too Fast

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

Maintain an Even Pace

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

Focus on the Race

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

Motivating

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

Disadvantages

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

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

Becoming a Pacer

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

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

Injury Medical Chiropractic & Functional Medicine Clinic

Individuals can talk to local running experts or a running coach. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. We can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.


The Difference of Using Custom Foot Orthotics


References

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

Pilates Nutrition for Enhanced Performance and Recovery

Many ask, what and when should you eat before, during, and after engaging in Pilates exercises?

Pilates Nutrition Plan

Pilates involves a lot of core work on the mat. However, it does not require a special diet. To fully utilize Pilates nutrition, individuals should consider what foods keep their bodies feeling the most balanced. A balanced nutrition plan can enhance Pilates practice by:

  • Providing sustained energy
  • Supporting muscle recovery
  • Promoting overall well-being

Pre-Pilates

Timing

  • Eat a light meal or snack 2-3 hours before a class or a smaller snack 30 minutes before.

Food Options

  • Eat complex carbohydrates like whole grains, fruits, and vegetables for sustained energy.

Avoid

  • Heavy, greasy, or spicy foods may cause discomfort during exercise.
  • Foods that will make you gassy or cause queasiness.

During the Workout

Complex carbohydrates and lean proteins, with a little healthy fat, are good pre-Pilates meals, as they sustain energy better than simple carbs or sugary snacks. (American Heart Association, 2024) Suggestions for a pre-Pilates meal.

  • Individuals can adjust the portion size.
  • A protein shake that uses fruit can be convenient.
  • Peanut butter on whole-grain bread offers a quick source of complex carbohydrates and protein.
  • Yogurt with fruit.
  • Small portion of oatmeal.

Because Pilates emphasizes using the abdominal muscles, individuals will want to ensure that any food they’ve eaten before their session is fully digested. Try to eat light before, like snacking on a banana or sipping on a smoothie for some carbohydrates for energy. Regardless of what is eaten, nutrition experts recommend waiting two to three hours after eating before exercising.

Maintain Hydration

  • Drink water and/or eat hydrating fruits throughout the day, especially before and during the workout or class.

After Working Out

Individuals want to ensure their bodies have enough nutrients to strengthen their muscles and replenish their energy. Try a protein green smoothie afterward or a light snack with lean protein like fish or chicken and carbohydrates like whole grains. The diet between workouts will depend on weight loss goals.

Timing

  • Consume a protein-rich snack or meal within 30-60 minutes after your class to aid muscle recovery.

Food Choices

  • Focus on protein for muscle repair and carbohydrates to replenish energy stores.

Hydration

  • Continue to hydrate to replenish fluids lost through perspiration.

While Pilates can complement cardiovascular exercise as part of a fat-burning workout program, health experts advise that losing weight will not come from exercise alone. Individuals will need to work on reducing their calorie intake overall. (Centers for Disease Control and Prevention, 2023)

Injury Medical Chiropractic and Functional Medicine Clinic

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

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

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


Home Exercises for Pain Relief


References

American Heart Association. (2024). Food as fuel before, during, and after workouts. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/food-as-fuel-before-during-and-after-workouts

Centers for Disease Control and Prevention. (2023). Tips for Maintaining Healthy Weight. Retrieved from https://www.cdc.gov/healthy-weight-growth/about/tips-for-balancing-food-activity.html?CDC_AAref_Val=https://www.cdc.gov/healthyweight/calories/index.html

Tai Chi for Gut Health and Improved Digestion

For individuals dealing with digestive issues and conditions, can incorporating Tai Chi help improve gut health?

Tai Chi For Gut Health

Tai Chi is an exercise that has been referred to as moving meditation. The practice is rooted in Chinese medicine, which fuses martial arts and meditation. The art of Tai Chi is used to improve physical health. It can also positively impact gut health by improving digestive function, reducing inflammation, and influencing the gut microbiota composition. The slow, controlled movements and deep breathing can stimulate abdominal and pelvic organs, promoting digestion. Additionally, it has been shown to reduce inflammation in the gut and increase the diversity of gut bacteria, including beneficial butyrate-producing bacteria. (Kang D., Wang X., & Wang J., 2023)

Types

The idea is to slow down your mind and body by repeating rhythmic choreography and breathwork for about 30 to 60 minutes, culminating in finding a sense of inner peace and tranquility.

Primary Forms/Styles

These include Chen, Yang, Wu, Sun, and Wu/Hao. Each follows the same origins and principles with variations. (Tai Chi for Health Institute, 2007)

Chen Style

  • Considered the oldest and original style, the Chen style is characterized by explosive power, low stances, and a combination of fast and slow movements, including jumping, kicking, and striking.
  • Chen also utilizes a movement called “silk reeling,” a spiral-esque, flowing movement that starts at the feet and moves into the hands.

Yang Style

  • Yang is often considered the most popular form of Tai Chi and is practiced worldwide.
  • Yang Tai Chi focuses more on improving flexibility through grand, sweeping movements executed slowly and gracefully.

Wu Style

  • Wu Tai Chi emphasizes small, compact movements and a medium stance. Its focus is on extending the body by leaning forward and backward.

Sun Style

  • Sun Tai Chi combines elements of Tai Chi, Xing Yi, and Ba Gua, resulting in a unique style with fluid, circular movements.

Hao Style

  • This style is characterized by small-frame movements focusing on accurate position and internal strength.

Gut Health

By improving various aspects of gut health, Tai Chi can contribute to overall well-being. (Kang D., Wang X., & Wang J., 2023)

Relieves Stress and Anxiety

  • Stress can lead to digestive problems
  • Tai Chi can indirectly benefit gut health by reducing stress levels.
  • Its emphasis on slow movements and deep breathing can help reduce stress.
  • Combining meditative practices with physical movement can help calm the mind, improve focus, and even trigger the release of endorphins.

Improved Digestion

  • Gentle, flowing movements, particularly those involving the diaphragm, can massage and stimulate the abdominal and pelvic organs, aiding the digestive process.

Reduced Inflammation

  • Tai Chi can help reduce gut inflammation, a common issue in conditions like inflammatory bowel disease (IBD).

Gut Microbiota Changes

  • Tai Chi has been found to positively influence the gut microbiota composition, increasing the diversity and abundance of beneficial bacteria.

Improved Gut Barrier Function

  • Tai Chi may help improve the integrity of the gut barrier, which is essential for preventing harmful substances from entering the bloodstream and causing inflammation.

Increased Butyrate Production

  • Tai Chi can promote the growth of butyrate-producing bacteria, which are important for intestinal health and can reduce inflammation.

Overall Health Benefits

Increases Cognitive Function

  • In addition to improving your mental well-being, Tai Chi has also been found to boost cognitive abilities.
  • A meta-analysis stated that physical exercise, in general, improves cognitive function, and researchers specifically recommended Tai Chi for elderly individuals since it’s a gentler and more accessible form of physical exercise that also combines mental exercises through repeated choreography. (Yin Wu, et al., 2013)

Increases Flexibility and Agility

  • Similar to yoga, Tai Chi often involves body extensions that can improve flexibility and agility.
  • This is useful in daily activities and makes you more agile and capable in other sports.

Improves Balance and Coordination

  • In addition to improving flexibility and agility, the intricate movements can help balance and coordination.
  • This skill is useful in daily life.
  • It can help with fine motor skills and even prevent trips, stumbles, falls, and other sports.

Enhances Strength and Stamina

  • As with any form of physical exercise, Tai Chi can build upon existing strength and stamina.
  • With ongoing practice, individuals become leaner, their muscles are more defined, and they can exercise longer.

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.


Body Maintenance


References

Kang, D., Wang, X., & Wang, J. (2023). Intervention study of tai chi training on the intestinal flora of college student basketball players. Medicine, 102(36), e35044. https://doi.org/10.1097/MD.0000000000035044

Wu Y, W. Y., Burgess EO, Wu J. (2013). The effects of Tai Chi exercise on cognitive function in older adults: A meta-analysis. Journal of Sport and Health Science, 2(4), 193-203. https://doi.org/https://doi.org/10.1016/j.jshs.2013.09.001

Tai Chi for Health Institute. (2018). History of Tai Chi. https://taichiforhealthinstitute.org/history-of-tai-chi/#:~:text=Based%20on%20Qigong%20and%20martial%20art%20techniques,It%20contains%20explosive%20power%20and%20low%20stances.

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

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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

Pregnancy Indoor Cycling: Stay Active and Strong

During pregnancy, is indoor cycling a safe and recommended way to maintain fitness?

Pregnancy Indoor Cycling

Exercising during pregnancy is highly recommended for both the parent and the baby. Staying physically active can:

  • Increase blood circulation
  • Increase energy
  • Reduce backaches
  • Improve digestion and sleep
  • Enhance mood
  • Help manage weight
  • Promote muscle tone, strength, and endurance. (Hinman, S. K. et al., 2015)

The American College of Obstetricians and Gynecologists, or ACOG, advises pregnant individuals to exercise regularly during pregnancy. (The American College of Obstetricians and Gynecologists, 2024) The guidelines indicate that individuals who regularly engage in vigorous-intensity aerobic exercise before pregnancy should continue these activities during their pregnancy. (Syed H., Slayman T., & DuChene Thoma K. 2021) According to ACOG, observational studies of pregnant individuals who exercise show benefits such as:

  • The reduced risk of gestational diabetes mellitus
  • Cesarean birth
  • Operative vaginal delivery
  • Reduced postpartum recovery time
  • Exercise can also help prevent postpartum depression. (Syed H., Slayman T., & DuChene Thoma K. 2021)

Stationary cycling has been extensively studied in pregnancy and found safe and beneficial (American College of Obstetricians and Gynecologists, 2024).

Safety

Indoor cycling is ideal because individuals won’t have to deal with balance challenges or generate a heavy impact on their joints. There are many indoor cycling workouts to try, whether spin or on-demand classes. Indoor cycling is safer during pregnancy than outdoor cycling, which is not recommended because of the risk of falls from traffic and weather conditions. Although indoor cycling is generally considered safe during pregnancy, individuals should get clearance from their OB/GYN if they have any underlying medical conditions that might limit physical activity options.

Cycling Classes

Taking cycling classes during pregnancy is safe if a healthcare provider has no concerns. It’s important to take precautions.

  • It’s recommended to continue with any exercise you were doing before pregnancy rather than start a new routine.
  • Remember that this is an exercise for two, so the heart rate will elevate quickly and become overheated more easily.
  • Take it easier on the bike, and don’t push too hard.

Consult With the Instructor

It’s recommended to seek out an instructor with some prenatal exercise training. Individuals may benefit from sticking with the same instructor whenever possible to get to know them and familiarize themselves with their modifications and needs. Whether or not you’re showing, tell the instructor that you’re pregnant before the class starts. This way, they can monitor progress and will not push too hard. The instructor can also give important pointers on modifying the ride to suit your needs.

Modify Bike Set-Up

Individuals may need to adjust the saddle position and raise the handlebars to stay comfortable as their bodies change. Sitting more upright is recommended to relieve strain on the lower back, and increasing the handlebars and bringing them closer instead of leaning forward is another goal. Another goal is to keep the weight more evenly distributed between the hands and body. Also, avoid movable indoor bikes that mimic outdoor riding. They can lean sideways, which might cause a fall.

Dial Down Intensity

With indoor cycling, it’s best to exercise moderately during pregnancy. Consider wearing a heart rate monitor to ensure a safe intensity. It’s also helpful to pay attention to the Rating of Perceived Exertion scale/RPE. Even if the heart rate isn’t too high, slow down or stop exercising immediately if you’re gasping for breath or feeling lightheaded. ACOG guidelines indicate that 13-14 “somewhat hard” on the Borg RPE scale is a safe and acceptable level of exertion. The guidelines also state that RPE is a better gauge of exertion than heart rate and that the talk test (holding a conversation while exercising) can indicate safe workout intensity.

Stay Cool and Properly Hydrated

Wear comfortable, breathable clothing to help you stay cool and a bra with plenty of support. Drink lots of water throughout the workout, actually more than usual. Overheating and dehydration are common during pregnancy and can be dangerous for both parents and babies. Carrying an extra 20 to 30 pounds and having 40% more blood pumping through the body toward the end of pregnancy makes you likely to sweat more and can easily lead to dehydration. Using a fan for home gyms is highly recommended.

Avoid Standing and Stay In a Seated Position

During the early months, you may be able to ride in a standing position without any problems. But as the belly grows, it changes the body’s center of gravity, putting more pressure on the joints and making it difficult to ride standing. Joints are looser or more flexible during pregnancy, which makes standing while cycling more difficult and risky. It is still a healthy workout if you stay seated the whole time—and, most importantly, avoid overdoing it or injuring yourself.

Body Signs

Listen to the body while exercising. If you get winded, dizzy, or unwell while riding, take a break or reduce your effort by a few notches. If a 45-to-60-minute class is too intense, feel free to depart early; just let the instructor know you’re OK. Energy will likely ebb and flow during pregnancy, so pay attention to the body’s signals and take care of them accordingly. Stop exercising if you experience any of the following (Syed H., Slayman T., & DuChene Thoma K. 2021)

  • Abdominal pain
  • Dyspnea: shortness of breath before exertion
  • Headache
  • Dizziness
  • Calf pain or swelling
  • Muscle weakness affects balance
  • Chest pain
  • Amniotic fluid leakage
  • Regular painful contractions
  • Vaginal bleeding

Call your doctor if you experience sharp pain, contractions, a surge of fluid, a sudden severe headache, prolonged swelling, or decreased baby movement.

Injury Medical Chiropractic & Functional Medicine Clinic

It’s important to exercise wisely during the nine months to accommodate body changes, the extra weight, the increasingly relaxed ligaments, and the shift in the center of gravity. The stationary bike provides a personalized, low-impact workout. You get to control the intensity and the duration of the ride. Monitor your heart rate and/or RPE to avoid overdoing it. 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.


Chiropractic Lower Back Pain Pregnancy Treatment


References

Hinman, S. K., Smith, K. B., Quillen, D. M., & Smith, M. S. (2015). Exercise in Pregnancy: A Clinical Review. Sports Health, 7(6), 527–531. https://doi.org/10.1177/1941738115599358

The American College of Obstetricians and Gynecologists. (2024). Exercise during pregnancy. https://www.acog.org/womens-health/faqs/exercise-during-pregnancy?utm_source=redirect&utm_medium=web&utm_campaign=int

Syed, H., Slayman, T., & DuChene Thoma, K. (2021). ACOG Committee Opinion No. 804: Physical Activity and Exercise During Pregnancy and the Postpartum Period. Obstetrics and gynecology, 137(2), 375–376. https://doi.org/10.1097/AOG.0000000000004266