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Tag: herniated

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

Sciatica Associated With Herniated Discs: What to Know After An Auto Accident

Find out how to navigate the challenges of sciatica from herniated disc pain resulting from an auto accident for effective relief.

Managing Sciatica Pain from Herniated Discs After Auto Accidents: A Comprehensive Guide to Integrated Medicine and Chiropractic Care

Sciatica pain, often triggered by herniated discs following a motor vehicle accident (MVA), can significantly disrupt daily life, causing radiating pain, numbness, or weakness along the sciatic nerve. This condition is a common outcome of spinal injuries sustained in car crashes, impacting mobility and overall well-being. Integrated medicine, combining chiropractic care, targeted exercises, massage therapy, acupuncture, naturopathy, and nutritional counseling, offers evidence-based, non-invasive solutions to alleviate pain, promote recovery, and prevent long-term complications. Drawing on clinical expertise and supported by peer-reviewed research, this comprehensive guide explores the causes, risk factors, and treatment options for sciatica associated with herniated discs. It emphasizes a patient-centered, holistic approach, clear communication, and personalized care protocols to support the body’s natural healing processes and restore optimal health.

Understanding Herniated Discs and Sciatica

What Is a Herniated Disc?

The spine is a complex structure composed of vertebrae, muscles, ligaments, and intervertebral discs that act as cushions between the vertebrae. Each disc consists of a tough outer layer, the annulus fibrosus, and a gel-like inner core, the nucleus pulposus (Nedresky et al., 2025). A herniated disc occurs when the nucleus pulposus protrudes through a tear in the annulus fibrosus, often due to trauma such as an MVA. This protrusion can compress nearby nerves, leading to pain, numbness, or weakness in the back, legs, or arms, depending on the herniation’s location (Stretanski et al., 2025).

MVAs are a leading cause of spinal injuries, contributing to over 40% of spinal complications annually (ChiroMed – Integrated Medicine, 2016). The sudden, high-impact forces from a collision can strain or rupture the spinal discs, resulting in herniation and nerve irritation, often manifesting as sciatica.

What Is Sciatica?

Sciatica, also known as sciatic neuralgia, is not a standalone condition but rather a set of symptoms caused by the irritation or compression of the sciatic nerve, the body’s longest nerve, which is formed by nerve roots from L4 to S3 (Davis et al., 2025). It is characterized by radiating pain that travels from the lower back through the buttocks and down one or both legs, often accompanied by numbness, tingling, or weakness in the affected areas. The pain can vary from a mild ache to a sharp, burning sensation or an excruciating jolt, often worsened by movements such as coughing, sneezing, or prolonged sitting.

A common cause of sciatica is a herniated disc in the lumbar spine, particularly at the L4-L5 or L5-S1 levels, where the disc material compresses the sciatic nerve roots (Blamoutier, 2019). MVAs can trigger this condition by causing acute trauma to the spine, leading to disc herniation and subsequent nerve irritation.

Causes of Herniated Discs and Sciatica in Motor Vehicle Accidents

How MVAs Lead to Herniated Discs

The spine is designed to support the body’s weight and facilitate movement, but it is not built to withstand the intense forces of an MVA. The sudden jolt from a collision can cause various injuries to the spine, including:

  1. Whiplash: The rapid back-and-forth motion of the neck and upper spine during a crash can strain the cervical and thoracic discs, potentially leading to herniation.
  2. Direct Trauma: The force of impact can rupture the annulus fibrosus, allowing the nucleus pulposus to protrude and compress nearby nerves.
  3. Facet Joint Damage: The facet joints, which connect the vertebrae, can be injured, contributing to spinal instability and increasing the risk of disc herniation (ChiroMed – Integrated Medicine, 2016).

These injuries disrupt the spine’s structural integrity, making herniated discs a common outcome of MVAs, particularly in rear-end or high-speed collisions.

Factors Contributing to Herniated Discs and Sciatica

Several factors increase the likelihood of developing herniated discs and sciatica following an MVA:

  • Age: As individuals age, intervertebral discs lose water content, becoming less flexible and more prone to rupture. This risk increases significantly after age 30, as disc degeneration accelerates (Nosikova et al., 2012).
  • Obesity: Excess body weight places additional stress on the spine, increasing the risk of disc herniation, particularly in women with higher body mass indices (Sonntag, 2010).
  • Sedentary Lifestyle: Weak core and back muscles from lack of physical activity reduce spinal support, making discs more susceptible to injury during trauma.
  • Poor Posture: Chronic poor posture, such as slouching while driving, can exacerbate spinal stress during an accident.
  • Pre-existing Spinal Conditions: Conditions like degenerative disc disease or scoliosis heighten the risk of herniation following trauma (Hincapié et al., 2025).
  • Accident Severity: The intensity of the collision, including speed and angle, directly correlates with the likelihood and severity of spinal injuries.

Overlapping Risk Profiles of Herniated Discs and Sciatica

Herniated discs and sciatica share interconnected risk profiles due to their closely related pathophysiology. A herniated disc can directly cause sciatica by compressing the sciatic nerve roots, but additional factors amplify the risks and complications for both conditions:

  • Inflammatory Response: When a disc herniates, the nucleus pulposus releases proinflammatory cytokines, such as interleukin-1, interleukin-6, interleukin-8, and tumor necrosis factor-alpha, which irritate the surrounding nerves and exacerbate sciatica symptoms (Cosamalón-Gan et al., 2021). This inflammation can prolong pain and delay recovery.
  • Autoimmune Reaction: The nucleus pulposus is immunologically privileged, meaning it is typically shielded from the immune system. When exposed due to a herniation, it can trigger an autoimmune response, further increasing inflammation and nerve irritation (Cosamalón-Gan et al., 2021).
  • Neurological Complications: Severe disc herniation can lead to serious conditions like cauda equina syndrome, characterized by bowel or bladder dysfunction, requiring immediate surgical intervention (Tang et al., 2019).
  • Motor Dysfunction: Compression of the sciatic nerve or its roots can cause weakness in the hamstrings, calf muscles, or foot muscles, impairing mobility and increasing the risk of falls (Davis et al., 2025).
  • Chronic Pain Development: Untreated sciatica or herniated discs can contribute to chronic pain syndromes, such as fibromyalgia, due to prolonged nerve irritation and central sensitization (ChiroMed – Integrated Medicine, 2016).

These overlapping risks underscore the need for early intervention to address both the mechanical and inflammatory components of sciatica and herniated discs, preventing long-term complications.

Clinical Rationale for Integrated Medicine and Chiropractic Care in Managing Sciatica

Integrated medicine combines chiropractic care, naturopathy, acupuncture, and nutritional counseling to address the root causes of sciatica, such as herniated discs, in a holistic, patient-centered manner. Chiropractic care, a core component of this approach, offers a safe, effective, and evidence-based method for pain relief and functional restoration. Specialists in integrated medicine emphasize personalized care to promote long-term healing and overall wellness. Below is the clinical rationale for why integrated medicine and chiropractic care are effective for sciatica associated with herniated discs:

1. Restoring Spinal Alignment and Reducing Nerve Compression

Chiropractic adjustments, or spinal manipulations, aim to realign the spine, reducing pressure on compressed nerve roots. By correcting vertebral subluxations (misalignments), chiropractors alleviate nerve irritation and improve spinal mobility. For sciatica caused by herniated discs, techniques such as the flexion-distraction technique utilize specialized tables to gently stretch the spine, thereby moving the disc material away from the nerve root and reducing inflammation and pain (ChiroMed – Integrated Medicine, 2016).

Clinical Evidence: A randomized controlled trial demonstrated that nonsurgical spinal decompression therapy, similar to flexion-distraction, significantly reduced leg pain and disability in patients with subacute lumbar disc herniation, with a 26.9% reduction in herniation volume compared to controls (Choi et al., 2022).

2. Mitigating Inflammation Through Holistic Approaches

The inflammatory response triggered by a herniated disc is a major contributor to sciatica pain. Chiropractic adjustments improve blood flow and stimulate the release of anti-inflammatory mediators, while integrated medicine incorporates naturopathic and nutritional strategies to reduce systemic inflammation. These approaches disrupt the cycle of inflammation caused by proinflammatory cytokines (Cosamalón-Gan et al., 2021).

Expert Insight: Integrated medicine combines chiropractic care with naturopathy, acupuncture, and nutritional counseling to address both the mechanical and chemical aspects of sciatica, supporting the body’s natural anti-inflammatory processes.

3. Enhancing Spinal Mobility and Function

Herniated discs and sciatica often restrict spinal mobility, exacerbating pain and dysfunction. Chiropractic adjustments restore range of motion by mobilizing stiff joints and relaxing tense muscles, while targeted exercises strengthen the supporting musculature. This is particularly beneficial after an MVA, where muscle spasms and joint stiffness can worsen symptoms.

Clinical Evidence: A systematic review found that spinal manipulative therapy significantly reduced pain and improved function in patients with low back pain and radiculopathy, supporting its use in sciatica management (Alrwaily et al., 2018).

4. Drug-Free Pain Management

Integrated medicine and chiropractic care provide a non-pharmacological approach to pain relief, avoiding the risks associated with long-term medication use, such as opioid dependency or gastrointestinal side effects from nonsteroidal anti-inflammatory drugs (NSAIDs). By targeting the underlying cause of sciatica, these approaches offer sustainable pain relief.

Expert Approach: Integrated medicine combines chiropractic adjustments with acupuncture, naturopathy, and nutritional counseling to empower patients to manage their pain naturally, reducing reliance on medications.

5. Preventing Chronic Conditions

Untreated sciatica or herniated discs can lead to chronic pain, neurological deficits, or permanent nerve damage. Integrated medicine focuses on early intervention to prevent these complications by addressing the root cause through a combination of chiropractic care, acupuncture, naturopathy, and lifestyle changes.

Clinical Evidence: A meta-analysis revealed that discectomy offers short-term relief for sciatica but yields negligible long-term benefits compared to non-invasive treatments, such as chiropractic care, which can be equally effective with fewer risks (Liu et al., 2023).

Feeling Better Than Ever After a Semi-Truck Accident- Video Testimonial

Holistic Approaches to Managing Sciatica Pain

Integrated medicine emphasizes a whole-person approach, combining chiropractic care with holistic therapies to enhance recovery, reduce pain, and support the body’s natural healing processes. These methods address physical, emotional, and lifestyle factors to provide comprehensive care for sciatica and herniated discs.

1. Targeted Exercises and Rehabilitation Programs

Therapeutic exercises strengthen the muscles supporting the spine, improve flexibility, and reduce pressure on the sciatic nerve. Personalized rehabilitation plans, focusing on mobility, flexibility, and agility, optimize recovery and prevent reinjury (ChiroMed – Integrated Medicine, 2016).

Recommended Exercises:

  • Piriformis Stretch: Targets the piriformis muscle, which can compress the sciatic nerve when tight (Hicks et al., 2023).
  • Cat-Cow Stretch: Enhances spinal flexibility and reduces lower back stiffness.
  • Core Strengthening: Exercises such as planks and bridges strengthen the abdominal and back muscles, providing better spinal support.
  • Hamstring Stretches: Reduces tension in the posterior chain, alleviating sciatic nerve irritation.

Clinical Evidence: A systematic review confirmed that targeted exercises and physical therapy significantly reduced pain and disability in patients with lumbar radiculopathy (Vanti et al., 2021).

2. Massage Therapy

Massage therapy relieves muscle tension, improves circulation, and reduces inflammation, all of which contribute to sciatica pain relief. Techniques like deep tissue massage and myofascial release target tight muscles and fascia that may compress the sciatic nerve (ChiroMed – Integrated Medicine, n.d.).

Expert Insight: Massage therapy, performed by licensed therapists, complements chiropractic adjustments by enhancing muscle relaxation and the effectiveness of spinal manipulations.

3. Acupuncture

Acupuncture involves inserting thin needles into specific points on the body to stimulate healing and reduce pain. It modulates pain signals and reduces inflammation, making it an effective adjunctive therapy for sciatica.

Clinical Evidence: A network meta-analysis found that acupuncture provided significant pain relief for lumbar disc herniation, comparable to other non-invasive treatments (Huang et al., 2019).

4. Naturopathy and Nutritional Counseling

Integrated medicine emphasizes naturopathy and nutrition as cornerstones of the healing process. An anti-inflammatory diet and targeted supplements can reduce systemic inflammation and support disc healing, while lifestyle modifications address the root causes of sciatica.

  • Nutrition: A diet rich in omega-3 fatty acids, antioxidants, and whole foods reduces inflammation and supports tissue repair (Cosamalón-Gan et al., 2021).
  • Stress Management: Techniques such as mindfulness meditation and yoga help reduce muscle tension and improve pain tolerance, addressing the emotional aspects of chronic pain.
  • Weight Management: Maintaining a healthy weight helps reduce spinal stress, thereby lowering the risk of recurrent disc herniation.

Expert Approach: Integrated medicine combines chiropractic care, acupuncture, naturopathy, and nutritional counseling to create a comprehensive, personalized treatment plan.

5. Postural Correction and Ergonomics

Poor posture and improper ergonomics can exacerbate sciatica symptoms, particularly after an MVA. Educating patients on proper posture and ergonomic adjustments reduces spinal stress (ChiroMed – Integrated Medicine, 2016).

Practical Tips:

  • Use a chair with lumbar support to maintain the spine’s natural curve.
  • Take breaks every 30 minutes to stand and stretch, avoiding prolonged sitting.
  • Sleep on a medium-firm mattress with a pillow under the knees to reduce lower back strain.

The Importance of Clear Communication in Treatment Success

Clear communication between healthcare providers and patients is critical for successful outcomes in managing sciatica and herniated discs. Patient education empowers individuals to take an active role in their recovery (ChiroMed – Integrated Medicine, n.d.).

Key Communication Strategies

  1. Explaining the Diagnosis: Patients should understand that sciatica is a symptom of an underlying issue, such as a herniated disc, and that treatment targets the root cause.
  2. Setting Realistic Expectations: Integrated medicine and chiropractic care require time and consistency to achieve optimal results. Patients should be informed about the expected timeline for pain relief and functional improvement.
  3. Encouraging Active Participation: Patients who engage in prescribed exercises, nutritional changes, and lifestyle modifications tend to have better outcomes.
  4. Addressing Concerns: Open dialogue about risks, benefits, and alternative treatments builds trust and ensures patients feel confident in their care.

Clinical Evidence: Studies show that patient-centered communication improves adherence to treatment plans and enhances outcomes in musculoskeletal conditions (Alrwaily et al., 2018).

Preventing Long-Term Complications

Untreated sciatica or herniated discs can lead to chronic pain, neurological deficits, or permanent nerve damage. Integrated medicine and chiropractic care help prevent these complications by:

  • Reducing Nerve Compression: Early intervention prevents prolonged nerve irritation, which could lead to permanent damage.
  • Promoting Tissue Healing: Therapies like spinal decompression, acupuncture, and nutritional support enhance blood flow and nutrient delivery to the injured disc (Choi et al., 2022).
  • Strengthening Supporting Structures: Exercises strengthen muscles and ligaments around the spine, reducing the risk of recurrent injuries.
  • Addressing Inflammation: Anti-inflammatory diets and acupuncture manage the inflammatory response, preventing chronic pain syndromes (Cosamalón-Gan et al., 2021).

Expert Insight: Proactive, non-invasive interventions are crucial in preventing long-term complications, allowing patients to return to normal activities more quickly and with greater resilience.

Case Study: A Patient’s Journey to Recovery

A patient involved in an MVA experienced severe sciatica symptoms due to a herniated disc, which limited their ability to engage in daily activities and maintain their wellness goals. Through a comprehensive, integrated medicine treatment plan that included chiropractic adjustments, targeted exercises, acupuncture, massage therapy, and nutritional counseling, the patient achieved significant pain relief, restored mobility, and improved overall health. This holistic, patient-centered approach empowered the patient to take control of their recovery and return to an active lifestyle (ChiroMed – Integrated Medicine, 2016).

Conclusion

Sciatica pain caused by herniated discs from MVAs is a complex condition driven by mechanical, inflammatory, and neurological factors. Integrated medicine, combining chiropractic care, targeted exercises, massage therapy, acupuncture, naturopathy, and nutritional counseling, offers a clinically supported, non-invasive solution to alleviate pain, restore function, and prevent long-term complications. By addressing the whole person—body, mind, and lifestyle—these approaches support the body’s natural healing processes and promote optimal wellness. Clear communication and patient education are crucial for ensuring adherence and achieving optimal outcomes. For those experiencing sciatica after an MVA, seeking integrated medicine and chiropractic care from qualified professionals can be a critical step toward recovery and enhanced quality of life.

References

  • Alrwaily, M., Almutiri, M., & Schneider, M. (2018). Assessment of variability in traction interventions for patients with low back pain: A systematic review. Chiropractic & Manual Therapies, 26(35). https://pubmed.ncbi.nlm.nih.gov/30237870/
  • Blamoutier, A. (2019). Nerve root compression by lumbar disc herniation: A French discovery? Orthopaedics & Traumatology: Surgery & Research, 105(2), 335–338. https://pubmed.ncbi.nlm.nih.gov/30799172/
  • Choi, E., Gil, H. Y., Ju, J., Han, W. K., Nahm, F. S., & Lee, P.-B. (2022). Effect of nonsurgical spinal decompression on intensity of pain and herniated disc volume in subacute lumbar herniated disc. International Journal of Clinical Practice, 2022, 6343837. https://pubmed.ncbi.nlm.nih.gov/36263240/
  • Cosamalón-Gan, I., Cosamalón-Gan, T., Mattos-Piaggio, G., Villar-Suárez, V., García-Cosamalón, J., & Vega-Álvarez, J. A. (2021). Inflammation in the intervertebral disc herniation. Neurocirugia (English Edition), 32(1), 21–35. https://pubmed.ncbi.nlm.nih.gov/32169419/
  • Davis, D., Taqi, M., & Vasudevan, A. (2025). . In StatPearls. StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/29939685/
  • Hicks, B. L., Lam, J. C., & Varacallo, M. A. (2023). Piriformis syndrome. In StatPearls. StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/28846222/
  • Hincapié, C. A., Kroismayr, D., Hofstetter, L., Kurmann, A., Cancelliere, C., Raja Rampersaud, Y., Boyle, E., Tomlinson, G. A., Jadad, A. R., Hartvigsen, J., Côté, P., & Cassidy, J. D. (2025). Incidence of and risk factors for lumbar disc herniation with radiculopathy in adults: A systematic review. European Spine Journal, 34(1), 263–294. https://pubmed.ncbi.nlm.nih.gov/39453541/
  • Huang, R., Meng, Z., Cao, Y., Yu, J., Wang, S., Luo, C., Yu, L., Xu, Y., Sun, Y., & Jiang, L. (2019). Nonsurgical medical treatment in the management of pain due to lumbar disc prolapse: A network meta-analysis. Seminars in Arthritis and Rheumatism, 49(2), 303–313. https://pubmed.ncbi.nlm.nih.gov/30940466/
  • Liu, C., Ferreira, G. E., Abdel Shaheed, C., Chen, Q., Harris, I. A., Bailey, C. S., Peul, W. C., Koes, B., & Lin, C.-W. C. (2023). Surgical versus non-surgical treatment for sciatica: Systematic review and meta-analysis of randomised controlled trials. BMJ, 381, e070730. https://pubmed.ncbi.nlm.nih.gov/37076169/
  • Nosikova, Y. S., Santerre, J. P., Grynpas, M., Gibson, G., & Kandel, R. A. (2012). Characterization of the annulus fibrosus-vertebral body interface: Identification of new structural features. Journal of Anatomy, 221(6), 577–589. https://pubmed.ncbi.nlm.nih.gov/22747710/
  • Sonntag, V. K. H. (2010). Treatment of the herniated lumbar disc: Persistent problem. World Neurosurgery, 74(6), 574–575. https://www.sciencedirect.com/science/article/abs/pii/S187887501000536X
  • Stretanski, M. F., Hu, Y., & Mesfin, F. (2025). Disk herniation. In StatPearls. StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/28722852/
By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care , , , , , , , , , , , , , , , , , ,

Chiropractic Care: What to Know About Herniated Discs

Discover the role of herniated discs and how it affects the spine. Learn how chiropractic care can promote healing and restoring balance to your spine and body.

Chiropractic Care for Herniated Discs: A Comprehensive Guide to Relief and Recovery

¡Mi querida, let us dance through the spine’s mysteries like Gomez and Morticia gliding across a moonlit ballroom! Low back pain from herniated discs can feel like a pesky poltergeist haunting your daily life, but fear not—chiropractic care, with its gentle adjustments and innovative techniques like spinal decompression, offers a path to relief that’s as smooth as a tango. In this comprehensive guide, we’ll explore the clinical rationale behind why chiropractic care is a beacon of hope for those grappling with lumbar disc herniations, delve into the lumbar spine’s role in this spinal saga, and highlight how Dr. Alexander Jimenez, a distinguished chiropractor and nurse practitioner in El Paso, Texas, uses advanced diagnostics to help personal injury victims reclaim their vitality. So, grab a cup of tea (or perhaps a goblet of Addams-family-approved batwing brew), and let’s unravel the science and solutions for low back pain with a dash of charm!

Understanding Herniated Discs: The Lumbar Spine’s Misadventure

The lumbar spine, that trusty foundation of your lower back, is like the stagehand of a grand theatrical production—it supports the show but rarely gets the spotlight. Comprising five vertebrae (L1 to L5), the lumbar spine bears the weight of your upper body, facilitates movement, and protects the spinal cord and nerves. Between these vertebrae lie intervertebral discs, the spine’s shock-absorbing cushions, made up of a tough outer ring called the annulus fibrosus and a soft, jelly-like center known as the nucleus pulposus (OrthoInfo – AAOS, n.d.).

When a disc herniates—think of it as the nucleus pulposus staging a dramatic escape through a tear in the annulus—it can press on nearby spinal nerves, causing a ruckus of pain, numbness, or weakness. This is particularly common at the L4-L5 and L5-S1 levels, where the lumbar spine carries the most weight (Personal Injury Doctor Group, 2017). Imagine Gomez Addams trying to lift a heavy chandelier with a flourish, only to have his back protest with a theatrical groan—that’s the lumbar spine under strain!

How Herniated Discs Affect Daily Life

A herniated disc can turn routine activities into a comedy of errors. Picture this: bending to tie your shoes feels like auditioning for a role as a rusty tin man, and sitting through a meeting is like enduring a lecture from Uncle Fester on electric eels—shocking and uncomfortable. The pressure on nerve roots, often leading to sciatica, can cause radiating pain down the buttocks, thighs, and legs, sometimes accompanied by numbness or tingling (OrthoInfo – AAOS, n.d.). For example:

  • Walking: Pain or weakness can make a stroll feel like navigating a haunted mansion’s creaky floors.
  • Sitting: Prolonged sitting, like binge-watching a spooky series, can exacerbate nerve compression, leaving you squirming.
  • Lifting: Picking up groceries or a child can trigger sharp pain, as if Gomez’s fencing foil jabbed your spine.
  • Sleeping: Finding a comfortable position is like trying to sleep in Lurch’s creaky old bed—nearly impossible.

These symptoms, often worsened by repetitive movements, heavy lifting, or poor posture, can disrupt work, hobbies, and family time, making daily life feel like a never-ending Addams Family prank (Personal Injury Doctor Group, 2017).

References:

The Clinical Rationale for Chiropractic Care

Chiropractic care is like Gomez Addams’ passionate embrace of Morticia—precise, intentional, and transformative. It’s a non-surgical approach that focuses on restoring spinal alignment, reducing nerve compression, and promoting the body’s natural healing. Dr. Alexander Jimenez, with over 25 years of experience as a chiropractor and nurse practitioner, emphasizes that chiropractic care targets the root causes of pain rather than masking symptoms (El Paso Back Clinic, 2025).

Why Chiropractic Works for Herniated Discs

  1. Spinal Manipulation:
    • Chiropractic adjustments, or spinal manipulations, involve controlled, hands-on movements to correct spinal misalignments (subluxations) that contribute to nerve compression. A 2018 study found that spinal manipulation significantly reduces pain and improves function in patients with MRI-confirmed lumbar disc herniations and sacroiliac joint hypomobility (Chiropractic & Manual Therapies, 2018). It’s like Gomez realigning the family’s crooked portrait gallery with a flourish!
    • By restoring proper alignment, adjustments reduce pressure on the herniated disc and irritated nerves, alleviating pain and improving mobility.
  2. Reducing Nerve Compression:
    • Herniated discs often compress nerve roots, causing sciatica or radiculopathy. Chiropractic care gently repositions the spine to create space, reducing this pressure. Dr. Jimenez notes that precise adjustments can relieve symptoms like radiating leg pain, allowing patients to dance through life again (El Paso Back Clinic, 2025).
  3. Promoting Natural Healing:
    • Chiropractic care enhances blood flow and nutrient delivery to the disc, supporting the body’s resorption process, where disc fragments are naturally reabsorbed. This can reduce the herniation’s size over time, as noted in a PubMed study on lumbar disc herniation (PubMed – Nerve Root Compression, n.d.).
  4. Holistic Approach:
    • Dr. Jimenez’s integrative approach combines chiropractic adjustments with functional medicine, addressing factors like inflammation, posture, and lifestyle. This comprehensive care ensures long-term relief, much like Gomez ensuring every cobweb in the Addams mansion is perfectly placed (El Paso Back Clinic, 2025).

References:

Spinal Decompression: Rehydrating the Spine’s Star Performers

Spinal decompression therapy is the unsung hero of chiropractic care, like Thing quietly saving the day in the Addams household. This non-surgical technique uses motorized traction to gently stretch the spine, relieving pressure on herniated discs and promoting healing.

How Spinal Decompression Helps

  1. Relieving Disc Pressure:
    • Decompression therapy creates negative pressure within the disc, allowing the nucleus pulposus to retract and reduce nerve compression. A 2017 study in the Journal of Physical Therapy Science found that nonsurgical spinal decompression significantly reduced pain and disc herniation volume in patients with subacute lumbar herniated discs (PubMed – Effect of Nonsurgical Spinal Decompression, 2017).
    • Think of it as giving the disc a chance to take a deep breath, like Gomez exhaling after a passionate monologue.
  2. Rehydrating Discs:
    • By stretching the spine, decompression enhances nutrient and oxygen flow to the disc, aiding rehydration. Dr. Jimenez explains that this process can restore disc height, reducing stress on surrounding tissues and nerves (El Paso Back Clinic, 2025).
    • It’s like watering a parched plant, bringing the disc back to its plump, cushiony glory.
  3. Pain Relief and Mobility:
    • Patients often feel immediate relief, as decompression alleviates nerve irritation. A 2022 article by Dr. Jimenez highlights how devices like the DRX9000 provide instant relief by stretching soft tissues and separating joint surfaces (Sciatica Pain and Treatment Clinic, 2022).
  4. Non-Invasive Alternative:
    • Unlike surgery, which carries risks and downtime, spinal decompression is gentle and allows patients to resume activities quickly. It’s the chiropractic equivalent of Gomez choosing a fencing duel over a cannon blast—effective yet refined.

References:

What Causes Disc Herniation- Video

Dr. Alexander Jimenez: El Paso’s Premier Chiropractic and Personal Injury Specialist

In the vibrant city of El Paso, Texas, Dr. Alexander Jimenez shines like Gomez Addams’ prized candelabra, illuminating the path to recovery for personal injury victims. With dual licensure as a chiropractor and nurse practitioner, Dr. Jimenez brings a unique blend of expertise to his practice at Injury Medical & Chiropractic Clinic (El Paso Back Clinic, 2025).

Comprehensive Care for Personal Injury Cases

  1. Advanced Diagnostics:
    • Dr. Jimenez employs state-of-the-art imaging, such as MRI and CT scans, to pinpoint herniated discs and nerve compression. These diagnostics are crucial for personal injury cases, as they provide objective evidence of injury (El Paso Back Clinic, 2025).
    • For example, an MRI can reveal the exact location and severity of a disc herniation, guiding precise treatment plans.
  2. Dual-Scope Procedures:
    • As both a chiropractor and nurse practitioner, Dr. Jimenez bridges medical and chiropractic care. He conducts thorough health assessments, evaluating biomechanical issues (like spinal misalignments) and physiological factors (like inflammation or hormonal imbalances) (A4M, n.d.).
    • This dual approach ensures a holistic treatment plan, addressing both symptoms and underlying causes.
  3. Legal-Medical Liaison:
    • Personal injury cases often require detailed documentation for insurance claims or legal proceedings. Dr. Jimenez’s expertise in advanced diagnostics and his ability to produce comprehensive reports make him an invaluable liaison between medical care and legal needs (El Paso Back Clinic, 2025).
    • His reports link injuries to symptoms, supporting fair compensation for victims of auto accidents, work injuries, or other traumas.
  4. Patient-Centered Care:
    • Dr. Jimenez’s clinic offers personalized care plans, integrating chiropractic adjustments, spinal decompression, functional medicine, and rehabilitation. Patient testimonials highlight his success in treating complex herniated discs and sciatica, restoring mobility and quality of life (El Paso Back Clinic, 2025).

References:

The Science Behind Discogenic Back Pain and Chiropractic Solutions

Discogenic back pain, caused by damage to the intervertebral disc, is a common culprit behind low back pain. It’s like the Addams Family’s pet octopus causing a ruckus in the plumbing—disruptive but fixable with the right approach. A PubMed review explains that discogenic pain arises from internal disc disruption, often due to degeneration or injury, leading to inflammation and nerve irritation (PubMed – Discogenic Back Pain, 2019).

Chiropractic’s Role in Discogenic Pain

  • Reducing Inflammation: Chiropractic adjustments and decompression therapy reduce stress on the disc, decreasing inflammation. A 2019 meta-analysis supports the use of therapies like platelet-rich plasma (PRP), which Dr. Jimenez incorporates to enhance tissue repair (El Paso Back Clinic, 2025).
  • Restoring Function: By correcting spinal misalignments, chiropractic care improves biomechanics, reducing strain on the disc and surrounding tissues.
  • Preventing Progression: Regular adjustments and lifestyle counseling, as offered by Dr. Jimenez, prevent further disc degeneration, much like Gomez maintaining the family’s gothic charm with meticulous care.

References:

Integrating Functional Medicine and Rehabilitation

Dr. Jimenez’s approach is like Gomez choreographing a family dance—every step is purposeful and harmonious. Beyond chiropractic adjustments and decompression, he incorporates:

  • Functional Medicine: Addressing metabolic, hormonal, and nutritional imbalances to support overall health and recovery (A4M, n.d.).
  • Rehabilitation Protocols: Tailored exercises strengthen the core and improve posture, preventing re-injury. It’s like training Pugsley to avoid toppling the family’s antique vases.
  • Nutritional Counseling: Anti-inflammatory diets reduce pain and support disc health, complementing physical therapies.

These integrative methods ensure that patients not only find relief but also build resilience against future issues.

References:

The Importance of Personal Injury Care in El Paso

El Paso, with its bustling community and vibrant spirit, is no stranger to personal injuries from auto accidents, work incidents, or sports mishaps. Dr. Jimenez stands out as a beacon for victims, offering not just medical relief but also legal support. His ability to document injuries with precision—using advanced imaging and diagnostic evaluations—ensures that patients receive fair compensation while healing (El Paso Back Clinic, 2025). It’s like Gomez defending the family honor with a rapier-sharp argument, only Dr. Jimenez wields MRI reports and clinical expertise.

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Conclusion: A Serious Note on Chiropractic Care

Let us set aside the Addams Family theatrics, my dear reader, and speak earnestly. Low back pain from herniated discs can profoundly impact your quality of life, but chiropractic care, as championed by Dr. Alexander Jimenez, offers a scientifically grounded, non-invasive path to relief. Through spinal manipulation, decompression therapy, and integrative care, patients can reduce pain, restore mobility, and reclaim their daily routines. Dr. Jimenez’s expertise in El Paso makes him a trusted ally for personal injury victims, bridging medical treatment with legal documentation to ensure holistic recovery.

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. Alexander Jimenez, for personalized diagnosis and treatment plans. For more information or to schedule a consultation, visit www.dralexjimenez.com or www.chiromed.com, or contact his clinic at 915-850-0900.

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

Back Pain When Walking: A Comprehensive Guide

For individuals with lower back pain when walking, could they have injured a muscle or have an underlying condition affecting the joints, ligaments, or nerves?

Back Pain When Walking

Lower back pain when walking can occur for a variety of reasons. It can result from poor posture, injuries, muscle fatigue, or an underlying condition. Specific injuries, like muscle strains, can affect the ligaments in the spine and cause pain. Muscles that have not been used often can result in fatigue and pain. Specific health conditions, such as degenerative disc disease, spinal stenosis, herniated discs, sciatica, or even sacroiliac joint dysfunction, can cause lower back pain. Factors like overexertion or improper gait can exacerbate it.

Muscle Issues

Muscle strains, ligament sprains, or fatigue can cause lower back pain when walking. Pain can occur after walking or come on gradually from wear and tear without an apparent cause, as follows (American Association of Neurological Surgeons, 2024)

Strains

  • Occur when the fibers in the back are overstretched or torn.
  • Pain from muscle strains is usually worse during activity and better when resting.

Sprains

  • It occurs when the ligaments that connect bone to bone become detached.
  • If the muscles do not adequately support the spine, the spinal joints absorb more pressure, which can lead to injury to the spinal ligaments.

Fatigue

  • It can happen from overexertion and lead to lower back pain when walking.
  • It could occur when walking longer than the body is used to, on uneven surfaces that make the muscles work harder to help maintain balance, or climbing hills that cause you to lean forward while walking.

Degenerative Disc Disease

  • Between each vertebra is a disc that provides cushioning between the bones.
  • As the disc wears down, surrounding muscles, ligaments, joints, and nerves in the spine absorb more pressure, causing damage.
  • Degenerative disc disease is a wear-and-tear condition that becomes more common as individuals age and is a common cause of lower back pain.
  • Healthcare providers recommend walking as a low-impact activity for individuals with the disease. However, if the condition is more severe, individuals could experience pain from this exercise, especially when walking on hard surfaces. (Hospital for Special Surgery, 2024)

Sciatica

Sciatica pain occurs when a nerve exiting the spine in the lower back becomes compressed or pinched. It is a common symptom of a herniated disc, in which a disc moves out of place and puts pressure on nearby nerves. In addition to lower back pain, sciatica can cause pain in the hip, the back of the thigh, and down the leg. Sciatica can also cause: (American Academy of Orthopaedic Surgeons, 2021)

  • Numbness
  • Tingling
  • Muscle cramps
  • Leg muscle weakness

Healthcare providers often recommend walking as a safe form of physical activity for individuals with sciatica. However, individuals should avoid twisting or bending forward. (American Academy of Orthopaedic Surgeons, 2021) To decrease pain, avoid walking on uneven surfaces or uphill.

Lumbar Spinal Stenosis

  • Spinal stenosis is a wear-and-tear condition that often affects the lumbar spine/five vertebrae in the lower back.
  • It causes the space surrounding the spinal cord to narrow.
  • Sometimes, the narrowing can add pressure on the nerves, resulting in numbness, tingling, and weakness in the legs. (American Academy of Orthpaedic Surgeons, 2021)
  • Lumbar spinal stenosis typically causes pain when standing upright, including when walking.
  • Many with this condition find that leaning slightly forward helps to reduce the pain by opening up the compressed areas.

Hyperlordosis

Lordosis describes the normal curve in the spine in the lower back. However, when this curve is exaggerated, it causes hyperlordosis or swayback. (American Academy of Orthopaedic Surgeons, 2020) Hyperlordosis affects the range of motion, putting abnormal pressure on the muscles, ligaments, and joints. It also reduces the spine’s ability to absorb shock correctly when walking, leading to pain. (Cedars-Sinai, 2025)

Prevention Strategies

Individuals can take steps to reduce their risk of lower back pain when walking, even if they’ve been diagnosed with a condition that can potentially cause this symptom. Walking can decrease chronic low back pain for some. (Suh J. H. et al., 2019) As with any new exercise program, check with a healthcare provider to ensure that walking for exercise is appropriate for the injury, condition, or disease and is safe. Recommended tips: (Harvard Health Publishing, 2015)

  • Wear shoes made for walking.
  • Perform gentle lower back stretches before walking.
  • Start slowly by walking for a few minutes, then gradually increase the time.
  • Walk on a smooth surface, such as a sidewalk or athletic track, or indoors, such as in a shopping center or mall.
  • Warm up and cool down by walking slowly at the beginning and end of the walk.
  • This allows the back and leg muscles to warm up before exercise and recover afterward.
  • Walk at a slow to moderate pace/speed that allows one to converse.
  • Standing up straight while walking or standing upright reduces pressure on the lower back.

Alternative Exercise

If there is still back pain when walking, it might not be an appropriate exercise for the individual and/or how their condition presents symptoms. Alternate activities can include: (Hospital for Special Surgery, 2023)

Elliptical Trainer

  • This exercise keeps the feet in contact with the pedals, putting less shock-absorbing pressure on the spine than walking.

Recumbent Biking

  • will keep the back upright, which is recommended if there is more pain when bending forward.

Upright Stationary Biking

  • This is recommended if the back pain improves when bending forward.

Walking In A Pool

  • This activity provides benefits while reducing pressure on the spine.
  • To target different muscles, try walking laps in waist-deep water in multiple directions (forward, backward, and side to side).

Water Aerobics

  • This activity provides cardiovascular health benefits with decreased pressure on the back.

Injury Medical Chiropractic & Functional Medicine Clinic

See a physical therapist for a personalized exercise program to reduce back pain and appropriate for your condition. 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.

Beyond Adjustments: Chiropractic and Integrative Healthcare

References

American Association of Neurological Surgeons. (2024). Low back strain and sprain. https://www.aans.org/patients/conditions-treatments/low-back-strain-and-sprain/

Hospital for Special Surgery. (2024). Degenerative disc disease. https://www.hss.edu/condition-list_degenerative-disc-disease.asp

American Academy of Orthopaedic Surgeons. (2021). Sciatica. https://orthoinfo.aaos.org/en/diseases–conditions/sciatica

American Academy of Orthpaedic Surgeons. (2021). Lumbar spinal stenosis. https://orthoinfo.aaos.org/en/diseases–conditions/lumbar-spinal-stenosis/

American Academy of Orthopaedic Surgeons. (2020). Spine basics. https://orthoinfo.aaos.org/en/diseases–conditions/spine-basics/

Cedars-Sinai. (2025). Swayback (lordosis). https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/swayback-lordosis.html

Suh, J. H., Kim, H., Jung, G. P., Ko, J. Y., & Ryu, J. S. (2019). The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine, 98(26), e16173. https://doi.org/10.1097/MD.0000000000016173

Harvard Health Publishing. (2015). 5 tips for getting started with a walking program. https://www.health.harvard.edu/exercise-and-fitness/get-started

Hospital for Special Surgery. (2023). Best types of exercise for back pain. https://www.hss.edu/article_best-exercise-lower-back-pain.asp