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

Sciatica Relief Techniques Today for Low Back & Hip Pain

Learn about solutions for sciatica associated with low back & hip pain that can help you regain your mobility and reduce discomfort.

Chiropractic Care for Sciatica: A Comprehensive Guide to Pain Relief and Recovery

Picture this: you’re trudging through your day, trying to enjoy life’s simple pleasures—like sitting through a movie or tying your shoelaces—when suddenly, a sharp, electric jolt shoots down your leg, turning your lower back and hip into a medieval torture device. Welcome to the grim world of sciatica, where your sciatic nerve decides it’s auditioning for the role of “villain” in your personal horror story. But fear not, because chiropractic care, led by experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, might just be the hero you need to banish this pain to the shadows. In this comprehensive guide, we’ll dive deep into the clinical rationale for why chiropractic care is a beacon of hope for sciatica sufferers, explore the sciatic nerve’s role in low back and hip pain, and highlight how it disrupts daily life with a touch of dark humor to keep things bearable. We’ll also spotlight Dr. Jimenez’s unique expertise in personal injury cases in El Paso, Texas, and how his advanced diagnostic skills bridge medical care and legal documentation.

Understanding Sciatica: The Sciatic Nerve’s Dark Drama

Let’s start with the star of this grim tale: the sciatic nerve. This nerve is the body’s longest, stretching from the lower back (lumbar spine) through the hips, buttocks, and down each leg to the feet. Think of it as the body’s overzealous electrical wiring, transmitting signals for movement and sensation. But when it gets irritated, it’s less like a trusty courier and more like a spiteful gremlin, sparking pain, numbness, or tingling that can make you curse every step you take (Davis et al., 2024).

Sciatica, often called lumbar radiculopathy, isn’t a condition but a symptom of an underlying issue, typically involving compression or irritation of the sciatic nerve or its contributing nerve roots (L4-S3). The usual suspects? A herniated disc, spinal stenosis, degenerative disc disease, or even the piriformis muscle throwing a tantrum in your buttocks (Jensen et al., 2019). These culprits pinch or inflame the nerve, sending pain radiating from your lower back through your hip and down one or both legs. It’s like your body decided to reenact a lightning storm, with your leg as the unlucky lightning rod.

The sciatic nerve’s role in the hips and lower back is critical. It innervates muscles responsible for hip movement and leg function, like the hamstrings and calf muscles, while also carrying sensory information from the skin. When compressed, it can cause:

  • Pain: Sharp, burning, or aching sensations from the lower back to the foot.
  • Numbness/Tingling: A pins-and-needles feeling, like your leg’s been possessed by a vengeful spirit.
  • Weakness: Difficulty lifting your foot or walking, as if your leg’s staging a sit-in.
  • Reflex Changes: Diminished reflexes, like a sluggish Achilles tendon response (Liyew, 2020).

This nerve’s misbehavior doesn’t just stop at physical symptoms; it’s a master at derailing your daily routine. Imagine trying to sit through a work meeting when every shift in your chair feels like a dagger in your backside. Or consider the joy of grocery shopping when each step sends a jolt that makes you want to abandon your cart and crawl home. Sciatica doesn’t discriminate—it can haunt anyone, from desk jockeys to athletes, turning mundane tasks into a gothic nightmare.

References

The Clinical Rationale for Chiropractic Care: Why It’s Not Just Witchcraft

Chiropractic care might sound like something cooked up in a cauldron, but it’s grounded in science, not sorcery. The clinical rationale for using chiropractic care to treat sciatica lies in its ability to address the root causes of nerve compression and irritation without resorting to invasive measures like surgery or heavy medications. Dr. Alexander Jimenez, a board-certified chiropractor and family nurse practitioner in El Paso, Texas, leverages his expertise to restore spinal alignment, reduce nerve pressure, and improve biomechanical function, offering a lifeline to those plagued by sciatica’s wrath (Sciatica Pain and Treatment Clinic, 2025).

How Chiropractic Care Works

Chiropractors like Dr. Jimenez focus on the spine’s alignment and mobility, believing that misalignments (subluxations) can irritate nerves, including the sciatic nerve, leading to pain and dysfunction. Their primary tool? Spinal manipulation, a controlled, high-velocity, low-amplitude thrust that realigns vertebrae, reduces nerve compression, and improves joint mobility (Santilli et al., 2006). Here’s why it’s effective:

  1. Reducing Nerve Compression: A herniated disc or misaligned vertebra can pinch the sciatic nerve or its roots. Spinal adjustments gently reposition these structures, easing pressure and allowing the nerve to breathe a sigh of relief. Studies show that chiropractic manipulation significantly reduces pain in patients with disc protrusion-related sciatica, with 55% of patients reporting relief from radiating pain compared to 20% with sham treatments (Santilli et al., 2006).
  2. Decreasing Inflammation: Inflammation around the nerve roots or piriformis muscle can exacerbate sciatica. Chiropractic adjustments, combined with soft tissue techniques like massage or myofascial release, reduce inflammation by improving blood flow and relaxing muscle spasms (Chou et al., 2017).
  3. Restoring Mobility: Restricted spinal or hip movement can worsen sciatica by increasing stress on the nerve. Techniques like flexion-distraction or instrument-assisted manipulation gently mobilize joints, enhancing flexibility and reducing pain (Siciliano et al., 2024).
  4. Holistic Approach: Chiropractors don’t just crack backs and send you on your way. They incorporate stretches, exercises, and lifestyle advice to strengthen supporting muscles, improve posture, and prevent recurrence. It’s like giving your spine a personal trainer and a life coach.

Dr. Jimenez’s approach is particularly robust, combining manual adjustments with advanced therapies like decompression therapy, transcutaneous electrical nerve stimulation (TENS), and red light laser therapy. These methods target pain, inflammation, and nerve function, offering a multi-pronged attack on sciatica’s misery (Advantage Spinal Dynamics & Innovative Medicine, 2024).

Evidence-Based Support

The science backs up chiropractic care’s effectiveness. A 2006 randomized, double-blind trial found that patients receiving active spinal manipulations for acute back pain and sciatica with disc protrusion experienced significantly more pain-free days and lower pain scores than those receiving simulated manipulations (Santilli et al., 2006). Another study showed that chiropractic care reduced the likelihood of opioid use, sparing patients from the side effects of long-term medication (Healthline, 2021). Even the American College of Physicians recommends nonpharmacologic therapies like spinal manipulation as a first-line treatment for acute and chronic low back pain, including sciatica (Chou et al., 2017).

But let’s add a dash of dark humor: imagine your sciatic nerve as a grumpy old tenant in your body, complaining loudly every time you move. Chiropractic care is like the landlord who finally fixes the creaky floorboards, shutting up the tenant without evicting them entirely. It’s not a permanent fix for everyone—some nerves are just too cranky—but it’s a darn good start.

References

Sciatica’s Impact on Daily Life: A Gothic Tale of Woe

Sciatica doesn’t just cause pain; it’s a malevolent force that invades every corner of your life, turning routine tasks into Herculean trials. Here’s how it disrupts your daily grind, with a nod to Wednesday Addams’ penchant for gloom:

  • Sitting: Sitting for too long—whether at a desk, in a car, or on your couch binge-watching your favorite show—can feel like you’re strapped to a torture rack. The pressure on your lower back and hips aggravates the sciatic nerve, making you wish you could levitate instead (Davis et al., 2024).
  • Walking: Each step can send a jolt of pain down your leg, turning a simple stroll into a grim pilgrimage. You might limp like a zombie, hoping no one notices your undead gait.
  • Sleeping: Finding a comfortable position is like trying to sleep in a haunted house—every move triggers a ghostly wail from your nerves. Morning stiffness can make getting out of bed feel like escaping a coffin (Fritz et al., 2020).
  • Bending or Lifting: Bending to pick up a sock or lifting a grocery bag can provoke a sciatic flare-up, as if your spine is punishing you for daring to move. It’s like your body’s saying, “You want to function? How quaint.”

These disruptions create overlapping risk profiles. Prolonged sitting or poor posture can weaken core and hip muscles, increasing stress on the lumbar spine and piriformis muscle, which can further compress the sciatic nerve (Jensen et al., 2019). Repetitive movements, like those in manual labor jobs, can exacerbate disc degeneration or herniation, making sciatica a recurring guest star in your life’s tragic play (Liyew, 2020). And let’s not forget emotional stress—your nerves’ irritation can make you as cranky as a sleep-deprived ghoul, further tightening muscles and worsening pain.

Dr. Jimenez notes that sciatica’s impact extends beyond physical discomfort, affecting mental health and productivity. Patients often report frustration, anxiety, and reduced quality of life, as the constant pain makes them feel like prisoners in their own bodies (Sciatica Pain and Treatment Clinic, 2025). In El Paso, where active lifestyles and demanding jobs are common, sciatica can be particularly debilitating, turning vibrant individuals into reluctant spectators of their own lives.

References

Dr. Alexander Jimenez: El Paso’s Chiropractic Champion for Personal Injury Cases

In the sun-scorched streets of El Paso, Texas, personal injuries from car accidents, workplace mishaps, or slip-and-falls are as common as tumbleweeds. These incidents often leave victims grappling with sciatica, low back pain, or hip dysfunction, turning their lives into a dark comedy of pain and paperwork. Enter Dr. Alexander Jimenez, a distinguished chiropractor and family nurse practitioner whose dual expertise makes him a beacon for those navigating the murky waters of injury recovery and legal battles (Sciatica Pain and Treatment Clinic, 2025).

Dr. Jimenez’s practice at Injury Medical Pain Treatment Clinic (https://dralexjimenez.com/) and his reputation as a spine treatment specialist (https://www.linkedin.com/in/dralexjimenez/) position him as a go-to practitioner for personal injury cases. His approach is unique, blending chiropractic care with advanced diagnostic evaluations to pinpoint the exact cause of sciatica and related pain. Here’s how he stands out:

  • Advanced Imaging and Diagnostics: Dr. Jimenez uses X-rays, MRIs, and CT scans to identify structural issues like disc herniations, spinal stenosis, or piriformis syndrome. These tools confirm whether sciatica stems from spinal or extra-spinal causes, ensuring treatments target the root problem (Bogduk, 2012).
  • Dual-Scope Expertise: As both a chiropractor (DC) and a family nurse practitioner (APRN, FNP-BC), Dr. Jimenez bridges the gap between medical and chiropractic care. He performs thorough physical and neurological exams, assessing reflexes, muscle strength, and sensory changes to create precise treatment plans (Liyew, 2020).
  • Legal Liaison: Personal injury cases require meticulous documentation for insurance claims or legal proceedings. Dr. Jimenez excels at providing detailed reports that link a patient’s injuries to the incident, using diagnostic findings to support claims. His work ensures victims receive the medical care and compensation they deserve, making him a vital ally in El Paso’s legal landscape (Sciatica Pain and Treatment Clinic, 2025).
  • Holistic Treatments: Beyond spinal adjustments, Dr. Jimenez employs decompression therapy, TENS, and corrective exercises to address sciatica’s multifaceted causes. His integrative approach not only relieves pain but also promotes long-term spinal health, reducing the risk of recurrence (Advantage Spinal Dynamics & Innovative Medicine, 2024).

For example, a car accident victim with sciatica might present with a herniated disc at L5-S1, confirmed by MRI. Dr. Jimenez would use spinal manipulation to reduce disc pressure, prescribe targeted stretches to relieve piriformis tension, and provide legal documentation detailing how the collision caused the injury. It’s like he’s both your healer and your courtroom scribe, ensuring your pain doesn’t go unnoticed by doctors or lawyers.

Humorously, think of Dr. Jimenez as the grim reaper of sciatica pain—only instead of a scythe, he wields a chiropractic table and an MRI report. He’s not here to end your life but to end your suffering, while also making sure the insurance company doesn’t bury you in bureaucracy.

References

Common Causes of Sciatica: The Usual Suspects

Sciatica is like a mystery novel with multiple culprits, each sneakier than the last. Here are the primary causes, with clinical insights into how they wreak havoc:

  1. Herniated Disc: The most common villain, responsible for up to 90% of sciatica cases. A disc bulges or ruptures, pressing on nerve roots (L4-S3), causing radiating pain. MRI studies confirm that even asymptomatic individuals can have disc herniations, but when symptomatic, the pain is unmistakable (Jensen et al., 1994).
  2. Spinal Stenosis: Age-related narrowing of the spinal canal compresses nerve roots, especially in older adults. It’s like your spine decided to downsize without consulting your nerves (Liyew, 2020).
  3. Piriformis Syndrome: The piriformis muscle, nestled in your buttocks, can spasm or tighten, pinching the sciatic nerve. This non-discogenic cause affects 6-8% of sciatica cases and is often triggered by trauma or overuse (Jensen et al., 2019).
  4. Degenerative Disc Disease: As discs wear down with age, they lose height, increasing pressure on nerve roots. It’s like your spine’s shock absorbers decided to retire early (Zhou et al., 2021).
  5. Spondylolisthesis: A vertebra slips forward, squeezing nerve roots. Think of it as your spine playing a cruel game of musical chairs (Liyew, 2020).
  6. Extra-Spinal Causes: Rare culprits like tumors, infections, or cysts can mimic sciatica. These require immediate medical evaluation to rule out serious pathology (Siciliano et al., 2024).

Dr. Jimenez emphasizes that accurate diagnosis is key. For instance, piriformis syndrome requires different treatment from a herniated disc, and misdiagnosis can prolong suffering. His use of advanced imaging ensures the right villain is caught before treatment begins (Dr. Alex Jimenez, n.d.).

In true Wednesday Addams fashion, imagine your sciatic nerve as a prisoner in a dungeon, with each cause—be it a herniated disc or a cranky piriformis—taking turns as the jailer. Chiropractic care is the skeleton key, unlocking the cell and setting your nerve free, provided the jailer isn’t too sadistic.

References

  • Dr. Alex Jimenez. (n.d.). LinkedIn profile. Retrieved from https://www.linkedin.com/in/dralexjimenez/
  • Jensen, M. C., Brant-Zawadzki, M. N., Obuchowski, N., Modic, M. T., Malkasian, D., & Ross, J. S. (1994). Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects: A prospective investigation. The New England Journal of Medicine, 330(6), 369–373. https://doi.org/10.1056/NEJM199402103300604
  • Jensen, R. K., Kongsted, A., Kjaer, P., & Koes, B. (2019). Piriformis syndrome: A cause of nondiscogenic sciatica. Current Sports Medicine Reports, 18(4), 144–149. https://doi.org/10.1249/JSR.0000000000000584
  • Liyew, W. A. (2020). Clinical presentations of lumbar disc degeneration and lumbosacral nerve lesions. International Journal of Rheumatology, 2020(1), 2919625. https://doi.org/10.1155/2020/2919625
  • Siciliano, T., Davis, D., & Vasudevan, A. (2024). Extra-spinal sciatica and sciatica mimics: A scoping review. Korean Journal of Pain, 33(4), 305–317. https://doi.org/10.3344/kjp.2020.33.4.305
  • Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Causal associations of obesity with the intervertebral degeneration, low back pain, and sciatica: A two-sample Mendelian randomization study. Frontiers in Endocrinology, 12, 740200. https://doi.org/10.3389/fendo.2021.740200

Building a Stronger Body- Video

Chiropractic Techniques for Sciatica: Tools of the Trade

Chiropractors wield an arsenal of techniques to combat sciatica, each tailored to the patient’s specific needs. Dr. Jimenez’s practice exemplifies this, combining traditional adjustments with cutting-edge therapies. Here’s a breakdown:

  • Spinal Manipulation: The hallmark of chiropractic care, this involves high-velocity, low-amplitude thrusts to realign vertebrae, reduce nerve pressure, and improve joint function. It’s particularly effective for disc-related sciatica (Santilli et al., 2006).
  • Flexion-Distraction: A gentle, non-thrusting technique that stretches the spine to relieve disc pressure. Ideal for patients with herniated discs or spinal stenosis who can’t tolerate aggressive adjustments (Advantage Spinal Dynamics & Innovative Medicine, 2024).
  • Instrument-Assisted Manipulation: Uses tools to apply precise force, perfect for sensitive patients or those with advanced degeneration (Advantage Spinal Dynamics & Innovative Medicine, 2024).
  • Soft Tissue Therapy: Techniques like myofascial release or massage target muscle spasms, such as in piriformis syndrome, to reduce nerve compression (Jensen et al., 2019).
  • Decompression Therapy: A motorized table gently stretches the spine, creating negative pressure to pull herniated discs back into place. It’s like giving your spine a much-needed vacation (Advantage Spinal Dynamics & Innovative Medicine, 2024).
  • TENS and Red Light Therapy: These reduce pain and inflammation, enhancing nerve function and accelerating healing (Advantage Spinal Dynamics & Innovative Medicine, 2024).
  • Corrective Exercises: Stretches like the supine piriformis stretch or core-strengthening moves prevent recurrence by improving spinal and hip stability (BTE Technologies, 2021).

Dr. Jimenez tailors these techniques based on diagnostic findings, ensuring treatments address the specific cause—be it a disc issue, piriformis syndrome, or stenosis. His patient education, inspired by evidence-based materials, empowers individuals to maintain progress through lifestyle changes (Fritz et al., 2020).

Humorously, think of chiropractic care as a séance for your spine, where Dr. Jimenez summons the forces of alignment and mobility to exorcise the demons of sciatica. It’s not magic, but it might feel like it when you can finally sit without wincing.

References

Surgical vs. Non-Surgical Treatment: Choosing Your Path

When sciatica refuses to relent, patients face a fork in the road: surgical or non-surgical treatment. Surgery, like microdiscectomy or laminectomy, removes offending disc material or bone to relieve nerve pressure. It’s effective for severe cases, with up to 90% of patients experiencing immediate relief, but benefits may fade after a year (Räsänen et al., 2023). Plus, surgery comes with risks—think infections, nerve damage, or the joy of waking up to find your hospital bill is scarier than your sciatica.

Non-surgical treatments, like chiropractic care, are often the first choice, especially for mild to moderate cases. They’re less invasive, have fewer risks, and can resolve symptoms in 90% of patients within weeks (Davis et al., 2024). Chiropractic care, physical therapy, and patient education outperform surgery for long-term outcomes in many cases, reducing the need for opioids and invasive procedures (Chou et al., 2017).

Dr. Jimenez advocates for non-surgical approaches first, using his diagnostic prowess to determine if surgery is truly necessary. His ability to identify red flags—like severe neurological deficits or cauda equina syndrome—ensures patients are referred to surgeons when needed (Sciatica Pain and Treatment Clinic, 2025). For most, though, his chiropractic interventions offer a safer, more sustainable path to relief.

In a darkly humorous twist, choosing between surgery and chiropractic care is like deciding whether to fight a dragon with a sword or a well-aimed spell. Surgery’s flashy, but it might leave you scarred; chiropractic care’s subtler, but it could charm the beast into submission.

References

Patient Education: Empowering Recovery

Education is a cornerstone of chiropractic care, and Dr. Jimenez excels at arming patients with knowledge to manage sciatica. Evidence-based patient education materials improve outcomes by teaching proper posture, ergonomics, and exercises to prevent recurrence (Fritz et al., 2020). For example:

  • Posture Correction: Slouching is sciatica’s best friend. Dr. Jimenez teaches patients to maintain a neutral spine, reducing stress on the lumbar region.
  • Ergonomic Adjustments: Adjusting workstations or car seats can minimize nerve irritation, like banishing a poltergeist from your office chair.
  • Stretches and Exercises: Moves like the figure-four stretch or cat-cow pose keep the piriformis and lumbar muscles limber, preventing future flare-ups (BTE Technologies, 2021).

These strategies empower patients to take control, reducing reliance on painkillers and fostering long-term spinal health. It’s like giving your body a manual to outsmart sciatica’s tricks.

References

Conclusion: A Serious Note on Sciatica Relief

While we’ve danced with dark humor to make this journey through sciatica’s grim landscape more bearable, the condition is no laughing matter. Sciatica can profoundly disrupt lives, and chiropractic care, as championed by Dr. Alexander Jimenez in El Paso, offers a scientifically grounded, non-invasive path to relief. By addressing the root causes—whether disc herniation, piriformis syndrome, or spinal misalignment—chiropractic care restores function, reduces pain, and empowers patients to reclaim their lives. Dr. Jimenez’s expertise in personal injury cases, backed by advanced diagnostics and a dual-scope approach, ensures comprehensive care and robust legal support for those in need.

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider like Dr. Alexander Jimenez for personalized care. The information provided here is based on current research and clinical insights, but should not replace a one-on-one consultation with a licensed professional. If you’re experiencing sciatica or related symptoms, contact a healthcare provider promptly to discuss your options.

References

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

How a Massage Gun Can Help Ease Pregnancy Pain and Fatigue

Stress on the lower back during pregnancy often leads to back (upper, middle, lower), sciatica, and leg pain. Can you use a massage gun while pregnant?

Pregnancy Massage Gun Use

Pregnant women often experience back, hip, and leg pain along with symptoms such as swelling (edema), muscle spasms, cramps, and fatigue, which interfere with daily functions and sleep. Pregnancy massage gun use is a safe and helpful form of stress and tension relief, so long as healthcare providers and safety precautions are followed and sensitive areas are avoided. Massage guns use percussion and vibration to create a form of massage that can relieve tension, stiffness, and muscle soreness, break up tissue adhesions, and reduce inflammation. Moreover, pregnancy massage can provide relaxation and pain relief for muscles and joints that are adapting to a growing, changing body. Traditional massage therapy and massage gun therapy have been shown to help reduce muscle soreness and pain. (Imtiyaz S., Veqar Z., & Shareef M. Y. 2014) The benefits of pregnancy massage gun use include:

However, it is essential to discuss massage gun use with a healthcare professional and follow safety precautions when using massage guns during pregnancy.

Benefits

While there is no specific research on the benefits of massage guns for pregnant individuals, studies have demonstrated the general benefits of massage during pregnancy, including deep tissue massage. Therapeutic massage effectively reduces pregnancy discomforts and pain and is a safe and affordable method of pain relief. (El-Hosary EA, Abbas Soliman HF, El-Homosy SM. 2016) Researchers believe this relief helps improve the health of mother and baby in ways that include. (El-Hosary EA, Abbas Soliman HF, El-Homosy SM. 2016) (Mueller S. M., & Grunwald M. 2021)

  • Improves cardiovascular health
  • Overall circulation improves
  • Increases serotonin and dopamine levels
  • Decreases chronic back pain
  • Relieves muscle aches and joint pains
  • Improves sleep patterns
  • Increases energy
  • Reduces anxiety
  • Increases immune response
  • Enhances sense of well-being and mood
  • Reduces risk of preterm delivery

Massage Gun Safety

Pregnancy massage gun use is generally safe for those who do not have preexisting conditions. (Mueller S. M., & Grunwald M. 2021) However, there are no studies on the safety of massage guns or other massage tools for pregnant individuals. It is recommended to discuss the use of massage guns with a doctor before use.

When to Avoid Massage Therapies

Pregnant individuals should avoid pregnancy massage of any kind if any of the following conditions are present (American Massage Therapy Association, 2018)

High-risk Pregnancy

  • Individuals with high-risk factors, such as bleeding, pre-term contractions, and preeclampsia, should avoid using massage guns unless a doctor clears them to do so.

Preeclampsia

  • This condition causes a rise in blood pressure that can be serious.
  • It typically develops around 20 weeks of pregnancy or later.

Deep Vein Thrombosis – DVT

  • Avoid using a massage gun if there is a history of deep vein thrombosis.
  • Blood volume increases during pregnancy, and leg circulation can be poor.
  • Certain hormones that prevent hemorrhage during delivery can cause blood to clot more easily.
  • Using a massage gun on areas with potential blood clots may release the clot, leading to a life-threatening embolism. (Sutham K. et al., 2020)
  • Compression socks are a better alternative for relieving leg pain and swelling, but follow the healthcare provider’s recommendations.

Placenta Previa, Accrete, or Abruption

  • These conditions involve the placenta, which can lead to bleeding.

Gestational Diabetes

  • High blood sugar levels do not necessarily mean individuals cannot use a massage gun during pregnancy.
  • However, speak to a doctor and monitor blood sugar before use.

How to Use

Although there are no specific expert directions for the use of massage guns during pregnancy, there are guidelines to consider while using the device. This includes:

  • Never place the massage gun directly over bones, nerves, or joints.
  • Avoid using the device around injured, swollen, or painful areas.
  • Avoid using a massage gun directly on the abdomen.

Additional Tips (Hospital for Special Surgery, 2021)

  • Start by trying a light 10- to 15-second pass over sore or tight areas.
  • Perform three to five sweeps over the location, then move on to another.
  • Be careful not to keep the gun on a single area too long, as you could overwork the muscle, leading to bruising and irritation.
  • The recommended time for leaving the massager in one area is two minutes.
  • Stop using the massage gun if there is unusual pain, sensations, or discomfort.

Injury Medical Chiropractic and Functional Medicine Clinic

Massage during pregnancy can help relieve symptoms such as anxiety, stress, pain, discomfort, tightness, and poor circulation. Regular massage can help improve sleep and can even benefit the baby. However, it is recommended to consult with a doctor about using a massage gun before trying it out. Injury Medical Chiropractic and Functional Medicine Clinic can help individuals recover and regain the benefits of quality rest through healthy sleep practices and lifestyle accommodations. We build optimal health and wellness solutions with primary healthcare providers and specialists. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Pregnancy and Sciatica: How Chiropractic Helped

References

Imtiyaz, S., Veqar, Z., & Shareef, M. Y. (2014). To Compare the Effect of Vibration Therapy and Massage in Prevention of Delayed Onset Muscle Soreness (DOMS). Journal of clinical and diagnostic research: JCDR, 8(1), 133–136. https://doi.org/10.7860/JCDR/2014/7294.3971

American Massage Therapy Association. (2011). Pregnancy Massage. https://www.amtamassage.org/publications/massage-therapy-journal/massage-and-pregnancy/

El-Hosary EA, Abbas Soliman HF, El-Homosy SM. (2016). Effect of Therapeutic Massage on Relieving Pregnancy Discomforts. IOSR Journal of Nursing and Health Science., 5(4), 57-64. https://doi.org/10.9790/1959-0504025764

Mueller, S. M., & Grunwald, M. (2021). Effects, Side Effects and Contraindications of Relaxation Massage during Pregnancy: A Systematic Review of Randomized Controlled Trials. Journal of Clinical Medicine, 10(16), 3485. https://doi.org/10.3390/jcm10163485

American Massage Therapy Association. (2018). Massage and pregnancy: A powerful combination. https://www.amtamassage.org/publications/massage-therapy-journal/massage-and-pregnancy-a-powerful-combination/

Sutham, K., Na-Nan, S., Paiboonsithiwong, S., Chaksuwat, P., & Tongsong, T. (2020). Leg massage during pregnancy with unrecognized deep vein thrombosis could be life-threatening: a case report. BMC pregnancy and childbirth, 20(1), 237. https://doi.org/10.1186/s12884-020-02924-w

Hospital for Special Surgery. Surgery, H. F. S. (2021). What you should know about using a massage gun. https://www.hss.edu/article_how-to-use-massage-gun.asp

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

Mastering the Hip Hinge: A Key Movement for Back Health

Can performing the hip hinge exercise movement help individuals with lower back pain?

Hip Hinge Exercise

A hip hinge is a controlled movement that involves bending forward from the hips while keeping the spine neutral. The thoracic, lumbar, and pelvis stay neutral while bending forward. The movement comes from the hips, preventing the thoracic and lumbar spine from flexing or rounding. It is a fundamental movement that helps prevent back injuries and strengthens the glutes. It’s used in everyday activities, like picking up objects and sitting down.

The hip hinge exercise targets the posterior chain or back muscles, including the lower back, the glutes, and the hamstrings. It also strengthens the core or abdominal muscles to assist in the movement. When the body hinges at the hips, the bend occurs at the hips, and the spine stays neutral. When the lower back hinges or bends, this causes pain and reduces the range of motion.

Performing the Movement

A wooden dowel, broom handle, or PVC pipe can be used as a guide to help achieve the proper positioning and learn the correct form. Place the dowel or pipe vertically on your back, anchoring it to the head, shoulder blades, and tailbone.

Grasp one end with your right hand in the natural curve of your neck and the other with your left hand in the small of your back. Ensure the dowel touches the back of your head, upper back, and the area where the lower back meets the sacrum. To perform the hip hinge:

  • Stand with your feet shoulder-width apart
  • Shift your weight to your heels and
  • Push your hips back while hinging your torso forward
  • Keep your chest open and back flat
  • Slightly bend your knees
  • Visualize sticking the butt out
  • The dowel should not lose contact with the three points as you hinge. If it does, the movement is incorrect.
  • Lower your torso until it’s midway between vertical and parallel to the floor.
  • Pause when your torso is about 45 degrees
  • Keep a slight bend in your knees during the downward and upward phases.
  • Reverse the movement by contracting your glutes and pushing your hips forward and upward to return to the starting position.
  • Repeat

Benefits

The hip hinge is a fundamental movement pattern that helps the body perform essential tasks such as bending over and picking things up without worry of pain or injury. It’s also required in strength training exercises like the deadlift, kettlebell swing, power clean, and more. The exercise can help strengthen the core, reduce back pain, improve balance, and improve flexion, extension, and trunk rotation. (Michaud F. et al., 2021) Stronger core muscles can increase fitness and athletic performance. (Clark D. R. et al., 2018)

Variations

It is a challenging movement that requires plenty of practice. Individuals who can’t perform it correctly after a few tries may need to modify the movement.

Wall Variation

  • Using a wall as a guide is an easy way to make the movement easier.
  • To do this, stand with your back to a wall, about three inches away.
  • Start hinging at the hips by sticking your butt out touching the wall.
  • Keep a neutral spine and a flat back.

Once you can do this several times, try stepping out another inch or two and perform the same modified motion. Stick with this until you are away from the wall and can do a full hinge without the wall.

With A Kettlebell

  • Once you master the basic hinge, you can elevate it using a kettlebell to make this move more difficult.
  • Start with the kettlebell swing exercise and progress to more challenging moves with the kettlebell.

Common Mistakes

Be aware of common mistakes to keep the move effective and reduce the risk of injury.

Treating the Move Like a Squat

  • The hip hinge is not the same as a squat.
  • This is a common misconception. When squatting, the knee joint determines the movement pattern.
  • But when hip hinging, the movement starts at the hips.

Not Engaging the Core Muscles

  • This exercise requires core engagement throughout the entire movement.
  • If these muscles relax, there is an increased risk of dipping the hips during the hinge, which can cause the lower back to dip and cause pain.

Using the Lower Back

  • Bending or hinging with the lower back rather than letting the hips generate the movement.
  • Using the wall as a guide can help reduce and eliminate excessive bending at the waist.

Lost Dowel Contact 

  • If the dowel loses contact with one or more set-up positions on the back, the hinge is not being executed correctly.
  • If your head loses contact with the dowel, the neck is flexing too far forward.
  • If you lose contact with the sacrum or lower back area, the spine is flexing too much.
  • If you lose contact with the mid-back, the knees are bending rather than the hips.

Safety

Stop and check your form if you feel back pain during any part of the movement. The movement may need to be modified further or decrease how far the hinge is at the hips. If the pain continues, discontinue the exercise and talk with a doctor or a physical therapist before reattempting the exercise. The dowel is a great tool to help maintain a neutral spine. If you cannot perform the hip hinge while keeping the dowel in contact with the body, you might benefit from working with a personal trainer or physical therapist who can walk you through the steps with the correct form.

Injury Medical Chiropractic and Functional Medicine Clinic

Chiropractic care aims to help individuals improve movement with less pain due to condition, after injury, or surgery. A chiropractic physical therapy team can assess your condition and develop a customized treatment plan to expedite pain relief and improve mobility. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Chiropractic: The Secret to Unlocking Mobility 

References

Michaud, F., Pérez Soto, M., Lugrís, U., & Cuadrado, J. (2021). Lower Back Injury Prevention and Sensitization of Hip Hinge with Neutral Spine Using Wearable Sensors during Lifting Exercises. Sensors (Basel, Switzerland), 21(16), 5487. https://doi.org/10.3390/s21165487

Clark, D. R., Lambert, M. I., & Hunter, A. M. (2018). Contemporary perspectives of core stability training for dynamic athletic performance: a survey of athletes, coaches, sports science and sports medicine practitioners. Sports medicine – open, 4(1), 32. https://doi.org/10.1186/s40798-018-0150-3