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

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

Chiropractic Care and Wellness Benefits for Fibromyalgia

Learn about effective chiropractic care techniques to help relieve fibromyalgia symptoms and promote better health.

Fibromyalgia and Chiropractic Care: A Holistic Approach to Pain Relief and Musculoskeletal Health

Fibromyalgia is like that uninvited guest who shows up to the party and refuses to leave, bringing along a suitcase full of aches, pains, and exhaustion. For the millions of people living with this chronic condition, daily life can feel like navigating a maze blindfolded. The good news? Chiropractic care, especially from experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC at ChiroMed – Integrated Medicine in El Paso, TX, offers a beacon of hope. This comprehensive, SEO-optimized blog post—crafted for a high school reading level—dives deep into how fibromyalgia impacts the musculoskeletal system, disrupts daily routines, and creates overlapping risk profiles that amplify pain and discomfort. We’ll explore why chiropractic care is a game-changer, highlight Dr. Jimenez’s expertise in personal injury cases, and sprinkle in some light humor to keep things engaging. Let’s get started on this journey to better health!

Understanding Fibromyalgia: The Basics

Imagine waking up feeling like you’ve been wrestling a grizzly bear all night, only to realize you just slept on your perfectly normal mattress. That’s the reality for many with fibromyalgia, a chronic condition that affects about 4 million adults in the United States, according to the Centers for Disease Control and Prevention (CDC). It’s characterized by widespread musculoskeletal pain, debilitating fatigue, sleep disturbances, and a foggy brain that makes you forget where you parked your car—or why you even walked into a room.

Fibromyalgia is a bit like a mystery novel with no clear ending. Its exact cause isn’t fully understood, but researchers point to a mix of genetic, environmental, and neurological factors. One key player is central sensitization, where the brain and spinal cord amplify pain signals, making even a light touch feel like a sledgehammer (Clauw, 2014). Another factor is oxidative stress, where an imbalance of free radicals and antioxidants damages tissues and fuels inflammation (Cordero, 2010). It’s like your body’s internal wiring is short-circuiting, sending pain signals on overdrive.

Fibromyalgia doesn’t just affect one part of the body—it’s a whole-body experience that can make everything from brushing your teeth to walking the dog feel like a Herculean task. To understand how chiropractic care can help, we first need to explore how fibromyalgia wreaks havoc on the musculoskeletal system.

References
Clauw, D. J. (2014). Fibromyalgia: A clinical review. JAMA, 311(15), 1547–1555. https://doi.org/10.1001/jama.2014.3266
Cordero, M. D. (2010). Oxidative stress in fibromyalgia: From pathology to treatment. Current Rheumatology Reviews, 6(3), 178–183. https://pubmed.ncbi.nlm.nih.gov/

Fibromyalgia’s Impact on the Musculoskeletal System

The musculoskeletal system—your bones, muscles, tendons, ligaments, and joints—is like the scaffolding that holds your body together, letting you move, dance, or even binge-watch your favorite show comfortably. Fibromyalgia, however, throws a wrench into this system, causing pain and dysfunction that can make you feel like you’re stuck in a body that’s betraying you. Let’s break down how fibromyalgia affects this critical system.

1. Widespread Pain and Tender Points

Fibromyalgia is like the world’s worst interior decorator, scattering pain across your body with no rhyme or reason. It often targets specific “tender points” like the neck, shoulders, back, hips, and knees, which become hypersensitive to touch. Research shows this is due to central sensitization, where the nervous system misfires, amplifying pain signals (Sluka & Clauw, 2016). It’s like your body’s pain dial is stuck on “maximum,” making even a friendly pat on the back feel like a karate chop.

2. Muscle Stiffness and Fatigue

Ever felt like you’re moving through molasses, with muscles that refuse to cooperate? That’s fibromyalgia’s muscle stiffness at work. It causes muscles to feel tight and achy, even if you haven’t been to the gym or lifted anything heavier than a coffee cup. This stiffness can limit your range of motion, turning simple tasks like reaching for a shelf or tying your shoes into a full-body workout.

3. Joint Pain and Reduced Mobility

While fibromyalgia isn’t an inflammatory condition like arthritis, it can still make your joints feel like they’ve been replaced with rusty hinges. This joint pain and stiffness reduce mobility, making it hard to stay active. The result? A vicious cycle where less movement leads to more stiffness, which leads to more pain. It’s like your body is saying, “Move it or lose it—but good luck moving!”

4. Postural Imbalances

Chronic pain often leads to compensatory movements. If your lower back hurts, you might slouch or shift your weight to one side, throwing off your posture. Over time, these imbalances strain muscles and joints, creating secondary pain and dysfunction. Picture your body as a Jenga tower—every misaligned move risks toppling the whole structure.

5. Overlapping Risk Profiles

Fibromyalgia doesn’t travel alone—it often brings along buddies like chronic fatigue syndrome, migraines, and irritable bowel syndrome, which amplify musculoskeletal issues. These overlapping conditions create a cascade of risks, including muscle weakness, joint instability, and increased injury susceptibility. Poor sleep, a common fibromyalgia symptom, impairs muscle recovery, while stress heightens pain perception, further taxing the musculoskeletal system (Choy, 2015). It’s like fibromyalgia is throwing a party, and all the guests are causing trouble.

References
Sluka, K. A., & Clauw, D. J. (2016). Neurobiology of fibromyalgia and chronic widespread pain. Neuroscience, 338, 114–129. https://doi.org/10.1016/j.neuroscience.2016.06.006
Choy, E. H. (2015). The role of sleep in pain and fibromyalgia. Nature Reviews Rheumatology, 11(9), 513–520. https://doi.org/10.1038/nrrheum.2015.56

How Fibromyalgia Disrupts Daily Life

Living with fibromyalgia is like trying to play a video game on expert mode with a glitchy controller. The pain, fatigue, and brain fog make everyday tasks feel like epic quests. Here’s how fibromyalgia can turn your daily routine upside down:

1. Morning Misery

Mornings are often the worst for fibromyalgia sufferers. Waking up with stiff, achy muscles feels like you’ve been sleeping on a bed of rocks. Simple tasks like getting out of bed, brushing your teeth, or pouring cereal can feel exhausting, setting a challenging tone for the day.

2. Work Woes

Whether you’re crunching numbers at a desk or hustling on your feet, fibromyalgia makes work a struggle. Prolonged sitting or standing worsens pain, while fibro fog clouds your focus, making it hard to remember deadlines or follow conversations. Imagine trying to give a presentation when your brain feels like it’s stuck in quicksand—that’s fibro fog.

3. Exercise Challenges

Exercise is vital for health, but fibromyalgia makes it a tightrope walk. Gentle movement can help, but overdo it, and you’re sidelined with a flare-up. It’s like your body is saying, “Sure, go for a jog, but don’t be surprised if I send you an invoice for the pain later.”

4. Social Struggles

Chronic pain can make socializing feel like running a marathon. Canceling plans or skipping family gatherings becomes common, leading to isolation and strained relationships. Even playing with kids or pets can be tough when every movement feels like a chore.

5. Emotional Impact

The constant battle with pain and fatigue can lead to anxiety, depression, and frustration. It’s hard to stay upbeat when your body feels like it’s working against you. This emotional toll can amplify pain, creating a feedback loop that’s tough to escape.

These disruptions show why fibromyalgia isn’t just a physical condition—it’s a whole-life challenge that demands a comprehensive approach to manage effectively.

Why Chiropractic Care Is a Game-Changer for Fibromyalgia

Enter chiropractic care, the superhero of non-invasive, holistic health solutions. At ChiroMed – Integrated Medicine in El Paso, TX, Dr. Alexander Jimenez and his team are using chiropractic techniques to help fibromyalgia patients find relief and reclaim their lives. But how does chiropractic care tackle this complex condition? Let’s explore the clinical rationale, with a dash of humor to keep things light.

1. Taming Central Sensitization

Fibromyalgia’s calling card is central sensitization, where the nervous system turns every sensation into a pain signal. Chiropractic adjustments, especially spinal manipulations, stimulate mechanoreceptors (sensors in joints and muscles), which can dial down pain signal transmission to the brain (El Paso Chiropractor Blog, 2016). It’s like turning down the volume on your body’s overzealous pain alarm system.

2. Restoring Spinal Alignment

Spinal misalignments, or subluxations, can worsen pain and muscle tension. Chiropractic adjustments correct these misalignments, improving nerve function and easing stress on the musculoskeletal system. Think of it as realigning the tracks so your body’s train runs smoothly again, without derailing into Painville.

3. Boosting Mobility and Reducing Stiffness

Gentle chiropractic techniques, like spinal mobilization and soft tissue therapy, loosen tight muscles and joints, improving range of motion. For fibromyalgia patients who feel like they’re stuck in a suit of rusty armor, this is a game-changer. Regular adjustments keep the musculoskeletal system limber, reducing the risk of compensatory injuries.

4. Easing Inflammation

While fibromyalgia isn’t primarily inflammatory, chronic pain can trigger low-grade inflammation. Chiropractic care may help by improving blood flow and supporting the body’s natural healing processes, potentially reducing oxidative stress (Cordero, 2010). It’s like giving your body a mini detox, minus the green juice cleanse.

5. Supporting Holistic Wellness

At ChiroMed, chiropractic care is part of a bigger picture that includes nutrition counseling, rehabilitation, and stress management. This holistic approach addresses the root causes of fibromyalgia, helping patients build resilience and reduce flare-ups. It’s like assembling a superhero team to fight fibromyalgia from every angle.

6. Tackling Overlapping Risk Profiles

Fibromyalgia’s buddies—chronic fatigue, poor sleep, and stress—can worsen musculoskeletal issues. Chiropractic care helps by improving sleep quality (through pain reduction) and supporting overall wellness, mitigating these risk profiles. It’s like solving the whole puzzle, not just one piece.

References
El Paso Chiropractor Blog. (2016, July). Fibromyalgia relief with chiropractic care. https://www.elpasochiropractorblog.com/2016/07/fibromyalgia-relief-with-chiropractic.html
Cordero, M. D. (2010). Oxidative stress in fibromyalgia: From pathology to treatment. Current Rheumatology Reviews, 6(3), 178–183. https://pubmed.ncbi.nlm.nih.gov/

Unlocking The Secrets of Inflammation- Video

Dr. Alexander Jimenez: El Paso’s Go-To Expert for Fibromyalgia and Personal Injury

In the heart of El Paso, Dr. Alexander Jimenez stands out as a trusted ally for those battling fibromyalgia and navigating personal injury cases. With over 25 years of experience as a chiropractor and family nurse practitioner, Dr. Jimenez brings a unique blend of clinical expertise and compassion to ChiroMed – Integrated Medicine (ChiroMed, n.d.). His LinkedIn profile showcases his dedication to holistic healing, combining chiropractic care, functional medicine, and advanced diagnostics (Jimenez, n.d.).

Personal Injury Expertise in El Paso

El Paso sees its fair share of personal injury cases, from car accidents to slip-and-falls. These incidents can exacerbate fibromyalgia symptoms, as trauma to the musculoskeletal system amplifies pain and stiffness. Dr. Jimenez is a distinguished practitioner in this field, known for his ability to bridge medical care and legal documentation. Here’s how he makes a difference:

  • Advanced Imaging and Diagnostics: Dr. Jimenez uses state-of-the-art imaging, like MRI and X-rays, to pinpoint injuries with precision. This helps identify issues that may worsen fibromyalgia or complicate recovery, ensuring accurate diagnoses.
  • Dual-Scope Procedures: As both a chiropractor and a family nurse practitioner, Dr. Jimenez employs a dual-scope approach, blending chiropractic adjustments with medical evaluations. This comprehensive care addresses both acute injuries and chronic conditions like fibromyalgia.
  • Legal-Medical Liaison: Personal injury cases require detailed medical documentation for legal claims. Dr. Jimenez acts as a liaison, providing thorough reports that link injuries to clinical findings, helping victims secure fair compensation while meeting their medical needs.

Why It Matters

For fibromyalgia patients involved in personal injury cases, the stakes are high. A minor fender-bender can trigger a major flare-up, making daily life even harder. Dr. Jimenez’s expertise ensures these patients receive tailored care that addresses both their immediate injuries and chronic fibromyalgia symptoms, navigating the complex intersection of health and legal challenges.

References
ChiroMed. (n.d.). ChiroMed – Integrated Medicine, holistic healthcare in El Paso, TX. https://chiromed.com/
Jimenez, A. (n.d.). Dr. Alex Jimenez DC, APRN, FNP-C. LinkedIn. https://www.linkedin.com/in/dralexjimenez/

Complementary Therapies: The Dream Team for Fibromyalgia Relief

Chiropractic care is like the quarterback of fibromyalgia treatment, but it shines brightest when paired with a strong supporting cast. At ChiroMed, Dr. Jimenez and his team offer a range of services that complement chiropractic care to tackle fibromyalgia head-on. Here’s the lineup:

1. Physical Therapy Modalities

Physical therapy strengthens muscles, improves flexibility, and reduces pain. Techniques like low-level laser therapy, ultrasound, and manual therapy have shown promise in fibromyalgia management (Assis et al., 2013). It’s like giving your muscles a motivational speech to get back in the game.

2. Nutrition Counseling

What you eat matters when you’re fighting fibromyalgia. Anti-inflammatory diets rich in antioxidants can help reduce oxidative stress, a key player in fibromyalgia’s pathology (Cordero, 2010). ChiroMed’s nutrition counseling helps patients fuel their bodies for healing, not just surviving.

3. Acupuncture

Acupuncture, offered at ChiroMed, can reduce pain and improve energy flow by targeting specific points. It helps calm the overstimulated nervous system, like hitting the reset button on your body’s stress meter.

4. Stress Management

Stress is like pouring gasoline on the fibromyalgia fire. Mindfulness, yoga, and relaxation exercises, part of ChiroMed’s holistic approach, can lower stress and improve pain tolerance. It’s like telling your nervous system, “Take a deep breath, we’ve got this.”

5. Rehabilitation

Rehabilitation programs at ChiroMed focus on restoring function through targeted exercises and therapies. These programs help fibromyalgia patients rebuild strength and mobility, reducing the risk of future injuries.

References
Assis, M. R., et al. (2013). Efficacy of manual therapy on pain, impact of disease, and quality of life in the treatment of fibromyalgia: A systematic review. Pain Physician, 16(5), E493–E505. https://pubmed.ncbi.nlm.nih.gov/
Cordero, M. D. (2010). Oxidative stress in fibromyalgia: From pathology to treatment. Current Rheumatology Reviews, 6(3), 178–183. https://pubmed.ncbi.nlm.nih.gov/

The Science of Fibromyalgia: What’s Going On Under the Hood

To understand why chiropractic care works, let’s take a peek at the science behind fibromyalgia. Recent research has illuminated its complex mechanisms, and here’s the CliffsNotes version:

  • Central Sensitization: Fibromyalgia involves an overactive pain-processing system, where the brain and spinal cord amplify pain signals (Sluka & Clauw, 2016). Chiropractic adjustments may help modulate these pathways.
  • Oxidative Stress: An imbalance of free radicals and antioxidants damages tissues and worsens pain. Therapies that improve blood flow, like chiropractic care, can counteract this (Cordero, 2010).
  • Not Autoimmune (Yet): While some wonder if fibromyalgia is an autoimmune disorder, current evidence suggests it’s more about neurological and biochemical dysfunction than autoimmunity (Giacomelli et al., 2013).
  • Diagnosis Challenges: Fibromyalgia is diagnosed based on symptoms like widespread pain and fatigue, often using the American College of Rheumatology criteria. Advanced diagnostics, like those used by Dr. Jimenez, help rule out other conditions (Häuser et al., 2017).

These insights highlight why a multi-faceted approach, like ChiroMed’s, is so effective—it tackles fibromyalgia from multiple angles, addressing both symptoms and root causes.

References
Sluka, K. A., & Clauw, D. J. (2016). Neurobiology of fibromyalgia and chronic widespread pain. Neuroscience, 338, 114–129. https://doi.org/10.1016/j.neuroscience.2016.06.006
Cordero, M. D. (2010). Oxidative stress in fibromyalgia: From pathology to treatment. Current Rheumatology Reviews, 6(3), 178–183. https://pubmed.ncbi.nlm.nih.gov/
Giacomelli, C., et al. (2013). Is fibromyalgia an autoimmune disorder? Autoimmunity Reviews, 12(8), 790–795. https://pubmed.ncbi.nlm.nih.gov/
Häuser, W., et al. (2017). The diagnosis of fibromyalgia syndrome. Deutsches Ärzteblatt International, 114(22–23), 393–399. https://pubmed.ncbi.nlm.nih.gov/

Practical Tips for Managing Fibromyalgia

Living with fibromyalgia is like trying to herd cats while riding a unicycle—it’s tricky, but not impossible. Here are some practical tips, inspired by ChiroMed’s holistic approach, to help you manage symptoms and improve your quality of life:

  1. Stay Active (Gently): Low-impact exercises like walking, swimming, or yoga can boost mobility without triggering flare-ups. Start small and listen to your body.
  2. Prioritize Sleep: Create a relaxing bedtime routine and stick to consistent sleep schedules. A good night’s sleep can reduce pain and fatigue.
  3. Eat Smart: Focus on anti-inflammatory foods like fruits, vegetables, and omega-3-rich fish. Skip the processed foods and sugar, which can fuel inflammation.
  4. Manage Stress: Try mindfulness, meditation, or deep breathing to keep stress in check. It’s like giving your nervous system a warm hug.
  5. Seek Professional Care: Regular chiropractic visits at ChiroMed can keep your musculoskeletal system in check and reduce pain.
  6. Build a Support System: Connect with others who understand fibromyalgia through support groups or online communities. You’re not alone!

Conclusion: A Serious Note on Fibromyalgia and Chiropractic Care

Fibromyalgia is a complex condition that challenges every aspect of life, from physical health to emotional well-being. Its impact on the musculoskeletal system—causing widespread pain, stiffness, and reduced mobility—creates overlapping risk profiles that make daily tasks daunting. However, chiropractic care, led by experts like Dr. Alexander Jimenez at ChiroMed – Integrated Medicine in El Paso, TX, offers a powerful solution. By addressing central sensitization, improving spinal alignment, and supporting holistic wellness, chiropractic care can alleviate pain and enhance quality of life for fibromyalgia patients.

For those in El Paso dealing with personal injury cases, Dr. Jimenez’s expertise in advanced imaging, dual-scope procedures, and legal-medical liaison services ensures comprehensive care that bridges health and justice. His integrative approach, combining chiropractic care with physical therapy, nutrition, and stress management, tackles fibromyalgia from all angles, offering hope for lasting relief.

Disclaimer: This blog post is for informational purposes only and is not intended to replace professional medical advice. Fibromyalgia is a serious condition requiring individualized care. Always consult a qualified healthcare provider, such as Dr. Alexander Jimenez, DC, APRN, FNP-BC, for personalized diagnosis and treatment plans. For more information about ChiroMed’s services, visit https://chiromed.com/ or call (915) 412-6680.

Full Reference List

Assis, M. R., et al. (2013). Efficacy of manual therapy on pain, impact of disease, and quality of life in the treatment of fibromyalgia: A systematic review. Pain Physician, 16(5), E493–E505. https://pubmed.ncbi.nlm.nih.gov/

ChiroMed. (n.d.). ChiroMed – Integrated Medicine, holistic healthcare in El Paso, TX. https://chiromed.com/

Choy, E. H. (2015). The role of sleep in pain and fibromyalgia. Nature Reviews Rheumatology, 11(9), 513–520. https://doi.org/10.1038/nrrheum.2015.56

Clauw, D. J. (2014). Fibromyalgia: A clinical review. JAMA, 311(15), 1547–1555. https://doi.org/10.1001/jama.2014.3266

Cordero, M. D. (2010). Oxidative stress in fibromyalgia: From pathology to treatment. Current Rheumatology Reviews, 6(3), 178–183. https://pubmed.ncbi.nlm.nih.gov/

El Paso Chiropractor Blog. (2016, July). Fibromyalgia relief with chiropractic care. https://www.elpasochiropractorblog.com/2016/07/fibromyalgia-relief-with-chiropractic.html

Giacomelli, C., et al. (2013). Is fibromyalgia an autoimmune disorder? Autoimmunity Reviews, 12(8), 790–795. https://pubmed.ncbi.nlm.nih.gov/

Häuser, W., et al. (2017). The diagnosis of fibromyalgia syndrome. Deutsches Ärzteblatt International, 114(22–23), 393–399. https://pubmed.ncbi.nlm.nih.gov/

Jimenez, A. (n.d.). Dr. Alex Jimenez DC, APRN, FNP-C. LinkedIn. https://www.linkedin.com/in/dralexjimenez/

Sluka, K. A., & Clauw, D. J. (2016). Neurobiology of fibromyalgia and chronic widespread pain. Neuroscience, 338, 114–129. https://doi.org/10.1016/j.neuroscience.2016.06.006

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

Bone Density Test and Its Importance for Health

What is a bone density test, how is it performed, and what do the results mean?

Bone Density Test

A bone density test examines bone mass, which indicates overall bone strength. Assessing bone density or mass is necessary for diagnosing osteopenia or osteoporosis, conditions that increase the risk of broken bones. The scan is performed through dual-energy X-ray absorptiometry (DEXA), which examines the thickness of the bones. Results from DEXA scans are compared to standardized values to determine whether bone density is lower than normal and whether osteopenia or osteoporosis is present.

Examination

The procedure examines bone density, or bone mass. The bones’ density, or mass, is an overall indicator of bone strength. The greater the bone density, the thicker and stronger the bones are. The test is used to diagnose osteoporosis, a condition characterized by brittle bones at risk of breaking due to significantly low bone density. A bone density test can also diagnose osteopenia, a condition characterized by lower than normal bone mass that can lead to osteoporosis. (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2025) It is recommended that all women aged 65 and older and all men aged 70 and older have a bone density scan to screen for bone loss to help prevent fractures. (Kling J. M., Clarke B. L., & Sandhu N. P. 2014)

  • Bone density scans can establish a baseline level of bone density and track changes over time.
  • For individuals with osteoporosis or osteopenia, a bone density scan can help track how well their bones respond to treatment.

Procedure

The most common bone density test is a dual-energy X-ray absorptiometry, or DEXA, scan. A DEXA scan is similar to getting an X-ray taken, but it uses two beams to produce a more detailed and sensitive reading. (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2025)

  • During a DEXA scan, the patient will lie on their back on a table with their legs elevated on a padded platform.
  • An X-ray scanner will pass over the spine and hips while another scans beneath.
  • While the scan takes place, the patient will be asked to hold very still to obtain an accurate image.
  • The scan will obtain bone density readings from the spine and hip, the two most commonly fractured bones, and generally takes less than 30 minutes.

Results

A DEXA scan measures bone density in grams per centimeter squared (g/cm²). This number indicates how densely bone cells are packed together in a specific area of bone. This bone density reading is then compared to a standardized value to determine if bone density is within a normal range or lower than average.

For postmenopausal women and men aged 50 and older, bone density values are given a T score. The T-scores are then compared to a standardized bone density level of a healthy 30-year-old adult with peak bone density levels. (Kling J. M., Clarke B. L., & Sandhu N. P. 2014) Scores indicate the following: (Kling J. M., Clarke B. L., & Sandhu N. P., 2014)

  • Equal to minus 1.0 or above: Normal bone density
  • Between minus 1.0 and minus 2.5: Low bone density (osteopenia)
  • Equal to minus 2.5 or below: Osteoporosis
  1. Bone density values are reported as a Z score for women who have not undergone menopause and men under 50 years old.
  2. Z scores are compared to bone density levels of individuals of the same age and sex.
  3. A Z score of minus 2.0 or lower indicates low bone density, which can be caused by factors other than aging, such as medication side effects, nutritional deficiencies, or thyroid problems.

Arthritis Diagnosis 

Because a DEXA scan only measures the thickness of bones, it doesn’t work to diagnose arthritis. An X-ray of the affected joint is currently the most accurate way to diagnose arthritis. The Kellgren-Lawrence classification system categorizes the extent of arthritis based on the severity of joint damage seen on an X-ray. According to this system, arthritis can be classified as: (Kohn M. D., Sassoon A. A., & Fernando N. D. 2016)

Grade 1 (minor)

  • Minimal or no joint space narrowing, with possible bone spur formation.

Grade 2 (mild)

  • Possible joint space narrowing, with definite bone spur formation.

Grade 3 (moderate)

  • Definite joint space narrowing, moderate bone spur formation, mild sclerosis (abnormal thickening of bone), and possible deformation of bone ends.

Grade 4 (severe)

  • Severe joint space narrowing, large bone spur formation, marked sclerosis, and definite deformation of bone ends.

Injury Medical Chiropractic & Functional Medicine Clinic

Exercise can be incredibly beneficial for improving bone density, joint mobility, and the strength of surrounding muscles, which support and protect joints and bones. Talk to a healthcare provider to learn what interventions and available treatment options would be the most effective. 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.

Osteoporosis

References

National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2025). Bone mineral density tests: what the numbers mean. Retrieved from https://www.niams.nih.gov/health-topics/bone-mineral-density-tests-what-numbers-mean

Kling, J. M., Clarke, B. L., & Sandhu, N. P. (2014). Osteoporosis prevention, screening, and treatment: a review. Journal of women’s health (2002), 23(7), 563–572. https://doi.org/10.1089/jwh.2013.4611

Kohn, M. D., Sassoon, A. A., & Fernando, N. D. (2016). Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clinical orthopaedics and related research, 474(8), 1886–1893. https://doi.org/10.1007/s11999-016-4732-4

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

Finger Pulley Anatomy: Understanding Your Fingers’ Structure

Finger pulley injuries are unique digital injuries distinct from sprains or dislocations. They occur specifically in rock climbers and occasionally in baseball pitchers. What are the symptoms, diagnoses, and treatments available?

Finger Pulley Injury

A finger pulley injury, common in activities like climbing, involves damage to the fibrous bands (pulleys) that hold tendons against bones. This causes pain, swelling, and potentially bowstringing of the tendons.

  • Finger pulleys are structures that hold tendons against the bones of the fingers.
  • Injury symptoms include pain, swelling, and a popping sound heard at the time of the injury.
  • Finger pulley injuries, or ruptures of the digital pulley, are seen almost exclusively in rock climbers. (Miro P. H. et al., 2021)

This activity stresses the digits when maneuvering along uneven surfaces while supporting the entire body’s weight. The injuries result from the mechanics of the finger tendons and joints and the position the fingers hold while rock climbing. Rock climbing has grown in popularity. The only other sport in which this injury has been described is baseball, in pitchers. The forces acting on the finger are very different in these activities, but both place high stress on the finger pulleys.

Digital Pulleys

Everyone has structures in their fingers called digital pulleys. These pulleys hold the tendons against the bones of the fingers. Each finger has eight pulleys, but only two are considered critical to prevent the finger tendons’ bowstringing (when one pulley gives out or ruptures). This can result in various injury outcomes, from a simple strain of the pulley to ruptures of multiple pulleys in a single digit. Pain, stiffness, and an inability to fully flex the finger can occur. (Carruthers K. H., Skie M., & Jain M. 2016) In severe situations, when the tendons are bowstringing, the tendon may lift away from the finger when making a fist.

Symptoms

Pain and Tenderness

  • Localized pain and tenderness at the finger’s base, particularly when gripping or bending. Pain on the palm side of finger and tenderness with pressure

Swelling

  • Swelling and bruising around the affected finger joint, especially on the palm side.

Popping Sound

Stiffness and Difficulty Bending

  • Stiffness and pain when bending the fingers or difficulty gripping. Difficulty forming a fist

Bowstringing

  • Visible displacement of the tendon from its normal position, causing a bulge at the finger’s base.

Most commonly, the middle or index digit is the injured finger. The two critical pulleys in the finger are designated the A2 and A4. (Carruthers K. H., Skie M., & Jain M. 2016) Individuals may see swelling, redness, and inflammation at the base of the finger (A2) and/or in the space between the two finger joints closest to the tip of the finger (A4). In rock climbers, either or both of those pulleys may be injured. In baseball pitchers, the injury is typically isolated to the A4 pulley.

Causes

  • Overuse and Repetitive Strain: Frequent or intense gripping or crimping, common in rock climbing and other activities, can cause pulley injuries.
  • Dynamic or Sudden Movements: Desperate or dynamic moves or poor technique can lead to injury.
  • Excessive Force: Pulleys can rupture when the force exerted on them is too great.
  • Mechanism of injury: The A2 pulley is the most commonly injured, followed by the A4 pulley.

Diagnosis

Emergency treatment is generally unnecessary. However, it is important to have suspected digital pulley injuries examined by a specialist within several days to a week after the injury. The most important aspect of an evaluation is determining whether the injury has caused the bowstringing of the tendons. Imaging tests may be performed to help with the diagnosis and plan treatment. An ultrasound is recommended as the initial imaging technique. (Miro P. H. et al., 2021)

If an ultrasound is inconclusive, an MRI may be advised. Sometimes, an MRI is performed with the finger held straight and then bent to see if the tendons are bowstringing. An X-ray can also help exclude other causes of finger pain, including sprains and fractures.

Treatment

Conservative Care

  • Immobilization, physical therapy, and pulley-protective measures, such as splints or taped fingers, are often used.

Surgery

  • Surgery may be necessary for severe grade IV injuries where conservative care fails.
  • Only in situations where there are multiple pulley ruptures or if there is delayed treatment should surgery be necessary.

Rehabilitation

  • Focuses on regaining flexibility, strength, and grip function through exercises and physical therapy.

If the tendons do not bowstring, treatment usually protects the injured finger until swelling and pain subside. If there is bowstringing of the tendons, more careful management of the injury is needed. Individuals who suspect a pulley injury rest or splint the finger and use nonsteroidal anti-inflammatory drugs as necessary for pain until they can get a medical evaluation. (Carruthers K. H., Skie M., & Jain M. 2016) Physical therapy is recommended for most injuries, along with immobilization, the H-tape method, and a protective pulley splint. (Miro P. H. et al., 2021) Specialized splints and therapy techniques can allow the pulleys to heal properly.

Returning to activity varies significantly with the severity of the injury. With mild pulley strains, full activity can be resumed as soon as swelling and pain have subsided. Treatment for full ruptures being treated non-surgically is typically between one and three months. For individuals requiring surgical reconstruction of a pulley injury, restrictions may apply up to a year after the surgery.

Injury Medical Chiropractic & Functional Medicine Clinic

To prevent complications, a healthcare provider should evaluate pulley injuries as soon as possible. Treatment most often consists of physical therapy, but surgery may be necessary. 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.

Sports Injury Treatments

References

Miro, P. H., vanSonnenberg, E., Sabb, D. M., & Schöffl, V. (2021). Finger Flexor Pulley Injuries in Rock Climbers. Wilderness & environmental medicine, 32(2), 247–258. https://doi.org/10.1016/j.wem.2021.01.011

Carruthers, K. H., Skie, M., & Jain, M. (2016). Jam Injuries of the Finger: Diagnosis and Management of Injuries to the Interphalangeal Joints Across Multiple Sports and Levels of Experience. Sports Health, 8(5), 469–478. https://doi.org/10.1177/1941738116658643

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

A Comprehensive Guide to Facet Arthropathy

Can individuals managing facet arthropathy treat the condition with over-the-counter pain relievers, prescription muscle relaxers, exercise, and chiropractic spinal manipulation?

Facet Arthropathy

Blog Image Facet Joint Arthritis

Facet arthropathy, or facet osteoarthritis, is arthritis that affects the facet joints in the spine. It causes pain and stiffness due to cartilage degeneration within these joints, often resulting from wear and tear associated with aging. Essentially, it occurs when the small joints in the back of the spine become arthritic and rub against each other painfully.

  • It affects the bony protrusions, called facet joints, that connect the spine’s bones.
  • Symptoms include neck and back pain that can worsen with standing, bending, or twisting.
  • Facet arthropathy is diagnosed using X-rays and other imaging studies.
  • Severe cases may require surgery.

Facet Joints

Twenty-four vertebrae form the spine, with two facet joints between each. Facet joints are small joints located at the back of each vertebra in the spine. They allow movement and stability, help maintain the alignment of the spinal bones/vertebrae, and limit excessive motion. The joints and the cushioning intervertebral disc form a three-joint complex between each vertebra.

  • The three-joint complex allows the spine to move, including bending, rotating, and extending.
  • Synovial fluid lubricates the joints so they can move.
  • The intervertebral disc provides flexibility and dissipates compressive loads.
  • The facet joints stabilize the spine by constraining rotation and bending.

Symptoms

Arthropathy refers to any disease affecting a joint, including arthritis. Osteoarthritis, also known as arthrosis, is a specific type of arthropathy. It is a non-inflammatory, degenerative arthritis. Pain is the main symptom that is typically worse in the morning when awakening, and in the evening, the pain can also get worse when twisting or bending backward. The symptoms can vary based on the part of the affected spine. Low back pain is the most common, a condition referred to as lumbar facet arthropathy because it affects the lumbar spine of the lower back. (Perolat R. et al., 2018) Common Symptoms include:

  • Muscle spasms or cramps.
  • Pain that may come in periodic flare-ups
  • Pain that worsens with standing or inactivity.
  • Dull pain on both sides of the spine.
  • Aching pain on both sides of the spine.
  • Pain in the lower back, buttocks, shoulders, or back of the skull
  • Radiating pain to the buttocks and legs.
  • Pain that improves with sitting, leaning forward, or changing positions.
  • Pins-and-needles sensations in the hands or feet.
  • Clicking sounds when moving the spine.
  • Catching sensations when moving the spine.
  • Muscle weakness.

Causes

Facet arthropathy causes progressive damage to the spine. Spinal osteoarthritis, aka spondylosis, is the most common cause, but it can also occur with a severe form of spinal arthritis known as ankylosing spondylitis. It is primarily due to age-related wear and tear, but injuries or repetitive stress on the spine can also cause it. Arthritis in the facet joints can develop due to:

  • Aging-related wear and tear
  • Disc problems
  • A previous back injury
  • Torn ligaments
  • Spinal fractures

Deterioration of facet joints can also cause bony overgrowths called osteophytes or bone spurs, which can cause radiating pain and restrict the spine’s range of motion.

Degeneration

  • The facet joints and intervertebral discs degenerate due to age-related wear and tear.
  • The cartilage in the facet joints can dry out, crack, and wear down.
  • The joint capsule and synovial membrane can inflame or tear, affecting synovial fluid production.
  • The loss of cartilage can lead to hypermobility, and the joint can stiffen over time.

Diagnosis

Imaging studies are important to the diagnosis. Several types confirm the diagnosis and also characterize the nature and severity of the condition:

  • X-rays provide a plain, black-and-white image of the spinal column.
  • CT scan composites multiple X-rays to create a three-dimensional image of the spinal column.
  • MRI uses magnetic and radio waves to generate images of soft tissues like ligaments and cartilage.

To confirm the diagnosis, a diagnostic block, which is a small amount of local anesthetic, is injected into a facet joint. The needle placement is directed either with an ultrasound or a CT scan. Facet arthroplasty is confirmed if the injection provides immediate relief (American Academy of Orthopaedic Surgeons, 2022). The healthcare provider will want to exclude other possible causes as part of the differential diagnosis. Conditions that mimic facet arthropathy include:

  • Herniated disc
  • Psoriatic arthritis
  • Reactive arthritis
  • Spinal gout
  • Spinal compression fracture

Treatment

The treatment varies based on its location and severity. Generally, conservative treatments are used before more invasive procedures are considered.

Lifestyle Changes

  • Initially, a healthcare provider may recommend rest and avoiding aggravating movements, including any activity that involves bending or twisting.
  • Activities that take the weight off the facet joint, such as sitting, leaning forward, or changing positions, may help ease the pain.
  • Patients may also be advised to adjust their sleep positions to take the pressure off facet joints.
  • Options included curling up on your side or lying on your back with the knees supported with pillows.

Medications

If a diagnostic block is used, a patient may not need medications immediately. However, as the anesthetic starts to wear off, the patient may be prescribed over-the-counter or prescription pain relievers based on the severity of the pain. These can include:

  • Analgesics like Tylenol
  • Nonsteroidal anti-inflammatory drugs like Advil or Aleve
  • Muscle relaxants like Lloresal for acute back pain
  • Antidepressants like Cymbalta for chronic back pain

Physical Therapy

Physical therapy is a major part of the treatment of lower back pain. The treatment plan will include personalized exercises to strengthen the core muscles and avoid stress on the spine. Examples include:

  • Mechanical traction and non-surgical to decompress the spine.
  • Knee-to-chest stretches, hugging your knees for 30 to 60 seconds.
  • Walking 10 to 20 minutes per day.
  • Aquatic therapy to alleviate pressure on the spine.

Surgery

If conservative measures don’t work or provide sufficient relief, a healthcare provider may recommend specialist procedures or surgeries that include:

  • Lumbar intra-articular injections deliver an anesthetic or corticosteroid into the spine for longer-lasting pain relief.
  • Sinuvertebral nerve ablation destroys spinal nerves with a strong electrical current.
  • Extracorporeal shockwave therapy ESWT delivers low- or high-energy electrical pulses to help ease pain.
  • Spinal fusion surgery involves fusing two or more vertebrae to eliminate movement and pain in the facet joints.
  • Facet rhizotomy is a surgical procedure used to sever one of the nerves supplying the facet joint.
  • Stem cell regeneration is an experimental procedure in which stem cells are harvested and injected into damaged joints to restore function.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. 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.

Facet Syndrome Pain Treatment

References

Perolat, R., Kastler, A., Nicot, B., Pellat, J. M., Tahon, F., Attye, A., Heck, O., Boubagra, K., Grand, S., & Krainik, A. (2018). Facet joint syndrome: from diagnosis to interventional management. Insights into imaging, 9(5), 773–789. https://doi.org/10.1007/s13244-018-0638-x

American Academy of Orthopaedic Surgeons. (2022). Spinal injections. https://orthoinfo.aaos.org/en/treatment/spinal-injections/

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

Exploring Nociceptors: Detecting and Reacting to Pain

Can understanding how nociceptors function and their role in processing pain signals help individuals who are managing injuries and/or living with chronic pain conditions?

Nociceptors

Nociceptors are nerve endings that detect harmful stimuli, such as extreme temperatures, pressure, and chemicals, and signal pain. They are the body’s first defense against potentially damaging environmental inputs.

  • Nociceptors are in the skin, muscles, joints, bones, internal organs, deep tissues, and cornea.
  • They detect harmful stimuli and convert them into electrical signals.
  • These signals are sent to the brain’s higher centers.
  • The brain interprets the signals as pain, which prompts the body to avoid the harmful stimulus.

Nociceptors, often called pain receptors, are free nerve endings all over the body. They play a pivotal role in how the body feels and reacts to pain. The main purpose of a nociceptor is to respond to damage to the body by transmitting signals to the spinal cord and brain. (Purves D, Augustine GJ, Fitzpatrick D, et al., editors. 2001) If you bang your foot, the nociceptors on the skin are activated, sending a signal to the brain via the peripheral nerves to the spinal cord. Pain resulting from any cause is transmitted this way. Pain signals are complex, carrying information about the stimuli’s location and intensity. This causes the brain to fully process the pain and send communication back to block further pain signals.

Classification

There are different classes of nociceptors, which are based on which type of stimuli they respond to (University of Texas McGovern Medical School, 2020)

Thermal

  • Thermal nociceptors respond to extreme hot or cold temperatures.
  • For instance, when touching a hot stove, the nociceptors, which signal pain, are activated immediately, sometimes before you know what you’ve done.

Mechanical

  • Mechanical nociceptors respond to intense stretching or strain, such as pulling a hamstring or straining a tendon.
  • The muscles or tendons are stretched beyond their ability, stimulating nociceptors and sending pain signals to the brain.

Chemical

  • Chemical nociceptors respond to chemicals released from tissue damage.
  • For example, prostaglandins and substance P or external chemicals like topical capsaicin pain creams.

Silent

  • Silent nociceptors must be first activated by tissue inflammation before responding to a mechanical, thermal, or chemical stimulus.
  • Most visceral nociceptors are located on organs in the body.

Polymodal

  • Polymodal nociceptors respond to mechanical, thermal, and chemical stimuli.

Mechano-thermal

  • Mechano-thermal nociceptors respond to mechanical and thermal stimuli.

Pain Transmission

Nociceptors are also classified by how fast they transmit pain signals. Transmission speed is determined by the type of nerve fiber known as an axon a nociceptor has. There are two main types.

  • The first type is A fiber axon, fibers surrounded by a fatty, protective sheath called myelin.
  • Myelin allows nerve signals/action potentials to travel rapidly.
  • The second type is C fiber axons, which are not surrounded by myelin and transmit slower. (University of Texas McGovern Medical School, 2020)

Because of the difference in transmission speed, the pain signals from the A fibers reach the spinal cord first. As a result, after an acute injury, an individual experiences pain in two phases, one from the A fibers and one from the C fibers. (Ngassapa D. N. 1996)

Pain Perception Phases

When an injury occurs, the stimulated nociceptors activate the A fibers, causing a person to experience sharp, prickling pain.

  1. This is the first phase of pain, known as fast pain, because it is not especially intense but comes right after the stimulus.
  2. During the second phase of pain, the C fibers are activated, causing an intense, burning pain that persists even after the stimulus has stopped.
  3. The fact that the C fibers carry burning pain explains why there is a short delay before feeling the sensation.
  4. The C fibers also carry aching, sore pain caused by organs within the body, such as a sore muscle or stomachache. (Ngassapa D. N. 1996)

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. 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.

From Injury To Recovery With Chiropractic Care

References

Purves D, A. G., Fitzpatrick D, et al., editors. (2001). Nociceptors. In Neuroscience. 2nd edition. (2nd ed.). Sunderland (MA): Sinauer Associates. https://www.ncbi.nlm.nih.gov/books/NBK10965/

University of Texas McGovern Medical School. (2020). Chapter 6: Pain Principles. https://nba.uth.tmc.edu/neuroscience/m/s2/chapter06.html

Ngassapa D. N. (1996). Comparison of functional characteristics of intradental A- and C-nerve fibres in dental pain. East African medical journal, 73(3), 207–209.