Care is the cornerstone of our practice

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

Tag: lumbar

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

Good Posture: Correcting Common Back Pain Issues

Find out how back pain affects daily life and what you can do to achieve good posture, proper alignment, and comfort.

Chiropractic Care and Good Posture: Your Allies Against Low Back Pain

Introduction

Picture this: you’re slouched over your desk, battling a deadline, when suddenly your lower back starts yelling, “Enough already!” Low back pain is like that annoying neighbor who keeps borrowing your tools and never returns them—it’s persistent and frustrating. But don’t worry, there’s hope! Chiropractic care and good posture are like the superheroes of back health, swooping in to save the day. In this comprehensive guide, we’ll explore how chiropractic care can help reduce low back pain, why posture matters, and how Dr. Alexander Jimenez, a renowned chiropractor in El Paso, TX, is making a difference for patients, including those with personal injury cases. So, sit up straight (or at least try), and let’s dive in!

Understanding Low Back Pain

Low back pain is a global health issue, affecting up to 80% of adults at some point in their lives (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2021). It’s the leading cause of disability worldwide, costing economies over $100 billion annually (Dagenais et al., 2008). Whether it’s a dull ache or a sharp stab, low back pain can make everyday tasks like bending, lifting, or even sitting feel like climbing Mount Everest.

Causes of Low Back Pain

The lumbar spine, the lower part of your back, is a complex structure of bones, muscles, ligaments, and nerves that supports your body and allows movement. When something goes wrong, it can lead to pain. Common causes include:

  • Muscle or Ligament Strain: Overexertion, like lifting a heavy box or twisting awkwardly, can strain muscles or sprain ligaments.
  • Disc Issues: Bulging or herniated discs can press on nerves, causing pain or numbness.
  • Arthritis: Osteoarthritis or other forms can narrow the spinal canal (spinal stenosis), leading to discomfort.
  • Skeletal Irregularities: Conditions like scoliosis (sideways spine curvature) or lordosis (excessive inward curvature) can contribute to pain.
  • Osteoporosis: Weak, brittle bones increase the risk of compression fractures in the spine.

Low back pain can be acute (lasting less than 6 weeks), subacute (6-12 weeks), or chronic (over 12 weeks). Chronic pain affects about 23% of those with low back pain, significantly impacting daily life (Hartvigsen et al., 2018).

Impact on Daily Life

Low back pain doesn’t just hurt—it can disrupt your routine. Imagine trying to tie your shoes, carry groceries, or play with your kids when every move feels like a chore. It can lead to missed workdays, reduced physical activity, and even emotional stress. For active individuals, like athletes or those with demanding jobs, chronic low back pain can be particularly debilitating, limiting performance and quality of life (George & Goode, 2018).

CauseDescriptionImpact on Daily Life
Muscle/Ligament StrainOveruse or improper movement strains muscles or ligaments.Difficulty bending, lifting, or sitting comfortably.
Herniated DiscDisc bulges or ruptures, pressing on nerves.Pain, numbness, or weakness in legs; limited mobility.
ArthritisInflammation or degeneration narrows spinal canal.Stiffness, chronic pain, reduced range of motion.
Scoliosis/LordosisAbnormal spine curvature increases stress on back.Pain during prolonged standing or sitting.
OsteoporosisBrittle bones lead to fractures.Sudden pain, limited movement, risk of further injury.

References

The Role of Posture in Low Back Pain

Posture is how you hold your body while standing, sitting, or moving. Good posture aligns your ears, shoulders, hips, knees, and ankles, reducing strain on your spine. Poor posture, like slouching or hunching, is like asking your back to carry a backpack full of bricks—it’s going to complain eventually.

How Poor Posture Contributes to Pain

Poor posture increases mechanical stress on the lumbar spine, leading to muscle imbalances, joint strain, and pain. For example, forward head posture (common from staring at screens) shifts your center of gravity, forcing your lower back to compensate. Research suggests that prolonged poor posture is a potential risk factor for lumbar spine injuries (Czarnota et al., 2020). Specific postural issues include:

  • Lordosis: Excessive inward curve of the lower back, often linked to disc herniation.
  • Sway-Back: Forward head and flattened lumbar curve, increasing stress on the spine.
  • Kyphosis: Excessive upper back curvature, which can strain the lower back.
  • Flat Back: Reduced lumbar curve, leading to instability and pain.
  • Scoliosis: Sideways spine curvature, affecting 2-3% of the population, often causing pain (Czarnota et al., 2020).

Benefits of Good Posture

Good posture reduces stress on your spine, improves muscle balance, and enhances overall body function. It’s like giving your back a well-deserved spa day. Studies indicate that maintaining proper posture can help prevent low back pain and improve symptoms in those already affected (El Paso Back Clinic, n.d.). Simple habits, like standing tall or sitting with back support, can make a big difference.

Postural IssueDescriptionImpact on Low Back Pain
LordosisExcessive lumbar curveIncreases risk of disc herniation
Sway-BackFlattened lumbar regionCompensatory stress on lower back
KyphosisExcessive upper back curveStrains lumbar spine
Flat BackReduced lumbar curveCauses instability and pain
ScoliosisSideways spine curvatureLeads to uneven load and pain

References

Chiropractic Care for Low Back Pain

Chiropractic care is like a tune-up for your spine. It’s a non-invasive, drug-free approach that focuses on aligning the musculoskeletal system, particularly the spine, to improve function and reduce pain. Chiropractors use techniques like spinal manipulation, where they apply controlled force to joints to restore mobility.

How It Works

Spinal manipulation aims to correct misalignments (subluxations) that can irritate nerves and cause pain. By restoring joint motion, chiropractic care may reduce pain and improve function. For acute low back pain, spinal manipulation combined with usual care has shown small but significant short-term benefits (Rubinstein et al., 2012). For chronic pain, it may provide relief when paired with other treatments, though results are less conclusive (Park et al., 2023).

Other Chiropractic Techniques

Beyond adjustments, chiropractors may use:

  • Soft Tissue Therapy: Massage or stretching to relax muscles.
  • Exercise Therapy: Tailored exercises to strengthen the core and improve flexibility.
  • Lifestyle Advice: Tips on posture, ergonomics, and nutrition.

Research supports chiropractic care’s effectiveness, with studies showing improvements in pain and disability for low back pain patients (Bronfort et al., 2010). However, it’s not a one-size-fits-all solution, and outcomes vary based on individual factors.

References

  • Bronfort, G., Haas, M., Evans, R., Leininger, B., & Triano, J. (2010). Effectiveness of manual therapies: The UK evidence report. Chiropractic & Osteopathic Medicine, 18(1), 3. https://doi.org/10.1186/1746-1340-18-3
  • Rubinstein, S. M., Terwee, C. B., Assendelft, W. J., de Boer, M. R., & van Tulder, M. W. (2012). Spinal manipulative therapy for acute low back pain: An update of the Cochrane Review. Spine, 37(3), 254-262. https://doi.org/10.1097/BRS.0b013e318223ae4c
  • Park, S. C., Kang, M.-S., Yang, J. H., & Kim, T.-H. (2023). Assessment and nonsurgical management of low back pain: A narrative review. The Korean Journal of Internal Medicine, 38(1), 16-26. https://doi.org/10.3904/kjim.2022.250

Postural Assessment: The Key to Identifying Issues

Postural assessment is like a detective game for your spine. It involves evaluating your body’s alignment to spot imbalances that might contribute to pain. Chiropractors use various methods to assess posture, ensuring they target the root cause of your discomfort.

Methods of Postural Assessment

  • Visual Observation: Checking posture from front, side, and back views for deviations like uneven shoulders or hips.
  • Plumb Line: A weighted line ensures alignment from head to ankles.
  • Photography: Captures posture for detailed analysis.
  • Photogrammetry: Uses software to measure angles and distances, considered highly reliable (Singla & Veqar, 2014).
  • Flexiruler: Measures spinal curvature.
  • Electromagnetic Tracking: Tracks posture in real-time with sensors.

Postural assessment helps identify issues like forward head posture or pelvic tilt, which can contribute to low back pain. It’s a critical step in creating a personalized treatment plan (Czarnota et al., 2020).

References

Can Core Exercises Help With Back Pain- Video

Clinical Insights from Dr. Alexander Jimenez

Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a chiropractic and nurse practitioner powerhouse in El Paso, TX. With over 25 years of experience, he runs Injury Medical & Chiropractic Clinic, where he tackles low back pain with a multidisciplinary approach (https://dralexjimenez.com/). “Good posture is the foundation of health,” Dr. Jimenez says. “When your posture is off, it’s like driving a car with misaligned wheels—it’s going to cause problems.”

Dr. Jimenez’s Approach

Dr. Jimenez combines:

  • Chiropractic Adjustments: To correct spinal misalignments.
  • Functional Medicine: Addressing systemic issues like inflammation or nutrition.
  • Rehabilitation Exercises: Strengthening core muscles and improving posture.
  • PUSH-as-Rx System: A functional fitness program to enhance mobility and strength.

His dual licensure allows him to use advanced diagnostics, like imaging and blood panels, to pinpoint the causes of pain. Patients praise his thoroughness, with many reporting significant pain relief (https://www.yelp.com/biz/alex-jimenez-dc-injury-medical-and-chiropractic-clinic-el-paso-8).

References

Personal Injury Cases and Chiropractic Care

Accidents like car crashes or slips can leave you with low back pain that lingers like an unwanted guest. Chiropractic care is a go-to option for personal injury victims, offering pain relief and improved mobility without drugs or surgery. Dr. Jimenez excels in this area, using advanced imaging and diagnostics to document injuries for legal purposes while providing top-notch care (https://elpasobackclinic.com/).

Benefits in Personal Injury

  • Pain Management: Reduces discomfort through adjustments and therapy.
  • Mobility Restoration: Helps regain range of motion.
  • Legal Documentation: Dr. Jimenez collaborates with attorneys to provide detailed injury reports.

Early intervention is key, as it can prevent chronic pain and speed recovery. Dr. Jimenez’s expertise makes him a trusted choice for El Paso’s personal injury patients.

References

Tips for Maintaining Good Posture

Good posture isn’t just for impressing your grandma—it’s a game-changer for your back. Here are some practical tips to keep your spine happy:

  1. Stand Tall: Imagine a string pulling you up from your head. Keep shoulders back, chest open, and weight evenly distributed.
  2. Sit Smart: Feet flat, knees at hip level, back supported with a small pillow if needed.
  3. Move Often: Take breaks every 30 minutes to stretch or walk.
  4. Ergonomic Workspace: Screen at eye level, keyboard allowing 90-degree elbow bend.
  5. Core Strength: Try planks or bridges to support your spine.
  6. Stretch Daily: Focus on chest, hips, and hamstrings to release tension.
  7. Stay Mindful: Catch yourself slouching? Fix it!

These habits can reduce strain and prevent pain (El Paso Back Clinic, n.d.).

References

Case Study: John’s Journey to Pain-Free Living

Meet John, a 45-year-old office worker who battled chronic low back pain from years of slouching at his desk. Frustrated with temporary fixes, he visited Dr. Jimenez. A postural assessment revealed forward head posture and a flattened lumbar curve. Dr. Jimenez crafted a plan with adjustments, core exercises, and ergonomic advice. Within weeks, John’s pain decreased, and he felt more energetic. Today, he’s pain-free and stands taller, thanks to Dr. Jimenez’s care (https://elpasobackclinic.com/back-pain-specialist-el-paso-tx/).

Conclusion

Chiropractic care and good posture are powerful tools for tackling low back pain. By aligning your spine and standing tall, you can reduce pain, improve function, and boost your quality of life. Experts like Dr. Alexander Jimenez offer personalized care that makes a real difference, especially for personal injury cases. Don’t let low back pain hold you back—seek professional help and start standing straighter today.

Serious Note

Low back pain is no laughing matter. It can disrupt your life, from work to play to family time. While we’ve added some humor to keep things light, please take persistent or severe pain seriously. Consult a healthcare provider, like a chiropractor or doctor, to find the best treatment for you. Your health is worth it.

References

  • Bronfort, G., Haas, M., Evans, R., Leininger, B., & Triano, J. (2010). Effectiveness of manual therapies: The UK evidence report. Chiropractic & Osteopathic Medicine, 18(1), 3. https://doi.org/10.1186/1746-1340-18-3
  • Czarnota, J., Gawda, P., & Madej-Pilarczyk, A. (2020). Postural defects in children and adolescents: A review of literature. Journal of Clinical Medicine, 9(10), 3229. https://pubmed.ncbi.nlm.nih.gov/37655847/
  • Dagenais, S., Caro, J., & Haldeman, S. (2008). A systematic review of low back pain cost of illness studies in the United States and internationally. Spine Journal, 8(1), 8-20. https://doi.org/10.1016/j.spinee.2007.10.005
  • Hartvigsen, J., Hancock, M. J., Kongsted, A., Louw, Q., Ferreira, M. L., Genevay, S., Hoy, D., Karppinen, J., Pransky, G., Sieper, J., Smeets, R. J., & Underwood, M. (2018). What low back pain is and why we need to pay attention. The Lancet, 391(10137), 2356-2367. https://doi.org/10.1016/S0140-6736(18)30480-X
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2021). Low Back Pain Fact Sheet. https://www.niams.nih.gov/health-topics/low-back-pain
  • Park, S. C., Kang, M.-S., Yang, J. H., & Kim, T.-H. (2023). Assessment and nonsurgical management of low back pain: A narrative review. The Korean Journal of Internal Medicine, 38(1), 16-26. https://doi.org/10.3904/kjim.2022.250
  • Rubinstein, S. M., Terwee, C. B., Assendelft, W. J., de Boer, M. R., & van Tulder, M. W. (2012). Spinal manipulative therapy for acute low back pain: An update of the Cochrane Review. Spine, 37(3), 254-262. https://doi.org/10.1097/BRS.0b013e318223ae4c
  • Singla, D., & Veqar, Z. (2014). Methods of postural assessment used for sports persons. Journal of Clinical and Diagnostic Research, 8(4), LE01-LE04. https://doi.org/10.7860/JCDR/2014/7746.4225
  • Swain, C. T., Pan, F., Owen, P. J., Schmidt, H., & Belavy, D. L. (2020). No consensus on causality of spine postures or physical exposure and low back pain: A systematic review of systematic reviews. Journal of Biomechanics, 102, 109312. https://pubmed.ncbi.nlm.nih.gov/31451200/
By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care , , , , , , , , , , , , , , , ,

Chiropractic Care for Low Back Pain Relief

Find out how chiropractic care can help you regain mobility and reduce chronic pain effectively in your lower back.

Comprehensive Guide to Chiropractic Care for Low Back Pain

Introduction

Imagine waking up each morning with a nagging pain in your lower back that makes even simple tasks, such as tying your shoes or sitting at your desk, feel like a chore. Low back pain (LBP) is a reality for millions, affecting up to 84% of people at some point in their lives (Hoy et al., 2012). It’s the leading cause of disability worldwide, costing an estimated $200 billion annually in healthcare and lost productivity in the U.S. alone (Dagenais et al., 2008). But there’s hope: chiropractic care offers a non-invasive, drug-free approach to managing LBP, and it’s backed by clinical evidence.

In this guide, we’ll explore why chiropractic care is effective for reducing low back pain, diving into the anatomy of the lumbar spine, the impact of LBP on daily life, environmental factors that contribute to it, and various therapeutic techniques. We’ll also spotlight Dr. Alexander Jimenez, a distinguished chiropractor in El Paso, Texas, whose expertise in treating LBP and personal injury cases sets him apart. With a touch of dark humor to keep things light, we’ll navigate the serious science behind chiropractic care, ensuring you leave with a clear understanding of its benefits. Let’s get started—because nobody wants to live with a back that feels like it’s plotting revenge.

Understanding Low Back Pain

Definition and Prevalence

Low back pain is discomfort felt between the lower edge of the ribs and the buttocks. It can be acute (lasting less than 6 weeks), subacute (lasting 6 to 12 weeks), or chronic (lasting more than 12 weeks). It’s incredibly common, with a lifetime prevalence of up to 84% globally (Hoy et al., 2012). In any given month, about 40% of adults report LBP symptoms, and the prevalence peaks around ages 50–55, with women experiencing it more frequently than men (World Health Organization, 2023).

Anatomy of the Lumbar Spine

The lumbar spine, located in the lower back, consists of five vertebrae (L1-L5), the largest in the vertebral column, designed to bear the weight of the upper body (Bogduk & Twomey, 1997). Key components include:

  • Vertebral Bodies: Large, kidney-shaped structures that support weight.
  • Intervertebral Discs: These act as shock absorbers, with a gel-like nucleus pulposus surrounded by a tough annulus fibrosus. Degeneration or herniation of these discs can cause pain.
  • Facet Joints: Connect vertebrae, allowing movement but limiting excessive rotation.
  • Ligaments and muscles provide stability and support, with muscles like the erector spinae aiding movement and maintaining posture.
  • Nerves: The spinal cord ends at L1-L2, with the cauda equina (a bundle of nerve roots) extending below, innervating the lower body.

When these structures are compromised—such as when a disc herniates or a facet joint becomes inflamed—pain can radiate, making daily tasks a struggle. It’s like your spine is staging a sit-in, refusing to cooperate until you address the issue.

Causes of Low Back Pain

LBP can arise from various sources:

  • Mechanical Causes: Muscle strains, ligament sprains, or disc herniations are common culprits. For instance, lifting something heavy with poor form can strain muscles or cause a disc to bulge.
  • Degenerative Changes: Conditions like osteoarthritis, degenerative disc disease, or spinal stenosis often contribute to chronic LBP (Karppinen et al., 2011).
  • Systemic or Other Causes: Rarely, LBP can signal infections, tumors, or referred pain from organs; however, mechanical issues account for approximately 90% of cases (Das et al., 2023).
  • Lifestyle Factors: Poor posture, obesity, smoking, and sedentary behavior increase risk by stressing the spine or weakening supporting muscles.

Understanding these causes is like decoding a grumpy spine’s complaints—it’s the first step to finding relief.

References

The Impact of Low Back Pain

On Daily Activities

Low back pain can turn routine tasks into Herculean challenges. Bending to pick up a dropped pen, sitting through a movie, or even sleeping comfortably can become painful ordeals. For those with chronic LBP, simple movements like standing up from a chair or walking the dog can feel like navigating a minefield. It’s as if your back is saying, “You want to move? Good luck with that!”

On Quality of Life

Chronic LBP doesn’t just hurt physically—it takes an emotional toll. Persistent pain can lead to depression, anxiety, and social withdrawal, as individuals avoid activities that might worsen their symptoms (Anselmo et al., 2024). Imagine missing out on family outings or hobbies because your back is staging a protest. This can erode mental well-being and strain relationships.

Economic Impact

LBP is a major economic burden, costing the U.S. approximately $200 billion annually in healthcare expenses and lost productivity (Dagenais et al., 2008). It’s a leading cause of work absenteeism, with many individuals taking sick leave or even facing job loss due to chronic pain. For society, this means higher healthcare costs and reduced workforce efficiency—like a bad back holding the economy hostage.

References

  • Anselmo, A., Pagano, M., Cappadona, I., Cardile, D., Russo, F., Laudisio, A., Papalia, G. F., Quartarone, A., & Calabrò, R. S. (2024). A systematic review on the neuropsychological assessment of patients with LBP: The impact of chronic pain on quality of life. Journal of Clinical Medicine, 13(20), 6149. https://doi.org/10.3390/jcm13206149
  • Dagenais, S., Caro, J., & Haldeman, S. (2008). A systematic review of low back pain cost of illness studies in the United States and internationally. Spine Journal, 8(1), 8–20. https://doi.org/10.1016/j.spinee.2007.10.005

Environmental and Lifestyle Factors

Sitting Behavior and Sedentary Lifestyles

If your spine could talk, it might scream, “Get up and move!” Prolonged sitting, especially in office settings, is a significant risk factor for LBP. A study of 64 call-center employees found that 75% reported chronic or acute LBP, with those experiencing chronic pain showing a trend toward more static sitting behavior (van Dieën et al., 2019). Sitting for hours increases pressure on the lumbar discs, reduces blood flow to muscles, and weakens core support, making your spine feel like it’s stuck in a bad office chair for eternity.

FactorImpact on LBPSource
Prolonged SittingIncreases disc pressure, reduces muscle supportvan Dieën et al., 2019
Static Sitting BehaviorLinked to chronic LBP in office workersvan Dieën et al., 2019

Other Contributing Factors

  • Poor Posture: Slouching while sitting or standing strains the spine, like forcing it to carry a backpack full of bricks the wrong way.
  • Obesity: Excess weight adds stress to the lumbar spine, accelerating disc degeneration (Shiri et al., 2010).
  • Smoking: Reduces blood flow to spinal tissues, impairing healing and increasing the risk of degeneration (Shiri et al., 2010).
  • Physical Inactivity: Weak core muscles fail to support the spine, leaving it vulnerable to injury.

Addressing these factors—through the use of standing desks, weight management, or quitting smoking—can feel like giving your spine a much-needed break.

References

  • Shiri, R., Karppinen, J., Leino-Arjas, P., Solovieva, S., & Viikari-Juntura, E. (2010). The association between obesity and low back pain: A meta-analysis. American Journal of Epidemiology, 171(2), 135–154. https://doi.org/10.1093/aje/kwp356
  • van Dieën, J. H., Reeves, N. P., Kawchuk, G., & van Dillen, L. R. (2019). Low Back Pain and Its Relationship with Sitting Behavior among Sedentary Office Workers. Applied Ergonomics, 81, 102894. https://doi.org/10.1016/j.apergo.2019.102894

Chiropractic Care for Low Back Pain

What is Chiropractic Care?

Chiropractic care is like a mechanic’s tune-up for your spine. It’s a non-invasive approach that focuses on diagnosing and treating mechanical disorders of the musculoskeletal system, particularly the spine. Chiropractors use hands-on techniques, such as spinal manipulation, to restore alignment and improve function, helping your body heal without the need for drugs or surgery.

How Does It Work?

Think of your spine as a misaligned gear system. Chiropractic adjustments apply controlled force to specific joints, correcting misalignments (subluxations) that may irritate nerves or strain muscles. This can:

  • Restore joint mobility.
  • Reduce nerve compression.
  • Improve muscle coordination.
  • Enhance spinal stability.

It’s like convincing your spine to stop throwing a tantrum and work properly again. Chiropractors also provide education on posture, ergonomics, and exercises to prevent future pain.

Clinical Evidence

Research suggests chiropractic care can be effective for chronic LBP. A study by Goertz et al. (2013) found that spinal manipulation reduced pain and improved function in patients with chronic LBP. Another review noted short-term pain relief from chiropractic care, particularly for mechanical LBP (Schneider et al., 2010). However, some studies suggest that while chiropractic care is beneficial, its long-term benefits compared to other treatments, such as exercise therapy, are debated, and results vary by patient (van Middelkoop et al., 2010).

References

  • Goertz, C. M., Long, C. R., Vining, R. D., & Pohlman, K. A. (2013). Effect of chiropractic care on pain intensity and opioid use in a health system: A pragmatic randomized controlled trial. Spine, 38(4), 332–340. https://doi.org/10.1097/BRS.0b013e31827d24dc
  • Schneider, K. J., Hartzell, J., & Peterson, D. H. (2010). Management of Chronic Low Back Pain in Active Individuals Current Reviews in Musculoskeletal Medicine, 3(3-4), 135–142. https://doi.org/10.1007/s12178-010-9069-7
  • van Middelkoop, M., Rubinstein, S. M., Verhagen, A. P., Ostelo, R. W., Koes, B. W., & van Tulder, M. W. (2010). Exercise therapy for chronic nonspecific low-back pain. Best Practice & Research Clinical Rheumatology, 24(2), 193–204. https://doi.org/10.1016/j.berh.2010.01.002

The Chiropractic Approach for Pain Relief- Video

Therapeutic Techniques for Reducing Low Back Pain

Chiropractic Adjustments

Spinal manipulation is the star of the chiropractic show. By applying precise force to misaligned vertebrae, chiropractors aim to restore proper function, reduce nerve irritation, and alleviate pain. It’s like hitting the reset button on a cranky spine. Studies support its efficacy for short-term relief in chronic LBP (Schneider et al., 2010).

Complementary Therapies

  • Massage Therapy: Relaxes tight muscles and improves circulation, offering temporary relief. It’s like giving your back a spa day.
  • Exercise Therapy: Strengthens core muscles to support the spine. A review found exercise therapy effective for chronic LBP, though effects are modest (van Middelkoop et al., 2010).
  • Ergonomic Advice: Adjusting workstations to promote good posture can prevent LBP, especially for desk-bound workers.

Home Management Tips

You don’t need a chiropractor’s office to fight LBP at home. Try these:

  • Stretching: Regular stretching improves flexibility and reduces muscle tension.
  • Heat/Cold Therapy: Apply ice for the first 48 hours after injury to reduce inflammation, then switch to heat to relax muscles.
  • Posture Awareness: Stand and sit tall to avoid slouching, which strains the spine.
  • Low Heels: Swap high heels for flats to reduce spinal pressure.
  • Weight Management: Maintaining a healthy weight can help reduce the strain on your spine.

These strategies are like arming yourself with a toolkit to keep your back from staging a coup.

TechniqueDescriptionBenefit
Chiropractic AdjustmentsControlled force to align spineReduces pain, improves mobility
Massage TherapyRelaxes muscles, improves circulationTemporary pain relief
Exercise TherapyStrengthens core musclesEnhances spinal stability
Heat/Cold TherapyIce reduces inflammation; heat relaxes musclesManages acute and chronic pain
Ergonomic AdjustmentsOptimizes workstation setupPrevents posture-related pain

References

  • Schneider, K. J., Hartzell, J., & Peterson, D. H. (2010). Management of chronic low back pain in active individuals. Current Reviews in Musculoskeletal Medicine, 3(3-4), 135–142. https://doi.org/10.1007/s12178-010-9069-7
  • van Middelkoop, M., Rubinstein, S. M., Verhagen, A. P., Ostelo, R. W., Koes, B. W., & van Tulder, M. W. (2010). Exercise therapy for chronic nonspecific low-back pain. Best Practice & Research Clinical Rheumatology, 24(2), 193–204. https://doi.org/10.1016/j.berh.2010.01.002

Dr. Alexander Jimenez and Personal Injury

Introduction to Dr. Jimenez

Dr. Alexander Jimenez is a beacon of hope for those battling low back pain in El Paso, Texas. A board-certified chiropractor and nurse practitioner, Dr. Jimenez has over 30 years of experience, blending chiropractic care with functional medicine to offer holistic solutions. His clinic, ChiroMed – Integrated Medicine, is a hub for personalized care, focusing on conditions like LBP, sciatica, and personal injury-related pain (https://www.linkedin.com/in/dralexjimenez/).

Expertise in Personal Injury Cases

Dr. Jimenez stands out in treating victims of personal injuries, including those resulting from car accidents or workplace incidents. His approach includes:

  • Advanced Imaging: Using MRI and CT scans to pinpoint issues like disc herniations or facet joint dysfunction.
  • Diagnostic Evaluations: Thorough assessments to identify the exact cause of pain, ensuring targeted treatment.
  • Personalized Treatment Plans: Combining chiropractic adjustments, physical therapy, and lifestyle advice tailored to each patient.

Liaison Between Legal and Medical Services

In personal injury cases, Dr. Jimenez acts as a vital link between medical treatment and legal documentation. He provides detailed reports and diagnostic evidence to support injury claims, helping patients navigate the legal system while focusing on recovery. His expertise ensures that injuries are accurately documented, making him a trusted advocate for those seeking justice and healing.

References

Case Studies and Patient Testimonials

While specific patient stories are not publicly available, Dr. Jimenez’s website (https://dralexjimenez.com/) features testimonials highlighting successful outcomes for LBP and personal injury cases. Patients often praise his comprehensive approach, noting significant pain reduction and improved mobility after treatment. These stories underscore the real-world impact of chiropractic care, turning skeptics into believers—one adjusted spine at a time.

Conclusion

Chiropractic care offers a compelling, evidence-based approach to reducing low back pain, addressing both symptoms and underlying causes. By focusing on spinal alignment, joint mobility, and lifestyle changes, chiropractors like Dr. Alexander Jimenez help patients reclaim their lives from the grip of LBP. While the effectiveness of chiropractic care is supported by research, individual results vary, and it’s crucial to work with a qualified professional to tailor treatment to your needs.

Disclaimer: This guide is for informational purposes only and should not replace professional medical advice. Consult a healthcare provider to determine the best treatment plan for your low back pain. Your spine deserves a fair trial, not a life sentence of pain.

References

  • Bogduk, N., & Twomey, L. T. (1997). Clinical anatomy of the lumbar spine. Churchill Livingstone.
  • Dagenais, S., Caro, J., & Haldeman, S. (2008). A systematic review of low back pain cost of illness studies in the United States and internationally. Spine Journal, 8(1), 8–20. https://doi.org/10.1016/j.spinee.2007.10.005
  • Goertz, C. M., Long, C. R., Vining, R. D., & Pohlman, K. A. (2013). Effect of chiropractic care on pain intensity and opioid use in a health system: A pragmatic randomized controlled trial. Spine, 38(4), 332–340. https://doi.org/10.1097/BRS.0b013e31827d24dc
  • Hoy, D., Bain, C., Williams, G., March, L., Brooks, P., Blyth, F., Woolf, A., Vos, T., & Buchbinder, R. (2012). A systematic review of the global prevalence of low back pain. Arthritis & Rheumatism, 64(6), 2028–2037. https://doi.org/10.1002/art.34347
  • Karppinen, J., Shen, F. H., Luk, K. D., Andersson, G. B., Cheung, K. M., & Samartzis, D. (2011). Management of degenerative disk disease and chronic low back pain. Orthopedic Clinics of North America, 42(4), 513–528. https://doi.org/10.1016/j.ocl.2011.07.009
  • Schneider, K. J., Hartzell, J., & Peterson, D. H. (2010). Management of chronic low back pain in active individuals. Current Reviews in Musculoskeletal Medicine, 3(3-4), 135–142. https://doi.org/10.1007/s12178-010-9069-7
  • van Dieën, J. H., Reeves, N. P., Kawchuk, G., & van Dillen, L. R. (2019). Low Back Pain and Its Relationship with Sitting Behavior among Sedentary Office Workers. Applied Ergonomics, 81, 102894. https://doi.org/10.1016/j.apergo.2019.102894
  • World Health Organization. (2023). Low back pain. https://www.who.int/news-room/fact-sheets/detail/low-back-pain
By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Sleep Hygiene , , , , , , , , , , , , , , , , ,

Pseudoarthrosis After Spinal Fusion Surgery Explained

What is pseudoarthrosis of the cervical and lumbar spine?

Pseudoarthrosis of the cervical and lumbar spine

Individuals may need a spinal fusion to treat a fractured vertebra, scoliosis, or conditions like spinal stenosis, degenerative disc disease, and spondylolisthesis/slipped vertebrae. A spinal fusion reduces pain and stabilizes the spine by limiting movement between vertebrae. Pseudoarthrosis happens when the bones don’t heal after a fracture or bone surgery. When pseudoarthrosis affects the cervical or lumbar spine, it means that two vertebrae did not heal and grow together after spinal surgery to fuse them (spinal fusion). Reasons for a failed spinal fusion include:

  • Issues with the instruments used to stabilize the bone
  • Lack of bone growth
  • The number of vertebrae being fused.

The patient’s health and lifestyle play a role in failed fusions, which can include

  • Diabetes
  • Inflammatory health conditions increase the risk
  • Smoking
  • Long-term steroid use

In many cases, revision surgery is needed.

Surgery-Related

During a spinal fusion, surgeons insert a bone graft between two vertebrae and then apply spinal fixation hardware (instrumented spinal fusion) that includes:

  • Plates
  • Rods
  • Screws
  1. The bone graft promotes growth between the two bones.
  2. The hardware stabilizes the vertebrae and prevents movement while they fuse and grow together.
  3. The hardware goes inside, or internal fixation.
  4. Although rare, a severe spinal fracture or deformity may need external fixation.
  5. A rigid frame secured outside the body helps to stabilize the bones.

If the fusion fails, it could be caused by one or more of the following surgical issues:

Number of Vertebrae Being Fused

Hardware

  • The surgeon must carefully plan and use the right hardware.
  • The type of hardware used during a spinal fusion may influence bone healing.
  • The instruments can come loose or break, interfering with the fusion process.
  • Spinal osteoporosis, having thin, weak bones, can affect fixation.
  • Even with the optimal surgical preparedness, weak bones significantly increase the chance of the instruments loosening and pseudoarthrosis developing.

Bone Graft

  • The type of bone graft used may affect the fusion.
  • For example, in cervical/neck spinal fusions, an autograft, which uses a small piece of bone from the patient’s body, has a higher success rate. (Verla T. et al., 2021)
  • Other graft options include specialized steel cages that fit between vertebrae and contain bone growth factors.
  • The surgeon recommends the optimal bone graft for the type of surgery, the number of vertebrae involved, and risk factors.

Risk Factors

  • The patient’s overall health and lifestyle impact the results of spinal fusion. Smoking increases the risk. (Berman D. et al., 2017)
  • Nicotine restricts blood circulation, decreases bone density, reduces new bone formation, and delays bone healing. (Hernigou J., & Schuind F., 2019)

The risk of pseudoarthrosis increases if the individual has any of the following: (Scoliosis Research Society, 2023)

  • Previous pseudoarthrosis
  • Obesity
  • Chronic steroid use
  • Malnutrition
  • Inflammatory diseases

Inflammatory conditions that can lead to bone loss and non-optimal bone healing include: (Torres H. M. et al., 2023)

  • Diabetes (Jiao H, Xiao E, & Graves DT, 2015)
  • Inflammatory bowel disease
  • Psoriasis
  • Rheumatoid arthritis
  • Chronic obstructive pulmonary disease/COPD
  • Periodontitis
  • Systemic lupus erythematosus/SLE

Symptoms

  • The primary sign of pseudoarthrosis is pain in the same area as before the fusion surgery.
  • If the bones pinch a spinal nerve, one arm may experience pain, tingling, burning, or numbness.
  • Rarely does a pinched nerve affect both arms.
  • The pain may return shortly after the procedure.
  • The pain may develop gradually or not appear for many months.
  • However, it’s more likely to appear after several months when the individual returns to their usual activities.

Diagnosis

  • The healthcare provider will learn about symptoms and perform a physical exam to evaluate the back.
  • They’ll assess mobility and the type of movement that causes pain.
  • Then, they order diagnostic imaging to see the spine and identify the cause of pain.
  • Individuals may need a CT scan, MRI, and/or X-rays to evaluate the spinal structures and instrumentation fully.

Treatment

Treatment for pseudoarthrosis will likely start with:

  • Physical therapy
  • Pain management – especially in cases where it is important to rule out other sources of back or neck pain.
  • Medication
  • Injections
  • If symptoms don’t improve with conservative care or if there is severe pain, the healthcare provider may recommend revision surgery.
  • Revision surgery is another procedure to treat complications or correct issues that arise after the initial pseudoarthrosis surgery.

Injury Medical Chiropractic and Functional Medicine Clinic

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

Enhancing Health Together

References

Boonsirikamchai, W., Wilartratsami, S., Ruangchainikom, M., Korwutthikulrangsri, E., Tongsai, S., & Luksanapruksa, P. (2024). Pseudarthrosis risk factors in lumbar fusion: a systematic review and meta-analysis. BMC musculoskeletal disorders, 25(1), 433. https://doi.org/10.1186/s12891-024-07531-w

Verla, T., Xu, D. S., Davis, M. J., Reece, E. M., Kelly, M., Nunez, M., Winocour, S. J., & Ropper, A. E. (2021). Failure in Cervical Spinal Fusion and Current Management Modalities. Seminars in plastic surgery, 35(1), 10–13. https://doi.org/10.1055/s-0041-1722853

Berman, D., Oren, J. H., Bendo, J., & Spivak, J. (2017). The Effect of Smoking on Spinal Fusion. International journal of spine surgery, 11(4), 29. https://doi.org/10.14444/4029

Hernigou, J., & Schuind, F. (2019). Tobacco and bone fractures: A review of the facts and issues that every orthopaedic surgeon should know. Bone & joint research, 8(6), 255–265. https://doi.org/10.1302/2046-3758.86.BJR-2018-0344.R1

Scoliosis Research Society. (2023). Pseudoarthrosis. https://www.srs.org/Patients/Conditions/Pseudoarthrosis

Torres, H. M., Arnold, K. M., Oviedo, M., Westendorf, J. J., & Weaver, S. R. (2023). Inflammatory Processes Affecting Bone Health and Repair. Current osteoporosis reports, 21(6), 842–853. https://doi.org/10.1007/s11914-023-00824-4

Jiao, H., Xiao, E., & Graves, D. T. (2015). Diabetes and Its Effect on Bone and Fracture Healing. Current osteoporosis reports, 13(5), 327–335. https://doi.org/10.1007/s11914-015-0286-8

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

Insights on Kyphosis & Treatment Approaches

Discover effective treatment approaches for kyphosis, its causes and symptoms while enhancing your posture today.

Introduction

How often do you catch yourself slouching after hours at a desk or scrolling through your phone? Do you experience persistent neck strain, shoulder tightness, or upper back discomfort? While many people recognize poor posture as an annoyance, few realize that long-term postural dysfunction can contribute to kyphosis—a spinal condition characterized by excessive forward curvature of the thoracic spine.

As a nurse practitioner with 20 years of experience in physical medicine and musculoskeletal health, I have seen firsthand how kyphosis affects both young and older adults, often leading to pain, mobility limitations, and even systemic complications. With a background that includes chiropractic care integration, I emphasize a multidisciplinary approach to kyphosis treatment, focusing on conservative therapies that address spinal alignment, muscle strength, and postural control.

This article explores the environmental causes of kyphosis, its impact on the musculoskeletal system, and evidence-based treatment strategies, including chiropractic adjustments, physical therapy, and postural rehabilitation.

What is Kyphosis? Understanding the Spinal Deformity

Kyphosis refers to an excessive anterior curvature of the thoracic spine, exceeding 40 degrees. While a mild thoracic curve is normal, excessive kyphosis can lead to visible postural changes, musculoskeletal pain, and even respiratory or gastrointestinal complications in severe cases.

Types of Kyphosis

There are several classifications of kyphosis, each with distinct causes:

  • Postural Kyphosis: The most common type, usually seen in adolescents and office workers, resulting from prolonged slouching and weak spinal musculature.
  • Scheuermann’s Kyphosis: A more rigid spinal deformity due to wedge-shaped vertebrae, typically diagnosed in teenagers.
  • Osteoporotic Kyphosis: Common in older adults due to vertebral compression fractures from osteoporosis.
  • Congenital Kyphosis: A rare condition present from birth due to abnormal vertebral development.

If left untreated, kyphosis can progressively worsen, leading to significant postural, neurological, and functional impairments.

Environmental Factors Contributing to Kyphosis

While genetic predisposition plays a role in kyphosis development, environmental and lifestyle factors significantly contribute to the condition. Understanding these risk factors can help with prevention and early intervention.

1. Poor Posture & Prolonged Sedentary Behavior

Chronic slouching, improper ergonomics, and excessive screen time encourage adaptive shortening of the anterior muscles (pectorals and upper abdominals) while weakening the posterior chain (erector spinae and scapular stabilizers). This imbalance reinforces thoracic kyphosis over time.

2. Sedentary Lifestyle & Weak Core Stability

A lack of functional movement and spinal stabilization exercises leads to postural instability, increasing the likelihood of kyphotic progression. A weak core and underactive back extensors contribute to poor spinal support, leading to excessive forward bending of the thoracic spine.

3. Heavy Backpacks & Improper Lifting Mechanics

In children and adolescents, carrying overweight backpacks can accelerate kyphotic posture by exerting excessive downward pressure on the spine. Similarly, incorrect lifting mechanics in adults (e.g., repetitive forward bending with poor lumbar support) increase spinal stress, contributing to degenerative kyphosis.

4. Osteoporosis & Age-Related Bone Loss

Older adults, particularly postmenopausal women, are at a higher risk of developing osteoporotic kyphosis due to decreased bone density. Compression fractures in the thoracic vertebrae can lead to irreversible spinal deformity, making early bone health management critical.

5. Spinal Injuries & Degenerative Disc Disease

Trauma, herniated discs, and chronic spinal degeneration can disrupt normal vertebral alignment, leading to structural kyphosis. Degenerative changes in the intervertebral discs contribute to spinal instability, loss of disc height, and increased forward curvature of the thoracic spine.

Symptoms & Effects of Kyphosis on the Musculoskeletal System

Kyphosis not only alters spinal alignment but also leads to cascading effects throughout the musculoskeletal system. Depending on severity, symptoms may range from mild discomfort to functional disability.

Common Symptoms of Kyphosis

–Upper Back Pain & Stiffness: Chronic discomfort, particularly between the shoulder blades and mid-thoracic region.
–Limited Mobility & Flexibility: A rigid thoracic spine reduces spinal extension, affecting overall movement.
–Neck & Shoulder Tension: Forward head posture and rounded shoulders cause excessive strain on the cervical spine, leading to cervicogenic headaches and referred pain.
–Muscle Fatigue & Weakness: Over time, kyphotic posture weakens the paraspinal muscles, reducing spinal endurance.
–Breathing & Digestive Issues: Severe kyphosis can compress the thoracic cavity, leading to restricted lung expansion and impaired digestion.

Neuromuscular Impact of Kyphosis

Cervical Involvement: Increased kyphotic curvature forces cervical hyperextension, straining the posterior neck muscles and contributing to occipital headaches, vertigo, and TMJ dysfunction.

Thoracic & Lumbar Impact: Kyphosis can trigger compensatory hyperlordosis in the lumbar spine, increasing stress on the lower back and contributing to disc degeneration and sciatic symptoms.

Biomechanical Dysfunction: Altered gait mechanics, hip instability, and reduced balance have been observed in patients with significant kyphotic curvature (Lorbergs et al., 2017).

Understanding Long-Lasting Injuries- Video

Effective Treatment Approaches for Kyphosis

1. Chiropractic Care for Kyphosis Management

Chiropractic therapy is one of the most effective non-invasive treatments for managing kyphosis-related pain and improving spinal alignment. Research has shown that chiropractic spinal manipulation can improve mobility, reduce pain, and enhance postural stability (Norton et al., 2022).

Key Benefits of Chiropractic Adjustments:

1Spinal Realignment: Chiropractic adjustments restore normal vertebral positioning and reduce excessive thoracic curvature.
–Improved Postural Control: Chiropractic care strengthens postural awareness, spinal mobility, and core stability.
–Reduced Muscle Tension & Nerve Compression: Manual therapy alleviates trigger points, myofascial restrictions, and nerve impingements contributing to kyphotic discomfort.
 –Enhanced Flexibility & Range of Motion: Stretching techniques combined with spinal mobilization restore thoracic extension and shoulder mobility.

2. Physical Therapy & Postural Rehabilitation

Physical therapy plays a crucial role in strengthening the posterior chain, improving spinal stability, and reinforcing proper movement mechanics.

–Thoracic Extension Exercises (e.g., foam rolling, wall angels)
– Core Stabilization & Strength Training (e.g., dead bugs, planks)
– Scapular Retraction & Strengthening (e.g., rows, reverse flys)
–Cervical & Lumbar Postural Corrections

3. Bracing for Kyphosis Correction

In adolescents with Scheuermann’s kyphosis, bracing can help prevent worsening curvature during growth phases.

4. Postural Ergonomics & Lifestyle Modifications

– Ergonomic Workstations: Maintaining neutral spine alignment while sitting reduces kyphotic strain.
– Daily Mobility Exercises: Incorporating yoga, Pilates, or spinal decompression exercises can improve flexibility.
– Weight Management & Bone Health Optimization: Vitamin D, calcium supplementation, and weight-bearing exercises support spinal integrity.

Final Thoughts: Addressing Kyphosis Proactively

Kyphosis is a progressive condition that requires early intervention and a multidisciplinary treatment approach. By combining chiropractic adjustments, targeted physical therapy, and ergonomic modifications, patients can significantly reduce pain, improve posture, and enhance spinal function.

Injury Medical Chiropractic & Functional Medicine Clinic

We associate with certified medical providers who implement the importance of the causes and symptoms of kyphosis. While asking important questions to our associated medical providers, we advise patients to integrate small changes into their daily routine to reduce the effects of kyphosis from affecting the cervical and thoracic areas. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.

References

Fortner, M. O., Oakley, P. A., & Harrison, D. E. (2017). Treating ‘slouchy’ (hyperkyphosis) posture with chiropractic biophysics((R)): a case report utilizing a multimodal mirror image((R)) rehabilitation program. Journal of Physical Therapy Science, 29(8), 1475-1480. https://doi.org/10.1589/jpts.29.1475

Jenkins, H. J., Downie, A. S., Fernandez, M., & Hancock, M. J. (2021). Decreasing thoracic hyperkyphosis – Which treatments are most effective? A systematic literature review and meta-analysis. Musculoskelet Sci Pract, 56, 102438. https://doi.org/10.1016/j.msksp.2021.102438

Lam, J. C., & Mukhdomi, T. (2025). Kyphosis. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/32644371

Lorbergs, A. L., Murabito, J. M., Jarraya, M., Guermazi, A., Allaire, B. T., Yang, L., Kiel, D. P., Cupples, L. A., Bouxsein, M. L., Travison, T. G., & Samelson, E. J. (2017). Thoracic Kyphosis and Physical Function: The Framingham Study. J Am Geriatr Soc, 65(10), 2257-2264. https://doi.org/10.1111/jgs.15038

Norton, T. C., Oakley, P. A., & Harrison, D. E. (2022). Improving the cervical lordosis relieves neck pain and chronic headaches in a pediatric: a Chiropractic Biophysics((R)) (CBP((R))) case report with a 17-month follow-up. Journal of Physical Therapy Science, 34(1), 71-75. https://doi.org/10.1589/jpts.34.71

Oakley, P. A., Gage, W. H., Harrison, D. E., & Mochizuki, G. (2024). Non-surgical reduction in thoracolumbar kyphosis and sagittal vertical axis corresponding with improved sensorimotor control in an older adult with spinal deformity: a Chiropractic Biophysics((R)) case report. Journal of Physical Therapy Science, 36(11), 756-764. https://doi.org/10.1589/jpts.36.756

Ogura, Y., Dimar, J. R., Djurasovic, M., & Carreon, L. Y. (2021). Etiology and treatment of cervical kyphosis: state of the art review-a narrative review. J Spine Surg, 7(3), 422-433. https://doi.org/10.21037/jss-21-54

Disclaimer