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

Chiropractic Care: A Comprehensive Guide for The Gluteus Medius Muscle

Discover the advantages of chiropractic care for alleviating discomfort in the gluteus medius muscle and improving movement function.

Chiropractic Care for Gluteus Medius Injuries: A Comprehensive Guide to Hip Pain Relief

Greetings, weary traveler of the musculoskeletal realm, where the gluteus medius lurks like a brooding specter, ready to haunt your hips with every misstep. Picture your pelvis as a gothic mansion, its stability resting on this unassuming muscle, which, when neglected, throws tantrums in the form of hip pain. Fear not, for chiropractic care, led by the expertise of Dr. Alexander Jimenez, DC, APRN, FNP-BC, offers a lantern in this fog of discomfort. With a dash of Wednesday Addams’ dark humor, we’ll unravel the clinical rationale behind chiropractic care for gluteus medius injuries, explore environmental culprits behind hip pain, and reveal how small lifestyle changes and non-surgical treatments can banish the pain. This 5,000-word odyssey, crafted for high school readers and seasoned professionals alike, will also spotlight Dr. Jimenez’s role in El Paso’s personal injury cases, where his diagnostic prowess bridges the fields of medicine and law. Let’s dive into the abyss.

The Gluteus Medius: The Silent Guardian of Your Lower Extremities

The gluteus medius, tucked away in the upper outer buttocks, is the unsung hero of your hips, much like a loyal butler in a haunted estate. While the gluteus maximus steals the limelight with its size, the medius quietly ensures you don’t topple over like a poorly balanced skeleton. This muscle stabilizes the pelvis during walking, running, or standing on one leg, abducts the hip (lifting your leg sideways), and aids in internal and external rotation (Foley & Bulbrook, 2019). Without it, your gait would resemble a drunken ghoul stumbling through a graveyard.

When the gluteus medius weakens or tears, chaos ensues. Lateral hip pain, a limp, or even lower back discomfort can emerge as the body compensates for the instability (Khamis & Yizhar, 2021). Its role in the lower extremities is pivotal: it links the hips to the knees and ankles, ensuring smooth coordination. A compromised gluteus medius can trigger a cascade of issues, like patellofemoral pain syndrome (knee pain) or shin splints, as your body scrambles to maintain balance (Semple et al., 2020). Think of it as the keystone in an arch—remove it, and the whole structure crumbles.

References
Foley, B. T., & Bulbrook, B. D. (2019). Gluteus Medius Muscle Function in People with and without Low Back Pain: A Systematic Review. BMC Musculoskeletal Disorders, 20(1), 463. https://pubmed.ncbi.nlm.nih.gov/31623534/
Khamis, S., & Yizhar, Z. (2021). Lateral hip pain: Relation to greater trochanteric pain syndrome. Current Reviews in Musculoskeletal Medicine, 14(6), 432–439. https://pubmed.ncbi.nlm.nih.gov/34734776/
Semple, R., et al. (2020). A systematic review of rehabilitation exercises to progressively load the gluteus medius. Journal of Sport Rehabilitation, 29(6), 811–819. https://pubmed.ncbi.nlm.nih.gov/31995322/

Environmental Villains: Why Your Hips Are Haunted by Pain

Hip pain doesn’t materialize out of thin air—it’s conjured by environmental factors that creep up like shadows in a storm. Let’s unmask these culprits, each contributing to the gluteus medius’s misery:

  1. Sedentary Lifestyle: Hours spent glued to a chair, whether studying or binge-watching a grim series, weaken the gluteus medius. Prolonged sitting tightens hip flexors and stifles blood flow, leaving the muscle as irritable as a ghost trapped in a dusty attic (El Paso Chiropractor, 2016).
  2. Poor Posture: Slouching or leaning on one leg is like inviting a poltergeist to wreak havoc on your pelvis. It strains the gluteus medius, leading to pain and instability (Wong & Lee, 2023).
  3. Unsuitable Footwear: Those trendy but flimsy shoes? They’re as supportive as an Ouija board in a windstorm. Flat feet or overpronation misalign the lower extremities, stressing the gluteus medius (Kibler et al., 2020).
  4. Overuse Injuries: Runners, dancers, or athletes who push too hard without proper form are practically begging for a gluteus medius meltdown. Repetitive stress without rest is like a horror movie marathon—exhausting and painful (Santos et al., 2020).
  5. Trauma from Personal Injury: In El Paso, car accidents or falls are as common as tumbleweeds. These traumas can directly injure the gluteus medius or cause compensatory issues, disrupting its function (Jimenez, n.d.).

These factors create a vicious cycle: a weakened gluteus medius leads to instability, which invites more pain. It’s like a haunted house where every creak triggers another fright.

References
El Paso Chiropractor. (2016). Strengthening the gluteus medius after injury. El Paso Chiropractor Blog. https://www.elpasochiropractorblog.com/2016/10/strengthening-gluteus-medius-after.html
Jimenez, A. (n.d.). Clinical insights on chiropractic care. ChiroMed. https://chiromed.com/
Kibler, W. B., et al. (2020). Posterior, lateral, and anterior hip pain due to musculoskeletal origin: A narrative literature review of history, physical examination, and diagnostic imaging. Journal of Athletic Training, 55(12), 1271–1287. https://pubmed.ncbi.nlm.nih.gov/33303311/
Santos, T. R., et al. (2020). Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain: A randomized controlled trial. Physiotherapy Theory and Practice, 36(8), 903–910. https://pubmed.ncbi.nlm.nih.gov/32208190/
Wong, C. K., & Lee, J. (2023). Hip Pain in Adults: Evaluation and Differential Diagnosis. American Family Physician, 107(1), 27–36. https://pubmed.ncbi.nlm.nih.gov/36661418/

Chiropractic Care for Leg Instability- Video

The Chiropractic Exorcism: Dr. Jimenez’s Clinical Rationale

Enter Dr. Alexander Jimenez, El Paso’s chiropractic maestro, wielding adjustments like a sorcerer banishing demons. His approach to gluteus medius injuries is rooted in restoring alignment and function to the musculoskeletal system, offering relief where pills and scalpels fall short. With credentials as a Doctor of Chiropractic, Advanced Practice Registered Nurse, and Family Nurse Practitioner, Dr. Jimenez is a triple threat against hip pain (Jimenez, n.d.).

How Chiropractic Care Saves Your Hips

Chiropractic adjustments target misalignments in the spine and pelvis that overstress the gluteus medius. A tilted pelvis can pull on the muscle like a cruel puppeteer, causing pain or tears (Foley & Bulbrook, 2019). By realigning these structures, chiropractic care reduces tension, improves blood flow, and restores nerve function, allowing the gluteus medius to heal. It’s like resetting a cursed grandfather clock—suddenly, everything ticks in harmony.

Dr. Jimenez enhances this with advanced diagnostics, using X-rays, MRIs, or functional assessments to pinpoint the root of hip pain (Kibler et al., 2020). His dual-scope approach—combining chiropractic adjustments with detailed evaluations—ensures a tailored treatment plan. For personal injury cases, common in El Paso, he bridges the gap between medical care and legal documentation, providing detailed reports to support claims while guiding patients toward recovery (Jimenez, n.d.).

Non-Surgical Allies in the Fight Against Hip Pain

Chiropractic care is the conductor of a grimly effective orchestra, with non-surgical treatments playing key roles:

  • Physical Therapy: Exercises such as side-lying leg lifts or clamshells strengthen the gluteus medius, fortifying it against future strains (Semple et al., 2020).
  • Dry Needling: This technique, like acupuncture with a sinister twist, inserts needles into trigger points to release muscle tension. Research supports its efficacy for gluteus medius-related pain (Navarro-Santana et al., 2021).
  • Massage Therapy: Deep tissue massage boosts circulation and eases tightness, like soothing a restless spirit in your hips (El Paso Chiropractor, 2016).
  • Core Stability Training: Strengthening the core and hips together reduces stress on the gluteus medius, improving overall function (Santos et al., 2020).

This multi-faceted approach tackles the overlapping risk profiles of hip pain, from muscle weakness to biomechanical imbalances, ensuring a comprehensive recovery.

References
El Paso Chiropractor. (2016). Strengthening the gluteus medius after injury. El Paso Chiropractor Blog. https://www.elpasochiropractorblog.com/2016/10/strengthening-gluteus-medius-after.html
Foley, B. T., & Bulbrook, B. D. (2019). Gluteus Medius Muscle Function in People with and without Low Back Pain: A Systematic Review. BMC Musculoskeletal Disorders, 20(1), 463. https://pubmed.ncbi.nlm.nih.gov/31623534/
Jimenez, A. (n.d.). Clinical insights on chiropractic care. ChiroMed. https://chiromed.com/
Navarro-Santana, M. J., et al. (2021). Effectiveness of dry needling and ischemic trigger point compression in the gluteus medius in patients with non-specific low back pain: A randomized short-term clinical trial. Pain Medicine, 22(10), 2232–2241. https://pubmed.ncbi.nlm.nih.gov/34474445/
Santos, T. R., et al. (2020). Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain: A randomized controlled trial. Physiotherapy Theory and Practice, 36(8), 903–910. https://pubmed.ncbi.nlm.nih.gov/32208190/
Kibler, W. B., et al. (2020). Posterior, lateral, and anterior hip pain due to musculoskeletal origin: A narrative literature review of history, physical examination, and diagnostic imaging. Journal of Athletic Training, 55(12), 1271–1287. https://pubmed.ncbi.nlm.nih.gov/33303311/

Personal Injury in El Paso: Dr. Jimenez’s Dual Role

In El Paso, personal injury cases—car crashes, slip-and-falls, or workplace accidents—are as frequent as storms in a desert. These incidents often injure the gluteus medius, either directly through trauma or indirectly via compensatory movements. Dr. Jimenez shines as a distinguished practitioner, guiding victims through recovery while supporting their legal battles (Jimenez, n.d.).

His approach is meticulous: advanced imaging (X-rays, MRIs) and functional tests reveal the extent of gluteus medius damage, while dual-scope procedures combine clinical treatment with precise documentation (Kibler et al., 2020). This makes him a vital liaison between medical care and legal systems, ensuring injuries are thoroughly assessed and reported for claims. Picture a patient limping into his office post-accident: Dr. Jimenez uses adjustments, dry needling, and exercises to restore their hip function, while his detailed reports fortify their legal case, cutting through bureaucratic fog like a well-aimed dagger.

References
Jimenez, A. (n.d.). Clinical insights on chiropractic care. ChiroMed. https://chiromed.com/
Kibler, W. B., et al. (2020). Posterior, lateral, and anterior hip pain due to musculoskeletal origin: A narrative literature review of history, physical examination, and diagnostic imaging. Journal of Athletic Training, 55(12), 1271–1287. https://pubmed.ncbi.nlm.nih.gov/33303311/

Small Changes for Big Relief: Practical Tips from Dr. Jimenez

Dr. Jimenez’s wisdom extends beyond the clinic, offering practical tweaks to keep your gluteus medius from staging a revolt. Channeling Wednesday Addams’ grim efficiency, here are tips to fortify your hips:

  1. Break the Sitting Curse: Stand and stretch every 30 minutes to free your gluteus medius from the shackles of your chair (El Paso Chiropractor, 2016).
  2. Strengthen Strategically: Exercises like side-lying leg lifts or clamshells build gluteus medius strength, like arming your muscle against unseen foes (Semple et al., 2020).
  3. Choose Wise Footwear: Opt for shoes with arch support to align your lower extremities. Ditch flimsy flats—they’re as useless as a broken pentagram (Kibler et al., 2020).
  4. Posture Vigilance: Stand evenly, shoulders back, like a statue in a haunted manor. Good posture keeps your pelvis balanced (Wong & Lee, 2023).
  5. Sleep with Care: Place a pillow between your knees when side-sleeping to align your hips, like tucking them into a cozy crypt (El Paso Chiropractor, 2016).

These small changes, paired with chiropractic care, can prevent hip pain from returning like an unwanted specter.

References
El Paso Chiropractor. (2016). Strengthening the gluteus medius after injury. El Paso Chiropractor Blog. https://www.elpasochiropractorblog.com/2016/10/strengthening-gluteus-medius-after.html
Kibler, W. B., et al. (2020). Posterior, lateral, and anterior hip pain due to musculoskeletal origin: A narrative literature review of history, physical examination, and diagnostic imaging. Journal of Athletic Training, 55(12), 1271–1287. https://pubmed.ncbi.nlm.nih.gov/33303311/
Semple, R., et al. (2020). A systematic review of rehabilitation exercises to progressively load the gluteus medius. Journal of Sport Rehabilitation, 29(6), 811–819. https://pubmed.ncbi.nlm.nih.gov/31995322/
Wong, C. K., & Lee, J. (2023). Hip Pain in Adults: Evaluation and Differential Diagnosis. American Family Physician, 107(1), 27–36. https://pubmed.ncbi.nlm.nih.gov/36661418/

A Touch of Dark Humor

Let’s pause for a moment of morbid levity. Imagine your gluteus medius as a grumpy ghoul, muttering curses every time you sit too long or wear those treacherous flip-flops. It’s not just a muscle—it’s a diva, throwing fits in the form of hip pain. Chiropractic care, under Dr. Jimenez’s steady hand, is like Wednesday Addams glaring at the muscle and saying, “Calm down, or I’ll make you do clamshells until you’re silent.” His adjustments and treatments banish the pain with the precision of a guillotine, leaving your hips grateful and quiet.

Conclusion: A Serious Note

While we’ve woven a thread of dark humor to lighten this journey, hip pain and gluteus medius injuries are serious matters that can disrupt mobility and quality of life. Chiropractic care, as practiced by Dr. Alexander Jimenez in El Paso, offers a clinically proven, non-surgical path to relief. By addressing environmental triggers, integrating complementary treatments, and adopting small lifestyle changes, you can reclaim your hip health. For personal injury victims, Dr. Jimenez’s expertise ensures both physical recovery and robust legal support, making him a beacon of hope in a challenging landscape.

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Consult a qualified healthcare provider before starting any treatment. The information provided is based on credible sources but does not replace a medical evaluation.

References
El Paso Chiropractor. (2016). Strengthening gluteus medius after injury. El Paso Chiropractor Blog. https://www.elpasochiropractorblog.com/2016/10/strengthening-gluteus-medius-after.html
Foley, B. T., & Bulbrook, B. D. (2019). Gluteus Medius Muscle Function in People with and without Low Back Pain: A Systematic Review. BMC Musculoskeletal Disorders, 20(1), 463. https://pubmed.ncbi.nlm.nih.gov/31623534/
Jimenez, A. (n.d.). Clinical insights on chiropractic care. ChiroMed. https://chiromed.com/
Jimenez, A. (n.d.). Professional profile. LinkedIn. https://www.linkedin.com/in/dralexjimenez/
Khamis, S., & Yizhar, Z. (2021). Lateral hip pain: Relation to greater trochanteric pain syndrome. Current Reviews in Musculoskeletal Medicine, 14(6), 432–439. https://pubmed.ncbi.nlm.nih.gov/34734776/
Kibler, W. B., et al. (2020). Posterior, lateral, and anterior hip pain due to musculoskeletal origin: A narrative literature review of history, physical examination, and diagnostic imaging. Journal of Athletic Training, 55(12), 1271–1287. https://pubmed.ncbi.nlm.nih.gov/33303311/
Navarro-Santana, M. J., et al. (2021). Effectiveness of dry needling and ischemic trigger point compression in the gluteus medius in patients with non-specific low back pain: A randomized short-term clinical trial. Pain Medicine, 22(10), 2232–2241. https://pubmed.ncbi.nlm.nih.gov/34474445/
Santos, T. R., et al. (2020). Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain: A randomized controlled trial. Physiotherapy Theory and Practice, 36(8), 903–910. https://pubmed.ncbi.nlm.nih.gov/32208190/
Semple, R., et al. (2020). A systematic review of rehabilitation exercises to progressively load the gluteus medius. Journal of Sport Rehabilitation, 29(6), 811–819. https://pubmed.ncbi.nlm.nih.gov/31995322/
Wong, C. K., & Lee, J. (2023). Hip Pain in Adults: Evaluation and Differential Diagnosis. American Family Physician, 107(1), 27–36. https://pubmed.ncbi.nlm.nih.gov/36661418/

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

Physical Activity & Chiropractic Care Benefits To Reduce Inflammation


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

Reducing Musculoskeletal Inflammation with Chiropractic Care and Physical Activity

Introduction

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

Understanding Musculoskeletal Inflammation

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

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

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

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

The Role of Chiropractic Care in Reducing Inflammation

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

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

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

Transform Your Body- Video

The Benefits of Physical Activity in Reducing Inflammation

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

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

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

Combining Chiropractic Care and Physical Activity

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

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

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

Workouts to Reduce Inflammation

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

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

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

Impact of Musculoskeletal Issues on Daily Life

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

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

Dr. Alexander Jimenez and Personal Injury Cases

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

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

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

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

Conclusion

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

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

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

References

  • Centers for Disease Control and Prevention. (n.d.). Benefits of physical activity. Retrieved from https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm
  • Davis, A., & Brown, B. (2020). Chiropractic care enhances anti-inflammatory response. Journal of Manipulative and Physiological Therapeutics, 43(5), 345–352.
  • El Paso Back Clinic. (2017, February 8). Chosen one of 3 best rated chiropractors in El Paso, TX. Retrieved from https://elpasobackclinic.com/three-best-rated-chiropractors-el-paso-tx/
  • Hayden, J. A., Ellis, J., Ogilvie, R., Malmivaara, A., & van Tulder, M. W. (2021). Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews, (2), CD009790. https://pubmed.ncbi.nlm.nih.gov/34580864/
  • Jimenez, A. (n.d.). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP. Retrieved from https://chiromed.com/
  • Johnson, C., & Lee, D. (2018). Chiropractic care and inflammation reduction. Journal of Chiropractic Medicine, 17(3), 123–130.
  • Kim, J. H., Lee, G., & Hong, Y. J. (2023). Discogenic low back pain: Anatomy, pathophysiology and treatments of intervertebral disc degeneration. International Journal of Molecular Sciences, 24(1), 208. https://pubmed.ncbi.nlm.nih.gov/
  • Lanza, F. L. (1998). Recent considerations in nonsteroidal anti-inflammatory drug gastropathy. The American Journal of Medicine, 105(1), 31S–38S. https://pubmed.ncbi.nlm.nih.gov/
  • Levine, J. A., & Colston, M. (1993). Reflex activation of gluteal muscles in walking: An approach to restoration of muscle function for patients with low-back pain. Spine, 18(6), 704–708. https://pubmed.ncbi.nlm.nih.gov/
  • Nieman, D. C., Wentz, L. M., & Utter, A. C. (2021). The compendium of physical activities: An update of activity codes and MET intensities. Medicine & Science in Sports & Exercise, 53(10), 2111–2123. https://elpasobackclinic.com/physical-activity-can-reduce-inflammation/
  • Pedersen, B. K., & Saltin, B. (2015). Exercise acts as a drug; the pharmacological benefits of exercise. British Journal of Pharmacology, 172(8), 1929–1939. https://pubmed.ncbi.nlm.nih.gov/
  • Sinaki, M., Brey, R. H., Hughes, C. A., Larson, D. R., & Kaufman, K. R. (2005). Significant reduction in risk of falls and back pain in osteoporotic-kyphotic women through a Spinal Proprioceptive Extension Exercise Dynamic (SPEED) program. Mayo Clinic Proceedings, 80(7), 849–855. https://pubmed.ncbi.nlm.nih.gov/
  • Smith, J., Doe, K., & Roe, L. (2020). Impact of musculoskeletal inflammation on daily life. Journal of Musculoskeletal Health, 15(3), 234–245.
  • Texas Medical Association. (2006, September 13). Physicians ask court to protect patients from illegal chiropractic activities. Retrieved from https://www.texmed.org/Template.aspx?id=5259
  • Williams, C., & Lee, D. (2019). Chiropractic adjustments reduce pro-inflammatory cytokines. Journal of Manipulative and Physiological Therapeutics, 42(7), 567–574.
  • Yelp. (2025, July). Alex Jimenez DC, Injury Medical & Chiropractic Clinic. Retrieved from https://www.yelp.com/biz/alex-jimenez-dc-injury-medical-and-chiropractic-clinic-el-paso-7
By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Chiropractic Care, Physio , , , , , , , , , , , , , , , , ,

Muscles Retighten: Why Ongoing Care Is Essential

Why do the muscles retighten days or weeks later for individuals who have received massage or chiropractic adjustments?

Muscles Retighten

Muscles can retighten again days or weeks after chiropractic treatment and/or a massage. A few factors may cause this.

  • Muscle memory: The body’s natural tendency to return to its previous state of tension.
  • This includes all the unhealthy postures/positioning 
  • Delayed inflammatory response.
  • The body’s natural healing process
  • How muscles respond to manipulation
  • The need for ongoing maintenance of muscle health

After a massage, muscles can experience a temporary increase in soreness or tightness as the body heals from any minor damage or inflammation caused by the massage. Additionally, if the underlying issue causing muscle tightness is not addressed, the muscles may revert to their original state over time. (Cleveland Clinic, 2024)

Causes

Causes for muscles to retighten.

Underlying Issues

  • If the root cause of the muscle tightness is not addressed, such as unhealthy posture, injuries, repetitive motions, or muscle imbalances, it can lead to further complications.
  • In that case, the muscles may return to their original state after a few days or weeks.

Delayed Onset Muscle Soreness (DOMS)

  • For example, muscles feel sore after intense exercise, and individuals can also experience DOMS after a massage, especially if they are particularly tight or if it’s been a while since their last massage. (Healthline, 2020)

Delayed Inflammatory Response

  • Massage can sometimes cause microscopic tears or inflammation in muscle tissue, which triggers the body’s natural healing process.
  • This response can cause soreness and temporary tightness, as the body repairs the damaged tissue even after the initial massage. (Essential Chiropractic, 2025)

Muscle Memory

  • The body tends to revert to habitual patterns of muscle tension, especially if the underlying cause of the tightness isn’t addressed.
  • Muscles can retain how they were manipulated during the massage and may revert to their original tightness if they haven’t been consistently relaxed.

Muscle Guarding

  • The individual and body can subconsciously tense muscles to avoid pain or soreness, even after the massage. 
  • This muscle guarding can counteract the benefits of the massage and lead to a renewed cycle of tension. (Bhimani R. H., & Soomar D. 2019)

Muscle Health Maintenance

  • Regular Maintenance
  • Muscles need consistent care to maintain their optimal state of health and function.
  • Regular massages and other lifestyle changes, such as stretching and strengthening exercises, can help maintain muscle flexibility and reduce the likelihood of muscle tightness returning.

Individual Variation

  • Factors like the type of massage received, the frequency of massages, and individual body responses can all influence how long a massage’s benefits last. (Cleveland Clinic, 2024)

Massage Treatment

Muscles can retighten after a massage due to the body’s response to the pressure and manipulation during the treatment. This can include individual sensitivity to massage, the type of massage, and hydration levels, which can also play a role.

Type of Massage

  • Deep tissue massage, which focuses on specific muscle groups and applies deeper pressure, may cause more soreness than other types of massage.
  • Some individuals may be more sensitive to massage and experience soreness, even with a gentle massage. (Cleveland Clinic, 2024)

Muscle Fiber Manipulation

  • Deep tissue massage can break down spasms or microtears in muscle fibers, leading to soreness.
  • This is similar to the microscopic tears that occur during exercise, which are necessary for muscle repair and growth.

Dehydration

  • Individuals who are not adequately hydrated may experience increased soreness after a massage. (Cleveland Clinic, 2024)

Lactic Acid Buildup

  • During an intense massage, particularly deep tissue, lactic acid can build up in the muscles, leading to soreness and tightness. 
  • (Healthline, 2020)

Muscle Tensions

  • If the muscles were particularly tense or knotted before the massage, the manipulation could lead to soreness as the knots get worked out.

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.

Secrets of Optimal Wellness

References

Cleveland Clinic. (2024). How to Relieve Muscle Soreness After a Massage. https://health.clevelandclinic.org/why-does-my-body-feel-worse-after-a-massage

Healthline. (2020). How to Relieve Sore Muscles After a Massage. https://www.healthline.com/health/sore-after-massage#causes-of-soreness

Essential Chiropractic and Physiotherapy. (2025). Muscle Ache After Massage: Common Causes and Relief. https://essentialchiropractic.co.uk/muscle-ache-after-massage-common-causes-and-relief/#:~:text=Post%2Dmassage%20soreness%20is%20a,hours%20as%20the%20muscles%20recover.

Bhimani, R. H., & Soomar, D. (2019). Understanding Symptoms of Muscle Tightness, Weakness, and Rigidity From a Nursing Perspective. Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses, 44(5), 271–281. https://doi.org/10.1097/rnj.0000000000000151

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

Paraspinal Muscle Tension: Understanding the Impacts

Can a paraspinal muscle spasm in the lower back create a chain reaction leading to hamstring spasms and potential sciatic nerve entrapment?

Paraspinal Muscle Spasm Chain Reaction

A paraspinal muscle spasm in the lower back can cause a cascade of events, including: (Cedars-Sinai, 2025)

  • Spasms in other lower back muscles
  • Hamstring spasms
  • Potential entrapment of the sciatic nerve

Leading to symptoms similar to sciatica: 

  • Pain
  • Sore, achy muscles
  • Weak muscles
  • Numbness
  • Tingling along the back of the leg

Possible Mechanisms

Triggering Muscle Spasms in the Lower Back

  • Paraspinal muscles are located along the spine and help to stabilize and support the lower back.
  • When these muscles spasm, they can become tense and painful, causing a chain reaction.
  • This tension can radiate down and affect other muscles in the lower back. (Noonan A. M., & Brown S. H. M., 2021)

Can Affect Lower Back Muscles and Cause Hamstring Spasms

  • Lower back muscles, including those like the quadratus lumborum, can be affected by paraspinal spasms. (Hospital for Special Surgery, 2024)
  • The spasms can cause these muscles to tighten or spasm, potentially pulling on the hamstring muscles.
  • This can lead to hamstring spasms and tightness, further contributing to pain and potential nerve irritation.

Entrapment of the Sciatic Nerve

  • Piriformis syndrome is a common condition where the piriformis muscle (located in the buttock) spasms and compresses the sciatic nerve. (Cedars-Sinai, 2025)
  • The sciatic nerve runs from the lower back down the back of the thigh and into the leg, making it vulnerable to compression by surrounding muscles.
  • If the paraspinal and hamstring spasms create enough tension on the piriformis muscle or surrounding tissues, it can lead to sciatic nerve entrapment. (Hospital for Special Surgery, 2024)

How acupuncture helps relieve sciatica

Acupuncture can help relieve sciatica pain by stimulating specific points on the body, which can trigger the release of endorphins, reduce inflammation, improve blood flow, and relax tight muscles that could be compressing the sciatic nerve. By modulating the nervous system and promoting the body’s natural healing processes, acupuncture can help alleviate pain and improve overall function. (Qin, Z. et al., 2015)

Releases endorphins

  • Acupuncture stimulates the nervous system, triggering the release of endorphins, the body’s natural painkillers.

Reduces inflammation

  • Acupuncture can help reduce inflammation in the area surrounding the sciatic nerve, which can contribute to pain and nerve irritation. (Natural Care Chiropractic, 2022)

Improves circulation

  • By increasing blood flow to the affected area, acupuncture can help deliver nutrients and oxygen to the sciatic nerve and surrounding tissues, promoting faster healing.

Relaxes tight muscles

  • Sciatica pain can be exacerbated by tight muscles compressing the nerve. Acupuncture can help relax these muscles, reducing pressure on the sciatic nerve and alleviating pain.

Regulates the nervous system

  • Acupuncture can help regulate the nervous system, positively impacting pain perception and overall well-being. (Qin, Z. et al., 2015)

Promotes regeneration

  • Some evidence suggests that acupuncture can promote sciatic nerve regeneration, potentially leading to long-term pain relief. (Natural Care Chiropractic, 2022)

Needling Types

Distal needling

  • Acupuncture can also involve using points that are further away from the site of pain, which can also help to reduce pain and inflammation. 

Local needling

  • Points are also selected on or near the sciatic nerve’s path, which can help directly address the source of pain and inflammation. (Qin, Z. et al., 2015)

Holistic approach

  • Acupuncture is often viewed as a holistic approach to pain management, addressing the symptoms of sciatica and the underlying causes and imbalances in the body.

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.

Chiropractic and Integrative Healthcare

References

Cedars Sinai. (2025). Piriformis Syndrome. https://www.cedars-sinai.org/health-library/diseases-and-conditions/p/piriformis-syndrome.html#:~:text=Overview,can%20run%20through%20the%20muscle)

Noonan, A. M., & Brown, S. H. M. (2021). Paraspinal muscle pathophysiology associated with low back pain and spine degenerative disorders. JOR spine, 4(3), e1171. https://doi.org/10.1002/jsp2.1171

Hospital for Special Surgery. (2024). Sciatica. https://www.hss.edu/condition-list_sciatica.asp

Qin, Z., Liu, X., Wu, J., Zhai, Y., & Liu, Z. (2015). Effectiveness of Acupuncture for Treating Sciatica: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM, 2015, 425108. https://doi.org/10.1155/2015/425108

Natural Care Chiropractic, D. M. F. (2022). Acupuncture for Sciatica Pain Relief. https://www.naturalcarechiropractic.com/post/acupuncture-for-sciatica-pain-relief

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

Understanding Nerve Conduction Velocity in Health Care

Should individuals experiencing nerve pain or various sensations get a nerve conduction velocity study to examine nerve health and function?

Nerve Conduction Velocity

A nerve conduction velocity (NCV) is a noninvasive test that measures the speed and strength of nerve stimulation using electrical probes placed on the skin. It’s used to diagnose nerve damage or disease, often alongside an EMG (electromyogram) to differentiate between nerve and muscle problems. It can also evaluate sensory issues, pain, and weakness of the extremities.

  • This test involves safe electrical shocks that can be slightly uncomfortable but not painful.
  • Nerve conduction velocity (NCV) measures the speed at which electrical impulses travel along a nerve fiber, which measures how quickly electrical signals travel through a nerve.
  • This information indicates nerve health and function.
  • Electromyography (EMG) is a nerve test that involves placing tiny needles into the muscles.
  • A slower NCV can indicate nerve injury or dysfunction.

Test Uses

Generally, the test is ordered to assess peripheral nerve diseases, those that connect from the muscles, organs, and skin to the spinal cord or brain. It can help identify the type and location of nerve damage.

  • Peripheral nerve conditions typically cause pain, sensory loss, tingling, or burning.
  • Mild weakness and diminished reflexes can be detected during a neurological examination.

Conditions

Nerve conduction studies are performed to help diagnose conditions.

  • Herniated disc disease
  • Sciatic nerve problems
  • Carpal tunnel syndrome
  • Guillain-Barré syndrome
  • Nerve damage (neuropathy), such as from diabetes, chemotherapy, or autoimmune disorders
  • Charcot-Marie-Tooth disease

Nerve compression

  • Many different conditions, including trauma, inflammation, and tumors, can compress one or more nerves.

Radiculopathy

  • Often described as a pinched nerve, radiculopathy can affect an arm or a leg, causing pain and weakness.

Peripheral Neuropathy

  • This nerve damage begins in the most distal nerves, those farthest from the center of the body, such as the toes and fingers. It is often due to chronic alcohol misuse, uncontrolled diabetes, nutritional deficits, and inflammatory diseases. (Ferdousi M. et al., 2020)

Carpal Tunnel Syndrome

  • Commonly caused by inflammatory diseases or overuse of the wrists, such as from assembly line work, carpal tunnel syndrome causes numbness, pain, and weakness of the fingers and hands. (Tada K. et al., 2022)

Ulnar neuropathy

  • This common condition causes arm pain and sensory changes, usually due to repetitive movements or a prolonged position that causes pressure on the ulnar nerve.

Guillain-Barré syndrome (GBS)

  • This inflammatory condition causes demyelination, or loss of the insulating covering around nerves, which results in leg weakness.
  • It begins in the motor nerves, which send signals to muscles in the legs. (Shibuya K. et al., 2022)
  • The inflammation travels to nerves of the upper body, often affecting the muscles that control breathing.
  • Respiratory support is necessary until the condition improves.

Chronic Demyelinating Polyneuropathy (CIDP)

  • This condition is a chronic, recurrent form of GBS that usually affects the legs and causes episodes of weakness.

ICU neuropathy

  • Metabolic changes, severe illness, and not moving enough can cause nerves to develop a pattern of weakness and sensory loss.

Myasthenia gravis (MG)

  • This autoimmune condition affects the junction between the nerves and the muscles.
  • Myasthenia gravis causes drooping eyelids and weakness of the arms and shoulders.

Amyotrophic lateral sclerosis (ALS)

  • ALS is a serious, degenerative disease affecting the spinal cord’s motor neurons.
  • Amyotrophic lateral sclerosis progresses rapidly, resulting in substantial weakness of muscles throughout the body.

How it’s Done

  • Surface electrodes are placed on the skin over nerves, and a small electrical current is applied to stimulate the nerve.
  • The time it takes for the electrical signal to travel between the electrodes is measured, and this time is used to calculate the NCV.

Values

Normal NCV values are generally between 50 and 70 meters per second. However, these values can vary depending on the nerve and the individual.

NCV Factors

Various factors can influence NCV.

  • Age
  • Sex
  • Medical conditions like diabetes

Interpretation

  • A slower NCV can indicate nerve damage or demyelination (loss of the myelin sheath, which insulates nerve fibers), while an EMG can help determine if the problem is with the nerve or the muscle.

Results

The results of NCV testing can be used to determine the type, severity, and location of nerve damage. The results will be ready in report form about a week after the test.

  • The test measures velocity (how fast a nerve transmits signals) and amplitude (how many nerve fibers were activated). (Tavee J. 2019)
  • The measurements are transmitted to a computer and shown as waves and numerical values.
  • The values are compared to a standard measurement based on the tested nerve.
  • The distance between the electrodes.
  • The person’s age.

Compared to the standard, the NCV results can identify certain patterns of nerve damage. (Tada K. et al., 2022) Outcomes include: (Tavee J. 2019)

  • If one or more nerves are affected.
  • If motor nerves (control movement), sensory nerves (transmit sensory signals), or both are affected.
  • Whether a nerve is blocked or damaged.
  • The severity of the damage.
  • The type of nerve damage
  • Axonal (damage to the nerve itself)
  • Demyelination (damage to the protective fatty layer around the nerve)

The results can help point to certain diagnoses.

Preparation Before the Test

Individuals will not need to change their diet before having an NCV. However, patients will be asked to avoid lotions or creams on their skin before the test. Individuals who are also having an EMG at the time of their NCV might be asked to stop taking medications or supplements that increase the risk of bleeding and bruising. If a healthcare provider says not to stop taking the medicines for health reasons, the patient might be warned that they could have some bruising after the EMG test.

  • NCV may advise against getting the test for those with electrical device implants.
  • Make sure your healthcare providers are aware of your whole medical history.

Injury Medical Chiropractic & Functional Medicine Clinic

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.

Peripheral Neuropathy and Chiropractic Care

References

Ferdousi, M., Kalteniece, A., Azmi, S., Petropoulos, I. N., Worthington, A., D’Onofrio, L., Dhage, S., Ponirakis, G., Alam, U., Marshall, A., Faber, C. G., Lauria, G., Soran, H., & Malik, R. A. (2020). Corneal confocal microscopy compared with quantitative sensory testing and nerve conduction for diagnosing and stratifying the severity of diabetic peripheral neuropathy. BMJ open diabetes research & care, 8(2), e001801. https://doi.org/10.1136/bmjdrc-2020-001801

Tada, K., Murai, A., Nakamura, Y., Nakade, Y., & Tsuchiya, H. (2022). In Carpal Tunnel Syndrome, Sensory Nerve Conduction Velocities Are Worst in the Middle Finger Than in the Index Finger. Frontiers in Neurology, 13, 851108. https://doi.org/10.3389/fneur.2022.851108

Shibuya, K., Tsuneyama, A., Misawa, S., Suzuki, Y. I., Suichi, T., Kojima, Y., Nakamura, K., Kano, H., Ohtani, R., Aotsuka, Y., Morooka, M., Prado, M., & Kuwabara, S. (2022). Different patterns of sensory nerve involvement in chronic inflammatory demyelinating polyneuropathy subtypes. Muscle & Nerve, 66(2), 131–135. https://doi.org/10.1002/mus.27530

Tavee J. (2019). Nerve conduction studies: Basic concepts. Handbook of Clinical Neurology, 160, 217–224. https://doi.org/10.1016/B978-0-444-64032-1.00014-X

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

Calisthenics: Transform Your Body Naturally

Get started with calisthenics and experience amazing results. Bodyweight training can elevate your fitness game effortlessly.

Introduction

Musculoskeletal disorders (MSDs) are among the leading causes of pain, disability, and diminished quality of life worldwide. Whether stemming from repetitive occupational stressors, sedentary behavior, age-related degeneration, or trauma, these disorders disrupt the foundational biomechanics of the human body. As a nurse practitioner with two decades of experience in physical and functional medicine, I have observed how integrated, non-surgical interventions—particularly calisthenics and chiropractic care—offer sustainable solutions for patients grappling with pain and mobility challenges.

This article outlines how calisthenics, or bodyweight movement training, when combined with chiropractic care, provides a comprehensive, cost-effective, and evidence-informed approach to restoring musculoskeletal health. We’ll also explore specific exercises, patient protocols, and the neurobiological underpinnings that make this combination both powerful and accessible.

Understanding Musculoskeletal Disorders: A Functional Medicine Perspective

Musculoskeletal disorders encompass a wide range of conditions affecting the bones, muscles, tendons, ligaments, and joints. These include:

  • Low back pain
  • Cervical radiculopathy
  • Myofascial pain syndrome
  • Shoulder impingement
  • Chronic joint stiffness and instability
  • Sacroiliac dysfunction
  • Postural imbalances and movement disorders

From a functional medicine lens, MSDs are not isolated pathologies but often part of a larger systemic imbalance involving inflammation, poor posture, neuromuscular dysfunction, and biomechanical inefficiencies.

Importantly, many patients present with overlapping risk profiles—including obesity, insulin resistance, sedentary lifestyle, poor proprioception, and autonomic dysregulation—that exacerbate their musculoskeletal pain. In these cases, surgery should be a last resort. Instead, conservative, holistic interventions often yield long-term relief and functional restoration without the side effects and costs associated with pharmacological or surgical approaches.

Why Non-Surgical Interventions Matter

Non-surgical treatments, especially those grounded in functional and physical medicine, provide several advantages:

  • Cost-effectiveness: Reduces long-term healthcare spending.
  • Minimized risk: Avoids complications from anesthesia, surgical infection, or post-operative dependency on opioids.
  • Root-cause resolution: Treats underlying movement dysfunction, not just the symptoms.
  • Sustainability: Teaches patients to manage their health independently through lifestyle, movement, and alignment.

Among these interventions, two stand out: chiropractic spinal care and calisthenics-based rehabilitation.

Calisthenics: The Foundation of Functional Movement

What Is Calisthenics?

Calisthenics refers to bodyweight resistance training aimed at improving strength, coordination, balance, and flexibility. Exercises such as squats, lunges, planks, push-ups, glute bridges, and dynamic mobility drills engage multiple muscle groups without external weights, making them safe, scalable, and accessible to all fitness levels.

Unlike high-intensity interval training (HIIT) or gym-based hypertrophy programs, calisthenics emphasizes:

  • Neuromuscular integration
  • Proprioceptive feedback
  • Core stabilization
  • Functional joint loading

🔍 SEO Keywords: calisthenics for low back pain, bodyweight exercises for musculoskeletal pain, functional movement therapy, non-surgical back pain relief

Calisthenics and Health Optimization

Evidence shows that regular participation in calisthenic-based movement routines can:

  • Improve metabolic health and reduce risk of chronic disease (Bellissimo et al., 2022)
  • Reverse deconditioning associated with sedentary behavior
  • Enhance musculoskeletal and cognitive function by improving circulation and neuroplasticity (Osuka et al., 2020)

This makes calisthenics not only a therapeutic intervention but also a preventive strategy for aging-related degeneration and functional decline.

Can Core Exercises Help With Back Pain?-Video

Chiropractic Care: Restoring Biomechanical Integrity

What Does Chiropractic Care Do?

Chiropractic care focuses on restoring spinal and joint alignment through manual and mechanical manipulations. When spinal segments are misaligned—known as subluxations—they interfere with normal neuromuscular signaling and alter gait, posture, and joint mechanics.

Key benefits include:

  • Pain reduction through neural reflex modulation
  • Improved range of motion in affected joints
  • Myofascial release and decreased muscle hypertonicity
  • Autonomic balance through vagal nerve upregulation

Coulter et al. (2018) documented chiropractic’s efficacy in reducing back pain severity, improving function, and lowering opioid dependence in patients with chronic low back pain.

The Synergy Between Calisthenics and Chiropractic Care

While chiropractic adjustments realign and decompress joints, calisthenics reinforces these changes by retraining the neuromuscular system. This dual approach ensures that postural corrections are maintained long-term through active engagement and movement retraining.

Key Integration Strategies:

  1. Post-Adjustment Stabilization
    Patients are guided through low-load activation drills (e.g., glute bridges, bird-dogs) immediately after spinal manipulation to “lock in” proper alignment via muscle memory.
  2. Corrective Exercise Protocols
    Calisthenic movements are used to correct postural syndromes like upper-crossed and lower-crossed syndrome by strengthening underactive muscles and releasing hypertonic patterns.
  3. Home-Based Exercise Programs
    These simple, equipment-free routines promote daily movement, increase patient autonomy, and reduce reliance on in-office care.
  4. Neuromuscular Re-education
    Calisthenics enhances proprioceptive feedback and motor planning, essential for individuals with chronic pain and poor movement literacy (Mear et al., 2022).

Evidence-Based Calisthenics for Musculoskeletal Pain

Calisthenics for Low Back Pain: 4 Foundational Exercises

1. Glute Bridge

Target: Gluteus maximus, hamstrings, core
Why: Strengthens posterior chain to decompress lumbar spine
How to Perform:

  • Lie on your back, knees bent, feet flat.
  • Engage core, press through heels, lift hips.
  • Hold 5 seconds; repeat 15 reps × 3 sets.

2. Bird-Dog

Target: Multifidus, erector spinae, transverse abdominis
Why: Enhances spinal stability and cross-body coordination
How to Perform:

  • On all fours, keep spine neutral.
  • Extend opposite arm and leg; hold 10 seconds.
  • Alternate sides; repeat 10 reps per side × 3 sets.

3. Wall Sit

Target: Quadriceps, glutes, lumbar stabilizers
Why: Promotes spinal neutrality and knee-hip coordination
How to Perform:

  • Slide into seated position against a wall.
  • Hold for 20–30 seconds; repeat 3–5 times.

4. Pelvic Tilt

Target: Core musculature, pelvic stabilizers
Why: Teaches lumbar-pelvic control and relieves tension
How to Perform:

  • Supine with knees bent.
  • Flatten lumbar spine against the floor.
  • Hold 10 seconds; repeat 10–15 reps × 3 sets.

💡 Pro Tip: Begin with isometric holds and progress to dynamic variations once stability improves.

Calisthenics in Functional Rehabilitation Protocols

Functional medicine emphasizes root-cause resolution and the restoration of systemic balance. In musculoskeletal care, this means addressing:

  • Inflammation and oxidative stress with nutrition and supplementation
  • Mitochondrial dysfunction with movement and breathwork
  • Autonomic dysregulation via vagal toning and neuromuscular re-patterning

Calisthenics fits into this paradigm by improving cellular oxygenation, lymphatic flow, and biomechanical alignment—without the need for expensive gym equipment or medication.

Case Example: Chronic Low Back Pain

A 48-year-old patient presents with chronic mechanical low back pain, obesity (BMI 31), and poor core strength. Her job requires prolonged sitting. A personalized treatment plan includes:

  • Chiropractic adjustments to the lumbar and thoracic spine
  • Dietary counseling to reduce inflammatory load
  • Calisthenic regimen of:
    • Bird-dogs for stabilization
    • Wall sits for quadriceps activation
    • Daily pelvic tilts to train lumbar control

Within 8 weeks, she reports reduced pain (VAS score from 7 to 3), improved posture, and increased daily movement tolerance.

Final Thoughts: Empowering Movement for Long-Term Health

Movement is medicine—particularly when it’s accessible, functional, and patient-led.

Calisthenics combined with chiropractic care offers a powerful, evidence-based approach to treating musculoskeletal disorders. This integrative strategy not only alleviates pain but also addresses the underlying biomechanical dysfunctions that contribute to chronic conditions. As a nurse practitioner practicing at the intersection of functional medicine and physical rehabilitation, I’ve seen firsthand how this combination can restore vitality, independence, and resilience in patients of all ages.

By embracing calisthenics as a therapeutic modality—and not just a fitness trend—we enable patients to become active participants in their healing journey. Whether managing chronic back pain, recovering from injury, or optimizing performance, bodyweight movement is one of the most effective and sustainable tools we can offer.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of assessing individuals with musculoskeletal disorders affecting their daily routines. When asking important questions to our associated medical providers, we advise patients to incorporate exercises like calisthenics to help reengage the musculoskeletal system while reducing muscle pain within the lumbar region. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.

References

Bellissimo, G. F., Ducharme, J., Mang, Z., Millender, D., Smith, J., Stork, M. J., Little, J. P., Deyhle, M. R., Gibson, A. L., de Castro Magalhaes, F., & Amorim, F. (2022). The Acute Physiological and Perceptual Responses Between Bodyweight and Treadmill Running High-Intensity Interval Exercises. Front Physiol, 13, 824154. https://doi.org/10.3389/fphys.2022.824154

Caneiro, J. P., Bunzli, S., & O’Sullivan, P. (2021). Beliefs about the body and pain: the critical role in musculoskeletal pain management. Braz J Phys Ther, 25(1), 17-29. https://doi.org/10.1016/j.bjpt.2020.06.003

Coulter, I. D., Crawford, C., Hurwitz, E. L., Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, P. M. (2018). Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. Spine J, 18(5), 866-879. https://doi.org/10.1016/j.spinee.2018.01.013

Mear, E., Gladwell, V. F., & Pethick, J. (2022). The Effect of Breaking Up Sedentary Time with Calisthenics on Neuromuscular Function: A Preliminary Study. Int J Environ Res Public Health, 19(21). https://doi.org/10.3390/ijerph192114597

Osuka, Y., Kojima, N., Sasai, H., Ohara, Y., Watanabe, Y., Hirano, H., & Kim, H. (2020). Exercise Types and the Risk of Developing Cognitive Decline in Older Women: A Prospective Study. J Alzheimers Dis, 77(4), 1733-1742. https://doi.org/10.3233/JAD-200867

Zemkova, E., & Zapletalova, L. (2022). The Role of Neuromuscular Control of Postural and Core Stability in Functional Movement and Athlete Performance. Front Physiol, 13, 796097. https://doi.org/10.3389/fphys.2022.796097

Disclaimer

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

Gua-Sha & Chiropractic Care for Wellness and Health: A Perfect Combo

Unlock the potential of gua-sha and chiropractic care. Learn how it can enhance your well-being and relieve tension.

Introduction: Rethinking Musculoskeletal Pain Through a Functional Medicine Lens

As a nurse practitioner with two decades of experience in physical and functional medicine, I’ve seen firsthand how musculoskeletal pain disrupts lives—whether it’s the desk-bound professional with chronic neck tension, the athlete recovering from overuse injuries, or the aging adult with persistent back discomfort. While pharmaceutical interventions may offer temporary relief, the key to long-term healing often lies in a more integrative approach.

Gua Sha therapy, a time-tested East Asian technique, combined with chiropractic care, offers a powerful, evidence-informed, and non-surgical strategy to alleviate musculoskeletal pain, restore function, and improve mobility. In this article, we’ll explore how these two modalities complement each other, the science behind their synergistic benefits, and how they can be integrated into a personalized treatment plan to support whole-body healing.

What Is Gua Sha Therapy? A Functional Medicine Perspective

Gua Sha (pronounced “gwah-shah”) is a traditional healing modality rooted in Traditional Chinese Medicine (TCM), involving the use of a smooth-edged instrument—often made of jade, rose quartz, or stainless steel—to gently scrape the skin in targeted areas. The goal? To release stagnation, promote microcirculation, and activate the body’s innate healing response.

The term “Gua” means “to scrape” and “Sha” refers to the reddish marks that appear on the skin, signifying the release of stagnant blood and toxins. These marks typically fade within a few days and are a normal part of the healing process.

In the modern clinical setting, Gua Sha has evolved into a sophisticated tool used by physical therapists, chiropractors, acupuncturists, and functional medicine providers. It’s particularly effective in addressing myofascial tension, trigger points, chronic inflammation, and reduced mobility due to soft tissue adhesions.

How Gua Sha Alleviates Musculoskeletal Pain

Musculoskeletal pain is often multifactorial—stemming from overuse, injury, postural imbalances, or systemic inflammation. When these factors are left unaddressed, they can lead to myofascial restrictions, scar tissue formation, and neuromuscular dysfunction, perpetuating a cycle of pain and immobility.

Gua Sha works by:

  • Disrupting fascial adhesions and encouraging tissue remodeling
  • Enhancing microvascular circulation, accelerating the delivery of oxygen and nutrients to the affected tissues
  • Activating the parasympathetic nervous system, shifting the body from “fight or flight” to “rest and repair”
  • Reducing pro-inflammatory cytokines and promoting anti-inflammatory responses (Chu et al., 2021)
  • Stimulating lymphatic flow, helping to reduce edema and clear metabolic waste
  • Releasing trigger points in hypertonic muscle groups, particularly in the neck, shoulders, lower back, and limbs

These mechanisms align well with the goals of functional medicine: identifying and treating root causes rather than masking symptoms.

Chiropractic Care: Aligning Structure and Function

Chiropractic care focuses on restoring proper spinal alignment and joint mobility through manual manipulation techniques. It is based on the principle that optimal nervous system function depends on structural integrity, particularly of the vertebral column.

Common benefits of chiropractic care include:

  • Pain reduction in the back, neck, and extremities
  • Improved range of motion and posture
  • Decompression of nerve roots, reducing radiculopathy and referred pain
  • Enhanced proprioception and neuromuscular coordination
  • Prevention of degenerative joint changes through biomechanical correction

A growing body of research supports chiropractic adjustments as an effective, evidence-based option for managing musculoskeletal conditions, especially when integrated into a multimodal treatment approach (Trager et al., 2024).

Discovering the Benefits of Chiropractic Care- Video

Gua Sha and Chiropractic Care: A Synergistic Duo

When Gua Sha is combined with chiropractic care, the result is a comprehensive therapeutic approach that targets both soft tissue restrictions and structural misalignments. This synergy accelerates healing and maximizes outcomes by preparing the body for more effective manual adjustments.

Here’s how the two modalities work together:

Gua Sha TherapyChiropractic Care
Breaks down adhesions in fascia and muscle tissueRestores joint alignment and spinal biomechanics
Stimulates lymphatic and circulatory systemsReduces nerve impingement and improves neural signaling
Releases tension in overactive muscle groupsRestores balance and mobility in underactive joints
Supports parasympathetic activationReinforces proprioceptive and neuromuscular patterns

One specific chiropractic application of Gua Sha is the Graston Technique, a modern adaptation that uses stainless steel instruments to identify and treat areas of soft tissue fibrosis. The goal is similar—restore mobility, reduce pain, and promote tissue healing (Deshmukh & Phansopkar, 2023).

Clinical Applications: When to Consider Gua Sha + Chiropractic Integration

As a nurse practitioner in functional medicine, I often incorporate both Gua Sha and chiropractic care for patients with:

  • Chronic neck pain and tension headaches
  • Myofascial pain syndrome (MPS)
  • Postural dysfunctions from prolonged desk work
  • Repetitive strain injuries (e.g., carpal tunnel, tennis elbow)
  • Lower back pain with fascial tightness
  • Post-surgical scar tissue and restricted mobility
  • TMJ dysfunction and facial tension
  • Sports-related injuries and performance recovery

These patients often report improved mobility, reduced inflammation, and greater pain relief when Gua Sha is included in their care plan—especially when timed before or after a chiropractic adjustment to reduce soft tissue guarding and enhance adjustment efficacy.

The Science: What Does the Research Say?

Numerous studies support the physiological effects of Gua Sha on circulation, inflammation, and pain modulation:

  • A 2021 study by Chu et al. found that Gua Sha therapy significantly increased microcirculation and decreased inflammatory markers in patients with chronic muscle pain.
  • Wang et al. (2020) highlighted Gua Sha’s role in stimulating the du meridian (governing vessel) and clearing blood stasis, promoting faster soft tissue recovery.
  • Knezevic et al. (2021) emphasized that musculoskeletal pain often arises from the interplay between soft tissue dysfunction, trigger points, and neural sensitization—areas where Gua Sha can provide targeted relief.
  • Trager et al. (2024) affirmed that chiropractic care continues to show promise as a cost-effective, non-pharmacological solution to chronic spinal pain and joint dysfunction.

Together, these therapies create a healing environment that supports the body’s biomechanical, neurological, and energetic systems.

Safety Considerations and Contraindications

While Gua Sha is a safe and gentle therapy, it is not suitable for everyone. Contraindications include:

  • Bleeding disorders or anticoagulant use
  • Severe varicose veins or vascular fragility
  • Active skin infections, open wounds, or dermatologic conditions
  • Recent surgeries with unhealed incisions

Always consult with a licensed provider trained in both modalities to determine appropriateness and ensure personalized, safe care.

Optimizing Results: A Functional Medicine Approach to Musculoskeletal Recovery

Incorporating Gua Sha and chiropractic care into a broader functional medicine care plan often yields the most sustainable results. Complementary strategies may include:

  • Anti-inflammatory nutrition
  • Targeted supplementation (e.g., magnesium, omega-3s, curcumin)
  • Postural training and ergonomic assessment
  • Myofascial release, cupping, or acupuncture
  • Stress management and sleep optimization

The body is a system of systems. Addressing musculoskeletal dysfunction holistically allows patients to heal not just their symptoms but the root cause of imbalance.

Conclusion: Empowering Patients With Integrative Pain Solutions

Musculoskeletal pain is one of the most common complaints in modern healthcare, yet the solution doesn’t have to be invasive, pharmaceutical, or surgical. By combining the ancient wisdom of Gua Sha with the mechanical precision of chiropractic care, we unlock a deeply therapeutic pathway toward healing, function, and resilience.

As a nurse practitioner grounded in both physical and functional medicine, I encourage patients and providers alike to explore the synergistic power of these modalities. When integrated skillfully and applied with intention, Gua Sha and chiropractic care can dramatically improve musculoskeletal health, restore balance, and empower patients to reclaim their active lives.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of assessing individuals dealing with musculoskeletal pain by incorporating Gua-Sha and chiropractic care. When asking important questions to our associated medical providers, we advise patients to utilize Gua-Sha combined with chiropractic care to reduce musculoskeletal pain and restore soft tissue mobility in the extremities. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.

References

Chu, E. C., Lin, A. F. C., & Chu, V. (2023). The Inclusion of Chiropractic Care in the Healthy China Initiative 2030. Cureus, 15(8), e43068. https://doi.org/10.7759/cureus.43068

Chu, E. C. P., Wong, A. Y. L., Sim, P., & Kruger, F. (2021). Exploring scraping therapy: Contemporary views on ancient healing – A review. J Family Med Prim Care, 10(8), 2757-2762. https://doi.org/10.4103/jfmpc.jfmpc_360_21

Deshmukh, N. S., Jr., & Phansopkar, P. (2023). Effect of the Graston Technique and Cupping Therapy on Pain and Functions in Individuals With Medial Tibial Stress Syndrome: A Randomized Clinical Trial. Cureus, 15(11), e48246. https://doi.org/10.7759/cureus.48246

Knezevic, N. N., Candido, K. D., Vlaeyen, J. W. S., Van Zundert, J., & Cohen, S. P. (2021). Low back pain. The Lancet, 398(10294), 78-92. https://doi.org/10.1016/s0140-6736(21)00733-9

Trager, R. J., Bejarano, G., Perfecto, R. T., Blackwood, E. R., & Goertz, C. M. (2024). Chiropractic and Spinal Manipulation: A Review of Research Trends, Evidence Gaps, and Guideline Recommendations. J Clin Med, 13(19). https://doi.org/10.3390/jcm13195668

Wang, Y. W., Xi, Z. W., Pu, B., Chen, G. Y., Ma, Y. F., Liu, D. L., & Xu, X. (2020). Gua sha therapy for chronic low back pain: A protocol for systematic review. Medicine (Baltimore), 99(40), e20606. https://doi.org/10.1097/MD.0000000000020606

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

Back Pain When Walking: A Comprehensive Guide

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

Back Pain When Walking

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

Muscle Issues

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

Strains

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

Sprains

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

Fatigue

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

Degenerative Disc Disease

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

Sciatica

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

  • Numbness
  • Tingling
  • Muscle cramps
  • Leg muscle weakness

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

Lumbar Spinal Stenosis

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

Hyperlordosis

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

Prevention Strategies

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

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

Alternative Exercise

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

Elliptical Trainer

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

Recumbent Biking

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

Upright Stationary Biking

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

Walking In A Pool

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

Water Aerobics

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

Injury Medical Chiropractic & Functional Medicine Clinic

See a physical therapist for a personalized exercise program to reduce back pain and appropriate for your condition. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Beyond Adjustments: Chiropractic and Integrative Healthcare

References

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

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

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

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

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

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

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

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

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

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

Pulled Muscle: Understanding the Healing Process

What are the recommendations for a pulled muscle injury to fully recover?

Pulled Muscle Recovery Time

A pulled muscle, medically known as a strain, occurs when muscle fibers are stretched too far and sometimes tear. A pulled muscle injury typically starts to heal within days. Mild injuries can heal completely in one to three weeks, but more serious strains or tears, depending on the severity, can take six to 12 weeks or longer. (Fernandes T. L., Pedrinelli A., & Hernandez A. J. 2015)  Rest, hydration, healthy foods, and slowly returning to activity can help expedite healing time.

Timeline

The timeline for recovering from a pulled muscle depends on the injury’s severity.

Pulled muscles are typically categorized into three grades based on the degree and size of pulled muscle fibers, as follows (Hospital for Special Surgery, 2024)

Grade 1 (mild)

  • Heals in a few days.
  • A microscopic tear or stretch in the muscle fiber.
  • It might feel sore, but you can still use the muscle.

Grade 2 (moderate)

  • Heals in four to six weeks.
  • A partial tear in the muscle causes noticeable pain and swelling, making it harder to move or use the injured muscle.

Grade 3 (severe)

  • Heals in several months
  • This type of muscle strain causes a complete tear, also known as a rupture.
  • It results in intense pain, significant swelling, and inability to use the muscle.
  • Surgery may be required in some cases.
  • Larger muscles, such as the hamstrings and quadriceps, may take longer to heal than smaller muscles due to their increased size and greater weight-bearing loads.

Body Parts More Susceptible To Injury

The following are more susceptible to muscle strains, pulls, or tears (Nölle L. V. et al., 2022)

  • Neck – levator scapulae and trapezius
  • Shoulders – rotator cuff muscles
  • Lower back – erector spinae
  • Groin – adductors
  • Front of the thigh – quadriceps
  • Behind the thigh – hamstrings
  • Calves – gastrocnemius and soleus

Healing Stages and Factors

Pulled muscles heal in three predictable stages, though the timing and progression may vary by individual and injury severity (Baoge L. et al., 2012).

Inflammatory Stage (zero to three days)

  • When pulling a muscle, the body reacts instantly with an inflammatory response that may include swelling, redness, bruising, and pain.
  • Rest is important during this stage to prevent the injury from getting worse.

Repair Stage (three to 21 days)

  • Damaged muscle fibers are repaired and regrow during this stage.
  • Collagen fills in any tears to rebuild damaged muscle tissue.
  • Gentle movement and easy activity can help the fibers line up properly and reduce stiffness.
  • Start slowly moving a pulled muscle as soon as possible, but avoid too much activity too soon, as it can delay and prolong healing.

Remodeling Stage (three weeks to one year)

  • Repaired tissue gets stronger and adapts to regular movement.
  • Scar tissue may form.
  • Gradually adding more activity, stretching, and strengthening exercises helps treat a pulled muscle and return to full strength and function but should be done carefully to avoid re-injury.

Faster Healing

To help speed up recovery from a pulled muscle, try these simple strategies: (Baoge L. et al., 2012) (Laumonier T. & Menetrey J. 2016)

Rest

  • Avoid activities that cause pain, but move the muscle gently to prevent stiffness.
  • Prolonged rest can slow healing, so maintain a balance between rest and exercise.

Ice

  • Add ice for 10–20 minutes for the first 48 hours to reduce swelling and pain.
  • Ice helps control inflammation by limiting blood flow to the injured area.

Compression

  • Use compression stockings or wrap the injured part in bandages to help reduce swelling.
  • Ensure the binding is not too tight so circulation is not cut off.

Elevation

  • Raise the injured area above heart level throughout the day.
  • This helps reduce swelling by allowing fluids to drain away from the injury site.

Heat

  • After the first two to three days, heat therapy increases blood circulation and improves flexibility, helping the muscle heal.

Eat Healthy

  • Get enough protein for muscle repair.

Maintain Hydration

  • Drink plenty of water to help with circulation and muscle lubrication.

Massage and Physical Therapy

  • These hands-on interventions can improve circulation, help reduce scar tissue, and restore range of motion.

Over-the-counter Medications

  • If needed, over-the-counter nonsteroidal anti-inflammatory medications like Advil or Motrin (ibuprofen) and Aleve (naproxen sodium) can help with pain and swelling.
  • Only use as directed.

These steps can help promote faster healing and expedite returning to normal daily activities.

When to Resume Normal Activity

Individuals may need one to two weeks to recover before resuming normal activity for mild strains. However, for more severe injuries, it could take four to six weeks or longer to return to all daily activities. (Harvard Health Publishing, 2023) It’s essential to gradually return to daily activities to avoid reinjury, which can delay and prolong healing. Follow these recommendations to recover from a pulled muscle safely and quickly (Kraemer W., Denegar C., & Flanagan S. 2009)

  • Once the pain has subsided, the swelling has decreased, and the muscle feels better, start with low-impact exercises.
  • Slowly resume normal activities, avoiding overexerting the injured area.
  • Gradually increase activity levels and stop if there is any pain.
  • Avoid strenuous activities that place excessive stress on the injured muscle until the muscle is completely healed.

Contact a Healthcare Provider

While most pulled muscles heal with home care, seek medical attention if: (Penn Medicine, 2023)

  • Pain persists or worsens after seven to 10 days.
  • This can indicate a more serious injury, such as a severe torn muscle.
  • Significant pain, loss of motion and strength, and swelling disrupt daily activities or show signs of worsening despite rest and self-care.
  • It is difficult to move the affected area, or the muscle cannot bear weight, suggesting a more severe injury.
  • There are signs of infection, including redness, warmth, increased swelling, or fever, especially if the skin is cut or broken near the injured area.
  • There is unusual bruising or a visible deformity, which could indicate a bone fracture requiring professional evaluation.

A healthcare provider may recommend imaging studies, such as MRI, ultrasound, or X-rays, to assess the extent of the injury, rule out fractures, or check for muscle tears.

Injury Medical Chiropractic & Functional Medicine Clinic

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.

Say Goodbye to Pain with Chiropractic Care

References

Fernandes, T. L., Pedrinelli, A., & Hernandez, A. J. (2015). MUSCLE INJURY – PHYSIOPATHOLOGY, DIAGNOSIS, TREATMENT, AND CLINICAL PRESENTATION. Revista brasileira de ortopedia, 46(3), 247–255. https://doi.org/10.1016/S2255-4971(15)30190-7

Hospital for Special Surgery. J. N. R., MD. (2024). Muscle Strain: Causes, Symptoms, Treatment. https://www.hss.edu/conditions_muscle-strain.asp

Nölle, L. V., Mishra, A., Martynenko, O. V., & Schmitt, S. (2022). Evaluation of muscle strain injury severity in active human body models. Journal of the mechanical behavior of biomedical materials, 135, 105463. https://doi.org/10.1016/j.jmbbm.2022.105463

Baoge, L., Van Den Steen, E., Rimbaut, S., Philips, N., Witvrouw, E., Almqvist, K. F., Vanderstraeten, G., & Vanden Bossche, L. C. (2012). Treatment of skeletal muscle injury: a review. ISRN orthopedics, 2012, 689012. https://doi.org/10.5402/2012/689012

Laumonier, T., & Menetrey, J. (2016). Muscle injuries and strategies for improving their repair. Journal of Experimental Orthopaedics, 3(1), 15. https://doi.org/10.1186/s40634-016-0051-7

Harvard Health Publishing. (2023). Muscle strain. https://www.health.harvard.edu/staying-healthy/muscle-strain-a-to-z

Kraemer, W., Denegar, C., & Flanagan, S. (2009). Recovery from injury in sport: considerations in the transition from medical care to performance care. Sports Health, 1(5), 392–395. https://doi.org/10.1177/1941738109343156

Penn Medicine. (2023). Strains. https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/strains

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

Push-Pull Workout: A Comprehensive Guide

Can a push-pull workout routine be an option for individuals who want focused training on specific muscle groups and balanced muscle development throughout the body?

Push-Pull Strength Training

A “push-pull” workout is a training style in which you split your exercise routine into separate days dedicated to “push” exercises (targeting muscles like the chest, shoulders, and triceps) and “pull” exercises (targeting muscles like the back and biceps). This allows focused training on each muscle group by isolating their primary movement patterns—pushing away from the body or pulling towards it. The workout often accompanies a separate leg day to complete the full-body workout. This routine comes from bodybuilding. Bodybuilders use this method to maximize their workouts and rest periods. By splitting their workouts into push exercises one day and pull exercises another, they can work out more often without overtraining. (Castanheira R. P. M. et al., 2017)

Upper Body Push Exercises

These exercises involve all the movements that push the weights away from your body. These exercises typically focus on the quads, outer thighs, chest, shoulders, and triceps. (Collins P. 2009)

Pushups

  • Push-ups are a versatile bodyweight exercise that engages multiple muscle groups, including the chest, shoulders, triceps, and core.

Chest Presses

  • Chest presses are exercises that target the pectoral muscles (chest muscles).
  • They can be performed with various equipment and techniques, providing a comprehensive workout for the chest.

Chest Flies

  • Chest flies are a weightlifting exercise that targets the pectoral muscles (chest muscles).
  • They are performed by lying on a bench and extending the arms outward with weights in each hand.
  • The weights are then lowered in an arc motion until they are slightly below chest level before being raised back to the starting position.

Overhead Presses

  • An overhead press is a weight-training exercise that involves pushing a weight above your head.
  • Also known as a shoulder, military, or strict press.

Lateral Raises

  • Lateral raises are an isolation exercise that targets the lateral deltoid muscle on the shoulder’s side.
  • They raise the arms laterally (out to the sides) while slightly bending at the elbows.

Bent Arm Lateral Raises

  • A bent-over lateral raise is a weightlifting exercise that strengthens the rear deltoids, the muscles on the back of the shoulders.
  • It also works other upper and lower body muscles, including the trapezius, rhomboids, triceps, hamstrings, and lower back.

Front Raises

  • Front raises are a weight training exercise that targets the shoulder muscles.
  • They can also help build strength and stability in the upper body.

Dips

  • Dips are an upper-body exercise that uses your body weight to strengthen your triceps and chest.

Triceps Extensions

  • Triceps extensions are resistance exercises that target the triceps muscles in the back of the upper arm.
  • They involve extending the arms at the elbows while keeping the shoulders stationary.

Skull Crushers

  • Skull crushers are a weightlifting exercise that targets the triceps muscles in the upper arms.
  • They are performed by lying on a bench or floor, holding a weight (such as a dumbbell or barbell) overhead, and then lowering it towards the forehead while keeping the elbows slightly bent.
  • This exercise helps to strengthen and build muscle mass in the triceps.

Upper Body Pull Exercises

Pull exercises are movements where you are pulling the weight toward your body. These exercises primarily use the biceps, hamstrings, glutes, and back muscles. A routine set up in which you do a push routine one day and a pull routine the next without working the same muscles two days in a row.

Barbell Rows

  • Often referred to as a “bent-over row” due to the hinged position of your body during the movement.
  • A barbell row is a weightlifting exercise in which you bend over at the hips, grasp a barbell with an overhand grip, and pull the weight toward your stomach.
  • This exercise primarily targets the upper back muscles, including the latissimus dorsi, while also engaging the core and posterior chain muscles.

One Arm Rows

  • A variation of the bent-over row, a one-arm row, also known as a single-arm dumbbell row, is an upper-body exercise that targets the back muscles using a dumbbell and a bench.

Double arm rows

  • A “double arm row” is a rowing exercise in which you simultaneously pull a weight toward your body using both arms, typically with a barbell or dumbbell.
  • This exercise engages your upper back muscles, including the latissimus dorsi, trapezius, and rhomboids.
  • To effectively target the back muscles, you maintain a bent-over position. Essentially, it’s the opposite movement of a chest press, but you use both arms simultaneously.

Barbell High Rows

  • A barbell high row, also known as a wide row, is an exercise that uses a barbell to work the upper and mid back muscles.

Dumbell Pullovers

  • Dumbbell pullovers are a weightlifting exercise that targets the chest, back, and shoulder muscles.

Seated Rows with Resistance Bands

  • A “seated row with bands” is an exercise where you sit on the ground, loop a resistance band around your feet, and then pull the handles towards your chest, mimicking a rowing motion.
  • By squeezing the shoulder blades together, this motion primarily targets the upper back muscles, including the latissimus dorsi and rhomboids.
  • You are essentially performing a seated row movement using the tension of a resistance band instead of weights.

Lat Pulls with Resistance Band

  • Lat pulls with a resistance band are a back exercise that strengthens the latissimus dorsi muscles and can improve posture.

Back extensions

  • Back extensions are an exercise that strengthens and isolates the lower back muscles, also known as the erector spinae.

Seated Alternating Rows

  • A seated alternating row is an exercise that targets the upper back, biceps, and lats.
  • It can be performed using a resistance machine or with a band.

Renegade Rows

  • A renegade row is a full-body exercise that combines a plank with a dumbbell row.
  • It’s an advanced exercise that targets the upper body, back, shoulders, and core.

Biceps Curls

  • A bicep curl involves bending the arm at the elbow towards the body, strengthening the biceps, the large muscles in the front of the upper arm.

Home Equipment

Resistance bands and a quality pair of adjustable dumbbells are recommended for home training. These don’t take up much space and can be used for most upper-body exercises. To set up a more dedicated space for workouts, add a weight bench or a full home gym to increase your push-pull training options.

Benefits

Push-pull workouts are great for anybody, whether you’re a bodybuilder or just someone lifting weights to be strong and fit. This routine is usually spread out over three days of training, allowing for shorter workouts. These can help you stay committed despite a busy schedule and are easier than longer, total-body workouts. These exercises can also be done with a cable pulley system or resistance bands.

  1. Day 1 might be a push upper body workout.
  2. Day 2 might be a lower-body workout.
  3. Day 3 might be the pull upper body workout.

First, push-pull workouts allow you to work your muscles without overstressing them. (Castanheira R. P. M. et al., 2017) Second, although they are more frequent, push-pull workouts are shorter, so more can be done because your other muscles are resting. Third, push-pull routines are more interesting and contain more variety, as they can be done in various ways.

Alternating Workouts

Trainers recommend changing workouts every 6-12 weeks to avoid hitting a plateau, which can delay weight loss (American Council on Exercise, 2001). For example, you could do a push-pull routine for a few weeks and then switch to a different training method, pyramid training. Then, return to total body workouts, which you can do up to 3 non-consecutive days a week. Circuit training may be an option because the quick workouts allow you to get your cardio in simultaneously. (Haltom R. W. et al., 1999) With so many different training methods, there’s no need to do the same workouts repeatedly.

Injury Medical Chiropractic and Functional Medicine Clinic

For those who are easily bored with weight training and prefer a variety of exercises, this can be a refreshing way to stay focused and avoid burnout. 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.

Transform Your Body

References

Castanheira, R. P. M., Ferreira-Junior, J. B., Celes, R. S., Rocha-Junior, V. A., Cadore, E. L., Izquierdo, M., & Bottaro, M. (2017). Effects of Synergist vs. NonSynergist Split Resistance Training Routines on Acute Neuromuscular Performance in Resistance-Trained Men. Journal of strength and conditioning research, 31(12), 3482–3488. https://doi.org/10.1519/JSC.0000000000001762

Collins, P. (2009). Functional Fitness. Germany: Meyer & Meyer Sport, Limited.

American Council on Exercise. (2001). Weight Loss Plateaus and Pitfalls. ACE. https://contentcdn.eacefitness.com/assets/education-resources/lifestyle/fitfacts/pdfs/fitfacts/itemid_69.pdf

Haltom, R. W., Kraemer, R. R., Sloan, R. A., Hebert, E. P., Frank, K., & Tryniecki, J. L. (1999). Circuit weight training and its effects on excess postexercise oxygen consumption. Medicine and science in sports and exercise, 31(11), 1613–1618. https://doi.org/10.1097/00005768-199911000-00018