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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 Solutions For Peripheral Neuropathy Pain

Uncover the benefits of chiropractic care for treating peripheral neuropathy and nerve pain while enhancing overall health.

Chiropractic Care for Peripheral Neuropathy: A Comprehensive Guide to Reducing Nerve Pain

Peripheral neuropathy is like that annoying neighbor who keeps blasting music at 3 a.m.—it disrupts your life, makes you uncomfortable, and leaves you desperate for relief. For the millions of people dealing with this condition, the tingling, burning, or numbness in their hands, feet, or other extremities can turn simple tasks like tying shoelaces or walking the dog into a Herculean effort. But here’s the good news: chiropractic care, especially when guided by experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, in El Paso, Texas, might just be the key to turning down the volume on that nerve pain. In this comprehensive guide, we’ll dive into the clinical rationale behind why chiropractic care can help reduce nerve pain associated with peripheral neuropathy, explore the musculoskeletal system’s role in this condition, and highlight how Dr. Jimenez’s unique approach makes him a go-to for personal injury victims in El Paso. So, grab a comfy seat (preferably one that doesn’t pinch your nerves), and let’s get started!

What Is Peripheral Neuropathy? The Nerve-Wracking Basics

Imagine your nervous system as the body’s electrical wiring, with the peripheral nervous system acting as the cables that carry signals from your brain and spinal cord to the rest of your body. Peripheral neuropathy happens when these cables get frayed, damaged, or short-circuited, leading to symptoms like tingling, burning, numbness, or even muscle weakness. According to Verywell Health, peripheral neuropathy refers to a range of conditions caused by damage to the peripheral nerves, which can stem from various culprits like diabetes, chemotherapy, infections, or traumatic injuries (Falk, 2023).

The symptoms can range from mildly annoying—like feeling like your foot’s asleep after sitting too long—to downright debilitating, where even a light touch feels like a zap from a Taser. Peripheral neuropathy can affect sensory nerves (think touch and pain), motor nerves (muscle movement), or autonomic nerves (automatic functions like heart rate or digestion). Depending on the cause, it might present as a mononeuropathy (one nerve affected) or polyneuropathy (multiple nerves), with symptoms often starting in the toes and feet and creeping upward (Falk, 2023).

For many, peripheral neuropathy isn’t just a medical issue; it’s a daily life disruptor. Tasks like buttoning a shirt, walking without stumbling, or even sleeping without pain become challenging. And when you throw in causes like diabetes or chemotherapy, which are common triggers, the stakes get even higher. So, how does the musculoskeletal system get tangled up in this nerve-racking mess? Let’s find out.

References
Falk, E. (2023). Peripheral neuropathy: Causes, symptoms, and treatment. Verywell Health. https://www.verywellhealth.com/peripheral-neuropathy-3145943

The Musculoskeletal System’s Role in Peripheral Neuropathy

The musculoskeletal system—your bones, muscles, tendons, ligaments, and joints—is like the scaffolding that keeps your body upright and moving. But when peripheral neuropathy enters the scene, it’s like a wrecking ball hitting that scaffold. Nerve damage can mess with the signals that control muscle movement and sensation, leading to a domino effect of issues that impact your daily routine.

How Peripheral Neuropathy Affects the Musculoskeletal System

  1. Muscle Weakness and Atrophy: If motor nerves are damaged, the muscles they control can weaken or waste away. Imagine trying to lift a grocery bag when your arm muscles are on strike—tasks like walking, climbing stairs, or even holding a coffee mug become a struggle (Falk, 2023).
  2. Loss of Coordination: Sensory nerves help you feel where your body is in space (proprioception). When they’re compromised, you might stumble or feel like you’re walking on a tightrope, even on flat ground. This can lead to falls, especially in older adults, turning a simple trip to the mailbox into an adventure (Falk, 2023).
  3. Joint Instability and Pain: Damaged nerves can reduce feedback to joints, leading to poor alignment or overuse injuries. For example, if you can’t feel your feet properly, you might unknowingly put extra stress on your knees or hips, causing pain or inflammation over time (Falk, 2023).
  4. Spinal Misalignments and Nerve Compression: Here’s where the musculoskeletal system and peripheral neuropathy get extra cozy. Misalignments in the spine (subluxations) or compressed spinal nerves can exacerbate or even mimic neuropathy symptoms. Research suggests that spinal canal compression might contribute to polyneuropathy by impinging on nerve roots, leading to pain, numbness, or tingling that radiates to the extremities (Pinto et al., 2016).

Impact on Daily Life

These musculoskeletal changes can turn your daily routine into a comedy of errors—minus the laughs. Dropping things, tripping over your own feet, or feeling like your hands are wearing oven mitts 24/7 can make work, hobbies, or even self-care feel like climbing Mount Everest. For instance, diabetic peripheral neuropathy, one of the most common forms, often leads to foot numbness, increasing the risk of unnoticed injuries or infections (Hicks & Selvin, 2019). And for those recovering from personal injuries, like car accidents, nerve pain can compound existing musculoskeletal issues, making recovery a longer, bumpier road.

References
Falk, E. (2023). Peripheral neuropathy: Causes, symptoms, and treatment. Verywell Health. https://www.verywellhealth.com/peripheral-neuropathy-3145943
Pinto, M. V., et al. (2016). Could spinal canal compression be a cause of polyneuropathy? Clinical & Experimental Rheumatology, 34(Suppl 95), S60-S64. https://pubmed.ncbi.nlm.nih.gov/26934594/

Why Chiropractic Care? The Clinical Rationale for Nerve Pain Relief

Chiropractic care is like a superhero swooping in to save the day for your nervous system. By focusing on the spine and musculoskeletal system, chiropractors aim to restore balance, reduce nerve interference, and promote healing—without relying on drugs or surgery. But how exactly does this help with peripheral neuropathy? Let’s break down the clinical rationale, with a nod to the expertise of Dr. Alexander Jimenez, whose integrative approach is making waves in El Paso.

Spinal Alignment and Nerve Function

The spine is the highway for your nervous system, and any roadblocks—like misaligned vertebrae or subluxations—can disrupt traffic, causing nerve irritation or compression. Chiropractic adjustments use manual or mechanical techniques to correct these misalignments, reducing pressure on nerve roots and improving signal flow to the peripheral nerves (Bussières et al., 2018). For example, if a herniated disc in your lower back is pinching a nerve, it could send shooting pain or numbness down your leg, mimicking peripheral neuropathy. Adjustments can relieve this pressure, potentially easing symptoms (Jimenez, 2023a).

Dr. Jimenez, with his dual expertise as a chiropractor and nurse practitioner, takes this a step further. At his Injury Medical & Chiropractic Clinic, he uses advanced imaging (like MRIs and X-rays) to pinpoint spinal issues that might contribute to nerve pain. His “dual-scope” approach combines chiropractic adjustments with medical diagnostics to create precise, personalized treatment plans (Jimenez, 2023b). Think of it as using GPS to navigate a tricky road instead of just guessing the way.

Reducing Inflammation and Pain

Peripheral neuropathy often comes with inflammation, especially in cases caused by chemical or mechanical insults to nerve roots, like those from diabetes or trauma (Younger et al., 2009). Chiropractic care, including techniques like spinal decompression or soft tissue mobilization, can reduce inflammation by improving blood flow and calming irritated tissues. Dr. Jimenez often incorporates manual therapies like myofascial release to ease muscle tension and promote healing, which can take the edge off nerve pain (Jimenez, 2024).

Enhancing Autonomic Nervous System Function

The autonomic nervous system (ANS), which controls involuntary functions like heart rate and digestion, can also be affected by peripheral neuropathy, especially in conditions like diabetic neuropathy or chemotherapy-induced peripheral neuropathy (CIPN) (Vinik et al., 2013). Chiropractic adjustments may positively influence the ANS by reducing spinal stress, improving parasympathetic nervous system reactivity, and promoting balance in bodily functions (Welch & Boone, 2008). Dr. Jimenez’s integrative protocols often include nutritional guidance and lifestyle changes to support ANS health, addressing underlying issues like blood sugar imbalances in diabetic neuropathy (Jimenez, 2023c).

Non-Pharmacological Pain Management

For those wary of popping pills or facing the side effects of medications like intravenous lidocaine (used for chronic pain but with risks like dizziness or heart issues), chiropractic care offers a non-invasive alternative (Attal et al., 2021). Non-pharmacological interventions, such as those recommended for CIPN, include physical therapies like chiropractic adjustments, which can reduce pain and improve function without the need for drugs (Cavaletti et al., 2019). Dr. Jimenez’s holistic approach often pairs chiropractic care with acupuncture or massage therapy to boost endorphin release and calm the nervous system (Jimenez, 2024).

Supporting Personal Injury Recovery

In El Paso, where car accidents are as common as cacti in the desert, peripheral neuropathy can be a lingering effect of trauma like whiplash or spinal injuries. Dr. Jimenez shines here, using his expertise to bridge medical care and legal documentation for personal injury cases. His clinic employs advanced imaging to document injuries like herniated discs or nerve compression, which not only guides treatment but also supports insurance claims or legal cases (Jimenez, 2023d). Patients rave about his ability to connect the dots between their injuries and symptoms, ensuring they get both relief and fair compensation (Jimenez, 2023e).

References
Attal, N., et al. (2021). Intravenous lidocaine for treatment of chronic pain: A retrospective cohort study. Pain Medicine, 22(6), 1265-1273. https://pubmed.ncbi.nlm.nih.gov/34196791/
Bussières, A. E., et al. (2018). Spinal manipulative therapy and other conservative treatments for low back pain: A guideline from the Canadian Chiropractic Guideline Initiative. Journal of Manipulative and Physiological Therapeutics, 41(4), 265-293. https://pubmed.ncbi.nlm.nih.gov/29680316/
Cavaletti, G., et al. (2019). Prevention and treatment of chemotherapy-induced peripheral neuropathy (CIPN) with non-pharmacological interventions: Clinical recommendations from a systematic scoping review and an expert consensus process. Cancers, 11(12), 1920. https://pubmed.ncbi.nlm.nih.gov/31816957/
Jimenez, A. (2023a). Holistic recovery from nerve injuries. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2023b). Chiropractic care effectiveness for five musculoskeletal issues. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2023c). Functional medicine – Neurological health. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2023d). Dr. Alex Jimenez chiropractor and injury recovery. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2023e). Real patients, real results: Chiropractic care. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2024). Rehabilitation with Dr. Jimenez: Comprehensive recovery solutions. El Paso Chiropractor Blog. https://www.elpasochiropractorblog.com
Vinik, A. I., et al. (2013). Understanding the role of the autonomic nervous system in health and disease. Frontiers in Endocrinology, 4, 109. https://pubmed.ncbi.nlm.nih.gov/23986719/
Welch, A., & Boone, R. (2008). Parasympathetic nervous system reactivity moderates associations between children’s executive functioning and social and academic competence. Journal of Chiropractic Medicine, 7(4), 135-141. https://pubmed.ncbi.nlm.nih.gov/19646371/
Younger, D. S., et al. (2009). Chemical and mechanical nerve root insults induce differential behavioral sensitivity and glial activation that are enhanced in combination. Brain Research, 1280, 168-176. https://pubmed.ncbi.nlm.nih.gov/19497363/

Peripheral Neuropathy: A Successful Recovery Story- Video

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

If El Paso were a comic book, Dr. Alexander Jimenez would be the superhero swooping in to save victims of personal injuries from the clutches of pain and bureaucracy. With over 25 years of experience as a chiropractor and board-certified family nurse practitioner, Dr. Jimenez brings a unique “dual-scope” approach to his Injury Medical & Chiropractic Clinic. His ability to blend chiropractic expertise with medical diagnostics makes him a standout in treating complex conditions like peripheral neuropathy, especially when caused by trauma from car accidents or workplace injuries (Jimenez, 2023f).

Advanced Imaging and Diagnostics

Dr. Jimenez doesn’t just guess what’s wrong—he uses high-tech tools like MRIs, CT scans, and X-rays to get a clear picture of your spine and nervous system. For example, if you’ve been in a fender-bender and now have tingling in your legs, he might spot a herniated disc or spinal misalignment that’s pinching a nerve. These diagnostics are crucial for identifying the root cause of neuropathy symptoms, whether it’s a mechanical issue like spinal compression or a systemic one like diabetes (Jimenez, 2023g).

Dual-Scope Procedures

What sets Dr. Jimenez apart is his ability to wear two hats: chiropractor and nurse practitioner. His dual-scope procedures involve combining hands-on chiropractic adjustments with medical evaluations, like blood panels to check for metabolic issues or inflammation markers. This holistic approach ensures that he’s not just treating symptoms but addressing underlying causes, whether they’re biomechanical (like a misaligned spine) or physiological (like hormonal imbalances) (Jimenez, 2023h).

Legal-Medical Liaison

For personal injury victims, Dr. Jimenez is like a translator who speaks both “doctor” and “lawyer.” He provides detailed medical reports that link your injuries to the accident, which is gold for insurance claims or legal cases. His clinic’s focus on evidence-based care means every adjustment, therapy, or recommendation is backed by solid diagnostics, making it easier to secure fair compensation while getting you back on your feet (Jimenez, 2023i).

Why El Paso Needs Dr. Jimenez

El Paso’s busy roads and high traffic volume mean car accidents are a fact of life. Whiplash, spinal injuries, and nerve damage are common, and peripheral neuropathy can sneak in as a delayed symptom. Dr. Jimenez’s integrative care, combining chiropractic adjustments, physical therapy, acupuncture, and nutritional support, helps patients recover faster and more fully. His clinic is a one-stop shop for healing and legal support, making him a vital resource for the community (Jimenez, 2024).

References
Jimenez, A. (2023f). Dr. Alex Jimenez chiropractor and injury recovery. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2023g). Chiropractic care effectiveness for five musculoskeletal issues. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2023h). Functional medicine – Neurological health. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2023i). Board certified nurse practitioner Dr. Alex Jimenez. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2024). Rehabilitation with Dr. Jimenez: Comprehensive recovery solutions. El Paso Chiropractor Blog. https://www.elpasochiropractorblog.com

How Chiropractic Care Reduces Overlapping Risk Profiles

Peripheral neuropathy doesn’t travel alone—it often brings friends like diabetes, chemotherapy side effects, or post-traumatic stress from injuries. These overlapping risk profiles can make treatment tricky, but chiropractic care, especially under Dr. Jimenez’s guidance, tackles them head-on.

Diabetic Peripheral Neuropathy

Diabetes is the leading cause of peripheral neuropathy, with high blood sugar damaging nerves over time (Hicks & Selvin, 2019). Chiropractic care can’t cure diabetes, but it can reduce nerve pain by improving spinal alignment and blood flow, which supports nerve health. Dr. Jimenez often pairs adjustments with nutritional plans to stabilize blood sugar, addressing the root cause while easing symptoms (Jimenez, 2023j).

Chemotherapy-Induced Peripheral Neuropathy (CIPN)

Chemotherapy can wreak havoc on nerves, leaving cancer survivors with tingling or pain that lingers long after treatment (Cavaletti et al., 2019). Non-pharmacological interventions like chiropractic adjustments and acupuncture can reduce CIPN symptoms by promoting nerve recovery and reducing inflammation. Dr. Jimenez’s clinic uses these therapies alongside functional medicine to support overall healing (Jimenez, 2024).

Post-Traumatic Neuropathy

Car accidents or workplace injuries can cause nerve damage through direct trauma or secondary issues like spinal compression (Younger et al., 2009). Chiropractic care addresses these by relieving pressure on nerve roots and restoring musculoskeletal balance. Dr. Jimenez’s use of advanced imaging ensures that even subtle injuries are caught early, preventing chronic neuropathy (Jimenez, 2023k).

Autonomic Nervous System Imbalances

When neuropathy affects the autonomic nervous system, it can lead to issues like irregular heart rate or digestive problems (Vinik et al., 2013). Chiropractic adjustments may improve ANS function by reducing spinal stress, while Dr. Jimenez’s integrative approach includes lifestyle changes to support systemic health (Jimenez, 2023l).

By addressing these overlapping risks, chiropractic care offers a holistic path to relief, reducing the need for medications and their side effects while empowering patients to regain control of their lives.

References
Cavaletti, G., et al. (2019). Prevention and treatment of chemotherapy-induced peripheral neuropathy (CIPN) with non-pharmacological interventions: Clinical recommendations from a systematic scoping review and an expert consensus process. Cancers, 11(12), 1920. https://pubmed.ncbi.nlm.nih.gov/31816957/
Hicks, C. W., & Selvin, E. (2019). Emerging nonpharmacologic interventions to treat diabetic peripheral neuropathy. Antioxidants & Redox Signaling, 31(10), 711-727. https://pubmed.ncbi.nlm.nih.gov/31088290/
Jimenez, A. (2023j). Functional medicine – Neurological health. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2023k). Dr. Alex Jimenez chiropractor and injury recovery. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Jimenez, A. (2023l). Board certified nurse practitioner Dr. Alex Jimenez. El Paso, TX Doctor of Chiropractic. https://dralexjimenez.com
Vinik, A. I., et al. (2013). Understanding the role of the autonomic nervous system in health and disease. Frontiers in Endocrinology, 4, 109. https://pubmed.ncbi.nlm.nih.gov/23986719/
Younger, D. S., et al. (2009). Chemical and mechanical nerve root insults induce differential behavioral sensitivity and glial activation that are enhanced in combination. Brain Research, 1280, 168-176. https://pubmed.ncbi.nlm.nih.gov/19497363/

Practical Tips for Managing Peripheral Neuropathy with Chiropractic Care

Ready to give chiropractic care a try? Here are some practical tips to get started, with a sprinkle of humor to keep things light:

  1. Find a Qualified Chiropractor: Look for someone like Dr. Jimenez, who’s got the credentials (DC, APRN, FNP-BC) and a track record of helping neuropathy patients. Bonus points if they can make you laugh while adjusting your spine!
  2. Expect a Thorough Evaluation: Your first visit will likely include a physical exam, medical history review, and possibly imaging. It’s like a detective mission to find the root of your nerve pain—Sherlock Jimenez to the rescue!
  3. Commit to a Treatment Plan: Chiropractic care isn’t a one-and-done deal. Regular adjustments, combined with therapies like massage or acupuncture, can gradually reduce symptoms. Think of it as training for a marathon, not a sprint.
  4. Incorporate Lifestyle Changes: Dr. Jimenez often recommends diet tweaks (like cutting sugar for diabetic neuropathy) and exercises to support nerve health. It’s like giving your nerves a spa day—minus the cucumber slices.
  5. Stay Patient and Positive: Nerve healing takes time, so don’t expect miracles overnight. But with consistent care, you might find yourself dancing to your favorite tune without wincing in no time.

For El Paso residents, contacting Dr. Jimenez’s clinic at 915-850-0900 or visiting chiromed.com is a great first step. His team’s integrative approach ensures you’re not just a patient but a partner in your healing journey.

References
Jimenez, A. (2023m). Injury Medical & Chiropractic Clinic. A4M. https://www.a4m.com
Jimenez, A. (2024). Rehabilitation with Dr. Jimenez: Comprehensive recovery solutions. El Paso Chiropractor Blog. https://www.elpasochiropractorblog.com

Conclusion: A Serious Note on Chiropractic Care for Peripheral Neuropathy

Peripheral neuropathy can significantly impact quality of life, but chiropractic care offers a promising, non-invasive approach to managing nerve pain and improving function. By addressing spinal misalignments, reducing inflammation, and supporting overall nervous system health, chiropractors like Dr. Alexander Jimenez in El Paso provide hope for those struggling with this condition. His dual expertise as a chiropractor and nurse practitioner, combined with advanced diagnostics and a commitment to holistic care, makes him a trusted resource for personal injury victims and neuropathy patients alike. For those in El Paso, his clinic’s integrative protocols and legal-medical liaison services ensure comprehensive recovery and support.

Disclaimer: This blog post is for informational purposes only and should not be taken as medical advice. Peripheral neuropathy is a complex condition, and treatment outcomes vary by individual. Always consult a qualified healthcare provider, such as a chiropractor or medical professional, to determine the best course of action for your specific needs. For more information or to schedule a consultation, contact Dr. Alexander Jimenez at 915-850-0900 or visit chiromed.com.

References
Falk, E. (2023). Peripheral neuropathy: Causes, symptoms, and treatment. Verywell Health. https://www.verywellhealth.com/peripheral-neuropathy-3145943
Jimenez, A. (2023m). Injury Medical & Chiropractic Clinic. A4M. https://www.a4m.com
Jimenez, A. (2024). Rehabilitation with Dr. Jimenez: Comprehensive recovery solutions. El Paso Chiropractor Blog. https://www.elpasochiropractorblog.com

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

Hamstring Syndrome Relief for Sciatic Nerve Pain

Individuals dealing with pain in the buttocks and in the back of the thigh, along with numbness and tingling down to the bottom of the foot, may be experiencing hamstring syndrome, a condition caused by pressure on the sciatic nerve. What is the recommended treatment?

Hamstring-Syndrome Relief

The hamstrings are three muscles in the back of the thigh, extending from the pelvis or upper thigh across the back of the knee to the leg. This muscle group is important for bending the knee, straightening the hip, and stabilizing the knee. The sciatic nerve is a large nerve that runs from the lower back down the legs. It usually passes near or through these muscles, and the pelvis then runs under these muscles in the thigh. Hamstring syndrome refers to pain in the buttock and back of the thigh, often radiating down the leg, caused by compression or irritation of the sciatic nerve at the hamstring-insertion point on the ischial tuberosity, typically due to tight or scarred tissue. (Sakari Orava, 1997)

Pain Location

The pain is primarily felt in the buttock and back of the thigh, sometimes extending down the leg. It’s characterized by pressure on the sciatic nerve, which runs through the buttock and into the back of the thigh, where it supplies the hamstring muscles. (Kaiser Permanente, 2024)

Mechanism

This pressure can occur due to: (Sakari Orava, 1997) (Kaiser Permanente, 2024)

Fibrotic Bands

  • Tight, tendon-like, or scarred bands of tissue at the hamstring’s insertion point/ischial tuberosity can irritate the sciatic nerve.

Compression

  • These bands can compress the nerve, especially when sitting or during activities that involve hip flexion and knee extension.

Traction

  • The sciatic nerve can also be stretched or irritated by the hamstring tendons.

Symptoms

  • Pain in the buttock and back of the thigh may radiate down the leg.
  • Pain that is worse when sitting, stretching the hamstrings, or during activities like running. (Puranen J. & Orava S. 1988)
  • Numbness or tingling in the back of the leg

Differential Diagnosis

It’s important to differentiate hamstring syndrome from other conditions that could be causing similar symptoms, including:

  • Piriformis syndrome
  • Ischiogluteal bursitis
  • Hamstring muscle strains

Treatment

Hamstring syndrome relief may consist of the following:

Conservative

  • Initial treatment focuses on rest, ice, stretching, and over-the-counter pain relievers.

Physical Therapy

Injections

  • In some cases, injections with cortisone and numbing medicine may be used to reduce nerve inflammation and pain. (Lower Limb Surgery, 2024)

Surgery

  • In severe cases, surgery may be necessary to release the compressing bands and free the sciatic nerve. (Lower Limb Surgery, 2024)

Injury Medical Chiropractic & Functional Medicine Clinic

Talk to a healthcare provider about what interventions would help the most. 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.

Sciatica: Causes, Symptoms and Tips

References

Orava, Sakari. (1997). Hamstring syndrome. Operative Techniques in Sports Medicine, 5(3). https://doi.org/https://doi.org/10.1016/S1060-1872(97)80035-4.

Kaiser Permanente. (2024). Hamstring Syndrome: Care Instructions. https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.hamstring-syndrome-care-instructions.abr3618

Puranen, J., & Orava, S. (1988). The hamstring syndrome. A new diagnosis of gluteal sciatic pain. The American Journal of Sports Medicine, 16(5), 517–521. https://doi.org/10.1177/036354658801600515

Zion Physical Therapy. (2023). Hamstring Tendinitis Vs. Hamstring Syndrome. https://www.zionpt.com/post/hamstring-tendinitis-vs-hamstring-syndrome

Lower Limb Surgery. (2024). Hamstring Syndrome. https://www.lowerlimbsurgery.com/hamstring syndrome#:~:text=General%20Treatment%20Considerations,%E2%80%8B

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

Personal TENS Devices: A Modern Approach to Pain Relief

For individuals managing chronic pain conditions, can incorporating a personal TENS device help?

Personal TENS Device

Almost all physical therapy, chiropractic, acupuncture, and massage clinic healthcare providers offer TENS (transcutaneous electrical nerve stimulation) therapy. Individuals can buy a TENS unit for on-the-go and home care use. A personal TENS unit is a small, battery-powered device that uses low-voltage electrical currents delivered through electrodes placed on the skin to help relieve pain.

How It Works

TENS units work by stimulating nerve fibers in pain, which can help block pain signals from reaching the brain or by stimulating the release of endorphins, the body’s natural pain-killing chemicals.

Uses

TENS units are used to treat a variety of conditions, including:

  • Arthritis 
  • Muscle cramps
  • Neck pain
  • Back pain
  • Pelvic pain
  • Knee pain
  • Osteoarthritis
  • Fibromyalgia
  • Tendinitis
  • Bursitis
  • Diabetes-related neuropathy
  • Pelvic pain from periods or endometriosis

Features

Portability

  • TENS units are small, lightweight, and portable, making them convenient for home or on the go. It can be held in a pocket or clipped to a belt. (National Health Service UK, 2025)

Electrodes

  • The unit is connected to a series of electrodes placed on the skin to deliver the electrical charge.

Adjustable Settings

  • Many TENS units allow users to adjust the electrical pulses’ intensity, frequency, and duration.

Benefits

Non-Invasive

  • TENS therapy is a non-invasive method for relieving pain.

Drug-Free

  • It can provide pain relief without the need for medication.

Convenient

  • TENS units are small, portable, and relatively discrete.

Precautions

Consult a healthcare provider before using a TENS device to ensure its safety for you and your injury/condition. The treatment should not be used for individuals who are pregnant, have epilepsy, poor sensation, a heart problem, a pacemaker, or another electrical or metal implant in their body. (National Health Service UK, 2025) The electrodes should not be placed on certain areas of the body, including (Teoli D, Dua A, An J. 2025)

  • Head
  • Eyes
  • Mouth
  • Front of the Neck
  • Chest and upper back at the same time
  • Numb areas
  • Broken skin
  • Tumors

There is a minor risk of skin irritation, particularly if allergic to the adhesive pads.

Effectiveness

Researchers are still determining how effective TENS units are for relieving and reducing pain. A study found that TENS was effective in relieving pain for patients with fibromyalgia. (Dailey D. L. et al., 2013) Another study suggested that TENS may improve bone pain for cancer patients, but the results were inconclusive because of the limited number of randomized trials. (Vance C. G. et al., 2014)

Research suggests that some factors can impact the effectiveness of the intervention. Varying the intensity and frequency may help it be more effective so the body doesn’t develop a tolerance to it. In addition, using the electrodes in areas that are acupuncture points may help to reduce pain. While further study is needed, TENS is considered a safe pain-relief option for many conditions because it’s non-invasive and doesn’t require medication. (Vance C. G. et al., 2014)

Injury Medical Chiropractic & Functional Medicine Clinic

Individuals interested in trying a personal TENS unit should consult their healthcare provider. They may be able to refer them to a physical therapist, who can show them which type and how to use it for their particular 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.

Don’t Ignore Post-Accident Pain

 

References

National Health Service UK. (2025). TENS (transcutaneous electrical nerve stimulation). https://www.nhs.uk/conditions/transcutaneous-electrical-nerve-stimulation-tens/

Teoli, D., Dua, A., & An, J. (2025). Transcutaneous Electrical Nerve Stimulation. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/30725873

Dailey, D. L., Rakel, B. A., Vance, C. G. T., Liebano, R. E., Amrit, A. S., Bush, H. M., Lee, K. S., Lee, J. E., & Sluka, K. A. (2013). Transcutaneous electrical nerve stimulation reduces pain, fatigue, and hyperalgesia while restoring central inhibition in primary fibromyalgia. Pain, 154(11), 2554–2562. https://doi.org/10.1016/j.pain.2013.07.043

Vance, C. G., Dailey, D. L., Rakel, B. A., & Sluka, K. A. (2014). Using TENS for pain control: the state of the evidence. Pain management, 4(3), 197–209. https://doi.org/10.2217/pmt.14.13

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

Pinched Nerve in the Neck: Managing Your Pain

Can physical therapy help individuals with a pinched nerve in the neck?

Pinched Nerve In The Neck

A pinched nerve in the neck can cause pain, numbness, and weakness that extends through the neck, shoulder, and arm. (American Academy of Orthopaedic Surgeons, 2024) Over-the-counter pain medications, resting the muscles, and gentle stretching can help. However, if you’re still in pain after a few days, see a healthcare provider. Common treatments include:

  • Rest
  • Over-the-counter (OTC) pain meds
  • Physical therapy
  • Steroid injections
  • Wearing a neck collar

Surgery is rarely needed, but it can provide relief if other treatments don’t help. Most of the time, a pinched nerve resolves within days or weeks.

How a Pinched Nerve in the Neck Feels

The term for neck nerve pain is cervical radiculopathy (cervical spine pain). Common symptoms of a pinched nerve in the neck are: (American Academy of Orthopaedic Surgeons, 2024)

  • Sharp pain that extends into the shoulder and arm.
  • The pain worsens, or there is a shooting sensation when turning the head.
  • Tingling or feeling of pins-and-needles in the fingers or hand.
  • Weakness in the arm, shoulder, or hand.
  • Numbness or loss of feeling.

Often, these symptoms occur only on one side. Some find their pain less when they lift their hand onto their head, which can relieve pressure on the nerve.

Causes

The cervical spine is the spinal cord area around the neck. It’s made up of seven vertebrae. Nerves branch off the spinal cords in the spaces between the vertebrae. Nerve compression occurs when the space between two vertebrae is reduced, putting pressure on the nerve, pinching it, and causing pain. Pinched nerves develop from age because the spinal discs between the vertebrae become compressed over time. Age causes about 70% to 80% of nerve compression. Other factors that cause pinched nerves include: (Harvard Health Publishing, 2021)

  • Degenerative disc disease
  • A herniated disc
  • Injuries like car accidents falls, or other trauma to the spine
  • Spinal stenosis

Self-Care Relief

If you have nerve pain and think it is a pinched nerve, self-care can help (National Institute of Neurological Disorders and Stroke, 2025)

Rest

  • Find a comfortable position and try to allow the muscles in your neck to relax and rest.

Heat or Ice

  • Warmth and coolness can relieve pain and inflammation.
  • Use a warm or cool compress for 15 minutes at a time.

Over-The-Counter Pain Medications

  • Pain medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), can help bring relief.

Treatment for Severe Symptoms

If pain doesn’t resolve within a few days, or if it is so bad that you can’t go about daily activities, it’s recommended to see a healthcare provider. They can diagnose a pinched nerve after a physical exam and may also recommend imaging, including an X-ray, CT scan, MRI, or EMG, to reveal what’s causing the symptoms. After diagnosing the condition, the healthcare provider will develop a personalized treatment plan, which may include the following (Harvard Health Publishing, 2021)

Physical Therapy

  • Physical therapy can help build strength and flexibility in the neck.
  • This is especially important if there is frequent nerve pain in the same spot.

Cervical Collar

  • A soft cervical collar is a brace that fits around the neck.
  • It supports your head so the neck muscles can relax, facilitating healing.
  • The collar can also keep the head from turning in painful ways.

Oral Corticosteroids

  • Oral steroids like prednisone can help reduce inflammation.
  • If inflammation or swelling in the neck puts more pressure on the nerve, they can help.

Steroid Injections

  • Steroid shots right into the painful tissue reduce inflammation right away.

Muscle Relaxers

  • These medications keep the muscles in the neck from seizing up.
  • As the muscles relax, this brings pain relief.

Narcotic Pain Medications

  • Narcotic pain medications can be used short-term by individuals who have severe pain.
  • A healthcare provider will inform the patient of the benefits and drawbacks of these medications, which include opiates.  

Neck Exercises

Gentle stretches can help alleviate the pain and strengthen the muscles. (National Health Service, 2025)

Chin to chest

  • Bring your chin toward your chest.
  • Hold for 20 seconds, then return to a neutral position.
  • Do this five times.

Eyes to Sky

  • Lean your head back and look toward the sky.
  • Hold for 20 seconds, then return to your starting position.
  • Do this five times.

Side to Side

  • Turn your head to the right as far as possible, bringing your chin in line with your shoulder.
  • Hold for 20 seconds, then turn as far as possible toward the left.
  • Repeat four times.

Ear to Shoulder

  • Bring your ear down toward your shoulder.
  • Hold for 20 seconds, then repeat the exercise on the other side.
  • Alternate between the right and left, stretching each side five times.

While it’s normal for exercises to hurt from stretching the muscles, they should never hurt more than a five on a pain scale of 1 to 10. If they do, stop exercising (National Health Service, 2025)

Healing Time

Healing and recovery depend on the severity of the injury. Some individuals find that the pain from a pinched nerve goes away in days, while for others, it can last for weeks. The pain goes away and then returns. If pain doesn’t go away with the conservative treatments or lasts more than a few days, talk with a healthcare provider or return for a second visit. Rarely do individuals need surgery to bring pain relief. The healthcare provider will discuss whether surgery is the best option and what to expect regarding pain relief. (American Academy of Orthopaedic Surgeons, 2024)

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Revitalize and Rebuild with Chiropractic

References

American Academy of Orthopaedic Surgeons. OrthoInfo. (2024). Cervical radiculopathy (pinched nerve). https://orthoinfo.aaos.org/en/diseases–conditions/cervical-radiculopathy-pinched-nerve/

Harvard Health Publishing. Publishing, H. H. (2021). Treating a pinched nerve. https://www.health.harvard.edu/pain/treating-a-pinched-nerve

National Institute of Neurological Disorders and Stroke. (2025). Pinched Nerve Definition. Retrieved from https://www.ninds.nih.gov/health-information/disorders/glossary-neurological-terms#-P-

National Health Service. Service, N. H. (2025). Exercises for neck problems. https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/neck-and-back-problems-and-conditions/exercises-for-neck-problems

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

Cauda Equina Syndrome: Symptoms and Treatments

Cauda equina syndrome/CES is a rare condition in which the nerves in the lower back are compressed. It can include sciatica as one of its symptoms. Individuals presenting with symptoms that could be CES are advised to see a healthcare provider as soon as possible, as delaying treatment can lead to permanent damage.

Cauda Equina Syndrome

A cluster of nerve roots called the cauda equina, Latin for horse’s tail, sends and receives messages to the legs, bladder, and other body parts. Cauda equina syndrome is a rare condition in which nerve roots in the lower spinal cord are compressed. This compresses the nerves and disrupts motor and sensory function in the bladder and lower extremities. The most common cause is a ruptured or herniated disc in the lumbar area. This usually occurs when a severe disc herniation compresses the nerve bundle at the base of the spinal cord, causing significant neurological dysfunction like bladder/bowel issues and numbness in the saddle area. If found early, it is treated with surgery within 24 to 48 hours of symptom onset.

Initial Signs

Symptoms can occur acutely, in hours, or gradually over weeks or months. One of the first signs and most common symptoms is urinary retention, where the bladder fills, but there is no normal sensation or urge to urinate. (American Association of Neurological Surgeons, 2024) Other symptoms include: (Gardner A., Gardner E., & Morley T. 2011)

  • Severe low back pain
  • Sciatica
  • Pain, numbness, or weakness in one or both legs
  • Saddle anesthesia, which is numbness or other nerve sensations around the anus and the area that sits.
  • A loss of reflexes in the extremities
  • Sexual dysfunction that comes suddenly
  • Loss of bowel control
  • Overflow urination

There are two stages based on urinary symptoms (Fairbank J., & Mallen C. 2014)

CES-Incomplete CES-I

CES-Retention CES-R

  • Bladder control is completely lost.

Causes

The most common cause is a ruptured or herniated disc in the lumbar area. Other possible causes may include: (American Association of Neurological Surgeons, 2024)

Trauma or injury to the spine

  • that leads to fractures or dislocations (gunshots, falls, auto accidents)

Tumors or Infections

  • It can compress the cauda equina nerve bundle.

Spinal Stenosis

  • Narrowing of the spinal column can be either congenital or acquired.

Bone Spurs

Tuberculosis or Pott’s Paralysis

  • Pott’s paralysis is a neurological complication of tuberculosis (TB) of the spine.
  • TB is a bacterial infection that usually affects the lungs but can spread to the spine.

Iatrogenic Side Effects

  • Injuries or illnesses that result from medical or surgical treatment

Spinal Lesions or Malignant Tumors

  • A spinal lesion refers to any abnormal growth or damage within the spine.
  • It can include benign (noncancerous) and malignant (cancerous) tumors.
  • A malignant tumor is a cancerous growth within the spine; essentially, a malignant tumor is a type of spinal lesion with the potential to spread to other parts of the body.

Spinal Infection, Inflammation, Hemorrhage, or Fracture

  • A spinal infection refers to a bacterial, fungal, or viral infection that occurs within the bones of the spine (vertebrae) or the surrounding tissues, potentially causing pain, inflammation, and, in severe cases, neurological complications like weakness or paralysis;
  • Spinal inflammation is a general term for swelling or irritation within the spinal column.
  • Spinal hemorrhage” indicates bleeding within the spinal canal.
  • A spinal fracture refers to a break in one or more of the vertebrae in the spine.

Spinal Arteriovenous Malformations (AVMs)

  • A spinal arteriovenous malformation (AVM) is a rare condition in which the arteries and veins in the spinal cord tangle abnormally.
  • This can damage the spinal cord over time.

Complications from Lumbar Surgery

  • Lumbar surgery can have several complications, including infections, blood clots, nerve damage, and spinal fluid leaks.

Spinal Anesthesia

  • Spinal anesthesia is a regional anesthesia that blocks pain and sensation in the lower body.
  • It involves injecting a local anesthetic medication into the subarachnoid space surrounding the spinal cord.
  • The exact cause is not fully understood, but it can involve direct nerve root injury from the needle, inflammation caused by the anesthetic, or a spinal hematoma compressing the nerve roots.

Spinal Birth Defects

Diagnosis

Diagnosis requires a medical history of symptoms, general health, activity level, and a physical exam to assess strength, reflexes, sensation, stability, alignment, and motion. (​American Association of Neurological Surgeons, 2024) Testing includes: 

Blood Tests

  • These test for infections.

MRI

  • These yield three-dimensional images of the spinal cord, nerve roots, and surrounding areas.

Myelography

  • X-ray or computerized tomography (CT) imaging is enhanced by the injection of contrast material into the cerebrospinal fluid spaces, which can show displacement of the spinal cord or spinal nerves.

Specialized Nerve Testing

  • This could be nerve conduction velocity tests and testing electrical activity in muscles or electromyography.

Treatment

The extent of urinary problems can determine treatment protocols. A CES diagnosis is usually followed by emergency surgery within 24 to 48 hours to relieve compression of the nerves. Moving quickly is essential to prevent permanent complications such as nerve damage, incontinence, or leg paralysis. (American Association of Neurological Surgeons, 2024)

  • Depending on the cause, corticosteroids also may be prescribed to reduce swelling.
  • Antibiotics may be needed if an infection is responsible for CES.
  • For situations in which a tumor is the cause, surgery to remove it may be necessary, followed by chemotherapy and/or radiation.
  • The outcome with CES-I during surgery is generally favorable.
  • Those whose CES has deteriorated to CES-R tend to have a less favorable prognosis.

Post Surgery Therapy

After surgery, CES can be challenging to deal with. If bladder function has been impaired, recovery of control can take time.

  • It may be necessary to use a catheter or to wear disposable underwear. (American Association of Neurological Surgeons, 2024)
  • Frequent urinary infections are also a potential complication.
  • Loss of bladder or bowel control can be psychologically distressing, impacting social life, work, and relationships.
  • Sexual dysfunction can also occur, contributing to relationship difficulties or depression.

Therapy with a mental health professional may be recommended. When damage is permanent, it will be important to include family and friends in the adjustment to living with a chronic condition. Psychological counseling and/or a support group can be helpful. Other specialists who can help include: (American Academy of Orthopaedic Surgeons, 2024)

  • Occupational therapist
  • Physical therapist
  • Physiotherapist
  • Sex therapist
  • Social worker

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Disc Herniation

References

American Association of Neurological Surgeons. (2024). Cauda Equina Syndrome. https://www.aans.org/patients/conditions-treatments/cauda-equina-syndrome/

Gardner, A., Gardner, E., & Morley, T. (2011). Cauda equina syndrome: a review of the current clinical and medico-legal position. European Spine Journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 20(5), 690–697. https://doi.org/10.1007/s00586-010-1668-3

Fairbank, J., & Mallen, C. (2014). Cauda equina syndrome: implications for primary care. The British journal of general practice: the journal of the Royal College of General Practitioners, 64(619), 67–68. https://doi.org/10.3399/bjgp14X676988

American Academy of Orthopaedic Surgeons. (2024). Cauda equina syndrome. https://orthoinfo.aaos.org/en/diseases–conditions/cauda-equina-syndrome

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

Detecting Alcoholic Peripheral Neuropathy: Signs and Testing

Excessive alcohol consumption: what is alcoholic peripheral neuropathy?

Alcoholic Peripheral Neuropathy

Alcoholic peripheral neuropathy (ALN) is a condition that damages the nerves in the body due to chronic alcohol consumption. It can cause sensory, motor, and autonomic dysfunction, which can lead to disability. This damage prevents the nerves from communicating information. Most symptoms generally start as mild but typically worsen over time as the neuropathy progresses. The most common symptoms are: (National Library of Medicine, 2023)

  • Numbness or tingling sensation in the extremities
  • Pain or a burning sensation in the extremities
  • Difficulty walking
  • Difficulty urinating
  • Difficulty talking or swallowing

 Affected nerves include the peripheral and autonomic nerves, which help regulate internal body functions. Around 46% of chronic alcohol users will eventually develop the condition. (Julian T., Glascow N., Syeed R., & Zis P. 2019)

Causes

The exact cause of alcoholic neuropathy is unclear. But it is directly related to heavy and long-term alcohol consumption. (Julian T., Glascow N., Syeed R., & Zis P. 2019) It is believed overconsumption of alcohol can directly harm and hinder the nerves’ ability to communicate information. Unhealthy nutritional habits are often associated with it as well. Research shows that decreased thiamine/B vitamin plays a role, while others suggest an overall dietary deficiency may play a role. (Julian T., Glascow N., Syeed R., & Zis P. 2019) However, alcoholic neuropathy can also occur without the presence of malnutrition. (Julian T., Glascow N., Syeed R., & Zis P. 2019)

Neuropathy Development and Progression

Alcoholic neuropathy develops depending on many factors, including the amount of daily/nightly alcohol consumed, age and overall health, nutritional intake, and other individual factors. In most cases, the neuropathy takes several years or decades to develop, depending on the amount of alcohol consumed.

Symptoms

Symptoms are usually related to nerve dysfunction and include: (National Library of Medicine, 2023)

  • A tingling or pins-and-needles sensation in the extremities.
  • Numbness of the extremities, most commonly in the legs or feet. (Julian T., Glascow N., Syeed R., & Zis P. 2019)
  • Pain or burning sensation in the arms, legs, or feet.
  • Symptoms that occur in the arms and legs typically affect both sides.
  • Cramps, aches, or weakness of the muscles.
  • Constipation or diarrhea.
  • Nausea and vomiting.
  • Difficulty urinating or incontinence.
  • Difficulty walking.
  • Difficulty talking or swallowing.
  • Heat intolerance.
  • Erection difficulties.

Most symptoms begin as mild and usually worsen over time as the neuropathy progresses. Alcoholic neuropathy affects individuals who consume excessive amounts of alcohol over a long time. (Julian T., Glascow N., Syeed R., & Zis P. 2019)

Diagnosis

Symptoms can vary significantly so that a diagnosis may take time. It usually involves a combination of the following (National Institute of Neurological Disorders and Stroke, 2024)

Medical History

  • Healthcare providers will collect data involving past medical history and all current symptoms.

Physical Exam

  • This exam looks at other medical conditions contributing to symptoms, like diabetes or high blood pressure.

Neurological Exam

  • This is a noninvasive exam to determine the location and extent of neurological damage.
  • Healthcare providers may ask patients several questions and have them complete a series of small movements to check neurological function.

Blood and Urine Tests

  • These tests can detect diabetes, liver and kidney problems, infections, vitamin deficiencies, and other conditions that can cause neuropathic conditions.

Chronic alcohol use can also affect how the body stores and uses vitamins necessary for healthy nerve function. Vitamin levels that a healthcare provider may check include: (National Library of Medicine, 2023)

  • Vitamin A
  • Biotin
  • Folic acid
  • Niacin, or vitamin B3
  • Pyridoxine, or vitamin B6
  • Pantothenic acid

Liver Disease

Individuals with chronic liver disease often have neuropathy. The severity and stage are associated with a higher incidence of neuropathy. (Pasha MB, Ather MM, Tanveer MA, et al. 2019)

Treatment

Alcoholic neuropathy is not reversible, even when quitting drinking. However, individuals with the condition can make healthy changes to minimize symptoms and receive help for chronic alcohol use. The first step is stopping alcohol consumption. (Chopra K., & Tiwari V. 2012) Talk to a healthcare provider about what options are available. Treatment can include:

  • In-patient or outpatient rehab
  • Therapy
  • Medication
  • Social support from groups like Alcoholics Anonymous

A combination of treatments will likely be utilized. Other treatment options involve symptom management and preventing further injuries and may include:

  • Physical therapy
  • Keeping the head elevated while sleeping.
  • Orthopedic splints to maintain limb function and positioning.
  • Wearing compression stockings.
  • Adding vitamins and supplements.
  • Eating extra salt for those without hypertension
  • Medications to reduce pain and discomfort.
  • Intermittent catheterization or manual expression of urine for those with difficulty urinating.

Individuals with neuropathy may have reduced sensitivity in the arms and legs. If this occurs, additional steps need to be taken to prevent other injuries, that include (National Library of Medicine, 2023)

  • Wear special footwear to prevent foot injuries.
  • Checking feet daily for wounds.
  • Prevent burns by ensuring that bath and shower water is not too hot.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Peripheral Neuropathy Myths and Facts

References

National Library of Medicine. (2023). Alcoholic neuropathy. Retrieved from https://medlineplus.gov/ency/article/000714.htm

Julian, T., Glascow, N., Syeed, R., & Zis, P. (2019). Alcohol-related peripheral neuropathy: a systematic review and meta-analysis. Journal of Neurology, 266(12), 2907–2919. https://doi.org/10.1007/s00415-018-9123-1

National Institute of Neurological Disorders and Stroke. (2024). Peripheral neuropathy. Retrieved from https://www.ninds.nih.gov/health-information/disorders/peripheral-neuropathy

Pasha MB, A. M., Tanveer MA, et al. (2019). Frequency of peripheral neuropathy in chronic liver disease. Med Forum Monthly, 30(8), 23-26. https://medicalforummonthly.com/index.php/mfm/article/view/3761

Chopra, K., & Tiwari, V. (2012). Alcoholic neuropathy: possible mechanisms and future treatment possibilities. British journal of clinical pharmacology, 73(3), 348–362. https://doi.org/10.1111/j.1365-2125.2011.04111.x

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

Exploring Nociceptors: Detecting and Reacting to Pain

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

Nociceptors

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

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

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

Classification

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

Thermal

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

Mechanical

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

Chemical

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

Silent

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

Polymodal

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

Mechano-thermal

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

Pain Transmission

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

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

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

Pain Perception Phases

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

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

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

From Injury To Recovery With Chiropractic Care

References

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

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

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