nurse practitioner brain tests

November 20, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Athletes, Chiropractic Care, El Paso TX, Physio, Therapy, Traumatic Brain Injuries (TBI), Work Injury brain injury diagnosis, chiropractic imaging for head trauma, concussion assessment tools, Dr Alexander Jimenez observations, Glasgow Coma Scale usage, integrative chiropractic methods, neurocognitive tests ImPACT, non-invasive diagnostic techniques, nurse practitioner brain tests

Brain Damage Diagnosis: Chiropractic and NP Methods

How Integrative Chiropractors and Nurse Practitioners Diagnose Brain Injuries

Brain injuries can happen from accidents, sports, or falls. They affect how the brain works and can cause problems such as headaches, dizziness, or difficulty thinking. Getting the right diagnosis early is key to starting treatment and helping people recover. Integrative chiropractors and nurse practitioners work together or use combined methods to spot these injuries. Chiropractors focus on the body’s structure, such as the spine and nerves, while nurse practitioners handle broader health checks, including tests and medications if needed. This team approach combines natural care with medical tools to provide a comprehensive picture of the injury.

In this article, we examine how these experts diagnose brain damage. We cover physical checks, nerve tests, brain function assessments, and imaging. We also include insights from Dr. Alexander Jimenez, a chiropractor and nurse practitioner. His work shows how blending these roles leads to better care.

What Is Brain Damage, and Why Diagnose It Quickly?

Brain damage, often called traumatic brain injury or TBI, happens when a bump or jolt harms the brain. Mild cases are concussions, which might cause short-term issues. Severe cases can lead to long-lasting problems such as memory loss or balance issues. Diagnosis helps rule out serious issues and plan recovery.

Quick diagnosis stops things from getting worse. For example, swelling or bleeding in the brain needs immediate action. Integrative pros use a mix of hands-on checks and high-tech tools to find hidden damage.

Common causes: Car crashes, sports hits, slips.
Symptoms to watch for: Headache, nausea, confusion, and blurry vision.
Risks if ignored: Chronic pain, mood changes, worse health.

The Role of Integrative Chiropractors in Brain Injury Diagnosis

Chiropractors trained in integrative care look at how the spine and nerves connect to the brain. They examine for misalignments that might worsen head injuries. Their training includes recognizing “red flags” such as severe headaches or seizures, that indicate emergency help is needed (Taylor et al., 2024).

They start with a patient’s history and exam. This helps determine whether chiropractic adjustments are safe or whether referral is better. For brain injuries, they avoid moves that could harm the neck or head until cleared by medical professionals.

Dr. Alexander Jimenez, DC, APRN, FNP-BC, uses this blend in his clinic. He checks history, nutrition, and environment to find injury roots. His tools include digital motion X-rays to see spine issues linked to head trauma (Jimenez, n.d.). This helps spot nerve problems from accidents.

Training focus: Neurology, imaging, trauma assessment.
Red flags they spot: Loss of consciousness, vomiting, and numbness.
When to refer: If tests show bleeding or swelling.

Chiropractors also use tools like the Sport Concussion Assessment Tool (SCAT-6) for athletes. This checks balance, memory, and symptoms right after injury (Taylor et al., 2024). Surveys show many chiropractors know the basics but need more training on advanced tools (Taylor et al., 2018).

The Role of Nurse Practitioners in Brain Injury Diagnosis

Nurse practitioners (NPs) bring medical skills to the team. They can order tests like blood work or scans that chiropractors might not. For brain injuries, NPs use scales such as the Glasgow Coma Scale (GCS) to assess consciousness. A score of 13-15 often means mild injury (Kazim et al., 2022).

NPs rule out serious issues with imaging and labs. They develop plans that include medication if needed, while working with chiropractors to support natural recovery. Dr. Jimenez, as an APRN, combines this with chiropractic for full care (Jimenez, 2024).

Key tools: GCS, blood tests for inflammation.
Focus areas: Ruling out bleeding and infection.
Team role: Coordinate with doctors for complex cases.

NPs often see patients after accidents and use history to spot risks like prior concussions.

Common Diagnostic Methods Used by Both Professionals

Both chiropractors and NPs use a set of tests for brain injuries. This “battery” includes hands-on checks and tech. The goal is a full view without missing details.

Physical Examinations

The first step is a physical check. Pros feel for swelling, test strength, and check reflexes. This examination identifies issues such as weak muscles resulting from nerve damage.

In chiropractic, they assess spine alignment since neck problems can be linked to head injuries. For example, whiplash from cars might cause brain symptoms (Injury 2 Wellness Centers, 2024).

What they test: Balance, coordination, and pulse.
Why it helps: Finds hidden trauma links.
Example: Checking arm strength for nerve issues.

NPs record vital signs, such as blood pressure, to rule out other causes.

Neurological Evaluations

These tests evaluate brain function through nerves. They include cranial nerve checks for vision or hearing problems. Tools like the Vestibular Ocular Motor Screening (VOMS) can detect dizziness caused by inner ear issues (ImPACT Applications, n.d.).

Chiropractors use surface electromyography (sEMG) to measure muscle signals. This shows nerve interference from injuries (Injury 2 Wellness Centers, 2024). INSIGHT scanners measure heart rate and temperature to assess stress on the nervous system (INSiGHT CLA, 2024).

Common tests: Reflex hammers, eye tracking.
Advanced tools: HRV for stress levels.
Benefits: Non-invasive, quick results.

For kids, the Child SCAT5 adapts these for younger ages (Kazim et al., 2022).

Neurocognitive Assessments

These assess thinking skills. The ImPACT test measures memory, reaction time, and speed. It’s used for concussions in sports and can be done remotely (ImPACT Applications, 2024).

Chiropractors compare results to baselines for progress. NPs use them with other tests for full plans.

What ImPACT does: Tests verbal memory and symptoms.
Other options: SAC for quick checks.
Use in practice: Monitors return to activity.

The Balance Error Scoring System (BESS) evaluates a person’s stance to identify any balance issues (Audiology Associates, n.d.).

Imaging Techniques

Imaging shows inside the brain. X-rays examine bones, while MRI scans detect soft tissue, such as bruising (NYU Langone Health, n.d.). CT scans show bleeding fast.

Chiropractors use digital X-rays for lower radiation exposure and clearer images (Injury 2 Wellness Centers, 2024). Digital Motion X-ray (DMX) shows movement to spot unstable areas (Modern Chiropractic Center, n.d.).

X-rays: For spine alignment in head injuries.
MRI/CT: Detect swelling and bleeding.
Ultrasound: Soft tissues without radiation.

Dr. Jimenez uses DMX for precise views in accident cases (Jimenez, n.d.).

Other Tests and Scales

NPs often order blood tests for inflammation or infection (World Health Organization, n.d.). The GCS scores eye, verbal, and motor responses.

Thermography detects heat changes associated with inflammation (INSiGHT CLA, 2024).

Blood tests: Rule out other causes.
GCS: Quick severity assessment.
Patient history: Key for context.

Insights from Dr. Alexander Jimenez’s Clinical Observations

Dr. Jimenez blends chiropractic and NP skills for over 30 years. His clinic uses functional medicine to assess history and tests. For brain injuries, he looks at whole-body effects, such as how spinal issues can cause headaches.

He uses nerve tests and metabolic checks to identify the root cause. This leads to plans without surgery, focusing on recovery (Jimenez, n.d.). His LinkedIn shows a focus on sports and auto injuries (Jimenez, 2024).

Approach: Holistic, patient-centered.
Tools: DMX, questionnaires.
Outcomes: Faster healing, less pain.

Challenges and Future in Diagnosis

Not all pros use advanced tools equally. Surveys reveal knowledge gaps (Kazim et al., 2022). Future tech, like better scanners, will help.

Integrative care reduces the need for invasive procedures (Injury 2 Wellness Centers, 2024).

Challenges: Training, access to tools.
Future: More non-invasive options.
Benefits: Better patient results.

Conclusion

Diagnosing brain injuries needs a team effort. Integrative chiropractors and NPs use exams, tests, and imaging to accurately pinpoint the problem. Tools like ImPACT and MRI make plans effective. Dr. Jimenez’s work shows that blending fields works well.

Early examinations lead to better recovery. If you suspect injury, see a pro soon.