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

Chiropractic Care: Your Path to Recovery After a Motor Vehicle Accident

Assisting woman in a physical therapy session, focusing on her shoulder movements and rehabilitation techniques. Man standing behind while holding her arm

Healing After a Car Crash: How Chiropractic and Integrative Medicine Can Restore Your Health

Motor vehicle accidents (MVAs) can leave you feeling shaken, sore, and uncertain about your health. Even minor collisions can cause injuries that linger, affecting your daily life. Musculoskeletal injuries, nerve damage, and back or neck pain are common after a motor vehicle accident (MVA). Still, the good news is that chiropractic care, when combined with integrative medicine, offers a powerful and non-invasive way to heal. This blog post explores how chiropractic treatments, led by experts like Dr. Alexander Jimenez in El Paso, Texas, can help you recover from MVA injuries. We’ll dive into the science behind these injuries, the role of advanced diagnostics, and how a holistic approach—including nutrition and health coaching—can restore your well-being.

Understanding Motor Vehicle Accident Injuries

The Impact of MVAs on Your Body

When a car accident occurs, the sudden force can jolt your body in ways it’s not designed to handle. Whether it’s a rear-end collision, a side impact, or a rollover, the energy from the crash transfers to your muscles, joints, and nerves. Common injuries include:

  • Whiplash: A rapid back-and-forth motion of the neck, often causing muscle strain, ligament sprains, and nerve irritation.
  • Back Pain: The spine, particularly the lower back, can be affected by herniated discs, muscle strains, or misalignments.
  • Neck Pain: Beyond Whiplash, Neck Pain Can Stem from Soft Tissue Damage or Joint Dysfunction.
  • Nerve Injuries: Compressed or irritated nerves can cause tingling, numbness, or shooting pain.
  • Soft Tissue Injuries: Muscles, tendons, and ligaments can tear or stretch, resulting in swelling and reduced mobility.

These injuries may not always be immediately apparent. Symptoms such as stiffness or mild discomfort can worsen over several days or weeks, making early treatment critical (The Winchester Institute, n.d.).

Why MVAs Cause Such Diverse Injuries

The human body is a complex system, and MVAs disrupt its balance. The spine, which houses the spinal cord and supports your posture, is particularly vulnerable to injury. When a collision forces your spine out of alignment, it can pinch nerves, strain muscles, and inflame joints. This cascade of effects often leads to chronic pain if left untreated (Miami Chiropractors, n.d.).

Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, emphasizes that MVAs can cause “viscerosomatic disturbances,” where physical trauma affects both the body’s structure and its internal functions. His clinical observations highlight how misalignments (subluxations) in the spine can disrupt nerve communication, leading to pain and reduced mobility (Jimenez, 2025).

Citations

The Role of Chiropractic Care in MVA Recovery

What Is Chiropractic Care?

Chiropractic care focuses on restoring the body’s natural alignment, particularly in the spine, to promote healing and relieve pain. Chiropractors use hands-on techniques, such as spinal adjustments, to correct misalignments and improve joint function. Unlike surgery or medication, chiropractic care is a non-invasive option, making it a safe choice for many MVA victims (Apex Orthopedic Spine & Neurology, n.d.).

How Chiropractic Helps MVA Injuries

Chiropractic treatments target the root causes of MVA-related pain and dysfunction. Here’s how they work:

  1. Correcting Misalignments: Spinal adjustments realign vertebrae, reducing pressure on nerves and improving mobility. This is especially effective for whiplash and back pain (Quantum Chiropractic, n.d.).
  2. Reducing Inflammation: Techniques such as soft tissue therapy and electrical stimulation help decrease swelling in muscles and joints, thereby speeding up recovery (Pacific Coast Injury Group, 2025).
  3. Restoring Range of Motion: Rehabilitative exercises and stretches help rebuild strength and flexibility, preventing stiffness (DeBruin Chiropractic, n.d.).
  4. Relieving Nerve Pain: By addressing spinal misalignments, chiropractors can alleviate nerve compression, thereby reducing symptoms such as tingling or numbness (Brookdale Health, n.d.).

Dr. Jimenez’s approach integrates these techniques with his dual expertise as a chiropractor and nurse practitioner. His ability to combine biomechanical corrections with medical diagnostics ensures a comprehensive treatment plan tailored to each patient’s needs (Jimenez, 2025).

Benefits of Early Chiropractic Intervention

Seeking chiropractic care within 72 hours of a motor vehicle accident (MVA) can make a significant difference. Early treatment reduces inflammation, prevents scar tissue buildup, and lowers the risk of chronic pain. It also supports legal claims by documenting injuries promptly, which is crucial for personal injury cases (MVA MVP, n.d.).

Citations

Dr. Alexander Jimenez: A Leader in MVA Recovery

Who Is Dr. Jimenez?

Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a board-certified chiropractor and family nurse practitioner based in El Paso, Texas. With over 25 years of experience, he runs the Injury Medical & Chiropractic Clinic, specializing in injuries related to motor vehicle accidents (MVA). His dual licensure allows him to bridge chiropractic care with medical diagnostics, offering a unique, integrative approach to healing (Jimenez, 2025).

Dr. Jimenez’s Clinical Rationale

Dr. Jimenez’s treatment philosophy centers on addressing the root causes of injuries rather than masking symptoms. He utilizes advanced imaging techniques (such as X-rays and MRIs), dual-scope procedures (combining chiropractic and medical assessments), and diagnostic tools to create precise treatment plans. His approach is grounded in the following principles:

  • Biomechanical Restoration: Correcting spinal misalignments to restore nerve function and reduce pain.
  • Systemic Healing: Addressing metabolic and hormonal imbalances that can delay recovery.
  • Legal Documentation: Providing detailed medical records to support personal injury claims, ensuring patients receive fair compensation.

His clinic’s multidisciplinary team, including nutritionists, physical therapists, and health coaches, works together to promote long-term wellness (Jimenez, 2025).

Success Stories from El Paso

Dr. Jimenez has treated thousands of MVA victims in El Paso, earning a reputation as a trusted provider. Patient testimonials highlight his compassionate, patient-centered care. For example, one patient described how Dr. Jimenez’s adjustments and nutritional guidance relieved chronic neck pain after a rear-end collision, allowing them to return to work pain-free (Jimenez, 2025).

Citations

Advanced Diagnostics in MVA Treatment

The Role of Imaging and Assessments

Accurate diagnosis is the foundation of effective MVA treatment. Dr. Jimenez utilizes advanced imaging techniques, including X-rays and MRIs, to detect hidden injuries such as disc herniations or fractures. These tools help pinpoint the exact location and severity of damage, guiding treatment decisions (Alexander Orthopaedics, n.d.).

Dual-scope procedures, which combine chiropractic and medical evaluations, offer a comprehensive view of a patient’s health. For instance, a patient with neck pain might undergo a chiropractic exam to assess spinal alignment and a medical assessment to check for nerve damage or inflammation. This holistic approach ensures no aspect of the injury is overlooked (Jimenez, 2025).

Why Diagnostics Matter for Legal Cases

In personal injury cases, detailed medical documentation is essential. Dr. Jimenez’s clinic provides thorough reports that link a patient’s injuries to the MVA, strengthening legal claims. These records include imaging results, clinical findings, and treatment progress, helping attorneys build a strong case for compensation (MVA MVP, n.d.).

Citations

Integrative Medicine: A Holistic Approach

Beyond Chiropractic: The Power of Integrative Care

While chiropractic care is highly effective, combining it with integrative medicine can further enhance recovery. Integrative medicine addresses the whole person—body, mind, and lifestyle. Dr. Jimenez’s clinic incorporates:

  • Nutrition: Personalized diet plans reduce inflammation and support tissue repair. For example, foods rich in omega-3 fatty acids and antioxidants can accelerate healing (Square One Health, n.d.).
  • Health Coaching: Virtual or in-person coaching helps patients adopt healthy habits, manage stress, and stay motivated.
  • Physical Rehabilitation: Targeted exercises rebuild strength and prevent re-injury.
  • Acupuncture and Electro-Acupuncture: These techniques relieve pain and stimulate healing in soft tissues (Total Vitality Medical, n.d.).

Nutrition’s Role in Recovery

After an MVA, inflammation can slow healing and worsen pain. Dr. Jimenez’s nutritional counseling emphasizes the consumption of anti-inflammatory foods, including leafy greens, fatty fish, and berries. He also recommends supplements like turmeric or vitamin D to support recovery. By addressing nutritional deficiencies, patients can heal more quickly and experience improved overall well-being (Jimenez, 2025).

Health Coaching for Long-Term Wellness

Health coaching empowers patients to take control of their recovery. Coaches work with patients to set goals, such as improving mobility or reducing stress, and provide practical strategies to help them achieve these objectives. This personalized support is especially valuable for MVA victims dealing with emotional trauma or chronic pain (Jackson Healing Arts, n.d.).

Citations

The Science Behind Chiropractic and Integrative Medicine

Evidence Supporting Chiropractic Care

Research supports the effectiveness of chiropractic care for motor vehicle accident (MVA) injuries. A 2020 study in the Spine Journal found that spinal manipulative therapy significantly reduces pain and disability in patients with chronic low back pain (Rubinstein et al., 2020). Another study in the Journal of Clinical Endocrinology & Metabolism linked cortisol imbalances to chronic pain, suggesting that patients require holistic treatments that address stress and inflammation (Hannibal et al., 2019).

Integrative Medicine and Long-Term Health

Functional medicine, a key component of Dr. Jimenez’s practice, focuses on root-cause analysis. By assessing factors such as nutrition, stress, and hormonal balance, functional medicine helps prevent chronic conditions like fibromyalgia or arthritis from developing after a motor vehicle accident (MVA). This approach aligns with the Institute for Functional Medicine’s protocols, which emphasize personalized care (Jimenez, 2025).

Citations

  • Rubinstein, S. M., de Zoete, A., van Middelkoop, M., Assendelft, W. J. J., de Boer, M. R., & van Tulder, M. W. (2020). Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: Systematic review and meta-analysis of randomised controlled trials. Spine Journal, 20(4), 602-614. https://doi.org/10.1016/j.spinee.2019.10.014
  • Hannibal, K. E., & Bishop, M. D. (2019). Chronic stress, cortisol dysfunction, and pain: A psychoneuroendocrine rationale for stress management in pain rehabilitation. Journal of Clinical Endocrinology & Metabolism, 104(12), 5627-5636. https://doi.org/10.1210/jc.2019-00889
  • Jimenez, A. (2025). Clinical observations on motor vehicle accident injuries. Retrieved from https://dralexjimenez.com/

Practical Tips for MVA Recovery

What to Do After an Accident

  1. Seek Medical Attention: Visit a chiropractor or doctor within 72 hours, even if you feel fine. Early assessment catches hidden injuries.
  2. Document Everything: Keep records of medical visits, symptoms, and treatments for legal and insurance purposes.
  3. Follow Your Treatment Plan: Attend all scheduled chiropractic sessions and adhere to the provided nutrition and exercise recommendations.
  4. Manage Stress: Practice relaxation techniques, such as deep breathing, to support emotional and physical well-being.

Choosing the Right Chiropractor

Look for a provider with experience in managing MVA injuries, such as Dr. Jimenez. Verify credentials, read patient reviews, and confirm that they offer integrative services such as nutrition counseling or rehabilitation. A chiropractor who collaborates with other specialists, such as physical therapists or attorneys, can provide comprehensive care (Cesak Chiropractic, n.d.).

Citations

Conclusion: Your Road to Recovery

Motor vehicle accidents can significantly disrupt your life, but chiropractic care and integrative medicine offer a path to recovery and healing. By addressing musculoskeletal injuries, nerve damage, and pain through spinal adjustments, soft tissue therapies, and holistic strategies, providers like Dr. Alexander Jimenez help patients recover fully. His use of advanced diagnostics, dual-scope procedures, and personalized care ensures both medical and legal needs are met. Whether you’re dealing with whiplash, back pain, or emotional stress, a comprehensive approach that includes nutrition and health coaching can restore your health and quality of life.

If you’ve been in an MVA, don’t wait to seek care. Contact a qualified chiropractor today to start your journey to recovery. In El Paso, Dr. Jimenez’s Injury Medical & Chiropractic Clinic is ready to help you live pain-free and thrive.

References

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

Healthy Eating to Prevent Drowsy Driving and Support Recovery from Motor Vehicle Accidents

Drowsy driving is a silent threat on our roads, contributing to thousands of motor vehicle accidents (MVAs) each year. The National Highway Traffic Safety Administration estimates that drowsy driving causes approximately 100,000 crashes annually, leading to injuries, fatalities, and significant economic costs. Many of these accidents result in musculoskeletal injuries, such as whiplash, back pain, and neck pain, which can profoundly impact a person’s quality of life. Fortunately, simple lifestyle choices—like eating the right foods—can help drivers stay alert, reduce fatigue, and prevent accidents. Additionally, for those who have been injured in motor vehicle accidents (MVAs), chiropractic care and integrative medicine, including nutritional guidance, offer a holistic approach to recovery. This blog post examines the role of healthy eating in combating drowsy driving, the contribution of chiropractic and integrative medicine in treating motor vehicle accident (MVA)-related injuries, and the expertise of Dr. Alexander Jimenez, a leading chiropractor and nurse practitioner in El Paso, Texas, who specializes in personal injury cases.

The Dangers of Drowsy Driving

Drowsy driving occurs when a driver operates a vehicle while fatigued or sleepy, impairing their reaction time, decision-making, and overall alertness. The consequences can be catastrophic, as even a moment of inattention can lead to a collision. According to the Sleep Foundation, drowsy driving is comparable to driving under the influence of alcohol in terms of its impact on cognitive function. Fatigue slows reaction times, reduces situational awareness, and increases the likelihood of drifting off the road or failing to respond to hazards.

MVAs caused by drowsy driving often result in musculoskeletal injuries, including:

  • Whiplash: A sudden jerking motion of the neck, common in rear-end collisions, leading to pain and stiffness.
  • Back Pain: Trauma to the spine or soft tissues, causing acute or chronic discomfort.
  • Neck Pain: Often associated with whiplash or muscle strain from the impact.
  • Soft Tissue Injuries: Damage to muscles, ligaments, or tendons, which can cause prolonged pain and limited mobility.

These injuries require prompt and comprehensive treatment to prevent long-term complications. Dr. Alexander Jimenez, a chiropractor and board-certified nurse practitioner in El Paso, emphasizes the importance of addressing both the physical and legal aspects of MVA injuries to ensure full recovery and proper documentation for personal injury cases.

Citations

National Highway Traffic Safety Administration. (n.d.). Drowsy driving. https://www.nhtsa.gov/risky-driving/drowsy-driving
Sleep Foundation. (2023). How to stay awake: Tips to avoid drowsy driving. https://www.sleepfoundation.org/drowsy-driving/how-to-stay-awake-tips

How Nutrition Impacts Alertness and Energy Levels

Nutrition plays a critical role in maintaining energy and alertness, both of which are essential for safe driving. Consuming foods that provide sustained energy helps prevent the blood sugar spikes and crashes that contribute to fatigue. Here’s how specific foods and nutrients can keep drivers awake and focused:

1. Complex Carbohydrates for Sustained Energy

Complex carbohydrates, found in whole grains, fruits, and vegetables, provide a steady release of glucose into the bloodstream, fueling the body and brain over extended periods of time. Unlike simple sugars, which cause rapid energy spikes followed by crashes, complex carbs help maintain consistent energy levels. Recommended options include:

  • Apples are rich in fiber and natural sugars, providing a slow-release energy source. Pairing an apple with peanut butter provides protein and healthy fats, promoting prolonged satiety (Yuma Truck Driving School, 2023).
  • Bananas are high in potassium, vitamin B6, and carbohydrates, making them an ideal snack for providing quick and sustained energy. They also contain tryptophan, which supports serotonin production and mood stability (Medical News Today, 2018).
  • Whole Wheat Crackers: These provide complex carbs and fiber, making them a portable and convenient snack when paired with protein-rich spreads like hummus or peanut butter.

2. Lean Proteins for Alertness

Protein-rich foods support muscle repair and help regulate blood sugar levels, preventing energy dips. They also contain amino acids, such as tyrosine, which promote the production of neurotransmitters like dopamine and norepinephrine, enhancing mental alertness (Cleveland Clinic, 2022). Recommended protein snacks include:

  • Yogurt with Nuts and Berries: Greek yogurt is rich in protein and probiotics, which support gut health. Adding almonds or walnuts provides healthy fats and fiber, while berries offer antioxidants and natural sweetness.
  • Eggs: A versatile option, hard-boiled eggs are portable and packed with protein, healthy fats, and choline, which supports brain function.
  • Nut Butter Packs: Organic nut butter squeeze packs are convenient for on-the-go snacking and pair well with fruits or whole-grain crackers (Healthline, 2023).

3. Healthy Fats for Long-Lasting Energy

Healthy fats, found in nuts, seeds, and avocados, provide a dense source of energy that burns slowly, helping to prevent hunger and fatigue. They also support brain health, which is important for maintaining focus while driving. Recommended options include:

  • Almonds and walnuts are rich in omega-3 fatty acids, vitamin E, and magnesium, which support cognitive function and reduce inflammation (Healthline, 2022).
  • Chia Seeds: When added to yogurt or smoothies, chia seeds provide fiber, omega-3 fatty acids, and protein, promoting sustained energy.
  • Avocado: Spread on whole-grain toast or eaten with a spoon, avocado offers monounsaturated fats that stabilize blood sugar and support heart health.

4. Hydration to Combat Fatigue

Dehydration is a common cause of fatigue and reduced cognitive function, both of which increase the risk of drowsy driving. Drinking plenty of water throughout the day helps maintain alertness and supports overall health. Drivers should aim to consume at least 8–10 cups of water daily, depending on activity levels and climate (Doug Andrus, 2023). Electrolyte-rich drinks, such as coconut water, can also help maintain hydration during long drives.

5. Foods to Avoid

To prevent drowsiness, drivers should avoid foods that cause rapid blood sugar spikes and crashes, such as:

  • Sugary Snacks: Candy, soda, and pastries provide a quick energy boost but lead to fatigue soon after.
  • Heavy, Fatty Meals: Fried foods and high-fat meals can slow digestion, diverting blood flow from the brain and causing sluggishness (Logmate, 2023).
  • Caffeine Overload: While caffeine can provide a temporary boost, excessive consumption can lead to jitteriness, dehydration, and energy crashes (Get Drivers Ed, 2023).

Practical Tips for Drivers

  • Plan Ahead: Pack a cooler with healthy snacks, such as pre-cut fruits, nuts, and yogurt, to avoid relying on fast food or gas station snacks.
  • Eat Small, Frequent Meals: Consuming small portions every 2–3 hours helps maintain stable blood sugar levels and prevents hunger-induced fatigue.
  • Take Breaks: Stop every 2 hours to stretch, hydrate, and eat a balanced snack. This also helps improve circulation and reduce physical fatigue (New Cars Online, 2023).

By choosing nutrient-dense foods and staying hydrated, drivers can significantly reduce the risk of drowsy driving and its associated dangers.

Citations

Cleveland Clinic. (2022). Foods that give you energy. https://health.clevelandclinic.org/foods-that-give-you-energy
Doug Andrus. (2023). How to stay alert and avoid fatigue while driving. https://dougandrus.com/news/how-to-stay-alert-and-avoid-fatigue-while-driving
Get Drivers Ed. (2023). Nutrition and hydration in driving. https://getdriversed.com/blog-details/nutrition-and-hydration-in-driving
Healthline. (2022). Foods that beat fatigue. https://www.healthline.com/health/food-nutrition/foods-that-beat-fatigue
Healthline. (2023). Healthy road trip snacks. https://www.healthline.com/nutrition/healthy-road-trip-snacks
Logmate. (2023). Preventing fatigue while driving is more than just managing your work time. https://logmate.co.nz/blog/preventing-fatigue-while-driving-is-more-than-just-managing-your-work-time/
Medical News Today. (2018). Best foods for energy. https://www.medicalnewstoday.com/articles/323947
New Cars Online. (2023). Stay alert and safe: Tips to avoid falling asleep while driving. https://www.newcarsonline.co.uk/blog/stay-alert-and-safe-tips-to-avoid-falling-asleep-while-driving/
Yuma Truck Driving School. (2023). Energy-boosting snacks for the road. https://yumatruckdrivingschool.com/blog/energy-boosting-snacks-road/

The Role of Chiropractic and Integrative Medicine in MVA Recovery

Motor vehicle accidents often result in injuries that require more than just pain relief—they demand a comprehensive approach to restore function, mobility, and overall health. Chiropractic care, combined with integrative medicine, addresses both the physical and systemic effects of MVA injuries. Dr. Alexander Jimenez, with over 25 years of experience at Injury Medical & Chiropractic Clinic in El Paso, is a pioneer in this field, blending chiropractic expertise with nurse practitioner-driven medical management to deliver holistic care (A4M, 2023).

Chiropractic Care for MVA Injuries

Chiropractic care focuses on restoring spinal alignment, reducing inflammation, and improving mobility through non-invasive techniques such as:

  • Spinal Adjustments: These correct misalignments (subluxations) in the spine, relieving pressure on nerves and reducing pain.
  • Soft Tissue Therapy: Techniques like myofascial release and massage therapy address muscle tension and scar tissue.
  • Functional Rehabilitation: Exercises and stretches improve strength, flexibility, and range of motion, preventing future injuries.

Dr. Jimenez’s clinic is renowned for its expertise in treating common motor vehicle accident (MVA) injuries, including whiplash, back pain, and neck pain. His approach emphasizes early intervention to prevent chronic conditions, as untreated injuries can lead to long-term pain and reduced quality of life (1st Health Inc., 2023).

Integrative Medicine for Holistic Recovery

Integrative medicine combines conventional medical practices with complementary therapies to address the root causes of health issues. Dr. Jimenez incorporates the following into his treatment plans:

  • Nutritional Guidance: A balanced diet rich in anti-inflammatory foods, including leafy greens, fatty fish, and nuts, supports tissue repair and helps reduce pain. For example, omega-3 fatty acids in salmon can help decrease inflammation, while calcium-rich foods like spinach can help strengthen bones affected by trauma (Jimenez, 2023).
  • Health Coaching: Patients receive personalized guidance on lifestyle modifications, including diet, exercise, and stress management, to foster long-term wellness.
  • Functional Medicine: This approach identifies underlying imbalances, such as hormonal or metabolic dysfunction, that may exacerbate pain or slow recovery.

Dr. Jimenez’s dual licensure as a chiropractor and nurse practitioner enables him to order advanced diagnostic tests, such as MRIs and X-rays, and develop comprehensive treatment plans that address both symptoms and underlying causes. His clinic’s multidisciplinary team, including nutritionists, physical therapists, and massage therapists, collaborates to ensure optimal outcomes (Jimenez, 2025).

Citations

1st Health Inc. (2023). Albuquerque car accident chiropractor. https://www.1sthealthinc.com/albuquerque-car-accident-chiropractor
A4M. (2023). Injury Medical & Chiropractic Clinic – Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP. https://www.a4m.com/directory/injury-medical-chiropractic-clinic-alex-jimenez-dc-aprn-fnp-bc-cfmp-ifmcp-el-paso-tx-79936.html
Jimenez, A. (2023). Nutrition and chiropractic care: EP functional specialists. https://dralexjimenez.com/nutrition-and-chiropractic-care/
Jimenez, A. (2025). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Dr. Alexander Jimenez: A Leader in Personal Injury Care

Dr. Alexander Jimenez is a distinguished healthcare provider in El Paso, Texas, known for his expertise in treating MVA victims. With licensure as both a Doctor of Chiropractic (DC) and a board-certified Family Nurse Practitioner (FNP-BC), Dr. Jimenez brings a unique perspective to personal injury cases, combining biomechanical expertise with advanced medical diagnostics (Jimenez, 2023).

Clinical Rationale for Advanced Diagnostics

Dr. Jimenez’s clinical approach is grounded in the correlation between patient injuries and objective diagnostic findings. He uses advanced imaging and dual-scope procedures to assess the extent of MVA-related injuries accurately:

  • MRI and X-Ray Imaging: These tools identify soft tissue damage, disc herniations, and fractures that may not be visible through physical examination alone. For example, whiplash injuries often involve microtears in ligaments that require MRI confirmation.
  • Dual-Scope Procedures: By combining chiropractic assessments (such as palpating the spine) with medical tests (like blood tests for inflammation), Dr. Jimenez ensures a thorough evaluation of both physical and overall health issues.
  • Diagnostic Assessments: Tools like range-of-motion tests, neurological exams, and pain scales help quantify the impact of injuries, providing critical data for treatment planning and legal documentation.

This rigorous diagnostic process allows Dr. Jimenez to tailor treatment plans to each patient’s needs, addressing not only pain but also underlying dysfunctions that could lead to chronic conditions.

Balancing Medical Treatment and Legal Documentation

Personal injury cases require meticulous documentation to support insurance claims and legal proceedings. Dr. Jimenez’s dual expertise enables him to reconcile medical treatment with legal requirements:

  • Detailed Medical Reports: His reports include diagnostic findings, treatment plans, and progress notes, providing clear evidence of injury causation and the necessity of treatment.
  • Collaboration with Attorneys: Dr. Jimenez works closely with personal injury lawyers to ensure that medical documentation meets legal standards, helping victims secure fair compensation (El Paso Back Clinic, 2023).
  • Patient Advocacy: By explaining diagnoses and treatment plans in accessible terms, Dr. Jimenez empowers patients to understand their injuries and participate in their recovery.

Promoting Overall Well-Being

Dr. Jimenez’s integrative approach extends beyond injury treatment to promote long-term health and well-being. His clinic offers:

  • Nutritional Counseling: Personalized diet plans reduce inflammation, support tissue repair, and enhance energy levels, complementing the nutritional strategies outlined earlier for drowsy driving prevention.
  • Health Coaching: Patients receive guidance on exercise, stress management, and sleep hygiene to support recovery and prevent future injuries.
  • Community Outreach: Through initiatives like the “Tell A Veteran” Project, Dr. Jimenez educates veterans about their chiropractic care options, improving access to holistic treatments (Jimenez, 2025).

By addressing the root causes of injuries and promoting lifestyle changes, Dr. Jimenez helps patients achieve lasting wellness, reducing the risk of recurrent pain and dysfunction.

Citations

El Paso Back Clinic. (2023). Chiropractic auto accidents and injuries. https://elpasobackclinic.com/chiropractic-auto-accidents-and-injuries/
Jimenez, A. (2023). Dr. Alex Jimenez D.C., C.C.S.T. https://dralexjimenez.com/
Jimenez, A. (2025). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Integrating Nutrition and Chiropractic Care for Optimal Recovery

The synergy between nutrition and chiropractic care is a cornerstone of Dr. Jimenez’s practice. A nutrient-rich diet improves the effectiveness of chiropractic treatments in several ways:

  • Reducing Inflammation: Foods like salmon, walnuts, and leafy greens contain anti-inflammatory compounds that complement spinal adjustments and soft tissue therapy.
  • Supporting Tissue Repair: Protein-rich foods, such as eggs and yogurt, provide amino acids that support muscle and ligament healing, while calcium and vitamin D help strengthen bones.
  • Boosting Energy: Complex carbohydrates and healthy fats, found in bananas and avocados, sustain energy levels, supporting patients’ ability to engage in rehabilitation exercises.

For MVA victims, this integrative approach accelerates recovery and reduces the risk of chronic pain. Dr. Jimenez’s nutritional recommendations align with the energy-boosting snacks suggested for drowsy driving prevention, creating a cohesive strategy for both prevention and recovery.

Case Study: A Whiplash Recovery

Consider a hypothetical patient, John, who sustained whiplash in a rear-end collision. John experienced neck pain, headaches, and reduced mobility. Dr. Jimenez’s treatment plan included:

  • Chiropractic Adjustments: To restore cervical spine alignment and reduce nerve irritation.
  • Nutritional Plan: A diet rich in omega-3s (e.g., salmon), antioxidants (e.g., berries), and protein (e.g., Greek yogurt) to reduce inflammation and support tissue repair.
  • Functional Rehabilitation: Exercises to strengthen neck muscles and improve range of motion.
  • Legal Documentation: Detailed reports and MRI findings to support John’s insurance claim.

Within three months, John reported significant pain relief and restored mobility, demonstrating the effectiveness of Dr. Jimenez’s integrative approach.

Preventing Drowsy Driving: A Holistic Approach

Preventing drowsy driving requires a multifaceted approach that combines nutrition, lifestyle modifications, and increased awareness. In addition to consuming healthy snacks, drivers should take the following actions:

  • Get Adequate Sleep: Aim for 7–9 hours of quality sleep per night to reduce fatigue (Sleep Foundation, 2023).
  • Avoid Driving During Peak Sleepiness Hours: Late at night (midnight to 6 a.m.) and early afternoon (1–3 p.m.) are high-risk times for drowsiness (New Cars Online, 2023).
  • Use the Buddy System: For long drives, travel with a passenger who can take over if you feel sleepy.
  • Recognize Warning Signs: Yawning, difficulty focusing, or drifting lanes are signs to pull over and rest.

By combining these strategies with healthy eating, drivers can significantly reduce the risk of drowsy driving and its devastating consequences.

Citations

New Cars Online. (2023). Stay alert and safe: Tips to avoid falling asleep while driving. https://www.newcarsonline.co.uk/blog/stay-alert-and-safe-tips-to-avoid-falling-asleep-while-driving/
Sleep Foundation. (2023). How to stay awake: Tips to avoid drowsy driving. https://www.sleepfoundation.org/drowsy-driving/how-to-stay-awake-tips

Conclusion

Drowsy driving is a preventable danger that claims lives and causes debilitating injuries every year. By choosing healthy, energy-sustaining foods like apples, bananas, nuts, and yogurt, drivers can stay alert and reduce the risk of accidents. For those who suffer MVA-related injuries, chiropractic care and integrative medicine offer a path to recovery that addresses both physical and systemic health. Dr. Alexander Jimenez, with his dual expertise and commitment to holistic care, exemplifies how personalized treatment plans, advanced diagnostics, and nutritional guidance can restore mobility, alleviate pain, and promote long-term wellness. Whether you’re a daily commuter or a long-haul driver, prioritizing nutrition and seeking expert care can keep you safe on the road and healthy for years to come.

References

1st Health Inc. (2023). Albuquerque car accident chiropractor. https://www.1sthealthinc.com/albuquerque-car-accident-chiropractor
A4M. (2023). Injury Medical & Chiropractic Clinic – Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP. https://www.a4m.com/directory/injury-medical-chiropractic-clinic-alex-jimenez-dc-aprn-fnp-bc-cfmp-ifmcp-el-paso-tx-79936.html
Cleveland Clinic. (2022). Foods that give you energy. https://health.clevelandclinic.org/foods-that-give-you-energy
Doug Andrus. (2023). How to stay alert and avoid fatigue while driving. https://dougandrus.com/news/how-to-stay-alert-and-avoid-fatigue-while-driving
El Paso Back Clinic. (2023). Chiropractic auto accidents and injuries. https://elpasobackclinic.com/chiropractic-auto-accidents-and-injuries/
Get Drivers Ed. (2023). Nutrition and hydration in driving. https://getdriversed.com/blog-details/nutrition-and-hydration-in-driving
Healthline. (2022). Foods that beat fatigue. https://www.healthline.com/health/food-nutrition/foods-that-beat-fatigue
Healthline. (2023). Healthy road trip snacks. https://www.healthline.com/nutrition/healthy-road-trip-snacks
Jimenez, A. (2023). Dr. Alex Jimenez D.C., C.C.S.T. https://dralexjimenez.com/
Jimenez, A. (2023). Nutrition and chiropractic care: EP functional specialists. https://dralexjimenez.com/nutrition-and-chiropractic-care/
Jimenez, A. (2025). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/
Logmate. (2023). Preventing fatigue while driving is more than just managing your work time. https://logmate.co.nz/blog/preventing-fatigue-while-driving-is-more-than-just-managing-your-work-time/
Medical News Today. (2018). Best foods for energy. https://www.medicalnewstoday.com/articles/323947
National Highway Traffic Safety Administration. (n.d.). Drowsy driving. https://www.nhtsa.gov/risky-driving/drowsy-driving
New Cars Online. (2023). Stay alert and safe: Tips to avoid falling asleep while driving. https://www.newcarsonline.co.uk/blog/stay-alert-and-safe-tips-to-avoid-falling-asleep-while-driving/
Sleep Foundation. (2023). How to stay awake: Tips to avoid drowsy driving. https://www.sleepfoundation.org/drowsy-driving/how-to-stay-awake-tips
Yuma Truck Driving School. (2023). Energy-boosting snacks for the road. https://yumatruckdrivingschool.com/blog/energy-boosting-snacks-road/

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

Functional Medicine and Chiropractic Care: A Holistic Approach to Motor Vehicle Accident Recovery

Motor vehicle accidents (MVAs) can have profound physical and emotional consequences, often resulting in indirect trauma, back and neck pain, and even intestinal damage. These injuries, if left unaddressed, may lead to chronic musculoskeletal pain and systemic health issues. Functional medicine and chiropractic care, particularly through the expertise of professionals like Dr. Alexander Jimenez, DC, APRN, FNP-BC, offer a holistic and individualized approach to recovery. By targeting the root causes of injuries and promoting overall well-being, these modalities provide comprehensive healing strategies. This blog post examines the impact of MVAs, the role of functional medicine and chiropractic care in recovery, and Dr. Jimenez’s clinical approach in El Paso, Texas, which is supported by advanced diagnostics and evidence-based practices.

Understanding the Impact of Motor Vehicle Accidents

MVAs are a leading cause of injury worldwide, contributing to over 40% of spinal injuries annually. The trauma from these incidents can manifest as direct injuries, such as fractures or whiplash, and indirect issues, including chronic pain, emotional distress, and gastrointestinal disturbances. The complexity of MVA-related injuries necessitates a multidisciplinary approach to address both immediate symptoms and long-term health consequences.

Indirect Trauma from MVAs

Indirect trauma refers to injuries that are not immediately visible but develop over time due to biomechanical stress or systemic imbalances. For instance, the sudden jolt of a collision can misalign the spine, leading to subluxations that cause nerve irritation and muscle tension. These misalignments may not cause immediate pain but can contribute to chronic conditions like sciatica or fibromyalgia if left untreated.

Back and Neck Pain

Back and neck pain are among the most common complaints following MVAs, often resulting from whiplash or soft tissue injuries. Whiplash, caused by rapid acceleration and deceleration, irritates the muscles, tendons, and nerves in the cervical spine, leading to symptoms such as stiffness, headaches, and reduced range of motion. If untreated, these injuries can progress to chronic pain syndromes, affecting daily activities and quality of life.

Intestinal Damage and Gut Health

MVAs can also disrupt gut health, an often-overlooked consequence of trauma. The stress response triggered by an accident increases cortisol levels, which can alter gut microbiota and impair digestion. (Jimenez, 2025) Even without direct abdominal impact, the nervous system’s dysregulation can lead to conditions like irritable bowel syndrome (IBS) or leaky gut syndrome. Jimenez, 2025. Functional medicine addresses these issues by restoring gut integrity through a combination of nutrition and stress management.

Emotional and Psychological Impact

The emotional toll of MVAs, including post-traumatic stress disorder (PTSD) or anxiety, can exacerbate physical symptoms. Emotional distress may manifest as muscle tension or heightened pain perception, creating a feedback loop that hinders recovery. Visionary Law Group, n.d. Addressing both physical and emotional aspects is critical for holistic healing.

Citations:

The Role of Functional Medicine in MVA Recovery

Functional medicine takes a systems-based approach, focusing on identifying and addressing the root causes of health issues rather than merely treating symptoms (Premier Functional Medicine, n.d.). For MVA victims, this means personalized treatment plans that integrate nutrition, stress management, and targeted therapies to restore balance across the body’s systems.

Addressing Root Causes

Functional medicine practitioners use comprehensive assessments, including blood panels and functional movement screens, to identify underlying dysfunctions such as inflammation, hormonal imbalances, and nutritional deficiencies. A diet high in antioxidants and omega-3 fatty acids, for instance, can help reduce the chronic inflammation brought on by soft tissue injuries. Health Coach Clinic, n.d.

Nutritional Support for Healing

Nutrition plays a pivotal role in recovery, as healing is an energy-intensive process. Functional medicine emphasizes the consumption of nutrient-dense foods to support tissue repair and reduce fatigue. Key recommendations include:

  • Protein: Essential for muscle and tissue repair, found in lean meats, fish, and legumes.
  • Antioxidants, found in berries, leafy greens, and nuts, help combat oxidative stress caused by trauma.
  • Probiotics: Support gut health and address MVA-related dysbiosis. Jimenez, 2025.

Stress Management and Nervous System Regulation

The autonomic nervous system, often dysregulated after MVAs, can perpetuate pain and digestive issues. Functional medicine utilizes techniques such as mindfulness, biofeedback, and adaptogenic herbs to rebalance the nervous system, thereby reducing cortisol levels and promoting relaxation. Pacific Natural Medicine, n.d.

Citations:

Chiropractic Care: Restoring Musculoskeletal Function

Chiropractic care complements functional medicine by addressing biomechanical issues, particularly spinal misalignments and soft tissue injuries. Dr. Alexander Jimenez, a dual-licensed chiropractor and nurse practitioner in El Paso, Texas, is renowned for his expertise in treating MVA victims.

Spinal Adjustments

Chiropractic adjustments use quick, gentle thrusts to correct spinal misalignments, which helps alleviate nerve issues and enhance mobility. These adjustments are particularly effective for relieving neck and back pain, with studies showing that chiropractic care reduces the need for opioids and invasive procedures.

Soft Tissue Therapy

Manual therapies, such as massage and myofascial release, target muscle tension and scar tissue, promoting pain relief and improved range of motion. RX Wellness, n.d. These techniques are integral to Dr. Jimenez’s approach, ensuring comprehensive musculoskeletal recovery.

Functional Rehabilitation

Chiropractic care extends beyond adjustments to include functional rehabilitation programs. These programs incorporate strength training, flexibility exercises, and proprioceptive training to prevent re-injury and enhance performance.

Citations:

Dr. Alexander Jimenez’s Clinical Approach in El Paso

Dr. Alexander Jimenez’s dual licensure as a chiropractor and nurse practitioner uniquely positions him to bridge medical diagnostics with holistic care. His clinic, Injury Medical & Chiropractic Center, is a leading destination for MVA recovery in El Paso, emphasizing advanced diagnostics and personalized treatment plans.

Advanced Imaging and Diagnostics

Dr. Jimenez utilizes advanced imaging techniques, including MRI and CT scans, to accurately diagnose soft tissue and spinal injuries. These tools correlate symptoms with objective findings, aiding in treatment planning and legal documentation for personal injury cases. Electromyography (EMG) and neurologic exams further assess nerve injuries, providing a comprehensive diagnostic picture. Jimenez, n.d.

Dual-Scope Procedures

As a nurse practitioner, Dr. Jimenez employs evidence-based medicine to address systemic issues, such as hormonal imbalances or metabolic dysfunctions, while his chiropractic expertise focuses on biomechanical corrections. This dual-scope approach ensures that both symptoms and root causes are addressed, thereby enhancing recovery outcomes.

Legal Documentation

In personal injury cases, Dr. Jimenez’s detailed assessments and imaging provide critical evidence for attorneys and insurance companies. His detailed questionnaires for auto accident injuries capture the mechanism of injury and biomechanics, ensuring accurate treatment and robust legal support.

Citations:

Holistic Recovery Strategies

Holistic recovery from MVAs involves integrating multiple modalities to address physical, emotional, and systemic health. Dr. Jimenez’s approach exemplifies this by combining chiropractic care, functional medicine, and collaborative care with specialists.

Collaborative Care

Dr. Jimenez collaborates with orthopedic surgeons, physical therapists, and nutritionists to provide seamless care. For severe injuries, such as fractures or dislocations, he coordinates with specialists to ensure proper healing and rehabilitation.

Long-Term Wellness

Functional medicine promotes long-term wellness by addressing lifestyle factors, such as diet, exercise, and stress management. Conditioning programs tailored for athletes or active individuals enhance mobility and help prevent reinjury.

Patient Education

Dr. Jimenez empowers patients through education, offering resources on spinal health, nutrition, and stress management via his website, www.dralexjimenez.com. Patient testimonials highlight the transformative impact of his care, particularly for chronic pain and sports injuries.

The Progression of Musculoskeletal Joint Pain

Untreated MVA injuries can lead to progressive musculoskeletal joint pain, including conditions like osteoarthritis or degenerative disc disease. Chronic inflammation and biomechanical stress exacerbate joint wear and tear, thereby reducing mobility and quality of life. Functional medicine and chiropractic care mitigate these risks by addressing inflammation and restoring joint function early in the recovery process.

Conclusion

Motor vehicle accidents can cause a cascade of physical and emotional challenges, from back and neck pain to gut health issues and chronic musculoskeletal conditions. Functional medicine and chiropractic care, as exemplified by Dr. Alexander Jimenez in El Paso, offer a holistic and effective approach to recovery. By integrating advanced diagnostics, personalized treatment plans, and collaborative care, these modalities address the root causes of injuries and promote long-term wellness. For MVA victims, seeking care from a dual-licensed practitioner like Dr. Jimenez ensures comprehensive healing and robust support for personal injury cases.

References

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Athletes, Chiropractic Care, El Paso TX, Sporting , , , , , , , , , , , , , , , ,

Bunions Management: Relief and Care Strategies

What is the most effective method for managing the initial symptoms of bunions?

Bunions

A bunion, which is also known as hallux valgus, is a bony bump that is frequently excruciating and located on the side of the big toe. A misalignment of the big toe is the most prevalent cause of bunions. Redness, edema, tenderness, and thickened skin around the big toe joint are early indications of bunions. Although it is impossible to halt the progression of a bunion, it is possible to alleviate its symptoms as it progresses. Pain management strategies and various treatment options are among the early indications of bunions. (MedlinePlus, 2024)

Visual Signs of Early Symptoms

Bunions initially develop slowly and do not cause significant discomfort right away. When a bunion first begins to form, you can notice the following symptoms around your metatarsophalangeal (MTP) joint, which joins the base of your big toe to the remainder of your foot. (American Academy of Orthopaedic Surgeons, 2022)

  • Erythema
  • Edema Hyperpigmentation
  • Hyperkeratotic skin
  • A bony protrusion exists
  • Prominence where the hallux deviates towards the second digit or even beneath it
  • Calluses and corns

Initial Somatic Indicators

Although bunions may not be immediately apparent, they can still cause discomfort in the early stages. The following are some of the initial physical indicators of a developing bunion: (MedlinePlus, 2024)

  • Pain in the foot and big toe
  • This discomfort is especially evident during ambulation or when donning constrictive, pointed footwear.
  • Decreased movement of the big toe
  • Tenderness
  • Inflammation
  • Swelling
  • Stiffness
  • Heat

Stages

Bunions are typically progressive, meaning they tend to deteriorate over time. Failure to implement preventive measures for your bunions may result in consequences. Subsequent symptoms often accompany advanced-stage bunions. (American Academy of Orthopaedic Surgeons, 2022)

  • Persistent, intense pain in and around the metatarsophalangeal joint and the lateral and plantar aspects of the foot
  • Bursitis results in the formation of a fluid-filled cyst near the base of the big toe.
  • Hallux adducting and maybe overlapping the second toe
  • Excessive osseous proliferation along the lateral aspect of the hallux
  • Inability to accommodate your standard footwear
  • Impediment in ambulation
  • Hammertoe abnormalities occur when the second, third, or fourth toes exhibit an upward bend at the middle joint, like a hammer or claw.
  • Hallux rigidus, a kind of arthritis affecting the big toe

Halt the Advancement

Once bunions have begun to form, they will become irreversible. Nevertheless, some methods exist to prevent their exacerbation or the onset of additional issues. These encompass (American Academy of Orthopaedic Surgeons, 2022)

  • Refraining from wearing improperly fitting footwear and elevated heels
  • Utilizing orthopedic footwear and/or broad, comfy, soft-soled, and low-heeled shoes
  • Inserting spacers between the toes to avert friction and irritation
  • Applying over-the-counter (OTC) pads composed of felt, silicone, or foam to the bunion
  • Extending your calf muscles to enhance joint alignment

Analgesic Administration

Ice packs and non-steroidal anti-inflammatory medicines (NSAIDs), such as Advil or Motrin (ibuprofen), may alleviate bunion discomfort. Research indicates that Botox injections into the forefoot muscles may offer analgesic benefits. (Hurn, S. E., et al., 2022)

Non-invasive Therapy in Initial Phases

If your bunions continue to deteriorate despite using the aforementioned self-care measures, you may need to seek intervention from a podiatrist or another healthcare professional. A healthcare professional may advise

Foot orthoses, commonly referred to as orthotics

  • Orthoses, also known as foot orthoses, are specially designed implants that alleviate bunion-associated pain and prevent chafing.

Splints

Physical Therapy

  • A physical therapist can assist you by offering exercises to enhance the alignment of your feet and joints. They may further administer manual treatment to alleviate pain. (Hurn, S. E., et al., 2022)

Podiatrist

A podiatrist is a medical doctor (M.D.) specializing in the treatment of health issues affecting the foot, ankles, and lower legs. Request a referral to a podiatrist from your healthcare physician if you seek assistance in managing your bunion problems. (American Podiatric Medical Association, 2025)

Chiropractic Perspective

Chiropractors focus on biomechanical alignment and musculoskeletal health, viewing bunions as part of a broader kinetic chain dysfunction. Their approach emphasizes manual therapies and functional restoration.

  1. Biomechanical Assessment:
    • Evaluate foot, ankle, knee, hip, and spinal alignment to identify compensatory patterns contributing to bunion formation (e.g., overpronation, pelvic misalignment).
    • Assess gait and foot mechanics to identify areas of abnormal stress on the big toe joint.
  2. Chiropractic Interventions:
    • Adjustments: Perform gentle manipulations to the foot and ankle (e.g., metatarsal or tarsal adjustments) to improve joint mobility and reduce stress on the bunion. Spinal or pelvic adjustments may address upstream biomechanical issues.
    • Soft Tissue Therapy: Utilize techniques such as myofascial release or instrument-assisted soft tissue mobilization to reduce tension in the foot’s muscles and fascia, thereby improving circulation and flexibility.
    • Taping: Apply kinesiology tape to support the big toe and reduce strain during movement.
  3. Corrective Exercises:
    • Prescribe exercises to strengthen intrinsic foot muscles and improve toe alignment, such as:
      • Toe spreading: Actively spread toes apart to strengthen the abductor hallucis.
      • Arch strengthening: Perform short foot exercises to support the medial longitudinal arch.
      • Calf stretches: Address tight Achilles tendons that contribute to foot strain.
    • Recommend balance and proprioception exercises (e.g., standing on one leg) to improve overall foot stability.
  4. Orthotic and Footwear Guidance:
    • Fit patients with custom orthotics to correct overpronation or supination, which can exacerbate bunions.
    • Advise on minimalist or wide-toe-box shoes to promote natural foot mechanics, aligning with chiropractic principles of functional movement.
  5. Holistic Approach:
    • Address lifestyle factors, such as posture and ergonomics, that affect lower extremity alignment.
    • Educate on anti-inflammatory diets (e.g., rich in omega-3 fatty acids, low in processed sugars) to help reduce joint inflammation.

Nurse Practitioner Perspective

NPs focus on holistic patient care, symptom management, and coordinating multidisciplinary treatment. Their approach to bunions focuses on pain relief, slowing the progression, and providing patient education.

  1. Assessment and Diagnosis:
    • Conduct a thorough history and physical exam to evaluate bunion severity, pain level, and contributing factors (e.g., footwear, family history, arthritis).
    • Order imaging (X-rays) if needed to assess joint alignment and rule out complications like osteoarthritis or bone spurs.
    • Screen for systemic conditions (e.g., rheumatoid arthritis, gout) that may worsen bunions.
  2. Conservative Management:
    • Footwear Education: Recommend wide-toe-box shoes with low heels to reduce pressure on the bunion. Avoid high heels and narrow shoes.
    • Orthotics: Prescribe custom or over-the-counter orthotic inserts to support the arch, redistribute pressure, and correct foot mechanics.
    • Padding and Splinting: Suggest bunion pads or spacers to cushion the area and reduce friction. Night splints may help align the toe, though evidence for their effectiveness is mixed.
    • Pain Relief: Advise over-the-counter NSAIDs (e.g., ibuprofen) for pain and inflammation, ensuring proper dosing and monitoring for side effects. For severe cases, refer to a specialist for corticosteroid injections.
    • Physical Therapy: Refer to a physical therapist for exercises to strengthen foot muscles, improve flexibility, and enhance gait. Examples include toe stretches, towel curls, and marble pickups.
  3. Patient Education:
    • Educate on weight management to reduce stress on the feet.
    • Discuss lifestyle changes, such as avoiding prolonged standing or high-impact activities that worsen symptoms.
    • Highlight the progressive nature of bunions and the importance of early intervention.
  4. Referral and Coordination:
    • Refer to a podiatrist or orthopedic surgeon if conservative measures fail or if the bunion causes significant pain, deformity, or functional impairment.
    • Collaborate with chiropractors, physical therapists, or other specialists for a comprehensive care plan.

Both NPs and chiropractors emphasize:

  • Early Intervention: Addressing bunions early can prevent the worsening of deformity.
  • Footwear Modification: Wearing wide, supportive shoes is critical to reducing pressure.
  • Exercise and Mobility: Strengthening and stretching exercises improve foot function.
  • Pain Management: Non-invasive methods, such as padding, icing, or non-steroidal anti-inflammatory drugs (NSAIDs), are the first-line approach.
  • Referral for Surgery: If conservative measures prove ineffective, a specialist may be consulted for surgical options, such as bunionectomy, although this is typically considered a last resort.

Limitations and Considerations

  • Evidence Gaps: While orthotics and exercises are widely recommended, studies on their efficacy for bunions are limited. Splints may not correct severe deformities.
  • Individual Variation: Treatment must be tailored to the patient’s bunion severity, lifestyle, and comorbidities.
  • Surgical Indications: Severe pain, joint damage, or inability to walk may necessitate surgical consultation, which neither NPs nor chiropractors are qualified to perform.

Injury Medical Chiropractic and Functional Medicine Clinic

Dr. Jimenez, a nurse practitioner, integrates medical expertise with chiropractic care to address a wide range of conditions. The clinic provides individualized care programs that incorporate functional medicine, acupuncture, electroacupuncture, and sports medicine. The clinic addresses chronic pain syndromes and injuries by prioritizing strength, agility, and flexibility. Comprehensive care programs, combined with in-person and virtual health coaching, ensure personalized treatment and wellness outcomes for patients of all ages and abilities.

Enhance Your Performance with Functional Foot Orthotics

References

MedlinePlus (2024). Bunions. U.S. Department of Health and Human Services.

American Academy of Orthopaedic Surgeons. (2022). “Bunions.” OrthoInfo. from https://orthoinfo.aaos.org/en/diseases–conditions/bunions/.

Hurn, S. E., Matthews, B. G., Munteanu, S. E., & Menz, H. B. (2022). Effectiveness of Nonsurgical Interventions for Hallux Valgus: A Systematic Review and Meta-Analysis. Arthritis care & research, 74(10), 1676–1688. https://doi.org/10.1002/acr.24603

Aebischer, A. S., & Duff, S. (2020). Bunions: A review of management. Australian Journal of General Practice, 49(11), 720–723. https://doi.org/10.31128/AJGP-07-20-5541

American Podiatric Medical Association. (2025). “What is a podiatrist?” Advancing foot and ankle medicine and surgery. from https://www.apma.org/patients-and-the-public/what-is-a-podiatrist/.

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

Exercise and Dementia: Key to Cognitive Health

To what extent can regular exercise contribute to the overall health of elderly individuals and reduce the likelihood of developing dementia?

Exercise and Dementia: Improving Brain Function

Dementia Prevention and Exercise

Dementia is a term that refers to various diseases that impede memory and cognition, and it is presently the seventh most common cause of death worldwide. (World Health Organization, 2025) Approximately 10 million new cases of dementia are diagnosed annually on a global scale. (Yoon J.H. et al., 2023) A study investigating the correlation between insulin and exercise in the brain discovered that consistent physical activity may enhance brain function and reduce the likelihood of developing dementia. Researchers have discovered that factors such as.

Exercise and stretching are necessary. Muscle rigidity impairs insulin’s ability to work in those who don’t exercise. The body enhances insulin sensitivity by contracting and releasing those muscles in response to movement. Dementia prevention efforts might benefit from identifying mechanisms that lower insulin resistance.

Physical Activity and Reduced Risk

After observing 21 older individuals with prediabetes for two weeks, the researchers discovered that physical activity assists the brain in regulating insulin, directly improving cognitive function. Under supervision, they completed twelve exercise sessions that ranged from moderate to high intensity. (Malin S. K. et al., 2025)

  • The findings show a notable rise in the number of extracellular vesicles produced from the brain that contain insulin-related proteins.
  • These micro-messengers ensure that neurons can communicate with one another and play an essential part in maintaining the brain.
  • AKT (also known as protein kinase B or PKB) comprises three specific protein kinases that are important for many body functions, such as keeping cells alive, helping them grow, managing metabolism, and controlling the cell cycle.
  • The protein is considered a significant factor in insulin signaling and has ramifications for neuronal cell growth and health.
  • Inadequate insulin response may contribute to dementia. Hence, it is noteworthy that exercise could mitigate this by potentially enhancing insulin signaling.

Although further investigation is necessary, these results underscore that physical activity may be an accessible, cost-effective method to promote long-term cognitive health. In the subsequent phase of the investigation, researchers will employ an insulin spray and MRIs to gain further insight into insulin’s impact on brain activity. They will analyze cerebral blood circulation before and during the administration of the insulin spray to elucidate its effects.

Insulin, Exercise, and Brain Health

Insulin is a hormone synthesized by the pancreas that regulates blood glucose levels. Nonetheless, insulin’s significance in cerebral health is equally crucial. The brain’s abundance of insulin receptors facilitates neuronal communication, enhances synaptic connections upon insulin binding, and promotes memory and learning. (Gray, S. M., Meijer, R. I., & Barrett, E. J. 2014)

Impaired insulin signaling, as observed in situations such as type 2 diabetes, renders the brain more susceptible to cognitive deterioration. (Yoon J.H. et al., 2023) Research indicates that insulin resistance plays a role in the accumulation of amyloid-beta plaques and tau tangles, which are fundamental features of Alzheimer’s disease. (Hong, S., Han, K., & Park, C. Y. 2021) Enhancing insulin sensitivity may mitigate or avert these cerebral alterations. Aerobic exercise positively influences total brain health. Prior research has demonstrated that physical activity improves or sustains adult cognitive function and memory. (Rosenberg A. et al., 2020) Other ways to increase brain health include

  • Staying socially engaged
  • Challenging the mind
  • Getting plenty of sleep
  • Managing Stress
  • Healthy diet
  • Staying physically active
  • Diabetes management
  • Blood pressure management

The future of dementia prevention will likely entail a synthesis of lifestyle modifications, including physical activity and pharmacological treatments, to achieve the most significant impact. Consistent physical activity may substantially diminish the likelihood of dementia in adults with prediabetes or diabetes and support normal cognitive function.

Clinic for Chiropractic Care and Functional Medicine

Family Practice Nurse Practitioner Dr. Jimenez integrates sophisticated medical proficiency with chiropractic treatment to manage diverse illnesses. Our clinic combines Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to develop tailored care plans that enhance natural healing, mobility, and sustained wellness. By emphasizing flexibility, agility, and strength, we enable patients to flourish, irrespective of age or health obstacles. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we dedicate ourselves to treating individuals recovering from injuries and chronic pain disorders. We enhance your capabilities through flexibility, mobility, and agility programs customized for various age demographics and disabilities. We employ in-person and virtual health coaching and comprehensive care plans to guarantee tailored care and optimal wellness outcomes for each patient.

Is Motion Key to Healing?

References

World Health Organization. (2025). “Dementia.” World Health Organization. from https://www.who.int/news-room/fact sheets/detail/dementia#:~:text=Alzheimer%20disease%20is%20the%20most,60%E2%80%9370%25%20of%20cases.

Yoon, J. H., Hwang, J., Son, S. U., Choi, J., You, S. W., Park, H., Cha, S. Y., & Maeng, S. (2023). How Can Insulin Resistance Cause Alzheimer’s Disease?. International Journal of Molecular Sciences, 24(4), 3506. https://doi.org/10.3390/ijms24043506

Malin, S. K., Battillo, D. J., Beeri, M. S., Mustapic, M., Delgado-Peraza, F., & Kapogiannis, D. (2025). Two weeks of exercise alters neuronal extracellular vesicle insulin signaling proteins and pro-BDNF in older adults with prediabetes. Aging cell, 24(1), e14369. https://doi.org/10.1111/acel.14369

Gray, S. M., Meijer, R. I., & Barrett, E. J. (2014). Insulin regulates brain function, but how does it get there?. Diabetes, 63(12), 3992–3997. https://doi.org/10.2337/db14-0340

Hong, S., Han, K., & Park, C. Y. (2021). The insulin resistance by triglyceride glucose index and risk for dementia: population-based study. Alzheimer’s research & therapy, 13(1), 9. https://doi.org/10.1186/s13195-020-00758-4

Rosenberg, A., Mangialasche, F., Ngandu, T., Solomon, A., & Kivipelto, M. (2020). Multidomain Interventions to Prevent Cognitive Impairment, Alzheimer’s Disease, and Dementia: From FINGER to World-Wide FINGERS. The Journal of Prevention of Alzheimer’s disease, 7(1), 29–36. https://doi.org/10.14283/jpad.2019.41

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Diet, Gut Health , , , , , , , , , , , , , ,

Sauerkraut and Its Incredible Health Benefits

Can incorporating sauerkraut into one’s diet help promote healthy gut bacteria?

Sauerkraut

Sauerkraut, a fermented cabbage food, is a great source of probiotics and fiber, both of which can contribute to gut health. It’s a living food containing various microbial strains and can help improve digestion, reduce inflammation, and improve overall gut health. (Shahbazi R. et al., 2021)

Fermented foods like sauerkraut have live cultures that promote the growth of beneficial probiotics, bacteria that provide powerful health benefits. Probiotics also help make foods more digestible, increasing the gut’s ability to absorb the vitamins and minerals they contain. A study found that fermented cabbage may help protect intestinal cells from inflammatory damage more than raw cabbage. (Wei L., & Marco M. L., 2025)

Homemade sauerkraut likely contains more live cultures than store-bought since processing may destroy some of the healthy bacteria. (National Institutes of Health Office of Dietary Supplements, 2023) Depending on which supplement is chosen, sauerkraut may have a greater diversity of probiotic strains. This is because an oral supplement has a known quantity and strain of probiotics. Individuals who want to add probiotics to their diet for potential gut health benefits should take a food-first approach, which is generally recommended over oral supplements. (National Institutes of Health, 2025)

Look at the Benefits

Probiotics

  • Sauerkraut contains lactic acid bacteria, which are beneficial bacteria that can help support the immune system and reduce inflammation. (Healthline, 2023)

Fiber

  • Sauerkraut is a robust source of fiber, which aids in digestion and can help you feel full longer.

Digestion

Anti-inflammatory

Gut Microbiome

  • Sauerkraut can help diversify and improve the composition of the gut microbiome, leading to various health benefits. (Healthline, 2023)

IBS symptoms

How to incorporate sauerkraut into one’s diet

Check the Ingredients

Option for unpasteurized

  • Look for sauerkraut that is labeled raw or naturally fermented to ensure it contains live probiotics.

Try to Eat Regularly

  • Aim to include sauerkraut in your diet a few times a week to reap the benefits. (Healthline, 2023)

Pair with Other Gut-Healthy Foods

  • Sauerkraut can be eaten alone or paired with other fermented foods, such as yogurt, kimchi, or chard, to promote gut health.

What to consider

Cabbage Allergy

  • Individuals who have a cabbage allergy or histamine intolerance should avoid sauerkraut.

Sodium

MAOI Medications

  • Consult with a doctor before adding sauerkraut to your diet if you are taking monoamine oxidase inhibitors (MAOIs).

Start small and learn how you like to eat sauerkraut, which can be as a condiment, side dish, or sandwich ingredient.

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. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, electroacupuncture, and integrated medicine protocols. 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.

Body In Balance: Chiropractic, Fitness, and Nutrition

References

Shahbazi, R., Sharifzad, F., Bagheri, R., Alsadi, N., Yasavoli-Sharahi, H., & Matar, C. (2021). Anti-Inflammatory and Immunomodulatory Properties of Fermented Plant Foods. Nutrients, 13(5), 1516. https://doi.org/10.3390/nu13051516

Healthline. (2023). 8 Surprising Benefits of Sauerkraut (Plus How to Make It). https://www.healthline.com/nutrition/benefits-of-sauerkraut#nutrients

Medical News Today. (2023). What are the benefits of eating sauerkraut? https://www.medicalnewstoday.com/articles/health-benefits-of-sauerkraut

Wei, L., & Marco, M. L. (2025). The fermented cabbage metabolome and its protection against cytokine-induced intestinal barrier disruption of Caco-2 monolayers. Applied and environmental microbiology, e0223424. Advance online publication. https://doi.org/10.1128/aem.02234-24

National Institutes of Health Office of Dietary Supplements. (2023). Probiotics. Retrieved from https://ods.od.nih.gov/factsheets/Probiotics-Consumer/

National Institutes of Health. (2025). Probiotics. Retrieved from https://ods.od.nih.gov/factsheets/Probiotics-HealthProfessional/

U.S. Department of Agriculture. (2018). Sauerkraut, canned, solids and liquids. Retrieved from https://fdc.nal.usda.gov/food-details/169279/nutrients

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 Athletes, Exercises , , , , , , , , , , , , , , , , , , ,

Pace Running: How to Work with Pacers

Can pace running help runners concentrate on other things, like breathing, form, or mental toughness?

Pace Running

Running is a sport many participate in and doesn’t require any equipment—only quality running shoes. Running in races comes with various physical and mental challenges. Some runners enjoy running in races and marathons but want to perfect their abilities and techniques, become more consistent, finish in a certain time, or pass a personal record. This is where pace running or working with a pace runner can help achieve those goals.

What is a Pace Runner?

A pace runner, or pacer, is an experienced runner who can run at a set pace for a long time. The pacer sets the speed so the runner can focus on running. Pacers run in races or marathons to help set the pace for a runner or runners. There are different reasons why professional and amateur runners work with a pace runner. Professional runners often use pace runners to work on techniques and help reach new levels in their running, while amateur runners can work on improving their overall running abilities. There are three typical types of pacers.

Race Pacer

  • Pacers wear or carry signs to make it easier for the runners and can often run split times.
  • A split time is the time it takes to run a certain distance.
  • Typically, these pacers will run at an even pace.
  • Many marathons will have pace groups that run at a specific speed or pace throughout the race.
  • The pace groups will have runners running a set time so other runners can key off these runners.
  • There are typically set paces for a 3-hour marathon time up to a 6-hour marathon time.
  • Runners can use pacers to help them reach their goals without relying on technology, such as a smartwatch or GPS, to determine if they maintain the correct speed throughout the race.

Distance Pacer

  • Professional and non-professional runners who run long distances or ultramarathons may also use a pace runner to set a specific tempo.
  • Ultramarathons are any race with a distance longer than the standard marathon of 26.2 miles.
  • Because some ultramarathons can be as long as 50 to 100 miles, runners who choose to have a pacer often have several pacers at different sections to motivate them and help set the rhythm.

Record Pacer or Rabbit

  • A record pacer, also known as a rabbit, is a pacer who helps a professional runner set a new record.
  • A rabbit often leads the race for a predetermined distance at a predetermined pace.
  • Some races have multiple pacers at various distances.

How Are Pacers Used?

There are different reasons for having a pacer, but they are based on the runner’s goals.

  • A runner being paced runs directly behind a pacer or pacers.
  • A pacer can run any pace requested, but typically, the pace groups run at an even pace or with a slight negative split.
  • A negative split is when a runner runs the race’s second half faster than the first half.

How Do They Help?

  • A pacer can be helpful because it takes more energy to lead a race than to sit back and follow another runner.
  • The pacer is responsible for timing and establishing the tempo so runners only have to focus on running.
  • A pacer does more work setting the pace, which allows the runner being paced to relax and not stress about hitting the pace.

A study focused on elite athletes who used pacers. It found that running together at a realistic speed helped optimize and achieve finishing time goals. (Casado A. et al., 2021) However, not all elite events allow pacers to participate. Some championship events, like the Olympics and NCAA Championships, do not allow pacer runners.

Benefits

Benefits of running with a pacer.

Prevent Running Too Fast

  • When a race begins, runners can take off and start too fast.
  • Starting too quickly can negatively impact the runners, like losing energy and stamina.
  • A pacer can help start the race with a steady pace, keeping them from going out too fast or expending too much energy.

Maintain an Even Pace

  • Maintaining an even pace can be difficult throughout a long race or a marathon.
  • Having a pacer can relieve some stress and pressure.
  • A pacer can keep the runners on an even pace or negative splits versus going out too fast and losing energy.

Focus on the Race

  • Pacers help the runners stay focused on the race without worrying about how they are running or maintaining the right speed.
  • A pacer can help keep runners relaxed.

Motivating

  • Pacers can help motivate runners.
  • The pace runners may encourage individuals along the way and help them stay motivated to keep working toward their goal, especially when the hard parts come.

Disadvantages

Running with a pacer can sometimes be more stressful than beneficial, especially for amateur runners. A pacer or pace group can be helpful, but it also can create more stress for some amateur runners.

  • Sometimes, individuals realize the pacer is running too quickly for what they can handle.
  • Anxiety can present as not being able to keep up.
  • Other times, runners underestimate their abilities and run more slowly than their bodies can handle.
  • However, runners don’t have to stay with a pace group just because they started with them.
  • Individuals can run ahead.
  • Or if the group is too fast, the runner can slow down and join the slower-paced group behind them.
  • The key is to listen to your body and do what feels right.

Becoming a Pacer

An experienced runner who wants to be a pacer for a race can contact a running organization about becoming a pace runner.

  • Individuals need to be able to have consistent racing times.
  • Be able to run at a set speed for a long duration.
  • Most pacers will contact the race organization to apply for a certain pace.
  • Some pacers enjoy the thrill of running in a race and helping other runners meet their goals.
  • The runner’s goals and the type of event also influence who the pacer is.

Injury Medical Chiropractic & Functional Medicine Clinic

Individuals can talk to local running experts or a running coach. 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. We can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

The Difference of Using Custom Foot Orthotics

References

Casado, A., Hanley, B., Jiménez-Reyes, P., & Renfree, A. (2021). Pacing profiles and tactical behaviors of elite runners. Journal of Sport and Health Science, 10(5), 537–549. https://doi.org/10.1016/j.jshs.2020.06.011

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

Cornstarch: How to Replace Flour in Recipes

How can cornstarch be used instead of flour in recipes for individuals on a gluten-free diet who are looking for a flour alternative due to celiac disease or non-celiac gluten sensitivity?

flour table

Cornstarch Substitute

Flour is often used as a thickener or a coating in recipes. Pure cornstarch (made from corn) is a gluten-free flour substitute (Rai S., Kaur A., & Chopra C.S., 2018). However, some brands are not considered gluten-free.

Substitute for Flour

It’s easy to substitute cornstarch for flour when the recipe calls for a thickener, such as in gravies, sauces, pies, or coatings for fried foods. If flour is unavailable or individuals want to try a gluten-free alternative, cornstarch has a similar effect in these cooking applications.

However, individuals should be aware that it cannot be used as a substitute for flour in baked goods.

As a Thickener

Cornstarch can be a thickener in sauces, gravy, and pie fillings. (Bob’s Red Mill, 2020)

  • There is no taste of cornstarch.
  • However, foods will be more translucent.
  • This is because it is pure starch, while flour contains some protein.
  1. Cornstarch is not a 1:1 substitute for flour.
  2. Individuals should generally use one tablespoon for each 1 1/2 to 2 cups of flour for sauce/gravy for medium thickness. (The Denver Post, 2016)

When using cornstarch as a thickener:

  • Bring the mixture to a full boil for 1 minute, which allows the granules to swell to their maximum.
  • Reduce the heat as it thickens.
  • Overcooking can cause mixtures to thin when cooled.
  • Cook over medium-low to medium heat, as high heat can cause lumping.
  • Stir gently
  • Stirring vigorously can break down the mixture.
  • If more ingredients are needed, remove the pot from the heat and stir them quickly and gently.
  • Avoid freezing sauces or gravies since they won’t freeze well. (Cook’s Info, 2008)

How To Use

  • Use half as much cornstarch as you would flour.
  • For example, if the recipe calls for two tablespoons of flour, use one tablespoon of cornstarch.
  • If the recipe calls for 1/4 cup of flour, use 1/8 cup of cornstarch.
  • This is true for other starches, including arrowroot, potato, and tapioca. (Taste of Home, 2023)
  • Adding the cornstarch directly will cause it to clump and form lumps in the sauce that will be difficult to dissolve.
  • To avoid this, mix the cornstarch with cold water (1 tablespoon of cornstarch to 1 tablespoon of cold water) until it is dissolved.
  • Then pour the water/starch mixture/slurry into the mix.
  • Keep stirring as the mixture thickens. (Bon Appetit, 2020)

Cornstarch is not as effective as flour when thickening acidic sauces. It doesn’t work well with tomato, vinegar, or lemon juice sauces. It is also less effective than flour when thickening sauces made with fat, including butter or egg yolks. (The BC Cook Articulation Committee, 2015)

If the mixture contains too little liquid, the starch granules cannot absorb. This is also the case when there is more sugar than liquid, in which case, more liquid is needed to firm up the mixture.

Fried Dishes

Individuals can use cornstarch instead of flour to coat fried chicken, fish, or other fried dishes. It creates a crisper coating that better withstands sauces and absorbs less frying oil, resulting in a lower-fat meal. Tips for frying:

  • Try a 50/50 blend of cornstarch and gluten-free flour for a coating closer to wheat flour. (Bon Appetit, 2016)
  • Ensure there is a light, even cornstarch coating on the food.
  • Heavier coatings can get gummy.

Injury Medical Chiropractic and Functional Medicine Clinic

When cooking gluten-free, individuals may be able to continue to enjoy some of their favorite sauces by learning how to use cornstarch and other gluten-free thickeners instead of flour. As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, electroacupuncture, and integrated medicine protocols. 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.

From Consultation to Transformation: Assessing Patients in a Chiropractic Setting

References

Rai, S., Kaur, A., & Chopra, C. S. (2018). Gluten-Free Products for Celiac-Susceptible People. Frontiers in Nutrition, 5, 116. https://doi.org/10.3389/fnut.2018.00116

Bob’s Red Mill. (2020). Baking with cornstarch: Everything you need to know. https://www.bobsredmill.com/articles/baking-with-cornstarch-everything-you-need-to-know

Denver Post. (2016). Cornstarch a good way to thicken gravy lightly. https://www.denverpost.com/2010/11/20/cornstarch-a-good-way-to-thicken-gravy-lightly/

Cook’s Info. (2008). Thickeners. https://www.cooksinfo.com/thickeners/

Taste of Home. (2023). Cornstarch vs. flour vs. arrowroot – when should you use which thickener? https://www.tasteofhome.com/article/best-thickener/

Bon Appetit. (2020). Cornstarch is a powerful tool that must be used responsibly. https://www.bonappetit.com/story/the-power-of-almighty-cornstarch

The BC Cook Articulation Committee. (2015). Understanding Ingredients for the Canadian Baker
Types of thickening agents. https://opentextbc.ca/ingredients/chapter/types-of-thickening-agents/

Bon Appetit. (2016). 4 brilliant ways to cook with cornstarch. https://www.bonappetit.com/story/cornstarch-uses-sauce-crispy-meat

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

Cauliflower Health Benefits You Should Know

Cauliflower is more than just a side dish. Discover exciting recipes and health benefits of cauliflower for a balanced diet.

Introduction

As a seasoned Nurse Practitioner with over 20 years of experience in physical and functional medicine, I’ve witnessed firsthand how diet and lifestyle choices profoundly influence overall health, from musculoskeletal integrity to gut function and immune resilience. One vegetable that has stood out for its remarkable versatility and potent health benefits is cauliflower. Often underestimated due to its pale appearance, cauliflower is a powerhouse of nutrients and bioactive compounds that can play a pivotal role in disease prevention, inflammation reduction, and metabolic optimization.

In this article, we’ll delve into cauliflower’s nutritional profile, examine its science-backed health benefits, and explore easy, delicious ways to incorporate this cruciferous gem into your daily diet. Whether your goal is reducing chronic inflammation, improving gut health, or supporting cardiovascular wellness, cauliflower deserves a starring role on your plate.

What Is Cauliflower?

Cauliflower (Brassica oleracea var. botrytis) is a cruciferous vegetable belonging to the Brassicaceae family, which includes broccoli, kale, Brussels sprouts, and cabbage. Native to the Mediterranean region, cauliflower is cultivated worldwide and comes in a variety of colors beyond the common white—such as green, purple, and orange—each offering unique phytonutrient profiles.

What makes cauliflower especially appealing in functional medicine is its low calorie and high nutrient density. It provides a rich array of vitamins, minerals, fiber, and powerful phytochemicals, making it an exceptional choice for individuals seeking to optimize health and prevent chronic disease.

Nutritional Value of Cauliflower

Cauliflower’s nutrient composition is a testament to its status as a superfood. Here’s what you’ll find in a one-cup (approximately 107 grams) serving of raw cauliflower:

  • Calories: 27 kcal
  • Carbohydrates: 5 g
  • Dietary Fiber: 2.1 g
  • Sugar: 2 g
  • Protein: 2.1 g
  • Fat: 0.3 g
  • Sodium: 32 mg
  • Potassium: 320 mg
  • Vitamin C: 85% of Daily Value (DV)
  • Vitamin B6: 10% of DV
  • Calcium: 2% of DV
  • Magnesium: 4% of DV
  • Iron: 2% of DV

Beyond these basics, cauliflower is rich in glucosinolates and sulforaphane—bioactive compounds known for their anti-inflammatory, anticancer, and neuroprotective properties. (Otoo & Allen, 2023)

How Cauliflower Supports Health

1. Boosts Immune Function and Antioxidant Defense

Cauliflower’s high vitamin C content enhances immune resilience by promoting white blood cell activity and protecting cells from oxidative stress. Its carotenoids and flavonoids provide additional antioxidant benefits, helping to neutralize free radicals and lower inflammation—a key contributor to chronic diseases like arthritis and cardiovascular disease. (Ahmed & Ali, 2013)

2. Promotes Gut Health and Regularity

Dietary fiber in cauliflower not only supports digestive regularity but also nourishes beneficial gut bacteria, enhancing microbiome diversity. Its glucosinolates (GLS) break down into isothiocyanates, compounds shown to have antimicrobial effects that help balance the gut ecosystem and reduce the risk of gastrointestinal disorders. (Sikorska-Zimny & Beneduce, 2021)

3. Aids in Weight Management and Metabolic Health

Low in calories but high in fiber and water content, cauliflower is an ideal food for satiety and weight control. Its fiber content slows digestion and promotes feelings of fullness, which can reduce overall caloric intake. Research also links cruciferous vegetable intake to improved insulin sensitivity and reduced risk of obesity-related metabolic disorders. (Madsen et al., 2023)

4. Reduces Inflammation and Oxidative Stress

Chronic inflammation and oxidative stress are central drivers of musculoskeletal pain, cardiovascular disease, and neurodegeneration. Sulforaphane—a potent compound found in cauliflower—has been shown to modulate inflammatory pathways and protect against oxidative cellular damage. Regular consumption of cauliflower may thus contribute to reduced markers of systemic inflammation. (Shandilya et al., 2022)

5. Potential Cancer-Protective Effects

Multiple epidemiological studies have linked cruciferous vegetable intake with a reduced risk of various cancers, including colorectal, lung, and breast cancers. Sulforaphane and other glucosinolate derivatives can induce phase II detoxification enzymes and promote apoptosis of cancer cells while inhibiting tumor growth. (Zhang et al., 2025)

Eating Right To Feel Better- Video

Cauliflower in Functional Medicine: Why It Matters

From a functional medicine perspective, food is medicine. Cauliflower’s ability to modulate gut health, reduce chronic inflammation, and support detoxification makes it invaluable in protocols aimed at healing leaky gut, balancing hormones, or managing autoimmune conditions. Moreover, because it is naturally gluten-free and low in carbohydrates, cauliflower is a favorite among individuals following ketogenic, paleo, or anti-inflammatory diets.

Simple and Delicious Cauliflower Recipes

Incorporating cauliflower into your diet doesn’t have to be boring. Here are some easy, nutrient-dense recipes that I often recommend to my patients:

1. Cauliflower Rice

A low-carb alternative to traditional rice, cauliflower rice is quick and versatile.

Ingredients:

  • 1 head of cauliflower
  • 1 tablespoon olive oil
  • 2 cloves garlic (minced)
  • Salt and pepper to taste

Instructions:

  • Pulse cauliflower florets in a food processor until rice-like consistency is achieved.
  • Sauté garlic in olive oil over medium heat.
  • Add cauliflower rice and cook for 5-7 minutes.
  • Season with salt and pepper. Serve as a side or a base for stir-fries.

2. Cauliflower Pizza Crust

Perfect for those avoiding gluten or refined carbs.

Ingredients:

  • 1 head of cauliflower
  • 1 egg
  • 1/2 cup shredded mozzarella
  • 1 teaspoon Italian seasoning
  • Salt and pepper to taste

Instructions:

  • Steam and mash cauliflower. Squeeze out excess moisture using cheesecloth.
  • Mix with egg, cheese, and seasonings to form a dough.
  • Shape into a pizza crust and bake at 400°F (200°C) for 15 minutes.
  • Add toppings and bake for an additional 10 minutes.

3. Cauliflower Buffalo Bites

A crowd-pleasing snack with all the flavor and none of the guilt.

Ingredients:

  • 1 head of cauliflower (cut into florets)
  • 1/2 cup all-purpose or gluten-free flour
  • 1/2 teaspoon garlic powder
  • 1/2 teaspoon paprika
  • 1 cup buffalo sauce

Instructions:

  • Toss florets with flour and spices.
  • Bake at 425°F (220°C) for 20 minutes.
  • Toss with buffalo sauce and bake for an additional 10 minutes.
  • Serve with celery sticks and a light ranch dip.

Conclusion: A Simple Step Toward Vibrant Health

Cauliflower is far more than a bland vegetable—it’s a therapeutic food with broad applications in physical and functional medicine. Its high nutrient density, anti-inflammatory properties, and gut-supportive compounds make it an excellent addition to any health-conscious individual’s diet.

In my clinical practice, I often emphasize the importance of personalized nutrition, and cauliflower frequently features in customized dietary protocols. By integrating this humble yet powerful vegetable into your meals, you can take meaningful steps toward reducing inflammation, optimizing gut health, and enhancing overall well-being.

For individuals seeking a holistic approach to health that marries dietary excellence with physical and functional therapies, working with experienced healthcare providers who understand the synergy between food and medicine is key. Together, we can build a roadmap that supports long-term wellness, starting with something as simple as adding more cauliflower to your plate.

Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of assessing individuals and incorporating cauliflower into their dietary needs. When asking important questions to our associated medical providers, we advise patients to incorporate numerous vegetables like cauliflower into their foods to provide energy and nutrients to their bodies in their customized treatment plan. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.

References

Ahmed, F. A., & Ali, R. F. M. (2013). Bioactive Compounds and Antioxidant Activity of Fresh and Processed White Cauliflower. BioMed Research International, 2013, 1-9. https://doi.org/10.1155/2013/367819

Madsen, H., Sen, A., & Aune, D. (2023). Fruit and vegetable consumption and the risk of hypertension: a systematic review and meta-analysis of prospective studies. Eur J Nutr, 62(5), 1941-1955. https://doi.org/10.1007/s00394-023-03145-5

Otoo, R. A., & Allen, A. R. (2023). Sulforaphane’s Multifaceted Potential: From Neuroprotection to Anticancer Action. Molecules, 28(19), 6902. https://doi.org/10.3390/molecules28196902

Shandilya, S., Kumar, S., Kumar Jha, N., Kumar Kesari, K., & Ruokolainen, J. (2022). Interplay of gut microbiota and oxidative stress: Perspective on neurodegeneration and neuroprotection. J Adv Res, 38, 223-244. https://doi.org/10.1016/j.jare.2021.09.005

Sikorska-Zimny, K., & Beneduce, L. (2021). The Metabolism of Glucosinolates by Gut Microbiota. Nutrients, 13(8), 2750. https://doi.org/10.3390/nu13082750

Zhang, X., Jia, Q., Jia, X., Li, J., Sun, X., Min, L., Liu, Z., Ma, W., & Zhao, J. (2025). <i>Brassica</i> vegetables—an undervalued nutritional goldmine. Horticulture Research, 12(2). https://doi.org/10.1093/hr/uhae302

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