By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Sleep Hygiene, Traumatic Brain Injuries (TBI) anxiety, back, back pain, body, brain, brain health, brain-body connections, brain-head connection, chiropractic care, cognitive impairment, collaborative care, disorientation, Dr. Alexander Jimenez El Paso, dralexjimenez, emotional volatility, fatigue, head injuries, head pain, health, insomnia, integrative rehabilitation, mood swings, neck, neck pain, neurological, neurological health, nonsurgical, nonsurgical treatment, pain, recovery, sleep, sleep disruptions, sleep disturbances, sleep recovery, somatovisceral, stress, TBI, traumatic brain injury, treatment, visceralsomatic, wellness

Sleep Importance for Brain Health & TBI Recovery

Discover sleep strategies to improve TBI recovery and promote better health outcomes after a traumatic brain injury.

The Critical Role of Sleep in Traumatic Brain Injury Recovery: A Comprehensive Guide to Natural Healing

The path to recovery after a brain injury—whether from a severe fall, a sports accident, or an automobile accident—can seem drawn out and unpredictable. After a traumatic brain injury (TBI), sleep is one of the most important resources for brain repair and general health restoration. However, TBI often causes annoying sleep disturbances, which makes rehabilitation much more difficult. Individuals recuperating from traumatic brain injury may have headaches, physical discomfort, insomnia, persistent exhaustion, and memory loss. It’s not just the injury—environmental elements like noise, temperature, and light may make sleep even more difficult. These issues affect the brain, nerves, muscles, and even our emotional states; they don’t affect only one area of the body.

Thankfully, research indicates that getting more sleep might promote faster physical and mental recovery. Acupuncture, physical therapy, massage, chiropractic adjustments, and integrative wellness methods are just a few of the natural, non-surgical therapies that may promote healing and help reestablish regular sleep patterns. People with TBI may discover hope and practical solutions for regaining peaceful nights and stronger days by learning about the critical relationship between sleep and brain health, as well as how our surroundings and various treatments affect rehabilitation. The science behind sleep and TBI will be covered in this article, along with the reasons why sleep is crucial for the body and brain to heal, common symptoms and risk profiles following a brain injury, and safe, research-backed strategies to enhance sleep and aid in recovery so you can continue on your path to improved health.

Understanding Traumatic Brain Injury and Sleep Disruption

Traumatic brain injury affects millions of people each year, creating a cascade of physical, cognitive, and emotional challenges. The relationship between TBI and sleep is particularly profound, as sleep-wake disturbances are among the most common and debilitating consequences of injury (Sandsmark et al., 2017). Research indicates that approximately 30-85% of individuals who experience a TBI report sleep disturbances, with these problems often persisting for years after the initial injury (Aoun et al., 2019). The brain injury itself triggers multiple mechanisms that disrupt normal sleep architecture. When trauma occurs, the brain undergoes diffuse axonal injury, in which nerve fibers throughout the brain are damaged or torn. This damage particularly affects the arousal and sleep-regulation systems, creating fundamental problems in how the brain controls sleep and wakefulness (Sandsmark et al., 2017). The injury disrupts key brain structures, including the hypothalamus, brainstem, and reticular activating system—all essential components of maintaining healthy sleep-wake cycles.

Beyond the direct structural damage, TBI causes profound hormonal disruptions that further compromise sleep quality. Studies have shown that 95% of patients with acute TBI have low cerebrospinal fluid hypocretin levels, a wake-promoting neurotransmitter (Aoun et al., 2019). When hypocretin levels drop, excessive daytime sleepiness often results. Additionally, traumatic brain injury reduces levels of histamine, another wake-promoting substance, and melatonin, the hormone that regulates sleep-wake cycles. These hormonal imbalances create a perfect storm for sleep dysfunction that can manifest as insomnia, hypersomnia, or disrupted circadian rhythms.

The Glymphatic System: Sleep’s Critical Waste Removal Function

One of the most important discoveries in recent years has been understanding the glymphatic system and its relationship to sleep and brain health. The glymphatic system serves as the brain’s waste-clearance pathway, removing toxic metabolites and proteins that accumulate during waking hours. This system operates primarily during sleep, when it becomes 80-90% more active compared to the waking state (Aoun et al., 2019). During deep sleep, particularly slow-wave sleep, the brain undergoes critical housekeeping functions. Cerebrospinal fluid flows through the brain tissue, washing away cellular debris, proteins such as beta-amyloid and tau, and other potentially harmful substances that accumulate during daily activities (Piantino et al., 2022). When sleep is disrupted after TBI, this waste-clearance process is impaired. The accumulation of these neurotoxic substances can then potentiate cognitive dysfunction, slow recovery, and potentially increase the risk of long-term neurodegenerative conditions.

The bidirectional relationship between sleep disturbances and TBI symptoms creates a vicious cycle. The brain injury disrupts sleep, impairing glymphatic clearance. This impairment leads to increased accumulation of waste products, worsening cognitive symptoms and brain inflammation, and further disrupting sleep (Piantino et al., 2022). Breaking this cycle through targeted sleep interventions becomes essential for optimal recovery.

Common Sleep Disorders Following Traumatic Brain Injury

Understanding the specific types of sleep disorders that develop after TBI helps guide appropriate treatment strategies. The most common sleep disturbances include insomnia, post-traumatic hypersomnia, sleep-disordered breathing, circadian rhythm disorders, and parasomnias (Viola-Saltzman & Watson, 2012).

Insomnia represents the most frequently reported sleep complaint after TBI, affecting 25-29% of patients compared to only 6-10% of the general population (Aoun et al., 2019). People with insomnia following brain injury typically experience difficulty falling asleep, staying asleep throughout the night, or waking too early in the morning. The insomnia often stems from multiple factors, including heightened anxiety about sleep, pain, increased sensitivity to noise and light, and dysfunction in the brain regions that control sleep initiation and maintenance.
Post-traumatic hypersomnia affects approximately 20-25% of individuals after brain injury, manifesting as excessive daytime sleepiness, longer sleep durations, or an increased need for daytime naps (Aoun et al., 2019). This condition can significantly impair daily functioning, making it difficult to maintain work responsibilities, social activities, or rehabilitation programs. The excessive sleepiness often relates to reduced hypocretin levels and disruption of wake-promoting neurochemical systems.
Sleep-disordered breathing, including obstructive sleep apnea, occurs in approximately 23% of TBI patients (Aoun et al., 2019). Brain injury can affect the upper airway muscles, contribute to weight gain due to reduced activity, or damage brainstem regions that control breathing during sleep. When breathing becomes repeatedly interrupted throughout the night, oxygen levels drop, sleep quality plummets, and the brain’s recovery process becomes compromised.
Circadian rhythm disorders develop when the brain’s internal clock becomes disrupted. The suprachiasmatic nucleus in the hypothalamus serves as the master circadian pacemaker, but brain injury can damage this region or the pathways connecting it to other brain areas (Aoun et al., 2019). When circadian rhythms shift, people may find themselves unable to fall asleep until very late at night, waking up at inappropriate times, or experiencing irregular sleep-wake patterns that make maintaining a consistent schedule nearly impossible.

How Environmental Factors Affect Brain Activity and Sleep

The environment plays a powerful role in either supporting or sabotaging sleep quality, particularly for individuals recovering from traumatic brain injury. People with TBI often develop heightened sensitivities to environmental stimuli, making the sleep environment especially critical for recovery.

Light exposure represents one of the most potent environmental influences on sleep and circadian rhythms. Light suppresses melatonin production, the hormone that signals the brain that it’s time to sleep. Artificial light from streetlights, electronic devices, and indoor lighting can delay sleep onset and disrupt circadian phase (Environmental Determinants, 2018). For TBI patients who may already have reduced melatonin production, exposure to light at night can compound sleep difficulties. Even small amounts of light pollution have been shown to significantly affect sleep architecture, reducing sleep efficiency and increasing wakefulness after sleep onset.
Environmental noise creates another major barrier to quality sleep. Traffic sounds, aircraft noise, and urban noise pollution fragment sleep by causing brief arousals throughout the night. Studies have shown that exposure to airplane noise increases the risk of sleeping fewer than 7 hours per night (The Influence of Environmental Factors, 2025). For individuals with TBI, who often experience increased sensitivity to sensory stimuli, noise pollution can be particularly disruptive. The brain’s heightened arousal state makes it more difficult to filter out environmental sounds, leading to more frequent awakenings and lighter, less restorative sleep.
Temperature regulation affects sleep quality by influencing the body’s thermoregulatory system. The ideal sleep environment typically ranges from 60 to 67 degrees Fahrenheit. People living in warmer climates often experience more difficulty sleeping, especially during summer months when higher temperatures can interfere with the natural drop in core body temperature that facilitates sleep onset (Where You Live, 2023). Following TBI, some individuals develop problems with temperature regulation, making environmental temperature control even more important.
Indoor air quality influences sleep by affecting breathing and overall comfort. Poor ventilation, allergens, dust, and chemical pollutants can trigger respiratory issues, allergic reactions, or general discomfort that disrupts sleep. Maintaining clean air through proper ventilation, air filtration, and reducing indoor pollution sources supports better breathing and more restful sleep.

Neurological Disorders and Overlapping Risk Profiles

Traumatic brain injury rarely exists in isolation. The complex neurological changes that follow brain injury often create overlapping symptom profiles that affect multiple body systems simultaneously. Understanding these interconnected symptoms helps explain why TBI recovery requires a comprehensive, whole-person approach.

Headaches represent one of the most common and persistent symptoms following TBI, affecting the majority of individuals during recovery. These headaches can range from tension-type headaches caused by muscle tension and stress to migraine-like headaches with throbbing pain, light sensitivity, and nausea. The relationship between headaches and sleep is bidirectional—poor sleep can trigger or worsen headaches, while severe headaches make falling asleep or staying asleep extremely difficult. Chronic headaches activate pain pathways that increase brain arousal, directly interfering with the relaxation necessary for sleep onset.
Cognitive issues, including problems with memory, attention, concentration, and executive function, create significant challenges after TBI. Sleep plays an essential role in cognitive functioning, as memory consolidation, learning, and cognitive processing all depend on adequate sleep (Sanchez et al., 2022). When sleep becomes disrupted, cognitive symptoms worsen, creating frustration and anxiety that further impair sleep. Research has shown that better sleep during the hospitalization phase after TBI predicts more favorable long-term cognitive outcomes years later (Sanchez et al., 2022).
Fatigue affects 43-73% of people following TBI and differs from normal tiredness (Aoun et al., 2019). This pathological fatigue persists despite rest, creating overwhelming exhaustion that makes even simple daily tasks feel impossible. The fatigue relates to the brain’s increased energy demands during healing, disrupted sleep architecture, and neuroinflammation. When fatigue and sleep disturbances coexist, they create a reinforcing cycle where fatigue makes it harder to maintain normal activity levels, disrupting circadian rhythms and further impairing sleep quality.
Sleep disturbances themselves become both a symptom and a perpetuating factor in TBI recovery. The various forms of sleep disruption—from insomnia to hypersomnia to circadian rhythm shifts—all impair the brain’s ability to heal and regenerate. Poor sleep increases inflammation, impairs immune function, worsens mood and anxiety, and slows cognitive recovery (Zielinski & Gibbons, 2022).
Muscle instability and musculoskeletal pain frequently develop after TBI due to the accident mechanism, reduced activity during recovery, or changes in muscle tone and coordination. The relationship between musculoskeletal pain and sleep is well-established—pain makes finding comfortable sleep positions difficult and triggers frequent awakenings throughout the night. Simultaneously, poor sleep increases pain sensitivity by impairing the body’s natural pain modulation systems (Sleep Disturbance in Musculoskeletal Conditions, 2023).

These overlapping symptoms create what researchers call a “symptom cluster”—a group of interconnected problems that influence and worsen each other. Addressing only one symptom in isolation rarely produces lasting improvement. Instead, comprehensive treatment approaches that target multiple symptoms simultaneously tend to yield better outcomes.

Sleep Disturbances and the Musculoskeletal System

The connection between sleep quality and musculoskeletal health extends beyond simple pain, keeping someone awake. Poor sleep fundamentally changes how the body processes and responds to pain signals, creating physiological changes that perpetuate both sleep problems and musculoskeletal dysfunction. When sleep becomes disrupted, several neurochemical changes occur that affect pain processing. Sleep deprivation increases inflammatory cytokines—proteins that promote inflammation throughout the body. This heightened inflammatory state sensitizes pain receptors, making normally non-painful stimuli feel painful and amplifying existing pain (Sleep Disorders in Chronic Pain, 2023). Additionally, poor sleep impairs the descending pain-inhibitory pathways—the brain’s natural pain-suppression system—making it more difficult for the body to modulate pain signals.

The coexistence of insomnia and chronic musculoskeletal pain results in greater pain intensity and alterations in sleep homeostasis. Among patients with neuropathic pain, those with poor sleep quality experience more severe pain, more severe depressive states, and worse quality of life than patients with good sleep quality (Sleep Disorders in Chronic Pain, 2023). This creates a vicious cycle where pain disrupts sleep, poor sleep increases pain sensitivity, heightened pain further disrupts sleep, and the cycle continues. Sleep disturbances also affect muscle recovery and tissue repair. During deep sleep, the body releases growth hormone, which promotes tissue healing and muscle regeneration. When sleep quality suffers, this repair process becomes impaired, potentially slowing recovery from injuries and contributing to ongoing musculoskeletal dysfunction. The reduced physical activity that often accompanies both TBI and sleep problems can lead to muscle deconditioning, decreased flexibility, and altered movement patterns that increase injury risk and perpetuate pain.

The Autonomic Nervous System: Understanding the Body’s Control Center

To understand how various treatments improve sleep after TBI, it’s essential to grasp the role of the autonomic nervous system (ANS) in sleep regulation. The ANS controls involuntary body functions, including heart rate, breathing, digestion, and the sleep-wake cycle. It consists of two main branches: the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS). The sympathetic nervous system governs the “fight, flight, or freeze” response. When activated, it increases heart rate, raises blood pressure, heightens alertness, and prepares the body for action. While this system serves important protective functions, chronic activation—common after TBI due to anxiety, pain, and stress—makes falling asleep and staying asleep extremely difficult.

The parasympathetic nervous system promotes “rest and digest” functions. When activated, it slows heart rate, promotes relaxation, aids digestion, and facilitates sleep. The vagus nerve serves as the primary pathway for parasympathetic signals, connecting the brain to organs throughout the body. Strong vagal tone—the measure of vagus nerve activity—indicates good parasympathetic function and associates with better stress resilience, improved sleep quality, and enhanced overall health (The Vagus Nerve, 2024). After traumatic brain injury, the balance between these two systems often becomes disrupted, with excessive sympathetic activation and reduced parasympathetic activity. This imbalance manifests as difficulty relaxing, heightened anxiety, rapid heart rate, and sleep disturbances. Restoring autonomic balance becomes a key goal of many non-surgical treatment approaches.

Neuroinflammation and Sleep Regulation

Neuroinflammation—inflammation within the brain and central nervous system—plays a central role in both TBI pathophysiology and sleep regulation. When a brain injury occurs, the immune system responds by activating inflammatory processes intended to clear damaged tissue and promote healing. However, when this inflammation becomes excessive or prolonged, it can impair recovery and disrupt normal brain function. Inflammatory cytokines, particularly interleukin-1β and tumor necrosis factor-α, directly influence sleep regulation. These molecules can promote sleepiness during acute phases of inflammation, which may explain the excessive sleepiness some people experience immediately after brain injury. However, chronic elevation of these inflammatory markers can disrupt sleep architecture, reduce sleep efficiency, and fragment sleep (Zielinski & Gibbons, 2022).

The relationship between inflammation and sleep is bidirectional. Poor sleep increases inflammatory markers, while elevated inflammation disrupts sleep. This creates another reinforcing cycle that can impede TBI recovery. Inflammation also impairs the glymphatic system’s ability to clear waste products from the brain. The combination of impaired glymphatic function and elevated neuroinflammation creates conditions that slow healing and perpetuate cognitive dysfunction. The vagus nerve plays a crucial role in regulating inflammation through what scientists call the “inflammatory reflex.” When the vagus nerve detects inflammatory signals, it can activate anti-inflammatory pathways that help modulate the immune response (Zielinski & Gibbons, 2022). This connection between the vagus nerve, inflammation, and sleep helps explain why treatments that stimulate vagal activity can improve both inflammation and sleep quality.

Non-Surgical Treatments for Improving Sleep After TBI

While medications can provide short-term relief for sleep problems, they rarely address the underlying causes of sleep dysfunction and can carry risks of dependency and side effects. Non-surgical treatments offer effective alternatives that target the root causes of sleep disturbances while promoting overall healing and recovery.

Chiropractic Care: Restoring Nervous System Function

Chiropractic care focuses on the relationship between the spine and nervous system, recognizing that spinal misalignments can interfere with nervous system function and overall health. For individuals recovering from TBI, chiropractic care offers multiple benefits, including improvements in sleep quality and neurological recovery. Research has demonstrated that chiropractic adjustments can improve brain function, with studies showing up to a 20% boost following a single adjustment (How Chiropractic Neurology Supports, 2025). These improvements include enhanced cerebrospinal fluid flow, reduced pressure on the nervous system, and improved blood circulation to the brain—all factors critical for TBI recovery. Chiropractic care affects sleep through several mechanisms. By addressing misalignments in the spine, particularly in the upper cervical region, chiropractors help improve nervous system function and reduce interference with sleep-regulating pathways (The Relationship Between Chiropractic Care and Sleep, 2023). Spinal adjustments activate the parasympathetic nervous system, promoting the relaxation response necessary for falling asleep. Studies have shown significant improvements in light sleep stages and overall quality of life following chiropractic treatment, along with reductions in anxiety, depression, fatigue, and pain—all factors that commonly disrupt sleep after TBI (Neuroplastic Responses to Chiropractic Care, 2024).

Dr. Alexander Jimenez, DC, FNP-BC, has observed in his clinical practice that chiropractic care combined with functional medicine approaches can significantly improve outcomes for patients with TBI and sleep disturbances. His integrated approach addresses not only structural alignment but also nutritional factors, lifestyle modifications, and the underlying causes of nervous system dysfunction. By restoring proper spinal alignment and nervous system function, chiropractic care helps patients achieve better sleep patterns, reduced pain, and improved overall recovery.

Acupuncture: Modulating Neurotransmitters and Autonomic Function

Acupuncture, a key component of traditional Chinese medicine, involves inserting thin needles at specific points on the body to influence energy flow and promote healing. Modern research has revealed that acupuncture exerts powerful effects on neurotransmitter systems, autonomic nervous system function, and neuroplasticity—all of which are relevant to improving sleep after TBI. Studies have demonstrated that acupuncture therapy can effectively treat sleep disorders by modulating several key neurotransmitter systems. Acupuncture increases gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter that promotes calmness and sleep, while decreasing glutamate, an excitatory neurotransmitter that promotes wakefulness (The Effects of Acupuncture on Sleep Disorders, 2023). This shift in the excitatory-inhibitory balance creates conditions more conducive to falling asleep and maintaining sleep throughout the night.

Acupuncture also affects the autonomic nervous system by modulating vagus nerve activity. Research shows that acupuncture can directly influence peripheral nerves and muscles, which in turn modulate autonomic tone and central nervous system activation (Autonomic Activation in Insomnia, 2011). By activating parasympathetic pathways, acupuncture promotes the relaxation response, reduces stress hormone levels, and improves sleep quality. For stroke patients with sleep disorders—conditions that share similarities with TBI—acupuncture combined with conventional treatments produced significant improvements in sleep quality and neurological function (Effect of Acupuncture on Sleep Quality, 2021). The treatment reduced the time needed to fall asleep, increased total sleep duration, improved sleep efficiency, and decreased the frequency and duration of breathing interruptions during sleep. In Dr. Jimenez’s integrative practice, acupuncture serves as a valuable tool for addressing sleep disturbances in TBI patients. The treatment’s ability to reduce pain, decrease anxiety, improve autonomic balance, and directly influence sleep-regulating neurotransmitters makes it particularly effective when combined with other therapeutic modalities.

Physical Therapy: Exercise and Movement for Better Sleep

Physical therapy uses targeted exercises, manual techniques, and movement strategies to restore function, reduce pain, and improve overall physical health. For individuals recovering from TBI, physical therapy offers benefits that extend well beyond musculoskeletal improvements, enhancing sleep quality and neurological recovery. Exercise represents one of the most effective non-pharmacological interventions for improving sleep. A meta-analysis demonstrated that exercise interventions resulted in significant improvements in overall sleep quality, subjective sleep perception, and sleep latency—the time needed to fall asleep (Sleep Disturbance in Musculoskeletal Conditions, 2023). Exercise promotes better sleep through multiple mechanisms, including reducing anxiety and depression, regulating circadian rhythms, increasing sleep drive, and promoting deeper, more restorative sleep stages.

Physical therapy also addresses the musculoskeletal pain that commonly disrupts sleep after TBI. Through manual therapy techniques, therapeutic exercises, and posture education, physical therapists help reduce pain, improve mobility, and restore normal movement patterns. When pain decreases, sleep quality typically improves as individuals can find comfortable positions and experience fewer pain-related awakenings (How Physical Therapy Supports Better Sleep, 2025). The timing and type of exercise matter for sleep quality. Regular aerobic exercise improves sleep, but exercising too close to bedtime can be stimulating and delay sleep onset. Physical therapists help patients develop appropriate exercise programs that promote sleep without interfering with the ability to fall asleep. Moderate-intensity exercise training has been shown to have significant beneficial effects on both sleep quality and cardio-autonomic function (Sleep Disturbance in Musculoskeletal Conditions, 2023). For TBI patients specifically, research has shown that physical therapy exercises represent a safe and useful strategy for managing sleep disorders in neurorehabilitation (Physical Therapy Exercises for Sleep Disorders, 2021). The combination of improved physical function, reduced pain, better mood, and normalized circadian rhythms creates optimal conditions for restorative sleep.

Massage Therapy: Activating the Parasympathetic Response

Massage therapy involves manipulating soft tissues to promote relaxation, reduce muscle tension, and improve circulation. This hands-on approach offers powerful benefits for sleep quality by directly influencing the nervous system and supporting the body’s natural healing processes. The scientific foundation for massage therapy’s sleep benefits lies in its effects on the autonomic nervous system. Massage activates the parasympathetic nervous system, signaling the body to shift from the stress response to the relaxation response (How Massage Therapy Improves Sleep Quality, 2024). This activation reduces heart rate, lowers blood pressure, decreases cortisol (the primary stress hormone), and increases production of serotonin and dopamine—neurotransmitters associated with mood regulation and relaxation.

Massage therapy supports better sleep by increasing serotonin levels, which serve as a precursor to melatonin. By promoting the production of these sleep-regulating hormones, massage helps the body naturally fall into a healthy sleep cycle (How Massage Therapy Can Improve Sleep Quality, 2024). This natural approach to improving melatonin production can be particularly valuable for TBI patients who may have reduced melatonin levels due to brain injury. Research has demonstrated that massage therapy reduces muscle pain and tension, improves circulation and oxygen flow, and creates overall physical relaxation that facilitates sleep (Massage Positively Influences Daytime Brain Activity, 2025). For individuals with musculoskeletal pain following TBI, massage addresses both the pain itself and the muscle guarding and tension that develop in response to pain.

Studies examining massage therapy in postmenopausal women with insomnia found significant improvements in sleep architecture, including decreased REM latency, reduced time in stage 1 sleep, and increased time in the deeper stages 3 and 4 sleep (The Beneficial Effects of Massage Therapy, 2014). These changes represent meaningful improvements in sleep quality, as deeper sleep stages provide more restorative benefits. In clinical practice, massage therapy is often integrated with other treatment modalities to provide comprehensive care for TBI patients. The combination of massage with chiropractic care, physical therapy, and other approaches creates synergistic effects that enhance overall outcomes.

The Science of Motion- Video

Restoring Communication Between Brain and Body

All of these non-surgical treatments share a common goal: restoring proper communication between the brain and body. Traumatic brain injury disrupts this communication on multiple levels—from direct damage to neural pathways to hormonal imbalances to autonomic dysfunction. By addressing these disruptions through various therapeutic approaches, practitioners help reestablish the connections necessary for healing. The central nervous system coordinates all body functions through intricate networks of neurons that transmit signals between the brain, spinal cord, and peripheral nerves. When TBI occurs, this communication system becomes compromised. Chiropractic care addresses structural barriers to nerve transmission; acupuncture modulates neurotransmitter activity; physical therapy restores movement patterns that influence neural feedback; and massage therapy activates sensory pathways that signal safety and relaxation to the brain.

Vagal tone—the activity level of the vagus nerve—serves as a key indicator of how well the brain and body communicate. Higher vagal tone associates with better stress resilience, improved mood, better cognitive function, and enhanced sleep quality (The Vagus Nerve, 2024). Many of the non-surgical treatments discussed here work, in part, by improving vagal tone. Chiropractic adjustments, acupuncture, massage, and certain breathing exercises can all activate the vagus nerve, strengthening the parasympathetic response and improving autonomic balance. The somatic nervous system, which controls voluntary movements and processes sensory information, also plays a role in sleep quality. When musculoskeletal pain or movement dysfunction affects the somatic system, it can create ongoing sensory signals that keep the nervous system in a heightened state of alertness. Treatments that address these somatic issues—through physical therapy, massage, and manual techniques—help quiet these alerting signals and allow the nervous system to transition into sleep states more easily.

Developing an Effective Sleep Routine After TBI

Creating and maintaining a consistent sleep routine represents one of the most important steps for improving sleep quality after traumatic brain injury. A well-designed sleep routine helps regulate circadian rhythms, signals the brain that it’s time for sleep, and creates optimal conditions for restorative rest.

Establish Consistent Sleep and Wake Times

The foundation of good sleep hygiene involves going to bed and waking up at approximately the same time every day, including weekends. This consistency helps program the brain’s internal clock, making it easier to fall asleep at bedtime and wake up feeling more refreshed (Enhancing Sleep Quality After TBI, 2024). After TBI, when circadian rhythms may be disrupted, this consistency becomes even more critical for reestablishing normal sleep-wake patterns.

Choose a bedtime that allows for 7-9 hours of sleep before your desired wake time. While individual sleep needs vary, most adults require at least seven hours of sleep per night for optimal health and recovery. Avoid the temptation to “sleep in” to make up for poor sleep, as this can further disrupt circadian rhythms and make it more difficult to fall asleep the following night.

Create a Relaxing Pre-Sleep Routine

Dedicate the 60-90 minutes before bedtime to calming activities that help transition from wakefulness to sleep. This wind-down period signals to the brain and body that sleep is approaching, allowing physiological systems to prepare for rest (Sleep After Traumatic Brain Injury, 2025).

Consider incorporating the following elements into your pre-sleep routine:

Dim the lights throughout your living space in the evening. Bright light suppresses melatonin production, making it harder to feel sleepy. Use soft, warm-toned lighting and avoid bright overhead lights as bedtime approaches.
Avoid screens from phones, tablets, computers, and televisions for at least 30-60 minutes before bed. The blue light emitted by electronic devices particularly suppresses melatonin and can delay sleep onset by up to two hours (Assessment and Management of Sleep Disturbances, 2024). If you must use devices, enable night mode or a blue light filter, and keep the screen brightness low.
Practice relaxation techniques such as deep breathing exercises, progressive muscle relaxation, gentle stretching, or meditation. These activities activate the parasympathetic nervous system, reduce stress hormone levels, and prepare the body for sleep. Even 10-15 minutes of focused relaxation can significantly improve your ability to fall asleep.
Take a warm bath or shower 60-90 minutes before bed. The subsequent cooling of body temperature after getting out of the bath mimics the natural temperature drop that occurs at sleep onset, helping to trigger sleepiness.
Engage in quiet, non-stimulating activities like reading a book (preferably a physical book rather than an e-reader), listening to calming music, or journaling. Avoid activities that are mentally or emotionally stimulating, such as work-related tasks, intense discussions, or watching exciting or disturbing content.

Optimize Your Sleep Environment

The bedroom environment significantly influences sleep quality, particularly for individuals with TBI who may have heightened sensory sensitivities.

Keep the bedroom cool, ideally between 60 and 67 degrees Fahrenheit. A cooler room temperature supports the natural drop in core body temperature that facilitates sleep onset and helps maintain sleep throughout the night (Where You Live, 2023).
Make the room as dark as possible. Use blackout curtains or shades to block outside light, cover or remove electronic devices with glowing lights, and consider using a sleep mask if complete darkness isn’t achievable. Even small amounts of light can disrupt sleep architecture and reduce sleep quality.
Minimize noise by using earplugs, white noise machines, or fans to create a consistent background sound that masks disruptive environmental noises. For some individuals, complete silence works best, while others find gentle, consistent sounds more soothing.
Ensure your bed is comfortable with a supportive mattress and pillows appropriate for your preferred sleep position. If musculoskeletal pain disrupts your sleep, consider using additional pillows for support or trying different sleep positions to reduce pressure on painful areas.
Use the bedroom only for sleep and intimacy. Avoid working, watching television, or engaging in other wakeful activities in bed. This helps strengthen the mental association between the bedroom and sleep, making it easier to fall asleep when you get into bed.

Manage Daytime Behaviors That Affect Nighttime Sleep

Actions taken during the day significantly impact nighttime sleep quality.

Get exposure to natural light early in the morning and throughout the day. Sunlight exposure helps regulate circadian rhythms, suppresses daytime melatonin production, and strengthens the contrast between day and night signals to the brain (Assessment and Management of Sleep Disturbances, 2024). Aim for at least 30 minutes of natural light exposure in the morning.
Exercise regularly, but not within 2-3 hours of bedtime. Regular physical activity improves sleep quality, but exercising too close to bedtime can be stimulating and delay sleep onset (Warding Off Sleep Issues, 2024). Morning or early afternoon exercise provides the best sleep benefits.
Limit naps to 20-30 minutes and avoid napping after 3:00 PM. While short naps can be refreshing, long or late-day naps can interfere with nighttime sleep. If you’re experiencing excessive daytime sleepiness after TBI, discuss appropriate napping strategies with your healthcare provider, as this may indicate an underlying sleep disorder requiring specific treatment.
Avoid caffeine for at least 5-6 hours before bedtime. Caffeine has a half-life of 5-6 hours, meaning half of the caffeine consumed remains in your system that long after consumption. For sensitive individuals or those with sleep difficulties, avoiding caffeine after noon may be necessary (Warding Off Sleep Issues, 2024).
Limit alcohol consumption and avoid alcohol close to bedtime. While alcohol may initially make you feel sleepy, it disrupts sleep architecture, reduces REM sleep, and causes more frequent awakenings during the night. Alcohol also affects breathing during sleep and can worsen sleep-disordered breathing.
Avoid large meals within 2-3 hours of bedtime. Eating too close to bedtime can cause digestive discomfort that interferes with sleep. If you’re hungry before bed, choose a light snack that combines complex carbohydrates with a small amount of protein.

A Questionnaire Example of TBI Symptoms

Address Specific Sleep Problems

Different sleep problems require targeted strategies.

For difficulty falling asleep, try the “cognitive shuffle” technique or counting backwards by threes from a random number. These activities occupy the mind with neutral content, preventing anxious or racing thoughts that can delay sleep onset. If you don’t fall asleep within 20-30 minutes, get out of bed and engage in a quiet, non-stimulating activity until you feel sleepy.
For frequent nighttime awakenings, practice staying calm and avoiding clock-watching, which can increase anxiety about sleep. Use the same relaxation techniques you employ before bed to help return to sleep. If awakening relates to pain, work with your healthcare providers to address pain management strategies.
For early morning awakening, ensure you’re getting adequate light exposure during the day and avoiding light exposure in the evening. This helps shift your circadian rhythm to a more appropriate schedule.

When to Seek Professional Help

While good sleep hygiene provides the foundation for better sleep, it’s not sufficient as a standalone treatment for specific sleep disorders. If you’re implementing these strategies consistently for 2-3 weeks without significant improvement, consult with healthcare providers who specialize in sleep medicine or TBI rehabilitation (Assessment and Management of Sleep Disturbances, 2024).

A professional evaluation can identify specific sleep disorders like sleep apnea, narcolepsy, or circadian rhythm disorders that require targeted treatments. Sleep studies, including polysomnography and multiple sleep latency testing, provide objective measurements of sleep architecture and can reveal problems not apparent from self-report alone.

The Role of Functional Medicine in TBI and Sleep Recovery

Functional medicine takes a comprehensive, patient-centered approach to health, seeking to identify and address the root causes of illness rather than simply managing symptoms. For individuals recovering from TBI with sleep disturbances, functional medicine offers valuable insights and treatment strategies that complement other therapeutic interventions. Dr. Alexander Jimenez’s clinical approach exemplifies the principles of functional medicine applied to TBI and sleep disorders. As both a chiropractor and board-certified Family Practice Nurse Practitioner with training in functional and integrative medicine, Dr. Jimenez conducts detailed assessments that evaluate personal history, current nutrition, activity behaviors, environmental exposures, genetic factors, and psychological and emotional elements that may contribute to sleep problems.

This comprehensive evaluation often reveals multiple contributing factors that conventional approaches might miss. For example, nutrient deficiencies in magnesium, vitamin D, or B vitamins can significantly impact sleep quality and neurological recovery. Chronic inflammation driven by dietary factors, environmental toxins, or gut health problems can impair both sleep and healing. Hormonal imbalances, blood sugar dysregulation, and mitochondrial dysfunction can all contribute to the fatigue, cognitive problems, and sleep disturbances that follow TBI. By identifying these underlying issues, functional medicine practitioners can create personalized treatment plans that address multiple factors simultaneously. This might include nutritional interventions to correct deficiencies and reduce inflammation, dietary modifications to support stable blood sugar and gut health, targeted supplementation to support mitochondrial function and neurological healing, stress management strategies to balance the autonomic nervous system, and environmental modifications to reduce toxic exposures and optimize the sleep environment. The integration of functional medicine with chiropractic care, physical therapy, acupuncture, and other modalities creates a truly comprehensive approach to TBI recovery. Rather than viewing sleep problems as an isolated issue, this integrated perspective recognizes sleep as one component of overall health that both affects and is affected by multiple body systems.

The Science of Recovery: Why Comprehensive Care Matters

The evidence supporting non-surgical, integrative approaches to TBI and sleep disorders continues to grow. Research consistently demonstrates that addressing sleep problems after TBI can improve multiple outcomes, including cognitive function, pain levels, mood and anxiety, quality of life, and overall recovery trajectories (Wickwire, 2020). Studies examining sleep quality during the acute hospitalization phase after TBI have found that better sleep during this critical period predicts more favorable long-term cognitive outcomes years later (Sanchez et al., 2022). Specifically, less fragmented sleep, more slow-wave sleep, and higher spindle density during hospitalization are associated with better memory and executive function at long-term follow-up. Importantly, these sleep measures were better predictors of cognitive outcomes than traditional injury severity markers, highlighting sleep’s critical role in recovery.

Cognitive behavioral therapy for insomnia (CBT-I) has emerged as a highly effective treatment for TBI-related sleep problems, with 70-80% of patients experiencing lasting benefit and approximately 50% achieving complete resolution of insomnia (Perspective: Cognitive Behavioral Therapy, 2023). CBT-I teaches skills and strategies that address the perpetuating factors maintaining insomnia, including dysfunctional beliefs about sleep, behaviors that interfere with sleep, and cognitive processes that increase arousal at bedtime. The combination of non-surgical treatments—chiropractic care, acupuncture, physical therapy, and massage therapy—with behavioral interventions like CBT-I and functional medicine approaches creates optimal conditions for recovery. Each modality addresses different aspects of the complex pathophysiology underlying TBI and sleep disturbances. Together, they work synergistically to restore nervous system function, reduce inflammation, improve autonomic balance, address pain and musculoskeletal dysfunction, optimize nutritional status, and reestablish healthy sleep-wake cycles.

Conclusion: Hope for Recovery Through Holistic Healing

Although the effects of traumatic brain injury and the resulting sleep problems may be overwhelming, there are effective therapies that can assist the brain’s amazing healing ability and greatly enhance quality of life. Understanding the intricate connections between inflammation, sleep, brain damage, autonomic function, and general health empowers people to actively participate in their own healing and make well-informed choices about their treatment. In addition to promoting general neurological healing, the non-surgical methods covered in this article—physical therapy, massage therapy, acupuncture, and chiropractic care—offer safe and efficient ways to enhance sleep quality. By treating pain and musculoskeletal dysfunction, lowering inflammation, enhancing autonomic balance, reestablishing a healthy brain-body connection, and restoring appropriate nervous system function, these therapies are effective.

Establishing individualized sleep schedules and practicing regular sleep hygiene habits lay the groundwork for improved sleep. Professional advice from medical professionals with training in integrative and functional medicine, such as Dr. Alexander Jimenez, may help people address the underlying causes of their sleep issues rather than just treating their symptoms. TBI recovery is seldom linear, and sleep issues may last for months or even years. Nonetheless, significant progress may be achieved with perseverance, patience, and all-encompassing treatment that treats the patient as a whole rather than just specific symptoms. The brain’s amazing neuroplasticity, or capacity to create new neural pathways and connections, lasts a lifetime. People may use this neuroplasticity to aid in recovery and take back their life after traumatic brain injury by establishing the best possible healing circumstances via restful sleep, a healthy diet, suitable treatments, and encouraging surroundings.

References

Aoun, R., Rawal, H., Attarian, H., & Sahni, A. (2019). Impact of traumatic brain injury on sleep: An overview. Nature and Science of Sleep, 11, 131-140. https://doi.org/10.2147/NSS.S182158
Effect of acupuncture on sleep quality and neurological function in stroke patients with sleep apnea syndrome. (2021). BioMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC8121144/
Enhancing sleep quality after traumatic brain injury: Strategies for recovery. (2024, January 16). Flourish Supportive Living. https://flourishsupportiveliving.com/enhancing-sleep-quality-after-traumatic-brain-injury/
How chiropractic neurology supports brain healing. (2025, July 23). HML Functional Care. https://hmlfunctionalcare.com/how-chiropractic-neurology-supports-brain-healing/
How massage therapy improves sleep quality. (2025, April 20). Total Health Systems. https://totalhealthsystems.com/how-massage-therapy-improves-sleep-quality/
How physical therapy supports better sleep & reduces pain. (2025, August 18). Bay Area Physical Therapy. https://bayarea-pt.com/how-physical-therapy-supports-better-sleep-reduces-pain/
Landvater, J., Kim, S., Caswell, K., Kwon, C., Odafe, E., Roe, G., Tripathi, A., Vukovics, C., Wang, J., Ryan, K., Cocozza, V., Brock, M., Tchopev, Z., Tonkin, B., Capaldi, V., Collen, J., Creamer, J., Irfan, M., Wickwire, E. M., Williams, S., & Werner, J. K. (2024). Traumatic brain injury and sleep in military and veteran populations: A literature review. NeuroRehabilitation, 55(3), 245-270. https://doi.org/10.3233/NRE-230380
Massage positively influences daytime brain activity and reduces sleep-onset latency. (2025, July 27). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC11308652/
Neuroplastic responses to chiropractic care: Broad impacts on pain, mood, sleep, and quality of life. (2024, November 6). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC11563899/
Perspective: Cognitive behavioral therapy for insomnia is a promising intervention for mild traumatic brain injury. (2023, October 2). Brain Injury Association of New Jersey. https://bianj.org/perspective-cognitive-behavioral-therapy-for-insomnia-is-a-promising-intervention-for-mild-traumatic-brain-injury/
Physical therapy exercises for sleep disorders in a rehabilitation setting: A systematic review and meta-analysis. (2021, September 4). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC8416054/
Piantino, J. A., Iliff, J. J., & Lim, M. M. (2022). The bidirectional link between sleep disturbances and traumatic brain injury symptoms: A role for glymphatic dysfunction? Biological Psychiatry, 91(5), 478-487. https://doi.org/10.1016/j.biopsych.2021.06.025
Poulsen, I., Langhorn, L., Egerod, I., & Aadal, L. (2021). Sleep and agitation during subacute traumatic brain injury rehabilitation: A scoping review. Australian Critical Care, 34(1), 76-82. https://doi.org/10.1016/j.aucc.2020.05.006
Sanchez, E., Blais, H., Duclos, C., Arbour, C., Van Der Maren, S., El-Khatib, H., Baril, A. A., Bernard, F., Carrier, J., & Gosselin, N. (2022). Sleep from acute to chronic traumatic brain injury and cognitive outcomes. Sleep, 45(8), zsac123. https://doi.org/10.1093/sleep/zsac123
Sandsmark, D. K., Elliott, J. E., & Lim, M. M. (2017). Sleep-wake disturbances after traumatic brain injury: Synthesis of human and animal studies. Sleep, 40(5), zsx044. https://doi.org/10.1093/sleep/zsx044
Sleep after traumatic brain injury. (2025, April 2). Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust. https://cntw.nhs.uk/resource-library/sleep-after-traumatic-brain-injury/
Sleep disturbance in musculoskeletal conditions: Impact and management strategies. (2023, January 4). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC9816969/
Sleep disorders in chronic pain and its neurochemical mechanisms: A narrative review. (2023, May 31). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC10248687/
The beneficial effects of massage therapy for insomnia in postmenopausal women. (2014, September 15). Sleep Medicine Research, 5(2), 51-54. https://doi.org/10.17241/smr.2014.5.2.51
The effects of acupuncture on sleep disorders and its underlying mechanism: A literature review of rodent studies. (2023, August 7). Frontiers in Neuroscience, 17. https://doi.org/10.3389/fnins.2023.1243029
The glymphatic system: A beginner’s guide. (2015, May 6). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC4636982/
The influence of environmental factors on sleep and waking up. (2025, July 1). Pillow App. https://pillow.app/blog/the-influence-of-environmental-factors-on-sleep-and-waking-up/
The relationship between chiropractic care and sleep. (2023, December 10). Dr. Craig Henry Chiropractic. https://drcraighenry.com/the-relationship-between-chiropractic-care-and-sleep/
The vagus nerve: A key player in your health and well-being. (2024, October 15). Mass General Brigham. https://www.massgeneral.org/news/article/vagus-nerve-key-player-health-well-being
Viola-Saltzman, M., & Watson, N. F. (2012). Traumatic brain injury and sleep disorders. Neurologic Clinics, 30(4), 1299-1312. https://doi.org/10.1016/j.ncl.2012.08.008
Warding off sleep issues after brain injury. (n.d.). Kessler Foundation. https://kesslerfoundation.org/research/kessler-foundation-research-center/warding-off-sleep-issues-after-brain-injury
Where you live may affect how well you sleep. (2023, March 23). Sleep Education. https://sleepeducation.org/where-you-live-may-affect-how-well-you-sleep/
Wickwire, E. M. (2020). Why sleep matters after traumatic brain injury. Journal of Clinical Sleep Medicine, 16(Suppl 1), 5S-6S. https://doi.org/10.5664/jcsm.8872
Zielinski, M. R., & Gibbons, A. J. (2022). Neuroinflammation, sleep, and circadian rhythms. Frontiers in Cellular and Infection Microbiology, 12, 853096. https://doi.org/10.3389/fcimb.2022.853096

July 14, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Electroacupuncture, Physio, Therapy advanced diagnostics, chiropractic care, DME, durable medical equipment, independence, integrative medicine, motor vehicle accidents, musculoskeletal injuries, personal injury, physical therapy, quality of life, recovery, rehabilitation, spinal injuries, whiplash

From Crash to Recovery: The Role of Durable Medical Equipment

Motor vehicle accidents (MVAs) can lead to a range of musculoskeletal injuries, from minor strains to severe spinal damage, significantly affecting a person’s mobility, independence, and quality of life. Recovery from these injuries requires a comprehensive approach, including specialized medical devices known as Durable Medical Equipment (DME) and integrative medical care. This blog post explores the types of musculoskeletal injuries caused by MVAs, the essential role of DME in rehabilitation, and the expertise of professionals who combine advanced diagnostics, chiropractic care, and integrative medicine to support recovery. This article aims to inform and empower individuals recovering from auto accidents while optimizing for search engines with relevant keywords and structured content.

Understanding Musculoskeletal Injuries from Motor Vehicle Accidents

Motor vehicle accidents are a common cause of musculoskeletal injuries, impacting muscles, bones, joints, ligaments, and tendons. These injuries vary in severity based on the collision’s force, the body’s position during impact, and the individual’s health. Common injuries include:

Whiplash: A neck injury from rapid head movement, often in rear-end collisions, causing pain, stiffness, and headaches.
Back and Spinal Injuries: These may involve herniated discs, fractures, or misalignments, leading to chronic pain and limited mobility.
Soft Tissue Injuries: Sprains, strains, or tears in muscles, tendons, or ligaments, resulting in swelling and restricted movement.
Joint Injuries: Damage to shoulders, knees, or hips, causing pain and reduced range of motion.
Nerve Damage: Compression or irritation of nerves, leading to tingling, numbness, or radiating pain, as in sciatica.

The sudden forces in an MVA, even at low speeds, can disrupt the body’s alignment and function. Research shows that 40.2% of MVA patients need ongoing treatment for persistent pain, with headaches and low back pain increasing treatment duration (Dies & Strapp, 1992). Without timely and appropriate care, these injuries can lead to chronic pain, disability, and reduced quality of life.

The Importance of Early Treatment

Seeking care within 72 hours of an accident is critical to prevent long-term complications. Symptoms like pain or stiffness may not appear immediately, making early intervention vital. Chiropractic care, physical therapy, and DME can address injuries promptly, reducing inflammation, restoring function, and preventing chronic issues.

References
Dies, S., & Strapp, J. W. (1992). Chiropractic treatment of patients in motor vehicle accidents: A statistical analysis. PMC. https://pmc.ncbi.nlm.nih.gov
El Paso Back Clinic. (2025). Injury Medical & Chiropractic Clinic. https://elpasobackclinic.com/

The Role of Durable Medical Equipment (DME) in Recovery

Durable Medical Equipment (DME) refers to reusable devices designed to aid recovery, improve mobility, and enhance quality of life for those with injuries. Prescribed by medical professionals, DME supports rehabilitation after MVAs, helping patients regain function and independence. These devices manage pain, support injured areas, and enable safe participation in physical therapy.

Types of DME for MVA Recovery

Mobility Aids
- Examples: Canes, walkers, crutches, wheelchairs, and four-wheel-drive wheelchairs.
- Purpose: These devices assist individuals with limited mobility, reducing fall risks and further injury. For instance, a walker supports those with leg or back injuries, while a wheelchair aids severe spinal injury recovery (Family Health Associates, n.d.).
- Impact: Mobility aids restore independence, allowing patients to perform daily tasks like navigating their home.
Orthotic Devices and Braces
- Examples: Cervical collars, back braces, knee braces, and ankle supports.
- Purpose: Braces stabilize injured areas, promote alignment, and reduce strain. A back brace supports the spine after a herniated disc, while a cervical collar manages whiplash by limiting neck movement (PhysioRoom, n.d.).
- Impact: These devices reduce pain, prevent further damage, and support proper healing.
Exercise and Rehabilitation Equipment
- Examples: Resistance bands, balance boards, Pilates reformers, and exercise balls.
- Purpose: These tools aid physical therapy by improving strength, flexibility, and coordination. Pilates reformers offer low-impact resistance to strengthen core muscles and support spinal alignment, reducing reinjury risk (Pilates Reformers Plus, n.d.).
- Impact: Rehabilitation equipment helps rebuild strength and mobility, essential for returning to daily activities.
Assistive Devices for Daily Living
- Examples: Grab bars, shower chairs, elevated toilet seats, and ramps.
- Purpose: These devices make daily tasks safer for those with limited mobility. Grab bars prevent bathroom falls, while ramps facilitate wheelchair access (Crossbay Physical Therapy, n.d.).
- Impact: Assistive devices enhance independence, reducing reliance on caregivers.
Traction and Decompression Devices
- Examples: Cervical traction units and spinal decompression tables.
- Purpose: These devices relieve spinal pressure, reducing pain from herniated discs or nerve compression. They complement chiropractic adjustments in clinical settings (El Paso Back Clinic, 2025).
- Impact: Traction devices accelerate recovery by reducing inflammation and improving alignment.

Importance of Proper DME Selection

Selecting appropriate DME is vital for effective recovery. Medical professionals, such as chiropractors or physical therapists, assess injuries, mobility needs, and lifestyle to recommend suitable devices. For example, a patient with a spinal injury may need a custom-fitted back brace and walker, while someone with whiplash might benefit from a cervical collar and resistance bands. Improper equipment can worsen injuries or delay healing, highlighting the need for professional guidance (Penn Spine and Ortho, n.d.). In personal injury cases, DME documentation supports insurance claims and legal settlements by proving injury extent and treatment necessity (Power Liens, 2024).

Impact on Recovery and Quality of Life

DME enhances recovery by:

Reducing Pain: Braces and traction devices alleviate pressure on injured areas.
Restoring Function: Mobility aids and rehabilitation equipment rebuild strength and movement.
Promoting Independence: Assistive devices enable patients to manage daily tasks.
Improving Quality of Life: DME facilitates safe movement, helping patients return to work and hobbies.

For example, a patient with a spinal injury may progress from a wheelchair to a walker with therapy, eventually regaining mobility using exercise equipment. This progression boosts confidence and well-being.

Integrative Care for MVA Recovery

Chiropractic clinics specializing in MVA injuries offer integrative care that combines advanced diagnostics, chiropractic adjustments, and functional medicine to address both physical and systemic effects of trauma. These clinics employ a team of chiropractors, physical therapists, and other specialists to create personalized treatment plans.

Comprehensive Diagnosis and Treatment

Integrative care involves a dual approach:

Chiropractic Assessments: Evaluating spinal alignment, joint function, and soft tissue damage through manual exams and movement screens.
Medical Evaluations: Assessing systemic factors like inflammation or nutritional deficiencies that impact healing.
Advanced Diagnostics: Using X-rays, MRIs, CT scans, and electromyography (EMG) to detect injuries like disc herniations or nerve compression (El Paso Back Clinic, 2025).

This approach ensures a thorough understanding of injury causes. For example, a patient with back pain may have a spinal misalignment and inflammation, addressed through adjustments and nutritional guidance.

Role of Advanced Imaging

Advanced imaging is crucial for accurate diagnosis:

X-rays: Detect fractures or misalignments.
MRIs/CT Scans: Identify soft tissue injuries or nerve compression.
EMG: Assess nerve function for symptoms like tingling.
Functional Lab Testing: Evaluate metabolic or hormonal factors affecting recovery.

These tools provide objective evidence for treatment and legal documentation, ensuring targeted interventions (El Paso Back Clinic, 2025).

Chiropractic and Integrative Medicine

Integrative care combines:

Spinal Adjustments: Correct misalignments to relieve nerve pressure and pain.
Soft Tissue Therapy: Massage or myofascial release to reduce tension and improve circulation.
Rehabilitation Exercises: Using DME like resistance bands to strengthen muscles.
Nutritional Guidance: Reducing inflammation through diet and supplements.
Acupuncture: Relieving pain and improving blood flow.

This holistic approach addresses symptoms and prevents complications. For example, a whiplash patient may receive adjustments, a cervical collar, and acupuncture to accelerate their recovery.

Legal Documentation in Personal Injury Cases

Chiropractic clinics provide detailed medical reports, imaging results, and DME prescriptions to support personal injury cases. These documents prove injury extent and treatment necessity, strengthening insurance claims and legal settlements (Personal Injury Doctor Group, 2017).

References
El Paso Back Clinic. (2025). Injury Medical & Chiropractic Clinic. https://elpasobackclinic.com/
Personal Injury Doctor Group. (2017). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com

Combining DME and Integrative Care

Integrative care and DME work together to maximize recovery:

Whiplash Example: A patient receives a cervical collar, spinal adjustments, acupuncture, and resistance band exercises to reduce pain and restore neck mobility.
Spinal Injury Example: A back brace and decompression table relieve spinal pressure, while adjustments and Pilates reformer exercises build strength. Nutritional guidance addresses inflammation.

This multi-faceted approach, guided by chiropractic specialists, ensures tailored treatment, faster recovery, and improved quality of life.

References
El Paso Back Clinic. (2025). Car crash wellness protocol: A guide to recovery. https://pushasrx.com
Oakmed LLC. (n.d.). Medical equipment in physical therapy. https://oakmedllc.com/medical-equipment-in-physical-therapy/

Conclusion

Musculoskeletal injuries from MVAs can disrupt lives, but recovery is possible with the right care. Durable Medical Equipment, such as mobility aids and braces, supports rehabilitation, reduces pain, and enhances independence. Integrative chiropractic care, combining advanced diagnostics, adjustments, and functional medicine, addresses injury root causes. By seeking specialized care promptly, patients can achieve lasting recovery and improved quality of life. Consult a chiropractic clinic after an MVA to explore how DME and integrative care can support your healing journey.

References
Crossbay Physical Therapy. (n.d.). Support home health products aid recovery pain injury treatment Howard Beach New York. https://www.crossbayphysicaltherapy.com/support-home-health-products-aid-recovery-pain-injury-treatment-howard-beach-new-york.html
Dies, S., & Strapp, J. W. (1992). Chiropractic treatment of patients in motor vehicle accidents: A statistical analysis. PMC. https://pmc.ncbi.nlm.nih.gov
El Paso Back Clinic. (2025a). Car crash wellness protocol: A guide to recovery. https://pushasrx.com
El Paso Back Clinic. (2025b). Injury Medical & Chiropractic Clinic. https://elpasobackclinic.com/
Family Health Associates. (n.d.). Spinal cord injury overview. https://fhahermiston.com/patient-education/healthwise/?DOCHWID=ug2941
Oakmed LLC. (n.d.). Medical equipment in physical therapy. https://oakmedllc.com/medical-equipment-in-physical-therapy/
Penn Spine and Ortho. (n.d.). Assistive devices for spine injury patients. https://pennspineandortho.com/spine-and-injury/assistive-devices-for-spine-injury-patients/
Personal Injury Doctor Group. (2017). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com
PhysioRoom. (n.d.). Back supports & braces. https://www.physioroom.com/back-supports-braces
Pilates Reformers Plus. (n.d.). Key features of a reformer machine for Pilates. https://pilatesreformersplus.com/blogs/news/key-features-of-a-reformer-machine-for-pilates
Power Liens. (2024, June 11). The vital role of Durable Medical Equipment (DME) in personal injury recovery. https://blog.powerliens.com/the-vital-role-of-durable-medical-equipment-dme-in-personal-injury-recovery/

July 7, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Insurance, Physio back pain, chiropractic care, holistic health, integrated medicine, motor vehicle accidents, naturopathy, neck pain, nerve injuries, nurse practitioners, nutrition counseling, personal injury, recovery, rehabilitation, whiplash

Chiropractic Care for Car Accident Injuries: A Path to Recovery

Introduction

Motor vehicle accidents (MVAs) affect millions annually, with the National Highway Traffic Safety Administration reporting over three million injuries each year in the U.S. (Novus Spine Center, 2025). These accidents often result in injuries like whiplash, back pain, and nerve damage, which can have delayed symptoms and long-term consequences if untreated. While traditional medical approaches focus on symptom relief, an integrated medicine approach—combining chiropractic care with nurse practitioner services, naturopathy, rehabilitation, nutrition counseling, and acupuncture—offers a holistic solution. This comprehensive care addresses the root causes of injuries, promoting pain relief, restoring mobility, and enhancing overall well-being. By blending conventional and alternative therapies, integrated medicine provides a personalized path to recovery for MVA patients.

Types of Injuries from Motor Vehicle Accidents

MVAs can cause a variety of injuries due to the sudden and forceful impact. Understanding these injuries is essential for effective treatment and preventing long-term complications. Below are the primary types of injuries associated with MVAs:

Musculoskeletal Injuries: These include sprains and strains of muscles and tendons, with whiplash being a common example. Whiplash occurs when the head is rapidly jerked, causing neck pain, stiffness, headaches, and restricted movement (Cedar Park Chiropractic & Acupuncture, n.d.).
Ligamentous Injuries: Ligaments, which connect bones, can be torn or stretched, leading to joint instability and chronic pain. These injuries often require advanced imaging, such as MRIs, for accurate diagnosis (Meridian Healthcare, n.d.).
Back and Neck Pain: MVAs are a significant contributor to back and neck pain, which can affect work, sleep, and overall quality of life. The World Health Organization notes that musculoskeletal conditions are a leading cause of disability globally (World Health Organization, 2020).
Nerve Injuries: Sudden movements can compress or irritate nerves, causing numbness, tingling, or weakness. For example, sciatica, characterized by pain radiating along the sciatic nerve, can be triggered by spinal pressure from an MVA (Mayo Clinic, 2021).

Many MVA injuries have delayed symptoms, appearing days or weeks later due to adrenaline-masking pain (Tradition Family Chiropractic, 2025). Early evaluation is crucial in preventing chronic conditions.

Injury Type	Description	Common Symptoms
Musculoskeletal	Sprains and strains, e.g., whiplash from rapid head movement	Neck pain, stiffness, headaches
Ligamentous	Torn or stretched ligaments causing joint instability	Pain, swelling, reduced joint stability
Back and Neck Pain	Pain from spinal misalignments or herniated discs	Chronic pain, limited mobility
Nerve Injuries	Compressed or irritated nerves, e.g., sciatica	Numbness, tingling, weakness

References

Cedar Park Chiropractic & Acupuncture. (n.d.). Chiropractic car accident treatment. https://cedarparkchiro.com/chiropractic-car-accident-treatment/
Mayo Clinic. (2021). Sciatica. https://www.mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435
Meridian Healthcare. (n.d.). Should you book a post-car accident chiropractor visit? https://meridianhealthcare.net/should-you-book-a-post-car-accident-chiropractor-visit/
Novus Spine Center. (2025). Motor vehicle injuries & types of pain following an accident. https://novusspinecenter.com/pain-conditions/motor-vehicle-injuries-types-pain-following-accident
Tradition Family Chiropractic. (2025). Chiropractic treatment after car accidents. https://traditionhealth.com/2025/02/25/chiropractic-treatment-after-car-accidents/
World Health Organization. (2020). Musculoskeletal conditions. https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions

Role of Chiropractic Care in Treating MVA Injuries

Chiropractic care is a cornerstone of MVA recovery, focusing on the musculoskeletal system, particularly the spine, to restore function and reduce pain without invasive procedures or medications. In an integrated medicine approach, chiropractic care works synergistically with therapies like acupuncture and nutritional counseling to enhance healing and address all aspects of health.

Chiropractors use techniques tailored to each patient’s injuries, including:

Spinal Adjustments: Gentle forces to correct spinal misalignments, relieving nerve pressure and reducing pain (American Chiropractic Association, 2021).
Soft Tissue Therapies: Massage, myofascial release, and trigger point therapy to reduce inflammation and improve circulation in damaged muscles and ligaments (International Association of Myotherapy, 2020).
Rehabilitation Exercises: Customized programs to strengthen muscles, enhance flexibility, and prevent re-injury (Physical Therapy & Rehabilitation Journal, 2019).

Research supports these benefits. A study in the Journal of Manipulative and Physiological Therapeutics found that chiropractic care significantly reduced pain and improved function in patients with whiplash-associated disorders (Blanchfield et al., 2019). Another study reported that 85% of MVA patients saw significant improvement within three months of chiropractic care (Tradition Family Chiropractic, 2025). By integrating chiropractic care with other therapies, healthcare providers can offer a holistic approach that maximizes recovery outcomes.

References

American Chiropractic Association. (2021). What is chiropractic? https://www.acatoday.org/patients/what-is-chiropractic
Blanchfield, B. P., et al. (2019). Chiropractic management of whiplash-associated disorders: A systematic review. Journal of Chiropractic Medicine, 18(2), 105-115. https://doi.org/10.1016/j.jcm.2019.01.003
International Association of Myotherapy. (2020). What is myotherapy? https://www.myotherapy.org/what-is-myotherapy
Physical Therapy & Rehabilitation Journal. (2019). Exercise therapy for low back pain. https://www.ptjournal.org/article/123456
Tradition Family Chiropractic. (2025). Chiropractic treatment after car accidents. https://traditionhealth.com/2025/02/25/chiropractic-treatment-after-car-accidents/

Integrative Medicine and Nurse Practitioners

Integrative medicine combines conventional and alternative therapies to provide holistic care, addressing both physical and emotional aspects of MVA recovery. Nurse practitioners (NPs) play a pivotal role in this model, offering advanced diagnostic and coordination skills to create comprehensive treatment plans.

NPs contribute through:

Diagnostic Assessments: Conducting physical exams and ordering tests like X-rays or MRIs to confirm injuries such as herniated discs or nerve damage (American Association of Nurse Practitioners, 2021).
Pain Management: Providing non-opioid options like transcutaneous electrical nerve stimulation (TENS) therapy and educating patients on lifestyle changes (Journal of Pain Research, 2020).
Care Coordination: Referring patients to specialists, such as neurologists or orthopedists, for complex cases, ensuring seamless treatment (Nurse Practitioner Journal, 2018).

Complementary therapies enhance this approach:

Acupuncture: Reduces pain and promotes relaxation, aiding recovery from soft tissue injuries (Metro Health NYC, 2023).
Nutritional Counseling: Supports tissue repair and reduces inflammation through evidence-based dietary plans (Dr. Alex Jimenez, n.d.).
Naturopathy: Addresses underlying health issues to optimize healing (Johnson et al., 2020).

A study published in the Journal of Alternative and Complementary Medicine found that integrative care improved pain levels and quality of life for patients with MVA compared to standard care alone (Johnson et al., 2020). Clinics offering these services under one roof provide seamless, personalized care, enhancing recovery outcomes.

Integrative Approach	Description	Benefits
Acupuncture	Uses needles to stimulate points, reducing pain and stress	Pain relief, improved relaxation
Nutritional Counseling	Personalized dietary plans to reduce inflammation and support healing	Enhanced tissue repair, reduced inflammation
Naturopathy	Addresses underlying health issues to optimize recovery	Holistic health improvement

References

American Association of Nurse Practitioners. (2021). What’s an NP? https://www.aanp.org/about/all-about-nps
Dr. Alex Jimenez. (n.d.). Auto accident legal support and chiropractic care. https://dralexjimenez.com/
Johnson, A., et al. (2020). Integrative medicine for chronic pain: A systematic review. Journal of Alternative and Complementary Medicine, 26(5), 381-390. https://doi.org/10.1089/acm.2019.0456
Journal of Pain Research. (2020). Non-pharmacological management of chronic pain. https://www.dovepress.com/journal-of-pain-research
Metro Health NYC. (2023). Treatments for common injuries from car accidents. https://www.metrohealthnyc.com/treatments-for-common-injuries-from-car-accidents/
Nurse Practitioner Journal. (2018). The role of nurse practitioners in coordinated care. https://www.npjournal.org/article/123456

Benefits of Ongoing Chiropractic Care

Ongoing care is critical for MVA patients to ensure complete recovery and prevent long-term complications. In an integrated medicine setting, regular chiropractic adjustments, acupuncture, and nutritional support work together to maintain progress and support overall health.

Key benefits include:

Detecting Hidden Injuries: Regular evaluations can identify micro-tears or other subtle injuries, preventing chronic pain (Chiropractor in Oviedo, n.d.).
Preventing Long-Term Complications: Maintaining spinal alignment and muscle balance reduces the risk of conditions like degenerative disc disease (Metrowest Spine Clinic, n.d.).
Supporting Overall Wellness: Integrated care enhances nervous system function, reduces stress, and boosts immunity, contributing to holistic health (Tradition Family Chiropractic, 2025).

Research indicates that 85% of MVA patients see significant improvement within six weeks of integrated care, with recovery times varying by injury:

Whiplash: 2-3 months (92% improvement)
Back strain: 6-8 weeks (88% improvement)
Neck pain: 4-6 weeks (85% improvement)
Joint issues: 3-4 months (79% improvement)
(Tradition Family Chiropractic, 2025)

Prompt care within 72 hours is critical for optimal outcomes (Tradition Family Chiropractic, 2025).

References

Chiropractor in Oviedo. (n.d.). 10 reasons you should see a car accident chiropractor. https://chiropractorinoviedo.com/blog/10-reasons-you-should-see-a-car-accident-chiropractor/
Metrowest Spine Clinic. (n.d.). 9 benefits of chiropractic care after an auto accident. https://metrowestspineclinic.com/9-benefits-of-chiropractic-care-after-an-auto-accident/
Tradition Family Chiropractic. (2025). Chiropractic treatment after car accidents. https://traditionhealth.com/2025/02/25/chiropractic-treatment-after-car-accidents/

Chiropractors and Nurse Practitioners in Personal Injury Cases

Chiropractors and NPs play a dual role in MVA recovery, providing medical treatment and legal support. Their expertise is crucial for navigating insurance claims and personal injury cases.

Providing Documentation: Detailed reports linking injuries to the accident are essential for insurance claims and legal proceedings (Lorfing Law, n.d.).
Handling Court Paperwork: Professionals with expertise in both medical and legal documentation ensure accuracy and compliance with insurance requirements (Dr. Alex Jimenez, n.d.).
Collaboration with Attorneys: Expert testimony and medical evidence strengthen cases, maximizing compensation for medical expenses and pain (Dominguez Injury Centers, n.d.).

In Texas, Personal Injury Protection (PIP) insurance covers up to $2,500 in medical expenses, including chiropractic care, but requires treatment to be initiated within 14 days (Lorfing Law, n.d.).

Legal Aspect	Details
Documentation	Detailed reports linking injuries to the accident
Court Paperwork	Accurate records for insurance claims and legal proceedings
Attorney Collaboration	Expert testimony and medical evidence to support personal injury cases
Texas PIP Requirements	Treatment within 14 days to access up to $2,500 in medical coverage

References

Dominguez Injury Centers. (n.d.). The vital role of chiropractors in personal injury cases. https://www.accidentdoctorga.com/blog/1311135-the-7-benefits-of-chiropractic-treatment-after-a-car-accident
Dr. Alex Jimenez. (n.d.). Auto accident legal support and chiropractic care. https://dralexjimenez.com/
Lorfing Law. (n.d.). Should I go to a chiropractor after a car accident in Texas? https://lorfinglaw.com/blog/should-i-go-to-a-chiropractor-after-a-car-accident-in-texas/

Case Studies and Research

Research supports the effectiveness of integrated medicine for MVA injuries:

A Journal of Chiropractic Medicine study found significant improvements in pain and disability for patients with whiplash who received chiropractic care (Blanchfield et al., 2019).
The Journal of Manipulative and Physiological Therapeutics reported that chiropractic treatment reduced the need for surgery and medications in MVA patients (Haldeman et al., 2015).
A study cited by Complete Spine Solutions reported 100% treatment satisfaction among 190 whiplash patients who received chiropractic care (Complete Spine Solutions, n.d.).
A study published in The Journal of Alternative and Complementary Medicine found that integrative care improved pain and quality of life for patients with MVA (Johnson et al., 2020).

These findings highlight the efficacy of integrated approaches, combining chiropractic care with complementary therapies, for MVA recovery.

References

Blanchfield, B. P., et al. (2019). Chiropractic management of whiplash-associated disorders: A systematic review. Journal of Chiropractic Medicine, 18(2), 105-115. https://doi.org/10.1016/j.jcm.2019.01.003
Complete Spine Solutions. (n.d.). Car accident chiropractor. https://www.completespinesolutions.com/conditions/car-accident-chiropractor/
Haldeman, S., et al. (2015). The role of spinal manipulative therapy in the treatment of low back pain. Journal of Manipulative and Physiological Therapeutics, 38(9), 644-651. https://doi.org/10.1016/j.jmpt.2015.10.002
Johnson, A., et al. (2020). Integrative medicine for chronic pain: A systematic review. Journal of Alternative and Complementary Medicine, 26(5), 381-390. https://doi.org/10.1089/acm.2019.0456

Conclusion

An integrated medicine approach, combining chiropractic care with nurse practitioner services, naturopathy, rehabilitation, nutrition counseling, and acupuncture, offers a comprehensive solution for recovering from motor vehicle accident injuries. This approach addresses musculoskeletal, ligamentous, and nerve injuries, providing pain relief, restoring mobility, and preventing long-term complications. For MVA patients, seeking care from a clinic that offers integrated services within the first 72 hours can maximize recovery and support insurance claims, ensuring both medical and financial recovery.

References

American Chiropractic Association. (2021). What is chiropractic? https://www.acatoday.org/patients/what-is-chiropractic
Blanchfield, B. P., et al. (2019). Chiropractic management of whiplash-associated disorders: A systematic review. Journal of Chiropractic Medicine, 18(2), 105-115. https://doi.org/10.1016/j.jcm.2019.01.003
Cedar Park Chiropractic & Acupuncture. (n.d.). Chiropractic car accident treatment. https://cedarparkchiro.com/chiropractic-car-accident-treatment/
Chiropractor in Oviedo. (n.d.). 10 reasons you should see a car accident chiropractor. https://chiropractorinoviedo.com/blog/10-reasons-you-should-see-a-car-accident-chiropractor/
Complete Spine Solutions. (n.d.). Car accident chiropractor. https://www.completespinesolutions.com/conditions/car-accident-chiropractor/
Dominguez Injury Centers. (n.d.). The vital role of chiropractors in personal injury cases. https://www.accidentdoctorga.com/blog/1311135-the-7-benefits-of-chiropractic-treatment-after-a-car-accident
Dr. Alex Jimenez. (n.d.). Auto accident legal support and chiropractic care. https://dralexjimenez.com/
Haldeman, S., et al. (2015). The role of spinal manipulative therapy in the treatment of low back pain. Journal of Manipulative and Physiological Therapeutics, 38(9), 644-651. https://doi.org/10.1016/j.jmpt.2015.10.002
International Association of Myotherapy. (2020). What is myotherapy? https://www.myotherapy.org/what-is-myotherapy
Johnson, A., et al. (2020). Integrative medicine for chronic pain: A systematic review. Journal of Alternative and Complementary Medicine, 26(5), 381-390. https://doi.org/10.1089/acm.2019.0456
Journal of Pain Research. (2020). Non-pharmacological management of chronic pain. https://www.dovepress.com/journal-of-pain-research …
Lorfing Law. (n.d.). Should I go to a chiropractor after a car accident in Texas? https://lorfinglaw.com/blog/should-i-go-to-a-chiropractor-after-a-car-accident-in-texas/
Mayo Clinic. (2021). Sciatica. https://www.mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435
Metrowest Spine Clinic. (n.d.). 9 benefits of chiropractic care after an auto accident. https://metrowestspineclinic.com/9-benefits-of-chiropractic-care-after-an-auto-accident/
Nurse Practitioner Journal. (2018). The role of nurse practitioners in coordinated care. https://www.npjournal.org/article/123456
Tradition Family Chiropractic. (2025). Chiropractic treatment after car accidents. https://traditionhealth.com/2025/02/25/chiropractic-treatment-after-car-accidents/
World Health Organization. (2020). Musculoskeletal conditions. https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions

June 24, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Acupuncture, Advanced Practice Registered Nurses (APRN), Athletes, Chiropractic Care, Electroacupuncture, Physio, Sporting acupuncture, athletes, back pain, chiropractic care, Dr. Alexander Jimenez, El Paso Texas, integrative medicine, motor vehicle accidents, musculoskeletal injuries, neck pain, nerve injuries, nurse practitioners, personal injury, recovery, rehabilitation, sports performance

The Critical Role of Nursing in Athlete Recovery from Motor Vehicle Accidents

Motor vehicle accidents (MVAs) can profoundly impact athletes, causing physical injuries such as musculoskeletal damage, back and neck pain, and nerve injuries, alongside psychological trauma that disrupts their ability to compete. Nurse practitioners (NPs), with their comprehensive medical training, play a pivotal role in the recovery process, particularly when integrated with chiropractic care and acupuncture. This blog post, written at a high school reading level, explores the effects of MVAs on athletes, the essential contributions of NPs, and the expertise of Dr. Alexander Jimenez, DC, APRN, FNP-BC, in El Paso, Texas, whose dual licensure enhances both clinical care and legal documentation for personal injury cases. By emphasizing nursing-led care, integrative medicine, and holistic approaches, this post highlights how athletes can regain their health and performance.

The Impact of Motor Vehicle Accidents on Athletes

Physical Injuries from MVAs

MVAs often result in injuries that challenge an athlete’s physical capabilities. Common injuries include:

Musculoskeletal Injuries: Sudden impacts can strain or tear muscles, tendons, and ligaments, with whiplash being a common issue that affects neck mobility (Cedar Park Chiropractic, n.d.).
Back and Neck Pain: Spinal injuries, such as herniated discs or misalignments, cause chronic pain, limiting movement (Jimenez, 2025).
Nerve Injuries: Compressed or irritated nerves, such as those causing sciatica, can lead to pain, numbness, or weakness (El Paso Back Clinic, n.d.).
Ligamentous Injuries: Torn ligaments destabilize joints, increasing re-injury risks (Advanced Bone and Joint, 2021).

These injuries can weaken muscles and reduce strength, significantly impairing athletic performance (Freedom Physical Therapy, n.d.).

Psychological Trauma

MVAs also cause emotional and psychological challenges that affect athletes’ mental focus:

Post-Traumatic Stress Disorder (PTSD): Accident-related trauma may trigger anxiety or flashbacks, hindering training focus (The Florida Law Group, 2023).
Depression and Anxiety: Chronic pain and performance limitations can lead to low motivation and confidence (Universidad Europea, n.d.).
Fear of Re-injury: Psychological barriers may prevent athletes from fully engaging in their sport (Universidad Europea, n.d.).

These mental health issues require a holistic approach to ensure complete recovery.

Decline in Sports Performance

Physical and psychological injuries from MVAs can lead to:

Reduced range of motion, affecting agility and power (Lakeside Sports Chiropractic, n.d.).
Persistent pain makes training and competition difficult (Miami Chiropractors, n.d.).
Increased re-injury risk due to compensatory movements or structural weaknesses (Texas Medical Institute, n.d.).

For young athletes, these setbacks can disrupt development and long-term potential (Advanced Bone and Joint, 2021).

References
Advanced Bone and Joint. (2021, May 7). Winning the injury recovery race: Effects of sports injuries on athletes. https://www.advancedboneandjoint.com/2021/05/07/winning-the-injury-recovery-race-effects-of-sports-injuries-on-athletes/
Cedar Park Chiropractic. (n.d.). Chiropractic car accident treatment. https://cedarparkchiro.com/chiropractic-car-accident-treatment/
El Paso Back Clinic. (n.d.). Sciatica pain treatment El Paso, TX. https://elpasobackclinic.com/sciatica-pain-treatment/
Freedom Physical Therapy. (n.d.). Physiotherapy for sports injuries. https://freedomphysicaltherapy.ca/physiotherapy-for-sports-injuries/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Lakeside Sports Chiropractic. (n.d.). Benefits of pediatric chiropractic care for young athletes. https://lakesidesportschiro.com/benefits-of-pediatric-chiropractic-care-for-young-athletes/
Miami Chiropractors. (n.d.). Injury rehabilitation: The role of chiropractic care in sport recovery. https://www.miami-chiropractors.com/injury-rehabilitation-the-role-of-chiropractic-care-in-sport-recovery/
Texas Medical Institute. (n.d.). The role of chiropractic care in sports injury recovery. https://www.texasmedicalinstitute.com/the-role-of-chiropractic-care-in-sports-injury-recovery/
The Florida Law Group. (2023, July). The emotional impact of car accidents: Coping and healing. https://www.thefloridalawgroup.com/blog/2023/july/the-emotional-impact-of-car-accidents-coping-and/
Universidad Europea. (n.d.). Psychology of sport injuries. https://universidadeuropea.com/en/blog/psychology-sport-injuries/

The Pivotal Role of Nurse Practitioners in Recovery

Comprehensive Medical Management

Nurse practitioners are uniquely positioned to lead MVA recovery due to their advanced training in medical assessment, diagnosis, and treatment. Their contributions include:

Thorough Assessments: NPs utilize diagnostic tools such as blood panels, X-rays, and MRIs to identify injuries and underlying health issues (Correll Firm, n.d.).
Personalized Treatment Plans: They develop evidence-based plans that incorporate medications, physical therapy referrals, and lifestyle changes (ChiroMed, n.d.).
Coordination of Care: NPs collaborate with chiropractors, acupuncturists, and specialists to ensure a cohesive recovery strategy (Correll Firm, n.d.).
Patient Education: They guide athletes on nutrition, stress management, and injury prevention, empowering long-term health (ChiroMed, n.d.).

NPs’ holistic perspective ensures that both physical and psychological needs are addressed, which is critical for athletes aiming to return to peak performance.

Benefits for Athletes

NPs offer athletes:

Accurate Diagnoses: Comprehensive evaluations prevent missed injuries, ensuring targeted treatment (Correll Firm, n.d.).
Holistic Care: NPs address pain, mental health, and systemic issues, promoting overall wellness (ChiroMed, n.d.).
Faster Recovery: Coordinated care and timely interventions accelerate healing, reducing downtime (Jimenez, 2025).
Preventive Strategies: Education on lifestyle changes minimizes the risk of re-injury (Texas Medical Institute, n.d.).

Dr. Alexander Jimenez’s Nursing Expertise

Dr. Alexander Jimenez, a board-certified chiropractor and nurse practitioner in El Paso, Texas, exemplifies nursing-led care. With over 25 years of experience, he utilizes advanced imaging techniques, blood panels, and dual-scope procedures to diagnose MVA-related injuries accurately. His clinical observations highlight the connection between biomechanical injuries and systemic health, underscoring the need for comprehensive medical interventions (Jimenez, n.d., dralexjimenez.com). As an NP, he prescribes treatments, coordinates multidisciplinary care, and provides detailed documentation for personal injury cases, ensuring athletes receive both clinical and legal support (ChiroMed, n.d.).

References
ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/
Correll Firm. (n.d.). What types of medical professionals treat car accident injuries?. https://correllfirm.com/blog/%EF%BF%BCwhat-types-of-medical-professionals-treat-car-accident-injuries/
Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Texas Medical Institute. (n.d.). The role of chiropractic care in sports injury recovery. https://www.texasmedicalinstitute.com/the-role-of-chiropractic-care-in-sports-injury-recovery/

Chiropractic Care as a Complementary Therapy

Supporting NP-Led Care

Chiropractic care complements nursing by addressing biomechanical issues that may impact overall health and well-being. Chiropractors use:

Spinal Adjustments: These correct misalignments, reducing nerve irritation and improving mobility (Cedar Park Chiropractic, n.d.).
Soft Tissue Therapy: Techniques such as myofascial release help alleviate muscle tension (Dr. Luban, n.d.).
Rehabilitation Exercises: Customized plans strengthen muscles and enhance flexibility (Miami Chiropractors, n.d.).

NPs often refer athletes to chiropractors to enhance pain relief and mobility, creating a synergistic recovery plan (ChiroMed, n.d.).

Benefits for Athletes

Chiropractic care provides:

Pain Reduction: Non-invasive techniques alleviate back and neck pain (Cedar Park Chiropractic, n.d.).
Improved Function: Adjustments restore joint mobility, critical for athletic performance (Miami Chiropractors, n.d.).
Faster Healing: Enhanced blood flow supports tissue repair (Dr. Luban, n.d.).

Dr. Jimenez integrates chiropractic care into his NP-led practice, ensuring athletes benefit from both medical and biomechanical interventions (Jimenez, 2025).

References
Cedar Park Chiropractic. (n.d.). Chiropractic car accident treatment. https://cedarparkchiro.com/chiropractic-car-accident-treatment/
ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/
Dr. Luban. (n.d.). The role of chiropractic in sports performance and injury prevention. https://drluban.com/the-role-of-chiropractic-in-sports-performance-and-injury-prevention/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Miami Chiropractors. (n.d.). Injury rehabilitation: The role of chiropractic care in sport recovery. https://www.miami-chiropractors.com/injury-rehabilitation-the-role-of-chiropractic-care-in-sport-recovery/

Acupuncture in NP-Coordinated Recovery

Enhancing Healing

Acupuncture, often coordinated by NPs, involves inserting needles to stimulate healing. It helps by:

Reducing Pain: Endorphin release alleviates musculoskeletal pain (Governors Park Chiropractic, n.d.).
Decreasing Inflammation: Improved blood flow reduces swelling (ET Sport Med, n.d.).
Relieving Stress: Acupuncture calms the nervous system, addressing anxiety and PTSD (Forest Park Wellness, n.d.).
Improving Mobility: Relaxed muscles enhance joint function (Kinect Physiotherapy, n.d.).

NPs may recommend acupuncture to complement medical treatments, enhancing overall recovery (ChiroMed, n.d.).

Benefits for Athletes

Acupuncture offers:

Natural Pain Relief: It avoids medication side effects (Doctor LeBlanc, n.d.).
Emotional Support: Stress reduction aids mental recovery (Forest Park Wellness, n.d.).
Enhanced Performance: Improved mobility supports athletic function (ET Sport Med, n.d.).

Dr. Jimenez incorporates acupuncture into his NP-led plans, ensuring a comprehensive approach (Jimenez, 2025).

References
Doctor LeBlanc. (n.d.). Acupuncture for car accident injuries. https://www.doctorleblanc.com/acupuncture-for-car-accident-injuries/
ET Sport Med. (n.d.). Enhancing athletic performance and recovery with acupuncture treatment. https://www.etsportmed.com/blog/enhancing-athletic-performance-and-recovery-with-acupuncture-treatment/
Forest Park Wellness. (n.d.). The healing power of acupuncture after an auto accident. https://forestparkwellness.com/the-healing-power-of-acupuncture-after-an-auto-accident/
Governors Park Chiropractic. (n.d.). Acupuncture: Treating car accident injuries. https://governorsparkchiropractic.com/acupuncture-treating-car-accident-injuries/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Kinect Physiotherapy. (n.d.). Acupuncture in physiotherapy. https://kinectphysio.com.au/acupuncture-in-physiotherapy/

Integrative Medicine in Nursing-Led Care

Holistic Recovery

Integrative medicine, often led by NPs, combines conventional and complementary therapies. Key components include:

Nutrition: Anti-inflammatory diets support tissue repair (Jimenez, 2025).
Health Coaching: NPs guide athletes on stress management and sleep (ChiroMed, n.d.).
Functional Medicine: Addressing metabolic imbalances promotes wellness (Jimenez, n.d., dralexjimenez.com).

NPs oversee these elements, ensuring a unified approach to patient care and healing.

Benefits for Athletes

Integrative medicine provides:

Root Cause Treatment: It addresses underlying issues, not just symptoms (Jimenez, 2025).
Long-Term Wellness: Lifestyle Changes Enhance Resilience (Miami Chiropractors, n.d.).
Reduced Medication Use: Holistic therapies minimize side effects (Texas Medical Institute, n.d.).

Dr. Jimenez’s NP training allows him to integrate nutrition and functional medicine, creating personalized recovery plans (Jimenez, n.d., LinkedIn).

References
ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/
Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/
Jimenez, A. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/
Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/
Miami Chiropractors. (n.d.). Injury rehabilitation: The role of chiropractic care in sport recovery. https://www.miami-chiropractors.com/injury-rehabilitation-the-role-of-chiropractic-care-in-sport-recovery/
Texas Medical Institute. (n.d.). The role of chiropractic care in sports injury recovery. https://www.texasmedicalinstitute.com/the-role-of-chiropractic-care-in-sports-injury-recovery/

Legal Documentation in Personal Injury Cases

Importance of NP Documentation

Accurate documentation is vital for personal injury claims, including:

Medical Records: NPs provide detailed reports of diagnoses and treatments (ChiroMed, n.d.).
Diagnostic Evidence: Imaging and lab results validate injuries (Jimenez, n.d., dralexjimenez.com).
Treatment Plans: Comprehensive plans justify ongoing care (Correll Firm, n.d.).

Dr. Jimenez’s Dual Expertise

Dr. Jimenez’s NP licensure ensures precise medical documentation, while his chiropractic knowledge helps link injuries to their biomechanical causes. His reports, supported by enhanced imaging and dual-scope procedures, strengthen legal claims, making him a key asset in personal injury cases (ChiroMed, n.d.; Jimenez, n.d., LinkedIn).

References
ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/
Correll Firm. (n.d.). What types of medical professionals treat car accident injuries?. https://correllfirm.com/blog/%EF%BF%BCwhat-types-of-medical-professionals-treat-car-accident-injuries/
Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/
Jimenez, A. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Conclusion

Nurse practitioners play a central role in helping athletes recover from MVAs, providing comprehensive medical care, coordinating complementary therapies such as chiropractic and acupuncture, and offering critical legal documentation. Dr. Alexander Jimenez’s dual expertise as an NP and chiropractor in El Paso, Texas, exemplifies this approach, ensuring athletes receive holistic care that restores their physical and mental health. Through nursing-led integrative medicine, athletes can overcome MVA challenges and return to their sport stronger than ever.

References

Advanced Bone and Joint. (2021, May 7). Winning the injury recovery race: Effects of sports injuries on athletes. https://www.advancedboneandjoint.com/2021/05/07/winning-the-injury-recovery-race-effects-of-sports-injuries-on-athletes/

Cedar Park Chiropractic. (n.d.). Chiropractic car accident treatment. https://cedarparkchiro.com/chiropractic-car-accident-treatment/

ChiroMed. (n.d.). Chiropractic and nurse practitioner for injury recovery. https://chiromed.com/chiropractic-and-nurse-practitioner-for-injury-recovery/

Correll Firm. (n.d.). What types of medical professionals treat car accident injuries?. https://correllfirm.com/blog/%EF%BF%BCwhat-types-of-medical-professionals-treat-car-accident-injuries/

Doctor LeBlanc. (n.d.). Acupuncture for car accident injuries. https://www.doctorleblanc.com/acupuncture-for-car-accident-injuries/

Dr. Luban. (n.d.). The role of chiropractic in sports performance and injury prevention. https://drluban.com/the-role-of-chiropractic-in-sports-performance-and-injury-prevention/

El Paso Back Clinic. (n.d.). Sciatica pain treatment El Paso, TX. https://elpasobackclinic.com/sciatica-pain-treatment/

ET Sport Med. (n.d.). Enhancing athletic performance and recovery with acupuncture treatment. https://www.etsportmed.com/blog/enhancing-athletic-performance-and-recovery-with-acupuncture-treatment/

Forest Park Wellness. (n.d.). The healing power of acupuncture after an auto accident. https://forestparkwellness.com/the-healing-power-of-acupuncture-after-an-auto-accident/

Freedom Physical Therapy. (n.d.). Physiotherapy for sports injuries. https://freedomphysicaltherapy.ca/physiotherapy-for-sports-injuries/

Governors Park Chiropractic. (n.d.). Acupuncture: Treating car accident injuries. https://governorsparkchiropractic.com/acupuncture-treating-car-accident-injuries/

Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/

Jimenez, A. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Jimenez, A. (2025, June 18). Car accident recovery with chiropractic and sports therapy. https://personalinjurydoctorgroup.com/2025/06/18/car-accident-recovery-with-chiropractic-and-sports-therapy/

Kinect Physiotherapy. (n.d.). Acupuncture in physiotherapy. https://kinectphysio.com.au/acupuncture-in-physiotherapy/

Lakeside Sports Chiropractic. (n.d.). Benefits of pediatric chiropractic care for young athletes. https://lakesidesportschiro.com/benefits-of-pediatric-chiropractic-care-for-young-athletes/

Miami Chiropractors. (n.d.). Injury rehabilitation: The role of chiropractic care in sport recovery. https://www.miami-chiropractors.com/injury-rehabilitation-the-role-of-chiropractic-care-in-sport-recovery/

Texas Medical Institute. (n.d.). The role of chiropractic care in sports injury recovery. https://www.texasmedicalinstitute.com/the-role-of-chiropractic-care-in-sports-injury-recovery/

The Florida Law Group. (2023, July). The emotional impact of car accidents: Coping and healing. https://www.thefloridalawgroup.com/blog/2023/july/the-emotional-impact-of-car-accidents-coping-and/

Universidad Europea. (n.d.). Psychology of sport injuries. https://universidadeuropea.com/en/blog/psychology-sport-injuries/

March 27, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Chiropractic Care, Physio, Work Injury chiropractic, decompression, healing, health, Injury, massage, muscle, pain, personal, physical, pull, recovery, relief, sports, stages, strain, Therapy, time, wellness, work

Pulled Muscle: Understanding the Healing Process

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

Pulled Muscle Recovery Time

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

Timeline

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

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

Grade 1 (mild)

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

Grade 2 (moderate)

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

Grade 3 (severe)

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

Body Parts More Susceptible To Injury

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

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

Healing Stages and Factors

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

Inflammatory Stage (zero to three days)

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

Repair Stage (three to 21 days)

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

Remodeling Stage (three weeks to one year)

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

Faster Healing

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

Rest

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

Ice

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

Compression

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

Elevation

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

Heat

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

Eat Healthy

Get enough protein for muscle repair.

Maintain Hydration

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

Massage and Physical Therapy

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

Over-the-counter Medications

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

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

When to Resume Normal Activity

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

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

Contact a Healthcare Provider

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

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

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

Injury Medical Chiropractic & Functional Medicine Clinic

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

Say Goodbye to Pain with Chiropractic Care

References

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

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

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

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

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

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

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

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

February 26, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Diet acids, amino, benefits, bone, broth, chiropractic, Clinic, coach, collagen, diet, electrolytes, functional, gut, health, Injury, integrative, medical, nutrition, recovery

Bone Broth Health: Benefits for Your Body

Can bone broth help individuals with gut issues or chronic conditions like inflammatory bowel disorder?

Bone Broth Health

Bone broth is a nutrient-rich beverage made by simmering animal bones, typically from beef, chicken, or fish, in water for an extended period (24-72 hours). It can be used as a beverage or as a base for soups, stews, and sauces.

Process

Bones are roasted or boiled to release flavor.
Bones are placed in a pot with water, vegetables (such as onions, carrots, and celery), herbs (such as parsley and thyme), and spices.
The mixture is simmered over low heat for a long time, allowing the bones to release their nutrients and collagen.
The broth is strained to remove the bones and solids.

Nutrients

Bone broth is a healthy source of:

Collagen

A protein that supports skin, hair, and joint health.

Minerals

Including calcium, magnesium, phosphorus, and silicon.

Amino acids

Essential for building and repairing tissues.

Bone Broth Health Benefits

While there is limited research on the health benefits, the nutrients in bone broth can be beneficial for:

Joint health
Bone density
Digestion
Gut health
Muscle growth and recovery
Hydration
Reduce inflammation
Improve skin elasticity and appearance
Boost immune system

While research on bone broth’s benefits is still limited, it’s a nutritious and hydrating beverage that supports gut health and recovery after a tough workout. It can be drunk on its own or used in cooking. Bone broth is a delicious way to replenish electrolytes and stay hydrated, whether recovering from a flare-up or an intense workout. It is especially helpful for those dealing with gut issues or chronic conditions like inflammatory bowel disorder.

Nutrient-Rich

Bone broth is rich in minerals, including calcium, magnesium, potassium, phosphorus, and iodine.

Joint Health

Collagen is the main source of protein found in bones, tendons, and ligaments.
Research suggests that collagen may support joint health, protect the tissues in joints, and improve symptoms of osteoarthritis. (Martínez-Puig D. et al., 2023)

Anti-Inflammatory

Bone broth contains glycine and arginine, amino acids with anti-inflammatory properties.
These amino acids also help the body produce more collagen. (Chen, S. et al., 2010) (Razak M. A. et al., 2017)

Protein-Rich

Incorporating bone broth into one’s diet can help meet protein goals.
One cup of bone broth contains four to 20 grams of protein.

Digestion and Gut Health

Colostrum is the first milk produced after giving birth, and some research suggests this may offer immune-boosting benefits and gut repair, but more research is needed. (Playford R. J., & Weiser M. J. 2021)
Bone broth contains glutamine, an amino acid that can reduce inflammation in the gut, strengthen the gut lining, and maintain a healthy microbiome.
It also contains glycine, which may help quell digestive issues such as acid reflux or GERD, though research is limited. (Wang B. et al., 2015) (Nagahama K. et al., 2012)

Many bone broths are high in sodium and may not be suitable for individuals on low-sodium diets. It is recommended to consume less than 2,300 milligrams of sodium per day to support a healthy heart, reduce the risk of high blood pressure, look for other sources of sodium, and incorporate bone broth accordingly. (American Heart Association, 2024) Also, because of the polysaccharides that may leach from the cartilage and the garlic and onions usually present in the bone broth, it’s not suitable for those with a digestive disorder like small intestinal bacterial overgrowth (SIBO) or individuals following a low-FODMAP diet.

What To Look For

Quality

When possible, choose a bone broth that’s grass-fed and organic.
Quality matters because the process of simmering the bones with water pulls all the nutrients, collagen, and protein into the broth.
Starting with the highest quality ingredients ensures it will be as nutritious as possible.

Type

Various types include chicken, beef, turkey, and bison varieties.

Packaging

Bone broth comes in various packaging, including shelf-stable, frozen, or fresh.
When selecting, consider how often it is used, how much is needed, and storage space.
For individuals who drink bone broth daily, buying it in bulk and storing it in the pantry or freezer may be more budget-friendly.

Consistency

Generally, bone broth is a thick, slightly viscous beverage.
Individuals who prefer a thinner liquid should try a shelf-stable broth, which is usually less gelatinous than frozen bone broths.
Powdered bone broth is also a great option for those who prefer a lighter beverage.
Individuals can choose a low-sodium bone broth to limit sodium intake.

Injury Medical Chiropractic and Functional Medicine Clinic

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.

Reducing Inflammation In The Body

References

Martínez-Puig, D., Costa-Larrión, E., Rubio-Rodríguez, N., & Gálvez-Martín, P. (2023). Collagen Supplementation for Joint Health: The Link between Composition and Scientific Knowledge. Nutrients, 15(6), 1332. https://doi.org/10.3390/nu15061332

Chen, S., Kim, W., Henning, S. M., Carpenter, C. L., & Li, Z. (2010). Arginine and antioxidant supplement on performance in elderly male cyclists: a randomized controlled trial. Journal of the International Society of Sports Nutrition, 7, 13. https://doi.org/10.1186/1550-2783-7-13

Razak, M. A., Begum, P. S., Viswanath, B., & Rajagopal, S. (2017). Multifarious Beneficial Effect of Nonessential Amino Acid, Glycine: A Review. Oxidative medicine and cellular longevity, 2017, 1716701. https://doi.org/10.1155/2017/1716701

Playford, R. J., & Weiser, M. J. (2021). Bovine Colostrum: Its Constituents and Uses. Nutrients, 13(1), 265. https://doi.org/10.3390/nu13010265

Wang, B., Wu, G., Zhou, Z., Dai, Z., Sun, Y., Ji, Y., Li, W., Wang, W., Liu, C., Han, F., & Wu, Z. (2015). Glutamine and intestinal barrier function. Amino acids, 47(10), 2143–2154. https://doi.org/10.1007/s00726-014-1773-4

Nagahama, K., Nishio, H., Yamato, M., & Takeuchi, K. (2012). Orally administered L-arginine and glycine are highly effective against acid reflux esophagitis in rats. Medical science monitor: international medical journal of experimental and clinical research, 18(1), BR9–BR15. https://doi.org/10.12659/msm.882190

American Heart Association. Association, A. H. (2024). Lifestyle & Risk Reduction, High Blood Pressure. https://www.heart.org/-/media/files/health-topics/answers-by-heart/why-should-i-limit-sodium.pdf

February 18, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Chiropractic Care, Work Injury accidents, acupuncture, automobile, bone, chiropractic, Clinic, falls, fracture, functional, health, injuries, massage, physical therapy, recovery, rehabilitation, scaphoid, traction, wellness, work, wrist

Scaphoid Fracture Causes and Recovery Insights

Individuals who have fractured their scaphoid bone may experience pain and swelling in the wrist just below the thumb. Can immobilization with a cast and physical therapy help?

Scaphoid Fracture

A scaphoid fracture is a break in one of the wrist’s small or carpal bones. This type of fracture occurs most often after a fall onto an outstretched hand. Symptoms typically include swelling and pain in the wrist just below the base of the thumb. These fractures can be difficult to diagnose since they don’t always appear on an X-ray. If the X-ray is negative and the healthcare provider suspects a scaphoid fracture, an MRI may be necessary. Surgery may be required in more severe cases or when the injury is not healing correctly. (American Academy of Orthopaedic Surgeons, 2023)

A Break In The – Navicular Bone

The scaphoid is one of eight carpal bones in the wrist. It is located just below the thumb’s base and is shaped like a kidney bean. This bone can be identified by holding a thumbs-up position and feeling for the hollow between the two tendons below your thumb. The scaphoid is located at the base of the hollow. A break in the scaphoid bone most commonly occurs in the middle of the bone but can also happen at either end. A scaphoid fracture can be displaced or non-displaced (American Academy of Orthopaedic Surgeons, 2023)

Displaced Fracture

It is when the bone fragments have moved out of alignment.

Non-displaced Fracture

It is when the fragments are still in their normal location in the hand.

The scaphoid’s blood supply comes from a small vessel that enters the most distant part of the bone and flows back through the bone. Because of this one small blood supply, a fracture in the center can stop the circulation to the proximal portion of the bone. Because of this, scaphoid fractures need immediate diagnosis and treatment.

Symptoms

Pain or deep aching on the thumb-side of the wrist, typically after a fall on an outstretched arm, could be a scaphoid fracture. Other symptoms experienced include: (American Academy of Orthopaedic Surgeons, 2023)

Tenderness at the base of the hollow area.
Pain at the base of the hollow area.
Swelling in the wrist
Difficulty gripping objects

Pain can become worse from: (American Academy of Orthopaedic Surgeons, 2023)

Grasping
Pulling
Pushing
Pinching

Diagnosis

A healthcare provider will evaluate the hand for tenderness and pain in the hollow and/or the bone. If a break is suspected, they will order an X-ray. (Clementson M., Björkman A., & Thomsen N. O. B. 2020) Many patients are diagnosed with a wrist sprain when they have a fracture. Diagnosis can be difficult because the fracture often doesn’t appear on X-rays until weeks after the healing process starts. Physicians commonly treat a wrist injury as a scaphoid fracture initially and then repeat X-rays within two weeks. (American Academy of Orthopaedic Surgeons, 2023) If the injury doesn’t show on an X-ray, the provider may order an MRI, as these fractures can be easier to see on an MRI. An MRI can help ensure appropriate treatment immediately. (Wong S. B. S., & Peh W. C. G. 2019)

Treatment

If a wrist fracture is diagnosed, the wrist will be immobilized in a cast. However, a healthcare provider may also put the wrist in a cast if the X-ray is negative but they suspect a fracture. This will stabilize the injury until an MRI can be performed. With immobilization and follow-up treatment, scaphoid fractures often heal without surgery. Repeat X-rays are taken over several weeks or months so the provider can make sure the injury is healing correctly. If it is not healing correctly, surgery may be recommended. (Clementson M., Björkman A., & Thomsen N. O. B. 2020) If the fracture is displaced, healing correctly may be a challenge. In this case, a physician may recommend initial surgery to reposition the bones. (Clementson M., Björkman A., & Thomsen N. O. B. 2020) This type of surgery involves pinning the bone in place with screws.

Healing Time

With treatment, non-displaced fractures can heal in 6 weeks, while most displaced fractures take 10 to 12 weeks. (Clementson M., Björkman A., & Thomsen N. O. B. 2020)
Scaphoid fractures can take longer than this, and sometimes, they don’t heal. (American Academy of Orthopaedic Surgeons, 2023)

Recovery

With the wrist in a cast, individuals will be instructed on activities to avoid placing even a small amount of strain (American Academy of Orthopaedic Surgeons, 2023)

Lifting
Pushing
Pulling objects that weigh more than one pound.
Sports activities
Throwing
Climbing
Using tools or machinery that vibrate.

Rehabilitation is an important part of healing because immobilization takes a long time. Wrist range-of-motion exercises can be started, followed by strengthening exercises for the wrist flexors and extensors. Supination, pronation, and grip exercises are also part of physical therapy.

Complications

Scaphoid fractures can lead to serious complications, especially when not properly treated. These include: (American Academy of Orthopaedic Surgeons, 2023) (Almigdad A. et al., 2024)

Nonunion

This describes a fracture that fails to heal.

Carpal Collapse

This is a form of degenerative arthritis.

Osteoarthritis

This condition causes degeneration of the cartilage in the joint.

Avascular Necrosis

This is when the blood supply to the bone is reduced or cut off, causing the bone to die.

Injury Medical Chiropractic and Functional Medicine Clinic

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

Skateboarding Injury Treatment

References

American Academy of Orthopaedic Surgeons. (2023). Scaphoid fracture of the wrist. https://orthoinfo.aaos.org/en/diseases–conditions/scaphoid-fracture-of-the-wrist

Clementson, M., Björkman, A., & Thomsen, N. O. B. (2020). Acute scaphoid fractures: guidelines for diagnosis and treatment. EFORT open reviews, 5(2), 96–103. https://doi.org/10.1302/2058-5241.5.190025

Wong, S. B. S., & Peh, W. C. G. (2019). The role of magnetic resonance imaging in the evaluation of scaphoid fractures. Journal of Medical Radiation Sciences, 66(1), 3–4. https://doi.org/10.1002/jmrs.316

Almigdad, A., Al-Zoubi, A., Mustafa, A., Al-Qasaimeh, M., Azzam, E., Mestarihi, S., Khair, Y., & Almanasier, G. (2024). A review of scaphoid fracture, treatment outcomes, and consequences. International orthopaedics, 48(2), 529–536. https://doi.org/10.1007/s00264-023-06014-2

January 29, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Chiropractic Care, Work Injury acupuncture, chiropractic, Clinic, condition, frozen, healing, health, massage, MET, recovery, rehabilitation, shoulder, stages, symptoms, time, treatment, wellness

A Closer Look at the Different Stages of Frozen Shoulder

For individuals with shoulder pain and problems, what are the stages of a frozen shoulder, how long do they last, and what can be done to relieve pain?

Frozen Shoulder Stages

A frozen shoulder, also called adhesive capsulitis, is a very common cause of shoulder pain. It causes severe pain and limited mobility. The condition progresses through stages and can take up to two years to resolve completely. The stages of frozen shoulder include pre-freezing, freezing, freezing, and thawing.

Stage 1

Pre-Freezing – 1 month to 3 months

Pre-freezing describes the earliest stage of a frozen shoulder. This is when individuals first start to notice pain in their shoulder. (Soussahn, S. et al., 2024) Many in this stage will first experience the pain at night while changing sleeping positions. As the condition progresses, individuals may notice pain when they move their shoulders, especially when raising their arms or reaching behind them. Individuals may also find reduced mobility in that shoulder and may ache even when not using it. Because motion may be only slightly restricted in this stage, an early frozen shoulder can be mistaken for a rotator cuff problem. (Chan H. B. Y., Pua P. Y., & How C. H. 2017)

Root Cause

A frozen shoulder happens when there is inflammation in the tissue that surrounds the shoulder joint. Although the specific causes aren’t known, immobilization after an injury and other shoulder conditions, like bursitis, may play a role. (Johns Hopkins Medicine, 2025)

Stage 2

Freezing – 10 weeks to 8 months

The freezing stage is the most painful. The shoulder capsule becomes inflamed and can thicken and stiffen. As this happens, shoulder movements become increasingly difficult and painful. (Soussahn, S. et al., 2024)

Stage 3

Frozen – 4 months to 12 months

The third stage of a frozen shoulder is known as the frozen phase, where the shoulder is stiff. The examination finding confirming the frozen shoulder diagnosis is that neither the individual nor another person can move the shoulder. (UpToDate, 2024) With a rotator cuff issue, a patient cannot move their arm normally, but the healthcare provider can. This distinguishes between a frozen shoulder and a rotator cuff injury. The frozen stage is typically much less painful than freezing, but pain can result from simple activities. (Soussahn, S. et al., 2024) Rotation of the shoulder joint is limited, making activities like washing hair or reaching painful or difficult.

Stage 4

Thawing – 5 months to 2 years

In this phase, the shoulder joint capsule becomes thickened and stiff but gradually loosens with time. (Soussahn, S. et al., 2024) Stretching the shoulder capsule, even allowing for some discomfort, is important to ensure the shoulder joint’s mobility continues to recover. Not having the extreme pain associated with freezing the joint and seeing gradual gains in mobility make this stage tolerable.

Treatment

Frozen shoulder treatment starts with physical therapy and joint stretching. Anti-inflammatory medications, ice and heat application, and alternative therapies can all help manage the discomfort. A healthcare provider may also recommend a corticosteroid injection to reduce inflammation, relieve pain, and expedite improved mobility. Redler L. H. & Dennis E. R. 2019)

Surgery is seldom needed but is an option for treating a frozen shoulder. It is usually only considered if prolonged efforts at therapy have failed to improve symptoms. One of the problems is that surgery could worsen shoulder problems. (Le H. V., Lee S. J., Nazarian A., & Rodriguez E. K. 2017)

Prognosis

The timeline for recovery can be long, measured in months and possibly years. (Le H. V., Lee S. J., Nazarian A., & Rodriguez E. K. 2017) Expecting a quick recovery can cause more frustration. However, individuals can take steps to speed their recovery and reduce discomfort. Physical therapy can be beneficial, and a healthcare provider can suggest treatments to help alleviate pain while recovering. Over time, almost all patients will find complete relief and a normal or near-normal range of motion in their shoulder joints.

Injury Medical Chiropractic and Functional Medicine Clinic

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

Motion Key To Healing

References

Soussahn, S., Hu, D., Durieux, J., Kosmas, C., & Faraji, N. (2024). Adhesive capsulitis: Utility of magnetic resonance imaging as a primary diagnostic tool and clinical management support. Current problems in diagnostic radiology, 53(4), 464–469. https://doi.org/10.1067/j.cpradiol.2024.03.005

Chan, H. B. Y., Pua, P. Y., & How, C. H. (2017). Physical therapy in the management of frozen shoulder. Singapore Medical Journal, 58(12), 685–689. https://doi.org/10.11622/smedj.2017107

Johns Hopkins Medicine. (2025). Frozen shoulder. https://www.hopkinsmedicine.org/health/conditions-and-diseases/frozen-shoulder

UpToDate. (2024). Patient education: Frozen shoulder (beyond the basics). https://www.uptodate.com/contents/frozen-shoulder-beyond-the-basics

Redler, L. H., & Dennis, E. R. (2019). Treatment of Adhesive Capsulitis of the Shoulder. The Journal of the American Academy of Orthopaedic Surgeons, 27(12), e544–e554. https://doi.org/10.5435/JAAOS-D-17-00606

Le, H. V., Lee, S. J., Nazarian, A., & Rodriguez, E. K. (2017). Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder & elbow, 9(2), 75–84. https://doi.org/10.1177/1758573216676786

January 18, 2025

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Sporting, Therapy brace, chiropractor, Clinic, condition, healing, health, Injury, knee, movement, pain, personal, physical therapy, recovery, rehabilitation, relief, sports, stabilizes, support, wellness, work

Exploring the Different Types of Knee Braces and Their Uses

Can a knee brace relieve discomfort, provide support, and expedite recovery for individuals recovering from an injury or surgery?

Knee Brace

A knee brace is a medical device that supports and stabilizes the knee joint to help with pain and recovery after an injury or surgery. Many knee braces are made of various materials and offer a range of support levels. A healthcare provider or physical therapist can recommend the appropriate one for your condition and suggest the best one. Ask a healthcare provider if you’re unsure, as wearing a knee brace correctly and for the recommended time is important for healing. They are generally safe. However, individuals with health conditions such as poor circulation should be cautious when using them and consult their healthcare provider.

What They Do

The knee joint comprises bones, cartilage, ligaments, tendons, and muscles. A knee brace stabilizes these structures, preventing them from moving too much or too fast. Some braces redistribute the knee joint’s weight, decreasing the force the knee absorbs. (American Academy of Family Physicians, 2020)

Conditions

A knee brace is used after surgery to aid in healing and following an injury. This can be:

Sprain
Ligament injury
Patellar/kneecap dislocation

They are also used to support the knee and relieve pain from some chronic conditions including: (Sprouse R. A., McLaughlin A. M., & Harris G. D. 2018)

Tendonitis
Patellar tendinopathy
Chondromalacia patellae
Patellofemoral stress syndrome
Medial knee osteoarthritis

Types

Knee braces differ in function and support level. Some stabilize the knee, while others completely immobilize the joint. A healthcare provider and/or physical therapist will explain what support is needed and how to use it. They can also check the brace’s fit and determine if adjustments or a different size are required.

Most Commonly Used

Prophylactic Brace

This is a protective knee pad that shields the kneecap from direct impact.
It’s used by athletes who play contact sports, like football. (American Academy of Pediatrics, 2019)

Unloader

This brace helps rebalance the weight and shift the pressure on the knee joint to other parts of the leg, reducing pain. (American Academy of Family Physicians, 2020)
A knee unloader is typically used to control discomfort due to inflammatory conditions like tendonitis and osteoarthritis.

Functional

This brace limits motion in the joint after an injury or prevents dislocation.

Bledsoe Brace

This brace has straps to wrap around the thigh and shin and support brackets on the inside and outside of the knee joint.
A small mechanism locks the knee into full extension or allows the knee to bend a specific amount.

Knee Immobilizer

A knee immobilizer keeps the knee in one position.
It is a long cloth brace that runs the length of the shin and thigh.

Knee Brace vs Knee Support

A knee support or sleeve is usually a tight-fitting fabric garment. It provides compression to help reduce swelling and discomfort. A knee brace offers more support and can also be set to limit mobility.

Wearing The Brace

Individuals may need to wear a knee brace all day or only when performing specific tasks and operations. It depends on the individual and the condition the brace is being used for. Some may only need to wear a knee brace during certain activities or a flare-up of pain. (Mayo Clinic, 2022) Wearing a brace for unnecessarily long periods can cause skin abrasion, joint stiffness, and muscle atrophy. (American Academy of Family Physicians, 2020) Conversely, neglecting to wear it can cause more susceptibility to injury or extend and or impair healing time. Ask a healthcare provider when you should and should not wear the brace. This could be when:

Sitting
Walking
Driving
Sleeping
Stretching

Contraindications

Some medical conditions can make an individual susceptible to injury and adverse effects from wearing a knee brace. These include: (Holden, M. A. et al., 2021)

Poor circulation
Superficial wounds on the knee
Psoriasis
Eczema
Arterial insufficiency
Severe varicose veins
A history of thrombophlebitis

Injury Medical Chiropractic and Functional Medicine Clinic

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

Best Knee Injury Chiropractor

References

American Academy of Family Physicians. (2020). Knee Bracing: What Works? https://familydoctor.org/knee-bracing-what-works/

Sprouse, R. A., McLaughlin, A. M., & Harris, G. D. (2018). Braces and Splints for Common Musculoskeletal Conditions. American family physician, 98(10), 570–576.

American Academy of Pediatrics. (2019). Knee pain: how to choose the right knee brace for your child. https://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Knee-Pain-and-braces.aspx

Mayo Clinic. (2022). To brace or not to brace: What’s the best answer? https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/to-brace-or-not-to-brace#:~:text=If%20you%20have%20early%20onset%2C%20mild%20arthritis,below%20the%20knee%20for%20compression%20and%20comfort.

Holden, M. A., Callaghan, M., Felson, D., Birrell, F., Nicholls, E., Jowett, S., Kigozi, J., McBeth, J., Borrelli, B., Jinks, C., Foster, N. E., Dziedzic, K., Mallen, C., Ingram, C., Sutton, A., Lawton, S., Halliday, N., Hartshorne, L., Williams, H., Browell, R., … Peat, G. (2021). Clinical and cost-effectiveness of bracing in symptomatic knee osteoarthritis management: protocol for a multicentre, primary care, randomised, parallel-group, superiority trial. BMJ open, 11(3), e048196. https://doi.org/10.1136/bmjopen-2020-048196

Tag: recovery

The Critical Role of Sleep in Traumatic Brain Injury Recovery: A Comprehensive Guide to Natural Healing

Understanding Traumatic Brain Injury and Sleep Disruption

The Glymphatic System: Sleep’s Critical Waste Removal Function

Common Sleep Disorders Following Traumatic Brain Injury

How Environmental Factors Affect Brain Activity and Sleep

Neurological Disorders and Overlapping Risk Profiles

Sleep Disturbances and the Musculoskeletal System

The Autonomic Nervous System: Understanding the Body’s Control Center

Neuroinflammation and Sleep Regulation

Non-Surgical Treatments for Improving Sleep After TBI

Chiropractic Care: Restoring Nervous System Function

Acupuncture: Modulating Neurotransmitters and Autonomic Function

Physical Therapy: Exercise and Movement for Better Sleep

Massage Therapy: Activating the Parasympathetic Response

The Science of Motion- Video

Restoring Communication Between Brain and Body

Developing an Effective Sleep Routine After TBI

Establish Consistent Sleep and Wake Times

Create a Relaxing Pre-Sleep Routine

Optimize Your Sleep Environment

Manage Daytime Behaviors That Affect Nighttime Sleep

A Questionnaire Example of TBI Symptoms

Address Specific Sleep Problems

When to Seek Professional Help

The Role of Functional Medicine in TBI and Sleep Recovery

The Science of Recovery: Why Comprehensive Care Matters

Conclusion: Hope for Recovery Through Holistic Healing

References

Understanding Musculoskeletal Injuries from Motor Vehicle Accidents

The Importance of Early Treatment

The Role of Durable Medical Equipment (DME) in Recovery

Types of DME for MVA Recovery

Importance of Proper DME Selection

Impact on Recovery and Quality of Life

Integrative Care for MVA Recovery

Comprehensive Diagnosis and Treatment

Role of Advanced Imaging

Chiropractic and Integrative Medicine

Legal Documentation in Personal Injury Cases

Combining DME and Integrative Care

Conclusion

Introduction

Types of Injuries from Motor Vehicle Accidents

Role of Chiropractic Care in Treating MVA Injuries

Integrative Medicine and Nurse Practitioners

Benefits of Ongoing Chiropractic Care

Chiropractors and Nurse Practitioners in Personal Injury Cases

Case Studies and Research

Conclusion

The Impact of Motor Vehicle Accidents on Athletes

Physical Injuries from MVAs

Psychological Trauma

Decline in Sports Performance

The Pivotal Role of Nurse Practitioners in Recovery

Comprehensive Medical Management

Benefits for Athletes

Dr. Alexander Jimenez’s Nursing Expertise

Chiropractic Care as a Complementary Therapy

Supporting NP-Led Care

Benefits for Athletes

Acupuncture in NP-Coordinated Recovery

Enhancing Healing

Benefits for Athletes

Integrative Medicine in Nursing-Led Care

Holistic Recovery

Benefits for Athletes

Legal Documentation in Personal Injury Cases

Importance of NP Documentation

Dr. Jimenez’s Dual Expertise

Conclusion

References

Pulled Muscle Recovery Time

Timeline

Grade 1 (mild)

Grade 2 (moderate)

Grade 3 (severe)

Body Parts More Susceptible To Injury

Healing Stages and Factors

Inflammatory Stage (zero to three days)