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

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 TypeDescriptionCommon Symptoms
MusculoskeletalSprains and strains, e.g., whiplash from rapid head movementNeck pain, stiffness, headaches
LigamentousTorn or stretched ligaments causing joint instabilityPain, swelling, reduced joint stability
Back and Neck PainPain from spinal misalignments or herniated discsChronic pain, limited mobility
Nerve InjuriesCompressed or irritated nerves, e.g., sciaticaNumbness, tingling, weakness

References

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

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 ApproachDescriptionBenefits
AcupunctureUses needles to stimulate points, reducing pain and stressPain relief, improved relaxation
Nutritional CounselingPersonalized dietary plans to reduce inflammation and support healingEnhanced tissue repair, reduced inflammation
NaturopathyAddresses underlying health issues to optimize recoveryHolistic health improvement

References

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

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 AspectDetails
DocumentationDetailed reports linking injuries to the accident
Court PaperworkAccurate records for insurance claims and legal proceedings
Attorney CollaborationExpert testimony and medical evidence to support personal injury cases
Texas PIP RequirementsTreatment within 14 days to access up to $2,500 in medical coverage

References

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

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

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

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/

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

Pulled Muscle: Understanding the Healing Process

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

Pulled Muscle Recovery Time

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

Timeline

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

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

Grade 1 (mild)

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

Grade 2 (moderate)

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

Grade 3 (severe)

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

Body Parts More Susceptible To Injury

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

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

Healing Stages and Factors

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

Inflammatory Stage (zero to three days)

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

Repair Stage (three to 21 days)

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

Remodeling Stage (three weeks to one year)

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

Faster Healing

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

Rest

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

Ice

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

Compression

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

Elevation

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

Heat

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

Eat Healthy

  • Get enough protein for muscle repair.

Maintain Hydration

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

Massage and Physical Therapy

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

Over-the-counter Medications

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

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

When to Resume Normal Activity

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

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

Contact a Healthcare Provider

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

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

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

Injury Medical Chiropractic & Functional Medicine Clinic

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

Say Goodbye to Pain with Chiropractic Care

References

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

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

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

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

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

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

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

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

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

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

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

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

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?

human hand and wrist pain

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

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

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

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

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

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

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